R•g1Star numbor., 03713213 Chartty number. 1075549 The Movementl rnovfn9 Ch¢en forwar(I Centre THE MOVEMENT CENTRE FOR TARGETED TRAINING UNAUDITED TRUSTEE8' REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023 WR Partners
THE MOVEIENT CENTRE FOR TAR(*TED TRAINING IA company Ilmlted by guarnnteo) copirENT3 Pag9 R•f•renGg and adminlstratlvo dotalls of the Charftablo Comp¥nyTr Its TfU¥tees and athils•rs Trust••s' report Independent examingvs report 8latsm•nt of Ilnancial a¢tlvilles 28-27 8alaffi¢e sheet 29-30 Notes to Iho finanGlal statomonts 31-44
THE MOVEMENT CENTRE FOR TARGETED TRAINING (A company IknM•d by Quarant••) REFERENCE AND ADMINISTRATIVE DEfAILS OF THE CHARITABLE COMPANY. ITS TRUSTEES AND ADVISER8 FOR THE YEAR ENDED 31 DECEMBER 2023 TN5teas Jll Elizabeth Barker stuart Glules. Trnaswer Katrina Léwis Kate Halpwood Alison Shl8lds Angela Tomley David Vi(8ry {resrgned 1 December2023) Company raglsternd number 03713213 Charlty regbt•rod numb¢r 1076549 R•gl$t•red offiGO The Movement Cenlre for T8rg8ted Training Robert Jones & Agnes Hunl Orthop88dic Hospital ShrDpshire SY10 7AG Compary so Allson shId$ Accountants WR Pthers Chartered Ac(¥Juntant8 Belmont House Shrew5bury Business Park Shrewsbury ShropshiTO SY2 6LG Page 1
THE MOVEMENT CENTRE FOR TARGETED TRAININO IA ¢ompany Ilmfted by guarantee TRUSTEES. REPORT FOR ThE YEAR ENDED 31 DECEMBER 2023 The Trustegs (0 are also directors ol the charity for the purposes of the Companies Act) present their Annual Rewi togethgr with the financial 5talements of The Movemerrt Centre for Targeted Training Ilhe charitable company) for the period ended 31st December 21r23. The Trustees confinn that the Annual Report and fmancial statements of the charitsble company compty with the curTent slatulory requlrements. th6 requirements of the charitable compan5 gjveming document and the provisions of the Statement of Recommended Practice (SORPI, applicable to charitie5 prepamg thelr accounts in accordance with the Finarla1 Reporting Standard applicable in the UK and Republic of Ireland (FRS102) (effective 1st January 20191. Introductlon and Hlghllghts Tha Movement Centra for Targeted Tralning (which operates under its worklng name The Movement Cenlrel is a UK charity and specialist treatment centre for chlldren dedicated to sUPPOrting children and their families living with movement disabiliti8s. We provide a specialsi therapy eall&l Targeted Training to help chiklren gain movement control. Our vision is that all chlldren who have a disability affecting thelr moveTnent control are able to reach their full potentlal. Our mlssion is to maximise Iho potential of children's movemenl control through Targeted Training therapy. Targeted Tralntro has b68n d8veloped to holp children with movement disabilities gain control of their movement, It helps enable thildren to gain new 8kdl8 and indeperKlence, whlth Can hgve a huge Impact on their Ilves. It can also make a big differencè to tha Ilves ol thelr famlly and frfends. Through a course of Targetod Trainlng therapy chlldren can galn head ntrOl. so th8y can Int•ract wth their family; it can help chlldr8n dèvelop the skllls to 81t unaided, so that they can play vrith thelr frlends. For ¥ome children li ¢an enabt• them to walK whlth means Ihey can be far rrnre independenL W8 vrnlcome any family to come to The Movement Centre who may b8nefil. Diagnoses Includ8. bui are not limited ta.. Cerebral palsy, Global Developmenlal Delay.. Genetic Disord8rs,' an A4ulred Braln Injury, Chlldhood strokes. Undiagnosed,. Syndromè wSthout a name (SWAN). Following the deslon to provide Targeted TrainiThJ therapy free of Charge in October 2022. 2023 6aw a slgnlficant incre8se irs numbers of patients soeklng assessment for treatment. We are now runnlng at clinical Capaty, wilh 44 patlgnts currently in activa treatment, and have a waitiTVJ list of families looking for assessment and treatment. Alms for 2024 inolude increasing physloth8rapy (zpacity either on an ad hoc bas15, using physiotheraplsts who has worked at the Movement Centre previously and have kn(Iwiedge of providing Targeted Tralnlng, but also lookirwj at offertng a traininglapprentice position for a new physiotherapisL During the current year we have had 77 adive (x)ursos of treatment, with 66 new refeal¥ and 48 courses of treatment commenced. 100¥o of these were furnded by The Movement Centre. To the end of 2023. we have provided around 1.CiIO courses of Targeted Training therapy to help 673 thildren to gah Independen and a better quallty of Ilfe through increased movement control - the number of Ghildren gradua15y Increased through the yeaT as families became less anxious post covid and treatment costs wer8 reduced then being completely removed. As well as a direct benefit to the Ghlld, Targeted Training can hav6 a huge impacl on family lrfe. We are delighted lo report continuing good prows lovrdrds our obieciives in 2023. Wa ar& pleased to report a number of highlights from the year. In 2023 we have: Rahed furthor awarena3J of our servlc•s: Opportunities io attend events and 8xhibthons. and increased Ltse of social medla havp bwsted patient numbers and awareness of the s8rvlce. ContSnu•d our Impact: Therg have been Tl couis8s of Targeled Training Iherapy active durtng 2023 D•monstratod Iho conllnuad effecllveness of Targetgd Tralnlng thorapy through our dlnlcal outcome5. With Ghildren showlng Improvemenls In nf1 and motor ablllt]es leadlng to greater Independence and a b8tt8r qualify of life. Page 2
THE MOVEMENT CETr¥fRE F¢YI TAROEfED TRAINING IA rnPany Ilmft•d by guarant••) TRUSTEES. REPORT (coiinNUED) FOR THE YEAR ENDED 31 DECEIABER 2023 Increased number of famllles aKesslng Therapy. The introducllon of Irealment freo of charge has lad to an uplift in the rn1mbe of patients rwxiviry Targetsd Training. We hop8 to Incr8as8 trse numb5 furlher by supplwng inGreased physiotherapy sessions in 2024. Consolidated our financia] provision. Allowing cuitinued provision of Taryeted Training wilhout tharge to patients and families. Thls has been rnade posble by the conttnued efforts of the fundrnising taam. aKI we have introduwl a new staff member to support this. Fyrihpr detoil$ of ¥m)e of Ihe hlahlights obove c8.n be fou.nd in the reF¥)rt. Objoctfvas and actMIIg5 a. Stratog1 fr•r aehlevlng obJ•etlva8 Our L•gal obJoctlv•s as sot out kn our govemlng document ar• as follows: To promote Ihe reliel of persons suffethg Imm dllficulties ol MoveMt ¢on&vl anywhern in thg Wortd and P8rtlculerbut not so es to llmlt the generalty of the foregolng." . The provision to treat coniths that are of nevrological or nouromuscular lgIn, wh6th8r congenltal or 8cquir8d. Such cerf'tions may include cerebrnl palsy. cerebral v8scIts 8ccident. muscthar dyslrcphy, head Iniuryordev8lopment81 delay. Jn ord8r lo fithl our18gal 0¢VaS w& delibw our Sp&8113t therépy. T8rggted Tralnlng Ih8rnpy, b cldrn WIK* la pmblen7s of movement control. In furtherance of the Objects butnot olhenwse the Centre may eXese Ihe fOlknng powe Theprovism to develoA promote and rehabilitate hum8n movem8ntin generaland (In partKular bul not exclus1ly) the managemgnt of movement control.. Tha provlslon to dwdop methods of ass8ssmert managern&nt and treatmant of those The pnM&ryon for eduon and trniiing of 8llp8rsons involvedwith n70vement thfftultiesin relalion to the developmentpromotion. troaknentand rehabthtatsn of hunmn movem8rtJncludlng patients their families and other carer4 Th8provision to dewn and develop 8quipn7ent to meet the 8im8 express8dln l and 2 above end toproduce orf8dJltate the productlon of such equtynen¢' Tha wovlslon to pJDmot8 tha dAssamln8kn and a¢wulsltlon of kno%d99 Trlating lo Ihe development, pmmouon 8ndreh8bi1tt8tlon of hum8n movenpnt (in wticularbut notexcluslvejy) wlth rnsp8Ct to the outcome of resea 8Th1d9vetynnte18lI8d1n 2 and4 aljove. Page 3
THE MOVEMENT CENTRE FOR TARGETED TRAINING (A ¢ompahy limSt*d by guarantee) TRU8TEE8' REPORT (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 ObJ•¢tlv•s and advluv {¢ontlnued) b. Activiti08 undertaken to achl¢ve obJe¢tlves The objective of The Movement Cerrtre 15 to help redu, and in some cases, re501ve, the problems and dlfficulties that are a nseqUence of poor control of movement due to a disability that impacts on movement. The Movement Centre has worked hlstorl¢ally lo pyovide Tarpted Training therapy lo children. and thrs is the continued focus of our work. Fun¢tlonal dlfflcultlas In these children range from inability to control head poslura in those mosl severely affeded to problems with walking in the least affected. The )vement Centre 8ims to meet ils objectives by: Provldlng a cllnical 88rvic8 assessing and Ireating Chlldrén wlth movement control difficultias, aiming to improve functionel abilities and quality of life. Fialslng awareness and t8achin9 of thè technlquos dèveloped at Th8 Movement C8ntr8 8nsurfng that an ever wldenlng audlenc8 Is aware of what can be achlev•J. Res8archlng and developing methods to enh8nce movement control. Includlng equlpmenL Thls is vital to ensure that children are offered the Optimal th8rapy provision. Targeted Tralnlng therapy. tho Iherapy teChnIq developed at Thg Movemenl Centre. has contlnued to provide the main focus of aclivity during the last a¢untIng perlod, In order for thè charity lo reallse Ils clinical, teaching and research and d8velopmont obl8¢lves and alms. ¢. Maln a¢tivllles undortakan to furthor Char5tsble Company8 purposes for the publ1¢ b•n• C)Jr work dlreGUy benefits children vtho fac& prot4oms wlth movement control. We dellver Targeted Training thérapy. whld) helps them to maxlmlse their poténtlal by galnlng fuftcuonal ski119 and gr8ater independence. In delivering our servl¢es we further benefit the public, ats follows: Famlllés: Our work wlth children can have a signifficant impact on their family lrfe, allowing for greater participation, indusion and inleraction. This can be extMelY poslllve for all members of the family. Wlder ¢ommunlty: Individuals who gain greatsr irKlapondence through Targeted Training can play a more active role In the community wtlhin their kn'fetime. HealthGaro provlders: Targ8ted TrainSn9 can rgdu¢8 Iho need for medlcal equlpment and care InteNenlon. Despite continued ¢onlact with local NHS Commlssion8rs. thelr support and fundlng has remain8d unavailable. Because NHS fiJndlng18 not availabl8 to the children we treat we have to rely on.. 1. ()Jr own fund-ralslng efforts: éatalls olthe events for 2023 have b88n induded In th8 report. 2. Grants from the trusts and foundatiDns who support ourworf 3. Contribullons from the families of tha patient4. although treatment is free of charge we enrourage the families accessing tre8trnenl to engage in fundraislng wherever p055ible and they are supported In thls by th6 fundralsing t8am. Due lo the kir support of fundrals¥s 8nd donor5. The Movement Centr8 has been able to offer TaWed TTainirvJ therapy frea of ¢harge $in¢e Oclob8r 2022 for many of our families. wSlhln the limit of our resources. Voluntary ncom8 8150 allows us to conlnue our woth and develop our serylcos. In defining our d)arilable programme, we have regard for the Charfty Commlsslon's gen9ral guidanoe on publlc beneflt. Page 4
THE MOVEMENT CENTRE FOR TARGEfED TRAINING (A company Ilmlled by guaMnts•) TRUSTEES, REPORT (COfrrnNUED) FOR THE YEAR ENDED 31 DECEMBER 2023 Stratoglc report Achièvgments and porfonnanGe . Maln achlevements of the Charltable Company We ar8 8pIlOnaIty plèased to report our dinKxl out¢om8s for the last ffnanclal peTiDd. Referr remained hlgh with 63 new referrals. We provided 77 courses of Targoted Training therapy compar&J vAth 30 in 2022, as well as follow up assessn*nb and revivw& All in all. 273 dinical s866ions were ddiv8red throuoltht the year. compared with 153 in th8 previous 12 rTh)nths. For Oach CYJLK58 ofTargeted Trainiry Iherapy. a numbor of outL¥me wsures used throughout the ojupd of therdpy. An outcome measure is the resutt of a test Ihat is us&J lo detemJA4e the basglina function of a pent at tho beglnnlng of treatrnenL Once treatment has commenced. the same Instrument can be used to delerrrine progress and treatment effiGaGy. At The Movement Centre we use a rarvje of outcome measures eath chosen to provlde valuable Information about tho Indfvldu81 thld. An explanatlon of these Lmrtcome measures is as fDItow8: TARGETED TRAINING oufcoMES AFTER TWENTY-SEVEN YEARS OPERATION At the conclusli)n of tt¥8nty-seven yearfs operallon of The Movement Centre we 8re plsed to be ablo to report thg Outcomes athieved with Taeted Training therapy. In each caso. foilowing assessment, a goal was stated at the outset and the perfod to achiwe the goal was reded. The goals are Selected from the Gross Motor Fun¢tlon mSre, an assessment system familiar to therath. and which provldes Clear d83crfptor8 of each activity1 For conveDb&nce in pr•s8nling resutts, th8 goals are grouped Into skill headlNJs. Each sknll heading includes between four 11 separats wals and a chHd may have gained all or 80me of th888 9)al8. Elghty- three percerrt of set Wore achieved. Thls represents dats from 696 chlldr6n who have comploted or arn parttcipating in 1060 courses ofTargeted Trairwng therapy. A lotal of 2132 goals were set for these djildren. SIAI 520 sp 440 ¥lpJvsavJ 320 280 240 20D 160 120 Page S
THE MOVEMENT CENTRE FOR TARGETED TIIAINING (A Company Ilmlted by guarantee) TRUSTEES. REPORT {CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 Stratsglc rnport (eontlnued) Achlov•m•nts p0rf0mian {¢ontlnwd Tlrn• to 69•1 Athl•v•mirt 25 Z Svjknp SKIS 20 15 wVthghoM aThJ 10 FuD¢tl•n•l Go•b Importantly, all of theBe outcomes have boon racorded wlthtn mod88t Ilme scal88.' the baslc sklll of head control was le¥ed In an averago tlm8 of 18 weaks and sitting at41ty In an averag8 of 22 weeks, The Movent Centre hold$ tho view that Iha$8 a¢hIevemts sre unparallal8d by any Dlh8r therapoutlc approat*. PAEDIATRIC EVALUATION OF DISABILITY INVENTORY RESULTS IN CHILDREN WHO HAVE COMPLETED A COURSE OF TARGEfED TRAINING The Pasdiatrlc Evaluatlon of Dlsabillty Inventory (PEDI)I Is on Intematlon8lly r8cognised validated assessment systom to evaluats thange In a child's abilitie5 Over time and helpful In monitoring the effect of thorapy. tt 1$ administered by a que8ttonnaira to parents I carers In a stw¢tur8d Int8Th18w and Is usod at The Movemenl Centro al the start and the end of a Coufse of Targeted Trainlng for those children who match the crfterfa for use of the PEDI. The section of the PEDI that Is used relates to Funclonal Skills and covers a wld8 range of everyday aGtivile$ Such as transfors. sittjng skllls and walking abilitiés. The hlghar the score, the greater18 chlld's ablllty. The Car8giv8r section also rolates to Functional Skills and Indlcates the amount of as61stan raqulrod from another person, with a hlgher 8¢ore Indl¢ating greater Independence and bss rellance on the Caregiver. All scor&s presented are aled s¢ore8 wlth a range O to 100. The 9coreB ore the mean values of the group of childrèn and show the change h the group over time.. Page 6
THE MOVEMENT CEIURE FOR TARGEfED TRAINING (A wmpany Ilmlted by guarantqè) TRUSTEES. REPORT (CONTINUED) FOR ThE YEAR ENDED 31 DECEMBER 2023 Strat•glc report {eontlnu•d) Athievements and perfOrnian (¢ontknued) Twenty Seven Y•ar Out¢om•$ Pediatric Evaluatlon of Dl$ablllty Inventory 40 Score beforè therapy 30 20 10 Functional Sklll• Careglver Th8 results clearly show an In¢r8ase in Ir6ndence logelheTwith18ss reliance on the Careglver. Th8S8 resulls support the ImprovÈments reLY)rd8d wilh olher ouicome measures In use at The Movement IPEDI Research Group. Department of Rehabililatiun Medicine. New Eng18nd Medical Cenler Hospjtal.
75KIR. 750 WashIngtl Str8eC Bosion. MA 02111-1901
CHAILEY LEVELS OF ABIUTY RESULTS IN CHILDREN WHO HAVE COMPLEfED A COURSE OF TARGETED TRAINING The Challey Levels of Abllty provid8 a means of recording charvJe in poslural abty In children wtlh rnovenpnt disorders and is a validated assesgment tool. Th• mèlhod assesses a child's posture in each of five siti0 - lying suWn8 (faca up). lylng pronè (face down). lioor sitting, box sitting and stan¢kn9. Each of these F)Stur8s has beiween six and eight descriptors with Level 1 belng greatest abnmalIty and asymmetry and the lop levgl or score representing normal. A thild must achieve all of the Gomponents for a level before he or she 8 said to have reached that level. Thus a thild with body area that Is resistant to change will not progr85S to Ihe next levei. The Challey Levels of Ability have en Introduced at The Movement Centre as a means of presenting global infomation at postural improvement achieved vAth Targeted Training. Th8 graph shcAVS 1he level or score achieved at the start and end of a coUe of Targeted TrainirEg therapy and is an averdged Sctxe k)r 811 Ihe Ghildren involved. FKes8nted as a p8r(ntage of the maximum possible %x)re.
THE MOVEMENT CENTRE FOR TARGETED TRAINING (A Company Ilmltsd by guarantee) TRUSTEES. REPORT {CONTINUEDI FOR THEYEAR ENDED 31 DECEMBER 2D23 Strataglc rèport (contlnu•d) Achlevements and perfomiance (continuedl TwÈrttY 5ÈvQrt OL4t£omÈs Chailey Asséssmént 100 El Elefore Taeted Iraining IIAfter Targeted Tralninc 60 5uplne Lying Prone Lying Floor Sitt¢h8 Box Slttlng Standing The r8suIts dearfy show an improvement in all postures. It 15 interesting to note that, althOh the 'upright' posiures of floor sitiing, box sitting and standing improvement as might be expected with Targ9tad Training, there is also improvem8nt In supine and prone tying abilities. Thos8 r8sults support the improvements recorded with oth@r OLrtcome m8asure5 in use at The Movement 1Pountney TE. Mvlcahy CM, Clarke SM. Green EM. The Ch8Mgy Appmach to Posturnl Man8gemenL North Chai*, East Suss8x'. Challey H8ritage Cllnkal Services; 2004. FUNCTIONAL OUTCOME CHANGES WITH TARGETED TFiAINING Over the last fourteen years. The Movement C8ntre has a standardised FunGbon Measure (Gross Motor FUn{On Measure IGMFM-66-IS} ). Thls m8asures thildren's abiliti8s InIng, gting, crawling, standing and walkinglrunning. It 15 most appropriate to revtew these results in relation to the l&vel of Severity of disability of each child and thus a standardised Ability Scale has been used {Gross Molor Function Classification System (GMFCSF)- This classifies the severty of cerebral palsy into five groups where Level I represents children who walk without restrictions through Level V where self-mobility is severely limited even wlth th8 use of a55iStive technology. The results glven are the average chang8s achievgd during a single intervention pericKI lusualty 12 months). Page 8
THE MOVEMENT CENTrE FOR TARGETED TRAINING IA company Ilmltod by gu•ranto0) TRUSTEES. REPORT (coKllNUED) FOR THE YEAR ENDED 31 DECEMBER 2023 Strategle roport (conllnued) Achlevem8nts and performanco (contlnuad) Refee data is availaL4e3 for chlldren v1h cerebral palsy Strng the percenlle change in fvn(aional skNIg b81wean two assessments {12 mnths apart). T18 refvrence dats is based on a child r[vIng oThJoing convenlN)nal physthrapy be1We the iwo assessments. This enables The Movement Centre lo place rewlts ochieved with Targated Training in the conkxt of average developmental pattn or Wiat mlght have been expected conventlonal physlothorapy Inpuv. It Is acknoWged that cautton must be used when Inteling perc£nlJle C4)mparfsons the expected wlthin4hlld variabillty In percntll88 Is substanti81. The Infomiaflon Ihus presented sh(hYs th6 reference data batween assessnnts with 12 months conventional therapy (+1- 1SD> and results of childr8n with cetebral palsy who have rethived Targgted Tralnlng (+1- 1SD). A ts15e of Targeted TJEining is on average 12 months long ond results for children atteTrJlng Th8 Movement Centr• thu$ span thls Inl8Nal. The Functron MeawJr8 and AtAIty Scale2 are valid8ted rneasur88 for thildren vthlh cerebral p818y. Some children attending Tho Movement Centre do not have a formal diagnosis of cerebrnl palsy but nevethele5S wesent wlih very MIlar movern8nt problerns. th81r results are here preted separately but show a marked sirrilarity lo tlb)8e for c41ildren with cerebral palsy. It Can be seen that, for tha majority of children and partipjlarly those mcfe severe disability. results achieved ryth Targeted Train dearly exad wh8t might have been expected wilh ongcing centional physiotherapy inpul especially for those chldr8n more Severety affect {calegories 111-V). Sin(8 tha Funclion Measure is relativety Introduced to The Movement Centre. it is acloN)wledged that numb8TS ramaln small at this time. As b8 seen. a spread of +vo 8nd -ve results would usually be anticipated in any given population. However. thg resums a()iev] with Torgeted Tralnlng teThJ towards +ve shcwlng that Targeted TralnlThJ elther alone c in coMbInaOn 1th c4ThientionaT physiotherapy gives marked 'added value.. resutts pothyed beltyw represent only the dats from the first UryJe of Targgtfjd Tralnlng for eat djild. Data is available for those thlldren who contlnued on to further cours88 and while the nwnbers are relatlvoty small these results conilnua to demonstrate chaThJe especlally for Ihoge chIldn more severely affected. In GMFCS levels 111- V on9olng change Is seen over and above th& expected chango noted In Canchlld's puillshgd data. Page g
THE MOVEMENT CENTRE FOR TARGETED TRAINING (A company Ilmlted by guarnnt••) TRUSTE REPORT {CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 Strateglc report Icontlnued) Achlevgments and perfomiance (contlnuod LE1 I Le%EI Iv Le1 Y 50 40 20 8 10 -10 11 |1144m -20 Ng.DfTMC<h114r 46 23 3E 17 nchlkl rtfereice d1[11 m0rlth5tvfv•ts0ftè] thapY l5se55rntrrtsI IHJMI et &12DQ81 Tmechldren wlth ceTebMI pèWIL2 moDthsThr£etedTralThl bets%*en asstssmeAts) (JthvTMCcfrlWreD 112 mcn',F67w8etedT¥plnirqbctsYeeD t65255rnerktsl Thè Movernenl Centre hold$ Ihe vlow that these achievements a unparalleled by any other th8rapeutl¢ approach. Russell DJ, Avery LM, Waller SD, Hanna SE, Bartlett DJ, Ros8nbaum PL, Palisano RJ, Gortpr JW. Development and Yalidation of Item sets to improve effiGi8ncy of the 66-item Gross Motor Fundon Measure in children with c8rebral palsy. Dev Med Child Neurol 2009: 52; e48-e54, 2 Morris C, Bartlett D. Gross Motor Function ClassifiGatlon System.. Impact and utility. Dev Med Child N8uml 2004.. 46: 60-65. 3 Hanna SE. Bartlett DJ, Rivard LM, Russell DJ. Reference CuNe5 for the Gros5 Motor Function Measure: Percentiles for Clinical Descrfption and Tracking Qver Time Among Children With Cerebral Palsy. Physlcal 7h8rapy 2008; 88.'596-607. We gratefvlly acknowledge use of the tabulated referen(t percentiles.. Hanna SE. Bard8tt DJ, Rivard LM. Russell DJ. Tabulated reference percentil8s for th8 GMFM46 Gross Motor Function Measure for use wth chIldn havlng cerebral palsy, April 2008, available al %www.canchild.ca. Page 10
THE MOVEMENT CENTRE FOR TARGETED TRAININO (A Gonwny Ilmlted by guaran1••) TRUSTEES. REPORT (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 8trateglc r•port l¢ontlnu•d) A¢hleVomts and porlomian¢è {¢ontlnu¢d) SEGMENTAL ASSESSMENT OF TRUNK ¢oKfROL (SAT¢o) RESULTS IN CHILDREN WHO HAVE COMPLETEDA COURSE OF TARGETED TRAINING Tnjnk or'm. (x)ntrd is rec#wl8ed as a vftal ccmpon8nt of overall control of poslure. The SATCo1 assesses trunk o)ntrol by considering the many subunlts that must be coordthated to 8chi8ve c¥ntrol when slttlrvJ and inc1oS tests of 5tstic (stsady state). actlve (or 8¢1pat0ry} and reactlv6 control {malntalning or regalning trunk control following a threat to balance, projuced by a brlsk nudge>. Thè SATCO tests the chlld's trunk control as the evaluator progressivety Changes the level of trunk supK¥xt from a htgh level ol support at the 51wJulder girdJ8 to assess ceN11 (head) control. thrOh 8UPPOrt at the 8xlllae (upw trKraclc control), scawla {mid thordcic ciJntrol}, lower ribs (lower thoradc ntrol). bel rib8 (upper lumbar txntrol). pelvls (lower lumbar control), and finalty, no support, In order to mea$ur& full trunk control. The SATCO is a validatèd tsst that is intemationalSy re¢crsed. The graphs show the level or 8¢ore achleved at the start and end of the fir Urse of Targeted Trainin9 Iher8py and are averaged scor88 for all the chIldn involvgd. In ordgr to mak8 the results more meanlngful. they e psented a)rdIng to a standardise(l Abilty Scale {GrDSB Motor Fun¢tlon Classification System (GMFCSF). st*ie Control ed F 7Mk thnlol CI wCf•TWÈdT[ 111 MwT¥gthdTRirirg LuwF -Illllllln i¥ AIMlity LeA$(GhF(S) In second Bnd sub98quent rxjurseg. tharwJ8s aro mor8 likely sèén in th8 more severely dlsabled thlldran slnce tha more abla ¢hlldren have 81ready secured their trunk control. In GMFCS levels IV arKI V a further improvement in ntrol of one segm1 level vms arjbieved. Pag8 11
THE MOVEMENT CENTrE FOR TARGETED TRAINING {A ¢on4)any Ilmlt8d by guaranttt) TRUSTE REPORT (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 Strat•gl¢ roport (contlnued A¢hl•vements and perfomiance (c0nUnu) Aetiw contr ¥•d Tnthrf IAaMin¢ Tk thr TYs4t4dTAvir4 l1Th)nl 4 A)WLa[el¥&FCS> Rèa¢llv• Cortrgj L<wr Tr¢rn lit¥ L1$(G¢s) Th8 results cl88rfy show at) Improvement in trunk control across all Ability Level and this provide5 a b*is for prreSS in functional aetivilies, These results support the improvements recorded with outcome measures In Use at The Movement Centre. Butter PB. Saavedra S, Sofranac M, JarySs SE. Wcdlacott MH. Refinement, reliability and validity of the Segmental Assessment ofTrunk Control. P8dlatr Phys Ther 2010: 22.'1-13. 2 MO1$ C, Bartlett D. Gross Motor Function Cla5sffication System.. impact and utllity. Dev Med Chlld Neurol 2004: 46: 6045. Page 12
THE MOVEMENT CENTRE FOR TAR13EfED TRAINING (A cornpany Ilmltsd by guarantm) TRUSTEES. REPORT (copillNUED) FOR THE YEAR ENDED 31 DECEMBER 2023 8tralogl¢ r•port {contlnu•d) AChlovonts and perfr•mian¢e (¢ontlnu JAXSON 'S STORY. Jaxson's Journey- from standlng to $tepplng In(pend Our thlldren thayB amaze u8 with the effort and detenninatton they apply to improwng their quallty of lifo through our Targ8ted Trdining programme at The Movement harè In 05westy- som8th1ry vthlch ean 0Y be athigvod with tho ongoiThJ I40, support •MI commitment ol their families, Jaxson vms 3 r9 and 2 month$ old whon his parerts 8elfwreferred him to The Movemont Centre. Joxwn has a dlagrKtsi8 of DON Syndroma, and h1$ mov•ment develcynent was delayed. Ha could get Into a fournt pc¢ttton and w88 $tandlng for short P9ri0d8, bLrt th a lot of wpporL When 8ss8ssed at The Movement Cèntr8. Jaxson was found to hwe probl8ms wtth l¥s movemant ntr. Jaxson was suppliod wilh a stsNllng fram8 wllh Buppryt at level to ojnsdidate hls Injnk control. A rocklng base was added to thalenge his reactEve Control Jaxson went home wllh his frame and a prc*Jramme for hls Targeted TraInI Therapy. Jaxson was r4utred to do at least 30 mins h8fKls readling In the frame every day to strengthen IM$ core. By the tkne Jaxson (¥me for hls flrst revithv 2 rnnths later could toll hard he had been worklng. He wa5 Wng forward wtth two hands held and wa8 cruising alTr¥J fumiture. srnashlng hls Inltial goals and as well as r)ow being able to walk for short dl8tsnce$ witri his Nimbo walker. [Je to hls increased level ol control tr supporton the standlng frama was bworad. Page 13
THE MOVEMENT CENTRE FOR TARGEfED TRAINING IA compary Ilrnlted by guarnnto8) TRUSTEE8' REPORT ICONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 Stratsgk report (¢ontlnu•d) AAhl•v•monts and porformance (CoTrtlnu) Fast h)rward anoth8r 2 months, at his next revlew Jaxson's conl]don¢e had Incr8ased and was now beglnning to cntse betWn ple¢es of lumlturo and was slartlng to do a Ixjuplo of step8 wlth ong hand held. The pelvic strap on Ihe stsndhg fram8 was removed and J&¥son wa8 n(Y•V just being supported at his knées valh a flat support at Ihè badL AÉ h18 next r8view Jaxson was sllll marwj prograss and was now walklng at least 10 stèps with one hand held. The Fryress that Jaxson has made has had such an Impact on himself and hk8 family. HIS Mum Clare sald 'Jaxson was $howlng a lot of frustration al not being able to mobile like h55 peerg ol nursery.11 was also havlng an impacl on both min8 and hls dad's backs as we wwe neodlng to carry hlm from A to B, but he has walked up to 200 metrgs ind8pendenty. He's able to get Nms8lf In and out of Chairs, 11,8 meant wo don't need to cary hlm as much, he's happy to walk hotding hands and 15 strv)wing much less frustralon.. It been Iwe thanglng. Tho cours• ga Jaxson the 4xxffidenrA to take tho89 first steps and the pride on his face oach tlme ha walk8 by hlm58lf Is 100% worth It. Pa 14
THE MOVEhEpif CEIURE FOR TAROEfED TRAINING (A company limitod by gwrantse) TRUSTEES. REPORT (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 8tratsgk r•port {contlnu•d) Achlevements and rf0mlan¢a (contlnued) Fa¢lopJ rnlwant to aehiwo objoctfve• R•s•areh and Dwelopment Th8 Mov8m8rtt C8ntrg for Targeted Tralrkng has a ¢))mmltsnent to research and development that supports our work. Indeed, we havè provided f8edbad( to Lecey aThl R82 on the techn11 5Ceall0n$ ofth8ir frames va also foryed an 2111ance vAth P410 Famlly, bthlch 1800 TMC benth t8St the 88naory toy8 that they aro developing. T•achkng •nd R•l•lng Aw•r•noS8 We attended Kldz to Adullz avénts In 2023. spreadlng awarene88 of our lantastlc worK and look ft)Thvard to attènd1 agaln In 2024 and catchlng up wlth oth•rorgan18akns. The Mov8m8nt Centra h88 Mgular contaca wlth K•g1o Unlver81ty and offar8 the oppnIty to wovidg dinieal swiervr8ion tor phy81othar8py students. W¢xk experi¢0 for students attond]ng 5th0018 In local area. Communlcallong One of our ¢ontiNed main objectives 1$ to inr¥ease our Impact. One of the ways In wNc we aim to aGhl8ve thts Is ty provldlng Targeted Tralnlng thuapy at The Movement Centre to a greater number of children. To rneel thls objective, CtInUe to devdop our communlcations strategy. As wel as delfrrferlr¥J ow key messages to cllnlcal audlerres wo are aware that we need to erwre that thls Infornon Is shared more widely, to th end, we have recrulted a now markellng and fundraisu)g assislant to worf( in4USe on lundraising events and to Irjr0¥8 our presenc*1 on lh8 prfm8ry soclal medla plattm such 85 FacebooK Unkedln. Timlter and Instwm. Page 15
THE MOVEMENT CENTRE FOR TARGETED TRAININQ (A company Ilmltsd by guaranto8) TRUSTEES. REPORT (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 strateglc report (continuad) AGhlevements and perfornMnce l¢ontinu?d Enhancing our service5 In line wilh our aim5 and objactlves we continually work toward8 further developing and enhancing our services. Our Annual Palient SuTvey en8bles us to gain fobaCK We are pleased to report that 85°/o of tFw)se vh compteted the suNey sald thelr experience at The Movemenl Centr8 had been excellent and 11xI•A said that trJ8y would recommend The Movement Centre. On th8 SUNey we inviled families to descrfbe thelr experlenc& at The Movement Cgntre. Here are just a few of the MMants from our famif18S. Patknt Sumy Quotes 2023 'It's good. Th8y help me with st8nding and walking." Ollver. aged 6. 'Fred Iov8d his SesOnS at The Mov8ment Cgntm, Iharo was 8lw8ys plgnty ol a¢tivill•s and toys to tIvate him to progtsss°_ Anonymous Wery frfendly. useful ideas for eXeseS at home to support Z. Reports after evory Sess1( were Infonnatlve. Zs core Stryth has developed trendoUslY since stajtlng the cours8, we are reallypl8ase wilh his pmgre88 nd hopp il wntinu&s.' °Jud& has mad8 grgat progmss thmughoul his targeted tralnlng progTrmmg and has allY impressed us wlth wh8fhe has been able to 8chlewe.° e Movement Centm has b88n lantastic for H4>ldfvLou. Heidi-Lou h8d SDR in Feb 22 and T8rg8ted Tralning has been amazing helping to achieve heroutcome&° .1 would hlghly recommand Thg Movemwt Centre to fami118s In ourpoSOn. Wg Jove The Movement Centre." "Simple and eff8ctlve, thscwllne & conslstancy ar8 the key andpmgrnss will bg m8del I would reGommend The Movement Centre unresenwthy.. °Arch'S balance, core strangth and Gonlrol has improv8d considerably. He is also mu¢h rn0 wnfjdent ar happier due to bging18ss fmstrateLI. Taking steps and getting him and walklng was ourmaln alm whlch he has achievedl Ho 11 definllely miss comingl. Fn)m the very flrst phone call we re1V6d our experience was amazlng, we were made to feel welwme, and Jaxson had fun at each session." he Inftlal assessment Was Very flwough, and we were gwan all tha infomjation needed. It W8s g£X to be talked thmugh th• stsnding fram8 and for Jaxson to be able lo have a look at It before he was supplled wllh one. ' 'Thank you so much for your support, kn'ndn8SS and care ftjr the whole year. Our whole family so thankful thal we meet suoh 8 pnssiOnal &nd caru7g tsam. The sernice and st8nder trnly make a dpffgr8nce to Jofhan's development. Its so uplifting lo see Jothan Ilftlng hls head fim71y while he is on th8 St8nder. Pag8 16
THE MOVEMENT CENTRE FOR TARGEfED TRAININO (A company frnltad by guBrnntso) TrUSTEES' REFRT (CONTINUED) FOR THE YEAR ENDED 31 DECE&IBER 2023 Stratrylc r•port (conllnuod) Achlevemonts and perfomwiu {eontlnuod) Th8 NeY 8180 prnv&led us vAth Vaable Infwmth hw ow servlces could be further improved It Is OW8lm to cmtlnue to Impnwe upon the 5ervlce we provlde. Intogratod senwry ltsms Into our assessments at Tho Mov•m•nt C•ntr• WPon 2 chlld has a brain iiyury. thay ¥e unabl6 to pèrtefva the wortd as ¢)tsr5 do. se integrauon helps Iwild a framework to evle chlldren to propety penxive sensory inpuL IncAHllng movam8nt In 2019 sensory equipTrnt had bene fully a part of our 8ssesmts at The Movement Centr& Sen80ry items c¥8at8 a ¢almlng 8nvlrnnmont fty our chlldren 88 well a8 pla a part In Targeted Tralnlw pradF8e at as5essmerts. Th8 safety of ourfamllles and staff Is our prlmary ¢¢)n¢em therefore we havo put in place mulUp16 moasures to make TMC as safe as posslble 80 that Itls 'Covld ¢ompllanf. Sadty. thls Intsmal rèvlow determined that much of th• equllment such as th8 sen80ry eqUInI had to be 'mothb811od untll tt Is safe to rn5urn8 norrrnl 8ctiviti8s. In adlliOn, have Wans to build a Yarnlty facllity. which win provlde 8cffne personal Space for th6 famitywhen Ihey arrf¥e and before they deparL and wo alm to luNy Incorpcrate the $ensory equipment into that faclllty this Maxim1 the visit experien. Our aclivlty packs aro for cthlldran who ar8 r1¥In9 Targeted Tratnlr¥J therapy at Tho Movement Centr8. Théy Include acllvlty sheets for chiklren. tsllored for Imr level of ablllty. Targetsd Tranlng therapy Involves the ttlldren belrvJ Sup[ed by a starKliw fmme. allowing them to reath In all dlrections. whNJ havlng an uprwt pcstura Havlng more Internctive and rygiig equlpment makes the therapy even more enjoyable for the ¢hRdron WKI, by keep[ them activo. incrnases the pthntl81 for each thlhl to make prograss. A8 Tarpted TralnirwJ therapy aho takes placa daily in the hom9, it i& importarbt that wo C? wport famlll86 arxl help them to eryage the chlld In thelr acllvlty sesslons. Dalty praclice Is 8s5entlal and gettvig the chl eroaged arKI enwuraglng them to reach durlr•J Iho each thelr 8eS8hj and appolntmants 18 an extremely Important part of the therapy. Ghlldren re8Fnd best If they aro knter86ted In 8omethkng, $0 we ¢an use thelr Inlerests As a basis fortheir TaTg8t8d Tralnlng therapy actfvlty path. We bellevo Ihat by enhandng the therapy s810r chlbjren have an even better chance of rea¢hirwJ theirfull potsnllal. Paga 17
THE MOVEMENT CENTRE FOR TARGEfED TRAINING (A cofflpany Imft•d by guarant••) TRUSTEES. REPORT (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 Strateglc rnport (Connu•d} AGhlmm•nts and perfprnmnu (contlnued) c. Fundralglng advltleg and InGom• g•noratlon NHS Flnandol Support Historicatly. The Movement Centre has treated patients referred by thè NHS, and In some cases funded by the NHS. Unfortunatety. thls prdctice Ceased In 2019. Since thon, much work has been undertaken to 8ngage with the key d8clslon makers in Ihe local NHS structure to determine how fundlng m8ybe released to support the treatrnent we provide. What was dear was that we needed to {1) have our resulls peer revlgwed and (2) u50 Ihe tr reviaw to gel registered with National Institrjte for Hoalth and Care Excellence INICEI. We have now Wun a search to find 8 prominent clinician to D)nduct the resparch roqulred io have the results peer reviewed. Ralslng Fund8 Fundralslng feport 2023 Th8 yoar 2023 maTked $[gnIfint fflilestones and achievements for Th Movement Centre. As we reflect on Ihe past year, we are exclted to share our successes and look foNMrd to new opportunities in 2024. Desplte the challenges in fundraising, The Movement Centre has bew fortunate to receive incrgdible support in 2023, enhandng our connections and fosteri new latIOnshIpS. Ongoing support and funding from trusts and foundations, corporala partn8rs. communlty groups and indiwduals has had a profound Impact on the families atteTrJing our centre in 2023. The Movement Centre now offers physlotherapy treatmentfree ot tharge to all ellglble chlklren and their famllles. thanks to funds thal we raise through ]r orwoing programme of aclNltie8. corwrate partneTr and generous donatlons from tfU5ts and foundations. Page 18
THE MOVEMENT CEpifRE FOR TARGEfED TRAININO (A comp•ny 11mll by guardntso) TRUSTEES, REPORT (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 Strattyl¢ rnport (contlnuod) Achlov•m•nts and p•rfornxnca (eonllnued We made the deu¥kJn to c•ver the entlre cost to 8lleviate the bwdens faced by thésè famlll8s, alltrmng us kj 6UFPOrt aven more ehlldren. Highlights from the year inc4ude an incredible Snowdon Sunrfse with 8om8 of our corFA)rat• support8r the A famlly funday whlch took piace In the OurlS of Iha beautiful Brynnatt Estate and an evenlng vAth Loulse Minchin. a extremely well attended event with thls popularNJumallst and nows pr8Èenter. Wè al¥0 had a lot of 8UPPOrt from Indlvlduals takng ohallenges to ral8e funds, whlch Indud•d wunnlng 10k or hatrmarathon, qnd evgn divlng th sharks. Movem)t Centré wa8 deughtsd to recdve 8UPPOrt from m& amazlng Irtts and 1Jndatlorts, Organlsattons offering arts m&ke up around SO% of our IncTh 8Vary year. and thui Ihem WOLdd ncl be abla to ntInUe. We wer6 very to be chosen &5 of the charftles to rec8lvo supwrt from BBC Chil(ken in Need In 2023. We also recelved lundlng from st James pla and Sobell Foundotlon to name a low. Pledged amunts, whlch we wlll receSve In 2024 also Indude funds donated by Nallonal Lottery and Morrisons Foundauon. We we to Kyk wlth all of the tnr¥ts and Foundatlons mentioned ak)vg plus many oth amaJng oryanlsations. Th8 swjport recelved from Corpornte In 213 irnxo8s•J signifirrrfy. gnd vm aro dpmghtsd th8t some ofthem wlll bejoining us again in 2024 fan exciting year of fundralslry. We 8xt8nd our hafirtlett thank8 to all our gUPkX)rtor8 and eagerfy anlldpat8 ntInUed CDllabryallon In 2024. Page 19
THE MOVEMENT CENTRE FOR TARGETED TRAINING {A company Nmlted by guarante•) TRUSTEES. REPORT (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 Strat•gl¢ rnport (conllnu•d) Achlèv•m•nt• and p•rfornian¢e <¢ontlnugd) Some of our famllleB on&8 agaln attendgd Chastsr Zoo Dreamnlght, 1¢h 16 an amazlng 8xpor*nc8 we are prd to be to offer, thanks to Chester Zoo thomselves. We akn aiianded Kidz to Adultz Exhibltion$ alltréArKJ us to conne¢t wth both exIsrj and kn11188. eadlng awarene$$ of our Impaclfvl wor Tho slgnfficant Impact of the fundralsed Income this yew Targotsd TrainiThJ has been Instrumenlal in brlngtng ab(xrt remarkable thanges for thSldren. It empowers Ihem to altaln head control. fostering meaningful Intsractions wlth thelr families. Furthemiore. the therapy aids In the development of skills assential for sitting unalded. facilitating playtima wlth friends. In certain Cases. it has even led to the abilty to walk. enhandng overall independen. These achievements. both big and small, exert a profound Inlluence on Ihe lives of th6s6 ¢hlldran. The h8lghten8d control over movement translates Into improved r1¢nal skllls and greater ind8ponden. Lwknng ahead to 2024 As WJ mové into 2024, The Movement Centre Is poised for further 8ucce85. Wo have some amazing new events planned ch a8 our first aver Gala Ball, an ab58il at Anfield Stadium and some of OL¢r annual events VAII be ba Our programme of ovents for the comlng year 18 1Tr)Te 8mbltiw$ than evér, wlth a wlder range of activitses than everbefore providing Spe for as many people a8 possible to ggt involved. We akn antlclpate bulldlng new and existing partnership5. and. most Wportantly1 incroaging the nurnrs of children attendiryJ The Mov8m8nt Centre. Page 20
THE MOVEMENT CENTRE FOR TARGEfED IRAINING (A company Ilmlthd by guarnntoe) TRUSTEES. REPORT (CONIINUED) FOR THE YEAR ENDED 310ECEMBER 2023 Stral•Blc report (conllnuod> Achlovemgnts and perfomianco (Conlinuod) d. Fuiuro Dov¢lopm•nts A very watchful eye vrns kept on our financlal posiilon throughout the yaar and tha strategy was adJust8d accordlrKJly. To build on our ¢uryent position and to rinUe to offer Targelad Tralnlng free of clwg8 Is our goal for 2024. Our aims for the next 12 monthB: Increase our Impact by provkllng Targeted Tralnlng therapy to a greater nurnr of children at The Movement Centre: Develop our mafketing to ereate further awareness ofTargeted Trnining Iherapy. Create firture partnerships arKI link5 With otherorgenigatw)ns to cr8ate further awareness of our work. Devdop rdallonshlp8 Wtth other pmvlders in the CeretrK81 Palsy arnna and the wlder 8pe(xal nwJ$ fratemity. Reduca our iisks: Grow our fundr8lsiThJ and aim to minimlse rlsks through tteatin9 a more robust and sustslnable fundlng model. Decrease our rellance on the use of rental frames from the hospital 8nd where posslble maxirnise the use of the frames that we hav8 purchasad ourselv6& To alm to traln addltional physiott)erapy support to h81p treat the maximum numbers of chlldren. Ccntlnue to ènhanc our services so that families re4Ve the best FsSIbl8 8xpèrienc8: Develop oura¢tMty pacs wllh a greater range of sen80ry Items 8nd equlpm8nt. Inv85ti9ate the possibility to develop an app to help support our famllles Ihrough thelr Targeted Training journey and th8rr fdraising efforts. ConiiThJe evaluation arKI possible adoption of a new standlng frame Ihal ran be used in Targeted Tralning thorapy. Seek funding to develop a dedlcated lamlly space at th8 contra. To dev8lop long te strat8glès for a dedicated TMC bulldlng. We are looking to recruit a part time CEO will help The Movement Centre 88 we move foNrard into 2024. and will look al a stratsgy lor growth 8$ wa broaden our rea¢h wlthin lh8 wldor ¢ommunlty. Financial review . Golng ¢on¢•rn After fOrnllY reviewiw fjnancial for8casting 8t The Movement Centra's Annual General M8etlng. th• TrustO0S havg a reasonable expectaflon that the charitat48 company has adequats r8sour¢e8 to continue in operatIC existence for the next 12 months and the foreseeable future. TINS is recorded in the mlnutes of the meeting. For thls reasm. they conlinue to adopt the golng conGem basis in weparfng1he finanoal Slatements. Page 21
THE MOVEMENT CENTRE FOR TARGETED TRAININO (A company Ilmltsd by guarantee) TRUSTEES. REpoi¥r (copiriNUED) FOR THE YEAR ENDED 31 DECEMBER 2023 b. Financial revlew Tho number of famllles ¢ontsoting Tho MOvemt ctre continues to grow. Flnancially, we are In a bett8r position than anllcipated following the declslon to offer fr&e treatment In October 2022. The fundraislng team continue to Succeed in gaining finandal support from Trusts. Organi$atlon$ and organlsed ev9nt& We have increased staff numbers to facilitate this. The CEO has WDrk&d dosely wlh Ihe Board of TNslees to ensure that they were k8pt up lo speed wilh regular report providing an overview of the activity and the latest financial position, and the tnjstees moet regularly to monltor the financial situation. Incom The total Income from 19t January 2023 to 31¢1 December 2023 was £214.740. Our key activities conslsted ot. Donation5 & volunlary incom8 0th8r Income £149,760 £63.541 Expenditure Tha total expenditure for the period was £235,207. This consisted ot. Ralslng voluntary fund5 Charltable activities £60.798 £174,409 Reserves At the perfod end tolal funds stood at £88.254 {2022: £108,721} and free re88rv88 W8rn £52,927 {2022: £82,687). Thlg is lower than the Ilm set by tho trustees a$ stated in our reserveg policy. c. Poli¢l¢s A schedule of poliaes is malntalned poliGies revlewed on a rolling bas18 8nd approved by the relevant TFUStees. d. Malerfal Investm•nts pollcy The Trustees retain the power to d8clde our Investmerrt $trate9y. and any inveslmenls would remaln In Ilne wilh the Charty Commission guid8nce. The Movement Centr8 d(*$ not currently havo any avallable funds to invest, however if the sltuatlon were to change. the Trustees would refer to thg current inv8stmenl wll¢y whlch Is reviewed annually. Page 22
THE MOVEMENT CENTRE FOR TARGEfED TRAININO (A eompany Ilmltèd by Ynt0) TRUSTEES, REPORT (COTrtllNUED) FOR THE YEAR ENDED 31 DECEMBER 2023 e. Reserves poll¢y The Movement Centre has reviewed tha need to hold rp5erves. havlng taken aGcount of the guldan¢8 issugd by the Charity CommIssn. Reserves must be vnreslricted funds. whlth are avallabla to speThl tharitys pUSe$. End0v1 and restricted funds. fixed assets and deskJnated res8Nas cannot b8 con8idered a5 part of the Reserv8s Poficy. Thg Movement Centre provhYe8 Tarwed Training IrapY to children wilh a dtsabli ity that affects thelr movem8nt ntrOl. Eath Cou8 w be of up to twelv8 months duratton. We rdy on vduntary income to be able to dellver our services and believe that it is vital Ihat Contlnulty of service dalivery should be malntalned to all Ihose enrolled for treatment To make a judgTngnt on the am()unt of r8saNe the Trustees havg Gonsiderad: Thg r18ks In raspact of e>pendlture and unrestrteted and rerf¢ted Income. The Impad of any long-tenn 8bsence a key member of staff. kny extemal Identifled potential major risks to income and expendllurn durfng tr year. The Treasuw 9red that the Bc¢rd was kept luty brfofed durlng the per40d. Tho levol of rosorves set by the Board for the ar Is £77.000. The Trustees are aware that the level of free reserves at year end has fallen below the target Iwel has not been achieved th18 year and are actlvely working to source mora fundlng. As statsd in thé Going Con¢8m note. the Trustees are o)nftdent that they hav adequate re50ur¢e to continue in operation818xist8nce for the next 12 months. Chang8s made to our fun ralslrKJ advlty have18d to a posltive trend in our cash bala8 Sin Thdd.2023 and the trend corrtknues In 2024. We expect to reath our tsrget wlthln 2024. f. Rlsk managemgnt In accordance with our Risk Man8gement PoFty, the Trustee5 have o)nsidered the major risks to whlth the charity is exposed and have reviewed those Asks and established systen> and proc£dures to manage those Th& Movament Centre employs the Vldely used method of maintaining a risk register which Is reviewed monthly by staff and quarterfy by Truste8s. The reglth trthltors strategk and management. financial. and operalional rlsks arKI ableS a sophlsttcated approaL to prlcKltls]ng areas for ramedial action ar strengthens The Movemgnt Centre's atternpts to thal with problams b8for8 arise. struGture¥ governance and rnanagèmenl a. Constilution The Movement Centre for Targeted Training is a ch8rilable anY limited by guarants8. inCrpOrated on 12th Docemb8r 1999 and repi$i8r8d as a charity at the same date. The company was estabShed under a Memorandum of Assoclatlon. which estthished the objects and power5 of the (aritable comwy and is 9)vemed under its Artides of Assoaalion. The Movement Centre is the working name ofthe ¢harty. Pagè 23
THE MOVEMENT CENTRE FOR TARGETED TRAINING (A ¢ompany Ilmlted by guarante8} TRUSTEES, REPORT (coKfiNUED) FOR THE YEAR ENDED 31 DECEMBER 2023 structure, govemance and management {¢ontinued) Methods of appointment or electlon of Trust¢•s The Trustees, skill set wre5ents he811hcare. physiothetapy. disability, markeung. finance and a(unting. manogement, governan and data protection. An annual skills analysis ensures the Trustees offer a suttable range of knowledge and 5kilLs to supwrt the tharity. Where a skills gap is idenlified we Seek Trustees to bridge this 9ap. The Movement Centre has a wlicy for trustee recNitinent 8nd induction arvj keeps a Register of Inlerost whith is available on request. Eath year at the Annual General Meeting one third of the Tnjstees are required to reUre by rotstion. All Trustees are notified prfor to the AnNal General MeetiThJ advising iham of th8 retirfng Tntstees and requestlTrJ nominallons. Th8 Trustè8s may appoint a person who is willing to act to be a Trustee, ellher to fill a va(¥n¢y or 88 an 8ddith)nal Trustee. The Movement Centre recognlses that an 8ff8Ctlve Board of Trustees Is esserrtFal Ifthe ¢harlty Is to a¢hteve Its obj8clfves. Th8 Board rn$1 s8ek to be diverse and have represenlalives who refled the people vAth whom the dwity Wcks. The Board must have avallable to it all of the knowledge and skills requir&J to wn the dlarlty. Individual Tmstees must have suffidant knth8dge, both of Trusteeship in general and of The Movement Cenlre's actlvlt18S. to 8nabl8 th8m to w out their role and to represent The Movement Centre at meetings and other events. The Trustees must wure that they retain overall responsibility and control of the Trustee reGnJilmenL selelOn and induction pro$. The skills of the Trus18es must be matched to those required to maximise the effectbveness of The Movement Cenire. All Tru5tBB positions are voluntary and unpaid. Although reasonable out of pocket 8xpen8e8 can be cov8red. it Is usual praGtiGe for TMC tru5te8$ not to ctaim expenses unless exceptiDnal. As part of their dUOn. newly appointed Trustees are Invtted to attend clinical sessions at Thg Movement Centre 50 that they Gan familiarise themselves with the wotk of the txganIsat. New Trustees are provlded with all the infoation required to familiarise themgelves with their legal responsibilities and if felt necessary, will 1Ve exiemal trainiTrJ to fulty understsnd. They are given 8n overvlew of the annual report and accounts and flow of operations from the CEO. They will also meet with 811 staff and are given a specthc overview on fundraising. . Organlgallonal structure and doGlsion-maklng policies Board of Truste8s is responsible for the overall diredion of the charlty. pol18$ and legal ¢omplian¢e and they support the operational team. Truste& indemnty Insurance Is Included In r Insurance lIty. The Movement C8ntre follows all of the reGommendatiffi$ In Ihg new Charity Govemance Code, ld} wa6 publlshod in July 2017. Pa98 24
THE MOVEMENT CENTRE FOR TARGEfED TRAINING (A company Ilmlted by guarant••) TRUSTEES. REPORT (COtrmNUED) FOR THE YEAR ENDED 31 DECEMBER 2023 Structurot governance and management (continued) d. Financial risk management The Truste88 have asse88ed th8 Ma risks io which Ihe Chafftable Company is exposed, in particular those related to Ihe operations and finan of Ihe Charitable Company, and are salisfied that systems arKI procedures are in place to mhigate exposure to the major risks. In acLxYdance with our Risk manageMt P(Aicy, the Trust*5 have considered the major risks to which the Chatitable Company Is exposed and have feviewed risks and established systems and procedures to manage those riBk8. The Movement Centre employs the widely used method of maintaining a rtsk register vthich is reviewed monthly by stsff and quarterly by TNstees. The register mrmitors strategrc and management. fflnancial, and operational ii8ks and enables a sophisticated approach to prioritising areas for remedial actton and strengtheng The MovemEnt Centre's ettempts lo deal vAth problerrffj before they arlse. Statsm•nt of Tru¥t•o9' respon$lblllU•$ The Twstees {wl)o aro also the direthr5 of the Charitable Company for Ihe pulposes of corryany law} are responslbie for preparing the Trustees. repcrfi Indudlng tho Strateglc report and th8 financlal stsiements in aLwrdance with appllcablo law and United lfjngdom A¢i>Junting Standards (United Ktngdom Generaly Acc8pted Accounting Pradic8}. Company law requIS Iha Truslees lo prepare financjal statements for eath financial period, Under Gornpany law. thè Trustees must not approve the flnanctal staternts unless they are satlsfi8d that they glv8 a truè and fair v16w of th& stat8 01 affalrs of thè Charftsble Ccffipany and of Its Inwming resour and applicaton of r850urces. including its Incom6 and expenditure, for that perfod. In pr•parfng those finandal $t8tsm8nts, th8 Trustees are requir8d trj select suitable acccNntlng pollcles and then apply tham conslstenty: obsgrve the methods and principles of the Charities SORP (FRS 102). make judgments and ac0)rting estimates Ihat arB reasonable and pruderrt.. slate whether applirable UK AcUntIng Standards (FRS 102) have been follow8d. SLJect to any material departures disdosed and explalned In the finandol statements: prepare the an(la1 statsments on Ihe golng conwn unless It Is Inappropriate to wesume that the Ch8rltat4e CAJmpany will Gontinue in business. The Trnslees are responslble for keeplng adequate accounting records that are sufficient to show and explaln the Cknrftable CompanYs transaction8 and d15cIDse wllh re8sonabl8 8ccuracy at any the ffinanclal posltlon ofthe Ctbgritable CoMpY and enabl8 them to ensure Ihat the financial statements cornF4y the Companlas Act 26. They are also reS)nsible for safeguarding the assets of the Challtable Company and hence for tsking reasonable steps for the prevenoon and detection offraud and other iThegularities. pproved by order of the members of the board of Truste&s $lgned on thelr behalf by: aiewood Chair of Trustees Date: 12June 2024 Pagg 25
THE MOVEMENT CENTRE FOR TARQETED TrAINING (A company Ilmlted by guarant••) INDEPENDENT EXAMINER? REPORT FOR THE YEAR ENDED 31 DECEMBER 2023 Indopendent Examlnerfs Report to the Truse•s of Tho Movement C•ntr• ForTargotod Tralnlng Cthe Charilablo Company) I report to the ¢harlty Trnstse8 on my examinati of tho accounts of the Charitable Company for Ihe year er8 31 De¢xrnr 2023. Rasponslbllltles and Basls of R•port thè Trustees of the Chitable Company (and Its deOrS for the purposes of company law) you arè resFKJnSIb for thè preparation of the accoLmts in accordan with the requirements of the Companies Act 26 {'the 2006 Act.). Having sadsfied myself that the auGounts of th6 Gharitable Company we Th)t UlTrd to be audited under Part 16 of the 2006 Act and eltgiblo for indepermlent examination. I report in resF*Ct of my examination of th8 Charitsble Companrfs a{Xnts earrtad out under section 145 of the Charities Ad 2011 {Ih6 2011 Act.). In ¢aTrying my examlnatlon I have followed the Directions given by the Charlty Cornmissi¢)n under section 145{5)Ib) of the 2011 Act. Page 26
THE MOVEMENT CENTRE FOR TARGETED TRAINING IA ¢ompany Ilmltod by guarantee) INDEPENDENT EXAMINER% REPORT (cop¥llNVED) FOR THE YEAR ENDED 31 DECEMBER 2023 Indendent Examlnerfs Statement I have }mpleted my examlnatlon. I confirni Ihat no matt6r8 havo com8 to my attsntlon In ¢onn8ction wlth the examination giving me CAuse to believe: accoling reoYd$ were r¥Jt kept in re¥*d ofthe CharitablB Company a$ required by tIOn 386 ofthe 2006 A(t or the accounts do not acclxd ¥th Ihose records: or Ihe aLxxiunts do not comply Mlh thg accounting TrquirernDnts of 8tIOn 396 of the 2006 Act other than any wulramonl that the acwnts give a 'true and fairf view whlch15 not a matter consldered as part of an independent 8xaminatlon" or the accounts have nol been prepared In a¢cordan¢e wtth the melh(S and princfpl88 of Ihe Statement of Rocomm8nded Pradic6 for acwunting and reporbng by charities [applicable to ch8rilies preparing thelr accounts in accordan¢• vlth the Finanoal R8pcMling Stsndard applicable in the UK and Republlc of Irdand IFRS 102)]. I hava M Concn$ and have como auoss no other matters in conneclion wilh the 8xamlnation to vthith attention shwld drawn In thls report in order to enable a undarslandlng of the accounts to b8 reached. Thls report 1$ mad8 sdety to the Charltable Company's Trustees. 8$ a body. In accordance ryth Part 4 of Ihe Chariti8s {Accothts and Reporfs) Regulations 2008. My has been undertaken so that I might state to the Chafitable Companys Twst88s those matters 1am requred to state to them In an Independpnt examinerfs report and for no other purpose. To Ihe fullest extent peitted by raw. I do not aept or assume responsibilty to anyone other than tha Charitable Company and the ChaTitable C1pan8 Trustees as a body. for my work orfor this report. SvJned: S J Tw08die Bsc FCA DChA WR Partn¢ Chartared Accountants Belmont House ShrebUry Business Park Shrewsbury Shropshlre SY2 6LG Pag8 27
THE MOVEMENT CEKfRE FOR TARGETED TRAINING (A ¢ompany Ilmlted by guarantee) STATEMENT OF FINANCLAL ACTIVITIES (INCORPORATING INCOME AND EXPENDITURE ACCOUPffj FOR THE YEAR ENDED 31 DECEMBER 2023 Restricted UnTe$lri¢ted funds funds 2023 2023 Tolal funds 2023 Tot81 funds 2022 Income from: Donation8 and legacle8 Charitable activities Othertrading acllvlyes Investments 35,000 114,760 149.760 101,649 33,467 28,657 63,541 1,439 61541 Total Incorne 35,000 179,740 214740 164,353 Expondliur• on: Ralsln9 funds Charftabl8 actlvities 60,798 147,539 80.798 17U09 43.970 177,103 2&870 Totsl •xp•nditur• 26,870 208.337 235,207 221.073 Not rnovement In funds 8,130 {28.597) {20A67> (56.720) Recon¢iliation of fund$: Totsl funds brought fomard Net movement h funds 11,870 8.130 96,851 12{597) 108,721 (20,46n 165.441 (56.720) Total funds ¢arrfed fomrd 20.000 68,254 84254 108,721 The Statament of Flnanclal Actlvwes Includes all galns and losses recognised In the year. The notes on pages 31 to 44 fomi part of theso ffinanaal statem8nts. Page 28
THE MOVEMENT CENTRE FOR TARGEfED TRAINING {A company Ilmhed by guarnntse) REGISTERED NUMBEIL. 03713213 BALANCE SHEET AS AT 31 DECEMBER 2023 2023 2022 Flxgd a890ts Tanglble assets 13 15.327 21.704 14327 21,704 Curront assets Debtor8 Cash at bank and In hand 14 3.233 95.612 83,719 84,069 9&845 CredltOTS.' amounts falling due rythIn one 15 (11,142) (11.828) Not current assets 72*27 87,017 Total assèts letss curront Ilabllltl•s 88.254 108,721 Total not assets 88,254 108.721 Page 29
THE MOVEPAENT CENTRE FOR TARGETED TRAINING (A Gompany lknlted by gLrantee) REGISTERED NUMBEIL. 03713213 BALANCE SHEEf {CONTINUED AS AT 31 DECEMBER 2023 2023 2022 Note Charlty fundg Reslrtcted fvnds Unrestricted funds 16 16 20,000 68,254 11,870 96,851 Total funds 88.254 108.721 The Charitable Company was entitled to exemptlon from audit under seclion 477 of the Compantes Act 2006. The members have not required the company to obtaw) an audlt for the year in questlon In accordance wlth se¢tkJn 476 of Companles Act 2006. The Trustees aCnOedge their r88ponsibililie$ for complying wilh the requlrements of the Act yth respect to art4)unling cOrdS and pr8paration offinandal statanents. The finan¢lal ststements have be8n prepared in accordan with Ihe provisions 8pplicable to enlttles subject to the small companies regime. The fmancial $tatemenls were approvad and authorssed for Issue by the Trustees and signed on trte behalf by.. Chairof Trustees Date.. 12 June 2024 The notes on pages 31 to 44 form part of these fina187 ststements. Page 30
TPIE MOVEMENT CENTRE FOR TARGEfED TRAININQ (A ¢ompany Ilmlted by guaranle8) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023 Gttneral Infomiatlon The Movement Centre for Targeted Training is a wivate limited company by guarantee, incorporated in England and W81es, th Its reglstered office arKI princapal place of business at The Movement Centre. Robert Jones & Agnes Hunt Hospital. Oswesty. Shropshire. SY10 7AG. The members of the Charftable Ccrfnpany ar8 the TTUSt8es named on page 1. In ihe event of the Charitable Company being wound up. the liability in respect of the guarantea is limited to £1 per mernber of the Charity. A¢¢ounting policies 2.1 Basis of preparatlon of finan¢ial statoments Th8 ffnanclal statements have been prepared in accordan wlth the Charities SORP {FRS 102) - Accountlng and Raportlng by Chart1$. Statsment of Recommend8d Practice applicable to charities prep8rfng thalr accounts In actrdance with the Flnancia Reportlng Stsndard applicable in th8 UK and Republic of Ireland {FRS 102) (effecttve 1 January 2019), the Financial ReportkvJ StaNlard applS¢able In the UK and Republic of Ir8land {FRS 102) and the Companies Act 2006. The Movoment Contro For Targ8bJ Tralnlng meets the deflnltlon of a public benefit entity urKler FRS 102. As60ts and liabiliti95 are initially rwnisod at historbal cost or transa¢tlon value unl85ts otheThvlse stated In the relevanl actsjuntirw policy. 22 Golng ¢onc•rn The Dire¢iors have nSkIered the golrg concern basls ol Ihe financial statements praparation and have conduded that the Charitable Company has adequate resources to corrtlnue in op8ratlonal existence for the foreseeable fvture. They contlnue to adopt the going conrn basis of accounfjng in preparing Ihe finan(ial slalements. In orderto make a judgment OTr tho arnount of rasarv8 the Twslegs have consTrdered: The risks in respect of expenditure and unrestiicted and restricted Income The impact of any long tem) absence of a key member of staff Any extemal identiffed potontial major ri8kg to income and expenditure during the year 23 Income All income is recognlsed once the Charitable Company has 8nllll8ment to the Income, it is probable that tre Income wtll bo recelved and Ihg amount of Krne receivabl¢ can be measurad reliably. Gifts in kind donated for distribution are inclL41ed ai valuation and recognised as Income vthen they are distributeil to th8 projects. Gift5 donated for resale are induded as incom8 when they are 801d. Income tax r8Mvfjrabl8 in rélation to donations recelved under Glft Ald or deeds of covenant is recognlsed at the tlma of the donatlon. Income tax reeoverablt In relatlon to Investment Income b rerJniSed at the tlme th8 irwestrnent Income Is recelvable. Page 31
THE MOVEMENT CENTRE FOR TARGETED TRAINING {A Company Ilmlted ty guarant•è> NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023 A¢¢ountlng poll¢ies Icontlnued) 2.4 Expendlturé Expenditure is recognised once there is 8 Eegal or constnjclve obligation to transfer economi benefit to a third party. it is probable Ihat a transfer of economic benefits wlll required in selU8ment fhe amount of the obligatton can be mea5ur&l reli8tAy. Expendtbjre is classified by activity. The costs of each activity are made up of the total of direct costs and shared costs. including support costs Involved in undertaking e8th HGtivity. Direct sts attributable to a slngle a¢tivity are allocated diredy to that activity. Shared costs which triArte io more than one athty and support sts whl¢h are not attributable to o single activity are apporuoned between IhD5e activities on a basis nSIStenI the use of Tesources. Central staff o)sts are allocated on the basis of tirrE spent. and depreoation charges allocated on the porti of ihp asset's use. Expenditrjre on raising funds indudes all expenditure In¢Ltrred by the Charitabl8 Company to raise funds for its Gharllable purposos and Indudes costs ol all fundralslng activitles 8vonts and non- charitable trading. Expendllure on charitable activities is incurr6d on diredty undertaklng Ihe actlvltles which fijrther the Charftable Companys oblecllves, as well as any as50ciat8d support 81s. All expendlture Is Induslve of IrTeo)verable VAT. 2.5 Gov•rnment grants Govemmenl grants are recorded as Income In the Statement of Financial Activities on a receivable basis. Where in(xJme is reiVed in advance of entitlement of receipt it is defeTred and included in creditors a5 deferred income. 2.6 Interest recefvabl• Interest on funds held on deposit is included when re1vable and the amount can be measured raliably by the Charitable Company; this is noTmaSly upon notification of the interest paid or payable by the institutson with whom the fvnds are deposited. 2.7 Taxatlon The Charitable Company is conSered to pass the tests set out in Paragraph 1 Sch8dul8 6 of Ihe Finan A& 2010 and therefore it meets Ihe definilion of a charitable company for UK corporation tax purposes. Accordlngty, the Charitable Company 15 pol¢nti811y exempt from laxation in resp8Ct of in(xJme or capital gains recBived wilhin catwies covered by Chapter 3 Part 11 of the Corporation Tax Act 2010 or SectM)n 256 of the Taxation of Chargeable Gaing Act 1992. to the extent that such income or gains are applied exdusively to dritable purposes. 2.8 Tanglble fixed assets and depreciatlon T8ngible fixed assets are capitali¥ed pnd rewgn15ed when future economic b8neffts aro probablo and the cost or valuo of the assèt Can be measured rellably. T8ngible fixed assets are initially reGogni5ed at $t. After recognilion, under the cost modol, 18ngibl8 fixed ass81s ar• mèasured at wst less a¢¢umulat8d depreciation and any accumulaled Impairment losses. All Lxjsts incurred to brlng a tanglble fixed asset into its intended working condition should be included in the m8asurement of cost. Page 32
MOVEMENT CENTRE FOR TARGETED TRAINING (A company Ilmit•d by guarantee) NOTES TO THE FINANCIAL STATEMEKrs FOR THE YEAR ENDED 31 DECEMBER 2D23 Accounllng pollcles (contlnued) 2.8 Tanglblo Ilx•d assets and dèpr•clatlon {¢ontlnuod) Depreciation Is charged so ag to allocate the Ctyt of tsn9lble flxed ass8ts18SS their resldual valug over their estimated uselul lives. DepreclBtk)n Is provlded on the follNing basis: Short-term leasehold propeity Treatment equlpment Office oquipm8nt 10% on cost 25% reducing balance reducing balance 2.9 Debtors Trade and oth8r debtor5 are recowised 8t fhe settlement amunt aftér any trada dlscount offer8d. Prgpayments are valu8d atth& aftN)unt pmpald net of any trade dlscounts due. 110 Cash at bank and In hand Ca8h at bank and in hand inckJd98 cash arKI short4emi hlghly Ilquld Inve8tm8nts wlth a short maturtty ol three months or less from ts dats of acquisltlon or opening of the depo8n or slmllar a¢unt. 2.11 Llabllltios ond provi$ions Llabilitles are recognlsed when there is an obligation at the BaEan¢e sheet date as a result of a past 8vent, il is probable that a transfer of economlc benefit will te required in settlempnt. and the amount of the setttement carb be esbmaled reliably. Liobirrties are recognised at th8 amount that the Charitable CThnpany ¥nltcipat88 it 111 pay to sett18 the debl or the amount It has recefved as advard payments for tho goods or services it must PmVKIe. Z12 Flnanclal Instruments The Charitabl8 Company only ha8 finanaal assets and financlal Ilabllitles of a klnd that qualfy a5 basic finanaal instruments. Basic financi81 inslAJments are initially recognised at transaction value and subsequgnty Sured at thelr setlEement valu6 wllh the trxcèpllon of bank knans whith are $ub88quenty m8asurnd at amortised cost uslng the eftactlv8 Int&r8sI mothod. 2.13 Penslons The Charftable Company operatos a defined contribuiion penSIc sBhem8 and the pension ¢hargo repras8nts the amounts pay8bLq by the Charitablo Company to the fund in F8spect ol the year. Page 33
THE IKIVEMENT CENTRE FOR TARGETED TRAINING (A ¢ompany Ilmltod by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023 A¢¢ounting pollcles (contlnued) 2.14 Fund accounting General fwds are unreslri¢t•d funds 1¢h are avallable for use al the discretion of the Trustees in rtherance of the general objecllves of the Charilable Company and which have rnt been designated for other purposès. Restrlcted funds are funds which are to be used in accordance wtth speclfk restrlcllons Impt)sed by donors or which have been raised by the Charitsble Company lor p8cular purposas. The costs of ralslng and administering such fijnds are charged against the sp8cffic fund, The aim arKI use of each restrlcted fund Is set out In the notes to the financiBI statemenls. Investment inrne, galns and losses are allocated to the appropriate fund. InGome from donallons and legacies Restrl¢t•d Unrèslrl¢t0d fund5 funds 2023 2D23 Totsl funds 2023 Tot81 funds 2022 Donallons 35,000 114,760 149,760 101,649 Total 2022 23.500 78.149 101.649 Income from charltable activities Restricted Unrestricted funds funds 2023 2023 Totsl funds 2023 Totsl fvnds Provlslon of thérapy (Xher Income 33.417 50 Totsl 2023 33.467 Tot812022 14,380 19.087 33,467 Page 34
THE MOVEMENT CEpifRE FOR TARGETED TRAININO (A ¢ompany Ilmlt•d by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023 Incom• from other tradlng activities Incorne from fundralslng evonts Unrnstrlct•d ftinds 2023 Total funds 2023 2072 Communtty fulrnIS{n9 Lottery and raffle inryj Events Indivhdual fundraisirvJ Corporats fundraising 2.568 1.328 14,078 22,108 23.459 5.780 1.452 6,124 8,900 4401 1.328 14078 22,108 23,459 Total 2023 63,541 63.541 28.657 .Total 2022 28,657 24657 Investm•nt Ineome Unrnstsfcted funds Totsl fiinds 2023 Totsl funds 2022 Interest receivabl8 1A39 1.439 Totsl 2023 1.439 1839 580 Tol812022 580 580 Page 35
THÉ MOVEMENT CENTRE FOR TARGETED TRAINING (A cornpany lknltad by guarante•) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023 Expondituro on ralslng funds Costs of raislng voluntary Income Unr•8tri¢t•d funds 2023 Total funds 20TJ Tol81 funds 2022 Fundrdlsing expenditure Fundraising staff costs 19,853 40.945 19,853 40.945 4.181 39.789 Total 2023 60.798 60.798 43,970 Total 2022 43,970 43,970 Analysis of expenditure on charitable actlvEtles Summary by fund type Restricted Unrnstricted funds furMIs 2023 2023 Tolal 2023 Tolal 2022 Charitable activiti88 26,870 147.539 174A09 177.103 Total 2022 92.869 84,234 177.103 Page 36
THE MOVEMENT CENTrE FOR TARG) TRAINING (A company Ilmltod by guaranteg) NOTES TO THE FINANCIAL STATEMEKrs FOR THE YEAR ENDED 31 DECEMBER 2023 Analysls of oxp8ndliur• by aetlvltl•s undertaken dlrecty 2023 Support Total funds 2023 To181 funds 2022 2023 Charftable acti 110281 64.048 174409 177.103 Total 2023 110,361 174409 177. 103 Total 2022 90,930 8&173 1n,103 Analysls of diraGt costs Total funds 2023 Total funds 2022 Slaff costs Rent and servlces Insurance Equlpment rÈAJrbishment Equiprnent Utiliti88 70,883 11,593 1,584 23,557 74 2,870 11,273 1,478 10,039 2.961 Tolal 110.361 90.930 Pag8 37
THE MOVEMENT CENTRE FOR TARGEfED ThAINING (A company Ilmltod by guBrant¢o) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023 Analysls of expendituré by aetlvltlos {conllnu¢d) Analysls ol support cost8 Total funds 2023 Total funds 2022 Staff costs DepreCIaOn Telèphone and Intemet Poslage and stationary Mis¢ellaneou$ Staff training Subscrfpoons Trav81 Publicati and promotion Bank charges Consumables IT costs Gov@mance costs 33.600 6A77 355 406 1892 26 554 731 11,883 250 52 44688 10.376 62 349 398 470 15,862 248 687 920 7.669 6,074 Total 64.048 86.173 10. Indép•nd•nt axamlnerfs r•muneration 2023 2022 Feas payable to the CharStabl8 Companys independent examiner for th8 independ8nt èxamlnalon of the Charftsble Companys annual accounts 2,460 Page 38
THE MOVEMENT CENTRE FOR TARGETEO TRAINING (A Gompany 11m1t by guaMntè•) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023 11. Staff ¢0sts 2023 2022 Wages and salarles Sal security costs Conlrfbutlon to defined cntribUtioN p8nsicm schemes 121,1S8 13,173 11,097 134855 5.522 12.249 145,428 153,626 The avorage number of p8rson8 employed by the Charftable Company during the year wa8 as fc41(A•ts.' 2023 2022 Empbye85 No employ0& rocaed remuneration 8mountlng to m¢Xe than £80.000 In elther year. There was no)ne employed in a management role during the year {2022: £18.482). The highest pald member of staff received remun8rallon of £40.273 (2022: £41,274). 11 Trustees, remun•ration and expenses Durtng the year, no Trustees received any remuneration or other bonefrts (2022- £NIU. During the year ended 31 December 2023. no Trustee eyns8s havé b88n Incurred (2022- £NIL). Page 39
THE MOVEMENT CENTRE FOR TARGETED TRAINING (A Company limH¢d by guarants•) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023 13. Tanglble Ilx•d assets Short4•mi leasehold Treatment prop•ty equlpment equlpment Total Cost or valuatlon At 1 January 2023 16,501 145.160 37,288 198,949 Al 31 December 2023 16,501 145,160 37388 198,949 Depreciatlon At 1 January 2023 Chargè for tho year 16,501 127,903 4,318 32,841 2,059 1n345 6A77 At 31 December 2023 16,501 132221 34,900 183,622 Net book value Al 31 Decembar 2023 12,939 2A88 14327 At 31 Dec8mber 2022 17.257 4,447 21.704 Page 40
THE MOVEMENT CENTrE FOR TARGEfED TRAINING (A company limlted by guarnnlae) NOTES TO ThE FINANCIAL STATEMEhrrs FOR THE YEAR ENDED 31 DECEMBER 2023 1& D•btors 2023 2022 Due wlthln one ar Other debtors 350 3.233 350 1233 1& Crgdttors: Amounts falllng duo withln ono year 2022 Trade cr8(IRors Other taxats'on and Social security Pen$Fon credltor Accrual$ and deferred income 1.516 762 6.049 1815 a884 11,828 Page 41
THE MOVEMENT CENTRE FOR TARGETED TRAINING {A ¢ompany Ilmlted by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023 16. SL*ement of fun(ts statement of fvnd6 - curront year Balance at 31 Dec8mbgr 2023 8alanc• at 1 January 2023 Incomè Exp•ndltur• Unr•strkt8d funds Gen6ral Funds- all funds 96.851 179,740 {208,337 68,254 Restrfcted funds Clinlcal Equlpment Support Equipment Pabent Targeted Trnkning Thgrapy Sobell FoLmdetion BBC Chlldren in Need St Jarnes's Place (7,540) (913) (4417) 913 3h17 10,000 15,000 10.000 10,000 (14000) 10,000 11,870 35,OOD 126,870) 20,000 Total of funds 108,721 214.740 123520n 88.254 Page 42
THE MOVEMENT CENTRE FOR TARGETED TRAINING IA company Ilmlt•d by guarant•¢) NOTES TO THE FINANCL4L STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023 l& Staiemènt of funds lcontlnued) Statemert of funds - prfor year Balan09 at 31 Balance al l January 2022 Income Exp8ndllu 2022 Unrestri¢t¢d fvnds General FuThls- all fvnds 108.222 126.473 (I2&204J 19.640) 96,651 Restrlcted funds Clinical Equpment Core Reserye Support Donor Targeted Tralnlng Therapy sup1 EqPMent Other resafves Patlent Targeted Trnlnlng Therapy 27.955 (9.640) (20,415) 7.540 9.640 8.144 913 10.81Q 23.500 131.644) 913 (10.810) 19,037 14.380 (30,000) 3.417 57,219 37,880 (92,869) 9.640 11.870 Totsl offvnds 165,441 164.353 (221,073) 104721 eslrlct d F 8ob•ll Foundatkni Funds received to cover somo core rnsts. in¢luding wages. BBC Chlldr•n In Need Three year funding tx)vering core expenges suth as Phy8Fotherap18t Salary. rent and utiiitlo8. St James's Place Funds to fund the purchasa of stsndlng frames and Physlotheraplst salary. Page 43
THE MOVEMEIU CENTRE FOR TARGETED TRAINING (A cornpany Ilmlted by guaranteo) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023 17. Analys1$ of net ass•ts b•tween furKIs Analysis of net assets botween fund8- current yoar Restrlcted Unrestricted funds funds 2023 2023 Total funds 2023 TarMJbi 18 fixed ass8ts Current assets Creditors due wlhln one year 15,327 64.069 {11.142) 15,327 84,069 (11.142) Total 20.000 68,254 88,254 Anafysls of net assèts batween funds- prlor year Restrlot&d Unrestrl¢ted fvnds funds 2022 2022 Total fvnds 2022 Tangible fed assets CurTent assets 7,540 4,330 14.164 94,515 (11,828) 21.704 98,845 (11.828) Creditors due within one year Total 11,870 96,851 108,721 18. P•nsion eomrnitm•nl$ Th8 chadtablo company operates a defined contribution pension scheme. The assets of the scheme are held separately from thoso of th8 charltable company in an ind8pendenUy administered fund. The pension cost charge represents contributions payable by the tharitable corrpany to the fund and amounted to £11,097 (2022: £12,249). £6.049 (2022: £3.884) was payable to the fund at the balance sheet date and induded withln Gredilors. 19. Rglatgd rty transaetiong The Charitable Company has not tered Into 8ny related paty transadon during the year. rv)r aro thar& any outstsndlng balan owlng belween related parties and the Charitable Company at 31 December 2023. Page 44