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2023-02-28-accounts

Hyperlipidaemia Education & Atherosclerosis Research Trust UK

(A company limited by guarantee)

Registered number: 02631049 Charity number: 1003904

Trustees' report and financial statements for the year ended 28 February 2023

Trust UK (trading as HEART UK) (A company limited by guarantee)

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Contents
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Page
Reference and administrative details of the charity, its trustees and advisers 1
Trustees' report 2 - 16
Independent auditors' report 17 - 20
Consolidated statement of financial activities 21
Consolidated balance sheet 22
Charity balance sheet 23
Consolidated statement of cash flows 24
Notes to the financial statements 25- 39

Trust UK (trading as HEART UK) (A company limited by guarantee)

Reference and administrative details of the charity, its trustees and advisers for the year ended 28 February 2023

Trustees

Dr P H Green, Chairman Mr S D Boley ACA, Trustee Professor E A Hughes, Trustee Dr D Neely, Trustee Dr A Rees, Trustee Ms J Bennett, Trustee Ms T Kennerley, Trustee Mr B A Dobson, Trustee Mr A J Greaves, Trustee Dr D B N Datta, Trustee Mr T M Dixon, Trustee Mr N R Phipps ACA, Trustee (Treasurer) Ms A Tyler, Trustee Mr S Handrean, Trustee Ms N S Kim, Trustee

Company registered number

02631049

Charity registered number 1003904

Registered office

7 North Road, Maidenhead, Berkshire, SL6 1PE

Company secretary & Chief executive officer

Ms J Payne

Independent auditors

Moore Kingston Smith LLP, 6th Floor, 9 Appold Street, London EC2A 2AP

0￿￿ Ihpact Ib 2022-2025 HEART UK r￿blIC I￿{1r£be5s aba Support H£altkcaYc Prof£ssioh(415 HCPS subscribed to our e-news A38%Int￿￿eo￿1fieprt￿oU5)EuT 1.081 .4/. people acce55ed our cholesterol helpline rated the helpline as 'excellenf or'good 255 www HCPS attended our 35th Annual Medlcal and Scientific Conference Iipty5-orehu8esteplorhealihcorer 80,121 people 5ub5cribed million people accessed to our e-news the HEART UK web51te A4496increoseon theptYV￿rnr A3816ttKre￿toAlbtlYe¥1olts)y 5.186 HCP5 viewed our educational webinars on incituseo/7Th on rheprevlousyeor 151,853 1.215 printed materials were rated our literature distributed to paiients at'lnvaluabl with high chole51erol orfvery helpful,. A 7596increo5e on theprewousyeor printe(I resources distributeil to children and young people 12.r/. ?i.r/. of HCPS who attended our webinars reptsrted being'much more, or'more, ttsnfident treatin8 their patients for high cholesterol because of attending 50.131 CIAtstttroI HCPS educated through our Primary Care Education Programme- Tackling Cholesterol Together wth the NHS/AAC/AHSN digital materia15 were downloaded people wewed our video re51MJrces on YouTube 1,352,169 161,801 Impressions on Twiller- our social media plarforni targeted at HCPS of you viewed our Facebook posts Iwiceu5manyG51G5tyeor of you viewed our Instagram posts eightt11ne5G5n￿fiyQ5laSt￿r

Annual report incorporating a Directors, Report and Accounts for the year ended 28 February 2023 OBJECTS AND ACTIVITIES Introductlon HEART UK is the UK'S only charity focussed on cholesterol and lipids, lipids being a medical term meaning'blood fat,, and whilst there are numerous blood fats, cholesterol is the most common. For this reason. we will refer in this report to just cholesterol. but assume this means all blood fats. In 2002 two charities merged to form HEART UK. The British Hyperlipidaemia Association, a health care professional focused organisation and the Family Heart Association, a patient focused organisation. HEART is an acronym and stands for- Hyperlidaemia Edutation and Athersclerosis Research Trust. As a result of thls merger, HEART UK serves patients, their families and health care professlonals, in adilition to the Beneral public who may not be aware they have a cholesterol issue. Almost half of UK adults have ralsed cholesterol, putting them at an increased risk of heart attacks, strokes and vascular dementia. Raised cholesterol is the most common modifiable risk factor for cardlovascular dlsease and It can affect anyone, even the young and otherwise healthv. Cardiovascular disease ICVDI causes almost one-third of all deaths in the UK- on average, one person die5 every three minutes from CVD. More than 7 million people are living with CVD in the UK. Even children can be at risk around l in 250 people have the 8enetie Condition familial hypercholesterolaemia IFHI. which leads to high cholesterol and an increased risk of heart disease at a young age and even heart attacks in childhood. Currently. less than IO% of those with FH have been diagnosed. Millions of people with raised cholesterol ¢au5ed by other factors are similarly unaware of the risk they face. HEART UK Is a registered charity and a company limited by guarantee. We also have a trading subsidiary, HEART UK Trading Company Limited through which the majority of our corporate sponsorshlp activity is conducted. The charitys objerts as set our in our constitution are.. 'To relieve those sufferin8the effects of heart disease and in particular lipid disorders, familial hyperlipidaemias and related conditions. to promote the relief of sickness and the preservation and protection of health by reducing the incidence of vascular disease in the general population of the United Kingdom. to provide counselling and advice to relatives of those diagnosed with inherited heart disease and to promote the study of causes. diagnosis and treatment of lipid disorders and associated metabolic diseases., Aims and objertives HEART UK provide5 specialist advice and expertise to individuals, families and health care professionals working to improve the services available to those who live with high cholesterol. Our single focus means we have been able to build 3 highly influential and collaborative model, bringing specific patient experience and scientific information together to create effettive patient

communications and influence Government and public poliry. Our focu5 is entirely on helping people know and understand their cholesterol levels and take appropriate action. We believe that investing our limited resources on this one interyention 15 the most impactful way of tackling premature cardiovascular disease, disabilities. illne55 and avoidable early deaths. We aim to prevent people getting heart disease and dying from avoidable heart attacks, strokes and other conditions that high cholesterol can cause. Volunteers Volunteers form a vital part of HEART UK'S activities. We continue to benefit from a range of volunteers including healthcare professionals serving on our committees who willingly Eive up their time to enable us be the lead voice on cholesterol and shape the way cholesterol is diagnosed and managed around the UK. We are a150 very lucky to be svpported by our Ambassadors who are the voice of HEART UK in their community,. they help raise awareness of the dangers of cholesterol. We also benefit from a lot of support from dedicated fundraiser5 helping to raise funds for our e55ential work. Durlng this financial year we were lucky that john Lewis. Goltlen Jubilee Trust provided us with a pro bono secondee from their team for a 6-month period. This volunteer worked extremely hard to support us with developin8 our first online auction and starting our corporate wellbeing pro8ramme. The Trustees wish to extend their sincere thanks to all the volunteers who support HEART UK. Publlc Benefft In reportin8 on the objectives and achievements of the charity. the Trustees have given due regard to the Charity Commission guidance on public benefit under the Charities Act 2011. HEART UK constitutes a public benefit entity as defined by FRSIO2. Dbverslty, equallty and InclusSon We have a Diversity policy in place that is currentty undergoing a review and will do so every 3 years. We are committed to ensuring thai the valves of equality, diversity and respect are embedded into everything we do. Anyone within the UK can access our services. Ourvaluos We operate everything we do within the values of the organisation with professionalism, respect, integrity, empathy and trust. Environm8nt, Social and Governanc8 We have developed an Environment, Social and Governance IESGI action plan and are working to those actions. This attion plan will form part of ¥ policy, which we aim to develop by the end of 2023. We have also taken a step toward printing less. In particular, we provide a large amount of literature to the NHS and other organisations. We have introduced a sheet of QR codes that can be used if an ndividual has a smart phone. Of course. not everyone is in that position so we still provide printed copies as appropriate. It is important to us that anyone wanting to access our services is able to. no matter their background or where they live.

Th• Charlty Gov•man¢• Cod• We aim to abide by the Charity Governance Code. ACHIEVEMENTS AND PERFORMANCE Background information We work c105ely with lipidologists, scientists, doctor5, nurses, pharmacists, dietitian5 and other healthcare professionals across the NHS, plus food companies, meditine manufatturers and across government bodies such as NHS England and the Office for Health Improvement and Disparity to ensure patients are provided with the information and support they need to manage cholesterol and live a longer, healthier life. Our main focus is on saving lives via raising awareness. seThi￿ delivery and educating healthcare professionals and the public, patients. and their families. However, we also work to advocate with and on behalf of people with high and inherited cholesterol conditions. effecting crucial change in policv and standards. Our recent engagement with key opinion leaders resulted in many successes over recent years. including.. Contributing towards consultations on clinical guidance, from diagnosis through to treatment, long term management and the role of new medications Providing evidence & updating NICE guidelines and disseminating these to healthcare professionals and advising on guidance documents for healthcare commissioners Publishing our Statements of Care: setting out best practice for treating patients are used around the UK and the world and improve patient outcomes Our National Cholesterol Month raises awareness of the dangers of cholesterol to millions of people Throughout each year, multiple awareness and influencing campaigns Cholesterol bein8 a priorily within the health service Changed the Armed Forces policy from FH labellin8 people as unh't to serve, to allowing those to enter the Armed Forces and serve their country. Cholesterol being on the agenda for pharmacies and potential to be included in the pharmacy contract. Cholesterol and FH being included within the NHS Long Term Plan Maintaining the existing FH registry Identifying people at a much younger age, in the case of FH in childhood Over the next five years we will continue to build on these successes, ensuring that the NHS delivers t5 targets published in their NHS Lorb8 Term Plan and continues to prioritise and adequately fund cholesterol related diagnoses and support services. Theteam During 2022123 the incredible HEART UK team corbtinued to work hard to deliver our objectives and support our beneficiarie5. Our working model has seen the introduction of virtual a5515tant5, which have benefitted the team to have a wider range of skills available to support in delivering our impact.

Providing scientificolly bosed.Aoctuallyoccurote information We provide a range of information both on and offline covering each of the conditions we support. All our information is scientifically based and factually accurate. For people who have been identified as at risk of or having FH, information is scarce with primary care, including GPS and pharmacists, potentially unfamiliar with the condition and referrals to specialist lipidology consultants which can involve very long waiting times. This can be a very anxious time, which is not helped by a plethora of confusing and contradictory infom)ation available online. HEART UK addresses this issue by working with GP Surgeries, pharmacists and clinics across the country to offer patients user-friendly. evidence-based and practical infom)ation and advice on how to understand and tackle high cholesterol. All our Information and advice is produced by our Specialist cardiac nurse and dietician and is supported by our Medical, Scientific and Research Committee. This information and advice Is regularly updated. The most popular leaflets include 'Urtderstandin8 Cholesterol, and 'Healthy Eating,, but we also provide information specifically for certain groups, such as children with FH. We have booklets aimed at children of different ages living Wlth FH18enetically high cholesterol) to help them understand thelr condition. We aim to ensure that patients who have been diè8nosed with high cholesterol have atcess to quality information to explain and advise them. We monitor the uptake and re-orders of literèture by healthcare professionals. GIWe provide all our literature free of charge. We know that our literature provision does increase access to quality information. Enquirers to our Cholesterol Helpline frequently report they received our literaiure via their GP and are gettin8 in touch as they have further questlons- demonstraiing boih that the need for Information exists and that HEART UK'S services are helping to address this need. The HEAR T UK Cholesterol Helpline Our dedicated Cholesterol Helpline offers information and support over the phone of by email. The helpllne responds to a clear need for advice in dealing with newly diagnosed raised cholesterol or concerns about family history of heart disease. Obtainin8 GP appointments, limited time and information available from GPS, waiting lists for lipid specialists and a profusion of misinformation on the internet all contribute to a situation where people lack accurate information or tailored advice. In addition, these issues have been exacerbated by the impact of the pandemic, with a drop in the number of referrals, health checks and new statin prescriptions in recent years. People who are worried about raised cholesterol. or not sure what to do about their cholesterol levels, often have nowhere to turn to for advice and end up doing nothing- or worse. relying on inaccurate advice and information from the internet which can endanger their health. The HEART UK Cholesterol Helpline is uniquely run by our expert cardiac nurse and specialist dietitian. supporting anyone that contacts us to help them manage their cholesterol. In 2022123, over 1,082 people accessed our helpline for support. including people newly diagnosed with high cholesterol or a cholesterol condition. to understand their condition and the actions they need to take to ameliorate it. The Helplirbe also supports people diagnosed with, or who are bereaved of someone with an inherited high cholesterol condition. such as FH. These enquiries can be complex and require expert knowleil8e and profe55ional harhdlin8 and are often 'time heavy,. This year we have also seen an increase in people enquiring about Lipoprotein a ILPlall.

Our Services team of specialists provide the inforniation and advice in our literature. on our website. in our social rnedia posts and take part in conferences and webinars. radio broadcasts and other PR activities designed to raise awareness of the dangers of high cholesterol and the Steps individuals can take to manage it. Our Helpline users tell us how important our service is to them and often support our advocacy and fundraising. Heolthcore profrssionolsupport Support for healthcare professionals over 2022123 We provided over 151.853 pieces of printed literature to healthcare professionals free of charge to distribute to their patients. This is an increase of 74.7% compared to the previous year. 99.4% of those who rated the literature found it invaluable or very helpful. 98.2% of people said they give the literature to patients during their consultations. We partnered with the NHS, the Academic Health Sclence Network and the Accelerated Access Collaborative and developed our Primary Care Education Programme through a Tackling Cholesterol Together, campaign. This is a hugely successful partnership and resulted in the partnership itself being a finalist shortlisted for an HSI award. We have also developed some key stakeholder relationships with other organisations. such as the Centre for Pharmacy Post graduate Education ICPPEland the Federation of Physician A550ciates to ensure the programme has a wide reach and rich content for all. Lipid Intelligence Network Previously known as our FH Intelligence Network. during this year we have widened this OLrt to cover all lipids. This provide5 a source of network support through our regular monthly zoom calls to bring together healthcare professionals dealing With lipids. They discuss challenges, share information, best practice. and learn from each other. Lipid Interest Group Thls is a group of over 147 allied health professionals, from FH and apheresis nurses to GP practice nurses, who meet once a year to network and share information. Once a month they clrculate a 'round robin, featuring a recent example of their work. This proves useful to all. Annual scientific conference In 2022 we were finally back face to face for our annual scientific conference. In fact. we held a hybrid model with both face to face and virtual delegates. Once again. ICN)% of the attendees said they would be able to apply the learnings in their day-to-day prartice to improve patient outcomes. Nutrition Academy Our Nutrition Academy is an online platform aimed at providing information and training to all healthcare professionals who deliver dietary advice to individuals diagnosed with high cholesterol. We have recognised the lack of dietetic support in specialist areas. and the challenges in accessing these services in other areas. This has led to non-dietetically trained staff feeling responsible for advising patients. The purpose is to provide an online centre of excellence to ensure healthcare professionals can provide accurate, evidence-based information to their patients on how to manage their condition to reduce their risk of cardiovascular disease. An advisory panel of experts in the field of nutrition and

dietetics help5 US steer the programme.. we have secured funding to enable us to complete the Nutrition Academy and are in process of working on this for a full launch in 2023. Major Achievements During 2022123 , HEART UK has had much to celebrate with our campaigning. This has been as part of a programme of activities and building on previous year's success, ensuring that cholesterol and familial hypercholesterolaemia IFHI remain a priority for the NHS and holding the Government and the NHS to account to deliver the t3rgets set in the NHS England Long Term Plan. We have been makin8 significant efforts since 2016 to get FH identified as early as possible. HEART UK is the only charity championing this since it was proven to be so successful in a research study of 10,095 children which was published in 2016. We believe screening children for FH should be a national screening programme. Testing children early will lead to whole family screening. A two- vear pilot was established in 7 areas of England with plans to test 30.O¢Y) children. However. with the strain on GP practices. it has resulted in less take up than was hoped for in the pilot. This has been reviewed and the pilot is now extended to October 2024. the number of children to be tested has been reduced to I0.(￿￿• and some tweaks to the process have also been made. We have made further inroads for one place for a lifelon8 register for FH. This will help the health systems across the UK to identify FH in other family members in a systematic way which is both life and cost-saving and in 2021122 we had commitment from the Chief Executive of the NHS to invest in a new system. We have fed into a procurement Process and in early 2022 NHS England met with HEART UK'5 FH Registry Advi50ry Group and put forward a proposal for the registry which was accepted a5 the best solution. Sadly. with all the challenges the NHS have faced, a decision wa5 made in late 2022 not to develop a national lifelonB FH reBi5try, but instead to use a national audit called CVOPrevent, which is using data from primary care. There is also a focus on improving the data that is captured in primary care for FH. There is an existing system that houses around 20,000 FH family pedigrees and this is used across half of England. Our focus has turned to this being continued so that existing and future generations can benefit from thls. Our Ambassadors hève been actively engaBin8 With their MPS, highlighting the issues and encouira8ing ihern to take action. HEART UK contributes to many health consultations carried out by various agencie5, including NICE and other similar offices across all countries of the UK. We worked with Oaiichi Sankyo to develop and launch a report in April 2022 that looked at the cholesterol situation across the whole of the UK, entitled 'Closing the Cholesterol Gap.. This is an important publication and has resulted in many conversations and learnings across the UK nations. For example. Scotland are in discussions with England to learn from the CVDPrevent audit tool which continues to be used with key stakeholders to push forward the cholesterol agenda. There has been much activity in Scotland this year with HEART UK joining a cross-political party group and also a third sector group to get cholesterol onto the political agenda. Our Scottish Ambassador has also joined a lived-experience group. We also held a political meeting in Holyrood which has resulted in a published call to action for Scotland. We have kept the pressure on the system to prioritise cholesterol testing and reporting and we are pleased to say that we have had success in this area too.

New seNices launched Diet is a big focus for the public. We identified a need for people to have a tool to enable them to check how they were doing with their diet. As a result. we launched our Diet check list. Within the first 24 hours of it being launched, 1,9(K) people accessed the tool. Workin8 on the success of our Lipid Intelligence Network regular conference calls and the success of diet webinars held, it became clear there wa5 a need for a similar network to be launched around diet as it is such a huge subject. As a result we launched the HEART UK Diet and Lipids Network which is a quarterly conference zoom call. This proved to be an immediate success with over 70 people attending. Awareness ralsln8 Responding to the media Throughout the year, HEART UK featured in 125 press articles. Cholesterol e.News Subscrlption to our popular e-news has grown to over 80,9￿ subscrlbers. The e-newsletter Includes features on healthier eatin8, being more active and promoiing donor and fundraising activities. According to our marketlng platform, Mailchimp, the open rate is 16% higher than other simllar e- newsletters. Notional Cholesterol Month We Carried out an awareness raising campaign to ensure the public were aware of the dangers of cholesterol, reaching rnillion5 of people. The èlm was to empower people to know and understand their cholesterol numbers an(i take appropriate action. Leodership HEART UK have developed and led a network of heart and circulatory disease charities, including Stroke Association. Cardiomyopathy UK. Arrhythmia Alliance and Blood Pressure UK. The purpose of the network is to co-operate on mutually beneficial initiatives, particularly campaign and policy focussed. Together we launched our consensus statement which continues to be used with kev stakeholder engagements to add to the discussion to lead to policy change and CVD remaining a kev prioritv. PRINCIPLE FUNDING HEART UK'S approach to fundraising is relationship led, via a variety of income streams.. Individual giving- regular and single gifts and appeals Sporting challenges- including the London Marathon Legacies and an annual free Will campaign Corporate partnerships, including food. gyms, clothes rerycling. diagnostics and pharmaceutical companies Trust5 and Foundations

HEART UK has a commercial relationship with our food partners whereby a company will apply to Use our product approval logo on their products. These application5 are assessed by our expert Product Approval Task and Finish Group against a stringent proce55 and very strict criteria. We also have commercial participator relationships with companies we have entered in a partnership with. HEART UK does not Carry out street collettions or house-to-house fundraising, other than sticker drops by one of the clothes collertion services. HEART UK has 3 Safeguarding and childlvulnerable adults protection policy. This was updated in April 2021 and is reviewed every two vears. The Board of Trustees set up a sub group to create and review policies and all other Board members are kept up to date with the changes and are required to familiarise themselves with each policy. The staff are required to familiarise themselves with all of our policies each year and are provided with regular training. HEART UK is registered with the Fundr31slng Regulator and adheres to the Code of Fundraising Practice. HEART UK complies with the Charities Act and GDPR regulation We put the privacy of our supporter data at the heart of everything we do. We manage personal data respettfully and responsibly in accordance with our published privacy policy. We have a Safeguarding and child vulnerable adults protettion policy in place setting out our policv and procedures. We have a register ol vulnerable people which is regularly reviewed by our Chief Executive. We established a complaints register in 2017118 and have received 227 complaints between 2017118 and 2022123. These have largely been about clothes recycling and have decreased over those years as we work with our clothes recycling Partners to learn from feedback and improve processes. In 2022123, HEART UK received five complaints relating to Angel of Mercy, our clothes recycllng partner in the West Midlands. This is a very low figure for the sector. Nevertheless, as mentioned earlier we are committed to studying any expression of dissatisfaction and identifying ways to improve. Our fundraising team investigated each complaint, Angel of Mercy were able to re501ve the matter immediately. and we ensured that our supporters are happy with our work. Our complaint procedure is publicly available on our website. Wlthout the support of our donors and fundraisers. we would not be able to operate, and we are incredibly grateful for every penny that is donated helping us to truly save lives and keep families together. RISK MANAGEMENT The Trustees have assessed the major risks to which HEART UK is exposed and are sat15fied that systems are established to miligate the charity's exposure to those risk5. These risks are detailed on a risk register, reviewed quarterly by our Finance and Risk Committee and annually by our Board of Tru5tee5. The biggest risk5 currently featuring on our register are: Cyber fraud. Many charities are experiencing cyber fraud and this has significantly increased during the pandemic. We consider we have robust procedures in place to best avoid this and have developed a specific ryber fraud policv. Funding. We are regularly reviewing the funding 51tuation by continuing to have quarterlv Finance and Risk Committee meetings and also a meeting in between those to keep a close look on rnatter5. Reliance on irbdividua15. We are focusing on retaining staff as well as recruiting good people to the team.

FINANCIAL REVIEW Income for the year ended 28 February 2023 totalled £1.305.9591£902.929 in 20211221 Expenditure on raising funds was £636,3471£462,300 in 20211221 and charitable activity spending was £513.9971£554.392 in 20211221. Of particular note.. We received one large legacy during 2022123 totalling £23,411. We feel very grateful to Joyce Meeds for thinking about HEART UK in her will and considering the tremendous support we can provide to Otjr beneficiaries with such a hu8e contribution to our essential work. The clothes collections remained strong in particular through our partnership with icollectclothes. INVESTMENT POLICY Under the Memorandum and Articles of Association, the charity has the power to invest In any way the Trustees see fit. The policy of the charity is to adopt a low-risk strategy at present. We have one investment which s low risk with no investment in tobacco, alcohol or arms. RESERVES POLICY The reserves policy is set by the Board of Trustees and reviewed annually. We aim to hold free reserves in the range of 6- 9 months, worth of operating expenditure. Our free reserves at the year end totalled £622.588 which is within our 6-9 month guideline and we expect this to be maintained throughout the next 12 months. PLANS FOR THE FUTURE Our vision is to.. Prevent early disease and deaths from cholesterol and other blood fat Ilipidl conditions in the UK. We aim.. To increase the number of people identified in the UK with inherited lipid conditions from 25.OCQ to 50,000 by 2025. For people to know an(J understand their cholesterol and other blood fat Ilipidl levels and take appropriate action. We intend on achieving this by.. Influencing health and political sy5tem5 to ensure a focus on cardiovascular disease prevention with an implernentation plan to identify and treat people with high cholesterol Influence lipid data to be captured and reported Educate health care professionals & the public about inherited and preventable lipid conditions and actions they can take Raise awareness of inherited and non-inherited lipid conditions thereby empowering people to take artion Support those diagnosed & their families and support those diagnosed to take appropriate action Raise fund5 to enable us to deliver our artivitie5

During 2023124 we will.. Continue with our Cholesterol Helpline ensuring we provide the best ways for people to get in touch with us. Regularly review our information provided to ensure it is up to date. Continue to build our tommunication channels to further increase our reach and influence. Publish appropriate expert papers in order to ensure best prattice treatment and management of lipid patients. Continue to educate the public, patients, f3milies and healthcare professionals treatinB patients with lipids. Continue to ensure CVD is a key priority for the Government and NHS. Incentives are important within the health system. In England there are two new incentives for secondary prevention Ipost heart attack or stroke and established heart disea5el. which are important. However. there still needs to be a focus on primary prevention and we will work hard to ensure this is a focus in order to save live5 and keep families together. Continue to lobby for FH to be identified as early a5 possible.. in children and adults. Continue to engage on LPlal and other inherited forms of lipids. Continue to lobby for datJ to be captured and published by NHS En8land and the Office for Health Improvement and Disparity so we know exartly what the picture looks like with lipid patients both locally and nationally. this will include improved cholesterol and FH reportSng through CVDPrevent. Launch our Change Maker Programme bringing Ambassadors, patients and care givers and the health system together for local change. Launch our fully functioning diet check list for the public. patients and healthcare professionals. Further develop our Nutrition Academy. Introduce a chatbot on OUT website. STRucfuRE. GOVER14ANCE AND MANAGEMENT The charity is governed by a Board of Trustees who are legal members and also directors of the charity for the purposes of the Companies Act. The Board sets the strategic direction of the charity ensuring that the charitable purposes are met. The Board of Trustees delegate the day to dav running of the charity to the Chief Executive. HEART UK considers each of the Trustees to be independent in character and judgement., and understands that they have no relationships that are likely to affect. or could appear to affect, their judgements with regard to HEART UK. Declarations of interest are required from new Trustees upon appointment, annually and every meeting of the Board requires that any new interests are declared. No remuneration is provided except for reasonable travel and subsistence costs. These cost5 totalled £0 during 20221231£0 in 20211221. During 2022123 we had no changes to the board of trustees. There are a number of committees and task and finish groups that serve the Board of Trustees to assist in the delivery of our objectives: Committees Finance ond Risk Key areas for this committee are:

To be responsible for financial and general business affairs of the charity including.. Risk Management Financial Control Management - Audit and presenting final accounts to the AGM following Board approval. Reviewing annual accounts prior to Board and then AGM approval. Communicotions ond Fundroising Key areas for this committee are= To oversee ovr comrnunitation5 and thannels used To oversee ovr fvndraising attivities The Medicol Und Scientific Reseorch Committee {MS&RJ Oversees the Annual Conference. the development of research and speciality training programmes. clinical guidelines development and creating and updating our information. The Heolthcore Committee Key areas ol Interest.. Provide5 Up-to-date information to health care professionals who tare for patients and their families with lipid disorders. They co-organise the Health Care and Patient part of the Annual Conferen￿. Compoigning Advises on public affairs and policy activities to highlight the importance of cholesterol and CVD. Task and finish rou These groups meet when there is a task to be attioned: Llpoprotein Apheresi5 Key areas of interest.. To promulgate guidance for the clinical indication for lipoprotein aphere51S. To review and recommend the criteria of efficacy of performance in the UK IAsse55ment to be based on Registry data jointly formed by HEART UK and the Roy31 College of Physicians). To educate society in general about Apheresis as a treatment. FH Registry AdvASOry Group This group oversees the Governance of the FH Registry. Conference orgt7nising This group organises the annual scientific conference usually held in Juneljuly over a 3-day period.

GnintAwards This group oversees our grant-giving scheme and reviews applications, although this is currently on hold. Eductstion Thi5 group oversee our edvcation programme5. Policy Development Operates to develop, oversee and review the policies of the organisation. Product Approvol For approved commercial products that bear the HEART UK logo. The group operates within an ethical and scientific policy framewoik to evaluate products for approval. CVD Colluborutive This group meet to drive foNard particular campaigns around changing health policy for the NHS and Government. UK Notionolscreenlng Committee This group drives forward our campaign for the introduction of chil(J-parent screening for FH. The Simon 8roome Steering Committee (settetoriotj Is responsible for directing research based on a national cohort of over 3.500 patients with familial hypercholesterolaemia land severe hypertriglyceridaemial. STAFF A management team, consisting of the Chief Executive, Senior Fundraising Manager and Service Development Manager, allows for the distribution of organisational responsibility. The Chief Executive has particular responsibility for issues relatin8 to governance and for the financial management of the or8anisation. HEART UK has 6 perm3neni members of staff, 4 full time and 2 part time. The Trustees would like to record their appreciation of the efforts of the Staff. who have again made an enormous contribution to the suc￿SseS of HEART UK during the year. PAY AND REMUNERATION The Finance and Risk Committee review the salarie5 of the staff and advise the Board on any retommended thange5. Thi5 15 dictated by market forces and affordability. We are also extremelv aware of the challenge of market forces since the pandemic and we have reviewed our pay scale in the light of this in order to focus on retention and also attrarting excellent talent. The remuneration of the Chief Executive is assessed by the Board of Trustee5. This includes conducting a 360 degree assessment.. internally and externally. market forces, performance and affordability. AUDITOR

The auditors of the charity and trading company are reviewed by our Board of Trustees and appointed as appropriate at our Annual General Meeting. TRUSTEE APPOINTMENT. INDUCTION ANOTRAINING Trustees are appointed in accordance with HEART UK'S constitution. taking into account the benefits of appointing a person who is able. by virtue of their personal or professional qualifications. to make a contribution to the pursuit of the objects or the management of the charity. Trustees consider the skills gap on the 803rd of Trustees. Trustee vacancies are openly advertised and recruited following an interview and selertion process and then proposed and appointed at the AGM. HEART UK undertakes an indurtion programme for all new trustees, Including induction materials relatlng to its purpose and finances, the powers of trustees and information about the day to day running of the organisation. Key documents a￿ provided, such as the constitution, accounts, minutes of recent meetings and policies. Trustees contlnue to be supported through ongolng trainlng. SMALLCOMPANIES REGIME Thi5 report has been prepared in accordance with the special provisions relating to small companie5 within Part 15 of the Companies Att 2006 CONSIOERATION OF GOING CONCERN The company continues to adopi the goin8 concern basis in preparing its financial statements. The trustees have assessed whether the use of the 8oin8 concern basis is appropriate and have considered possible events or conditions that might cast significant doubt on the ability of the eompany to continue as a going concern. The trustees have made this a55e55ment for a period of at least one year from the date of approv31 of the financial statements. In particular the trustees have considered the company's forecasts and projections. As part of the going concern review the trustees prepared a detailed, forward-looking cash flow scenario, based on the most realistic assumptions available at the time. In this scenario the company had adequate resources to continue in operation for at least twelve months from the approval of the financial statements. STATEMENT OF TRU5TEES' RESPONSIBIUTIES The Trustees Iwho are also directors of company for the purpose of company lawl are responsible for preparing the trustee5' report and the linancial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice). Company law requires the Trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the charitable company and the group and of the incoming resources. including the income and expenditure of the charitable group for that period. In preparing these financial statements, the Trustees are required to.. Select suitable accounting policies and then apply them consistentlv:

make judgments and estimates that are reasonable and prudent.. State whether applicable UK Accounting Standards have been followed, subjert to any material departures disclosed and explained in the firhancial statements- prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in business- and observe the methods and principles in the Charities SORP. The Trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financial position of the charitable company and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. AUDIT INFORMATION So far as each of the Trustees at the time the Trustees. report is approved is aware.. there is no relevant information of which the auditors are unaware,. and they have taken all relevant steps they ought to have taken to make themselves aware of any relevant audit information and to esiablish that the auditors are aware of that information. AUDITORS A resolution for the appointment of auditors will be put to the forthcoming AGM. THANKS FROM THE CHAIR OF TRUSTEES I would Ilke to extend my personal and slncere thanks to our dedicated and highly commltted and capable staff at HEART UK, to my Board of Trustees, our Committee members, Ambassadors and volunteers who continue to give their valuable time, commitment and amazing contributlons to help HEART UK truly deliver a world Cla￿ Servi￿ for our beneficiaries. Authorlsed by the Trustees on... 5th July 2023 . and slgned on thelr behalf by: Dr Peter Green, Chalr

Trust UK (trading as HEART UK) (A company limited by guarantee)

Independent Auditors' Report to the trustees of HEART UK

Opinion

We have audited the financial statements of Hyperlipidaemia Education & Atherosclerosis Research Trust UK (the 'company') for the year ended 28 February 2023 which comprise the Consolidated Statement of Financial Activities, the Group and Parent Charitable Company Balance Sheets, the Consolidated Statement of Cash Flows and notes to the financial statements, including a summary of significant accounting policies. 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) including FRS 102 "The Financial Reporting Standard Applicable in the UK and Ireland".

In our opinion the financial statements:

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) ("ISAs (UK)") and applicable law. Our responsibilities under those standards are further described in the auditors' responsibilities for the audit of the financial statements section of our report. We are independent of the charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Conclusions relating to going concern

In auditing the financial statements, we have concluded that the trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate.

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the charitable company's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.

Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.

Other information

The other information comprises the information included in the annual report, other than the financial statements and our auditors' report thereon. The trustees are responsible for the other information. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.

In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there is a material misstatement in the financial statements or a material misstatement of the other information. If, based on the work we have performed, we conclude that there is a material misstatement of this other information; we are required to report that fact.

We have nothing to report in this regard.

17

Trust UK (trading as HEART UK) (A company limited by guarantee)

Independent Auditors' Report to the trustees of HEART UK

Opinion on other matters prescribed by the Companies Act 2006

In our opinion, based on the work undertaken in the course of the audit:

Matters on which we are required to report by exception

In the light of the knowledge and understanding of the group and parent charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the trustees’ annual report.

We have nothing to report in respect of the following matters where the Companies Act 2006 and the Charities Act 2011 require us to report to you if, in our opinion:

Responsibilities of trustees

As explained more fully in the statement of trustees’ responsibilities set out on page 17, the trustees (who are also the directors of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the trustees are responsible for assessing the group and parent charitable company’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the group or parent charitable company or to cease operations, or have no realistic alternative but to do so.

Auditors' responsibilities for the audit of the financial statements

We have been appointed as auditor under the Companies Act 2006 and section 151 of the Charities Act 2011 and report in accordance with those Acts.

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditors' report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities,

18

Trust UK (trading as HEART UK) (A company limited by guarantee)

Independent Auditors' Report to the trustees of HEART UK

Auditors' responsibilities for the audit of the financial statements (continued)

Explanation as to what extent the audit was considered capable of detecting irregularities, including fraud

The objectives of our audit in respect of fraud, are; to identify and assess the risks of material misstatement of the financial statements due to fraud; to obtain sufficient appropriate audit evidence regarding the assessed risks of material misstatement due to fraud, through designing and implementing appropriate responses to those assessed risks; and to respond appropriately to instances of fraud or suspected fraud identified during the audit. However, the primary responsibility for the prevention and detection of fraud rests with both management and those charged with governance of the charitable company.

Our approach was as follows:

As part of an audit in accordance with ISAs (UK) we exercise professional judgement and maintain professional scepticism throughout the audit. We also:

19

Trust UK (trading as HEART UK) (A company limited by guarantee)

Independent Auditors' Report to the trustees of HEART UK

Auditors' responsibilities for the audit of the financial statements (continued)

We communicate with those charged with governance regarding, among other matters, the planned scope and timing of the audit and significant audit findings, including any significant deficiencies in internal control that we identify during our audit.

Use of this report

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, in respect of the consolidated financial statements, to the charity’s trustees, as a body, in accordance with Chapter 3 of Part 8 of the Charities Act 2011. Our audit work has been undertaken so that we might state to the charitable company’s members and trustees those matters which 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 any party other than the charitable company, the charitable company’s members, as a body, and the charity’s trustees, as a body, for our audit work, for this report, or for the opinion we have formed.

Luke Holt (Senior Statutory Auditor) for and on behalf of Moore Kingston Smith LLP

6th Floor, 9 Appold Street London EC2A 2AP

Date: 3 August 2023

20

Hyperlipidaemia Education & Atherosclerosis Research Trust UK (trading as HEART UK) (A company limited by guarantee)

Consolidated Statement of Financial Activities (incorporating income and expenditure account) for the year ended 28 February 2023

Note
Income from:
Donations, legacies and grants
2
Charitable activities
3
Trading income
4
Other income
5
Investment income
6
Total income
Expenditure on:
Raising funds:
Fundraising
7
Expenditure from trading
8
Charitable activities
9
Total expenditure
Net (expenditure) / income
Net gain on investments
15
Net movement in funds
Reconciliation of funds:
Total funds brought forward
Total funds carried forward		 Unrestricted
funds 2023
£
240,481
243,387
783,273
1,912
1,926
1,270,979
139,267
497,080
505,087
1,141,434
129,545
339
129,884
447,176
577,060		 Restricted
funds 2023
£
34,980
-
-
-
34,980
-
-
8,910
8,910
26,070
-
26,070
19,458
45,528		 Total funds
2023
£
275,461
243,387
783,273
1,912
1,926
1,305,959
139,267
497,080
513,997
1,150,344
155,615
339
155,954
466,634
622,588		 Total funds
2022
£
234,981
239,054
421,816
5,192
1,886
902,929
102,381
359,919
_554,392 _
1,016,692
(113,763)
5,285
(108,478)
575,112
466,634

The notes on pages 25 to 39 form part of these financial statements. All amounts are derived from continuing activities. All gains and losses recognised in the year are included above

21

Hyperlipidaemia Education & Atherosclerosis Research Trust UK (trading as HEART UK) (A company limited by guarantee)

Consolidated Balance Sheet as at 28 February 2023

Note
Fixed assets
Intangible assets
13
Tangible assets
14
Investments
15
Current assets
Debtors:Amounts receivable
within one year
16
Cash at bank and in hand
Debtors:Amounts receivable
after one year
Creditors:amounts falling due
within one year
17
Net current assets
Net assets
Charity Funds
Restricted funds
18
Unrestricted funds
18
Total funds		 £
159,067
724,906
883,973
(338,475)		 2023
£
10,508
942
58,240
69,690
7,400
545,498
622,588
45,528
577,060
622,588		 £
160,975
495,607
656,582
(270,405)		 2022
£
22,088
468
57,901
80,457
-
386,177
466,634
19,458
447,176
466,634

As permitted by s408 Companies Act 2006, the company has not presented its own income and expenditure statement and related notes. The company's surplus for the year was £155,954 (2022 loss of £108,478).

The charity's financial statements have been prepared in accordance with the provisions applicable to companies subject to the small companies regime.

The financial statements were approved and authorised for issue by the trustees on 5 July 2023 and signed on their behalf, by:

Mr P Green, Chairman Mr N R Phipps ACA, Trustee

The notes on pages 25 to 39 form part of these financial statements. Registered company number: 02631049

22

Hyperlipidaemia Education & Atherosclerosis Research Trust UK (trading as HEART UK) (A company limited by guarantee)

Charity balance sheet as at 28 February 2023

Note
Fixed assets
Intangible assets
13
Tangible assets
14
Investments
15
Current assets
Debtors
16
Cash at bank and in hand
Debtors:Amounts receivable
after one year
Creditors:amounts falling due
within one year
17
Net current assets
Net assets
Charity Funds
Restricted funds
18
Unrestricted funds
18
Total funds		 £
231,600
367,047
598,647
(53,151)		 2023
£
10,508
942
58,242
69,692
7,400
545,496
622,588
45,528
577,060
622,588		 £
49,762
362,995
412,757
(26,582)		 2022
£
22,088
468
57,903
80,459
-
386,175
466,634
19,458
447,176
466,634

The charity's financial statements have been prepared in accordance with the provisions applicable to companies subject to the small companies regime.

The financial statements were approved and authorised for issue by the trustees on 5 July 2023 and signed on their behalf, by:

Mr P Green, Chairman Mr N R Phipps ACA, Trustee

The notes on pages 25 to 39 form part of these financial statements. Registered company number: 02631049

23

Hyperlipidaemia Education & Atherosclerosis Research Trust UK (trading as HEART UK) (A company limited by guarantee)

Consolidated Statement of Cash Flows for the year ended 28 February 2023

Note
Cash flows from operating activities
Net cash (used in)/provided by operating
activities
20
Cash flows from investing activities:
Purchase of intangible fixed assets
13
Purchase of tangible fixed assets
14
Purchase of listed investments
15
Disposal of listed investments
15
Net cash used in investing activities
Change in cash and cash equivalents in
the year
Cash and cash equivalents brought forward
Cash and cash equivalents carried
forward
21		 2023
£
230,157
-
(858)
-
-
(858)
229,299
495,607
724,906		 2022
£
104,644
(2,394)
-
-
-
-2,394
102,250
393,357
495,607

The notes on pages 26 to 39 form part of these financial statements.

Analysis of consolidated net resources

At 28
At 1 March February
2022 Cash flow 2023
£ £ £
Cash at bank and in hand 495,607 229,299 724,906

24

Hyperlipidaemia Education & Atherosclerosis Research Trust UK (trading as HEART UK) (A company limited by guarantee)

Notes to the financial statements for the year ended 28 February 2023

1. Accounting policies

1.1 Basis of preparation of financial statements

The financial statements have been prepared under the historical cost convention as modified by the revaluation of investments to market value and in compliance with Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their financial statements in accordance with the Financial Reporting Standard 102 including Update Bulletin 2, "The Financial Reporting Standard applicable in the United Kingdom and the Republic of Ireland" ("FRS 102") and the Charities Act 2011.

Hyperlipidaemia Education & Atherosclerosis Research Trust UK (HEART UK) is a company limited by guarantee and a registered charity and incorporated in England and Wales. HEART UK meets the definition of a public benefit entity under FRS 102.

The financial statements are prepared in sterling which is the functional currency of the Group. Monetary amounts in these financial statements are rounded to the nearest pound.

The Statement of financial activities (SOFA) and Balance sheet consolidate the financial statements of the charity and its subsidiary undertaking. The results of the subsidiary are consolidated on a line by line basis and the detailed results are disclosed in note 24 of the financial statements.

1.2 Going concern

The trustees have assessed whether the use of the going concern basis is appropriate and have considered possible events or conditions that might cast significant doubt on the ability of the company to continue as a going concern. The trustees have made this assessment for a period of at least one year from the date of approval of the financial statements. In particular the trustees have considered the company's forecasts and projections and have taken account of the Coronavirus pandemic. The company had adequate resources to continue in operation for at least twelve months from the approval of the financial statements. The company therefore continues to adopt the going concern basis in preparing its financial statements.

1.3 Fund accounting

General funds are unrestricted funds which are available for use at the discretion of the trustees in furtherance of the general objectives of the charity and which have not been designated for other purposes.

Restricted funds are funds which are to be used in accordance with specific restrictions imposed by donors or which have been raised by the charity for particular purposes. The costs of raising and administering such funds are charged against the specific fund. The aim and use of each restricted fund is set out in the notes to the financial statements.

Those funds which are not restricted income funds, are unrestricted income funds which are sub analysed between designated funds, where trustees have set aside amounts to be used for specific purposes or which reflect the non-binding wishes of donors; and unrestricted funds, which are used at the trustees' discretion in furtherance of the general objectives of HEART UK.

25

Hyperlipidaemia Education & Atherosclerosis Research Trust UK (trading as HEART UK) (A company limited by guarantee)

Notes to the financial statements for the year ended 28 February 2023

1. Accounting policies (continued)

1.4 Income

All income is recognised once the charity has entitlement to the income, it is probable that the income will be received and the amount of income receivable can be measured reliably.

For legacies, entitlement is taken as the earlier of the date on which either: the charity is aware that probate has been granted, the estate has been finalised and notification has been made by the executor(s) to the Trust that a distribution will be made, or when a distribution is received from the estate. Receipt of a legacy, in whole or in part, is only considered probable when the amount can be measured reliably and the charity has been notified of the executor's intention to make a distribution. Where legacies have been notified to the charity, or the charity is aware of the granting of probate, and the criteria for income recognition have not been met, then the legacy is treated as a contingent asset and disclosed if material.

Donated services or facilities are recognised when the charity has control over the item, any conditions associated with the donated item have been met, the receipt of economic benefit from the use of the charity of the item is probable and that economic benefit can be measured reliably. Donated services are valued at the amount HEART UK would be prepared to pay for a similar service.

Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the charity; this is normally upon notification of the interest paid or payable by the bank.

Income tax recoverable in relation to donations received under Gift Aid or deeds of covenant is recognised at the time of the donation.

Trading income represents turnover in the trading subsidiary which consists of conference sponsorships, delegate income, product licence fees and other services and are accounted net of any discounts and exclusive of value added tax.

1.5 Expenditure

Expenditure is recognised once there is a legal or constructive obligation to transfer economic benefit to a third party, it is probable that a transfer of economic benefits will be required in settlement and the amount of the obligation can be measured reliably. Expenditure is classified by activity. The costs of each activity are made up of the total of direct costs and shared costs, including support costs involved in undertaking each activity. Direct costs attributable to a single activity are allocated directly to that activity. Shared costs which contribute to more than one activity and support costs which are not attributable to a single activity are apportioned between those activities on a basis consistent with the use of resources. Central staff costs are allocated on the basis of time spent, and depreciation charges allocated on the portion of the asset’s use.

Costs of generating funds are costs incurred in attracting voluntary income, and those incurred in trading activities that raise funds.

Charitable activities are costs incurred on the charity's educational operations, including support costs apportioned to charitable activities.

1.6 Operating leases

Leases that do not transfer all the risks and rewards of ownership are classified as operating leases. Payments under operating leases are charged to the SOFA on a straight line basis over the period of the lease. Incentives received to enter into operating leases are credited to the SOFA to reduce the lease expense, on a straight line basis over the period of the lease.

26

Hyperlipidaemia Education & Atherosclerosis Research Trust UK (trading as HEART UK) (A company limited by guarantee)

Notes to the financial statements for the year ended 28 February 2023

1. Accounting policies (continued)

1.7 Employee benefits

The charity operates a defined contribution pension and death in service scheme. The pension charge represents the amounts payable by the charity to the fund in respect of the year.

1.8 Intangible fixed assets and amortisation

Intangible assets are capitalised and recognised when future economic benefits are probable and the cost or value of the asset can be measured reliably. Intangible assets are initially recognised at cost and are subsequently measured at cost net of amortisation and any provision for impairment. Intangible assets are capitlised where the purchase price exceeds £500.

Amortisation is provided on intangible fixed assets at rates calculated to write off the cost of each asset, less their estimated residual value, over their expected useful lives on the following bases:

Website development

20% straight line

1.9 Tangible fixed assets and depreciation

Tangible fixed assets are carried at cost, net of depreciation and any provision for impairment. Depreciation is provided at rates calculated to write off the cost of fixed assets, less their estimated residual value, over their expected useful lives on the following bases:

Tangible assets are capitlised where the purchase price exceeds £500.

1.10 Fixed asset investments

Fixed asset investments are a form of financial instrument and are initially recognised at their transaction cost and subsequently measured at fair value at the balance sheet date, unless fair value cannot be measured reliably in which case it is measured at cost less impairment. Investment gains and losses, whether realised or unrealised, are combined and shown in the heading ‘Net gains/(losses) on investments’ in the Statement of financial activities. The investment in subsidiary is value at cost.

1.11 Debtors

Trade and other debtors are recognised at the settlement amount after any trade discount offered.

1.12 Cash at bank and in hand

Cash at bank and in hand includes cash and short term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the deposit or similar account.

27

Hyperlipidaemia Education & Atherosclerosis Research Trust UK (trading as HEART UK) (A company limited by guarantee)

Notes to the financial statements for the year ended 28 February 2023

1. Accounting policies (continued)

1.13 Financial instruments

The charity only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value with the exception of bank loans which are subsequently measured at amortised cost using the effective interest method.

1.14 Critical accounting judgements and estimation uncertainty

Estimates and judgments are continually evaluated and are based on historical experience and other factors, including expectations of future events that are believed to be reasonable under the circumstances.

Significant accounting judgements and estimates include:

a. Useful economic lives of tangible and intangible assets

The annual depreciation and amortisation charge for fixed assets is sensitive to changes in the estimated useful economic lives of the assets. The useful economic lives are re-assessed annually. These are amended where necessary to reflect current estimates, based on technological advancement, future investments, economic utilisation and the physical condition of the assets. See notes 13 and 14 for the carrying value of assets and note 1.7 and 1.8 for the useful economic lives.

28

Hyperlipidaemia Education & Atherosclerosis Research Trust UK (trading as HEART UK) (A company limited by guarantee)

Notes to the financial statements for the year ended 28 February 2023

Donations
Legacies
Gift aid
Grants
Total donations and
legacies
Total 2022		 Unrestricted
funds
2023
£
171,007
23,411
15,663
30,400
240,481
210,981		 Restricted
funds
2023
£
-
-
-
34,980
34,980
24,000		 Total funds
2023
£
171,007
23,411
15,663
65,380
275,461
234,981		 Total funds
2022
£
143,208
32,845
9,928
49,000
234,981

The estimated value of legacies notified but neither received nor accrued income (as they do not meet the Sorp recognition criteria) as at 28 February 2023 is £14,000 (2022: £nil).

3 Charitable activities

Fundraising
Total 2022
Trading income
Income from trading subsidiary		 Unrestricted
funds
2023
£
243,387
243,387
239,054
Unrestricted
funds
2023
£
783,273		 Restricted
funds
2023
£
-
-
-
Restricted
funds
2023
£
-		 Total funds
2023
£
243,387
243,387
239,054
Total funds
2023
£
783,273		 Total funds
2022
£
239,054
239,054
Total funds
2022
£
421,816

4 Trading income

Please see note 24 for details of the trading subsidiary income.

29

Hyperlipidaemia Education & Atherosclerosis Research Trust UK (trading as HEART UK) (A company limited by guarantee)

Notes to the financial statements for the year ended 28 February 2023

5 Other income

Other income
Total 2022		 Unrestricted
funds
2023
£
1,912
5,192		 Restricted
funds
2023
£
-
-		 Total funds
Total funds
2023
2022
£
£
1,912
5,192
5,192

6 Investment income

Dividend received
Interest received
Total 2022
Raising funds
Staff costs
Other fundraising costs
Total
Total 2022		 Unrestricted
funds
2023
£
-
1,926
1,926
1,886
Unrestricted
funds
2023
£
95,819
43,448
139,267
102,381		 Restricted
funds
2023
£
-
-
-
-
Restricted
funds
2023
£
-
-
-
-		 Total funds
2023
£
-
1,926
1,926
1,886
Total funds
2023
£
95,819
43,448
139,267
102,381		 Total funds
2022
£

-
1,886
1,886
Total funds
2022
£
69,738
32,643
102,381

7 Raising funds

30

Hyperlipidaemia Education & Atherosclerosis Research Trust UK (trading as HEART UK) (A company limited by guarantee)

Notes to the financial statements for the year ended 28 February 2023

8
Trading costs
Unrestricted
funds
2023
£
Staff costs
-
Direct costs
420,218
Administrative
76,862
Total
497,080
9
Charitable activities
Unrestricted
funds
2023
£
477,250
Governance costs
(note 10)
27,837
505,087
10 Governance costs
Unrestricted
funds
2023
£
Audit and
accountancy fees
27,837
11 Net movement in funds
This is stated after charging:
Depreciation of tangible fixed assets:
Amortisation of intangible fixed assets
Auditor's remuneration - audit
Auditor's remuneration - non audit services
Awareness, education and patient
support		 Restricted
funds
2023
£
-
-
-
-
Restricted
funds
2023
£
8,910
-
8,910
Restricted
funds
2023
£
-		 Total funds
2023
£
-
420,218
76,862
497,080
Total funds
2023
£
486,160
27,837
513,997
Total funds
2023
£
27,837
2023
£
384
11,580
14,395
4,595		 Total funds
2022
£

49,604
261,722
48,593
359,919
Total funds
2022
£
527,162
27,230
554,392
Total funds
2022
£
27,230
2022
£
17,646
11,180
13,085
4,565

31

Hyperlipidaemia Education & Atherosclerosis Research Trust UK (trading as HEART UK) (A company limited by guarantee)

Notes to the financial statements for the year ended 28 February 2023

12 Staff costs

Wages and salaries
Social security costs
Other pension costs
Termination costs		 2023
£
228,042
20,633
12,845
-
261,520		 2022
£
297,347
28,120
17,759
10,588
353,814

The average number of employees during the year was 6 (2022: 8)

The average number of full-time equivalent employees (including casual and part time staff) during the year was made up as follows:

2023
No.
Charitable operations
2.3
2.4
4.7
The number of employees whose remuneration exceed £60,000, is shown below:
2023
No.
£60,000 to £69,999
-
£70,000 to £79,999
1
Management and central services		 2022
No.
3.5
3.5
7.0
2022
No.
1
-

Key management personnel consists of the leadership management team and consists of four (2022: 4) individuals. Total remuneration to key management personnel totalled £158,806 in the year (2022: £218,982). During the year total travel expenses of £- (2022: £-) were reimbursed to - (2022: -) Trustees. During the year 3 trustees (2022: 4) donated a total of £172 (2022:£152).

13 Intangible fixed assets

Group and Charity
Cost
At 1 March 2022
Additions
At 28 February 2023
Amortisation
At 1 March 2022
Charge for the year
Eliminated on disposals
At 28 February 2023
Carrying amount
At 28 February 2023
At 29 February 2022		 £
57,893
-
Website
development
57,893
35,805
11,580
-
47,385
10,508
22,088

32

Hyperlipidaemia Education & Atherosclerosis Research Trust UK (trading as HEART UK) (A company limited by guarantee)

Notes to the financial statements for the year ended 28 February 2023

14 Tangible fixed assets

15 Group and Charity
Cost
At 1 March 2022
Additions
At 28 February 2023
Depreciation
At 1 March 2022
Charge for the year
Eliminated on disposal
At 28 February 2023
Carrying amount
At 28 February 2023
At 29 February 2022
Fixed asset investments		 Total
£
£
£
24,168
405
24,573
858
-
858
25,026
405
25,431
23,700
405
24,105
384
384
-
-
24,084
405
24,489
942
-
942
468
-
468
2023
2022
2023
2022
Group
Charity
Office
equipment
Computer
equipment		 Total
£
£
£
24,168
405
24,573
858
-
858
25,026
405
25,431
23,700
405
24,105
384
384
-
-
24,084
405
24,489
942
-
942
468
-
468
2023
2022
2023
2022
Group
Charity
Office
equipment
Computer
equipment		 Total
£
£
£
24,168
405
24,573
858
-
858
25,026
405
25,431
23,700
405
24,105
384
384
-
-
24,084
405
24,489
942
-
942
468
-
468
2023
2022
2023
2022
Group
Charity
Office
equipment
Computer
equipment		 Total
£
24,573
858
25,431
24,105
384
-
24,489
942
468
£ £ £ £
Investments at market value
Investment in subsidiary at cost		 58,240
-
58,240		 57,901
-
57,901		 58,240
2
58,242		 57,901
2
57,903
2023 2022
Market value
At 1 March 2022
Additions
Disposals
Net gains/( losses)
At 28 February 2023
Historical cost of listed investments		 £
57,901
-
-
339
58,240
50,000		 £
52,616
-
-
5,285
57,901
50,000

33

Hyperlipidaemia Education & Atherosclerosis Research Trust UK (trading as HEART UK) (A company limited by guarantee)

Notes to the financial statements for the year ended 28 February 2023

15 Fixed asset investments (continued)

Significant investment holdings based on market value at 28 February 2023 were:

COIF Charities Investment Fund
50,000
58,240
50,000
58,240
16 Debtors
Group
Charity
2023
2022
2023
2022
£
£
£
£
Trade debtors
108,156
95,625
3,900
12,525
-
-
197,516
22,084
Other debtors
1,089
-
1,089
-
49,822
65,350
29,095
37,237
Amounts due over 1 year
Prepayments and accrued income
7,400
-
7,400
-
166,467
160,975
239,000
71,846
17 Creditors: Amounts falling due within one year
Group
Charity
2023
2022
2023
2022
£
£
£
£
Trade creditors
91,566
27,428
19,734
15,644
-
-
-
-
Other taxation and social security
31,496
11,703
7,166
4,737
Other creditors
3,199
3,124
3,199
3,124
Accruals and deferred income
212,214
228,150
23,052
25,161
338,475
270,405
53,151
48,666
Group deferred income
Brought
forward
Amount
added
Amount
released
Carried
forward
£
£
£
£
Deferred income 2023
172,317
169,792
(172,317)
169,792
Deferred income 2022
41,101
172,317
(41,101)
172,317
Prepayments and accrued income
Amounts owed by group undertakings
Amounts owed to group undertakings
Deferred income in the charity relates to income to support for future events and are included in creditors at the
period end. Deferred income on a group basis includes sponsorship and licence income earned in the
subsequent financial year.
Historical costs
(£)
Market
value (£)		 50,000
50,000
Historical costs
(£)		 58,240
Market
value (£)
58,240
Charity
2023
£
3,900
197,516
1,089
29,095
7,400
239,000		 2022
£
12,525
22,084
-
37,237
-
71,846
Charity
2022
£
15,644

-
4,737
3,124
25,161
48,666
172,317

34

Hyperlipidaemia Education & Atherosclerosis Research Trust UK (trading as HEART UK) (A company limited by guarantee)

Notes to the financial statements for the year ended 28 February 2023

18 Statement of funds
a. Group
General funds
General funds - all funds
Total unrestricted funds
Restricted funds
Restricted funds - all funds
Total of funds
a. Charity
General funds
General funds - all funds
Total unrestricted funds
Restricted funds
Restricted funds - all funds
Total of funds		 Balance at 1
March 2022
£
447,176
447,176
19,458
466,634
Balance at 1
March 2022
£
447,176
447,176
19,458
**466,634 **		 Income
£
1,270,979		 Expenditure
£
(1,141,434)
(1,141,434)
(8,910)
(1,150,344)
Expenditure
£
(644,354)
(644,354)
(8,910)
(653,264)		 Net gains
and
transfers
£
339
339
-
339
Net gains
and
transfers
£
339
339
-
339		 Balance at
28 February
2023
£
577,060
1,270,979
34,980
1,305,959
Income
£
773,899		 577,060

45,528
622,588
Balance at
28 February
2023
£
577,060
773,899
34,980
808,879		 577,060

45,528
622,588

35

Hyperlipidaemia Education & Atherosclerosis Research Trust UK (trading as HEART UK) (A company limited by guarantee)

Notes to the financial statements for the year ended 28 February 2023

19 Analysis of net assets between funds

Group
Intangible fixed assets
Tangible fixed assets
Fixed asset investments
Current assets
Creditors due within one year
Charity
Intangible fixed assets
Tangible fixed assets
Fixed asset investments
Current assets
Creditors due within one year		 Unrestricted
funds
2023
£
10,508
942
58,240
845,845
(338,475)
577,060
Unrestricted
funds
2023
£
10,508
942
58,242
560,519
(53,151)
577,060		 Restricted funds
2023
£
-
-
-
45,528
-
45,528
Restricted funds
2023
£
-
-
-
45,528
-
45,528		 Total
funds
2023
£
10,508
942
58,240
891,373
(338,475)
622,588
Total funds
2023
£

10,508

942

58,242
606,047
(53,151)
622,588

20 Reconciliation of net movement in funds to net cash flow from operating activities

Group

Group
2023 2022
£ £
Adjustment for:
Depreciation charges
Amortisation charges
Net (gains)/losses
Profit on sale of fixed assets
Increase in debtors
Net cash (used in)/provide by operating activities
increase in creditors
Net (deficit)/income for the year (as per Statement of Financial Activitie		 155,954
384
11,580
(339)
-
(5,492)
68,070
230,157		 (108,478)
17,646
11,180
(5,285)
1,659
72,844
115,078
104,644

36

Hyperlipidaemia Education & Atherosclerosis Research Trust UK (trading as HEART UK) (A company limited by guarantee)

Notes to the financial statements for the year ended 28 February 2023

21 Analysis of cash and cash equivalents

21 Analysis of cash and cash equivalents
Group
2023 2022
£ £
Total
Cash in hand		 724,906
724,906		 495,607
495,607

22 Pension commitments

The group operates a defined contributions pension scheme. The pension cost charge in the year represents contributions payable by the group and amounted to £12,557 (2022: £17,759).

22 Operating lease commitments

At 28 February 2023 the total future minimum lease payments under non-cancellable operating leases

Group and Charity
Within 1 year
Between 1 and 5 years
Total		 2023
£
8,415
603
9,018		 2022
£
9,456
558
10,014

37

Hyperlipidaemia Education & Atherosclerosis Research Trust UK (trading as HEART UK) (A company limited by guarantee)

Notes to the financial statements for the year ended 28 February 2023

23 Related party transactions

Some of the trustees hold positions within organisations with which HEART UK has links. Some of those organisations may make donations to, or seek product approval licenses from the charity or its trading subsidiary. The charity has a conflict of interest policy in place to ensure that potential conflicts are identified and dealt with appropriately. For the current and preceding year all transactions with these related parties are considered within the scope of normal transactions.

An income distribution was made from HEART UK Trading Company Limited, a wholly owned subsidiary, to HEART UK of £286,192 (2022: £61,899) being a distribution of 100% of their net profit in the year. In addition, HEART UK Trading Company Limited was recharged salaries of Nil (2022: £47,269) from HEART UK. At the year end an amount of £197,516 (2022: £22,086) was owed by the subsidiary.

24 Principal subsidiary

HEART UK has one wholly owned subsidiary, HEART UK Trading Company Limited, which acts as the trading subsidiary of the group and has been included in this set of consolidated financial statements. The company has entered into a deed of covenant to donate its distributable profits to HEART UK. The registered office of the subsidiary is 7 North Road, Maidenhead, Berkshire, SL6 1PE and its company number is 03679100. A summary of its trading results are shown below. A set of audited financial statements for this subsidiary are filed annually with the Registrar of Companies.

HEART UK Trading Company Limited results

Profit and loss
Turnover
Cost of Sales
Administrative Expenses
Operating profit
Reconciliation of profit and loss reserves
Brought forward
Operating profit
Distribution to HEART UK
Carried forward		 2023
£
783,273
(420,218)
(76,862)
286,193
-
286,193
(286,193)
-		 2022
£
421,816
(255,202)
(104,715)
61,899

-
61,899
(61,899)
-

No charge to taxation will arise as the subsidiary company has entered into a deed of covenant to donate its distributable profits to its charitable parent HEART UK.

38

Hyperlipidaemia Education & Atherosclerosis Research Trust UK (trading as HEART UK) (A company limited by guarantee)

Notes to the financial statements for the year ended 28 February 2023

24 Principal subsidiary (continued)

Balance Sheet: 2023 2022 £ £ £ £ Current assets Debtors 124,983 111,213 Cash at bank and in hand 357,860 132,614 482,843 243,827 Creditors: amounts falling due within one year (482,841) (243,825) Net current assets 2 2 Capital and reserves Called up share capital 2 2 Total Equity 2 2

The share capital represents 2 Ordinary shares of £1 each held by HEART UK.

25 Limited liability

HEART UK is a company limited by guarantee and as such does not have share capital. In the event of winding up the liability of each member is limited to £1.

39