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||||



2 



## 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: 

- **1) A health and care system that works for people with spinal cord injury** 

- **2) Doubling our members living with spinal cord injury accessing all the support and advocacy they need** 

- **3) A government and public championing the cause of people with spinal cord injury** 

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 

3 



## 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. 

4 



OUR KEY ACHIEVEMENTS 2022/23
OUR KEY ACHIEVEMENTS 2022123
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## SPINAL CORD INJURY AT A GLANCE 

## During 2022/23: 

- 2,835 patients were referred to specialist SCI centres of which 917 (32%) were admitted as in-patients and 720 (25%) were seen as out-patients 

- 37% of injuries were caused by accident and 53% were caused by illness or a medical condition. No cause of injury was reported in 10% of those referred 

- The most common cause of injury resulting from an accident were falls (25%) The most common cause of injury resulting from an illness or condition was disc prolapse (15%) 

- 27% of injuries resulted in paraplegia and 39% tetraplegia 

- 21% of injuries were recorded as cauda equina syndrome, and no level of injury was recorded in 13% of cases 

- 60% of people referred to a SCI centre were male, 40% were female 

- The biggest age group sustaining new injuries was 60-69 years old 

- 63% of newly- injured people were over the age of 50 


_* 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._ 

6 



## 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: 

- **Collaborative -** forging an ever-stronger **movement** of people and organisations. We will always start and end with the **lived-experience** and **voice** of our members 

- **Compassionate -** in our response to **everyone** who comes to us for help. We will always take a **holistic** approach to supporting a **person** and their **situation** 

- **Courageous -** bringing our **passion** , **knowledge** , **skills** and **commitment** to everything we do. We will always fight for the **rights** and **needs** of our members without fear or favour 

- **Inclusive -** not just in who we support and who works for us, but in **how we work** . We will always do whatever we can to **serve** whoever is in need with **equity** , **openness** and **respect** 

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:** 

- 1) **Referrals** : Implementing protocols to ensure those turning to us for help are referred seamlessly between our frontline services and network of partners 

- 2) **Digital** : Fully embed our new CRM database and launch the next phase of our website 

- 3) **Members** : Improve the way people with SCI can find, join and engage with us throughout their lives 

- 4) **Messages** : Ensure accurate, consistent messaging on matters relating to spinal cord injury, informing our internal and external communications 

- 5) **Healthcare settings** : Strengthen relationships with spinal centres, major trauma centres and other settings where people with spinal cord injury can find us and our services 

- 6) **EDI** : Develop and launch our equity, diversity and inclusion strategy to underpin everything we do 

- 7) **Learning and development** : embed a charity-wide plan to ensure our staff and volunteers have the knowledge and skills to achieve personal and professional development goals 

7 



## 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: 

- Communications and engagement 

- Fundraising 

- Staff and volunteers 

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 

- Our clinical specialist team offering **continues to grow** in direct response to the needs of our members, with the service receiving 777 referrals during 2022/23. 

- The team is made up of five spinal cord injury specialist nurses and an occupational therapist (OT). Our nurses and OT **offer knowledge and expertise** in spinal cord injury nursing and occupational therapy to healthcare professionals, while also working directly with people with SCI **providing support and guidance** on issues such as bowel management in hospital and at home. 

- Our counselling service, led by a trained counsellor with lived experience of spinal cord injury, **offers critical emotional support,** and continues to be extremely well used. This year, we supported 99 people with SCI through telephone and virtual sessions, including help for friends and family. In response to the high demand for and success of this unique service, we’ve brought on one further counsellor with SCI alongside two volunteers, one of whom is a trained couples counsellor. 

8 



- We helped create 114 potentially **life-saving emergency care plans** (ECPs), offering people with SCI greater confidence that their unique medical needs would be met should they be admitted to a general hospital. 

- Alongside colleagues in the support network team, our clinical specialists delivered 20 service introduction talks to almost 450 people working for our partners and in other healthcare settings, to **promote awareness of the support** SIA provides. 

## Advocacy 

- We provided clinical and direct advocacy to **negotiate vital health, care and support services** , such as helping secure funding and confirming rehabilitation plans with health care professionals. 

- Whilst our support line began to see a return to a more "normal" number of calls following the Covid-19 pandemic with a total of 1,493 enquiries, we saw an increase in calls where care packages were failing because of shortages in the number of available, specially trained care staff for those with SCI. 

- We delivered continuing healthcare (CHC) casework, helping 133 people with **care packages to meet their needs** and assisting 36 people with **social care casework support.** 

- We have been instrumental in ensuring those members being assessed and reviewed for CHC have the option to attend meetings face-to-face rather than online. In so doing, our members can give ‘ **in person’ evidence to assessors of the intense and complex needs** of someone with a high-level SCI. 

## **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. 

- Our clinical specialist team **delivered training and education** for around 740 healthcare professionals - nearly twice the number from the previous year. Virtual education modules allow us to include more people in our sessions which we deliver alongside face-to-face offerings. This included to NHS trusts and other larger healthcare settings as well as to smaller bespoke sessions for personal assistant (PA) teams and care homes. 

- We were invited to participate in the **development of a landmark suspected cauda equina syndrome (CES) pathway** . Led by Getting it Right First Time (GIRFT), a national programme within NHS England, the pathway will give clinicians a clear framework to help ensure suspected CES is diagnosed and managed effectively. 

- Under the SIA Academy umbrella, we’re **uniquely placed to be the sector lead in patient-led research** and in ensuring the patient voice forms part of all research. We gain an understanding of what is important to people living with SCI in several ways, including through our annual ‘What Matters?’ survey which this year attracted a record 586 responses 

9 



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

- Plans to develop our SIA Academy offering include the launch of our Knowledge Hub via our website which will **provide educational opportunities and information** for people living with SCI, their friends and family. Fact sheets, videos and **opportunities to connect with our clinical specialist team** will be more easily accessible for all. 

## **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. 

- We have a network of nine regional support coordinators and two managers who work alongside 20 volunteers to provide peer support to **meet the practical and emotional needs of people with SCI.** We delivered 1,622 support sessions over 2022/23 with 517 people supported who were entirely new to SIA. We also supported 265 friends and family members. 

- We ran 120 regional community support groups across the country, providing opportunities for people living with SCI, their families and friends to **connect and share experiences** . Hosted by our support coordinators, our volunteers are on hand to offer advice and information and there are always professional experts available to answer questions. 

- We enhanced our existing partnerships and established new ones, while continuing to provide people with SCI **advice on and recommendations to external organisations and not-for-profits** we know and trust through our growing network of trusted partners and our business membership scheme. This offers choices in rehabilitation, finance, well-being, care and legal services. 

- SIA Healthcare, our dedicated home delivery service, has continued to provide with urology and stoma products and prescription medication, **efficiently and discreetly to the homes of people living with SCI** . Last year, we fulfilled more than 30,000 orders from our members. 

- We are working with Partners in Costs (PIC), a provider of cost drafting services to the legal sector. PIC has specialist knowledge, uses a collaborative approach and focuses on **providing the best outcome for clients.** They provide services to some of our trusted legal partners and business members. 

## **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. 

- We launched our _This is #SeriousSh1t_ campaign – a major media-driven campaign to **stop patients living with SCI suffering harmful neglect from inadequate bowel care** in general medical settings. Our ambition is to ensure every healthcare setting across England, Wales and Northern Ireland has a fully implemented and appropriate bowel care policy in place, so people with SCI can be confident their bowel care needs will be fully supported in a general hospital setting. 

- We continued to provide the secretariat for the All-Party Parliamentary Group (APPG) on SCI, which **gives MPs insight into issues facing our community** and how they can help 

10 



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. 

- We recruited a parliamentary and public affairs coordinator and now have a dedicated resource for our parliamentary and campaigning activities. We are making significant progress **building relationships with cross-party parliamentarians** and during the year have met with new MPs Simon Lightwood (Labour) and Helen Morgan (Lib Dems) who both have spinal injury centres in their constituencies. 

- We met with Sir Lindsay Hoyle (speaker of the House), and disability minister Tom Pursglove visited SIA House to learn more about our work and **the difference our services and support** make to the lives of people with SCI. 

- We continued supporting various coalitions, including the Continuing Healthcare Alliance, the Prescription Charges Coalition, the Cavendish Coalition and the Urology Trade Association. We’ve also joined new collaborative groups, including the Carers Poverty Coalition, and the PA Workforce group led by Baroness Jane Campbell. 

- We have contributed to an evidence review led by Social Care Futures, looking at key areas of social care and matching academic evidence and lived experience to **transform/improve the quality of social care** . 

- We have written submissions: 

   - to the House of Lords adult social care committee on adult social care 

   - in response to the government’s call for evidence to inform a 10-year plan to level up mental health support across the country 

   - in response to the government’s consultation into the need for personal emergency evacuation plans (PEEPs) for disabled people unable to self-evacuate a building 

   - to the Fabian Society (an independent think tank) about the concept of a national care service 

- We launched a targeted media campaign supporting Stop the Pressure Day, a national initiative driven by NHS England/Improvement to **raise awareness and understanding of pressure ulcers** among people with SCI and healthcare professionals. 

- We actively engaged with the National Wound Care Strategy Programme through our role as a patient and public voice (PPV) which allows us to **influence development and delivery of support** for those with pressure ulcers. 

- We worked with the NHS and Department of Health and Social Care to **prioritise the needs of people living with SCI,** with regards to policy change and strategic development, for example with our contribution to updating the NHS Continuing Healthcare National Framework. 

## **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.** 

11 



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. 

12 



- A grant of £99,000 was awarded by **NHS England Southeast** towards expansion of our mental health services in the Southeast region. This is in addition to an ongoing multi-year grant from NHS England towards our clinical team’s work. 

- We received 97 **grants from charitable trusts** , totalling an income of £581,715. This included a grant of £50,000 from the CAF Covid Resilience Fund overseen by Scope towards our support network and a grant of £30,000 from the Garfield Weston Foundation towards revenue costs. 

- We relaunched our **trusted partnership programme** with legal firms in January 2023. Regional partnerships were launched with 14 legal firms who committed to be part of our network for at least three years. 

- Our **business membership** scheme continued to grow and we now have 38 business members helping to provide vital services to people with spinal cord injury, as well as supporting our fundraising and awareness raising activities. 

- We delivered two **networking events in London and Manchester** for partners, business members and key supporters. 

- Income from our **Big Give Christmas appeal** in December 2022 exceeded its target of £40,000 which was double last year’s income and resulted in 64 new donors joining our supporter base. 

- Twenty-five people ran for SIA in the **London Marathon** , including 23 charity place and two ballot place runners. Our **overseas cycle** ride took place in Tuscany with a team of 39 cyclists and our sponsored shark dive in Liverpool proved popular for a second year. 

- More than 50 people and local groups took part in **community fundraising** activities, raising a combined total of over £62,000. This included some large donations such as £5,250 raised at a golf day in memory of one of our members, and £12,000 raised by a young farmers group. 

- The Gunpowder Ball was held in London in November 2022, and the Cornflower Ball in Manchester in March 2023. Collectively, these events were attended by more than 850 guests and raised over £296,000. 

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. 

13 



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. 

14 



FUTURE PLANS
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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 

- £1,160,404 is our unrestricted reserves 

- £877,462 is designated for activities in 2023/24 and beyond 

- £1,008,517 is designated for future depreciation of SIA House and other fixed assets 

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. 

16 



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: 

- Working capital 

- Building 

- Continuity 

- 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**|



17 



## **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. 

18 



## 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). 

19 



## 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: 

- at least 75% of the trustees have lived experience of spinal cord injury 

- the composition of the board is one of diversity reflecting society 

- in respect of five of the trustees, the process for their selection as candidates for appointment, will include an election by the members to choose those candidates from amongst the members 

## 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 charity’s financial situation and associated risks 

- the charity’s policies, plans and reports in relation to accountability, governance and compliance 

- people services including staff wellbeing, attraction, retention and development of staff and volunteers as well as relevant legislative and regulatory requirements 

- oversight of the charity’s assets including SIA House 

- oversight of planned maintenance and sustainability programs in relation to SIA House 

The **business development committee** has key responsibilities for: 

- **Business development:** building and managing relationships with individuals and/or to generate income for SIA, whilst also helping to achieve its charitable aims. Key drivers are growth, diversification and sustainability of income streams and networks 

20 



- **Investments & partnerships:** this includes, but it not limited to, trust fundraising, corporate fundraising, corporate partnerships, sponsorship, challenge events, community fundraising, special events, individual giving, major donors and legacies 

- **Enterprises:** Specific enterprises are not included in the remit of the Business Development Committee, as they are considered by the SIA Enterprises Board. However, opportunities that combine activities across Investments & Partnerships and Enterprise are included 

## The **programmes committee** has key responsibilities for: 

- **Services:** remit includes the support network, the Academy (including training and support to health care professionals, carers and people with SCI, and research), counselling, mental health and advocacy 

- **Communications and campaigns:** remit includes campaigns, communications, marketing, publications, CRM, membership, engagement, and publications 

## 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: 

21 



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 

4. **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. 

5. **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. 

22 



## **EDI FRAMEWORK – STRATEGIC PILLARS** 

|**STRATEGIC PILLAR 1**<br>Organisational commitment|**STRATEGIC PILLAR 2**<br>Diversity of our people|
|---|---|
|**FOCUS/IMPACT 1**<br>**Leadership, governance, accountability**<br>… to establish and implement organisational<br>systems, structures, policies and processes that<br>encourage and sustain EDI commitments through<br>governance, leadership and accountability.|**FOCUS/IMPACT 2**<br>**Diverse and inclusive workforce**<br>… to build a truly diverse workforce that inspires<br>creativity and encourages varied perspectives.|
|**STRATEGIC PILLAR 4**<br>Diversity and our services|**STRATEGIC PILLAR 3**<br>Our people and culture|
|**FOCUS/IMPACT 4**<br>**Members access, community engagement**<br>… to attract, be relevant to and engage with<br>members living with SCI that reflect demographics<br>of the overall SCI community and to ensure our<br>services and those of our partners are equitable and<br>accessible to all.|**FOCUS/IMPACT 3**<br>**Inclusive culture**<br>… to build and support our people continuously<br>developing attitudes, knowledge, and skills to foster<br>culture of respect and inclusion, and an<br>environment where all people experience respect<br>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<br>or not disclosed||
|---|---|---|---|---|
||53%|32%|15%||
|Ethnicity|People from ethnic<br>minority<br>backgrounds|White British|White other|Prefer not to say<br>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: 

- Reviewed and updated our sustainability policy and strengthened our commitment to sustainability.   We embedded new ways of thinking within the charity so that all individuals have sustainability upper most in their minds when making decisions on purchases, working with partners and our events 

23 



- We developed our first ‘Green plan to zero’ setting our detailed actions in all areas of the charity 

- Our commitments, policy and plans were rolled out in our staff development days 

- The biggest project resulting in a significant reduction of our carbon footprint was a retrofit of our current lighting system from halogen bulbs to 100% LED. We are proud to be able to say this upgrade will reduce our CO2 emissions by 6,000kg and our annual electricity consumption from 34,000kW to a projected 5,000kW 

24 



## 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: 

- Select suitable accounting policies and then apply them consistently 

- Observe the methods and principles in the Charities SORP 

- Make judgements and estimates that are reasonable and prudent 

- State whether applicable UK Accounting Standards and statements of recommended 

- practice have been followed, subject to any material departures disclosed and explained in the financial statements 

- Prepare the financial statements on the going concern basis unless it is 

- inappropriate to presume that the charity will continue in operation 

The trustees are responsible for keeping adequate accounting records that disclose, with reasonable accuracy at any time, the financial position of the charitable company and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and 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: 

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

- unaware 

- The trustees have taken all steps that they ought to have taken to make themselves 

- aware of any relevant audit information and to establish that the auditor is aware of that information 

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

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: 

- Development of a handbook for trustees 

- Induction day 

- Trustees' election and recruitment 

- Trustees’ training 

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: 

- Good governance assessment (via online questionnaire) 

- Skills matrix assessment 

- Interviews with board and executive members 

- Board development workshop 

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: 

- Give a true and fair view of the state of the group’s and of the parent charitable company’s affairs as at 31 March 2023 and of the group’s incoming resources and application of resources, including its income and expenditure, for the year then ended 

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

- Have been prepared in accordance with the requirements of the Companies Act 2006 and the Charities Act 2011 

## 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: 

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

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

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

In the light of the knowledge and understanding of the 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: 

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

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

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

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

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

## Responsibilities of trustees 

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

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

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

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

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

30 



## Independent auditor’s report 

To the members of Spinal Injuries Association 

__________________________________________________________________________________ 

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

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

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

- We reviewed any reports made to regulators. 

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

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

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

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

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

## Use of our report 

This report is made solely to the charitable company's members as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006 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