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2021-11-30-accounts

ARTHROPLASTY FOR ARTHRITIS CHARITY

CHARITY NO.: 1051165

ANNUAL REPORT AND FINANCIAL STATEMEN FOR THE YEAR ENDED 30 NOVEMBER 2021

ITS

ARTHROPLASTY FOR ARTHRITIS CHARITY (Charity no.:105

ANNUAL REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 NOVEMBER 2021

CONTENT Page
General Information 1
Objects and Policies of the Charity 2
Director's Report 3-4
Publications/Contributions to Books 5-6
Presentations 7-9
Statement of Income and Expenditure 10
Balance Sheet 11
Notes to Financial Statements 12-14
Independent Examiner's Report 15

51165)

ARTHROPLASTY FOR ARTHRITIS CHARITY (Charity no.:105

GENERAL INFORMATION FOR THE YEAR ENDED 30 NOVEMBER 2021

Name: Arthroplasty for Arthritis Charity
Registration Number: 1051165
Address: 57 Callicroft Road
Patchway
Bristol
BS34 5BU
Bankers: National Westminster
Queen's Road Branch
40 Queen's Road
Bristol
BS8 1BF
Solicitors: TLT
1 Redclife Street
Bristol
BS1 6TP
Trustees: Dr Daniela Smith
Dr Diana Pomeroy
Dr David Coates
Mr Jeremy Latham
Mr Roger Proctor
Director: Mr Evert Smith
Consultant Orthopaedic Surgeon
Research Committee: Dr Peter Lachman
Prof Ian Clarke

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51165)

ARTHROPLASTY FOR ARTHRITIS CHARITY (Charity no.:1051165)

OBJECTS AND POLICIES OF THE CHARITY FOR THE YEAR ENDED 30 NOVEMBER 2021

The Charity was established by Trust Deed in 1994 and the name and objects were widened in 2012:

In order to further these objects the Charity will:

The Charity will operate in England and Wales but the beneficial area is national and international.

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ARTHROPLASTY FOR ARTHRITIS CHARITY (Charity no.:1051165)

DIRECTOR'S REPORT FOR THE YEAR ENDED 30 NOVEMBER 2021

The COVID pandemic continued throughout 2021, and hampered many attempts to function ‘normally’, whether this was in the home, work environment, or educational facilities. The rollout of the vaccination programme, taken up by much of the population, as well as the genetic shift an arrival of new variants slowly modified the earlier disastrous landscape.

of the charity in 2013, sadly passed away in November 2020. Sara Jayne Stanes OBE, chief executive of the Royal Academy of Culinary Arts (RACA) for the last 15 years, died in July 2021. Sara Jayne was a colleague and friend, and was influential in making our joint fundraising venture highly successful – ‘Banquet of Food Through the Ages' celebrating the 800[th ] anniversary of the the role of the Lord Mayor of Bristol, which was held at The Harbour Hotel, Bristol in November 2017, and the Champagne Reception at The Ritz, in February 2020.

With the charity’s remit to support musculoskeletal research, which includes the evaluation of bearing surfaces, the development of new technologies and research concerning design improvements in arthroplasty surgery, we committed to funding two projects.

Dr David Langton, Director of ExplantLab, is spearheading the project ‘Developing a novel algorithm to predict the risk of metal-on-polyethylene joint replacement failure.’

success or failure of joint replacements. They have now included research into the complexities of the immune response and the influence of immunogenetics on a patient's propensity to develop problems following implantation with metal or ceramic-on-polyethylene (MoP/CoP) joint replaceme prostheses. Debris shed from the components of a joint replacement provokes a tissue response called osteolysis where the bone is damaged and resorbed and as a result, the implanted components loosen. Over 160,000 NHS patients undergo hip and knee arthroplasty surgery each year and a number of these surgeries will fail, requiring costly and complex “revision surgery”.

Professor Alister Hart, Dr Anna Di Laura, and Dr Johann Henckel of the Royal National Orthopaedic Hospital NHS Trust and University College London, are involved in the study ‘Improving People’s Lifestyle: from Couch to...’.

The study will investigate the effects of exercise on the musculoskeletal system, with or without joint replacements and will help inactive people understand the evidence-based medical benefits and risks of taking exercise.

the world have been forced to isolate and reduce social activities. The NHS has urged people to keep going if they started exercising during the lockdown and hailed running as good for physical and mental health. Inactive people are at increased risk of developing a painful musculoskeletal (MSK) condition. Physical inactivity is responsible for one in six UK deaths (equal to smoking) and

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ARTHROPLASTY FOR ARTHRITIS CHARITY (Charity no.:1051165)

DIRECTOR'S REPORT FOR THE YEAR ENDED 30 NOVEMBER 2021

the 4th leading risk factor for global mortality, accounting for 6% of deaths globally. Many individuals are concerned that exercise may cause or exacerbate painful musculoskeletal problem but little is known about the response of joints and muscles after exercise programs.

on the walking (hip abductor) muscles and hip joints of physically inactive individuals who undergo exercise. MRI scans are to be utilised to evaluate of the status of the hip joint and pelvic muscles.

We also received applications for several other projects and a decision to fund a 3[rd] project will be made in the future. The most significant of these is a study from Edinburgh University – ‘ Ro botic Assisted Bi compartmental K nee A rthroplasty Vs manual T otal knee Arthroplasty trial for two compartment osteoarthritis of the knee (RoBi-KAT)’. This study aims to analyse robotic versus manual total knee arthroplasty. Patient satisfaction remains an issue after a total knee arthroplasty in some patients. Robotic total knee arthroplasty has already demonstrated

A study undertaken by the University of Bath, led by Professor Richie Gill, and funded by the charity, has finally reaped rewards, after initially being stalled during the lull due to the pandemic The manuscript "Machine learning outperforms clinical experts in classification of hip fractures" was accepted for publication in Scientific Reports (impact factor 4.38 and the 6[th] most cited journal worldwide).

Fund raising activities have yet to return to normal, but over the course of the year we continued to approach Charitable Trusts and Foundations. As expected there was a minimal response from new sources, but we have not been forgotten or dismissed by several regular loyal sponsors name Tompkins Foundation, the Wyseliot Rose Charitable Trust, The Inchcape Foundation and the Joseph Strong Frazer Trust.

We are pleased to report that our accounts in good order and we continue to be guided by enthusiastic, conscientious and supportive Trustees.

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ARTHROPLASTY FOR ARTHRITIS CHARITY (Charity no.:1051165)

PUBLICATIONS, PRESENTATIONS AND CONTRIBUTIONS TO BOOKS FOR THE YEAR ENDED 30 NOVEMBER 2021

Publications 2017-2021

Scholes SC, Hunt BJ, Richardson VM, Langton DJ, Smith E, Joyce TJ

Explant analysis of the Biomet Magnum/ReCap metal-on- metal hip joint Bone Joint Res 2017;6:113–122

Ian C. Clarke, Thomas Halim, Evert J. Smith, Thomas K. Donaldson

Acetabular Cups in 60 mm Metal-on-Metal Bearings Subjected to Dynamic Edge-Loading with 70° Peak-Inclination in 10-Million Cycle Simulator Study

Lubricants 2018, 6, 1; doi:10.3390/lubricants6010001

Donaldson, TK., Smith EJ., Koutalos A., John, A., Lazennec JY. and Clarke, IC

Adverse wear in MOM hip-arthroplasty related to the production of metal fragments at impingement sites OJO Vol. 8, No. 10, October 2018 - http://www.scirp.org/journal/ojo

Elsissy JG, Clarke IC, John A, Smith EJ Donaldson TK

The significance of adverse 3rd-body wear damage in the failure of metal-on-metal bearings used in resurfaci and total-hip arthroplasty

ACTA Scientific Orthopaedics, Vol 1, Issue 1, Oct 2018

Ebied AM, Ebied A, Marei S, Smith E

Enhancing biology and providing structural support for acetabular reconstruction in single-stage revision for in Journal of Orthopaedics and Traumatology - Open Access: Ebied et al. J Orthop Traumatol (2019) 20:23 https://doi.org/10.1186/s10195-019-0530-6

Koutalos AK, Toms AP, Cahir JG, Smith EJ

Correlation of MARS MRI findings with cup position, metal ion levels and function in metal on metal total hip arthroplasty

Hip Int 2019; HIPINT-D-17-00232R1 - August 2019

Koutalos AK, Toms AP, Cahir JG, Smith EJ.

Correlation of MARS MRI findings with cup position, metal ion levels and function in metal on metal total

hip arthroplasty

Hip Int 2019; HIPINT-D-17-00232R1 – August 2019

Ebied AM, Ebied A, Marei S, Smith E.

Enhancing biology and providing structural support for acetabular reconstruction in single-stage revision for infection .

Journal of Orthopaedics and Traumatology - Open Access: Ebied et al. J Orthop Traumatol 2019; 20:23 https://doi.org/10.1186/s10195-019-0530-6

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ARTHROPLASTY FOR ARTHRITIS CHARITY (Charity no.:1051165)

PUBLICATIONS, PRESENTATIONS AND CONTRIBUTIONS TO BOOKS FOR THE YEAR ENDED 30 NOVEMBER 2021

Publications 2017-2021 (continued)

Evert J Smith

Year of the Mask COVID-19 Challenges for Orthopaedic Surgery .

Reconstructive Review, Journal of Joint Implant Surgery and Research Foundation (JISRF) 2020; https://doi.org/10.15438/rr.10.1.241

Clarke IC, Lezennec JY, Smith EJ, Donaldson TK. Prosthetic Impingement in Total Hip Arthroplasty— The Trigger for Adverse Wear. Open Journal of Orthopedics 2020; 10: 321-358. https://www.scirp.org/journal/ojo

Abstract Publications 2017-2021

Ian C. Clarke, Evert J. Smith, Thomas K. Donaldson

Adverse MOM wear mechanisms are triggered by release of large metal particles during MOM impingement e European Hip Society 13[th] Congress

Hip International 2018 No. 271 Oral Presentation

Session ID: O23 Metal ion release & tribology The Hague - 21.09.2018

Contributions to books

Clarke IC, Lazennec J, Smith EJ, Sugano N, McEntire, B, Pezzotti, G

Ceramic Chapter in: Ceramic-on-Ceramic Bearings: Clinical Wear Modes Compared to Simulator Wear Tests. In Sonntag R, Kretzer JP, ed. Materials for Joint Arthroplasty - Biotribiology of Potential Bearings: Imperial Colle Press; 2015

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ARTHROPLASTY FOR ARTHRITIS CHARITY (Charity no.:1051165)

PUBLICATIONS, PRESENTATIONS AND CONTRIBUTIONS TO BOOKS FOR THE YEAR ENDED 30 NOVEMBER 2021

Presentations 2018 to 2021

Smith EJ

Hips Physio, Osteopath and Chiropractor Education Day Bristol - March 2018

Smith EJ

Extensive Exposure of the Hip - Tips and Tricks Mayo Arthroplasty Conference Westport - April 2018

Smith EJ

Taking a walk; new joints for old in the lower limb Clifton Club Bristol - April 2018

Smith EJ

Cemented or uncemented Total Hip Arthroplasty - How to decide? 1st International Hip & Knee Arthroplasty Symposium Larissa - April 2018

Smith EJ

A fatuous argument - Cemented or Cementless THA Thessaloniki University - Visiting Academic Lecture Programme Larissa - April 2018

Smith EJ

From the witness box - Metal on Metal

Thessaloniki University - Visiting Academic Lecture Programme Larissa - April 2018

Smith EJ

Exposures of the hip - Tips and Tricks Thessaloniki University - Visiting Academic Lecture Programme Larissa - April 2018

Smith EJ

When to Revise Metal on Metal Bearings? 18[th] EFORT Congress Vienna – June 2018

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ARTHROPLASTY FOR ARTHRITIS CHARITY (Charity no.:1051165)

PUBLICATIONS, PRESENTATIONS AND CONTRIBUTIONS TO BOOKS FOR THE YEAR ENDED 30 NOVEMBER 2021

Presentations 2018 to 2021 (continued)

Smith EJ Exceed ABT 6th International GOSICON Delhi - September 2018

Smith EJ

Approaches to the Hip - What's New? 6th International GOSICON Delhi - September 2018

Smith EJ

New Trends in Acetabular Revision 6th International GOSICON Delhi - September 2018

Smith EJ

Approaches to the Hip - What's New? Karnataka Orthopaedic Association Bengaluru - September 2018

Smith EJ

Early developments and results of RA 13[th] EHS Congress The Hague - September 2018

Ian C. Clarke, Evert J. Smith, Thomas K. Donaldson

Adverse MOM wear mechanisms are triggered by release of large metal particles during MOM impingement e European Hip Society 13[th] Congress

No. 271 Oral Presentation Session ID: O23 Metal ion release & tribology The Hague - 21.09.2018

Smith EJ

Hip Arthroplasty - A brief encounter GP Lectures - Litfield House Medical Centre Bristol - October 2018

Clarke IC, Donaldson TK, John A, Koutalos AA, Lazennec JY, Smith EJ

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ARTHROPLASTY FOR ARTHRITIS CHARITY (Charity no.:1051165)

PUBLICATIONS, PRESENTATIONS AND CONTRIBUTIONS TO BOOKS FOR THE YEAR ENDED 30 NOVEMBER 2021

One-hour address 'Trunnionosis vs Impingement'

Japanese Arthroplasty Conference Tokyo - February 2019

Presentations 2018 to 2021 (continued)

EJ Smith

How successful are cemented hip replacements / Survival of cementless THR? - Joint Registry data EEMEA Cementless Hip Symposium

Amsterdam - June 2019

EJ Smith

Temporal change in the use of cementless femoral stems

EEMEA Cementless Hip Symposium Amsterdam - June 2019

EJ Smith

DDA, DSA or SPAIRE - What are the considerations?

EEMEA Cementless Hip Symposium Amsterdam - June 2019

Smith EJ

DDA, DSA or SPAIRE - What are the considerations?

EEMEA Cementless Hip Symposium - Amsterdam Skill Centre

Amsterdam - 2019

Smith EJ

Stubbies - The future

EEMEA Cementless Hip Symposium - Amsterdam Skill Centre Amsterdam - 2019

Smith EJ

How successful are cemented hip replacements? / Survival of cementless THR - Joint Registry data EEMEA Cementless Hip Symposium - Amsterdam Skill Centre Amsterdam - 2019

Smith EJ

Temporal change in the use of cementless femoral stems

EEMEA Cementless Hip Symposium - Amsterdam Skill Centre

Amsterdam - 2019

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ARTHROPLASTY FOR ARTHRITIS CHARITY (Charity no.:1051165)

STATEMENT OF INCOME AND EXPENDITURE FOR THE YEAR ENDED 30 NOVEMBER 2021

INCOMING RESOURCES
Donations/Grants
Fundraising
Gifts in Kind
Interest
RESOURCES EXPENDED
Research costs
Fundraising
Marketing & PR
Administration costs
NET SURPLUS/(LOSS) FOR YEAR
RETAINED SURPLUS at beginning of year
RETAINED SURPLUS at end of year
General
Restricted
Total
Funds
Funds
2021
32,501 - 32,501
-
-
20,500 - 20,500
21 - 21
53,022 - 53,022
125,500 - 125,500
- - -
136 - 136
1,488 - 1,488
127,124 - 127,124
(74,102) - (74,102)
331,144 - 331,144
257,042 - 257,042

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Total Note
2020
29,501
9,800 3
20,500 4
20 5
59,821
30,500 4
3,962 3
391 6
2,506 7
37,359
22,462
308,682
331,144

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ARTHROPLASTY FOR ARTHRITIS CHARITY (Charity no.

BALANCE SHEET AS AT 30 NOVEMBER 2021

FIXED ASSETS
Computer equipment
CURRENT ASSETS
Short-term investments
Bank
TOTAL ASSETS
CURRENT LIABILITIES
Accounts payable & accruals
TOTAL LIABILITIES
ASSETS LESS LIABILITIES
RESERVES
Retained surplus
TOTAL RESERVES
General
Restricted
Total
Funds
Funds
2021
- - -
19,427 - 19,427
237,915 - 237,915
257,342 - 257,342
257,342 - 257,342
300 - 300
300 - 300
257,042 - 257,042
257,042 - 257,042
257,042 - 257,042

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:1051165)

Total Note 2020 129 8 19,406 9 311,909 331,315 331,444 300 300 331,144

331,144 331,144

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ARTHROPLASTY FOR ARTHRITIS CHARITY (Charity no.:105

NOTES TO FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 NOVEMBER 2021

1. Accounting Policies

(a) Basis of preparation:

The financial statements have been prepared under the historic cost convention in accordance with the Statement of Recommended Practice: Accounting and Reporting by Charities (SORP 2005) and the Charities Act 2011.

(b) Incoming resources and resources expended:

All incoming resources are recognised once the charity has entitlement to them, it is certain that the resources will be received and the monetary value can be measured with sufficient reliability.

Liabilities are recognised as resources expended as soon as there is a legal or constructive obligation committing the charity to the expenditure. All expenditure is accounted for on an accruals basis.

Grants payable and research costs are payments made to third parties in the furtherance of the objects of the charity. Provisions are made when the intention to make a payment has been communicated to the recipient but there is uncertainty about either the timing or the amount.

(c) Fixed assets and depreciation:

All assets costing more than £500 are capitalised and valued at historic cost. Assets are written off on a straight line basis over their estimated useful life.

(d) Fund accounting

Unrestricted funds are expendable at the discretion of the trustees in furtherance of the objects of the charity.

Restricted funds are donations earmarked by the donor for a specific purpose.

2. Trustees remuneration

The trustees do not receive remuneration for services rendered to the charity.

3. Fundraising income
Income from fundraising consists of the following:
Ritz event

The related expense is disclosed as follows:
Fundraising
2021
-
-

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ARTHROPLASTY FOR ARTHRITIS CHARITY (Charity no.:105

NOTES TO FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 NOVEMBER 2021

4. Gifts in kind
Gifts in kind are made up of the following:
Director's time
The related expense is disclosed as follows:
Research costs (director's time)
Other
5. Interest
Interest on short-term investments (note 8)
General
Restricted
Scottish Widows Bank
21 -
21 -
6. Marketing & PR
Secretarial assistance
Other
7. Administration costs
Computer expenses
Depreciation
Licences & subscriptions
Postage, ofce supplies, printing & stationery
Travel & subsistence
Accounting fees
General
Restricted
21 -


2021
20,500
20,500
105,000
125,500
Total
21
21 - 21

-
136
136





190
129
152
41
676
300
1,488

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ARTHROPLASTY FOR ARTHRITIS CHARITY (Charity no.:105

NOTES TO FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 NOVEMBER 2021

8. Fixed assets

8. Fixed assets 2021
Cost Acc Depn
Computer Equipment 772 772
The carrying amounts of equipment can be reconciled as follows:
Opening
Additions
Disposals
Depreciation
Balance
Computer Equipment 129 - - 129
9. Short-term investments
Scottish Widows Bank
General
Restricted
19,427 -
2021
Total
19,427
19,427 - 19,427

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51165)

h

2020

9,800.00 3,962.00

15

51165)

2020

20,500 20,500 10,000 30,500

20 20 169 222 391

225 257 152 524 1,048 300 2,506

16

51165)

Carrying Value - Closing Balance -

2020

19,406 19,406

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ARTHROPLASTY FOR ARTHRITIS CHARITY (Charity no.:1051165)

REPORT

Independent examiner's report to the trustees of the Arthroplasty for Arthritis Char

I report on the accounts of the Arthroplasty for Arthritis Charity for the year ended 30 Novemb 2021 which are set out on pages 10 - 15

Respective responsibilities of trustees and examiner

The charity's trustees are responsible for the preparation of the accounts. The charity's truste consider that an audit is not required for this year under section 144(2) of the Charities Act 20 (the 2011 Act) and that an independent examination is needed.

It is my responsibility to:

Basis of independent examiner's report

My examination was carried out in accordance with the general Directions given by the Charity Commission. An examination includes a review of the accounting records kept by the charity and a comparison of the accounts presented with those records. It also includes consideration of any unusual items or disclosures in the accounts, and seeking explanations from you as trustees concerning any such matters. The procedures undertaken do not provide all the evidence that would be required in an audit and consequently no opinion is given as to whethe the accounts present a "true and fair view" and the report is limited to those matters set out in the statement below.

Independent examiner's statement

In connection with my examination, no matter has come to my attention which gives me reasonable cause to believe that in any material respect the requirements:

Name: EA Redelinghuys CA(SA) Professional body: South African Institute of Chartered Accountants (Membership no.: 291 Address: 54 Worcester Road Parkwood 2193 Johannesburg South Africa Date: 3 August 2022

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Opening balance investments
Interest for year (Scottish Widows)
Closing balance investments
Scottish Widow
Bal at 30.11.20
Interest for year
Bal at 30.11.21
Total
19,406
Restricted
-
-
Unrestricted
19,354
21
- - 21


19,406
Total
19,406
-
-
Restricted
-
19,375
Unrestricted
19,406
21
19,406 - 19,427

check 19,354 52 21 -21 1,031 -1,031 19,375 31 19,406 - 21 -21 19,427 -21