**REGISTERED CHARITY NUMBER: 1059381**
**Report of the Trustees and**
**Unaudited Financial Statements**
**for the Year Ended 31 December 2025**
**for**
**Spinal Paralysis and Injuries**
Bennett Brooks & Co Limited Chartered Accountants St George's Court Winnington Avenue Northwich Cheshire CW8 4EE
**Spinal Paralysis and Injuries**
## **Report of the Trustees for the year ended 31 December 2025**
The Trustees present their report with the financial statements of the charity for the year ended 31 December 2025. The Trustees have adopted the provisions of the Charity Statement of Recommended Practice (SORP) ( FRS102).
## **OBJECTIVES AND ACTIVITIES**
## **Charity Objectives**
The charity was established by Trust Deed on 30 August 1996 by the first Trustees of the Trust.
The first Trustees were: Wagih Shafik El Masry FRCS Philip Keith Kushner Stephen Bradshaw OBE
The objectives of the charity are:
- (i) To advance the education amongst medical and para-medical personnel both in the United Kingdom and overseas by the provision of suitable training and education in the treatment of spinal paralysis and spinal injuries;
- (ii) To educate the public in the area of spinal paralysis and its consequential effects by conducting research and investigation and disseminating the results of such research and investigation and;
This is achieved through the provision of grants and the organisation of conferences for spinal injury education and training.
## **Principal Activity**
The principal aim of the charity is to educate and train medical and para-medical personnel in the treatment of spinal paralysis and spinal injuries.
## **ACHIEVEMENTS AND PERFORMANCE**
## **Charitable activities**
The Trustees continued to consider applications from healthcare professionals, researchers and educators seeking financial support to further education, training and knowledge in the field of spinal cord injury.
During the year, the charity provided grants to support attendance at conferences, educational events and research dissemination activities. The Trustees considered a number of applications from healthcare professionals both within the United Kingdom and internationally and approved funding where these activities were judged to support the charitable objectives of SPIRIT.
The Trustees continued to promote education in spinal cord injury through support for conferences, educational resources and professional development opportunities. Planning commenced for the SPIRIT Conference 2026, which will bring together clinicians, researchers and healthcare professionals to share best practice and advances in the management of spinal cord injury.
The charity also explored opportunities to strengthen engagement with policymakers, researchers and partner organisations, including discussions regarding the All-Party Parliamentary Group (APPG) for Spinal Cord Injury and wider dissemination of educational materials arising from previous SPIRIT conferences.
The Trustees remain committed to advancing education and training in spinal cord injury management through the provision of grants, conferences, educational initiatives and support for research and knowledge exchange.
## **FINANCIAL REVIEW Financial position**
The results for the year are shown in the Statement of Financial Activities.
## **Investment policy**
Funds are invested in building society accounts, fixed term bank accounts or stock market investments via investment/unit trusts. The Trustees have considered this the most appropriate policy for investing funds and have found that these asset classes meet their requirements to generate income for the charity and to provide diversification of risk. The Trustees consider their return on investments in the year to be satisfactory.
## **Reserves policy**
The Trustees are satisfied with the level of reserves as shown in the accounts. The funds are sufficient to provide medical specialist training and education in the treatment of spinal paralysis and spinal injuries.
Grants are paid at the discretion of the Trustees.
Page 1
**Spinal Paralysis and Injuries**
## **Report of the Trustees for the year ended 31 December 2025**
## **STRUCTURE, GOVERNANCE AND MANAGEMENT Governing document**
The charity is controlled by its governing document, a deed of trust and constitutes an unincorporated charity.
## **Charity Organisation**
Spinal Paralysis and Injuries Research Information and Training is a charity established to advance education amongst medical and para-medical personnel in the treatment of spinal paralysis and spinal injuries.
The charity is run by a board of Trustees. The board make the day-to-day decisions for the charity. The charity has unpaid volunteers. They are an integral part of the charity and help with the organisation of events and administration.
## **REFERENCE AND ADMINISTRATIVE DETAILS Registered Charity number**
1059381
## **Principal address**
Admin & More Ltd Unit F - C004 Store First Rushden Rushden
## **Trustees**
Professor Wagih El Masry Philip Keith Kushner (resigned 25.9.25) Dr Jeffrey M Graham Phd Richard Burbidge OBE Mrs Rachel Rees (resigned 25.9.25) Martin McClelland FRCS Jonathan Fogerty Dr Graham Arthur Flint FRCS Dr Karina Wright Phd
**Independent Examiner** Bennett Brooks & Co Limited Chartered Accountants St George's Court Winnington Avenue Northwich Cheshire CW8 4EE
**Bankers** The Royal Bank of Scotland plc Manchester St Ann St Office St Ann Street Manchester M60 2SS
**Independent Financial Advisers** Astute Wealth Services Limited The Old Forge Moseley Hall Farm Chelford Road Knutsford WA16 8RB
## **PUBLIC BENEFIT**
The Trustees have complied with the duty in section 4 of the 2006 Act to have due regard to public benefit guidance published by the Charity Commission.
Page 2
**Spinal Paralysis and Injuries**
**Report of the Trustees for the year ended 31 December 2025**
Approved by order of the board of trustees on 15 July 2026 and signed on its behalf by:
Professor Wagih El Masry - Trustee
Page 3
## **Independent Examiner's Report to the Trustees of Spinal Paralysis and Injuries**
## **Independent examiner's report to the trustees of Spinal Paralysis and Injuries**
I report to the charity trustees on my examination of the accounts of Spinal Paralysis and Injuries (the Trust) for the year ended 31 December 2025.
## **Responsibilities and basis of report**
As the charity trustees of the Trust you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 ('the Act').
I report in respect of my examination of the Trust's accounts carried out under Section 145 of the Act and in carrying out my examination I have followed all applicable Directions given by the Charity Commission under Section 145(5)(b) of the Act.
## **Independent examiner's statement**
I have completed my examination. I confirm that no material matters have come to my attention in connection with the examination giving me cause to believe that in any material respect:
1. accounting records were not kept in respect of the Trust as required by Section 130 of the Act; or
2. the accounts do not accord with those records; or
3. the accounts do not comply with the applicable requirements concerning the form and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a true and fair view which is not a matter considered as part of an independent examination.
I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached.
Michael Joseph Snape FCCA.
Bennett Brooks & Co Limited Chartered Accountants St George's Court Winnington Avenue Northwich Cheshire CW8 4EE
15 July 2026
Page 4
## **Spinal Paralysis and Injuries**
## **Statement of Financial Activities for the year ended 31 December 2025**
|Notes
**INCOME AND ENDOWMENTS FROM**
Donations and legacies
2
Investment income
3
**Total**
**EXPENDITURE ON**
Raising funds
4
**Charitable activities**
5
Sponsorship of international spinal injury conferences
and promote and fund education and training of
healthcare professionals in spinal injury
**Total**
Net gains on investments
**NET INCOME**
**RECONCILIATION OF FUNDS**
Total funds brought forward
**TOTAL FUNDS CARRIED FORWARD**|Unrestricted
funds
£
180,092
6,248
186,340
3,791
43,004
46,795
14,322
153,867
825,828
979,695|Restricted
fund
£
-
-
-
2,197
-
2,197
8,057
5,860
54,684
60,544|2025
Total
funds
£
180,092
6,248
186,340
5,988
43,004
48,992
22,379
159,727
880,512
1,040,239|2024
Total
funds
£
580,480
-
580,480
4,349
8,152
12,501
21,022
589,001
291,511
880,512|
|---|---|---|---|---|
The notes form part of these financial statements
Page 5
## **Spinal Paralysis and Injuries**
## **Balance Sheet 31 December 2025**
|Notes
**FIXED ASSETS**
Investments
10
**CURRENT ASSETS**
Debtors
11
Cash at bank
**CREDITORS**
Amounts falling due within one year
12
**NET CURRENT ASSETS**
**TOTAL ASSETS LESS CURRENT LIABILITIES**
**NET ASSETS**
**FUNDS**
13
Unrestricted funds
Restricted funds
**TOTAL FUNDS**|Unrestricted
funds
£
224,764
150,237
605,894
756,131
(1,200)
754,931
979,695
979,695|Restricted
fund
£
60,544
-
-
-
-
-
60,544
60,544|2025
Total
funds
£
285,308
150,237
605,894
756,131
(1,200)
754,931
1,040,239
1,040,239
979,695
60,544
1,040,239|2024
Total
funds
£
296,870
580,000
4,599
584,599
(957)
583,642
880,512
880,512
825,828
54,684
880,512|
|---|---|---|---|---|
The financial statements were approved by the Board of Trustees and authorised for issue on 15 July 2026 and were signed on its behalf by:
Richard Burbidge OBE - Trustee
The notes form part of these financial statements
Page 6
## **Spinal Paralysis and Injuries**
**Cash Flow Statement for the year ended 31 December 2025**
|Notes
**Cash flows from operating activities**
Cash generated from operations
1
Interest paid
Net cash provided by/(used in) operating activities
**Cash flows from investing activities**
Purchase of fixed asset investments
Sale of fixed asset investments
Interest received
Net cash provided by/(used in) investing activities
**Change in cash and cash equivalents in the**
**reporting period**
**Cash and cash equivalents at the beginning of**
**the reporting period**
**Cash and cash equivalents at the end of the**
**reporting period**|2025
£
561,369
(263)
561,106
-
33,941
6,248
40,189
601,295
4,599
605,894|2024
£
(10,796)
(268)
(11,064)
(79,290)
58,588
-
(20,702)
(31,766)
36,365
4,599|
|---|---|---|
The notes form part of these financial statements
Page 7
**Spinal Paralysis and Injuries**
## **Notes to the Cash Flow Statement for the year ended 31 December 2025**
## **1. RECONCILIATION OF NET INCOME TO NET CASH FLOW FROM OPERATING ACTIVITIES**
|**Net income for the reporting period (as per the Statement of Financial**
**Activities)**
**Adjustments for:**
Gain on investments
Interest received
Interest paid
Decrease/(increase) in debtors
Increase in creditors
**Net cash provided by/(used in) operations**|2025
£
159,727
(22,379)
(6,248)
263
429,763
243
561,369|2024
£
589,001
(21,022)
-
268
(580,000)
957
(10,796)|
|---|---|---|
## **2. ANALYSIS OF CHANGES IN NET FUNDS**
|**Net cash**|At 1.1.25
£|Cash flow
£|At 31.12.25
£|At 31.12.25
£|
|---|---|---|---|---|
|Cash at bank|4,599|601,295||605,894|
||4,599|601,295||605,894|
|**Total**|4,599|601,295||605,894|
The notes form part of these financial statements
Page 8
**Spinal Paralysis and Injuries**
## **Notes to the Financial Statements for the year ended 31 December 2025**
## **1. ACCOUNTING POLICIES**
## **Basis of preparing the financial statements**
The financial statements of the charity, which is a public benefit entity under FRS 102, have been prepared in accordance with the Charities SORP (FRS 102) 'Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019)', Financial Reporting Standard 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland' and the Charities Act 2011. The financial statements have been prepared under the historical cost convention, with the exception of investments which are included at market value, as modified by the revaluation of certain assets.
## **Income**
All income is recognised in the Statement of Financial Activities once the charity has entitlement to the funds, it is probable that the income will be received and the amount can be measured reliably.
## **Expenditure**
Liabilities are recognised as expenditure as soon as there is a legal or constructive obligation committing the charity to that expenditure, it is probable that a transfer of economic benefits will be required in settlement and the amount of the obligation can be measured reliably. Expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all cost related to the category. Where costs cannot be directly attributed to particular headings they have been allocated to activities on a basis consistent with the use of resources.
Grants offered subject to conditions which have not been met at the year end date are noted as a commitment but not accrued as expenditure.
## **Taxation**
The charity is exempt from tax on its charitable activities.
## **Value added tax**
As the majority of Spinal Paralysis and Injuries Research Information and Training activities are classified as exempt or non-business activities for the purposes of value added tax, the charity is unable to reclaim all the value added tax that it suffers on its purchases. Expenditure in these financial statements is therefore shown inclusive of value added tax.
## **Fund accounting**
Unrestricted funds can be used in accordance with the charitable objectives at the discretion of the trustees.
Restricted funds can only be used for particular restricted purposes within the objects of the charity. Restrictions arise when specified by the donor or when funds are raised for particular restricted purposes.
Further explanation of the nature and purpose of each fund is included in the notes to the financial statements.
## **Valuation of investments**
The investments are included at mid-market values as at 31 December 2025.
## **2. DONATIONS AND LEGACIES**
The legacy relating to the estate of the late Dr Graham Robert Harlow, amounting to approximately £150,000 is still progressing through Probate but the Charity has received £603,696 from the sale of a property bequeathed by the late Miss Searle,of which £430,000 was recognised in 2024.
## **3. INVESTMENT INCOME**
|**INVESTMENT INCOME**|||
|---|---|---|
||2025|2024|
||£|£|
|Deposit account interest|1,200|-|
|Investment income|5,048|-|
||6,248|-|
||||
continued...
Page 9
**Spinal Paralysis and Injuries**
## **Notes to the Financial Statements - continued for the year ended 31 December 2025**
## **4. RAISING FUNDS**
||**Investment management costs**||||||||
|---|---|---|---|---|---|---|---|---|
||||||2025|||2024|
||||||£|||£|
||Portfolio management||||5,988|||4,349|
|**5.**|**CHARITABLE ACTIVITIES COSTS**||||||||
||Sponsorship of international spinal injury|Direct
Costs
£|Grant
funding of
activities
(see note
6)
£||Support
costs (see
note 7)
£|||Totals
£|
||conferences and promote and fund education||||||||
||and training of healthcare professionals in||||||||
||spinal injury|29,325||6,229|7,450|||43,004|
|**6.**|**GRANTS PAYABLE**||||||||
||Sponsorship of international spinal injury conferences and|promote and fund|||2025
£|||2024
£|
||education and training of healthcare professionals in spinal|injury|||6,229|||2,949|
|**7.**|**SUPPORT COSTS**||||||||
||Sponsorship of international spinal injury|||||||Governance
costs
£|
||conferences and promote and fund education and||||||||
||training of healthcare professionals in spinal||||||||
||injury|||||||7,450|
|**8.**|**TRUSTEES' REMUNERATION AND BENEFITS**||||||||
||The Trustees received no remuneration during the period.||||||||
||**Trustees' expenses**||||||||
||All Trustees are entitled to receive reimbursement of expenses.||||||||
|**9.**|**COMPARATIVES FOR THE STATEMENT OF FINANCIAL ACTIVITIES**||||||||
||**INCOME AND ENDOWMENTS FROM**||Unrestricted
funds
£||Restricted
fund
£|||Total
funds
£|
||Donations and legacies|||580,480|||-|580,480|
||**EXPENDITURE ON**||||||||
||Raising funds|||4,349|||-|4,349|
||**Charitable activities**||||||||
||Sponsorship of international spinal injury||||||||
||conferences and promote and fund education and||||||||
||training of healthcare professionals in spinal injury|||8,152|||-|8,152|
||**Total**|||12,501|||-|12,501|
continued...
Page 10
**Spinal Paralysis and Injuries**
## **Notes to the Financial Statements - continued for the year ended 31 December 2025**
## **9. COMPARATIVES FOR THE STATEMENT OF FINANCIAL ACTIVITIES - continued**
|Unrestricted
funds
£
Net gains on investments
17,909
**NET INCOME**
585,888
**RECONCILIATION OF FUNDS**
Total funds brought forward
239,940
**TOTAL FUNDS CARRIED FORWARD**
825,828|Restricted
fund
£
3,113
3,113
51,571
54,684|Total
funds
£
21,022
589,001
291,511
880,512|
|---|---|---|
## **10. FIXED ASSET INVESTMENTS**
As at the year end, the fixed asset investments comprised unrestricted and restricted funds.
Investment assets include listed investments both within and outside the UK and are held by portfolio managers.
## **11. DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR**
|Other debtors
Prepayments and accrued income
**12.**
**CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR**
Trade creditors
Other creditors
**13.**
**MOVEMENT IN FUNDS**
**Unrestricted funds**
General fund
**Restricted funds**
Paul Hodges Fund
**TOTAL FUNDS**|2025
2024
£
£
150,000
580,000
237
-
150,237
580,000
2025
2024
£
£
-
957
1,200
-
1,200
957
Net
movement
At
At 1.1.25
in funds
31.12.25
£
£
£
825,828
153,867
979,695
54,684
5,860
60,544
880,512
159,727
1,040,239|
|---|---|
continued...
Page 11
**Spinal Paralysis and Injuries**
## **Notes to the Financial Statements - continued for the year ended 31 December 2025**
## **13. MOVEMENT IN FUNDS - continued**
Net movement in funds, included in the above are as follows:
|Incoming
resources
£
**Unrestricted funds**
General fund
186,340
**Restricted funds**
Paul Hodges Fund
-
**TOTAL FUNDS**
186,340
**Comparatives for movement in funds**
**Unrestricted funds**
General fund
**Restricted funds**
Paul Hodges Fund
**TOTAL FUNDS**
Comparative net movement in funds, included in the above are as follows:
Incoming
resources
£
**Unrestricted funds**
General fund
580,480
**Restricted funds**
Paul Hodges Fund
-
**TOTAL FUNDS**
580,480|Resources
Gains and
Movement
expended
losses
in funds
£
£
£
(46,795)
14,322
153,867
(2,197)
8,057
5,860
(48,992)
22,379
159,727
Net
movement
At
At 1.1.24
in funds
31.12.24
£
£
£
239,940
585,888
825,828
51,571
3,113
54,684
291,511
589,001
880,512
Resources
Gains and
Movement
expended
losses
in funds
£
£
£
(12,501)
17,909
585,888
-
3,113
3,113
(12,501)
21,022
589,001|
|---|---|
A current year 12 months and prior year 12 months combined position is as follows:
|**Unrestricted funds**
General fund
**Restricted funds**
Paul Hodges Fund
**TOTAL FUNDS**|Net
movement
At
At 1.1.24
in funds
31.12.25
£
£
£
239,940
739,755
979,695
51,571
8,973
60,544
291,511
748,728
1,040,239|
|---|---|
continued...
Page 12
**Spinal Paralysis and Injuries**
## **Notes to the Financial Statements - continued for the year ended 31 December 2025**
## **13. MOVEMENT IN FUNDS - continued**
A current year 12 months and prior year 12 months combined net movement in funds, included in the above are as follows:
|**Unrestricted funds**
General fund
**Restricted funds**
Paul Hodges Fund
**TOTAL FUNDS**|Incoming
resources
£
766,820
-
766,820|Resources
expended
£
(59,296)
(2,197)
(61,493)|Gains and
Movement
losses
in funds
£
£
32,231
739,755
11,170
8,973
43,401
748,728|
|---|---|---|---|
## **General Fund**
The general fund represents the free funds of the charity which have not been designated for particular purposes.
## **Paul Hodges Fund**
The Paul Hodges Fund comprises a legacy from the estate of Paul Hodges who was treated by Mr El Masry in the Midlands Centre for Spinal Injuries. Mr Hodges' executors requested that this money constitute a separate and identifiable fund within the charity, rather than being merged into the general fund. The monies have been made available for future charity projects. The family's desire for some form of permanent acknowledgement is provided by a framed portrait, suitably inscribed, which is displayed in the Centre.
## **14. RELATED PARTY DISCLOSURES**
There were no related party transactions for the year ended 31 December 2025.
Page 13
**Spinal Paralysis and Injuries**
## **Detailed Statement of Financial Activities for the year ended 31 December 2025**
|**INCOME AND ENDOWMENTS**
**Donations and legacies**
Donations
Legacies
SPIRIT Conference 2025
**Investment income**
Deposit account interest
Investment income
**Total incoming resources**
**EXPENDITURE**
**Investment management costs**
Portfolio management
**Charitable activities**
Insurance
Sundries and project costs
Travel and accommodation
Seminar expenses
IT and website costs
Subscriptions
Repairs and renewals
Bank interest and charges
Grants to institutions
Admin support costs
**Support costs**
**Governance costs**
Accountancy and legal fees
Total resources expended
**Net income before gains and losses**
**Realised recognised gains and losses**
Gains/losses on fixed asset investments
**Net income**|2025
£
1,650
173,696
4,746
180,092
1,200
5,048
6,248
186,340
5,988
237
88
855
5,821
360
216
21,485
263
3,355
2,874
35,554
7,450
48,992
137,348
22,379
159,727|2024
£
480
580,000
-
580,480
-
-
-
580,480
4,349
237
1,364
-
2,818
300
216
-
268
-
2,949
8,152
-
12,501
567,979
21,022
589,001|
|---|---|---|
This page does not form part of the statutory financial statements
Page 14
**Spinal Paralysis and Injuries**
## **Contents of the Financial Statements for the year ended 31 December 2025**
|||**Page**||
|---|---|---|---|
|**Report of the Trustees**|1|to|3|
|**Independent Examiner's Report**||4||
|**Statement of Financial Activities**||5||
|**Balance Sheet**||6||
|**Cash Flow Statement**||7||
|**Notes to the Cash Flow Statement**||8||
|**Notes to the Financial Statements**|9|to|13|
|**Detailed Statement of Financial Activities**||14||