Company number: 02657454 Charity number: 1005353 

# The British Association of Plastic Reconstructive and Aesthetic Surgeons 

Report and financial statements For the year ended 30 September 2021 




The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Contents 

For the year ended 30 September 2021 

Reference and administrative information  ...................................................................................... 1 Executive summary  ........................................................................................................................ 4 Trustees’ annual report  .................................................................................................................. 6 Independent auditor’s report  ....................................................................................................... 23 Statement of financial activities (incorporating an income and expenditure account)  ................... 27 Balance sheet  ............................................................................................................................... 28 Statement of cash flows ................................................................................................................ 29 Notes to the financial statements  ................................................................................................. 30 



The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Reference and administrative information 

For the year ended 30 September 2021 

Company number 02657454 Country of incorporation United Kingdom Charity number 1005353 Country of registration England & Wales Registered office and Secretariat offices of The Royal College of Surgeons of England operational address 35-43 Lincoln's Inn Fields London WC2A 3PE Trustees Trustees who are also directors under company law, who served during the year were as follows: 

For period from 1 October 2020-31 December 2020 M Henley President R Waters Deputy President S Eccles Honorary Secretary and Company Secretary S Wood Honorary Treasurer R Agarwal K Allison R Cole M Dalal A L Dancey P J Drew M Fawzy D J Gordon J Haeney S Hettiaratchy W L Lam J O’Donoghue A Pandya J S Sinclair S K Veeramani 

For period from 1 January 2021-30 September 2021 

R Waters President M Henley Deputy President U Khan Honorary Secretary and Company Secretary S Wood Honorary Treasurer R Agarwal K Allison 

A Brown M Dalal 

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The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Reference and administrative information 

## For the year ended 30 September 2021 

P Drew J Haeney S P Hettiaratchy P Kalu W L Lam D Mackenzie M Moses J O’Donoghue A Pandya S Singh S K Veeramani 

The Trustees of the Charity are assisted and advised by the following individuals, who are invited to Council, but in that capacity, are neither trustees of the charity nor directors of the company: 

For period from 1 October 2020-31 December 2020 

J Atherton Patient Liaison Representative D Boyce Chair, Education Committee T E E Goodacre BAPRAS Representative on RCS England Council M O’Brien President, BAAPS C Hill Chair, Communications Committee A Hart JPRAS Editor A Jain Chair, Research Committee M Ragbir Chair, SAC in Plastic Surgery B Kneafsey President, Irish Association of Plastic Surgeons A Hazari Chairman, Intercollegiate Board in Plastic B Baker President, PLASTA S Hendrickson Deputy President, PLASTA 

|For period from 1 January 2021-30 September 2021|For period from 1 January 2021-30 September 2021|
|---|---|
|J Atherton|Patient Liaison Representative|
|D Boyce|Chair, Education Committee (to 30 June)|
|A Fitzgerald|Chair, Education Committee (from 1 July)|
|S J Eccles|Chair, Professional Standards Committee|
|M Fawzy|Communications Officer|
|A M Fitzgerald|Chair, Education Committee|
|T E E Goodacre|BAPRAS Representative on RCS England Council|
|A M Hart|JPRAS Editor|
|A Hazari|Chair, Intercollegiate Board in Plastic Surgery|
|A Jain|Chair, Research Committee|
|B Kneafsey|President, IAPS|
|M O'Brien|President, BAAPS|
|M Ragbir|Chair, SAC in Plastic Surgery|
|D Reissis|President, PLASTA|
|V P Sharma|Deputy President, PLASTA|



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The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Reference and administrative information 

## For the year ended 30 September 2021 

## Key management personnel 

|G Adlington|Head of Operations|
|---|---|
|B Olusina|Head of Finance|
|C Voisin|Events Manager|
|E Andrade|Events Manager|
|J Richards|Finance Coordinator|
|E Ashinze|Assistant Accountant|
|M Burrows|Membership Manager|
|L Gavin|Collections Coordinator (from January 2021)|
|M Revenco|Communications Coordinator (from June 2021)|
|A Evans|Events and Education Administrator (from October 2021)|
|Bankers|National Westminster Bank PLC|
||PO Box 2021|
||10 Marylebone High Street|
||LONDON|
||W1A 1FH|
||CCLA Investment Management Limited|
||80 Cheapside|
||LONDON|
||EC2Y 6DZ|
||Lloyds TSB Bank PLC|
||Southampton Row Branch|
||Victoria House|
||Southampton Row|
||LONDON|
||WC2B 5HR|
|Solicitors|Radcliffes Le Brasseur|
||5 Great College Street|
||LONDON|
||SW1P 3SJ|
|Auditor|Sayer Vincent LLP|
||Chartered Accountants and Statutory Auditor|
||Invicta House|
||108-114 Golden Lane|
||LONDON|
||EC1Y 0TL|



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The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Executive Summary 

For the year ended 30 September 2021 

The Trustees of the Charity are the elected Officers and members of the Council of The British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS). 

The Trustees are assisted by invited advisors, who are neither trustees of the charity nor directors of the company. 

The Charity is supported by a secretariat of 10 part and full-time employed staff. The Association was founded in 1946 and incorporated on 21 October 1991. 

The work of the Association is carried out by numerous committees, which report regularly to the Council. The Council meets 4 times per year. 

The charitable aims of the Association are to relieve sickness and to promote and protect public health by the promotion and development of plastic surgery and to advance education in the field of plastic surgery. 

The Association is one of 10 surgical specialty associations and it is a statutory body charged with directing training and education in plastic surgery. 

The Association is therefore represented on a number of bodies, including the BMA, FSSA, The Scar Free Foundation, the Intercollegiate Board and JCST, NICE, ABS, The Royal College of Surgeons Council, IPRAS, ESPRAS, EBOPRAS and so on. 

The Journal, JPRAS, is owned by the Association and Professor A Hart is the editor. 

Financially, the Association is in good health with 'total funds' of £2,929,892 The Trustees are consulting to determine how best the 'free reserves' should be used in line with the charitable aims of the Association (see 'future strategies' below). 

Key areas of development for the Association in 2020/2021 have been: 

- Research and education grants were awarded to the sum of £71,821 

- Hosted one scientific meeting, two online advanced educational courses, a series of webinars for medical students, a series of webinars around the COVID pandemic for consultant members, commenced hosting of a series of webinars for specialist trainees. 

- Continued to fund a workforce planning project to determine NHS requirements for consultant plastic surgeons in the future. 

- Worked collaboratively with other professional bodies on the review to regulate aesthetic surgery training and practice in order to better protect the public. 

- The UK National Flap Registry continued successfully and work on a supplementary registry for Mohs surgery was commenced 

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The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Executive Summary 

## For the year ended 30 September 2021 

Future activities for the Association include: 

- Growth of membership body, particularly from those consultants currently working in the NHS. 

- Developing high quality research initiatives with the Association's partners, including The Scar Free Foundation. 

- Reinvigoration of the BAPRAS remote e-learning platform known as e-LPRAS. 

- Development of a mentoring programme for consultant members. 

## COVID Impact 

The continuing COVID pandemic did impact the Association’s educational activities during 20202021, with a limited number of events taking place in ‘in person’ format, and much lower numbers of delegates attending the in person events that were organised. Much of the Association’s business was moved to an online format, and infrastructure put in place to allow work to continue outside of an office setting. Opportunity was taken to evaluate the long-held event portfolio, and to introduce online events, as well as to ensure recording of live events, to build a library of video content. Grants and bursaries were awarded as usual, though it was appreciated that those who were awarded bursaries may take longer than usual to complete research projects and fellowship visits. 

This executive summary was approved by the Trustees on 2 March 2022, and was signed for and on behalf of the board by 

R Waters President 

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The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Trustees’ annual report 

For the year ended 30 September 2021 

The Trustees present their report and the audited financial statements for the year ended 30 September 2021. 

Reference and administrative information set out on page 1 forms part of this report. The financial statements comply with current statutory requirements, the memorandum and articles of association, the requirements of a directors’ report as required under company law, and the Statement of Recommended Practice - Accounting and Reporting by Charities: SORP applicable to charities preparing their accounts in accordance with FRS 102. 

## Objectives and activities 

## Purposes and aims 

The Trustees review the aims, objectives and activities of the charity each year. This report looks at what the charity has achieved and the outcomes of its work in the reporting period. The trustees report the success of each key activity and the benefits the charity has brought to those groups of people that it is set up to help. The review also helps the trustees ensure the charity's aims, objectives and activities remained focused on its stated purposes. 

The trustees have referred to the guidance contained in the Charity Commission's general guidance on public benefit when reviewing the charity's aims and objectives and in planning its future activities. In particular, the trustees consider how planned activities will contribute to the aims and objectives that have been set. 

## Charitable Objectives 

The charitable objectives for which the Charity is established are as follows: 

- To relieve sickness and to protect and preserve public health by the promotion and development of plastic surgery; and 

- To advance education in the field of plastic surgery. 

In interpreting its charitable objectives, BAPRAS has formulated the following strategic statement: 

## Mission Statement 

To promote the best evidence-based practice in plastic, reconstructive and aesthetic surgery in order to achieve the highest standard of patient care through professional support in education, research and the development of knowledge. 

## Charitable Activities 

In pursuance of its charitable objectives, and in order to achieve the overall aims and goals of its mission statement, the Association's principal activity is the dissemination of information as it relates to the specialty. 

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The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Trustees’ annual report 

## For the year ended 30 September 2021 

Each year, this activity is undertaken in a number of ways by BAPRAS: 

- Leading and guiding professional practice and being responsive to the needs of constituent members of the Association; 

- Forming a governing body to formulate and implement policy and manage the affairs of the Association; 

- Defining professional competency in terms of knowledge and skills; 

- Promoting under-graduate, post-graduate education and continuing professional development; 

- Advancing the science of plastic surgery by stimulating and supporting research and disseminating knowledge at meetings and events and through the Journal of Plastic, Reconstructive and Aesthetic Surgery (JPRAS); and 

- Being responsive to the needs and aspirations of patients and their representatives. 

The membership of the Association comprises plastic surgeons, plastic surgeons in training and those aspiring to undertake a career in plastic surgery, allied health professionals working in plastic surgery-related roles plus a small number of surgeons and scientists from allied disciplines. As part of the membership subscription, Full, Honorary, Senior Trainee and Junior members receive access to JPRAS as well as receiving details of current events, plastic surgery conferences, and information on recent and relevant plastic surgery issues. 

The Association itself subscribes to the European Board of Plastic, Reconstructive and Aesthetic Surgery (EBOPRAS) and the European Society of Plastic, Reconstructive and Aesthetic Surgery (ESPRAS). 

BAPRAS organises one scientific meeting annually. These meetings are run to disseminate new medical information and research to members, and include lectures and discussion forum sessions. These meetings play an important part in the training of plastic surgeons and continuing medical education of consultants. Medical practitioners submit papers to the Programme Committee for review and acceptance. The accepted papers form an integral part of the meeting programmes. 

The Journal of Plastic, Reconstructive and Aesthetic Surgery (JPRAS) is owned by the Association and published by Elsevier Science. The Editor is supported by the Committee of Management for the Journal of Plastic, Reconstructive and Aesthetic Surgery representing the Association and an Editorial Board with an International Faculty. The entire back archive of JPRAS (formerly BJPS) can be viewed online. 

The Association organises an Advanced Educational Programme in Plastic Surgery consisting of eight two to three day courses over a four-year period. The programme is aimed at trainees in plastic surgery, particularly those in the advanced levels of their training. The programme is also of value to trainees and specialists in interface specialties and provides valuable updates for continuing medical education. In addition, the committee has also created a two-year webinar series for specialist trainees at all levels, aimed at giving full teaching over the entire FRCS(Plast) curriculum. This series has been created in collaboration with PLASTA and the SAC. 

7 



The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Trustees’ annual report 

## For the year ended 30 September 2021 

A regular one-day course for medical students is run to provide an opportunity to undergraduates interested in seeking information about a career in plastic surgery. 

BAPRAS provides funding of £15,000 to PLASTA (the Plastic Surgery Trainees Association) and £40,000 to BFIRST (the British Foundation for International Reconstructive Surgery and Training) to assist in the education of doctors in training, and doctors from low and middle income countries respectively. 

## Indicators, Milestones & Benchmarks 

The Trustees monitor a range of measures by which to try to determine the success of the Charity in meeting its objectives. These measures include: 

- Level of membership as a percentage of total relevant consultants and the trend over time (increasing or decreasing); 

- Attendance at the annual Scientific Meetings; 

- Feedback from delegates attending the Scientific Meetings, the uptake on new initiatives to encourage attendance, and feedback on individual sessions, papers, and lectures at the Scientific Meetings; 

- Circulation and readership of JPRAS; 

- Levels of submission of papers for the Scientific Meetings and for publication in JPRAS; 

- Requests for publications including abstracts and papers; 

- Throughput of delegates attending the Advanced Educational Courses in Plastic Surgery; 

- Number of visits to the Association's website and feedback from visitors; 

- Number of medical students attending National Study days, giving introductions to the discipline of plastic surgery; and 

- Risk assessment of possible future developments within the specialty. 

## Public Benefit 

The Trustees have taken The Charity Commission's general guidance on public benefit (contained within their guidance publication "Charities and Public Benefit") into consideration in preparing their statements on public benefit contained within this trustees' annual report. 

## Benefits & Beneficiaries 

In accordance with its charitable objectives, the Association strives to improve patient care and to improve the quality of medical and surgical care for the benefit of patients within the specialty of plastic, reconstructive and aesthetic surgery. The Charity's ultimate beneficiaries are therefore patients, and benefits to patients are provided through continuing dissemination of information in relation to the specialty by the Association. 

## Trustees' Assessment of Public Benefit 

The main charitable aims of the Association are to provide education and research for the ultimate betterment of patients. This is achieved by the Association's organisation of regular Scientific 

8 



The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Trustees’ annual report 

## For the year ended 30 September 2021 

Meetings and also the provision of advanced educational courses on various subjects related to plastic surgery. Charitable funds are used to support research in the specialty. 

In addition, the Association offers advice to the GMC via the Royal Colleges of Surgeons with regard to revalidation and reaccreditation of plastic surgeons. 

The Association also furthers education via a collaborative project, the remote e-learning platform, e-LPRAS, to provide education via the internet. 

## Grant Making Policy 

The Education and Research Committees exists to further the education, training and research agenda of BAPRAS. In doing so, the committees review applications for the Association's range of existing bursaries, prizes, grants and fellowships, and develops new awards as a need becomes apparent. The range of BAPRAS bursaries are advertised on the Association's website, on social media and via relevant stakeholder groups. Applications can be made by completion of an online form. The relevant Committee makes recommendations to the Council on the awarding of bursaries. 

## Relationships with Connected Parties 

BAPRAS set up a charity called BFIRST, which is managed within the Secretariat. The charity is a separate entity and is not controlled by BAPRAS, though a close relationship is maintained and administrative support is provided. The President of BAPRAS is a Trustee of BFIRST. 

The Association is a founder member of The Scar Free Foundation and continues to be represented on the Research Council of that organisation. The Association has established some jointly funded research fellowships in areas of mutual interest. 

BAPRAS also awards funding for fellowships for aesthetic surgeons in collaboration with BAAPS (the British Association of Aesthetic Surgeons). These fellowships are equally funded by the two organisations. 

## Representation on Other Bodies 

In pursuing its charitable objectives, the Association has representation on other external bodies, such as the Council of the Royal College of Surgeons of England and Forum and receives reports from them. In particular, BAPRAS was represented by the following individuals: 

|Armed Forces|J Baden|
|---|---|
|Federation of Surgical Specialty Associations/The Surgical Forum|R Waters|
|Scar Free Foundation Research Council|B Dheansa|
||H Giele|
||A Reid|
|BAAPS Council|M Henley|



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The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Trustees’ annual report 

For the year ended 30 September 2021 

|BFIRST|R Waters|
|---|---|
|Intercollegiate Board in Plastic Surgery|A Hazari|
||B Dheansa|
||S Wood|
|National Institute for Clinical health and Excellence|S K Veeramani|
|Royal College of Surgeons of Edinburgh Surgical Specialty Group|J Scott|
|Royal College of Surgeons of England Council|T E E Goodacre|
|JCST Oncoplastic Breast Surgery TIG|K Allison|
|JCST Cleft TIG|M Swan|
|JCST Head and Neck Surgical Oncology TIG|J Pollock|
|JCST Mohs Surgery TIG|C Defty|
|ABS Clinical Practice and Standards Committee|R Waters|
|ABS Aesthetic Committee|S Wilson|
|RCS England Research Council|A Jain|
|PRASEAG|J O’Donoghue|
||R Waters|
||N Mercer|
||K Allison|
|SAC – Plastic Surgery|V Rose|
||D Boyce|
|RCS Invited Review Mechanism|S J Eccles|
|RCS Cancer Service Committee|S Wood|
|RCS Children’s Surgical Forum|S J Eccles|
|EBOPRAS|T Goodacre|
||A Pandya|
|ICOPLAST|M Henley|
|UEMS|T E E Goodacre|



## Achievements and performance 

The charity's main activities and who it tries to help are described below. All its charitable activities focus on raising awareness of the breadth of plastic surgery and promoting innovation in teaching, learning and research, ultimately with an aim to improving patient safety and are undertaken to further BAPRAS’s charitable purposes for the public benefit. 

## Activities & Events 

In 2020/2021, with continuing disruption to the scheduled events programme during the COVID pandemic, much of BAPRAS’ education content moved online. Two Advanced Education Programme courses took place as webinars, enabling remote participation. While it was not possible to hold the Winter 2020 scientific meeting as a live event, this was shifted to June 2021, with the entire event taking place in an ‘in person’ setting, with modifications for COVID, such as remote presentation from overseas speakers and reduced capacity within the venue. In addition, 

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The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Trustees’ annual report 

## For the year ended 30 September 2021 

free papers accepted for the 2020 meeting were presented via a series of webinars, with the top papers being given space in the in-person meeting in the following June. 

## Membership 

The membership of the Association at 30 September 2021 totalled 1,390 (30 September 2020: 1,363). Member numbers per category are as follows: 

|**Membership Category**|**2021**<br>**2020**<br>548<br>524<br>272<br>257<br>126<br>126<br>120<br>144<br>29<br>28<br>5<br>4<br>15<br>14<br>76<br>74<br>84<br>85<br>115<br>107|
|---|---|
|Full||
|Trainee||
|Junior||
|Student & Foundation||
|Associate||
|Affiliate||
|Interspecialty||
|Overseas||
|Honorary||
|Senior||



The Association aim to encourage those Consultants not currently Full Members to take up membership. This is undertaken using communication from the Secretariat to those Trainee Members coming to the end of their specialist training, and utilising knowledge from regional Council Members to identify outliers in the individual regions. Trainees Members are granted free membership for one year upon joining. 

## Scientific Meetings 

The Winter Scientific Meeting 2020 was not held in Manchester in December as planned, owing to restrictions because of the COVID pandemic. Instead, a revised version of this meeting was held in Nottingham in June 2021. In recognition of the fact that the event was to be held at the conclusion of the national lockdown, the event was titled ‘BAPRAS Unlocked’. The event was attended by 168 (2019: 239) participants. Free papers were contained in a series of webinars, with the top papers being presented at the ‘in person’ meeting. A total of 93 papers (2019: 70) papers were presented, and 84 (2019: 42) posters at the webinars. The top six free papers were presented also at ‘BAPRAS Unlocked’. The in-person meeting was supported and attended by 20 (2019: 8) exhibitors. 

## Advanced Educational Course Series 

Courses on burns and breast surgery were arranged in this financial year, though these were arranged as online courses, rather than in-person. The burns course was attended by 112 delegates (the equivalent course in the previous series attracted 132 delegates). The breast surgery course was attended by 172 (the equivalent course in the previous series attracted 193 delegates) 

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The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Trustees’ annual report 

## For the year ended 30 September 2021 

## Undergraduate Study Day 

With national lockdowns commencing shortly after the last undergraduate study day and continuing through 2020 and 2021 (held in February 2020 in Birmingham), an equivalent event was not held in the 2020/2021 financial year. It is anticipated that this event will return again in February 2022. 

## National Teaching Programme 

A series of fortnightly national teaching webinars was launched in June 2021, due to run until early 2023. The series will cover the full breadth of the plastic surgery curriculum, and will be delivered to all UK trainees free of charge. Trainees in low and middle income countries will have the opportunity to access resources and videos from the series free of charge, with a charge being levied on trainees from high and upper middle income countries. Around 100 delegates have attended each webinar. 

## JPRAS 

The Journal of Plastic Reconstructive and Aesthetic Surgery (JPRAS) is owned by the Association and continues to be published in conjunction with Elsevier Science, and edited by Professor A Hart. The number of papers submitted to the Journal in 2020/2021 was 1,889 (2019/2020: 1,259). While the number of submissions increased substantially in this financial year, a comparable rejection rate to previous years was maintained.  The Journal holds an Impact Factor of 2.74 (2.390 in 2019/2020). Full text usage continued to increase (943,097 users in 2020 compared to 847,581 in 2019/2020). 

## eLPRAS 

Over recent years BAPRAS has supported the development of an online e-learning programme to support both the curriculum for plastic surgery trainees and consultant revalidation. Development of the e-learning in plastic reconstructive and aesthetic surgery project (e-LPRAS) has been sponsored by BAPRAS and hosted by e-Learning for Healthcare (e-LfH), under the auspices of Health Education England (HEE). In September 2021, it was decided to re-align the management of the project, to bring control closer to BAPRAS, with oversight by the Education Committee. Work is ongoing to reinvigorate the project, using funding obtained from eIntegrity. The project has no finite end date, but will continue to be run by BAPRAS, in collaboration with a team of external instructional designers 

## Communications 

The communications team continued to deliver its strategic objectives throughout 2020/2021, running a 24-hour press desk and producing proactive media stories, which allow the scope and breadth of the specialty to be demonstrated and this involved working with a number of members across the UK. Media outreach work concentrated on disparity in breast reconstruction services around the country, changes to availability of Botox and fillers for under 18s and breast implant safety. Press outreach was supported via social media channels and the BAPRAS website. Additionally, public awareness campaigns on facial palsy, gender reassignment, breast augmentation, burn awareness and firework safety were launched on BAPRAS’ social media channels. 

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The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Trustees’ annual report 

## For the year ended 30 September 2021 

## Special Interest and Advisory Groups 

The rebranded Special Interest and Advisory Groups (SIAGs) were relaunched and continue to be reformed, in consultation with the whole membership, and with guidance from Council. The remit of these groups has been increased to become involved more heavily in areas of BAPRAS business including communications, guideline writing and education. A total of 604 members are members of at least one SIAG 

## Impact of Activities & Events 

The impact of activities and events is indicated by the following items: 

1 Level of membership of Plastic Surgery Consultants who are members of the Association: At 30 September 2021, 548 Consultants (2020: 524) were members of the Association, which is approximately 82% (2020: 76%) of Consultant Plastic Surgeons in substantive practice in the NHS. 

2 Attendance at Scientific Meetings: There were 168 (2019: 239) attendees at the 2020 Winter Scientific Meeting. Owing to the COVID pandemic, this meeting was rescheduled and held in June 2021, which led to lower than average attendance. 93 papers and 84 posters were presented over a series of six webinars (2020: 70 papers and 42 posters presented). The webinars were attended by 240 delegates. 

3 Attendance at other meetings/courses: A total of 284 people (2020: 116 people) attended the Advanced Educational Programme during 2020/2021. This is an increase in delegates compared to 2019/2020 when one of the two scheduled courses were cancelled owing to the COVID 19 pandemic. 

## Public Benefit 

- During the year 2020/2021 the following activities were undertaken for public benefit: Distribution of patient information guidelines on breast reconstruction, augmentation and reduction; and skin cancer 

- Continued maintenance of the public-facing area of the BAPRAS website, which provides information on safety of surgery; 

- The feedback from individual patients and patient groups with regard to plastic surgery and their involvement with the Association; and 

- The Association continues to have lay representation on Council to ensure that the needs of the general public continue to be taken into consideration in Association business. 

## Beneficiaries of our services 

Activities this year have, in the first instance benefitted plastic surgery consultants, trainees and those interested in a career in plastic surgery, via our programme of events (both in person and online), journal (JPRAS), and e-learning project (eLPRAS). 

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The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Trustees’ annual report 

## For the year ended 30 September 2021 

During the year 2020/2021 the Trustees gathered the following evidence that demonstrates to their satisfaction that BAPRAS continues to benefit the public through its activities targeted to achieve its charitable objectives: 

- The number of members and non-members attending the Scientific Meeting (as above) 

- The number of attendees at the Advanced Educational Programme in Plastic Surgery, again as above; 

- A total of £30,159 (2020: £36,139) was awarded in educational grants; and 

- A total of £41,662 (2020: £29,122) was awarded to support research. 

It was noted that educational and research opportunities triggering grant applications were reduced in 2020/21 due to the COVID pandemic and there was an underspend compared to previous years. It is not anticipated that this underspend would be continued in subsequent years. 

## Financial review 

## Financial Results of Activities and Events 

During the year, the Association generated £1,549,682 (2020: £1,057,524) of income and spent of £1,001,892 (2020: £1,083,046) disseminating information as it relates to any and all of the fields that pertain to the Association's charitable objectives. 

In particular, subscription income from members contributed £356,672 (2020: £343,852) and the Journal of Plastic, Reconstructive and Aesthetic Surgeons contributed a net amount of £337,173 (2020: a net amount of £306,497) towards the other operational costs of the Association. After an increase in the market value of the Association's investments during the year, at the balance sheet date, the Charity had a very healthy net assets level of £2,929,892 (2020: £2,167,896). 

## Grant Making 

The Education Committee was allocated a budget of £74,550 for 2020/2021. The Research Committee was allocated a budget of £45,000. BFIRST continues with the development of an overseas fellowship scheme and was awarded a budget of £40,000 for 2020/2021 

Grants and donations actually awarded during 2020/2021, including commitments in respect of payments to be made in future years, were as follows: 

|Travelling bursaries<br>Joint Scar Free Foundation/BAAPS/BAPRAS Fellowship<br>Student bursaries<br>European scholarship awards<br>Other awards and prizes|£<br>9,117<br>15,000<br>5,150<br>0<br>892|
|---|---|
||30,159|



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The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Trustees’ annual report 

For the year ended 30 September 2021 

## Principal risks and uncertainties 

## Risk and Corporate Governance Matters 

The Trustees believe that BAPRAS does not need to expose itself to a high level of risk in order to achieve its present aims and goals. Therefore, a policy is followed to ensure that only risks that are, or can be mitigated to, medium risk level are accepted by the Trustees and the Association. This overall assessment of risk may change at a later date depending upon initiatives being considered at the time. 

The Honorary Treasurer, Head of Operations and Head of Finance undertake the initial annual risk review, and then present the results for scrutiny by the Finance Committee and thereafter, by Council. Any significant changes in the Association's risk profile will be highlighted to the membership at the Annual General Meeting. Risks are reviewed annually. 

The main areas of risk that have been identified are adverse publicity, inadequate management of employment issues, and loss of key staff. A public relations company is employed to increase public awareness of plastic surgery, and part of their role is to minimise the Association's potential exposure to adverse publicity. Professional human resources advice is obtained to ensure compliance with employment law and to advise upon best practice with regard to approaches to staff retention. 

## Professional Indemnity Insurance 

The Charity has taken out an indemnity insurance policy that provides professional indemnity cover for the Trustees of the Charity. The cover provided by the policy is £5 million for any one claim. The cost of this insurance policy to the Charity for the year was £9,661 (2020: £8,424). 

## Reserves policy and going concern 

At 30 September 2021, the Charity's 'total funds' amounted to £2.9m (30 September 2020: £2.1m). 

The Trustees continue to determine a suitable target for the level of 'free reserves', and have set this at two years cost of total expenditure which is some £2.2m. This is in line with actual ‘free reserves’ for 2021 which is approximately £2.4m. Discussions amongst Trustees are ensuing around utilising a portion of the free reserves to support the organisation’s charitable aims. 

The areas of emphasis will continue to be education and research including the provision of information to the public. Education continues to be supported nationally and locally, and the medical student education programme is being enhanced. In the light of this aim, it is highly likely that a proportion of existing 'free reserves' will be held on a long-term basis to generate a regular income stream in perpetuity with the balance of 'free reserves' being spent in a systematic and controlled manner on appropriate projects. 

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The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Trustees’ annual report 

## For the year ended 30 September 2021 

## Investments Policy 

The Trustees have wide ranging powers to invest the funds of the Association as they see fit, and in practice, they receive advice from the Association's investment managers on appropriate investments. The Association's investment portfolio continues to be managed by Cazenove Capital Management Limited, with an increase in cash holdings in view of the current economic changes. 

The Trustees' investment strategy, and the instructions  given to the Association's investment managers was to aim to increase the value to the investment portfolio until it achieved a valuation of £2 million. This has been achieved, however, following the COVID 19 Pandemic, Trustees have put a pause on drawing income from the investment portfolio until some stability is maintained. It is expected that conversations will be resumed in 2022. Thereafter, the Trustees will once again review the Association's planned future activities and funding requirements with a view to drawing income from the investment portfolio whilst maintaining the capital value in real terms. 

Any short-term surplus cash funds are to still be held in high interest-bearing deposit accounts. 

For the year ended 30 September 2021, the Charity's investments portfolio grew in value by 14.5% (2020: grew in value by 2.6%) and achieved an average income return of 2% (2020: 3.9%) and the Charity's unrestricted cash deposits achieved an average income return of 0.03% (2020: 0.4%). 

## Fundraising 

BAPRAS does not undertake any specific fundraising activities and funds itself via collection of membership fees, our Journal, and investment income. 

## Plans for the Future 

Strategic Aims 

1. Workforce, Activity, and Patient Related Outcome rolling knowledge base: The Association continues to develop registries for the collection and analysis of high quality plastic surgical practice data, from which better patient care initiatives can be championed. 

## 2. Professional standards development: 

The Association continues to engage with Governmental and College-based initiatives to ensure the provision of a plastic surgical workforce of the highest standard. It will work to support members in maintaining the highest standard of practice, with guidance for registration and revalidation when required. The redevelopment of the Special Interests Groups to ‘Special Interest and Advisory Groups’ will assist with this objective, giving the groups a broader scope to support guideline and best practice setting. In this context, it is important to recognise that aesthetic surgical procedures fall firmly within the sphere of plastic surgical practice. It is important to note that not all non-surgical aesthetic/cosmetic activities can be managed by the Association, and the 

16 



The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Trustees’ annual report 

## For the year ended 30 September 2021 

anticipated growth of such services and therapies around the fringe of mainstream surgical methods in the 21st Century is not seen as a strategic area for the Association to embrace. 

3. Support for plastic surgical education: The Association will continue to support research Fellowships (in association with the Scar Free Foundation), travel and educational support, undergraduate and post graduate educational courses, journal development, e-learning initiatives, and the production of targeted material in specialist areas for surgical specialties and patient groups. BAPRAS continues to provide funding for PLASTA and BFIRST. 

4. High quality research initiative: The Association operates a Research Committee to develop a strategy to further the initiation, encouragement, and promulgation of high quality research within plastic surgery. 

5. Development of the plastic surgical 'community': 

The Association will develop activity to support the surgical community meeting for social and networking opportunities, as well as purely for education. Regional activities will be encouraged and supported, as well as development of strong means of accountability and feedback from elected regional representatives. A mentoring programme for consultant members will also be developed. 

6. Public perception of the specialty: The Association recognises the continual need for high standards of practice and activity to be promoted in the public domain. The support of skilled public relations management will be required for both crisis management and also to guide best practice for interaction with media organisations more generally. The Association will regularly review the supply of such services to maximise output from what can be reasonably afforded in terms of public relations support, with the best interests of the widest element of the membership as possible. 

## Other areas for development 

In addition to all of the above, the Association will continue to address the process of running a fully representative and responsive organisation for a membership that includes diverse subspecialties and evolving areas of clinical practice. This will include: 

- Periodic review of the functions of the Association with reference to how it can support its individual members; 

- Maintaining financial stability, which includes assessment of financial risks and review of an investment strategy; 

- Advancing the cause of British plastic surgery locally, regionally, nationally and internationally; 

- Bringing disparate associated groups under one roof or organisation; 

- Improving training and assessment, and developing new methods of training; 

- Developing the plastic surgery service in terms of specialisation, but also encouraging new ideas, new technologies and new methods of practice; 

- Improving relationships with other associated specialties; 

17 



The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Trustees’ annual report 

For the year ended 30 September 2021 

- Continuing to explore and expand the establishment of an educational foundation; and 

- Providing guidance at local, regional and national level about the specialty. 

## Future Activities and Events 

During 2022/2023, BAPRAS will be undertaking the following projects: 

- The continuation of the fourth series of Advanced Educational Courses, and planning for series 5 at a new venue, with a cadaveric element to be made available to selected participants 

- Reinvigoration of the annual scientific meeting, with input from all sectors of the membership, to be held in November 2022. 

- A third Celtic Meeting, specifically for surgeons in Scotland 

- The continuation of the National Training Programme for surgeons in specialist training 

- The reinvigoration of the eLPRAS project, with development of new content and opportunity being taken to refresh what is there. 

- The launch of a mentoring programme for plastic surgery consultants. 

- Ongoing support of BFIRST both financially and with administrative support, to ensure their work in furthering the development of the overseas fellowships can continue 

- Ongoing financial and administrative support for PLASTA to ensure their work in supporting specialist trainees, foundation and core doctors, and undergraduates with an interest in plastic surgery can continue. 

- The Plastic Surgery Workforce Survey will be conducted for the twelfth year, thus establishing the current demographics of the UK plastic surgery specialty; 

## Impact of Activities & Events 

The Trustees will principally assess the success of the above activities and events by evaluating the number of delegates attending the meetings and courses, the number of papers submitted and the feedback from meeting and course questionnaires. 

As of 30 September 2021 there were 1,390 members of the Association. The Trustees would like to see this figure maintained or exceeded in the future. Active Consultant Plastic Surgeons in the UK, who are not members or who have left membership, continue to be consulted to learn from their experience a member's requirements from a professional supporting association. 

As we move towards a new format for an annual scientific meeting, numbers should not fall below recent average levels. The number of papers and posters presented at the Scientific Meetings should not fall below recent average levels. 

The Trustees are aware that the number of delegates attending the Educational Programme courses will fluctuate depending, in particular, on the specific topic being covered. Each series is made up of eight meetings held over 4 years, and the Trustees' target is that in financial terms each series should at least break even. Series five will commence in October 2022. 

18 



The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Trustees’ annual report 

For the year ended 30 September 2021 

## Structure, governance and management 

The organisation is a charitable company limited by guarantee, incorporated on 21 October 1991 and registered as a charity on 28 October 1991. 

The company was established under a memorandum of association which established the objects and powers of the charitable company and is governed under its articles of association. 

All trustees give their time voluntarily and receive no benefits from the charity. Any expenses reclaimed from the charity are set out in note 6 to the accounts. 

## Status and History 

BAPRAS is a registered charity, and a company limited by guarantee, not having share capital. Every member undertakes to contribute an amount not exceeding £1 to the assets of the Association in the event of the Association being wound-up during the period of membership, or within one year thereafter. 

The Association was founded in 1946 as the British Association of Plastic Surgeons with the aim of relieving sickness and protecting and preserving public health by the promotion and development of plastic surgery. The Association was incorporated on 21 October 1991, became a registered charity on 28 October 1991, and changed its name to The British Association of Plastic, Reconstructive and Aesthetic Surgeons on 11 July 2006. 

BAPRAS is governed by its rules and regulations, as set down in the company's Memorandum and Articles of Association, which were originally adopted on 21 October 1991, and were then updated on 2 December 1998 and 11 July 2006. 

## Organisational Structure 

The overall strategic direction of the Charity is determined by the Trustees, who are assisted and advised by invited members of the Council of the Association, and by the non-trustee members of the various BAPRAS Committees. The Committees of the Association are used to focus discussion on issues pertaining to their particular roles and titles, and these Committees then report and submit recommendations to the Council. The Council comprises the President, the Deputy President, the Honorary Secretary, the Honorary Treasurer, plus fifteen elected full members serving for a three-year period. 

The day-to-day management of the Association has been delegated by the Trustees to a team of staff, that are based in the Association's Secretariat offices, and who are led by the Head of Operations. 

Policy for remunerating senior staff and key management personnel 

The pay of the senior staff, including key management personnel, is set by the Trustees following a reviewed by and upon the advice of an external human resources company (Persona People 

19 



The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Trustees’ annual report 

## For the year ended 30 September 2021 

Management ltd) which derives its recommendations from external benchmarks. The benchmarks used check pay levels of similar staff in similar posts with those of similar sized entities and, in particular, similar charities. 

## Committees 

The Association operates the following Committees. The President, Deputy President, Honorary Secretary and Honorary Treasurer are ex-officio members of all Committees, and the following other Trustees have also served on the Committees during the year under review: 

## Finance 

J A Haeney 

K P Allison 

Committee of Management for the Journal of Plastic, Reconstructive and Aesthetic Surgery S Singh 

Education 

S K Veeramami 

P Drew 

Research 

M Moses 

J O’Donoghue 

Professional Standards 

A Pandya M Dalal 

Communications 

S Hettiaratchy 

A Brown 

Microsurgery 

P Kalu 

Scientific Meeting 

No additional Trustee members 

20 



The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Trustees’ annual report 

For the year ended 30 September 2021 

## Appointment of trustees 

The Trustees of the Charity are the officers and elected members of the Council of the Association. 

## Recruitment 

The Full Members of BAPRAS are given due notice of the forthcoming vacancies on the Council and for office holders and are invited to nominate suitable candidates. Each nomination is proposed and seconded, and each nominee provides written consent and a synopsis of why they wish to become a Council member. Only Full Members are eligible to be appointed as office holders and Council members. 

## Appointment and Election 

Under the terms of the current Memorandum and Articles of Association, the members of the Council are elected at the Annual General Meeting. Full Members are therefore invited to vote for the number of nominees required to the fill the vacancies on Council within their regions. The President will hold post for two years and remains on Council for one further year as the Deputy President. The Honorary Secretary and the Honorary Treasurer will serve an initial term of three years and can be elected for a further term. Any such office holder who has held office for two continuous terms shall not be eligible for re-election to that office. 

## Trustee induction and training 

All new Trustees are provided with an induction manual containing Officers and Council member job descriptions, Committee terms of reference, Association policy statements, a copy of the current BAPRAS governing document, the latest charity risk assessment, the calendar of activities, and copies of relevant up-to-date Charity Commission guidance. 

In line with recommended best practice, the process for recruitment, appointment, election, induction and training of Officers and elected members of Council is periodically reviewed and updated as may be necessary. The Trustees seek professional advice particularly in relation to training and governance matters, as and when it is deemed appropriate to do so. 

## Statement of responsibilities of the trustees 

The trustees (who are also directors of The British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) for the purposes of company law) are responsible for preparing the trustees’ annual report and the financial 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 of the incoming resources and application of resources, including the income and expenditure, of the charitable company for that period. In preparing these financial statements, the trustees are required to: 

21 



The British Association of Plastic Reconstructive and Aesthetic Surgeons 

## Trustees’ annual report 

## For the year ended 30 September 2021 

- Select suitable accounting policies and then apply them consistently 

- Observe the methods and principles in the Charities SORP 

- Make judgements and estimates that are reasonable and prudent 

- State whether applicable UK Accounting Standards and statements of recommended practice have been followed, subject to any material departures disclosed and explained in the financial statements 

- Prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in operation 

The trustees are responsible for keeping adequate 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. 

In so far as the trustees are aware: 

- There is no relevant audit information of which the charitable company’s auditor is unaware 

- The trustees have taken all steps that they ought to have taken to make themselves aware of any relevant audit information and to establish that the auditor is aware of that information 

The trustees are responsible for the maintenance and integrity of the corporate and financial information included on the charitable company's website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions. 

## Auditor 

Sayer Vincent LLP was re-appointed as the charitable company's auditor during the year and has expressed its willingness to continue in that capacity. 

The Trustees annual report has been prepared in accordance with the special provisions applicable to companies subject to the small companies' regime. 

The trustees’ annual report has been approved by the trustees on 2 March 2022 and signed on their behalf by 

R Waters President 

22 



Independent auditor’s report 

To the members of 

The British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) 

## Opinion 

We have audited the financial statements of The British Association of Plastic Reconstructive and Aesthetic Surgeons (the ‘charitable company’) for the year ended 30 September 2021 which comprise the statement of financial activities, balance sheet, statement of cash flows and notes to the financial statements, including significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice). 

In our opinion, the financial statements: 

- Give a true and fair view of the state of the charitable company’s affairs as at 30 September 2021 and of its incoming resources and application of resources, including its income and expenditure for the year then ended 

- Have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice 

- Have been prepared in accordance with the requirements of the Companies Act 2006 

## 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 Auditor’s 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 British Association of Plastic Reconstructive and Aesthetic Surgeons’ 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. 

23 



Independent auditor’s report 

To the members of 

The British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) 

## Other Information 

The other information comprises the information included in the trustees’ annual report, other than the financial statements and our auditor’s report thereon. The trustees are responsible for the other information contained within the annual report. 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. 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 course of 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 this gives rise to a material misstatement in the financial statements themselves. 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. 

## Opinions on other matters prescribed by the Companies Act 2006 

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

- The information given in the trustees’ annual report, for the financial year for which the financial statements are prepared is consistent with the financial statements; and 

- The trustees’ annual report has been prepared in accordance with applicable legal requirements. 

## Matters on which we are required to report by exception 

In the light of the knowledge and understanding of the 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 in relation to which the Companies Act 2006 requires us to report to you if, in our opinion: 

- Adequate accounting records have not been kept, or returns adequate for our audit have not been received from branches not visited by us; or 

- The financial statements are not in agreement with the accounting records and returns; or 

- Certain disclosures of trustees’ remuneration specified by law are not made; or 

- We have not received all the information and explanations we require for our audit; or 

- The directors were not entitled to prepare the financial statements in accordance with the small companies regime and take advantage of the small companies’ exemptions in preparing the trustees’ annual report and from the requirement to prepare a strategic report. 

## Responsibilities of trustees 

As explained more fully in the statement of trustees’ responsibilities set out in the trustees’ annual report, the trustees (who are also the directors of the charitable company for the purposes of 

24 



Independent auditor’s report 

## To the members of 

The British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) 

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 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 charitable company or to cease operations, or have no realistic alternative but to do so. 

## Auditor’s responsibilities for the audit of the financial statements 

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 auditor’s 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 the 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, including fraud are set out below. 

## Capability of the audit in detecting irregularities 

In identifying and assessing risks of material misstatement in respect of irregularities, including fraud and non-compliance with laws and regulations, our procedures included the following: 

- We enquired of management, which included obtaining and reviewing supporting documentation, concerning the charity’s policies and procedures relating to: 

   - Identifying, evaluating, and complying with laws and regulations and whether they were aware of any instances of non-compliance; 

   - Detecting and responding to the risks of fraud and whether they have knowledge of any actual, suspected, or alleged fraud; 

   - The internal controls established to mitigate risks related to fraud or non-compliance with laws and regulations. 

- We inspected the minutes of meetings of those charged with governance. 

- We obtained an understanding of the legal and regulatory framework that the charity operates in, focusing on those laws and regulations that had a material effect on the financial statements or that had a fundamental effect on the operations of the charity from our professional and sector experience. 

25 



Independent auditor’s report 

## To the members of 

## The British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) 

- We communicated applicable laws and regulations throughout the audit team and remained alert to any indications of non-compliance throughout the audit. 

- We reviewed any reports made to regulators. 

- We reviewed the financial statement disclosures and tested these to supporting documentation to assess compliance with applicable laws and regulations. 

- We performed analytical procedures to identify any unusual or unexpected relationships that may indicate risks of material misstatement due to fraud. 

- In addressing the risk of fraud through management override of controls, we tested the appropriateness of journal entries and other adjustments, assessed whether the judgements made in making accounting estimates are indicative of a potential bias and tested significant transactions that are unusual or those outside the normal course of business. 

Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including those leading to a material misstatement in the financial statements or non-compliance with regulation.  This risk increases the more that compliance with a law or regulation is removed from the events and transactions reflected in the financial statements, as we will be less likely to become aware of instances of non-compliance. The risk is also greater regarding irregularities occurring due to fraud rather than error, as fraud involves intentional concealment, forgery, collusion, omission or misrepresentation. 

A further description of our responsibilities is available on the Financial Reporting Council’s website at: www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report. 

## Use of our 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. Our audit work has been undertaken so that we might state to the charitable company's members those matters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and the charitable company's members as a body, for our audit work, for this report, or for the opinions we have formed. 

Joanna Pittman (Senior statutory auditor) 11 March 2022 

for and on behalf of Sayer Vincent LLP, Statutory Auditor Invicta House, 108-114 Golden Lane, LONDON, EC1Y 0TL 

26 



The British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) 

Statement of financial activities (incorporating an income and expenditure account) 

For the year ended 30 September 2021 

|Unrestricted<br>Note<br>£<br>Income from:<br>2<br>-<br>2<br>1,111,663<br>3<br>81,678<br>1,193,341<br>4<br>1,092,724<br>1,092,724<br>214,206<br>5<br>314,822<br>(1,805)<br>313,017<br>313,017<br>Reconciliation of funds:<br>2,167,896<br>2,480,914<br>Total funds carried forward<br>Transfers between funds<br>Net income / (expenditure) before other<br>recognised gains and losses<br>Net movement in funds<br>Total funds brought forward<br>Net gains / (losses) on investments<br>Net income / (expenditure) for the year<br>Net income / (expenditure) before net<br>gains / (losses) on investments<br>Total expenditure<br>Charitable activities<br>Disseminating information on the<br>speciality<br>100,616<br>Disseminating information on the<br>speciality<br>Investments<br>Total income<br>Expenditure on:<br>Donations and legacies<br>Charitable activities|Unrestricted<br>Note<br>£<br>Income from:<br>2<br>-<br>2<br>1,111,663<br>3<br>81,678<br>1,193,341<br>4<br>1,092,724<br>1,092,724<br>214,206<br>5<br>314,822<br>(1,805)<br>313,017<br>313,017<br>Reconciliation of funds:<br>2,167,896<br>2,480,914<br>Total funds carried forward<br>Transfers between funds<br>Net income / (expenditure) before other<br>recognised gains and losses<br>Net movement in funds<br>Total funds brought forward<br>Net gains / (losses) on investments<br>Net income / (expenditure) for the year<br>Net income / (expenditure) before net<br>gains / (losses) on investments<br>Total expenditure<br>Charitable activities<br>Disseminating information on the<br>speciality<br>100,616<br>Disseminating information on the<br>speciality<br>Investments<br>Total income<br>Expenditure on:<br>Donations and legacies<br>Charitable activities|Restricted<br>£<br>-<br>5,000<br>-|Endowment<br>£<br>448,978<br>-<br>-|2021<br>Total<br>£<br>448,978<br>1,116,663<br>81,678<br>1,647,319<br>1,099,529<br>1,099,529<br>214,206<br>761,996<br>-<br>761,996<br>761,996<br>2,167,896<br>2,929,892<br>547,790|Unrestricted<br>£<br>-<br>973,728<br>80,046|Restricted<br>£<br>-<br>3,750<br>-|2020<br>Total<br>£<br>-<br>977,478<br>80,046|
|---|---|---|---|---|---|---|---|
||1,193,341|5,000|448,978||1,053,774|3,750|1,057,524|
||1,092,724|6,805|-||1,077,254|5,792|1,083,046|
||1,092,724|6,805|-||1,077,254|5,792|1,083,046|
||214,206<br>100,616|-<br>(1,805)|448,978<br>-||(22,961)<br>(23,480)|-<br>(2,042)|(22,961)<br>(25,522)|
||314,822<br>(1,805)|(1,805)<br>1,805|448,978<br>-||(46,441)<br>(2,042)|(2,042)<br>2,042|(48,483)<br>-|
||313,017|-|448,978||(48,483)|-|(48,483)|
||313,017<br>2,167,896|-<br>-|448,978<br>-||(48,483)<br>2,216,379|-<br>-|(48,483)<br>2,216,379|
||2,480,914|-|448,978||2,167,896|-|2,167,896|



All of the above results are derived from continuing activities. There were no other recognised gains or losses other than those stated above. Movements in funds are disclosed in note 17 to the financial statements. 

27 



The British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) 

## Balance sheet 

|Balance sheet|||||
|---|---|---|---|---|
|As at 30 September 2021|||Company|no. 02657454|
|Note<br>Fixed assets:<br>11<br>12<br>Current assets:<br>13<br>Liabilities:<br>14<br>17<br>Total unrestricted funds<br>Total net assets<br>Debtors<br>Restricted income funds<br>Unrestricted income funds:<br>General fund<br>Endowment funds<br>The funds of the charity:<br>Creditors: amounts falling due within one year<br>Net current assets<br>Investments<br>Cash at bank and in hand<br>Short term deposits<br>Tangible assets<br>Total charity funds|£<br>99,876<br>-<br>842,627|2021<br>£<br>215<br>2,290,965|£<br>99,046<br>154,206<br>222,738|2020<br>£<br>286<br>2,000,365|
|||2,291,180<br>638,708||2,000,651<br>167,245|
||942,502<br>(303,794)||475,990<br>(308,745)||
||2,480,914||2,167,896||
|||2,929,892||2,167,896|
|||-<br>448,978<br>2,480,914||-<br>2,167,896|
||||||
||||||
|||2,929,892||2,167,896|



Approved by the trustees on 2 March 2022 and signed on their behalf by 

R Waters President 

28 



The British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) 

## Statement of cash flows 

## For the year ended 30 September 2021 

|Cash flows from operating activities<br>Net income / (expenditure) for the reporting period<br>(as per the statement of financial activities)<br>Depreciation charges<br>(Gains)/losses on investments<br>Dividends, interest and rent from investments<br>(Increase)/decrease in debtors<br>Increase/(decrease) in creditors<br>Cash and cash equivalents at the end of the year<br>Change in cash and cash equivalents in the year<br>Cash and cash equivalents at the beginning of the year<br>Net cash provided by / (used in) investing activities<br>Cash flows from investing activities:<br>Dividends, interest and rents from investments<br>Proceeds from sale of investments<br>Purchase of investments<br>Movement in short term deposit<br>Net cash provided by / (used in) operating activities|£<br>£<br>761,996<br>72<br>(214,206)<br>(81,678)<br>(831)<br>(4,951)<br>460,402<br>81,678<br>5,042<br>(81,436)<br>154,206<br>159,490<br>619,892<br>222,738<br>842,627<br>2021|£<br>£<br>761,996<br>72<br>(214,206)<br>(81,678)<br>(831)<br>(4,951)<br>460,402<br>81,678<br>5,042<br>(81,436)<br>154,206<br>159,490<br>619,892<br>222,738<br>842,627<br>2021|£<br>£<br>(48,483)<br>96<br>22,961<br>(80,046)<br>122,458<br>39,533<br>56,519<br>80,046<br>4,606<br>(78,537)<br>(1,065)<br>5,050<br>61,569<br>161,169<br>222,738<br>2020|£<br>£<br>(48,483)<br>96<br>22,961<br>(80,046)<br>122,458<br>39,533<br>56,519<br>80,046<br>4,606<br>(78,537)<br>(1,065)<br>5,050<br>61,569<br>161,169<br>222,738<br>2020|
|---|---|---|---|---|
|||460,402<br>159,490||56,519<br>5,050|
||||||
|||619,892<br>222,738||61,569<br>161,169|
|||842,627||222,738|



29 



The British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) 

Notes to the financial statements 

## For the year ended 30 September 2021 

## 1 Accounting policies 

## a) Statutory information 

The British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) is a charitable company limited by guarantee and is incorporated in England and Wales. 

The registered office address is the Secretariat offices of the Association at The Royal College of Surgeons of England, 38-43 Lincoln's Inn Fields, London WC2A 3PE. 

## b) Basis of preparation 

The financial statements have been prepared in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) - (Charities SORP FRS 102), The Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) and the Companies Act 2006. 

Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy or note. 

In applying the financial reporting framework, the trustees have made a number of subjective judgements, for example in respect of significant accounting estimates. Estimates and judgements 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.  The nature of the estimation means the actual outcomes could differ from those estimates. Any significant estimates and judgements affecting these financial statements are detailed within the relevant accounting policy below. 

## c) Public benefit entity 

The charity meets the definition of a public benefit entity under FRS 102. 

## d) Going concern 

The trustees consider that there are no material uncertainties about the charity's ability to continue as a going concern. 

The trustees do not consider that there are any sources of estimation uncertainty at the reporting date that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next reporting period. 

## e) Income 

Income is recognised when the charity has entitlement to the funds, any performance conditions attached to the income have been met, it is probable that the income will be received and that the amount can be measured reliably. Income streams such as subscription income and journal income fall into this category. 

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 charity 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 a treated as a contingent asset and disclosed if material. 

Income from government and other grants, whether ‘capital’ grants or ‘revenue’ grants, is recognised when the charity has entitlement to the funds, any performance conditions attached to the grants have been met, it is probable that the income will be received and the amount can be measured reliably and is not deferred. 

Income received in advance of the provision of a specified service is deferred until the criteria for income recognition are met. The journal income is received by calendar year so the income for the last three months are deferred into the subsequent year. 

## f) Interest receivable 

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. 

30 



The British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) 

Notes to the financial statements 

## For the year ended 30 September 2021 

## 1 Accounting policies (continued) 

## g) Fund accounting 

Restricted funds are to be used for specific purposes as laid down by the donor.  Expenditure which meets these criteria is charged to the fund.  Endowment funds comprise the Carpue/Keegan Fellowship Fund.  The capital is invested in perpetuity; the income from this is available to fund travelling bursaries 

Unrestricted funds are donations and other incoming resources received or generated for the charitable purposes. 

## h) Expenditure and irrecoverable VAT 

Expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party, it is probable that settlement will be required and the amount of the obligation can be measured reliably. Expenditure is classified under the following activity headings: 

- Expenditure on charitable activities includes the costs of delivering scientific meetings, advanced educational courses and exhibitions all undertaken to further the purposes of the charity and their associated support 

- Other expenditure represents those items not falling into any other headingt 

Irrecoverable VAT is charged as a cost against the activity for which the expenditure was incurred. 

- i) Allocation of support costs 

Resources expended are allocated to the particular activity where the cost relates directly to that activity.  However, the cost of overall direction and administration of each activity, comprising the salary and overhead costs of the central function, is apportioned in full to the charitable activity of disseminating information on the speciality. 

Governance costs are the costs associated with the governance arrangements of the charity.  These costs are associated with constitutional and statutory requirements and include any costs associated with the strategic management of the charity’s activities. 

- j) Grants payable policy 

   - Grants payable are charged to the statement of financial activities in the year in which the offer is conveyed to the recipient. 

## k) Operating leases 

Rental charges are charged on a straight line basis over the term of the lease. 

## l) Tangible fixed assets 

Items of equipment are capitalised where the purchase price exceeds £2,000. Depreciation costs are allocated to activities on the basis of the use of the related assets in those activities. Assets are reviewed for impairment if circumstances indicate their carrying value may exceed their net realisable value and value in use. 

Depreciation is provided at rates calculated to write down the cost of each asset to its estimated residual value over its expected useful life. The depreciation rates in use are as follows: 

>  Presidential badge and chain 

25% reducing balance 

## m) Listed investments 

Investments are a form of basic financial instrument and are initially recognised at their transaction value and subsequently measured at their fair value as at the balance sheet date using the closing quoted market price. Any change in fair value will be recognised in the statement of financial activities.  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 charity does not acquire put options, derivatives or other complex financial instruments. 

## n) Debtors 

Trade and other debtors are recognised at the settlement amount due after any trade discount offered. Prepayments are valued at the amount prepaid net of any trade discounts due. 

## o) Short term deposits 

Short term deposits includes cash balances that are invested in accounts with a maturity date of between 3 and 12 months. 

31 



The British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) 

## Notes to the financial statements 

## For the year ended 30 September 2021 

## 1 Accounting policies (continued) 

- p) Cash at bank and in hand 

Cash at bank and cash 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. 

## q) Creditors and provisions 

Creditors and provisions are recognised where the charity has a present obligation resulting from a past event that will probably result in the transfer of funds to a third party and the amount due to settle the obligation can be measured or estimated reliably. Creditors and provisions are normally recognised at their settlement amount after allowing for any trade discounts due. 

## r) Pensions 

The charity is a participating employer in the Superannuation Arrangements of the University of London (SAUL). Additional information on the accounting of this pension can be found in note 18. 

## s) 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. 

## 2a Income from donations and legacies 

The endowment funds comprise the Carpue/Keegan Fellowship Fund which is a legacy bequeathed to the charity in June 2021. The capital is invested in perpetuity; the income from this is available to fund travelling bursaries. 

## 2b Income from charitable activities 

|Income from charitable activities|||||||
|---|---|---|---|---|---|---|
|Subscription income from members<br>Journal income<br>PRASIS administration fee<br>Other income<br>Total income from charitable<br>activities<br>Income from disseminating<br>information on the speciality<br>Income from meetings, courses and<br>other events<br>e-Learning funding from the<br>Department of Health<br>E-Integrity funding<br>Income from secondment<br>Income from investments<br>Bank interest receivable on short<br>term cash deposits<br>Dividend income|Unrestricted<br>£<br>356,672<br>441,992<br>139,350<br>-<br>60,000<br>15,420<br>593<br>97,637|£<br>-<br>-<br>-<br>5,000<br>-<br>-<br>-<br>-<br>Restricted|2021<br>Total <br>£<br>356,672<br>441,992<br>139,350<br>5,000<br>60,000<br>15,420<br>593<br>97,637|Unrestricted<br>£<br>343,852<br>402,866<br>208,836<br>-<br>-<br>18,000<br>174<br>-|£<br>-<br>-<br>-<br>3,750<br>-<br>-<br>-<br>-<br>Restricted|2020<br>Total<br>£<br>343,852<br>402,866<br>208,836<br>3,750<br>-<br>18,000<br>174<br>-|
||1,111,663|5,000|1,116,663|973,728|3,750|977,478|
||Unrestricted<br>£<br>242<br>81,436|£<br>-<br>-<br>Restricted|2021<br>Total <br>£<br>242<br>81,436|Unrestricted<br>£<br>1,509<br>78,537|£<br>-<br>-<br>Restricted|2020<br>Total<br>£<br>1,509<br>78,537|
||81,678|-|81,678|80,046|-|80,046|



## 3 Income from investments 

32 



The British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) 

## Notes to the financial statements 

## For the year ended 30 September 2021 

- 4a Analysis of expenditure (current year) 

4b Analysis of expenditure (prior year) 

|Staff costs (Note 7)<br>Membership costs<br>Journal expenditure<br>BFIRST funding<br>Grants, bursaries, awards and<br>prizes<br>Research grants<br>Costs of meetings, courses and<br>other events<br>e-Learning project costs<br>Public education and<br>communication costs<br>RCS shared curator<br>PLASTA contribution<br>Sponsorship of CPSA<br>Other direct costs<br>Operating lease rentals, land<br>and buildings:<br>Other office costs<br>Irrecoverable VAT<br>Legal and professional fees<br>Auditor's remuneration:<br>Audit fees<br>Accounting and advisory<br>Depreciation - owned assets<br>Support costs<br>Governance costs<br>Total expenditure 2021|Charitable activity|Governance<br>costs<br>£<br>22,167<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>928<br>3,183<br>-<br>-<br>10,210<br>650<br>-|Support<br>costs<br>£<br>421,145<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>17,628<br>60,474<br>33,346<br>53,235<br>-<br>72|2021 Total<br>£<br>443,311<br>Staff costs (Note 7)<br>8,738<br>Membership costs<br>104,819<br>Journal expenditure<br>40,000<br>BFIRST funding<br>30,159<br>Grants, bursaries, awards and prizes<br>41,662<br>Research grants<br>176,263<br>Costs of meetings, courses and<br>other events<br>6,805<br>e-Learning project costs<br>31,785<br>Public education and communication<br>costs<br>-<br>RCS shared curator<br>15,000<br>PLASTA contribution<br>2,000<br>Sponsorship of CPSA<br>19,264<br>Other direct costs<br>18,555<br>Operating lease rentals, land and<br>buildings:<br>63,656<br>Other office costs<br>33,346<br>Irrecoverable VAT<br>53,235<br>Legal and professional fees<br>Auditor's remuneration:<br>10,210<br>Audit fees<br>650<br>Accounting and advisory<br>72<br>Depreciation - owned assets<br>1,099,529<br>-<br>Support costs<br>-<br>Governance costs<br>1,099,529<br>Total expenditure 2020|Charitable activity<br>Disseminating<br>information on the<br>specialty<br>£<br>-<br>11,149<br>96,369<br>40,000<br>36,139<br>29,122<br>271,170<br>5,792<br>69,009<br>4,000<br>10,000<br>-<br>342<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>573,093<br>473,191<br>36,763<br>1,083,046|Governance<br>costs<br>£<br>16,497<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>136<br>3,614<br>-<br>-<br>9,990<br>6,526<br>-<br>36,763<br>-<br>(36,763)<br>-|Support<br>costs<br>£<br>313,434<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>2,592<br>57,661<br>26,964<br>65,918<br>6,526<br>96|2020 Total<br>£<br>329,930<br>11,149<br>96,369<br>40,000<br>36,139<br>29,122<br>271,170<br>5,792<br>69,009<br>4,000<br>10,000<br>-<br>342<br>2,728<br>61,275<br>26,964<br>65,918<br>-<br>9,990<br>13,052<br>96|
|---|---|---|---|---|---|---|---|---|
||Disseminating<br>information on the<br>specialty<br>£<br>-<br>8,738<br>104,819<br>40,000<br>30,159<br>41,662<br> <br>176,263<br>6,805<br>31,785<br>-<br>15,000<br>2,000<br>19,264<br>-<br>-<br>-<br>-<br>-<br>-<br>-||||||||
||476,494<br>585,898<br>37,137|37,137<br>-<br>(37,137)|585,898<br>(585,898)<br>-||||473,191<br>(473,191)<br>-|1,083,046<br>-<br>-|
||1,099,529|-|-||||-|1,083,046|



33 



The British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) 

## Notes to the financial statements 

## For the year ended 30 September 2021 

## 5a Grant making (current year) 

|Grant making (current year)||||||
|---|---|---|---|---|---|
|Research grants<br>At the end of the year<br>Cost<br>BFIRST funding<br>Grants, bursaries, awards and prizes|Grants to<br>institutions<br>£<br>40,000<br>-<br>-|Grants to<br>individuals<br>£<br>-<br>30,159<br>41,662|Support<br>costs<br>£<br>-<br>-<br>-|2021<br>£<br>40,000<br>30,159<br>41,662|2020<br>£<br>40,000<br>36,139<br>29,122|
||40,000|71,821|-|111,821|105,261|



BAPRAS awards an annual grant of £40,000 to BFIRST which helps train surgeons working in poor countries to enable them to undertake reconstructive plastic surgery. Other grants, bursaries, awards and prizes have been made to individuals and all in furtherance of the charity's charitable objects. 

## 5b Grant making (prior year) 

|Cost<br>BFIRST funding<br>Grants, bursaries, awards and prizes<br>Research grants<br>At the end of the year|Grants to<br>institutions<br>£<br>40,000<br>-<br>-|Grants to<br>individuals<br>£<br>-<br>36,139<br>29,122|Support<br>costs<br>£<br>-<br>-<br>-|2020<br>£<br>40,000<br>36,139<br>29,122|2019<br>£<br>40,000<br>37,174<br>34,140|
|---|---|---|---|---|---|
||40,000|65,261|-|105,261|111,314|



BAPRAS awards an annual grant of £40,000 to BFIRST which helps train surgeons working in poor countries to enable them to undertake reconstructive plastic surgery. Other grants, bursaries, awards and prizes have been made to individuals and all in furtherance of the charity's charitable objects. 

## 6 Net income / (expenditure) for the year 

This is stated after charging / (crediting): 

|This is stated after charging / (crediting):|||
|---|---|---|
||2021|2020|
||£|£|
|Depreciation|72|96|
|Auditor's remuneration (excluding VAT):|||
|Audit|10,300|9,990|
|Other services provided by previous auditor|-|13,052|



34 



The British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) 

## Notes to the financial statements 

## For the year ended 30 September 2021 

- 7 Analysis of staff costs, trustee remuneration and expenses, and the cost of key management personnel 

Staff costs were as follows: 

|Staff costs were as follows:|||
|---|---|---|
|Social security costs<br>Salaries and wages<br>Other pension costs<br>Healthcare provision<br>Temporary staff costs<br>Recruitment and other staff costs|2021<br>£<br>344,157<br>31,398<br>46,955<br>3,575<br>16,865<br>361|2020<br>£<br>257,017<br>21,775<br>31,424<br>4,848<br>13,661<br>1,205|
||443,311|329,930|



No employee earned more than £60,000 during the year (2020: nil). 

The total employee benefits (including medical insurance, pension contributions and employer's national insurance) of the key management personnel were £247,359 (2020: £229,537). 

The charity trustees were neither paid nor received any other benefits from employment with the charity in the year (2020: £nil). With exception of the one payment disclosed in note 8, no charity trustee received payment for professional or other services supplied to the charity (2020: £nil). 

Trustees' expenses represents the payment or reimbursement of travel and subsistence costs totalling £3,261 (2020: £11,838) incurred by 6 (2020: 8) members relating to attendance at meetings of the trustees. 

## 8 Staff numbers 

The average number of employees (head count based on number of staff employed) during the year was 12 (2020: 12). 

## 9 Related party transactions 

Joe O'Donoghue is a Trustee of BAPRAS and also works in the capacity of JPRAS Editor. He is remunerated for his work on an annual basis. For 2021 his remuneration was £10,248 (2020: £10,248). There are no outstanding balances with related parties at the reporting date and any provisions for doubtful debts. 

Three trustees are also trustees of BFIRST. In the year BAPRAS gave a grant of £40,000 (2020:£40,000) to BFIRST. 

## 10 Taxation 

The charity is exempt from corporation tax as all its income is charitable and is applied for charitable purposes. 

35 



The British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) 

## Notes to the financial statements 

## For the year ended 30 September 2021 

## 11 Tangible fixed assets 

|11<br>Tangible fixed assets|||
|---|---|---|
|12<br>13<br>All of the above assets are used for charitable purposes.<br>At the end of the year<br>At the start of the year<br>Charge for the year<br>At the start of the year<br>Depreciation<br>At the start of the year<br>At the end of the year<br>Cost<br>Cash<br>At the end of the year<br>Net book value<br>UK Common investment funds<br>Investments comprise:<br>Cash held by investment broker pending reinvestment<br>Disposal proceeds<br>Fair value at the end of the year<br>Listed investments<br>Additions at cost<br>Net gain / (loss) on change in fair value<br>Fair value at the start of the year<br>Trade debtors<br>Other debtors<br>Prepayments and accrued income<br>Debtors: amounts falling due within one year|£<br>7,905<br>Presidential<br>badge and<br>chain|Total<br>£<br>7,905|
||7,905|7,905|
||7,619<br>72|7,619<br>72|
||7,690|7,690|
||215|215|
||286|286|
||2021<br>£<br>2,000,365<br>81,436<br>(5,042)<br>214,206|2020<br>£<br>1,949,395<br>78,537<br>(4,606)<br>(22,961)|
||2,290,965<br>-|2,000,365<br>-|
||2,290,965|2,000,365|
||2021<br>£<br>2,290,965<br>-|2020<br>£<br>2,000,365<br>-|
||2,290,965|2,000,365|
||2021<br>£<br>7,791<br>4,883<br>87,201|2020<br>£<br>9,888<br>45,813<br>43,345|
||99,876|99,046|



36 



The British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) 

## Notes to the financial statements 

## For the year ended 30 September 2021 

## 14 Creditors: amounts falling due within one year 

|Creditors: amounts falling due within one year|||
|---|---|---|
|Other creditors<br>Taxation and social security<br>Accruals<br>Deferred income (note 15)<br>Trade creditors|2021<br>£<br>104,870<br>16,362<br>1,658<br>31,036<br>149,867|2020<br>£<br>55,981<br>45,057<br>-<br>22,460<br>185,247|
||303,794|308,745|



## 15 Deferred income 

Deferred income comprises income received in advance of events and royalty income that relates to the next reporting period. 

|Balance at the beginning of the year<br>Amount released to income in the year<br>Amount deferred in the year<br>Balance at the end of the year|2021<br>£<br>185,247<br>(107,247)<br>71,867|2020<br>£<br>96,199<br>(96,199)<br>185,247|
|---|---|---|
||149,867|185,247|



## 16a Analysis of net assets between funds (current year) 

|Analysis of net assets between funds (current year)|||||
|---|---|---|---|---|
|Net assets at 30 September 2021<br>Investments<br>Net current assets<br>Tangible fixed assets|General<br>unrestricted<br>£<br>215<br>2,290,965<br>131,539|Restricted<br>£<br>-<br>-<br>58,195|Endowment<br>funds<br>£<br>-<br>-<br>448,978|Total funds<br>£<br>215<br>2,290,965<br>638,712|
||2,422,718|58,195|448,978|2,929,892|



- 16b Analysis of net assets between funds (prior year) 

|Analysis of net assets between funds (prior year)||||
|---|---|---|---|
|Net assets at 30 September 2020<br>Tangible fixed assets<br>Investments<br>Net current assets|General<br>unrestricted<br>£<br>286<br>2,000,365<br>167,245|Restricted<br>£<br>-<br>-<br>-|Total funds<br>£<br>286<br>2,000,365<br>167,245|
||2,167,896|-|2,167,896|



37 



The British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) 

## Notes to the financial statements 

## For the year ended 30 September 2021 

17a Movements in funds (current year) 

|Movements in funds (current year)||||||
|---|---|---|---|---|---|
|Total restricted funds<br>Legacy<br>General fund<br>Unrestricted funds:<br>Endowment funds:<br>Restricted funds:<br>e-Learning Fund<br>Total funds<br>Total unrestricted funds|At 1<br>October<br>2020<br>£<br>-|Income &<br>gains<br>£<br>448,978|Expenditure<br>& losses<br>£<br>-|Transfers<br>£<br>-|At 30<br>September<br>2021<br>£<br>448,978|
||-|5,000|(6,805)|1,805|-|
||-|5,000|(6,805)|1,805|-|
||2,167,896|1,095,704|(780,881)|(1,805)|2,480,914|
||2,167,896|1,095,704|(780,881)|(1,805)|2,480,914|
||2,167,896|1,549,682|(787,686)|-|2,929,892|



The narrative to explain the purpose of each fund is given at the foot of the note below. 

17b Movements in funds (prior year) 

|Movements in funds (prior year)||||||
|---|---|---|---|---|---|
|Total restricted funds<br>Restricted funds:<br>Total unrestricted funds<br>Total funds<br>e-Learning Fund<br>Unrestricted funds:<br>General Fund|At 2<br>October<br>2019<br>£<br>-|Income &<br>gains<br>£<br>3,750|Expenditure<br>& losses<br>£<br>(5,792)|Transfers<br>£<br>2,042|At 30<br>September<br>2020<br>£<br>-|
||-|3,750|(5,792)|2,042|-|
||2,216,379|1,053,774|(1,100,215)|(2,042)|2,167,896|
||2,216,379|1,053,774|(1,100,215)|(2,042)|2,167,896|
||2,216,379|1,057,524|(1,106,007)|-|2,167,896|



## Purposes of restricted funds 

The e-Learning Fund was set up in 2008/2009 following the receipt of funding from the Department of Health to cover the costs incurred by the Charity in working in partnership with the Department of Health on its e-Learning for Healthcare programme. For 2021, the Charity funded £1,805 (2020: £2,042) of this expenditure itself by a transfer from the General Fund. 

The Endowment funds comprise the Carpue/Keegan Fellowship Fund which is a legacy bequeathed to the charity in June 2021.  The capital is invested in perpetuity; the income from this is available to fund travelling bursaries. 

38 



The British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) 

## Notes to the financial statements 

## For the year ended 30 September 2021 

## 18 Pension Commitments 

## General description of the pension scheme 

The Charity is a participating employer in the Superannuation Arrangements of the University of London ("SAUL"), which is a centralised, funded, defined benefit scheme within the United Kingdom and is contractedout of the Second State Pension (prior to April 2016). SAUL is an independently-managed pension scheme for the non-academic staff of over 50 colleges and institutions with links to higher education. 

Pension benefits accrued within SAUL currently build up on a Career Average Revalued Earnings ("CARE") basis. Following a consultation with Members, the SAUL Final Salary Section closed from the 31 March 2016 and all Members now build up benefits on a CARE basis. 

The Charity is not expected to be liable to SAUL for any other current participating employer's obligations under the Rules of SAUL, but in the event of an insolvency of any participating employer within SAUL, an amount of any pension shortfall (which cannot otherwise be recovered) in respect of that employer, may be spread across the remaining participating employers and reflected in the next actuarial valuation. 

## Funding policy 

SAUL's statutory funding objective is to have sufficient and appropriate assets to meet the costs incurred in paying SAUL's benefits as they fall due (the "Technical Provisions"). SAUL adopts assumptions which, taken as a whole, are intended to be sufficiently prudent for pensions and benefits already in payment to continue to be paid and for the commitments, which arise from Members' accrued pension rights, to be met. 

The Technical Provisions assumptions include appropriate margins to allow for the possibility of events turning out worse than expected. However, the funding method and assumptions do not completely remove the risk that the Technical Provisions could be insufficient to provide benefits in the future. 

A formal actuarial valuation of SAUL is carried out every three years by a professionally qualified and independent actuary. The last actuarial valuation was carried out with  an effective date of 31 March 2020. Informal reviews of SAUL's position, reflecting changes in market conditions, cash flow information and new accrual of benefits, are carried out between formal valuations. 

The actuarial valuation applies to SAUL as a whole and does not identify surpluses or deficits applicable to individual employers. On 31 March 2020,  94% of funds needed to pay the pensions were already built up in SAUL. This is partly because the pandemic had a short term negative effect on SAUL's investments at that date. This grew to 109% at 30 April 2021. 

The cost of future benefits being built up is 35% of Members' salaries compared to a combined contribution from Members and Employers of 22%. This means the shortfall, known as a 'contribution strain' has increased to 13%. Some decisions have been made to make sure SAUL is sustainable for the future. Three changes are to be made to SAUL, one of which is an increase in Employers' conributions to 19% from April 2022 and then to 21% from January 2023. 

## 19 Operating lease commitments payable as a lessee 

The charity's total future minimum lease payments under non-cancellable operating leases is as follows for each of the following periods 

|each of the following periods|||
|---|---|---|
|Less than one year<br>One to five years|2021<br>2020<br>£<br>£<br>33,020<br>15,630<br>121,073<br>96,876<br>154,093<br>112,506<br>Property||
||154,093|112,506|



The charity is a company limited by guarantee and has no share capital.  The liability of each member in the event of winding up is limited to £1. 

20 Legal status of the charity 

39