British Menopause Society (Limlted by Guarantee) Financial Statements for the year ended 31 December 2024 Charity No: 1015144 Company No: 02759439 BRITISH MENOPAUSE soaETY Financial Statements for the year ended 31 December 2024 CONTENTS Report of the Trustees 1-14 Auditors, Report 15-17 Statement of Financial Activities 18 Balance Sheet 19 Statement of Cash Flow 20 Notes to the Flnanclal Statements 21-27 BRITISH MENOPAUSE SOCIErY ort of the Trustees for the Year Ended 31 December 2024 Re The Trustees who are also directors of the charity for the purposes of the Companies Act 2006, present thelr reportwith the financlal statements of the charityforthe year ended 31 December 2024. The Trustees have adopted the provisions of Accountln8 and Reporting by Charities: Statement of Recommended Practlce applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republlc of Ireland (FR5 102). REFERENCE AND ADMINisfRATIVE INFORMATION REGlSfERED COMPANY NUMBER 02759439 REGISTERED CHARITY NUMBER 1015144 TRUSTEES Kathy Abernethv Dr Paula Briggs Miss Glll Cheesbrough Dr Heather Currie Mr Haitham Hamoda Mr Tim Hillard Mr Eddie Morris Professorjanice Rymer M r Patrlck Shervlngton Professorjohn Stevenson Sara Mo8er Immediate Past Chair (Non-medical trustee) Appointed 27 June 2024 Chalr (Non-medical tru5teel Chief Executive (Ex officiol MEDICAL ADVISORY COUNCIL Dr J uliet Balfour Dr Katie Barber Dr Paula Briggs Professor Melanie Davies Dr Ollvia Hum Professor Mary Ann Lumsden Dr Krlstyn Manley Professor Annlce Mukherjee Professor Nick Panay Mis5 Kate Panter Dr Claire Phipps Professor Janice Rymer Dr Zoe Schaedel Miss Angela 5harma Mr Paul Simpson Drclare Spencer Immediate Past Chalr R￿lected 27 June 2024 Elerted 27 June 2024 Co-opted 27 June 2024 Elected 27 June 2024 Chair Elected 27 June 2024 CHIEF EXECUTIVE Sara Moger REGISTERED OFFICE The Barn, Dukes Place, Marlow, Buckinghamshire SL7 2QH AUDITORS Knox Cropper LLP, 65-68 Leadenhall Street. London, EC3A 2AD LAWYERS Bates Wells, 10 Queen Street Place, London EC4R IBE BANKERS Lloyds plc, l Readin8 Road, Henley on Thame5, Oxfordshire RG9 IAE STRucfuRE, GOVERNANCE AND MANAGEME The organisation 15 a charitable company Ilmited by guarantee and Is reglstered as a charity. Trustees Trustees are therefore both company dlrectors and trustees. Underthe amended Memorandum & Articles of Assoclatlon adopted at the 2008 AGM at least 50% of the board of trustee5 must be healthcare professionals. The board is fonned by the chaimian and the immedlate past chairman/chairman elect of the British Menopause Society {BMSI medical advisory council, togetherwith other elected members ofthe MAC. Those wlth expertise in areas other than medicine, including finance, publi5hin& marketlnglPR, media, business and charity may be appointed a trustee by the board. The BMS board of ten trustees, with comblned medlcal and non-medical ski115 continues to provlde a balanced and effective governing body. Trustees are inducted to the policies and procedures of the charty by the chief executive and training Is provided as approprlate. Dr Paula Brigg5 completed her tem) as chairman atthe AGM on 27 June 2024. The board thanked Paula for her commitment and hard work. Professorjanlce Rymertook overas chairman at the AGM and the board offered its congratulations. Risk Management The trustees undertake their duties to review the risks to which the charlty Is exposed and to Ènsure appropriate controls are in pla￿ to provide reasonable assurance against frnud and error. The CEO con5uItS closely with our lawyers, Bates Wells, who provlde an excellent and comprehen5tve service. Reserves Policy Until four years ago our policy was predicated on the Imperative to remain financially viable as a society. Since then, the board has dlrected that reserves should be built up yearryon-year to a target of 12 months operdtin8 Costs which equate5 to £1,316,000. At the current year end free reserves are £1,931,887 leaving surplus funds of £615,887 which will be alloGated for use In 2025 and 2026towards the Society's educational actlvltles. Medlcal advlsory council (MACI Medical advisory council member5 are elected by the members of the BMS for a temi of three years. With the exception of the chairman, irnmediate past chairman and chalmian elect, one third of council members retlre from office at each AGM. A retiring council mernber is eligible for re-election for one further term of three years. After serving two term5, a council member is eligible for re-election after a perlod of 12 months. Council members are appointed at the AGM, although they can be co-opted by council in the interim. Annual General Meetlng (AGMI At the AGM at Chesford Grange held on 27 June 2024, Sara Moger, Chief Executive, thanked those standing down from the Medical Advisory Countil. Tim Hlllard stood down from council having completed two terms. Sara offered sincere thanks to Tim for his wise counsel. input and commitment, in particular on the NICE submission and, as co-author with Kristyn Manley, on the joint guideline on the Monogementof unschedujed heavy bleeding on HRT. Kalpana Upadhyay completed her first term and stood down. Sara offered huge thanks to Kalpana for her input and advice. Kalpana initiated the menopause and ethnic mlnorities project and ha5 kindly agreed to remain involved, although stepping away from council. Deborah Bruce and Olivia Hum completed their first term of three years and offered thernselves for re*lection. There were four places available on council and eleven nominations. 17.4% of members voted this year, a record. We are pleased to confirm that Ollvla Hum was re-elected for a second term of three years and Mary Ann Lumsden, Claire Phlpps and Angela Sharma were elected. Nadira Awal. Deborah Bruce, Claudlne Domoneyi Leila Frodsham, Kristyn Manley, Lynne Robinson and Jennifer Sassarlnl were unsuccessful. In recognition of thework Kristyn Manley had undertaken overthe past two yea￿, in particular as co-author ofthe joint guideline on the managementof unscheduled bleedin8 on HRT, the board made the decision to Co-opt heronto the medical advisory council. OBJEcfivES AND AcfivmES The Memorandum & Articles of Association Imern & Arts) of the BMS, whlch were incorporated on 27 Odober 1992, and amended on 2 July 2008 and 5 Juty 2012, define the objects forwhich the companywas established. These are: To facllltate the advancement of education by thÈ promotion of interest in all matters relating to the menopause lrneaning the short- and long-temi consequences of ovarian insufficiency and the associated life events occurring in women) and gynaecological di50rders To facilitate the multl-dlsclpllnarystudy of matters relating to the menopause and exchange of information and ideas between persons working in this field To promote high standards of training for those invofved in advisin8 women about the menopause and Its cOnsequen￿S To relieve women suffering from 8ynaecological dtsorder5 The Britlsh Menopause Soclety IBMS) is the specialist authorty for menopause and post reproductive health in the UK. Established in 1989, the BMS educates, informs and guides healthcare professlonals, working in prlmary and secondary care, on menopause and all aspects of post reproductlve health. This is achieved through: Our Education Programme, which include5 the annual scientifK conference, the WHC annual syrnposium on women's health, BMS Masterclasses and BMS certificated edutation and tralning In the Prlnciples & Practite of Menopause Care and in Cognltive Behavloural Therapyfor menopause syTnptotllS. Our interacttve website which features BM5 TV.. the menopause explained and the online register of recognlsed BMS menopause specialists. Our range of resources and publlcations including Joint Guidelines, Consensus statements, Tools for clinicians, BMS bulletins and news alerts, the quarterly Journal Post Reprodurtive Health and the definitive handbook Monagement of the Menopou5e. Women's Health Concern (WHC), establsshed In 1972 and Is the patlent arm of the BMS since 2012. WHC provldes independent advice to inform and reassure wornen about theirbrynaecological, Sexual and post reproductive health. Our spetialist healthcare professionals offer unbiased infom)ation via: The website, which contains a wide range of downloadable resources. includingfactsheets and infographics and a separate menopause settion. Menopause." Giving you confidencefor understanding and action The email advisory service, supported bythe medical advisory council Links to a series of short videos. BMS TV.. the menopou5e explained and the BMS menopause specialist onllne reglster with details of NHS and private clinics and servi￿5 Professorjohn Steven50n, a trustee of the BMS, continued toserve as chalrman of WHC, supported by Patrick Shervington, a trustee and formerCEO of WHC. Penny Junor continued as Patron, but during quarter two of 2024, indicated that she would be happyto step down from the position. The board respected Pennvs wish to step down. They thanked her for hertremendous ongoing 5UPPOrt-for more than twenty years- her advlce and her expertise, especially in relatlon to publlshing and the media, Penny attended the conference In Chesford Grange as our guest and a presentation was made in recognition of her many, manv years, service to Women's Health Concem. At the June trustees, meeting, the vlability of the WHC advisory 5ervlce was discussed. Jeannette Richards resigned In February as a result of changes in her personal clrcumstances. Our thank5 and good wishes go to Jeannette, who remalns a member of the Soclety. Afterjeannette's departure, the service was reviewed and It was clear that dernand for the WHC advlsory seNice was not sufficsent to Justlfy employlng an additional staff member. Indeed, there was not sufficient demand to justify retalnlng Becky Hay, our second nurse advisor. Therefore, with regret, Becky Hay left BMS employment on 20 August. Becky made a significant contribution in developing the service and ourthanks and good wishes go to Becky. The board also thanked Kathy Abernethy for hersupport and management of the advisory service over more than ten years. Priorto the trustees, meeting held on 26 June 2024, a docurnent was circulated to the board, detailing a proposal to dere81Ster WHC a5 a charlty. The Chair and Chief Executive had been in dlscussions regardlng thi5 4nd felt that it was the right time to review the position. Discussions were also held wlth John Stevenson and Patrick SheNlngton. When the BMS made WHC Its'patient arni., the board decidedto retain its own separate charltable status. Thls was for economic reasons, i.e. if we re￿IVed a bequest for WHC and It no longer existed, the donation may be dlverted elsewhere. At the tlme, some 12 years ago. the BMS needed every penny and so for pragmatic and flnanclal reasons, the two or8onisations co-existed as separate charities. The BMS is now a milllon-pound business and the promi5eof a windfall, small or large, Is not so necessary to our existence. There are structures, processes and overheads involved: A separate board of trustee5 ljohn. Patrick and Sara Mogerl A separate set of accounts has to be submltted tothe Charty Commission and Companies House A separate confirmatlon statement has to be submitted to Companies House A separate bank account WHC has a patron in Penny Junor, who, as detailed above, Is steppin8 down Internallyi apart from PayPal, all financlal transactions, e.8. registrations for the WHC annual symposium and WHC advlsory service income, already go dlrettly into the rnain BMS business account It Seemed the right time to consider de-registering WHC as a chartty. WHCwould retain Its Identty, wlth Its branding, webslte, resource5 and annual symposium and to the outside world, nothing would appearto be any different. The accounts run, as perthe BMS, ljanuary to 31 December and therefore WHC could be dosed at the end of 2024. This was agreed and the BMS engaged law￿￿, Bates Wells, for guldance on the deregistration process. ACHIEVEMENT AND PERFORMANCE Education programme BMS Mana8ement of the Menopause Certificate As awareness of menopause continues to grow, so too doesthe demand for spetiallst training something traditional competency-based programmes have struggled to keep up with. Long walting li5t5 have made it harder for HCPS to acce55 the education they need, creating gaps in care. Therefore, to brldge the menopausetraining gap, BMS launched the BMS Management of the Menopause Certlficate IMMC). It was eighteen rnonths in development and It provides comprehenslve new BMS onllne educatlon. Thls In-depth menopause education should provide the eligible HCP learner with everything that they need to treat 95% of thelr patients, leaving only the 5% of patients with complex issues to be referred for 5peciali5t care. This evldence-based menopause education, developed by healthcare professionals for healthcare professionals, is peer reviewed and incorporates recommendations for best prattice from both national and international guidelines. Launched on 5 June 2024, a total of 1,310 delegates have enrolled to date, and 288 have completed the 38 hours on-line education to achleve the new MMC. Demand in 2025 contlnues at around 100 new delegates per month, with no 5i8n of interest or demand declining. Total Income £957,026 wlth expendlture of £96,397. The MMC replaces the BMS PPMCCertificate (income in 2023: £110,515). The project content was developed by Haitham Hamoda and Heather Currie, with signlftcant Input from those on the board and the medical advisory coundl. Haitham's vision and drive- in conjunction with the BMS team- ensured that the certlflcate offers hlgh-quality content, which was uniquely peer revlewed and is easily accessible to delegates. The board warmly thanks Haitham and Heather for their commltment to this irnportant and signrficant addition to the BMS education programme. Conference & Meeting5 The BMS once a8aln organised an active, varied and hlghly evaluated educatlon programme throughout 2024. As in 2023, the annual scientific Conferen￿ and WHC annual syrnposium were held face-to-face, while all other educatlonal meetings and courses continued virtualty. Annual scientific conference The 33rd annual scientific conference, Menopause.. solving the puzzle. took pla￿ at Chesford Grange In Kenilworth on Thursday 27 and Friday 28 June 2024. Chesford Grange has become the regular'home, to the conference, being situated centrally with good transport links. Olivla Hum and Anne MacGregor, the Jolnt chalrs of the programme planning group {PPG} and the PPG members are to be congratulated on securing excellent speakers and putting together a first-class programme. Special thanks 80 to Profe550r Walter A. Rocca, Professorof Epiderniolo￿ and Neurology and the Ralph S. and Beverley E. Caulkins, Professor of Neurodegenerative Disease5 Research, Mayo Clinic College of Mediclne and Sclence, Rochester, USA who delivered the BMS annual lecture: Premature or early menopause. hormone replacement therapy. and cognitive aglng. We also thank our double act Professor Peter Collin5, Consultant Cardiologist, Royal Brompton Hospital, London and Professorjohn Stevenson, Erneritus Reader In Metabolic Medicine, National Heart and Lung Institute, Imperial College London; Trustee- British Menopause Society, who delivered the Pat Patterson Memorial Lecture: Arterial disease matters: HRT before, durfng and beyond an arterial event. Both keynote lectures were extrernely well-evaluated and achieved 'Highlight of the daW from a large proportion of delegates. Walter, Pete and John not only delNered superb lertures, but del￿e￿d them ex gratia. Our pollcy, in Ilne with other medical charities and societies. is that we pay expenses, but do not offer speakers, fees. Thls policy applies throughout our education programrne. The entire conference wa5 well*valuated, with some extellent recommendations for future toplcs. The figures forthe fa￿-tO-face If2fl and on demand conference are as follows: Annual Sclentific Conference f2f: Delegates 440 Isold out); Income: £167,09512023: 350/£128, 1901 Exhibitors: 171£32,85012023: 121£21,7501 Total Income £ 167,095 Total Expendlture £ 117, 891 Surplus: £49.204 Annual scientific conference on demand: Delegates: 415; Income: £135,24212023: £157,873) Total Income £ 135,242 Total Expenditure £ 11,262 Surplus: £ 123.980 Total annual sclentffic conference Income £302,337 wlth a surplus for both f2f and on demand 01 £173.184. We held two Co8nltive Behavlour Therapy (CBn for menopause symptoms courses. Both tourses filled up qulckly and a review will take place to investl8ate the potential for an online version of the course. Our thanks to Melanie Smith and Janet Balabanovic for delivering this excellent course. There is no doubt that CBT Is an essential component in the overall education of HCPS. It is also an important alternatlve for those women who are not able or choose not to take HRT. SIX BMS Masterclasses- practlcal prescrlblng workshops took place virtually, again a combination of pre- recorded presentation5 and a live and Interactive 2-hour session. These took place in January. February, April, September, October and December. 716 delegate5 joined these workshops, and the evaluations were excellent across the board. Thank you to all those who chaired, facilitated and contributed. The Royal College of Obstetrldans & Gynaecologlsts (RCOG) /BMS Menopause Advanced Trnining Skills course, Post Reproductive Health took place remotely and was attended by 196 delegates (2023: 6031. It generated a surplus of £23,05212023: £137,692) whlch wa5 shared between the BMS and the RCOG. The numbers decreased significantly this year. This was as a result of the discontinuation of the PPMC courses In QI of 2023, whith directed delegates to the RCOG/BMSJolnt course. on￿ again thanks to the cOu￿e organisers Mike Savvas, Haitham Hamoda and Nick Panay. The Womerfs Health Concern 34th Annual Syrnposium on women's health was held at the Cavendlsh Conference Centre in London on Tuesday 3 December 2024 and 171 delegates attended12023: 1991. We also offered an on demand opt￿n making recordings of the actual day avallable from 16 December 2024- 16 February 2025. Chaired by John Stevenson. a wide-ranging programrne was produced and highlights included Professor Mary Ann Lumsden, Honorary Professor of Medlcal Education and Gynaecology, University of Glasgow" Member- British Menopause Society rnedical advisory council, who delivered the Gerald Swyer Memorial Lecture: HRT.. looknng ot risks in petspertive. Our thanks to Mary Ann and all other speaker who contributed to an excellent dav. The figures for the WHC symposium are: WHC symposlum f2f: delegates: 171,. income: £47,765 Exhlbltors: 9; Income: £11,650 WHC swmposlum on demand: delegates." 159: Incorne: £28,380 Total WHC symposium income: £76,145 Total educatlon Income: Total income: £IA37,548 (2023 £684,7961 £1.953.555 (2023 £1.243.589) NB: Income generated by exhibitors at our two f2f meetings totslled £44,5(M) {2023: £47,050). This represent5 2.3 % of total annual income, broken down as follows Non pharrna: £17,51XI 0.9% Pharma: £27,OCKI 1.4% Oureducatlon programme continues to be the core artwity of the BMS. Almost 4,OCKI HCPS accessed BMS tralnlng and education- remotely and fa￿-tO-face. Both primary and secondary care We￿ well represented; especially encouraging was the increased range of healthcare profession5 in attendance, e.g. pharmacists, SAS doctors, physiotherapists, dietitlans, etc, all with an Interest In women's mld-llfe health and well-belng. Membership Membership numbers continued to grow significantly and as at 31 Decemberwere 2702, 716 new in 2024 (cf 2023.. 2625,. 2022.. 2154,. 2021.. 1568," 2020.. 1167,. 2019.. 1058,. 2018.. 905,. 2017.. 717," 2016.. 665,. 2015.. 616,. 2014.. 609,. 2013.'602 and 2012.. 615). Membership income in 2024totalled £420,143 {2023: £366,481). Membership isthe hi8he5t it has been since records were introduced in 1996. Primary tare, GPS and Nurses total 1660 and account for 610A of our member512023: 1610161% 2022: 1.245158%). This significant increase in membership demonstrates the continuing developing interest in this area of women's health and the demand for authoritative information, education and guidance, based on national and international guidelines. Post Reproéuctive Heofth IPRH) - the quarterly Journal of the Brltlsh Menopause Sotiety Eddie Morrls and Heather Currle, the editors, together wlth associate editors, Tony Mander and Paul Slmpson, trainee editor Babu Karavadra and news editor Simon Brown are to be congratulated on their hard work and dedlcation to the journal throughout 2024. PRH is an increasingly well-received resource of news, research and opinion and is a valued and important part of BMS mem1￿rShIp. Publications New BMS and WHC resources publlshed In 2024: BMS joint guldellne on the management of unscheduled bleeding on hormone replacement therapy IHRn BMSJoint guideline on the management of menopausal symptoms followin8treatment of 8ynaecological cancer BMS Tool for Clinicians: Management of menopause for women with CVD BMS Tool for Cllniclans.. HRT after myocardial infarction WHCfactsheet: Management of unscheduled bleeding on HRT BMS and WHC resources updated In 2024: BMS Tool forclinicians: Surgical menopause WHC factsheet: Coronary heart disease External patient information leaflets peer reviewed for publlcatlon: Kidney Care UK.. Menopause and kidney disease Headway: Menopause after brain injury Websites The BMS website Is an Invaluable source of Information and guidance for heatthcare professionals. The importance of on demand registration forthe annual sclentlfic conference and other COu￿e5 became Increaslngly apparent, a5 was the facility to renew and sign up for mernbership. An important benefit of membership is the rnembers, forum, glvlngthe opportunttyto discuss clinical problems and raise querie5 and receive personal focused re5ponse5. The forum is somewhat underused but Is slowly Increasing and is a faclllty of great potential. The WHC webstte continues to be an ex￿lIent resource for women with Eynaecological and sexual health tssues. Although demand Is decllnln& the email adv550ry Servi￿ continuesto provide advice, reassurance and education for women. The board expresses its thanks to members of the medical advisory council who respond to enquiries. BMS Menopause Speclallsts The register, established in June 2016. continues to grow wlth 446 HCPS recognised as BMS reco8nlsed specialists by 31 December 2024 (2023.. 3861. The online registerof BMS menopause specialists comprlses 213 NHS clinics {2022: 1961 and 337 private clinics (2023: 305). Considerable work went Into the online register frorn MAC definltion of a 'menopause specialist, post the publication of the 2015 NICE guideline; to website developrnent and to the reviewin& assessing and administrative process involved in recognition. The process is ongoing wtth new speciallsts belng added on regular basls. Every thrÈe year5, BMS menopause specialists are reqUI￿d to apply for recertSficatlon. The online register of menopause specialists was launched on World Menopause Dayi 18 Ottober 2018. Thls interartnie, easlly navlgable reglster is unique to the BMS. The BMS is very proud to have established this important re50urcefor women. In an uncertaln world and with the prollferation of so rnuch information and mislnforrnation surrounding the menopause, it is vital that women have access to professionally recognised speclalists and peer-reviewed, evidence-based Informatlon. A linkto the register is available on the Women's Health Concern and Menopause Matters websltes. Media Menopause enloyed an unprecedented amount of rnedia coverage duringthe year. Numerous celebritles, journallsts and others published books and gave Interview5 acr055 all media. in particular social media. This increased profile was welcomed bythe BMS. It has become apparent however, thatthe helghtened profile has also generated the dissemination of far more information-and misinformation. This is potentlally unhelpful when women and their partners are seeking sound advice and trustworthy guidance. The BMS engaged Transform Communicatlons. a medla company, to generate media Interest in the work of the BMS and to handle medla enquiries. In addition, two YouGovsurveys were devised and undertaken: one focuslng on women and one aimed at HCP5, both examiningthe changing narratlve around menopause. A third survey went tothe BMS membershlp, to assessthe differences experlenced by members and those HCPS In the wider WQTId. The YouGov survey of more than 1800 women, independently commlssloned by the BMS in September 2024, suggested that those who have not experlenced the rnenopause are more fearful of Its Impact than those who have. It also reveals that most women rely on family. friends. colleagues and social medla for advice and support, Instead of their healthcare professionals. io The YouGov survey of 4tK) healthcare professionals included doctors, nurses, pharmaclsts, physiotheraplsts, occupatlonal therapists. The result5 Suggested that there were considerable challenges facing HCPS. The main themes arlslngfrom the results were: Difficultie5 managing expertatlons around HRT Women believingthere's a one sizefits all approach to HRT Additional time corretting misinformatlon Women buying products / servlces that aren't clinically verified Fear of legal actlon These themes were also prevalent In the BMS membership suryey. World Menopause Day Although 'soft launched, in June, the maln focus on World Menopause Day wa5 the Management of the Menopause Certificate. This linked in neatly WTth the results of all three surveys, hlghlighting the importante of accessible, high-quallty educatlon. A number of articles were generated, Including in Obs Gynae and Mldwlfery News: 8rit15h MenopoLtse Society iounches educotion plotform to improve evidence-ba5ed troinlng for Healthcore Professionals and Independent Nurse, A welcome move to tackle menopouse educ¢ition. Management & Administrati BMS team The BMS team of eight members of staff, work under the direction of the chief executlve and coverthe broad, busy and challenging mana8ement and administrative funrtions necessary to run the Soclety. The BMS is in the fortunate position to have a hard-working team who rellsh thelr responsibiltties and work over and abovetheircontracted hours wlth passion and with commitment. Five of the team are part-time, with the office administrator, membership administrator and chlef executive worl(ing full-time. The requirernent for high qualty menopause education, inforniation and guidance continued to increase during 2024. Attendance at the face-to-face annual scientific conference, the virtual educational meetings and CQUT5e5; membership numbers; enquiries and requests from HCPs- members and non-members- women, their partners and the medla were at an all-time high and the tearn responded efficiently, effectively and wlth good humourl In October, Lucy Gill, our membership manager resigned. Lucy joined as off￿e adrnini5trator seven years ago and graduallytook on more responsibilities, eventually becoming Membership Manager in May 2023. Lucy's departure provided the opportunlty to review our current structure and stafflng and consider engagln8 a new full-time member of staff. As part of the review, the need to invest In a membership database was readdressed. Mana8ing 6 members in an Excel spreadsheet was viable, but managing almost 3,000 members required a different approach. The praposed sourcing of a dedicated membership database further developed Into Investigating the requirement for a Client Relationship Management {CRM} system to manage both BMS mombership and education records. A CRM system is a business strdtegy and set of technologies that will enable the s0¢iety to manage and analyse interactions with all of its customers. The goal of a CRM 5y5tem is to improve customer relationships, leading to increased sales, customer retentlon and profitability. Nadlne Verstringhe, BMS Education Programme Manager. requested the Membership Manager role, to research, source and rnanage the CRM system. This fit5 With part of her current role, managing the Totara platform for delivery of the Management of the Menopause Certificate (MMC}. The last 18 months working wlth Totara has been a Steep learning curve and although the platform works well, it has been heavilv customised to meet BMS requirements. The bespoke nature of the platform is both a weakness and a threat to contlnued delivery of the Certificate. Nadlne's role as EdUCat￿n Programrne Manager, combined with the li technical requlrement for the MMC programme. 15 already a full-time role (bearing in mlnd Nadlne 15 not full- time, working a 24-hour week plus extenswe overtlmel. However, if Nadine managed the strategic components, a Membership Administrator could be recrutted to support her. This plan wa5 agreed, with a revlew in March to assess the level and manageability of Nadine's workload, Sarah Haveron Jones managed the recruitment of the Membership Administrator and in November, we welcomed Jo Oxley to the BMS office team. Sarah very successfully contlnues her role as Conference and Events Manager organising the online meetln8S, together with the two f2f flagship events.. the annual scientific conference and the WHC annual symp05ium. Sardh and Nadine. together with Hazel Riley, manage the education progrdmrne efficierrtly, effectively and with great good hurnour. Hazel was promoted from offlce manager to Education Programme Coordlnator and works closely with Nadine, providing excellent support. All three led-worklng in conjunrtion with the rest of the team-on the development of the MMC, managing the launch in June and the subsequent ongoing follow up. The online certificate Is a slgnificant development- and milestone - for the Soclety. It has revolutionised menopause education in the UK, both through its hlgh-quallty content, unique peer review and its aC￿51b11lty to delegates. The certificate is a success and has been u niver5ally welcomed and highly evaluated. Nadine, Sarah, Hazel and the entire BMS team are to be congratulated on their dedication, vision, hard work- and determinationl Recruitment began in Septemberfora new offlce admlnistratorto repla￿ Hazel. Agaln, Sarah managed the process and we were dellghted to welcome Helen Kirkaldle In October. Helen has settled in well and is integral to the smooth running of the office. Kate Ellls was promoted to Cornmunications Manager at the beginning of 2024. Kate has worked for the society for eleven years, beginnin8 as Office Administrator. promoted to Educatlon Programme Manager- a role she flourished in - and now She runs the Important communications funrtion. As well as worklng with the new media company, Kate Is responsible for the BMS and WHC websites and all resources contained therein. In addition, Kate slts in an ex officio capacity on the board of trustees and medlcal advlsory council where she contributes wlth practlcal common5en5e, thoughtfulness and discretion. Kate's meticulous attention to detail, excellent wrltln8 skills and conscientious approach make her an invaluable member of the team. Sara Burns manages the financial functlon of the Soclety- and so much more. 2024 Saw the Societls turnover exceed £1 million and therefore instead of the customary independent examination, a full audlt was required. This created an enormous amount of extra work on Sard's behalf, whlch she managed superbly. The audltors pralsed Sara's systems, processes and overall management of the finances. sara's achlevement was all the more Impresslve as our Independent examinergave little noti￿ that he was not qualified to manage an audit. Auditors had to be soUr￿d, appointed and then nine rnonth5 work undertaken in four months. All thls was achieved with a great deal of hard work and a great deal of positivity and tommttment. The Society could not operate wlthout Sara. Consultant Barbara Halstead has provided rnarketing supwrt to the BMS and WHC for many years. Barbara works diligently and with great care, managln8 marketing, social media, the conference and symposium exhlbitors and WHC website advertising. In addition. this year. Barbara worked dosely with the team on the Management of the Menopause Certificate, contributingto the overall Suc￿sS of the project. The commitment, hard work and dedication demonstrated throughout 2024 has been exemplary and the board congratulates the whole team. Six organisations work behlnd the scenes and contribute to our work and to our success. Jackson Bone is a deslgn and web management agency in Brighton. Andy Bone Is responsible for BMS branding and designs all BMS literature, Includlng the conference programme. Marlette Jackson has managed the WHCwebsite for 12 more than nine years. Its up-to-date content and fresh style 15 largely down to her. Andrew Whiteley, Director of Global Venuesolutlons has sourced most venue5 forour educational programme over the years and h is negotiating skllls in keeplng costs down and hls attention to detall are second to none. 2024 proved a lean year forAndrew as all our meetings. except the conference and symposium, were virtual. but his help is Invaluable wlth our two f2f meetings. We have received excellent Service frorn KCS Ltd, our new IT sijpport company. KCS, underthe dlrettlon of MD Dan Gregor. specialise in ITsolutions and support for not-for-prof5t and charities. CrunthAccounting provide5 an efficlent accountancy service to the charEty. Lynn Sheppard's charlty knowledge Is invaluable and she and her team work closely with us on our bookkeeping, as well as management and the annual accounts. Knox Cropperundertakes the annual audit ofthe BMS and the financial statements preparation. The sixth 'behind-the-scenes' organisation Is Ventrls TV. Blorn Ventrls has once agaln been integral tothe BMS throughout 2024, recording and editing numerous presentatlons for our Èducation programme. Bjorn has helped the BMS deliver our high-quallty education in a most professional way. The board offers its thanks to Andy and Mariette, Andrew, Dan and hi5 team, Lynn, Nita & Tracy, Rlchard, Anna & Corina and Bjorn for thelr support. Commercial supporters During 2024. exhlbltion stands and WHC website advertising were provided by: Aspen PhaTma, A5tellas, Bayer, Besins Healthcare, Consilient Healthcare, Dr Wolff. Exeltis. Flynn Pharma. Gedeon Ritcher, Lawley Pharmaceuticals, Orion Pharma, Pharmacare, Pharmacierge, Therame& Vernacare, Vltablotics, Vlveca Blomed and The Yes Company. FINANCIAL OVERVIEW The end of year figures show income of £1,953,55512023: £1,243,589), expenditure of £1,204,08012023: £922,209), a surplus of £750,92012023: £321,380) and therefore reserves are £1,94720512023; £1,196,385). The board of trustee5 records its formal thanks to our chlef executlve for managlng the society so efficiently throughout another challenging year. 2024 was another busy year in terms of actlvltles, educatlonal output and also our continued engagement in the widerworld of women's health. Our standing and respect throughout the medical profession, the rnedia andthe general publK is second to none. Interest in the menopause and the appetite for evidence-based, peer-reviewed education continues to increase. The proliferation of misinformation ts also increasing. and it is important that HCPS and women alike have access to authoritative education and information which adheres to national and internatlonal gulda nce. The BMS continues to be a key source. via consensus statements and guidelines, our website, members, bulletins and news alerts and through ourjournal, P05t Reproductive Health. We will continue to provide education, information, guidance and support forour members, the wider world of healthcare professlor)als and for women and their partners and family. Statement of Trustees, Responslbllltles The trustee5 (who are also the dlrectors of the BMS forthe purposes of company law) are re5ponsiblefor preparing the Report of the Trustees and the financial statements in accordance with applicable law and United Kingdorn Accounting Standards Iunlted Klngdom Generally Accepted Accountlng Prartice), Company law and Charlty law require the trustees to prepare financlal statements for each financial year, which give a true and fair view ofthe state of affalrs of the charitable company and of the incoming resource5 and appllcatlon of resources, including the income and expenditure of the charttable company for that period, In preparing those financial statements, the trustee5 are requlred to Select sultable accounting policies and then apply them conslstently; Observe the methods and prlnciples in the Charty SORP,. Make judgements and estimates that are reasonable and prudent; Prepare the financial statements on the going concern basis unless tt is inappropriate to presume that the charitable company will continue in business. The trustees are responsible for keeping proper accounting records which disclose wrth reasonable accuracy at any time the financial position of the charitable company and to enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguardingthe a55ets of the charltable company and hence fortaking reasonable step5 forthe prevention and detection offraud and other Irregularltles. In so far as the trustees are aware: There is no relevant audit Infomiation of whith the charitable company's auditors are unaware; and The trustees have taken all steps that they ought to have taken to make themsefves aware of any relevant audit information and to establish that the auditors are aware of that Informatlon. This report has been prepared In accordance with the spedal provisions of Part 15 of the Companles Act 2(K)6, relating to small Companies, By Order of the Trustees Janice Rymer (Trusteel 7 July 2025 14 Independent auditorfs report to the trustees of the British Menopause Society for the year ended 31 December 2024 Oplnlon We have audlted the financial statements of the British Menopause Society (the 'charitable company'l for the year ended 31 December 2024 which comprise the statement of financial activities (including the ncome and expenditure account), the balance sheet, statement of cash flows and notes to thefinancial statements, Includlng a summary of significant accounting policies. The financial reporting frdmework that has been a pplied i n their preparatlon is appllcable law and United Kingdom Accounting Standards, Includlng Flnanclal Reporting Standard 102 The Finonciul Reporting Stondord opplicoble An the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice). In our opinion, the financial st3temÈnts: give a true and fairview of the state of the charitable companWs affair5 as at 31 December 2024 and of its incoming resources and application of resources for the year then ended; have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice,. have been prepared in accordan￿ with the requirements of the Companles Act 2006. Basis for opinion We conducted our audit in accordance with Internatlonal Standards on Auditing IUKI (ISAS IUK)13nd appllcable law. Our responsibilities under those standards are further described in the Auditorfs re5ponsibilitie5 for the audlt of the financial statements section of our report. We are independent of the charitable company in accordance with the ethital requirements that are relevant to our audit of the financial statements In the UK, including the FRCS Ethical Standard. and we have fulfilled our other ethical responsibilities in accordance with these requirements. We belleve that the audit evidence we have obtained Is sufficlent and appropriate to provide a basis for our oplnion. Conclusion5 relating to golng concem In auditing the financial statements, we have concluded that the tnjstees, use of the going concern basis of accountlng in the preparation of the financial statements is appropriate. Based on the work we have performed, we have not Identlfied any material uncertainties relating to events or conditions that. indÉvidually or collectwely, may tast significant doubt on the charitable compan(s ability to continue as a 80ing concern for a period of at least twelve months from when the financlal statements are authorised for issue. Our responsibilities and the responsibilities of the trustees Wlth respect to going concern a￿ described in the relevant sections of this report. Other informatlon The other information comprises the information included in the annual report, other than the financial statements and our auditorfs report thereon. The trustee5 are responsible forthe other Infomiation. Our opinion on the flnanclal statements does not cover the other information and, except to the extent othe￿Ise explicitly stated in our report, we do not express anyform of assurance conclusion thereon. In connertion with our audit of the financial statements, our responsibility is to read the other Informatlon and, in doing so, consider whether the other Informatlon is materlally inconsistent with the financial statements, or our knowledge obtained in the audit or otherwise appear5 to be materlally misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there is a rnaterial misstatement in the financial statements or a material misstatement of the other information. If, based on the work we have performed. we conclude that there is a material misstatement of this other information, we are required to report thatfact. We have nothlng to report in this regard. 15 Independent audltorfs report to the trustees of the British Menopause Society for the year ended 31 December 2024 Opinlons on other matters prescribed by the Companles Art 2006 In our opinion, based on the work undertaken in the course of the audit: the information given in the report of the trustees,, whlch includes the direttor5' report prepared for the purposes of company law. for the financlal year for which the financlal statements are prepared is consistent with the financial statements; and the dlrectors, rewrt included withln the report of thetrustees, has been prepared in accordance wlth applicable legal requlrements. Matters on which we are requlred to report by exception In the light of the knowledge and understandlng of the charitable company and its environment obtained in the Course of the audlt, we have not identified any material misstatements in the diredors, report included within the trustees, report. We have nothing to report In respect of the following matters in relation to which the Companies Act 2006 requlres us to report to you if, in our opinion: adequate accountlng records have not been kept, or retums adequate for our audit have not been received from branches not vlslted by us; or the flnancial statements are not in agreement with the accounting records and returns, or certain disc105ures of trustee￿ rernuneration specified by law are not made. or we have not received all the Information and explanations we require for our audit; or the trustees were not entitled to prepare the financlal statements in accordan￿ with the small companies regime and take advantage of the small CoMpan￿s, Èxemption from the requirement to prepare a Strategic Report or in preparingthe Report of the Directors Responsibilltles of trustees As explained more fully in the statement of trustees, responsibilities, the trustees (who are also the dlrectors of the charitable company for the purposes of company lawl are re5pon5ible for the preparation of the financial statements and for being satisfied that they glve a true and fair view, and for such internal control as the trustees detemiine is necessary to enable the preparation of financial statements that are free from materlal mi5Statement. whether due to fraud or error. In preparlng the financlal statements, the trustees are responsible for assessing the compantys ability to contlnue as a going concern, disclosin& as applicable, matters related to going concern and uslng the going concern basis of accounting unless the trustees either intend to liquldate the company or to cease operations, or have no realistic alternative but to do so. 16 Independent auditorfs report to the trustees of the British Menopause Society for the year ended 31 December 2024 Audito¢5 re5pon5ibilities foi the audit of the financial statements Ou r 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 auditorfs 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 IUKI will always detect a material misstatement when it exists. M isstatements 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 mi55tatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below- The Charitable Company 15 required to comply with both company law and charity law and, based on our knowledge of its activtties, we identified that the legal requirement to accurately account for restricted funds was of key significance. We gained an understanding of how the charitable company complied with its legal and regulatory framework. including the requirement to properly account for restricted funds, through discussions with management and a review of the documented policies, procedures and controls. The audit team. which is experienced in the audit of charities, considered the charitable company'5 susceptibility to material misstatement and how fraud may occur. Our considerations included the risk of management override. Our approach was to check that all restritted income was properly identified and separately accounted for and to ensure that only valid and appropriate expenditure was charged to restrirted funds. This sncluded reviewing journal adjustments and unusual transactions. A further description of our responsibiltties for the audit of the financial statements is located on the Financial Reporting Council's website at: www.frc.or auditorsres onsibilities. This description forms part of our auditorfs report. Use of our report This report is made solely to the charitable companls mernber5. 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 companrfs members those matters we are required to state to them in an auditorfs report and for no other purpose. To the fullest extent permf(ted by law, we do not accept or assume responsibility to anyone otherthan the ch3r(table company and the charitable companws members as a body, for our audit work, for this report or for the opinions we have formed. Richard Billinghurst FCA (Senior Statutory Auditor) for and on behalf of Knox Cropper LLP Chartered Accountants and Statutory Auditor 65 Leadenhall Street London, EC3A 2AD 7 July 2025 17 BRtnsH MENOPAUSE SOCIEtY ATEMENT OF FINANCIALAcfiviTIES INCORPORATING AN INCOME AND EXPENDITURE ACCOU FOR THE YEAR ENDED 31° DECEM T