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2022-09-30-accounts

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 2022

The British Association of Plastic Reconstructive and Aesthetic Surgeons

Contents

For the year ended 30 September 2022

Reference and administrative information ........................................................................................................................ 1 Executive summary ............................................................................................................................................................ 4 Trustees’ annual report ..................................................................................................................................................... 5 Independent auditor’s report .......................................................................................................................................... 20 Statement of financial activities (incorporating an income and expenditure account) .................................................. 24 Balance sheet ................................................................................................................................................................... 25 Statement of cash flows ................................................................................................................................................... 26 Notes to the financial statements ................................................................................................................................... 27

The British Association of Plastic Reconstructive and Aesthetic Surgeons

Reference and administrative information

For the year ended 30 September 2022

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 and up to the date of this report were as follows:

For period 1 October
2021-31 December
2021		 For period 1
January 2022- 31
December 2022		 For period 1
January 2023 - 2
March 2023		 Position
Ms Ruth Waters Ms Ruth Waters Mr Maniram Ragbir President
Mr Mark Henley Mr Maniram Ragbir Ms Ruth Waters DeputyPresident
Mr Umraz Khan Mr Umraz Khan Mr Umraz Khan HonorarySecretary,CompanySecretary
Mr Simon Wood Mr Simon Wood Mr Simon Wood HonoraryTreasurer
Miss Reena Agarwal Miss Reena
Agarwal		 Mr Graham Offer Council Member- East Midlands
Mr Joe O’Donoghue Mr Omar A Ahmed Mr Omar Ahmed Council Member- North East
Mr Keith P Allison Mr Keith P Allison Ms Aenone Harper-
Machin		 Non-regional Council Member
Mr Alastair Brown Mr Alastair Brown Mr Alastair Brown Council Member- Northern Ireland
Mr Milind Dalal Mr Milind Dalal Mr Paul McArthur Council Member- North West
Mr Peter J Drew Mr Peter J Drew Mr Nicholas Wilson
Jones		 Council Member- Wales
Wg Cdr Ankur
Pandya		 Professor Henk
Giele		 Professor Henk
Giele		 Council Member- South Central
Mr Shehan P
Hettiaratchy		 Mr Shehan P
Hettiaratchy		 Ms Catherine
Milroy		 Council Member- London
Mr Peter Kalu Mr Peter Kalu Mr Peter Kalu Non-regional Council Member
Mr Sivakumar
Veeramani		 Mr Christopher
Macdonald		 Mr Christopher
Macdonald		 Council Member- South East Coast
Mr Duncan N
Mackenzie		 Mr Duncan N
Mackenzie		 Mr Duncan N
Mackenzie		 Council Member- South West
Mr James Haeney Mr Paolo L
Matteucci		 Mr Paolo L
Matteucci		 Council Member- Yorkshire & Humber
Mr Mike Moses Mr Mike Moses Mr Mike Moses Council Member- East of England
Mr Wee Lam Mr Kaz Rahman Mr Kaz Rahman Council Member- Scotland
Mr Shivram Singh Mr Shivram Singh Mr Shivram Singh Council Member- West Midlands

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The British Association of Plastic Reconstructive and Aesthetic Surgeons

Reference and administrative information

For the year ended 30 September 2022

Key management personnel

G Adlington Head of Operations B Olusina Head of Finance C Voisin Events Manager E Andrade Events Manager M Burrows Committee and Membership Manager E Ashinze Assistant Accountant M Revenco Communications Coordinator E Gavin Collections Coordinator A Evans Admin Assistant – Events and Education A Begum Education and Research Coordinator

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The British Association of Plastic Reconstructive and Aesthetic Surgeons

Reference and administrative information

For the year ended 30 September 2022

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 2022

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 12 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 3 times per year.

The Association is one of 10 surgical specialty associations and it is a membership body involved with promoting innovation, teaching and learning in plastic surgery.

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. In 2021/22, this has included:

This executive summary was approved by the Trustees on 2 March 2023, and was signed for and on behalf of the board by

M Ragbir President

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The British Association of Plastic Reconstructive and Aesthetic Surgeons

Trustees’ annual report

For the year ended 30 September 2022

The Trustees present their report and the audited financial statements for the year ended 30 September 2022.

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:

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.

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.

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The British Association of Plastic Reconstructive and Aesthetic Surgeons

Trustees’ annual report

For the year ended 30 September 2022

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 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.

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:

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The British Association of Plastic Reconstructive and Aesthetic Surgeons

Trustees’ annual report

For the year ended 30 September 2022

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 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 the charity, BFIRST, which is administered by 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.

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The British Association of Plastic Reconstructive and Aesthetic Surgeons

Trustees’ annual report

For the year ended 30 September 2022

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 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 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

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The British Association of Plastic Reconstructive and Aesthetic Surgeons

Trustees’ annual report

For the year ended 30 September 2022

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

2021/2022, saw disruption to BAPRAS’ programme of educational events, as the COVID19 pandemic continued. Advanced Educational Courses were run in an online setting, the undergraduate day was cancelled twice and a smaller, one-day meeting was run in the place of the usual three-day scientific meeting. In place of face-to-face events, a number of additional webinars were run, including a series of half-day webinars, organised fortnightly on topics covering the entirety of the plastic surgery teaching curriculum, and aimed at plastic surgery trainees.

Membership

The membership of the Association at 30 September 2022 totalled 1305 (30 September 2021: 1,390). Member numbers per category are as follows:

Membership Category 2022 2021
Full 566 548
Trainee 199 272
Junior 114 126
Student & Foundation 97 120
Associate 27 29
Affiliate 6 5
Interspecialty 16 15
Overseas 76 76
Honorary 85 84
Senior 119 115

The Association has seen drops in membership particularly in the trainee, junior and student & foundation categories. While some of this can be attributed to trainee members completing training and joining the full member category, this level of drop off is unusual. Work will be undertaken in 2023 to ascertain whether the benefits in each category of membership are fit for purpose, and priced appropriately.

Scientific Meetings

A formal scientific meeting was not held in 2021, as the re-scheduling of the Winter 2020 meeting to June 2021 made planning a second scientific meeting in such close proximity unfeasible. A smaller, one day event celebrating the 75[th ] anniversary of the Association was held in December 2021 at the Royal College of Surgeons of England. The event was attended by 169 delegates and was supported by 7 exhibitors.

A series of online events was held in conjunction with this, which gave the opportunity for scientific papers to be presented. A total of 41 abstracts were presented, of which the top 5 were presented in person at ‘BAPRAS 75’.

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The British Association of Plastic Reconstructive and Aesthetic Surgeons

Trustees’ annual report

For the year ended 30 September 2022

Advanced Educational Course Series

Courses on facial aesthetics and trunk reconstruction were arranged in this financial year, though these were arranged as online courses, rather than in-person. The facial aesthetics course was attended by 119 delegates (the equivalent course in the previous series attracted 82 delegates). The trunk reconstruction course was attended by 134 delegates. An equivalent course on this topic had not been held previously.

Undergraduate Study Day

It was anticipated that following national lockdowns, the Undergraduate Study Day would return in February 2022. Due to the Omicron variant limiting availability of study leave for delegates and faculty, it was agreed to move the event to June 2022. This was then affected by national rail strikes, and so it was cancelled. It is anticipated that the event will return in February 2023.

National Teaching Programme

A series of fortnightly national teaching webinars was launched in June 2021, due to run until early 2023. The series covers 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. Numbers are growing, an average of 150 delegates attending each webinar (100 in 2020/2021) and increasing numbers reviewing the content of the webinars via a dedicated platform after the event.

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 2021/2022 was 1,368 (2020/2021: 1,889). This was a return to ‘usual’ numbers, following a significant increase in 2020/21. It is noted that many journals saw a similar pattern in submission numbers over this period. The Journal holds an Impact Factor of 3.002 (2.74 in 2020/2021).

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 realign 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 2021/2022, 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 restarting breast reconstruction surgery for NHS patients, the postcode lottery for lymphoedema patients, skin cancer awareness and use of warning labels on sun beds.

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The British Association of Plastic Reconstructive and Aesthetic Surgeons

Trustees’ annual report

For the year ended 30 September 2022

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. SIAGs now total 15, covering almost all areas of subspecialist interest, with an aim to cover all areas of the specialty by the end of 2023.

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 2022, 566 Consultants (2020: 548) were members of the Association, which is approximately 81% (2020: 82%) of Consultant Plastic Surgeons in substantive practice in the NHS.

2 Attendance at meetings/courses:

A total of 253 people (2021: 284 people) attended the Advanced Educational Programme during 2020/2021.

Public Benefit

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).

During the year 2021/2022 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:

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. Application levels and subsequent spend on these items returned to normal in 2021/22.

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The British Association of Plastic Reconstructive and Aesthetic Surgeons

Trustees’ annual report

For the year ended 30 September 2022

Financial review

Financial Results of Activities and Events

During the year, the Association generated £1,172,419 (2021: £1,647,319) of income and spent £1,062,442 (2021: £1,099,529) 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 £361,495 (2021: £356,672) and the Journal of Plastic, Reconstructive and Aesthetic Surgeons contributed £457,707 (2021: £441,992) towards the other operational costs of the Association.

The investment of the legacy called the Carpue Keegan Fund resulted in an increase in the market value of investments at the balance sheet date, the Charity had a net assets level of £2,865,211 (2021: £2,929,892).

Grant Making

The Education Committee was allocated a budget of £74,550 for 2021/2022. The Research Committee was allocated a budget of £53,500. BFIRST continues with the development of an overseas fellowship scheme and was awarded a budget of £40,000 for 2021/22.

Grants and donations actually awarded during 2021/2022, including commitments in respect of payments to be made in future years, were as follows:

Travelling bursaries
Joint Scar Free Foundation/BAAPS/BAPRAS Fellowship
Student bursaries
European scholarship awards
Other awards and prizes		 £
19,400
19,600
5,300
1,000
1,616
46,916

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

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The British Association of Plastic Reconstructive and Aesthetic Surgeons

Trustees’ annual report

For the year ended 30 September 2022

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 £13,789 (2021: £9,661).

Reserves policy and going concern

At 30 September 2022, the Charity's 'total funds' amounted to £2.9m (30 September 2021:£2.9m).

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 in the region of some £2.2m. This is in anticipation of a potential drop in the JPRAS income as a new contract is entered into. The reserves are also currently being reviewed in light of the achievement of the required £2m target. The reader would be updated with next steps in the 2023 annual report.

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 longterm 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.

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 2023. 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. Following the receipt of a bequest, for use for a specific bursary, an additional investment portfolio was set up to manage this bequest

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

Fundraising

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

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The British Association of Plastic Reconstructive and Aesthetic Surgeons

Trustees’ annual report

For the year ended 30 September 2022

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 re-validation 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 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:

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The British Association of Plastic Reconstructive and Aesthetic Surgeons

Trustees’ annual report

For the year ended 30 September 2022

Future Activities and Events

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

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 2022 there were 1,305 members of the Association. This represented a drop from 2021. The Trustees would like to see this figure 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.

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.

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.

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The British Association of Plastic Reconstructive and Aesthetic Surgeons

Trustees’ annual report

For the year ended 30 September 2022

All trustees give their time voluntarily and receive no benefits from the charity. Any expenses reclaimed from the charity are set out in note 7 to the accounts.

Status and History

BAPRAS is a registered charity, and a company limited by guarantee, not having share capital. 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, 11 July 2006 and 1 December 2022.

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 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

D McKenzie K Rahman

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

S Singh

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The British Association of Plastic Reconstructive and Aesthetic Surgeons

Trustees’ annual report

For the year ended 30 September 2022

Education

P Drew C Macdonald

Research

M Moses

P Matteucci

Professional Standards

K Allison M Dalal

Communications

S Hettiaratchy A Brown

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.

17

The British Association of Plastic Reconstructive and Aesthetic Surgeons

Trustees’ annual report

For the year ended 30 September 2022

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:

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:

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.

18

The British Association of Plastic Reconstructive and Aesthetic Surgeons

Trustees’ annual report

For the year ended 30 September 2022

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 2023 and signed on their behalf by

M Ragbir President

19

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 2022 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:

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.

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

20

Independent auditor’s report

To the members of

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

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:

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:

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 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.

21

Independent auditor’s report

To the members of

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

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 noncompliance with laws and regulations, our procedures included the following:

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

22

Independent auditor’s report

To the members of

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

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)

7 March 2023

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

23

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 2022

Unrestricted
e
£
12,000
1,061,915
87,389		 Restricted
£
-
5,000
6,115		 Endowment
£
-
-
-		 2022
Total
£
12,000
1,066,915
93,504		 Unrestricted
£
-
1,111,663
81,678		 Restricted
£
-
5,000
-		 Endowment
£
448,978
-
-		 2021
Total
£
448,978
1,116,663
81,678
1,161,304 11,115 - 1,172,419 1,193,341 5,000 448,978 1,647,319
1,050,392 12,050 - 1,062,442 1,092,724 6,805 - 1,099,529
1,050,392 12,050 - 1,062,442 1,092,724 6,805 - 1,099,529
(186,371)
110,912		 -
(935)		 -
11,713		 (174,658)
109,977		 214,206
100,616		 -
(1,805)		 448,978
-		 214,206
547,790
(75,459)
(935)		 (935)
935		 11,713
-		 (64,681)
-		 314,822
(1,805)		 (1,805)
1,805		 448,978
-		 761,996
-
(76,394) - 11,713 (64,681) 313,017 - 448,978 761,996
(76,394)
2,480,914		 -
-		 11,713
448,978		 (64,681)
2,929,892		 313,017
2,167,896		 -
-		 448,978
-		 761,996
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.

24

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

Balance sheet

Balance sheet
As at 30 September 2022 Company no. 02657454
Note
Fixed assets:
11
12
Current assets:
13
Liabilities:
14
17
Total unrestricted funds
Total net assets
Debtors
Restricted income funds
Unrestricted income funds:
General fund
Endowment funds
The funds of the charity:
Creditors: amounts falling due within one year
Net current assets
Investments
Cash at bank and in hand
Tangible assets
Total charity funds		 £
175,011
391,701		 2022
£
161
2,610,870		 £
99,876
842,627		 2021
£
215
2,290,965
2,611,031
254,180		 2,291,180
638,708
566,712
(312,532)		 942,502
(303,794)
2,404,520 2,480,914
2,865,211 2,929,892
-
460,691
2,404,520		 -
448,978
2,480,914
2,865,211 2,929,892

Approved by the trustees on 2 March 2023 and signed on their behalf by

M Ragbir President

25

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

Statement of cash flows

For the year ended 30 September 2022

Cash flows from operating activities
Net income / (expenditure) for the reporting period
(as per the statement of financial activities)
Depreciation charges
(Gains) / losses on investments
Dividends, interest and rent from investments
(Increase) / decrease in debtors
Increase / (decrease) in creditors
Cash and cash equivalents at the end of the year
Change in cash and cash equivalents in the year
Cash and cash equivalents at the beginning of the year
Net cash provided by / (used in) investing activities
Cash flows from investing activities:
Dividends, interest and rents from investments
Proceeds from sale of investments
Purchase of investments
Movement in short term deposit
Net cash provided by / (used in) operating activities		 £
£
(64,681)
54
174,658
(93,504)
(75,134)
8,739
(49,868)
93,504
918,029
(1,412,592)
-
(401,059)
(450,927)
842,627
391,701
2022		 £
£
(64,681)
54
174,658
(93,504)
(75,134)
8,739
(49,868)
93,504
918,029
(1,412,592)
-
(401,059)
(450,927)
842,627
391,701
2022		 £
£
761,996
72
(214,206)
(81,678)
(831)
(4,951)
460,402
81,678
5,042
(81,436)
154,206
159,490
619,892
222,738
842,627
2021		 £
£
761,996
72
(214,206)
(81,678)
(831)
(4,951)
460,402
81,678
5,042
(81,436)
154,206
159,490
619,892
222,738
842,627
2021
(49,868)
(401,059)		 460,402
159,490
(450,927)
842,627		 619,892
222,738
391,701 842,627

26

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

Notes to the financial statements

For the year ended 30 September 2022

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 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.

27

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

Notes to the financial statements

For the year ended 30 September 2022

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:

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:

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.

28

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

Notes to the financial statements

For the year ended 30 September 2022

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

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. This pension scheme is accounted for as if it is a defined contribution pension scheme.

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
Journal income
PRASIS administration fee
Other income
Total income from charitable
activities
Income from disseminating
information on the speciality
Income from meetings, courses and
other events
e-Learning funding from the
Department of Health
E-Integrity funding
Income from secondment		 Unrestricted
£
361,495
457,707
109,054
-
-
9,000
1,301
123,358		 £
-
-
-
5,000
-
-
-
-
Restricted		 2022
Total
£
361,495
457,707
109,054
5,000
-
9,000
1,301
123,358		 Unrestricted
£
356,672
441,992
139,350
-
60,000
15,420
593
97,637		 £
-
-
-
5,000
-
-
-
-
Restricted		 2021
Total
£
356,672
441,992
139,350
5,000
60,000
15,420
593
97,637
1,061,915 5,000 1,066,915 1,111,663 5,000 1,116,663

3 Income from investments

Income from investments
Bank interest receivable on short
term cash deposits
Dividend income		 Unrestricted
£
671
86,718		 £
-
6,115
Restricted		 2022
Total
£
671
92,833		 Unrestricted
£
242
81,436		 £
-
-
Restricted		 2021
Total
£
242
81,436
87,389 6,115 93,504 81,678 - 81,678
29

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

Notes to the financial statements

For the year ended 30 September 2022

4b Analysis of expenditure (prior year)

Staff costs (Note 7)
Membership costs
Journal expenditure
BFIRST funding
Grants, bursaries, awards and
prizes
Research grants
Costs of meetings, courses and
other events
e-Learning project costs
Public education and
communication costs
PLASTA contribution
Sponsorship of CPSA
Other direct costs
Operating lease rentals, land
and buildings:
Other office costs
Irrecoverable VAT
Legal and professional fees
Auditor's remuneration:
Audit fees
Accounting and advisory
Depreciation - owned assets
Support costs
Governance costs
Total expenditure 2022		 Charitable activity Governance
costs
£
26,220
-
-
-
-
-
-
-
-
-
-
-
1,193
1,978
-
-
11,000
4,500
-		 Support
costs
£
498,139
-
-
-
-
-
-
-
-
-
-
-
22,671
37,577
14,253
27,364
-
-
54		 2022 Total
£
524,359
Staff costs (Note 7)
9,933
Membership costs
104,398
Journal expenditure
40,000
BFIRST funding
46,917
Grants, bursaries, awards and prizes
51,652
Research grants
99,064
Costs of meetings, courses and
other events
5,935
e-Learning project costs
36,248
Public education and communication
costs
15,000
PLASTA contribution
-
Sponsorship of CPSA
8,346
Other direct costs
23,864
Operating lease rentals, land and
buildings:
39,555
Other office costs
14,253
Irrecoverable VAT
27,364
Legal and professional fees
Auditor's remuneration:
11,000
Audit fees
4,500
Accounting and advisory
54
Depreciation - owned assets
1,062,442
-
Support costs
-
Governance costs
1,062,442
Total expenditure 2021		 Charitable activity
Disseminating
information on the
specialty
£
-
8,738
104,819
40,000
30,159
41,662
176,263
6,805
31,785
15,000
2,000
19,264
-
-
-
-
-
-
-
476,494
585,898
37,137
1,099,529		 Governance
costs
£
22,167
-
-
-
-
-
-
-
-
-
-
-
928
3,183
-
-
10,210
650
-
37,137
-
(37,137)		 Support
costs
£
421,145
-
-
-
-
-
-
-
-
-
-
-
17,628
60,474
33,346
53,235
-
72		 2021 Total
£
443,311
8,738
104,819
40,000
30,159
41,662
176,263
6,805
31,785
15,000
2,000
19,264
18,555
63,656
33,346
53,235
-
10,210
650
72

Disseminating
information on the
specialty
£
-
9,933
104,398
40,000
46,917
51,652

99,064
5,935
36,248
15,000
-
8,346
-
-
-
-
-
-
-
417,493
600,058
44,891		 44,891
-
(44,891)		 600,058
(600,058)
-		 585,898
(585,898)
-		 1,099,529
-
-
1,062,442 - - - 1,099,529

30

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

Notes to the financial statements

For the year ended 30 September 2022

5a Grant making (current year)

Grant making (current year)
Research grants
At the end of the year
Cost
BFIRST funding
Grants, bursaries, awards and prizes		 Grants to
institutions
£
40,000
-
-		 Grants to
individuals
£
-
46,916
51,652		 Support
costs
£
-
-
-
-		 2022
£
40,000
46,916
51,652		 2021
£
40,000
30,159
41,662
40,000 98,568 138,568 111,821

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
BFIRST funding
Grants, bursaries, awards and prizes
Research grants
At the end of the year		 Grants to
institutions
£
40,000
-
-		 Grants to
individuals
£
-
30,159
41,662		 Support
costs
£
-
-
-
-		 2021
£
40,000
30,159
41,662		 2020
£
40,000
36,139
29,122
40,000 71,821 111,821 105,261

6 Net income / (expenditure) for the year

This is stated after charging / (crediting):

This is stated after charging / (crediting):
2022 2021
£ £
Depreciation 54 72
Auditor's remuneration (excluding VAT):
Audit 11,000 10,300
Other services provided 4,500 -

31

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

Notes to the financial statements

For the year ended 30 September 2022

Staff costs were as follows:

Staff costs were as follows:
Social security costs
Salaries and wages
Other pension costs
Healthcare provision
Temporary staff costs
Recruitment and other staff costs		 2022
£
405,699
38,597
62,327
6,193
-
11,543		 2021
£
344,157
31,398
46,955
3,575
16,865
361
524,359 443,311

No employee earned more than £60,000 during the year (2021: nil).

The total employee benefits (including medical insurance, pension contributions and employer's national insurance) of the key management personnel were £369,797 (2021: £247,359).

The charity trustees were neither paid nor received any other benefits from employment with the charity in the year (2021: £nil). With exception of the payments disclosed in note 9, no charity trustee received payment for professional or other services supplied to the charity (2021: £nil).

Trustees' expenses represents the payment or reimbursement of travel and subsistence costs totalling £5,054 (2021: £3,261) incurred by 11 (2021: 6) members relating to attendance at meetings.

8 Staff numbers

The average number of employees (head count based on number of staff employed) during the year was 12 (2021: 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 2022 his remuneration was £10,248 (2021: £10,248). There are no outstanding balances with related parties at the reporting date, and no provisions for doubtful debts.

R Waters is also trustee of BFIRST. In the year BAPRAS gave a grant of £40,000 (2021:£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.

32

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

Notes to the financial statements

For the year ended 30 September 2022

11 Tangible fixed assets

11
Tangible fixed assets
12
13
All of the above assets are used for charitable purposes.
At the end of the year
At the start of the year
Charge for the year
At the start of the year
At the start of the year
Depreciation
At the end of the year
Cost
At the end of the year
Net book value
UK Common investment funds
Investments comprise:
Disposal proceeds
Fair value at the end of the year
Listed investments
Additions at cost
Net gain / (loss) on change in fair value
Fair value at the start of the year
Trade debtors
Other debtors
Prepayments and accrued income
Debtors: amounts falling due within one year		 £
7,905
Presidential
badge and
chain		 Total
£
7,905
7,905 7,905
7,690
54		 7,690
54
7,744 7,744
161 161
215 215
2022
£
2,290,965
1,412,592
(918,029)
(174,658)		 2021
£
2,000,365
81,436
(5,042)
214,206
2,610,870 2,290,965
2022
£
2,610,870		 2021
£
2,290,965
2,610,870 2,290,965
2022
£
57,605
5,762
111,644		 2021
£
7,791
4,883
87,201
175,011 99,876

33

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

Notes to the financial statements

For the year ended 30 September 2022

14 Creditors: amounts falling due within one year

Creditors: amounts falling due within one year
Other creditors
Taxation and social security
Accruals
Deferred income (note 15)
Trade creditors		 2022
£
46,726
22,437
1,658
31,395
210,316		 2021
£
104,870
16,362
1,658
31,036
149,867
312,532 303,794

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
Amount released to income in the year
Amount deferred in the year
Balance at the end of the year		 2022
£
149,867
(95,867)
156,316		 2021
£
185,247
(107,247)
71,867
210,316 149,867

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

Net assets at 30 September 2022
Investments
Net current assets
Tangible fixed assets		 General
unrestricted
£
161
2,150,179
254,180		 Restricted
£
-
-
-
-		 Endowment
funds
£
-
460,691
-		 Total funds
£
161
2,610,870
254,180
2,404,520 460,691 2,865,211

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

Analysis of net assets between funds (prior year)
Net assets at 30 September 2021
Tangible fixed assets
Investments
Net current assets		 General
unrestricted
£
215
2,290,965
189,734		 Restricted
£
-
-
-
-		 Endowment
funds
£
-
-
448,978		 Total funds
£
215
2,290,965
638,712
2,480,913 448,978 2,929,892

34

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

Notes to the financial statements

For the year ended 30 September 2022

17a Movements in funds (current year)

Movements in funds (current year)
Total restricted funds
Carpue/Keegan Fellowship Fund
General fund
Unrestricted funds:
Endowment funds:
Carpue/Keegan bursary
Restricted funds:
e-Learning Fund
Total funds
Total unrestricted funds		 At 1
October
2021
£
448,978		 Income &
gains
£
11,713		 Expenditure
& losses
£
-
(5,935)
(6,115)
(12,050)
(1,236,763)
(1,236,763)
(1,248,813)		 Transfers
£
-		 At 30
September
2022
£
460,691
-
-		 5,000
6,115		 935
-		 -
-
- 11,115 935 -
2,480,914 1,161,304 (935) 2,404,520
2,480,914 1,161,304 (935) 2,404,520
2,929,892 1,184,132 - 2,865,211

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
Endowment funds:
Carpue/Keegan endowment fund
Restricted funds:
Total unrestricted funds
Total funds
e-Learning Fund
Unrestricted funds:
General Fund		 At 1
October
2020
£
-		 Income &
gains
£
448,978		 Expenditure
& losses
£
-
(6,805)
(6,805)
(780,881)
(780,881)
(787,686)		 Transfers
£
-		 At 30
September
2021
£
448,978
- 5,000 1,805 -
- 5,000 1,805 -
2,167,896 1,095,704 (1,805) 2,480,914
2,167,896 1,095,704 (1,805) 2,480,914
2,167,896 1,549,682 - 2,929,892

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 2022, the Charity funded £935 (2021: £1,805) 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 2022. The capital is invested in perpetuity; the income from this is available to fund travelling bursaries.

35

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

Notes to the financial statements

For the year ended 30 September 2022

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 was an increase in Employers' contributions 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
One to five years		 2022
2021
£
£
33,020
33,020
88,053
121,073
121,073
154,093
Property
121,073 154,093

The charity is a company limited by guarantee and has no share capital.

20 Legal status of the charity

36