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2023-03-31-accounts

Company number: 3175203 Charity number: 1054097

Spinal Injuries Association

Annual Report and Financial Statements

Year ended 31 March 2023

A fulfilled life for everyone affected by spinal cord injury

CONTENTS

Welcome from our chair and CEO 3 Governing document 20
Tribute to Baroness Susan Masham of 4 Appointment of trustees 20
Ilton
Our key achievements of 2022/23 5 Trustees’ induction and training 20
Spinal cord injury at a glance 6 Organisation 20
Vision, purpose and public benefit 7 Key executive personnel 21
Activities and achievements 8 Related parties 21
Critical health and care support 8 Remuneration policy 21
Specialist expertise across the 9 Risk management 21
health and care sector
Network of support services 10 Equity, diversity and inclusion (EDI) 22
Campaigns for change 10 Sustainability 23
Communications and engagement 11 Trustees’ responsibilities in relation to 25
the financial statements
Fundraising 12 Independent auditor’s report 28
Our people 13 Consolidated statement 33
of financial activities
Future plans 15 Balance sheets 34
Financial review 16 Consolidated cash flow statement 35
Reserves policy 16 Notes to the financial statements 36
Investment policy 18
Going concern 18
Legal and administrative details 19
Structure, governance and 20
management

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WELCOME FROM OUR CHAIR AND CEO

In March, we were profoundly saddened by the loss of our founder, lifelong president and champion, Baroness Susan Masham. You can read more about Sue on the next page. She was driven by a singular ambition - that everyone with a spinal cord injury (SCI) should be able to lead a life that suits them and that brings fulfilment and joy. This ambition was the bedrock for her founding SIA back in 1974 and now, almost 50 years on, it continues to be at the heart of our work as an organisation.

As we look back on our achievements over the past year, it is clear her ambition – our message - is making its way into our communities, hospitals, and other healthcare settings and onwards to our policymakers. We have more members than ever; we’re educating more people than ever, including more healthcare practitioners about how to better care for patients with SCI, and we have the enhanced digital capabilities to promote our work and raise awareness like never before.

Yet there is always more to do and with the pressures from soaring inflation, a cost-of-living crisis and buckling national health and care services, the need for change has never been more urgent for the community we serve. Far from resting on our laurels, the need for our expertise and services continues to grow. This year, our expanded specialist counselling service helped more people living with spinal cord injury and their families than ever before, and the number of support sessions provided by our support network coordinators – all who have spinal cord injuries themselves – has continued to grow. Indeed, this year a record 1,340 people with SCI joined SIA, seeking our support.

It is this backdrop which has informed the launch of our new Strategy 2030 . At its heart is a recommitment of our purpose – to be the expert, guiding voice for people living with SCI, for our sector and for the public, media and government. We have committed to the most ambitious, systemic goals by 2030:

You can read more about the ways in which we intend to meet these goals on page 16. We are ready; it is ambitious, but it is without a doubt what must be done. Our daily work is with a SCI community being failed by outdated systems and broken by a lack of guidance as to how to avail support. This cannot go on and we will not rest until every person living with spinal cord injury can access the care, advocacy and support they need to live a fulfilled life - a life of their choosing as exemplified by our very own Baroness Masham.

Faisal Hussain – chair of trustees

Nik Hartley OBE – chief executive officer

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A TRIBUTE TO BARONESS SUSAN MASHAM OF ILTON

SIA’s founder and life-long president, Baroness Susan Masham of Ilton passed away peacefully at Northallerton Hospital on Sunday, 12 March 2023.

A trail-blazing champion of disability rights, she had, amongst many personal attributes, the gift of communication – she was a great listener and was able to initiate meaningful conversations and had an uncanny ability to recall names and make introductions confidently, ensuring those around her became connected.

This skill at forging connections combined with a singular, determined devotion to make a difference in the lives of people living with spinal cord injury was instrumental in her founding the Spinal Injuries Association (SIA) in 1974.

Born Susan Sinclair in Scotland in 1935, she moved to England where she became a keen sportswoman. At 23 years old she was paralysed from the chest down while horse riding.

Her rehabilitation took place at Stoke Mandeville where she met life-long friend Sir Ludwig Guttmann, the founder of the paralympic movement. She would go on to become a 10-time Paralympic medal winner, securing her first gold in swimming at the inaugural Roma Games in Italy in 1960.

Before then, in 1959, she married her beloved husband David Cunliffe-Lister, Lord Masham, then becoming Lady Masham.

The couple went on to adopt two children, John and Clare, and lived in Masham, Yorkshire where she enjoyed keeping Highland ponies and her much-loved Dachshund dogs.

In 1970, she became Baroness Masham of Ilton after being appointed a life peer in the House of Lords. She would go on to become the longest running female peer ever, with 53 years of service.

Having this platform enabled her to raise the voices of disabled people and throw a spotlight on the issues affecting the day-to-day lives of people and families living with spinal cord injury.

For over 49 years, Baroness Masham served the SCI community, networking and cajoling people and organisations to take up the cause.

Her vision for an organisation that truly represents and speaks for people with spinal cord injury runs through the fabric of our work at SIA to this day, guiding us to champion, fight for and support the community we serve. Her legacy – to help people living with spinal cord injury achieve their own goals and to choose and realise their own ways of living – remains our guiding force as an organisation.

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OUR KEY ACHIEVEMENTS 2022/23 OUR KEY ACHIEVEMENTS 2022123 M•mb•rship of nearly upby 12.8'/, 'SIA have always been a source of reèssurance. advice and support with More than 16,500 1,400 recommend them enough." R•lativ•/lriendolperson wrlh spiTral cord injLrry with s rgcord 1.34 •wpwl• wlth splnal cord lrfury 5eekin9 our 5UPPQrt etbquirie5 to our sia 'The NHS are too busy and Arnund120 More than care are loo long lo be emeclive. The ser¥ice provided by the SIA ha5 been e5s8ntial to tn c•mmunlty groupusslons 1,600 OM￿￿￿11115 by P¢r50n wilhsprn31 cordiniury networktEam Nearly 100 Over 97,700 useful lo be able to seek advice engagements on our social media channels with mor• than 3,660 new followers c•uns•1￿¥ s•r¥lt• He3lthrarepmleJ3ional 000 Almosl 750 "You give rne 5trenslh and h8lp me beliEv@ in my581f. So very graielul io have access io all SIA services. Everyone is amazing." rson wilhspinal cordinjury h•4ilhc4r• prolqSSlona15 59110 Over110 4mgrg•ny car• plans (ECPSI and edu¢aiion unique rnedi¢al nee¢s would b¢ mel Il they were admitted to h05pilal Morè than 127.000 , Almost 600 response5 to our settor-leading 'What Matters?. Survey person and family.you really Changed the Outcomes lor the better. Thènk you all so much." P•rson wllhsplnal cordlnjury Over 750 BBC Breakfast News, Channel 5 News, the Daily Express and Daily Telegraph- lust some ol the places our stories appear8d over thè ￿ar relerra15 10 our rn3551vedifference lo The. 5orvlc•

SPINAL CORD INJURY AT A GLANCE

During 2022/23:

* Findings sourced from the National Spinal Cord Injury Database for 2022/23. Statistics based on people referred to specialist SCI centres in England only, in 2022/23.

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VISION, PURPOSE AND PUBLIC BENEFIT

Our vision: A fulfilled life for everyone affected by spinal cord injury.

Our purpose: The expert, guiding voice for life after spinal cord injury.

Our values: We will always be:

People living with spinal cord injury are front and centre of all that we do. Through our annual ‘What Matters?’ survey, people with spinal cord injury detail what barriers they face and what their priority needs are. This feedback informs the development of our services and underpins our new Strategy 2030 .

Our 2022/23 key cross-organisational objectives were:

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ACTIVITIES AND ACHIEVEMENTS

We present our work and vital achievements in 2022/23 under the four key headings below. These are derived from the four approaches of our new strategy with our recommitment to be the expert, guiding voice for people living with spinal cord injury for our sector and for the public, media, and government.

  1. Critical health and care support

  2. A network of support services

  3. Specialist expertise across the health & care sector

  4. Campaigns for change

Further achievements come under the following headings:

All our activities focused on enabling everyone affected by spinal cord injury to lead fulfilled lives and were undertaken to further our charitable purposes and benefit. We provided a range of services for our membership of over 16,300, more than 10,000 of whom have a SCI. Whether their connection to SCI was personal or professional, we ensured all those needing access to our expertise could do so when it was most needed.

To ensure the high quality of our services and protection of vulnerable people, our trustees, staff and volunteers adhere to our policies on data protection, equity and diversity, health and safety and safeguarding of vulnerable adults.

Critical health and care support

Our SCI clinical specialists include nurses, counsellors and an occupational therapist who support people with spinal cord injury, their families and friends. Meanwhile, amidst the backdrop of an increasingly under-pressure NHS, the need for our advocacy and representation services has never been greater. While there has been a welcome return to face-to-face sessions following the Covid-19 pandemic, virtual sessions continue enabling the team to reach more people.

Clinical specialist team

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Advocacy

Specialist expertise across the health & care sector

The health and care requirements of people with spinal cord injury are unique and complex. We’re committed to building specialist expertise across the health and care sector to ensure people with SCI receive the support they need in general healthcare settings – whether in hospital, a care home or at their GP’s. We do this through the SIA Academy, where we aim to build essential knowledge in those who care for and treat patients with SCI with our range of training sessions and courses. All training is CPD accredited and delivered by our specialist spinal cord injury clinicians.

Additionally, our annual ‘What Matters?’ survey allows us to take a snapshot direct from the community of those affected by SCI of the issues that matter to them, and its findings directly influence the services we offer.

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and through contributing to external research by providing willing participants from our membership.

Network of support services

No one understands spinal cord injury like someone who has one. Based across the country, our support coordinators have lived experience of SCI and provide invaluable advice, support and opportunities for connection from the moment of injury onwards. And as our network of trusted partners and business members continues to grow, we are better able to connect our members with the best legal, health and financial services available.

Campaigns for change

Through national campaigns and targeted public engagement, we aim to mobilise our community to act against the daily barriers they face to leading a fulfilled life.

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address them. Chaired by Andy McDonald, MP for Middlesbrough, for the first time we now have officers supporting the APPG from across the political spectrum.

Communications and engagement

During 2022/23, we showcased SIA’s work and the community it serves while continuing to raise greater awareness of spinal cord injury at a national level . Our enhanced digital capabilities allowed us to connect and engage with greater efficiency while reaching more people than we’ve ever done.

Publicity surrounding our vice president Martin Hibbert’s climb of Mt. Kilimanjaro in June 2022 propelled our cause into the national spotlight with multiple appearances on national television and in national newspapers from Martin and our CEO Nik Hartley.

Our website attracted 127,378 visitors - its highest number yet. While our easy-to-use online booking system gave members the chance to book support, training and advocacy sessions with our team of clinical specialists, we continue to improve navigation to ensure users can access information and regional support faster and easier.

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We responded to the appetite for immediate, visual and engaging content about spinal cord injury through our social media channels, creating nearly 2 million opportunities to see our tailored stories and messaging. We attracted 3,661 more followers and more people liked, commented or shared our messages than ever before, with over 97,500 engagements. Our video views more than doubled from the previous year, exceeding 95,600 in line with our using this type of content better.

We recruited a designated PR and media coordinator during 2022/23 who worked with media outlets to provide an insight into life with spinal cord injury and how our services can help. Additionally, this appointment allowed us to develop key relationships with well-known people within the SCI community to help influence and promote our work while offering timely reactions to news related to SIA and people with SCI. Our TV coverage included appearances on BBC Breakfast News and Channel 5 News and our stories appeared in the national press, with articles in the Daily Express, Daily Telegraph, and The Times magazine alongside BBC Online news coverage. We also featured in a variety of regional radio, television and newspapers and in health sector publications.

Providing digestible updates on our news and services, the refreshed monthly e-newsletter The Voice reached more people this year – an average of 14,012 each month - and attracted 4,134 new subscribers while we engaged, informed and connected readers through the pages of Forward, our sector-leading quarterly subscription magazine exclusively for our community.

Our enhanced CRM database continues to help with streamlining internal processes and to communicate with service users more efficiently .

Fundraising

£3.3 million was raised in the 2022/23 financial year from fundraising activities and social enterprises; the highest amount ever achieved. Our most successful income streams were grants from charitable trusts, corporate partnerships, special events and SIA Healthcare, which collectively accounted for over 50 per cent of the total income raised in the year.

Having been delayed due to the Covid-19 pandemic, SIA’s vice president Martin Hibbert and his team successfully climbed Mt. Kilimanjaro in June 2022. The climb attracted significant media coverage, secured more than 800 new supporters, and raised £627,000 in 2022/23 across a range of activities including a gala dinner, public appeal and #MY19 challenges. This took the overall campaign total to £911,000 of its £1m goal.

SIA Healthcare continued to grow and our new social enterprise with Partners in Costs gained momentum. Meanwhile, we took the decision to close the CES UK shop and SIA Case Management to focus on alternative enterprise opportunities.

Fundraising and enterprise activities were led by our head of investments and partnerships and head of enterprise respectively, overseen by the director of business development. We continued to focus on growth, diversification and greater sustainability across all income streams.

We are very grateful to everyone who has supported our work during 2022/23. Below are some examples of our key achievements.

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Over the past year we worked with four companies as commercial participators with a contractual agreement in place to ensure they abided by the Code of Fundraising Practice and, specifically, protected vulnerable people and other members of the public from behaviour such as unreasonably intruding on their privacy, making unreasonable persistent approaches for soliciting money, or placing undue pressure on them to give money or other property.

Across all our fundraising activities, we adhered to the Code of Fundraising Practice for the UK as set by the fundraising regulator. There were no complaints registered with the independent regulator or any breaches with the Code of Fundraising Practice.

Our people

On average, 60.5 staff were employed during the year, 20 of whom have a spinal cord injury.

Supporting our staff was an incredible team of 35 volunteers (including 12 trustees) – 32 with a SCI - who offer their own time each week to give back to SIA and share their own experiences, skills and knowledge. The volunteers assisted in the support network team and on our advice line and counselling service. Of our 12-person board of trustees, nine members have a SCI.

In addition, our vice presidents and ambassadors supported SIA on a voluntary basis, helping to build our expertise, profile, networks and funding opportunities.

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During 2022/23, our volunteers contributed over 5,000 hours of their time to furthering the cause of our organisation, allowing us to do more, reach more people and help raise greater awareness of SIA.

Overseeing staff and volunteers, our people and culture team worked on a number of initiatives including building our EDI strategy and raising EDI awareness across our organisation and updating and improving staff terms and conditions. We revamped staff policies and created a new staff handbook, developed a wellness action plan, and refreshed staff benefits. We also enhanced and streamlined our end of year review processes and rolled out leadership training for SLT and managers, providing opportunities that continue to develop, upskill and support high performance and good practice.

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FUTURE PLANS SIA STRA EGY 2030 2023 mark5 the launch of our new and ambiliou5 s0ven-￿ar $tratOgy. Our purpty¥o 1$ to b* th• 0X￿rt, g¥iding voito for potyple wilh spithal ¢•rd ithjury. for our sector and for the public. Ihe media and the gowrnment.W• have three IraD$formalive gtsal$'. Goal I Goal 2 Goal 3 A hèalth and cart system thatwDrks lor ppap Do¥bie the number of rnwnthor$

Ee•5￿￿9 th•tWOrk ulsHr¥lc*S

A iIKgfjvernmeniand pub ¢hathpiDTrihgthv tauS* In addition 1¢ these overarching priorities. we have set deparlmpntal goals. objÈ¢lives and milestones fDr the npxl 12 month5 as part ol a spven-year 51rategy lo engage 30.000 spinal cord Injured tnember5. Our ambitious planning framework in¢orporate$ the needs ¢1 those 8fle¢ted by spin£l cord injury, our strengths and expertise a$ 4 Charity 8longside our linaD¢ial p8rameler$. The above goals will be approached in ltsur differenl ways as shown earlier in the presentation ol our achievements and activities over the course of 2022123. We will do this Ihrouyh: Providing critical health and ¢ar• support for people with spinal eord injury Coordinating network of support services nalionwide Building vital speciali519xpertis• across the health and care Sector arnpaigning lor Change 15

FINANCIAL REVIEW

Our gross income in 2022/23 was £3.26m and our expenditure was £3.15m, resulting in a surplus of £112,835 at the end of the year.

Income of £3.26m was an increase of 12% compared with 2021/22.

Income raised in 2022/23 has enabled us to keep our total free funds at a steady level of £2,037,866 (2022: £1,867,358), of which

Our restricted reserves decreased slightly to £681,935 (2022: 723,315). Our cash flow is stable, and our reserves are within the limits set out in our reserves policy.

The designated funds have been reviewed and consolidated into a strategic growth fund that is set out in our plans and budgets from 2023 as part of the launch of our new strategy 2030. It underwrites planned expansion of capacity and activities in SIA’s critical heath and care support, academy, network of partners, and campaigning.

The trustees are satisfied that the budgeted income and expenditure, our cash flow, and level of reserves are in line with our Reserves policy (below) and sufficient to continue as a going concern in 2023/24.

Reserves policy

Our reserves policy, including agreed reserve levels, is reviewed by trustees annually as part of governance processes and takes into consideration our strategic plans, annual budget, and the overall risk environment in which we operate.

We recognise the importance of holding sufficient reserves to be able to continue providing services to its beneficiaries without them suffering any immediate loss of service in the event of a material reduction in our income or sudden unexpected expenditure.

Trustees have adopted a risk-based reserves policy, taking into consideration risks associated with income and expenditure, likely ways in which income levels could materially change and/or we could experience sudden unexpected expenditure and possible “what if” scenarios.

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The following principles apply:

  1. That, unless already committed, funds held and expenditure relating to designated funds should be included in the calculation; for this purpose, the property and fixed asset designated funds will be excluded as these have been created to cover future depreciation charges. For 2022/23, only those reserves that are classed as unrestricted will be considered as being available.

  2. That funds held relating to restricted funds will be excluded from the calculation; such expenditure will also be excluded to the extent it is met by restricted fund income received.

  3. Four categories have been used for estimating an appropriate level of free reserves. These were all considered by the senior leadership team (SLT). The highest impact value of the four categories will be used as the appropriate reserves level:

  4. Working capital

  5. Building

  6. Continuity

  7. Regulatory

Based on these calculations, £900,000 to £1,200,000 is considered to be an appropriate level of unrestricted reserves.

Trustees are satisfied that the current unrestricted reserves level of £1,160,404 (2021/22: 1,160,112) falls within the parameters of the reserves policy.

2023 2022
Restricted Funds £681,935 £723,315
Designated Funds
Property and fixed assets funds £1,008,517 £1,024,810
Deposits from SIA groups £12,462 £7,246
Events and awareness-raising - £150,000
Expansion - £250,000
Campaigning and Counselling - £90,000
Investment in digital - £90,000
Strategic growth £745,000 -
SIA House maintenance £120,000 £120,000
General/Free Funds £1,160,404 £1,160,112
Total Funds £3,728,318 £3,615,483

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Investment policy

The charity has not held any investments during the current financial year.

Trustees agreed an internal process whereby annually they consider the strategic position regarding cash balances and risk, and any restrictions to be placed upon investments held at that time. Our finance and operations committee monitor the position regularly throughout the year.

During the year, cash was held in current and deposit accounts.

Going concern

The trustees consider the charity to be in a strong position. The trustees have considered the charity’s ability to continue as a going concern and confirm that there are no known issues to be reported.

The charity has a strong balance sheet, with unrestricted reserves of over £1,160,000 (within the reserves policy approved by trustees), approved designated funds to cover our growth plans and no indication of any short-term cashflow shortfall.

Given the availability and liquidity of these unrestricted funds, the trustees believe the charity will have sufficient resources to meet its liabilities as they fall due. As such, they remain satisfied that the charity can continue operating for the foreseeable future and these accounts have been prepared on a going concern basis.

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LEGAL AND ADMINISTRATIVE DETAILS

Company number 3175203 Country of incorporation United Kingdom Charity number 1054097 Country of registration England & Wales Company secretary Nik Hartley OBE, chief executive officer Registered office SIA House, 2 Trueman Place, Oldbrook, Milton Keynes, MK6 2HH Trustees Trustees, also directors under company law, who served during the year and up to the date of this report were as follows: Samantha Cole appointed 25/2/23 Christopher Keogh Christina Dyson resigned 25/2/23 Claire Martin Lauren Doherty appointed 25/2/23 Mark Ridler resigned 21/6/21 Ron Dunning Leanora Volpe appointed 25/2/23 Peter Hamilton resigned 25/2/23 Peter Watts appointed 16/7/23 Dr Ram Hariharan James Wood appointed 25/2/23 Mark Henderson * Denotes trustee with spinal cord injury Faisal Hussain Key management Nik Hartley OBE, chief executive officer personnel Anna Saunders, director of business development Mark Ridler, director of programmes Kathryn Hill, director of programmes (retired 31/12/22) Svetla Stallwood, director of finance and operations Bankers Barclays Bank PLC, Muswell Hill, London, N10 1DD Auditor Sayer Vincent LLP, Invicta House, 108-114 Golden Lane, London, EC1Y 0TL Solicitors Freeths LLP, Routeco Office Park, Davy Avenue, Knowlhill, Milton Keynes, MK5 8HJ Patron HRH The Princess Royal Life President Late Baroness Masham of Ilton (deceased 12/3/23) Vice-Presidents Claire Williams OBE Gerard McDermott KC Martin Hibbert Paul Roy BEM

Legal status

Spinal Injuries Association (SIA) was founded in 1974 as a registered charity (No.1054097). The company was incorporated as a charitable company (No. 3175203) limited by guarantee on 19 March 1996 and is registered in England and Wales. The governing instrument for the charitable company is the Memorandum and Articles of Association (updated October 2021).

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STRUCTURE, GOVERNANCE AND MANAGEMENT

Governing document

SIA is a company limited by guarantee and not having a share capital governed by its Articles of Association dated 3 November 2021. It is registered as a charity with the Charity Commission. In the event of winding up, each company member’s liability is limited to £1.

Appointment of trustees

As set out in the Articles of Association, SIA is managed by a board of trustees who are also directors for the purpose of Company Law and Company members. The board of trustees comprises of no less than nine and no more than 15 trustees. Trustees may serve up to three terms of three years.

As far as is practicable:

Trustees’ induction and training

On appointment, new trustees attend induction sessions with the chair of trustees and members of our senior leadership team. They are briefed on their legal obligations under charity and company law, on our governing documents, on the committee structure and decision-making processes, our services, the strategic, business, and fundraising plans and our financial performance and reserves. Trustees also complete mandatory training including safeguarding training. All trustees are encouraged to attend appropriate external training events to help facilitate their roles and fill any skills shortage identified by the annual skills audit.

Organisation

The board is responsible for the governance of the charity. The trustees delegate the running of the organisation to the chief executive, within a framework of delegated authority. The board meets at least four times a year. The board has established three committees with appropriate delegations. Each committee supports the chief executive and the senior leadership team by scrutinising and monitoring the specific areas, progress, challenges and opportunities and strategic risks. They make strategic decisions and recommendations, where appropriate, to the board.

The finance, people and operations committee have key responsibilities for:

The business development committee has key responsibilities for:

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The programmes committee has key responsibilities for:

Key executive personnel

A team of eight (full-time and part-time) staff make up the senior leadership team (SLT), who oversee SIA’s day to day running of the charity, including the CEO, three directors and four heads of departments.

Related parties

The charity owns the whole of the issued share capital of a trading company, SIA Enterprises (SIAE). The company is registered in England and Wales (No 6034183). SIAE achieved a profit of £436,491 (2022: £536,303). Distributable profits are donated to SIA. This arrangement is agreed by a Deed of Covenant which is reviewed annually.

None of the trustees receive remuneration or other benefit from their work with the charity.

Remuneration policy

Trustees are responsible for agreeing a remuneration framework, taking account of responsibilities and performance, consistency and equity, the sector norms for charities of similar size, the external economic environment and financial affordability. Staff pay is normally reviewed by the trustees every 12-18 months and was last reviewed with and uplift for all staff in November 2022.

Details of directors’ remuneration are disclosed in note 7 to the accounts.

Risk management

Trustees regularly examine and monitor major strategic, business and operational risks that the charity faces and confirm that systems are in place to enable the necessary steps to be taken to reduce these risks. We have a two-tier risk register to address operational and strategic risks. We use recognised risk management protocols and standards when assessing operational and strategic risks. We use recognised risk management protocols and standards when accessing operational and strategic risks.

Our finance, people and operations committee, which meets quarterly, is responsible for oversight of the risk management framework and regularly reviews the risk register. Our senior leadership team reviews the risk register quarterly and is responsible for managing a set of effective measures to mitigate both the likelihood and impact of each risk with quarterly reports to delegated board committees for each risk.

As part of annual planning and budgeting, the SLT and trustees reviewed strategic risks and agreed the following five key risks:

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  1. CAPACITY AND SUCCESSION PLANNING : Loss of key staff without succession strategy in place leads to loss of expertise, continuity and eventually inability to achieve our mission and strategy.

  2. DATA: Unclear processes and lack of adherence to handling agreed data creates data protection regulation breaches leading to litigation and critical loss of trust and reputation with members, partners and supporters.

3. SAFEGUARDING : Interaction with vulnerable adults by SIA staff/volunteers are not properly vetted, managed & reported on against statutory requirements leads to safeguarding breaches leading to the loss of trust in SIA and its staff and volunteers risking its ability to continue to work and serve its community

  1. ORGANISATIONAL MORAL : Failure to embed strong management capacity, internal comms, and wellbeing-support, causes low morale and/or staff burnout leading to significant staff absence and/or leaving which hampers ability to deliver our strategy.

  2. POSITIONING: Failure to establish SIA as a key partner with the health and care system for people with SCI leads to our inability to achieve central goals and approaches in our strategy, leading to loss of reputation and support.

No serious incidents were reported to the Charity Commission during this financial year.

Equality, diversity and inclusion

In 2021 we made a commitment and created a vision to uphold, promote and demonstrate best practice in equity, diversity and inclusion (EDI). The year 2022/23 was pivotal in our EDI journey as we formed our first ever EDI strategy and a three-year action plan.

Our culture

We will value our differences and appreciate the benefit from our diversity of thought, background and experience. We will reflect the diversity of our people, members and other stakeholders.

Our behaviours

We will all act as role models and champions. Individually and collectively, we will uphold our shared vision and challenge behaviours and attitudes that don’t reflect it.

Our vision

Our vision is to achieve an inclusive culture by growing the diversity of our people, embracing EDI throughout our values and embedding EDI in our practices and behaviours.

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EDI FRAMEWORK – STRATEGIC PILLARS

STRATEGIC PILLAR 1
Organisational commitment		 STRATEGIC PILLAR 2
Diversity of our people
FOCUS/IMPACT 1
Leadership, governance, accountability
… to establish and implement organisational
systems, structures, policies and processes that
encourage and sustain EDI commitments through
governance, leadership and accountability.		 FOCUS/IMPACT 2
Diverse and inclusive workforce
… to build a truly diverse workforce that inspires
creativity and encourages varied perspectives.
STRATEGIC PILLAR 4
Diversity and our services		 STRATEGIC PILLAR 3
Our people and culture
FOCUS/IMPACT 4
Members access, community engagement
… to attract, be relevant to and engage with
members living with SCI that reflect demographics
of the overall SCI community and to ensure our
services and those of our partners are equitable and
accessible to all.		 FOCUS/IMPACT 3
Inclusive culture
… to build and support our people continuously
developing attitudes, knowledge, and skills to foster
culture of respect and inclusion, and an
environment where all people experience respect
and belonging.

During the year, our initiatives and plans continued to be driven by our EDI project board and staff EDI focus group, and this approach will continue as we look to deliver against the strategy and year 1 of the action plan.

Staff demographics

Gender identity Female Male Prefer not to say
or not disclosed
53% 32% 15%
Ethnicity People from ethnic
minority
backgrounds		 White British White other Prefer not to say
or not disclosed
7% 70% 8% 15%

Sustainability

2022/23 was an important year for the charity with sustainability principles being strengthened across the organisation. During the year, we:

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TRUSTEES’ RESPONSIBILITIES IN RELATION TO THE FINANCIAL STATEMENTS

The trustees (who are also directors of Spinal Injuries Association for the purposes of company law) are responsible for preparing the trustees’ annual report and the financial statements in accordance with applicable law and UK Accounting Standards (UK Generally Accepted Accounting Practice).

Company law requires the trustees to prepare financial statements for each financial year that give a true and fair view of the situation of the charitable company and group and of the incoming resources and application of resources, including the income and expenditure of the charitable company or group 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 group 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.

Trustees have discharged these responsibilities by implementing a system of financial controls based upon:

  1. Agreeing a budget for SIA and delegating responsibility for the control of the budget 2. Monitoring the implementation of the budget by receiving quarterly reports and forecasts

The make up of the board and its committees is described on pages 21 and 22.

25

During 2022/23, the following specialist working group existed to look at specific areas of SIA’s work and comprised a mix of trustees and senior members of staff:

Governance working group

The purpose of the group is to review the internal governance processes, support compliance with its governing documents, charity and company law. The group also explores ways to enhance and develop the role of the trustee. The working group has continued to explore ways of building the board of trustees to ensure the best representation for the SCI community. The monthly meetings are used for collaborative thinking and has led to a closer working relationship between staff and trustees. Below are some of the key things the group has been involved in:

Trustees appoint a CEO to manage the day-to-day operations of the charity. To facilitate effective operations, the CEO has delegated authority, within terms of delegation approved by the trustees, for all operational matters, including finance, employment, service delivery and income generation. The scheme of delegated powers was reviewed and refreshed in 2023.

Legislative and regulatory compliance

Trustees receive regular reports in relation to our compliance with new and existing legislation, ensuring standards and compliance are maintained at governance and operational level.

Charity Governance Code

The Charity Governance Code was published in 2017. We continue to benchmark our policies, procedures and activities against the recommendations and statements of good practice it contains.

While we already apply many of the recommendations and much of the good practice measures in the code, we continue to monitor application at both governance and operational level.

Governance review progress

In 2022, we commissioned an external firm, yellowchair, to facilitate a review of our board and governance, with the aim of helping the board understand their collective strengths, identifying areas for development and supporting a programme of board renewal and development. A comprehensive four-stage process ensued, including:

The reports and recommendations produced as a result of this process were used to identify the following areas of priority in setting the foundations for good governance:

26

1. Commitment to governance review and reform

This included setting up a governance working group that has been meeting regularly, board-only time, development of an internal Trustee Governance Manual, rescission of our old Bye Laws and the removal of position of Company Secretary.

2. The role of the trustee

Work included review and revision of role descriptions for trustees, honorary officers and committee chair role, formalisation of new trustees’ inductions appropriate training tailored to level of new trustee understanding and experience, re-introduction of annual trustee appraisals to monitor areas of strength and development across the board and on an individual basis, enhanced full board engagement and increased visibility of trustees amongst staff.

3. Risk

We held a board refresher session on risk, risk appetite and risk tolerance alongside a deep dive organisational risks and the internal management process of those risks and we shared a number of resources for trustees to upskill/refresh/learn about risk.

4. Formal training and development

We refreshed board understanding of assurance vs reassurance during governance review workshop (May 2022), trustees participated in a robust training programme including mandatory sessions, free introductory or refresher sessions and paid-for sessions according to full board and team needs and we introduced a training register.

5. Dynamic and productive meetings

We enhanced strategic focus of committee reporting and discussions in collaboration with SLT, renewed scrutiny of risks owned by each committee, reviewed and standardised committee terms of reference documents to provide greater clarity on responsibilities, introduced CEO update across organisation-wide priorities, reviewed committee reporting during board meetings to minimise duplication and focus on priorities and assurance for full board and developed rolling annual meeting programme to ensure sufficient focus on strategy, risk, external environment and other topics identified for deep dives.

Auditors

Sayer Vincent LLP was reappointed as the charitable company’s auditor during the year and has expressed its willingness to continue in that capacity.

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

The trustees’ annual report was approved by the trustees on 15 July 2023 and signed on their behalf by Faisal Hussain, chair and company director.

27

Independent auditor’s report To the members of Spinal Injuries Association

Opinion

We have audited the financial statements of Spinal Injuries Association (the ‘parent charitable company’) and its subsidiaries (the ‘group’) for the year ended 31 March 2023 which comprise the consolidated statement of financial activities, the group and parent charitable company balance sheets, the consolidated statement of cash flows and the notes to the financial statements, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, 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:

Basic 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 group financial statements section of our report. We are independent of the group and parent 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 Spinal Injuries Association's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue. Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.

Other Information

The other information comprises the information included in the trustees’ annual report other than the group 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 group

28

Independent auditor’s report To the members of Spinal Injuries Association

financial statements does not cover the other information, and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the group 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 group 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 group and the parent charitable company and their 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 and Charities Act 2011 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 parent charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied

29

Independent auditor’s report To the members of Spinal Injuries Association

that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

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

Auditor’s responsibilities for the audit of the financial statements

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

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

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

Capability of the audit in detecting irregularities

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

30

Independent auditor’s report

To the members of Spinal Injuries Association

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

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

Use of our report

This report is made solely to the charitable company's members as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006 and section 144 of the Charities Act 2011 and regulations made under section 154 of that Act. 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

31

Independent auditor’s report

To the members of Spinal Injuries Association

Jonathan Orchard (Senior statutory auditor) Date 13 September 2023

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

Sayer Vincent LLP is eligible to act as auditor in terms of section 1212 of the Companies Act 2006

32

Spinal Injuries Association Consolidated statement of financial activities (incorporating an income and expenditure account) For the year ended 31 March 2023 2023 Total Unrestricted 2022 Total Unrestricted Restricted Restricted Note Income from: Donations and legacies Charitable activities Provide critical health and care Build vital specialist expertise Campaign for change Coordinate a network of support services Other trading activities Investments 1,506,735 ,506,735 1.208.221 1.208.221 226.102 39,694 11,297 267.740 237,223 125,760 22,668 278,862 ,075,734 10,370 15.711 46.847 10.710 15.895 1.090.116 3.549 227,521 16,875 4,348 265.258 243.232 63.722 15.058 281.153 1.090.116 3.549 86.066 11.371 11.122 1,075,734 10.370 Total income 2,712,519 544.833 3,257,352 2.391.049 514,002 2.905.051 Expenditure on: Raising funds Charitable activities Provide critical health and care Build vital specialist expertise Campaign for change Coordinate a network of support services 910,900 910,900 734.741 734.741 622,188 382,781 391,382 251,053 351.415 21,415 11,297 202.086 973,603 404,196 402,679 453,139 529.665 316.912 335.147 107.755 266.025 17.333 6.146 271.050 795.690 334.244 341.294 3 78.805 Total expenditure 2,558,304 586.213 3,144,517 2.024.221 560.554 2.584.775 Net income / (expenditure) for the year 154,215 141.380} 112,835 366.828 146.5 521 320,276 Net movement in funds 154,215 141.380} 112,835 366.828 146,5 521 320,276 Reconciliation of funds: Total funds brought forward 2,892,168 723.315 3,615,483 2.525.340 769.867 3,295,207 Total funds carried forward 3,046,383 681.935 3,728,318 2.892.168 723.315 3,615,483 l of the above results are derived from continuing activitie5. There were no other recognised gains or105ses other than those stated above. Movements in funds are disc105ed in Note 19a to the financial statements. 33

Spinal Injuries Association Balance sheets Company no. 3175203 As at 31 March 2023 The group 2023 The charity 2023 2022 2022 Note Fixed assets: Tangible assets Intangi ble assers Invesrments 962,544 45,973 990,693 34,117 962.544 45.973 990,693 34,117 ,008,517 1,024,810 1,008.518 1.024,811 Current assets: Stock Debrors Short term deposits Cash at bank and in hand 1,250 840,765 1,028,333 1,192,546 1,250 1.147,762 1.028,333 811,704 630,047 ,032,509 1,443,624 1,044.744 1,032.509 989.524 3.106,180 3,062,894 3,066.777 2.989,049 Liabilities: Creditors.. amounts falling due within one year (386,379) 1472,2211 {346,977} 1398,3771 Net current assets 2,719,801 2,590,673 2,719.800 2.590,672 Total net assets 3,728,318 3,615,483 3,728.318 3.615,483 Funds: Resrricred income funds Unrestricted income funds.. Designared funds Properry and fixed assets funds Other designated funds General funds 681,935 723,315 681.935 723,315 ,008,517 877,462 .160,404 1,024,810 707,246 160,112 1,008.517 877.462 1,160.404 1.024,810 707,246 1.160,112 Total unrestricred funds 3.046,383 2,892,168 3,046.383 2.892,168 Total funds 3.728,318 3,615,483 3,728.318 3.615,483 Approved by the trustees on 15 July 202 3 and signed on their behalf by Faisal Hussain Chair and Company Director 34

Spinal Injuries Association Consolidated statement of cash flows For the ear ended 3 1 March 2023 Note 2023 2022 Cash flows from operating activitie5 Net income / lexpenditurel for the reporting period las per the statement of financial activities) Depreciation and amortisation charge5 IGainsl/losses on investments Dividends and interest from inve5tment5 Ilncreasel/decrease in Stocks Ilncreasel/decrease in debtors Increa5e/ldecrea5el in creditors 112,835 320,276 95,229 71 ,88(1 110,370} 1,250 210,718 185,842} 13,5491 1304,8721 75,488 Net cash provided by / Iu5ed inl operating activitie5 323,820 159.223 Cash flows from investing activities.. Dividends and interest from inve5tment5 Purchase of fixed assets 10.370 178.936} 3,549 154,0051 Net cash provided by / Iu5ed inl investing activitie5 168,5661 150,4561 Change in cash and cash equivalents in the year 255,254 108.767 Cash and cash equivalents at the beginning of the year 2,220,879 Cash and cash equivalents at the end of the year 2,476,133 2,220.879 35

Spinal Injuries Association Notes to the financial statements For the ear ended 31 March 2023 l Atttsunting policies al Statutory information Spinal Injurie5 A550ciation is a tharitable totnpany litnited by guaranteÈ and is intorporated in England and Wales. The rÈglStered office address and printipal plate of business is SIA House, 2 TruÈtnan Plate, Oldbrook, Milton Keynes, MK6 2HH. bl Basis of preparation The financial 5tatetnents have been prepared in accordance with Accounting and Reporting by Charities Statement of Recomtnended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland IFRS 1021- (Charitie5 SORP FRS 1021, The Financial Reporting Standard applicable in the UK and Republic of Ireland IF￿ 1021 and the Cotnpanies Act 2006. These financial statement5 con501idate the results of the tharity and its wholly-owned subsidiary SIA Enterprises LimitÈd on a line by line ba515. Tran5action5 and balance5 between the charity and it5 subsidiary have been eliminated from the consolidated financial statetnents. Balance5 between the two entities are di5c105ed in the note5 of the charity'5 balance sheet. A separate statetnent of financial activitie5, or income and expenditure account, for the charity itself 15 not presented because the charity h35 taken advantagÈ of the exemptions afforded by settion 408 of the CompaniÈs Att 2006 as a summary of the result for the year is distlosed in thÈ notes to the accounts. A55et5 and liabilitiÈs are initially retognised at historital tost or transattitrn value unless othÈrwise stated in the rÈlevant attounting policy or note. In applying the financial rÈporting framework, the trustÈes have tnade a number of subjettive judgemÈnts, for exatnple in respett of $1gnificant accounting e5titnate5. Estimates and judgetnent5 are continually evaluated and are b35ed on historical experience and other factor5, including expectatlOll5 of future event5 that are believed to be re350nable under the circutnstances. The nature of the estimation tnean5 the actual outcotnes could differ from those estimates. Any signifitant estimates and judgements affecting these financial statement5 are detailed within the relevant accounting policy below. The tru5tee5 do not consider that there are any 50urce5 of e5titnation uncertainty at the reporting date that have a significant risk of tau5ing a tnaterial adju5ttnent to the carrying amount5 of asset5 and liabilitie5 Wlthin the next reporting period. £1 Publit benefit entity The charity meet5 the dÈfinition of a public benefit entity under FRS 102. dl Going concern The tru5tee5 beliÈve that the Charity's finantial resourtes and tontingÈnty planning are robust and suffitiÈnt to ensure the ability of the Charity to continue 35 3 going concern for the foreseeable future, being at le35t twelve tnonth5 from the date of approval of these financial statements and therefore have prepared the finantial statemÈnts on a going tontern basis. Èl Income Incotne 15 recognised when the charity has entitletnent to the funds, any perfortnance condition5 attathed to the intotne have bÈen tnet, it is probable that the incotne will be received and that the atnount can be tnea5ured reliablv. Incotne frotn government and charitable trusts, whether'capital, grants or'revenue, grants, 15 recognised when thÈ tharity has entitlement to the funds, any performance conditions attached to the grants have been met, it 15 probable that the incotne will be received and the atnount can be tnea5ured reliably and 15 not deferred. Small grant5 (under £5,000) are grouped under the 'Other small qrants,. For legacie5, entitlement is taken as the earlier of the date on which either-. the charity 15 aware that probate ha5 been granted, a reliable estimate of the estate h35 been established and notification h35 been tnade by the executorlsl to the charity that a distribution will be made, or when a distribution is received frotn the estate. Receipt of a legacy, in whole or in part, is only considered probable when the atnount can be tne35ured reliably and the charity ha5 been notified of the executor'5 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 tritÈria for income recognition have not been met, then the legacy is a treated as a contingent asset and disclosed if tnaterial. Intotne reteivÈd in advante of the provision of a spetified sÈrvite is deferred until thÈ triteria for intomÈ retognition are tnet. Interest receivable Interest on fund5 held on deposit is intludÈd when reteivablÈ and the amount tan be measurÈd reliably by the tharity-. this is normallv upon notification of the interest paid or payable by the bank. 36

Spinal Injuries Association Notes to the financial statements For the ear ended 31 March 2023 l Atttsunting policiÈs Itontinuedl gl Fund kttounting Restricted funds are to be used for spetific purposes as laid down by the donor. ExpÈnditure whith meets thÈse triteria is tharged to the fund. Unrestricted funds are donations and other intoming rÈsourcÈs reteived or generated for the charitable purposes. Designated funds are unrestrictÈd funds Èarmarked by the trustÈes for partitular purposes. h) Expenditure and irrecoverable VAT Expenditure is recogni5ed once there 15 a legal or constructive obligation to make a paytnent to a third party, it is probable that Settlement will be required and the atnount of the obligation can be measured reliably. Expenditure is classified under the following activity heading5-. C05t5 of raising funds relate to the costs incurred by the charity in induting third parties to tnake voluntary tontributions to it, as well a5 the cost of any activitie5 Wlth a fundraising purpose Expenditure on charitable attivitiÈs intludes thÈ tosts of delivÈring servites undertaken to further the purposes of the charity and their a550ciated Support costs Other expenditure represents those items not falling Into any other heading Irrecoverable VAT 15 charged a5 a cost against the activity for which the expenditure was inturred. il Allocation of support tosts Re50urce5 expended are allocated to the partitular activity where the tost rÈlates dirÈctly to that attivity. Where information about the aim5, objectives and project5 of the charity 15 provided to potential beneficiaries, the tosts assotiated with thi5 publicity are allocated to charitable expenditure. Support and governantÈ ttrsts arÈ re-allotated to eath of thÈ attivities based on staff numbers attributable to each attivity. Governance costs are the tosts a550ciated with the governance arrangement5 of the tharity. These costs are a550tiated with tonstitutional and statutory rÈquiremÈnts and intlude any costs assotiatÈd with the stratÈglt management of thÈ tharity's activities. jl Operating leases Rental charges are charged on a straight line basis over the tÈrm of the lÈase. kl Tangible fixed assets IteTnS of equiptnent are capitali5ed where the purchase price exceed5 £1,000. Depreciation costs are allocated a5 support costs. The carrying value of intangible a55et5 are reviewed for impairment when event5 or changes in circutnstance5 indicate the carrying value may not be recoverable. Major cotnponent5 are treated a5 3 separate asset where they have Significantly different pattern5 of ton5Utnption of economic benefit5 and are depreciated Separately over it5 useful life. Where fixed a55ets have been revalued, any exce55 between the revalued amount and the historic tost of thÈ asset will be shown as a revaluation reserve in the balance sheet. Depreciation 15 provided at rate5 calculated to write down the cost of Èath asset to its ÈstimatÈd rÈsidual valuÈ over its expetted useful life. The depreciation rate5 Ill Use are a5 follow5. Full annual deprecation is charged in the I st year. Land Leasehold property Office equiptnent Fixture5 and fittings Not depreciated 50 years 4 year5 4 years 11 Intangible assets Intangible a55etS COn515t of 50ftware. This softwarÈ is atnortisÈd ovÈr 3 years. ml Investments in subsidiaries Inve5ttnent5 in subsidiarie5 are at cost. n) Stocks Stock5 are stated at the lower of cost and net reali5able value. Stotk ttrnsists of itÈtns to bÈ sold in our tharity shop. Provision is madÈ where necessary for ob501ete, slow moving and defective stocks. 37

Spinal Injuries Association Notes to the financial statements For the ear ended 31 March 2023 l Accounting policies Icontinuedl ol Debtors Trade and other debtors arÈ retognised at the settlement atnount due after any trade discount offered. Prepayments are valued at the amount prÈpaid net of any tradÈ distounts due. pl Short term deposits Short tertn dep051ts intlude cash balantÈs that arÈ investÈd in accounts with a tnaturity datÈ of between O and 3 months. ql Cash at bank and in hand Cash at bank and cash in hand includes cash and short tertn highly liquid invÈsttnents with a short maturity of three months or lÈss frotn the date of acquisition or opening of the deposit or similar account. rl Creditors and provisions Creditors and provision5 are recognised where the tharity has a present obligation resulting frotn a past event that will probably result in the transfer of fund5 to a third party and the amount due to settle the obligation can be measured or estimated reliably. Creditors and provisions are normally recogni5ed at their settletnent atnount after allowing for any trade discounts due. sl Financial instruments There were no other donatiOll5 frotn related partie5 which were outside the nortnal course of business and no rÈstritted donations frotn related parties. There were also no other related party transactions in the year. tl Pensions The charity provides a defined contribution money purchase pension scheme, the a55ets of which are held Separately frotn those of the company in an independently adtninistered fund. Contributions totalling £161,418 12022-. £123,441) were paid during the year. 2 Income from donations and legacies 2023 Total UnrÈstritted 2022 Total Unrestritted Restritted Restritted Grants and Donations Legacies 1,455,010 51,725 1.455,010 51.725 890,616 317,605 890,616 317,605 1,506,735 .506,735 1,208,221 1,208,221 38

Spinal Injuries Association Notes to the financial statements For the ear ended 31 March 2023 3 Income from charitable attivities 2023 Total UnrÈstritted 2022 Total Unrestritted Restritted Restritted Grants Donations 225,702 400 225,702 400 5,000 227,521 232,521 10,711 Sub-total for providing critical health and care 226,102 237,223 227,521 243,232 Grants Education & training 39,694 39,694 74,865 16,875 16,875 36,109 10,738 74,865 36,109 10,738 Other 80 80 Sub-total for buildinu vital specialist expertise 86,066 39,694 125,760 46,847 16,875 63,722 Grants Legacies 4,348 4,348 1,297 1,297 10,710 10,710 Other 250 250 Sub-total for campaigning for chan9e Grants 1,297 22,668 10,710 4,348 15,058 267,740 267,740 5,000 10,710 185 265,258 270,258 10,710 185 Other Sub-total for coordinating a network of support 267,740 278,862 15,895 265,258 281,153 Total intome from tharitable attivities 119,680 544,833 664,513 89,163 514,002 603,165 4 Income from other trading activities 2023 Total UnrÈstritted 2022 Total Unrestritted Restritted Restritted Fundraising events Corporate partnerships and memberships Other trading 518,706 137,917 518,706.0 137,917.0 419,111.0 396,955 292,708 400,453 396,955 292,708 400,453 1,075,734 .075,734 1,090,116 1,090,116 39

Spinal Injuries Association Notes to the financial statements For the ear ended 31 March 2023 Sa Analysis of expenditure (current yearl Charirable activities Provide Coordinate a network of support Governance services cosrs Build viral specialist Campaign experrise for change Raising funds health and care Support costs 2022 Total 2023 Total Staff costs (Note 71 Other direct costs Premises Insurance Communications Audit 340.570 428.343 623.340 87.587 251,533 46,173 250.134 38.955 268,633 63,817 51,648 368,091 2.153,949 664,875 45,290 13,412 1,525 1,640 66,529 35,343 15,574 2,686 75,700 1,637 95,229 150,293) 1,421 1.731.038 495.008 80.150 I 1.001 10.650 10.380 73.106 28.748 13.645 11.947 64.275 418 71.880 133.6241 16.153 45,290 3,412 1,525 11,640 66,529 29,784 15,574 2,686 60,378 Professional fees Office expenses Finance costs Recruitmenr. Training, Welfare Trustee expenses Depreciarion and amortisation Recoverable VAT Other expenses 5,559 15,322 1,637 95,229 150.2931 424 997 768.913 710.927 297,706 289.089 332,450 86,803 658.629 3.144,517 2.584.775 Support and Governance costs 141.987 262.676 106,490 113.590 120,689 186,8031 1658.6291 Total expenditure 2023 910,900 973,603 404,196 402,679 453,139 3.144,517 Total expenditure 2022 734.741 795.690 334,244 341.294 378,805 2.584.775 40

Spinal Injuries Association Notes to the financial statements For the ear ended 31 March 2023 5b Analysis of expenditure (prior year) Charitable activities Provi critical health and care Coor inate a network of sUPPOrt Governance services costs Build vital specialist Campaign for expertise change Raising funds Support costs 2022 Total Staff costs (Note 7) Other direct Costs Premises Insurance Communications Audit IT Professional fees Office expenses Finance costs Recru itment, Training, Welfare Trustee expenses Depreciation and amortisation Recoverable VAT Other expenses 286,734 305,836 503,377 64,839 189,695 52,138 205,287 29,378 222,251 42,817 42,056 281,638 1,731,038 495,008 80,150 ii,ooi 10,650 10,380 73,106 28,748 13,645 11,947 64,275 418 71,880 133,6241 16,153 80,150 11,001 10,650 10,380 73,106 12,792 13,645 11,947 64,255 15,956 20 418 71,880 133,624) 8,401 7,752 592,570 568,216 241,833 234,665 265,068 76,582 605,841 2,584,775 Support and Governance costs 142,171 227,474 92,411 106,629 113,737 176,582) 1605,841) Total expenditure 2022 734,741 795,690 334,244 341,294 378,805 2,584,775 41

Spinal Injuries Association Notes to the finantial Statements For the ear ended 3 1 March 2023 Net income / lexpenditurel for the year Thi5 15 stated after charging / Icreditingl.. 2023 2022 Depreciation and amortisation Operating lease rental5'. Other Audit (excluding VAT).. Auditor'5 Other fee5 (excluding VAT).. 95.229 71,880 10,709 9,900 1,000 9,720 9,000 Analysis of staff costs, trustee remuneration and expenses. and the cost of key management personnel Staff costs were as follows.. 2023 2022 Salaries and wage5 Redundancy and termination 105t5 Social Security costs Employer'5 Contribution to defined contribution pension scheme5 1.804,101 5,475 182,956 161,418 1,470,935 136,662 123,441 2,153,950 1,731,038 The following number of employee5 received employee benefit5 lexiluding employer pension costs and employer'5 national insurance) during the year between.. 2023 No. 2022 £60,000 - £69,999 £70,000 - £79,999 £80,000 - £89,999 £90,000 - £99,999 The total employee benefit5 (including pension iontributions and employer'5 national insurance) of the key management personnel were.. 2023.. £307,001 2022.. £279,680 The charity trustees were neither paid nor received any other benefits frorn employment with the charity in the year 12022.. £nill. No charity trustee received payment for professional or other Services supplied to the charity12022.. Trustees. expenses represent the payment or reimbursement of travel, accomodation and sub51Stenie cost5 totalling £1 ,428 12022121 £488 incurred by 21 incurred by 5 tru5tee5. 42

Spinal Injuries Association Notes to the finantial Statements For the ear ended 3 1 March 2023 Staff numbers The average number of employee5 (head count based on number of staff employed) during the year was 60.5 12022.. 561. Staff are split across the activitie5 of the charity as follows Iheadcount ba5151'. 2023 2022 Raising fund5 l. Provide critical health and iare 2. Build vital specialist expertise 3. Campaign5 for change 4. Coordinate a network of 5UPPOrt 5ervice5 Governance Support Costs io.0 18.5 io.0 16.0 60.5 56.0 Related party transaciions Total donation5 worth £2,000 were received from tru5tee5. There were no restrictions on these donations. No 5ervice5 12022.. £24,000) were purchased from related partie5. There were no other donations frorn related parties which were outside the normal course of business and no restricted donations frorn related partie5. There were a150 no other related party tran5action5 in the year. Taxation The charity 15 exempt from corporation tax a5 all its iniome 15 charitable and is applied for charitable purposes. The charity's trading subsidiary SIA Enterprise5 Lirnited di5tribute5 under Gift Aid available profit5 to the parent charity. Its charge to corporation tax in the year was.. 2023 2022 UK corporation tax at l 9% 43

Spinal Injuries Association Notes to the finantial Statements For the ear ended 3 1 March 2023 Tangible fixed assets - Group and charity Leasehold property Fixture5 & fittings Office equipment Computer5 Total Cost At the start of the year Addition5 in year Disp05als in year Impairment of property 1,604,688 92.387 35.564 13,638 1.710,713 35,564 At the end of the year 1,604,688 127.951 13,638 1.746,277 Depreciation At the start of the year Charge for the year Eliminated on disposal 663,182 28,494 49,662 31.988 7,176 3,231 720,020 63.713 At the end of the year Net book value At the end of the year 691,676 81,650 10,407 783,733 913,012 46,301 3,231 962,544 At the start of the year 941,506 42,725 6,462 990,693 All of the above assets are used for charitable purposes. The building was formally revalued by Brown & Lee Chartered Surveyors on 12 February 2021 and the tru5tee5 consider that there are no indicator5 of impairment to the valuation. The valuation does not include the leased land on which the building Stands. Intangible fixed assets Group and charity 2023 Cost At the start of the year Addition5 65,441 43,372 At the end of the year 108,813 Amortisation At the start of the year Charge of the year 31,324 31,516 At the end of the year 62,840 Net book value At the end of the year 45,973 At the start of the year 34,117 44

Spinal Injuries Association Notes to the finantial Statements For the ear ended 3 1 March 2023 Subsidiary undertaking The charity Own5 the whole of the issued ordinary Share capital of SIA Enterprises Limited. a company registered in England. The company nurnber is 06034183. The registered office addres5 15 the same as the parent charity. The 5ub5idiary is used for non-primary purpose trading activities. All activitie5 have been con501idated on a line by line basis in the statement of financial activities. Available profits are distributed under Gift Aid to the parent charity. The trustees Mark Henderson, Chri5 Keogh. Claire Martin, Faisal Hussain and Ron Dunning together with the Chief Executive were/are also director5 of the subsidiary. Mark Henderson and Chri5 Keogh resigned as director5 of SIA Enterprise5 on 29th June 2022. A Summary of the results of the subsidiary 15 shown below.. 2023 2022 Turnover Cost of sale5 Cost of sale5 related to purchases from parent undertaking 535,594 636,672 Gross prof it/llossl Administrative expense5 Management charge payable to parent undertaking Other operating income 535,594 636,672 1,7591 (97,3441 1901 1100,2791 Profht/l1055} on ordinary artivities before taxation 436,491 536,303 Taxation on profit on ordinary aitivitie5 Profit for the finantial year 436,491 536,303 Retained earnings Total retained earning5 brought forward Profit for the financial year Distribution under Gift Aid to parent Iharity 436,491 1436.4911 536,303 1536,3031 Total retained earnings carried forward The aggregate of the a55et5. liabilitie5 and re5erve5 was.. A55et5 657,300 1657,2991 704,716 1704,7151 Reserves Amounts owed to the parent undertaking are shown in note 15. Parent charity The parent Iharity'5 gr05s income and the results for the year are di5c105ed as follow5.. 2023 2022 Gr055 income Result for the year 3.257,352 12,835 2,905,051 320,276 45

Spinal Injuries Association Notes to the finantial Statements For the ear ended 3 1 March 2023 Debtors The group 2023 The tharity 2023 2022 2022 Trade debtor5 Amounts due from group undertaking5 Other Debtors Prepayments Accrued income 487.064 646.462 283,864 617,897 7,697 92,997 42,289 322,587 630,872 10,626 131,930 51,747 7,697 92,997 42,289 10,626 131,930 51,747 630,047 840.765 1.044,744 1,147,762 Creditors= amounts falling due within one year The group 2023 The charity 2023 2022 2022 Trade creditor5 Taxation and social security Other creditors Accruals Deferred income (note 171 195.364 71,663 14,887 17,300 87,165 146.472 97,782 14,086 19,577 194,304 195,364 33,261 14,887 16,300 87,165 146,472 53,938 14,086 19,577 164,304 386,379 472,221 346,977 398,377 Deferred income Deferred income cornpri5es fundraising event5 ticket sale5, challenge event fee5 and study day5 income reieived for event5 held after the year end. The group 2023 The charity 2023 2022 2022 Balance at the beginning of the year Amount released to income in the year Amount deferred in the year 194,304 1269,065} 161,926 72.474 131,2681 153,098 164,304 1239,0651 161,926 42,474 131 ,2681 153,098 Balance at the end of the year 87,165 194.304 87,165 164,304 46

Spinal Injuries Association Notes to the finantial Statements For the ear ended 3 1 March 2023 8a Analysis of group net assets between funds {current yearl General unrestricted Designated funds Restricted fund5 Total funds Tangible fixed a55et5 Investments Net current assets 1 ,008.517 1.008,517 1,160,404 877,462 681,935 2,719,801 Net assets at 31 March 2023 ,160,404 1,885,979 681,935 3,728,318 8b Analysis of group net assets between funds {prior year} General unrestricted Designated funds Restricted fund5 Total funds Tangible fixed a55et5 Net current assets 1,024.819 707.246 1.024.819 2,590,673 1,160,112 723,315 Net assets at 31 March 2022 1,160,112 1,732,065 723,315 3,615,492 47

Spinal Injuries Association Notes to the finantial Statements For the ear ended 3 1 March 2023 9a Movements in funds (current yearl At l April 2022 Income & Expenditure & gain5 losses At 3 1 March 2023 Transfer5 Restricted f unds= ABF The Soldier5. Charity Alice Ellen Cooper-Dean Charitable Trust Armed Forces Covenant Fund Trust Award5 for All The Barbour Foundation Bupa Foundation Cardiff YMCA 1910 Trust Charitie5 Aid Foundation (Scope & CA City Bridge Trust Clare Milne Trust East Suffolk Cornrnunity Partnerships The Eveson Charitable Trust The February Foundation Heart of Bucks Cornrnunity Foundation Sir Jame5 Knott Foundation Jarnes Tudor Foundation Leicestershire Communities Fund Milton Keynes Cornrnunity Foundation Moondance Foundation The October Club NHS England NHS England South East Imental Health) NHS England South East Peter Sowerby Foundation Queen Mary'5 Koehampton Trust Shanly Foundation Other small grant5 Restricted donation5 Restricted legacies Total restricted funds 20,000 30,000 130,0001 20.000 i 0,000 19,1671 117,5001 14,1671 833 17,500 i 0,000 5,000 6,000 5,000 50,000 50,300 5,000 5,833 5,000 4,000 3,333 40,000 50,300 3,333 12,0001 11,6671 11 0,0001 149,6001 11,6671 18331 14,5831 13,3321 11,2501 11,6671 110,3131 15,0001 49,600 833 4,583 5,000 5,000 1,668 3.750 1,667 0,313 5,000 5,000 13,3331 1150,0001 1150,0001 1,667 332,898 25,000 77,774 482,898 25,000 150,000 98,985 6,630 16,6301 99,046 6,875 99,046 4,167 3.333 i 0,000 5,000 76,221 400 11297 112,7081 11,6671 176,2211 14001 111,2971 1586,2131 723,315 544,833 681,935 Unrestricted funds= Designated funds.. Property fund Fixed & intangible a55et5 fund Dep05it5 from SIA group Event5 and awareness raising Expansion Campaigning and counselling Investrnent in digital ICRMI Strategic growth SIA House maintenance 941,506 83,304 7,246 150,000 250,000 90,000 90,000 128,4941 166,7351 110,9201 913,012 95,505 12,462 78,936 16,136 1150,0001 12 50,0001 190,0001 190,0001 745,000 745,000 120,000 120,000 Total designated fund5 1,732,056 16,136 1106,1491 243,936 1,885,979 General funds 1,160,112.0 2,696,383.0 12,452,155.01 1243,936.01 1.160,404 Total unrestrirted funds 2,892,168 2,712,519 12,558,304) 3,046,383 Total funds 3,615,483 3,257,352 13,144,517) 3,728,318 The narrative to explain the purpose of each fund is given at the foot of the note below. 48

Spinal Injuries Association Notes to the finantial Statements For the ear ended 3 1 March 2023 9b Movements in funds (prior yearl At l April 2021 Income & Expenditure & gain5 losses At 31 March 2022 Transfer5 Restricted f unds= Alice Ellen Cooper-Dean Charitable Trust The Per5ula Foundation The Eveson Charitable Trust ABF The Soldier5. Charity Queen Mary'5 Koehampton Trust Sobell Foundation EBM Charitable Trust Childwick Trust The February Foundation Jarnes Tudor Foundation Goldcrest Charitable Trust Sir William Coxen Trust City Bridge Trust The October Club Milton Keynes Community Foundation Moondance Foundation Armed Forces Covenant Fund Trust Clare Milne Trust Peter Sowerby Foundation Changing Idea5 East Suffolk Cornrnunity Partnerships Sir Jame5 Knott Foundation TJH Foundation Leicestershire Communities Fund NHS England Other small grant5 9,167 1,816 4,170 20,000 5,625 0,415 1,666 2,500 19,1671 11,8161 14,5871 130,0001 16,2501 110,4151 11,6661 12,5001 15,0001 19371 14,5831 14,1701 198,1581 1150,0001 16,3631 18301 112,5001 11,6641 15,0001 11 0,0001 14,1671 13,3331 125,0001 15,0001 150,0001 1107,4481 5,000 30,000 7,500 4.583 20,000 6,875 5,000 11,250 10.313 4,583 4,170 49,000 632,898 6,363 830 98,758 49,600 482,898 30,000 7,500 1,664 5,000 i 0,000 99,046 99,046 5,000 5,000 25,000 i 0,000 75,000 107,448 833 1,667 5,000 25,000 Total restritted funds 769,867 514,002 1560,5541 723,315 Unrestricted funds= Designated funds.. Property fund Fixed & intangible a55et5 fund Dep05it5 from SIA group Event5 and awareness raising Expansion Campaigning and counselling Investrnent in digital ICRMI SIA House maintenance 970,000 72,685 7,916 289,000 128,4941 143,3861 16801 941,506 83,304 7,246.0 150.000 250.000 90,000 90,000 120,000 54,005 1139,0001 250,000 90,000 41,000 20,000 i 00,000 i 00,000 151,0001 Total designated fund5 1,539,601 1123,5601 316,005 1.732,056 General funds 985,739 2,391,039 11,900,661) 13 16,0051 1,160,112 Total unrestrirted funds 2,525,340 2,391,049 12,024,221) 2,892,168 Total funds 3,295,207 2,905,051 12,584,775) 3,615,483 49

Spinal Injuries Association Notes to the finantial Statements For the ear ended 3 1 March 2023 Purposes of restritted funds ABF The Soldier5. Charity To support SIA'S work with individuals from the armed force5 Alice Ellen Cooper-Dean Charitable Trust Armed Forces Covenant Fund Trust To support SIA'S network of support 5ervice5 in the South East and South West To support SIA'S work with individuals from the armed force5 Bupa Foundation To support SIA'S network of support 5ervice5 in the South East. Cardiff YMCA 1910 Trust To support SIA'S network of support 5ervice5 in Wales. Charitie5 Aid Foundation Connecting To support SIA'S network of support 5ervice5. Communitie5 Grant City Bridge Trust To support SIA'S network of support in London. Clare Milne Trust To support SIA'S network of support 5ervice5 in the South West East Suffolk Community Partnerships To support SIA'S network of support 5ervice5 in the East of England. Heart of Bucks Community Foundation To support SIA'S network of support 5ervice5 in the East of England. James Tudor Foundation To support SIA'S nurse specialist service. Leicestershire Communite5 Fund To support SIA'S network of support 5ervice5 in the East Midlands. Moondance Foundation To support SIA'S network of support 5ervice5 in Wales. NHS England South East Grant To conduct foius groups with people with spinal lord injury in the South East. To support SIA'S SCI clinical specialist service. NHS England Transformational Grant NHS England South East Tran5forrnational Grant To develop a SCI mental health support and education pilot acr055 the South East. Peter Sowerby Foundation To develop a digital 501ution for SIA'5 nurse 5peiialist Service. Queen Mary'5 Roehampton Trust To support SIA'S work with individuals from the armed force5. Shanly Foundation To support SIA'S network of support 5ervice5 in the South East and East of England. To support SIA'S network of support 5ervice5 in the North East. Sir Jame5 Knott Trust The Barbour Foundation To support SIA'S network of support 5ervice5 in the North East. The Eveson Charitable Trust To support SIA'S work with individuals from the armed force5. The February Foundation To support SIA'S network of support 5ervice5 in the East of England. National Lottery Award5 for All To support SIA'S support line. Restricted legacy To support iampaign5. Restricted donation5 To support SIA'S nurse specialist service. 50

Spinal Injuries Association Notes to the finantial Statements For the ear ended 3 1 March 2023 Purposes of designated funds Property fund Future depreciation 105ts of SIA premi5e5. Fixed a55et5 fund Future depreciation 105ts of fixed assets. SIA group Accumulated fund5 from an SIA group held by head office to support local activities. Strategic growth To underwrite planned shortfalls 2023/24 and 2024/25 SIA House maintenance SIA House maintenance iontingency 20 Operating lease tommitments payable as a lessee The group and charity's total future minimum lease payment5 under non-cancellable operating lease5 15 a5 follow5 for each of the following periods.. Equipment 2023 2022 Les5 than one year One to five year5 Over five year5 10,709 14.278 10,709 22,837 24,987 33,546 Legal status of the Charity The charity 15 a cornpany lirnited by guarantee and ha5 no Share capital. The liability of eaih company member in the event of winding up 15 limited to £ I 51

sia spinal injuries association for lite after spinal cord injury SPIMI Inlurl•8 A•Boelatlon SIA House. 2 Trueman Plate. Milton Keynes. MK6 ZHH Tel.. 01908 604 191 Freephot)È support line.. 0800 980 0501 sla@spithal.eo.uk O @1p1n￿lryl￿Q1 O SFMMI InjurivAsJDcwlian • Spinil kniuri•JAssaciatKm spinol.co.uk