2023-06-30-accounts

Registered number.. 03688825 Charity numbers.. 1076478 & SC041055 TWINS TRUST LTD (A company limited by guarantee} TRUSTEES, REPORT AND FINANCSAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023

TWINS TRUST LTD IA company limited by guar•nleo1 CONTENTS Page Ref•r•nce ¥nd admlnistratlve detalls of the Company, Trustees and advisers Trustees, report 3-13 Tnjstees. responsibilities statement 14 Independent auditors report on tho flnanclal statements 15-18 Staiement of Ilnanclal activltl6s 19 Balance $hg•t 20-21 ststement of cash flows 22 Noles io the financlal statements 23-49

IINS TRUST LTD IA company Ilmlted by guaranloel REFERENCE AND ADMINISTRATIVE DETAILS OF THE COMPANY. ITS TRUSTEES AND ADVISERS FOR THE YEAR ENDED 30 JUNE 2023 Trustees Kiista Pound. Chair Iresigned 20 March 2023) Simon Bemey-Edwards, Chair Charlolle Aheme Rebecca Butler Heather Dembitz (resigned 20 March 20231 Duncan Moffett, Treasurer (resign￿ 22 November 2022) Dr Surabhi Nanda Sarah Ann Perris (resigned 20 March 20231 Alison Ramsay Katherine Ralhbone Katherine Riches (appointed 22 November 2￿22) Dominic Cashman lapwnled 22 November 20221 Rajmeet Bhatti, Treasurer lappoinled 22 November 20221 Company registered nUm￿r 03688825 Charity register•d numbers 1076478 and SC041055 R•glster•d office Suite 7.02 Crown Pknuse One Crown Square Woking GU216HR Company secretary Shauna Leven Chlef executive officer Shauna Leven Independent audllor Shaw Gibbs (Audill Limrted Slatulory Auditor Wey Court West Union Road Farnham Surrey GU9 7PT Pagg 1

TWINS TRUST LTD IA company Ilmitèd by guarant•el REFERENCE AND ADMINISTRATIVE DETAILS OF THE COMPANY, ITS TRUSTEES AND ADVISERS (CONTINUED) FOR THE YEAR ENDED 30 JUNE 2023 Bankors National Weslminsler Bank PIC 151 High Street Guildford GU1 3AH HSBC Bank plc 6 Commercial Way Woking Surrey GU21 IEZ Flagstone Investment Management 1st Floor. Clareville House 26-27 Oxendon Street London SWIY 4EL Page 2

TWINS TRUST LTD IA company limited by guarantee) TRUSTEES. REPORT FOR THE YEAR ENDEO 30 JUNE 2023 Ch Ir's Introd lon For the muttiples, community, 2022-23 was yet another ytar ol unprecedented challenges. Allhough we wère very glad lo move beyond the Covid era. we found ourselves in a cost-ol-living cnsis with the highest inflation v* have seen in generations. We didn't need the papers lo tell u5 what was going on.. the numbei of calls from families struggling lo meet their most basic needs told us enough We heard from expectant parents looking for Information on what equipment they truly couldn't live wrthoul. lo families looking for inlomalion on how to apply for support. lo families on the very edge of desperation. facing the most drfficurt decisions. Yel this report is leslamenl to hThv we rnanaged lo nse lo the ¢xcasM, in spile of having our own financial concems We started producing new resources and guides focused on ft"nancial support, training Staff and volunteers on how lo deal with these sorts ol questions and buildin9 bridges wrth organisations that specialise in these areas. all the while looking at how we could alleviate our own staff s financial concems. We provided bespoke support lo lamilies In crisis l Can say wrth confidence Ihal we saved lives. Families shouldn't be faced with the choice ol whether to go lo a hosprtal app)inlment or have a meal. or who eats al dinner time Among other pressures that force our families lo make the most unirnaginable choicés, chIldca￿ costs in the UK remained amongst the highest in the world, according lo the OrganisalK)n lor Economic Co-operation and Development IOECDI Our team saw - and continues to see lamilies needing support wrth affording childeaie. which they need in order lo work. The issues our families face every day are compounded by Ihe fact that the heatth and so¢ial ¢are systems are barely coping This means that the infomialion, community and support we offer lo our families are mofe important Ihan ever. 2022-23 was the fifst year of our new strategic plan. This plan puls our families al the heart ol everythin9 we do. Twln¥ Trust's new $traiegy wlll run unlil 2025. It has four main alms: Saving INes and Improving the safety of having a multiple Pregnancy and birth in the UK Ensuring Ihal every family wrth multiples can access the care and support they need Ensuring that every member ol our community knows about Twins Trust and how we Can help Growing and sustainably developing the chanty lo serve our entire communty, now and in the frJlure A pefsonal highlight for me wa$ taking on the role of Chair of the Board of Trustees in March. I have been on the Board since 2018, and prr)r lo that ￿eNed support from the charity. To be able lo give back in this way Is real honour foi me. We have had many successes this year which appear IhToughoul this report, from serving families. lo educating healthcare professionals. lo changing policy lo make Ihe worfd a better pl¥e IOT Ojf families. I know thal many continue to lace signihcanl Challenges. bul a small bright spot for me Is how the hard work and dedication of our staff and volunleers allows us to make a difference lo real people, every single day. I would like to take this opportunity lo thank my predecessor. Krista Pound who Served wrth distinction as Trustee and then Chair for nine yearg. Krista led us through growth and the development ol many programmes and shepherded the organisalion throu9h Ihe global pandemic. I would also like lo pay Iribule lo Iruslees SaTah Perris. Heather Oembitz and Treasurer Duncan Moffett, who stepped down this year Twins Trust 15 grateful for their dedicat10n lo the charity and all their efforts in getting the charity to where rt is today. I would also like to thank our many volunteers who gwe up their limg lo run Twinline. provide peer support, the befrienders and exFerts who provide their skills for the PrOfeSs￿nal Referral Service Thanks also go lo Nodand Page 3

TWINS TRUST LTD (A company limited by guarantee) TRUSTEES. REPORT ICONTINUEDI FOR THE YEAR ENDED 30 JUNE 2023 College and the support from their early years, praCtit￿nerS who have provided a helping haThJ and 5UPPOrt lor our families In cnsrs. And a special thank you lo our staff who come lo work every day lo make a difference and who always w above and beyond for the multiples, eomrnunity. Finally lo our supportars and members. I want lo say that we ar• only here for you and because of you. Thank you so much. Simon Bemey-Edward$ Chair, Twins Trust Our Vislon Our VLsion is a world where all trmns, triplets or fnore - and their famil￿$ feel supported and empowered, whatever they may face. Our Misslon Our mission is to.. Provide tsvins, triplets or mor8- and their families- wrth the information needed to make intormed decisions Facililale a network ol community support Ensure that our communty's unK4ue needs are understocmj by the professionals who caTe for them and reflected in research. care standards and public policy AIM1:Tosa lives a rove the safe of havln a multl le nanc nd birth in th UK Twins Trust works to improve heatth ¢)utcomes. includin9 lowerin9 the rates of slillbirth and neonatal death, by ensuring Ihal healthcare professvjnals working wrth mulliples have access to the resources and education they need. by ensunng hospitals are delivering the best care in line with the NICE (National Inslilule for Health and Care Excellence) guidelines and by driving the research agenda and ensuring families havg the information they need to guide their participation. Stillbirth and neonatal death rates for multiple pregnancies are still loo high.. higher than for singleton pregnancies and increasing rather than decreasing. We also know that too many ol these tragedies could be prevented with better care and research. Our Healthcare Engagement team woths lo address these issues. providing Ihe education that health¢are Pfolessionals are not getting as part of their training. en$uring that they have access to a community of peer experts ft)r Iroubleshooling and engaging with the reseèrch a9enda lo ensure that the Issues that matter most lo our lamilias are prioritised. Ed cation an continuin rofessional develo ment for healthcar rofessionals Twins Trust supports healthca￿ Professionals who w¢yk wrth multiples by ensuring that they have access lo mulliples-specific resources and Infomalion. training and Continuing professional development opportunities on toprs ranging Irom the most basic standards ol Ca￿ for a multiple pre9nancy 10 tie8tment ol the rarest and most complicated condrtions Wfr also provide education and training on the needs of someone 90ing through a bereavement after a multiple pregnancy or birth The charty w0￿S wilh midwives and nurses, doctors and other professionals. whatever stage they are al In their Iraining With the NHS under increasing pressure, Twins Trust's rde in providing education to healthcare prolessionals seems lo be more Important with each passing year Even though NICE 9uidelines recommend thai all muttiple pfegnancies afe seen in a ￿1n clinic by mid7Mves wrth multip￿s-speCiric training. a survey of sludenl midwives Page 4

TWINS TRUST LTD IA company limited by guarantoel TRUSTEES, REPORT ICONTINUEDI FOR THE YEAR ENDED 30 JUNE 2023 wrth an interest in multiples $h¢)wed that 68D/• received no multiples training at any point during their educi¢)n In addition, Ihe charity regulaily hears from our professional communty that they are keen to increase their knowledge of - an¢J confmaence in - dealing wrth muliiple pregnanc￿$. For doctors: Ounng the 2022-23 financial year. we laid the groundwork lor our new online educaltonal series, which will begin In September 2023. This was designed lo build on the success of our Ihree-year partnership with St George's NHS Trust, during which we ran 25 courses on a range ol topics. reaching 1.860 professionals. Our new series is designed to cover each major topic relevant lo the care of a muliiple pregnancy and birth and is delivered by specialist clinicians and researchers fr￿1 across the UK. For midwlves and nurses: Alongside consultants and sonographers, midwves are a Crucial part of Ine mutti-disGiplinary team that should be responsible for every multiple pregnancy. As such, education and engagement with midwives is crucial, particularly early on In their career. although as above, there remains a deficit in education ol sludenl mifvives which has been compounded by the NHS staffing ¢nsi$. Twins Tnjsl ensu￿$ that midwNes with an Interest In multiple pregnancies have access to both virtual and in- person learning opportunities. We are pleased that we can also tailor our contenl lo the Specif￿ experiences of professionals in Northern Ireland and Scotland. who deal wrth slightly different Clfcumslances For example. this year we delivered a webinar specifically focused on Northern Ireland lo a group of 60 student midwive5 in Beffasl. This not only served lo enhance their mulliple$-specifi¢ knowledge. il also signposted how Twins Trust can work with them throughout their career lo SLJPPOrt them In delivering great care As a part of our ne￿Ik, they now know where to find answers lo the questle￿5 that will arise throughout their eareers. Finalty. Twins Trust plays an Important role In ensuring that midwives can access peer support in real lime This is a crucial component of delivering gfeal Ca￿.. through this network. midwives can aecess a wealth of fiislhand knowledge and experience to guide them through whatever challenges a shift brings. Matemi En nt Pro Follow1ng the challenges of the pandemic, in 2022Q3 Twins Trust tD)k the cpportunty to reinlroduee the Maternity Engagement Project lo malefnity unils a¢fOSS the country, to Show them how undertaking the programme can help them deliver better outcomes lor patients. lowenng slillbirth and neonatal death rates among other things. This year through our outreach and by developing personal relationships with units. we were able lo enlisl six new units lor first lime audrts. and completed six re-audits. which is the fnaximum we can take on in a year al our presenl capacty There are many more interested We know that following national glbidelines saves lives and will not rest until every unil in the country Is working lo this standard Of the units that we re-audrted thi$ year. 83% showed improvLNmenl in their NICE adherence lo Ihe guidelines. compared lo their inrtial audrt. Research Twins Trust continues to support research that benefits OUT community and ensures that the research agenda refiects our families, priorities. We also play an important role in ensuring the voiee ol our families is represented in research and that the outcome5 are communicated back lo them. Throughout the year. we were involved in seven studbes across the UK on the lolsowing topi￿. Preventing pre-term birth." un¢Jerstandably, this poorly-ufidersloc¥J phentynenon is of great imp)rtance to our crnmunty. We funded four independent stud￿5 Ic(*ing into different potential causes and Page 5

TWINS TRUST LTD IA company limited by guarantee} TRUSTEES. REPORT ICONTINUEDI FOR THE YEAR ENDED 30 JUNE 2023 ITeaimenl$. The use ol steroids during a mutt1p￿ pregnancy this is a commonly-used inlervention bul unlortunalety there is lrttle clinical evidence lo support when and h¢)w lo use them effectively. The STOPPIT-3 trial is the largest study lo dale into this area Growth restficlion in monochor￿niC ￿1n$ before 24 week5. again. this Is a lrttle understood condition that can resutt in devastating consequences. Twins Trust Is a partner in the FERN study. considering Possible trial into effective inlervenlions Examining anlenalal risk factors In Iwin pregnancy_ We funded a pilot study published by Professor Alex Heazell AIM 2. Ensure need at eve famil wl scanac 5 the inlormatlon c mrnunl and rtthe Anyone expecting a baby has queslions and ¢on￿M$. for which they can find answefs and support from famity, Iriends or the myriad books wrbtten on the topic. For someone expecting Nvins. Iriplels or more. there are lew places lo turn for answers lo even their most basic queslKJns. In 2022123. Twins Trust estimates that (t provided inlomialion. community and support lo around 77'A of the approximately 8,SOO families in the UK Ihal had twins or multspie$ dunng the year. along with many wilh toddlers. sch¢)ol age and adull muttipl85. I lormation Whether families are expecting. further along In the rnulliples. journey or be￿aved. our inft)rrnat￿n and resources are there to help Peop￿ make the best decisions lor their lamilies The Twins Tru51 websrte is the main point of a¢￿55 The infomation on our website Is eViden￿-baSed and practical. infomied by our nearfy 45 years supporting UK families with multiples. With over 275.000 users visiting our website over the yeaf, families are using Twins Trust as a source for infom7ation Ihroughout their pumey. laving listened lo users, frustrations al the usability of our websrte. we split the 'L61 us Help, seclty)n of the website into Nvo new sedions - 'informalion' and 'supporting you,. This created a simpler user journey through the srte. enabling peop￿ to access relevant Inlomiation more easily. The polenlial Irnpacl in lems of increased usefs and page views will be seen over tirne. We have a specrfic microsite lo support people who have lost one or mora of their babies during or after multiple pregnancy. With approxirnalely 300 bereavements from mukiple pregnancies each year in the UK - and over 30.000 visits lo this microsite - this Is a Valuab￿ source ol Informalion lor Ihose who have lost babies. During 2022-23, Twins Trust delivered courses lo 3,494 people. including 267 people in Scotland who were able lo access free courses due lo lunding from Awards fof All Scotland. Twins Trust's COUTses cover a range of topics frtyn early Pfegnancy to sleep, feeding and starting solids. Our helpline. Twinline. piovided information lo lamilies 618 Iwnes dunng Ihe 2022-23 financial year, on the phone or over email on Icpics from newbofn routines lo financial struggles, lo how lo decide whether to leminate a pregn8ncy. mmun Twins Trust plays an important lo￿ in a lamilys ioumey by connecting lamiliès to others in ¥imilar rcum51ances or geographical locations, for peer 5UPWOrt and lo reduce Isolation. In 2022-23, Twins Trust continued to g￿{ our online comrnunrties and ended the year wi(h 16 ¢ommuniti8s connecling groups such as sin9le parents. dads and LGBTQ+ lamilie5. With 8,541 participants across all our communities. these groups have given people a chance lo connect. f8•1 the sense of corTmunrty and receive Page 6

TWINS TRUST LTD IA company Ilmited by guaranteel TRUSTEES, REPORT ICONTINUEDI FOR THE YEAR ENDED 30 JUNE 2023 practical and emotional support from peers. The peer-lryeef model of support enables the groups lo cethmdale such significant, regulaf usage, Twins TTUSI staff continue to rnoderate the groups. Twins Trust also runs an online Bereavernent Supp¢)rt Ccfflmunity, wrth over 1.300 members bereaved of one or more twins. Iriplels or more. We have offered peer-lo-peer support for those affected by the loss of one or more babies and who have needed extra, largeled support As part ol our bereavement work this year. we also partnered wilh ARC IAnlenalal Results and Choicesl to create a booklet proV￿4ng Informal￿n on having terninalK)n lof med¢tal reasons ol a I￿.n or muttiple pregnancy. Support for loc•1 clubs run quarterly meetin95 with the clubs. SessK>n$ Included expLiining the benefrts of being a re9islered club th Twins Trust and offering advice on recnjiling volunteers lo help run the club. Insurance grants afe available for clubs who meet the 81igibilily criteria and need to buy public liability insurance for their club. Virtual clubs Knowing that many families don't have a lo¢al club nearby, Twins Trust funs virtual clubs ￿lch help famils access infomalion from our experts an¢J eonnect wrth each other, lo increase confidence and reduce isolation These clubs connect parents and carers of twns. triplets and more by offering speakers on relevant topics and giving parents and carers a Chance to "meet.. Ovar the last year, Twins Trust ran 64 club sessions. wrth 180 allendees in totsl. Attendees report that the ¢lubs are supportive and enable them to feel less alone. Su Where information and c¢Jnmunity are not enough. Twins Tr(bSt Provides bespc&e support lor a variety ol issues that ian9e from schcJl Choice to crisis situations and bereavement Twins Trust's Professional Referral Service supported 159 families needing assistance wtth namgaling the UK'S ucat￿n01 system. After many years of campaigning, Twns Trust was successful in secunng a parenl-led approach to scFKJoI choice and ttealmenl of muKiples,' however. unfortunately many schools still empby blanket policies pertaining to multiples. In 2022-23. Twins Trust had its highest number of requests from parents needing support on decisions at￿ul a delayed I deferred start ol prirTiary school, together or apart de¢ision$ (primary and secondary school) and applications for educational psychologists to support parents with children wf(h Special Educational Needs. There werè also referrals lor family Iherapisls supporting families wrth behavioural and rnentsl health issues and for speech and language Iherapisls. ThB was the first year of Twins Trust's feeding drop-ln clini¢ run by a specially.Irained volunteer feeding counsellor and trained volunteers. who provide peer-lo-peer support Twins Trust supportèd 118 famil￿$ lo achieve their feeding goals, whether bfeaslfeeding. combi-feeding or forrnula feeding. Twins Trust provided one-t¢x*ne peer supwjrt lor 65 familKgs who n8eded extra help on their feeding journey. Twins Trust's Family Crisis Support serV￿e offers short-lemi praclical support at h(Nne lo families wrth tsvwis. tllplets and more In time5 of diff￿￿ Our Twins Trust practrtion$r and volunteers are qualified childeare professionals. They proV￿e short-lerm. hands-on pra¢tical help and advice al home. supporting lamilies to help cope wrth the challenges they face and bLsild confidence through enabling and ernp￿￿e￿n9 the lamili8s during a lime of real need. In 2022123. the charity supp)rted 67 farnilies in the gre81esl need wrth InleNenlions tailored lo their specific needs. knows a t Twins Trust nd how we can he IM3: nsure th I ve rnember ol our communi To achiove rts vision of a worfd wh8r• fvlins, Iriplols and more and their farnilies feel 5UPPOrted and empowered. whatever they la¢e. Twins Trust needs to reach the entire multiples. community with Information that refiects Pa90 7

TWINS TRUST LTD IA company Ilmited by guarantee) TRUSTEES. REPORT ICONTINUEOI FOR THE YEAR ENDED 30 JUNE 2023 genuine understanding of their diverse needs. In 2022-23, we focused M better underslanding our families and reaching more families Abè er und tandin of our I milie The 2022-23 financial year was notable for the creation of a dedicated 'communilies' role, created to provide a greater focus on equity, diversity and Inclusivity al Twtns Trust. Internally and exlefnally. Th￿ role aims to ensure that we understand and are equipped lo meet Ihe diverse needs of the communrties we slJPPOrt, induding through our inlemal structure. polic￿9 and culture. We spent much of this year building relationships wlh organi5alK)ns and Individuals from communit￿S such as the LGBTQ+ community and the black community. to ensure we understand what value we can add lo organisalions already doing invaluable work We have created several new online communities because of these meetings, which complement our other top1c-s￿￿IC Communities. We ￿11 continue to en$ts￿ that we both Serve and feflecl our diverse community. Having surveyed over 500 people from within our communrty. we found out that the greatest number of respondenls heard of us Ihfough a healthcare prOfess￿nal. We have lailoied our COMMUn￿allOnS to healthcare piolessionals ¥cordingly. thereby enabling th￿￿ lo provhle people experiencing a rnultiple pregnancy with the most relevant. lar9eled Infonnalion. Reachln more f milie Twins Trust achieved a significant rise in A-lisl press coverage this year, from 21 pieces the previous year lo 39 pieces this year, includin9 pieces In the Miiror. The Sun and on Ihe Tcday Pr￿ramffle. Our social media reach also grew exponentially throughout thè year. Our Facebook reach grew by 671% the previous year, and by 132Vo on Instagram. 7,￿8 new people signed up to the Twins Tfust community of registered users and 1,742 new people joined as members of Twins Trust. Makin the worf bett•f lace for ur farnllies Campaigning is an important part of Twins Trust's work, with over ￿0-thIrd5 of (Mjr families citing rt as a priorty for them. Twns Tnjst had some significant campaigning and policy wins during tha 2022-23 financial year. most notably when the Neonatal Leave and Pay Bill gained Royal Assent This new law will provide financial support for families with babies in NICU. thereby providing reassuranc8 to parenls during uncertain limes. This is the result of many years of campaigning by Twins Trusl. alongside our partners Bliss and The Smallest Things, among othe￿. With a fecord number of requests for linanc¢al SUPFL)rt in 2022-23, Twins Trust realised that aclion needej to be laken on helping farnilies mèet the addrtional financial Challenges they face Our lami1ies' lop priority In this area was childcare costs. which we agreed lo priorilise In advance ol the next election Twins Trust j¢ined a ntr4 coalition that was being sel up lo campaign on this issue. With members from all stakeholder groups. the Ear Education and Childcare Coalition unites the voices ol all Ih05e wrth a stake in the future ol earfy educ*ion and re children. parents. providers, the earfy education workforce. and the wider business cornmunily We are a¢tively working wrth this group on election strategy, ensLJring th81 the voice of our families is represented. To ensure that Ihe multsples community Is represented at the Covid Ptsblic Inquiry, Twins Trust joineLI wrth olhar pregnancy and baby charities in gaining participant status. 11 will mean that the èxperiences of our families during that lime will be heard by the inquiry Page 8

TWINS TRUST LTD IA cornpany Ilmited ty guarantee) TRUSTEES, REPORT ICONTINUEDI FOR THE YEAR ENDED 30 JUNE 2023 Grow and develo sustainabl to seple our entlre communl and have Im actn w and In the future Twins Tru$1 ènded the financial year with a defi¢il of £23,868. The charity generates Income from a vanety of sources. the most signilicanl bein9 ongoing membership5 (including Gift Aidl, equating lo 58% of the charity's incon1£670.1491 This has diversified throughout the year and lundraising including Iru51s, grants. individual fundraising, corporate support and Individual donations now makes up £310.002 of income127Vhl. The Charity is very grateful lo its membefs fof Iheir continued supp)rt during the challenging cost of living cris￿. Alongside income raised from the rnembership base, there's been really strong performance Irom fundraisin9 events The highlight wa5 the 'Saving Babies, Lives, appeal, which ran in March 2023 An incredible £62.916 wa5 raised In just 36 hours by 1,200 people, lar exceeding the original £50.000 tar9el This appeal raised over four times MO￿ than the charity s Pfevious largest appeal Twins Trust staff and community rallied round lo reach the goal Thanks lo the generosity of partners Including lèad sponsor. Leigh Day, the first £15,000 ol gifts were maleh-funded. The appèal was shortlisled foi a Third Sector charity award in the Breakthrough of the Year category. Twins Trust has been dNersifying in¢ome streams and there are now corporate partnerships in place with two law firms, Irwin Mrt¢hell and Leigh Day. Both firms gave £10,DOO lo Twins Trust in 2022123. Leigh Day was named as the lead spon50r of the Saving Babies, LNes campaign. while I￿1n Mitchell gave £5.000 in June 2023 for the Walk for Twins Tfust. plus £5,000 for the Saving Bab￿$, Lwe5 campaign. Oiher fundraisers during this financial year generated £68,DOO. This Included a climbing event in July 2022, which ra15ed £7,000 and a cycle ride in May 2023 which generated £6.500 A team o151aff and supporters participated in another climb in June 2023 and raised More than £5,800. A range of Irusls, compans and govemment departments supported Twins Trust during the year, amotjnling lo £120,9)0. Wrth thanks to the belryw organisations for SUFPOrting Twns Trust.. AkzoNob•l Commvnrty Fund. Awards for All Scotland, 8elron Ronnie Lubner Charitable Foundation. Lottery Fund INII, Department Of Health - Northern I￿land, D'oyly Carte Charilable Trust. Edgar E Lawley Foundation, Ellerdale Trust. Florence Tufner ChaFrtable Trust. Henry Smith Charrty. M&G Community Fund, Northern Heatth and Social Care Trust. Northwick Trust. R¢>Jer and Douglas Turner Trust, Scottish Govemmenl Children and Families DITectorale. Shell Cthmmunty Kindness Programme, Southern Health & Social Care Trust. W E Dunn Trust and Wixamlree Trust. Finances I r the r ahead The Family Crisis Support service was expanded thanks lo a three-year grant from The Henry Smrth Chanty. This grant ended In June 2022. bul a lurther grant was given to expand the same prc*Jramme. The Henry Smrth Chanty Is a long-lerm supporter of Twins Trust. granting a further multi-year grant in 2022. The COVID-19 Long-Term Support Grant is a Ihree-year £120,000 grant supporting our Family Crisis Support service, supportin9 tho most vulnerable and In-need families within the muwiples, communrty who are on the brink of already in crisis. The Scottish govemmenl awarded the charity a £15,000 gronl as part of an Improving Health and Wellbeing Grant scheme. This grant has funded the provision ol fre8 Twins Trust antenatal courses to the mullipses. community in Scotland. Page 9

TWINS TRUST LTD IA company limited by guarant•o} TRUSTEES, REPORT ICONTINUEDI FOR THE YEAR ENDED 30 JUNE 2023 re We learned during the Covid pandemic that we can deliver many ol our services effectively and èven more efficiently online, allowing us lo reach more people than ever before. As digrtal se￿iCe 08livery Is of increasing importance for providing accessible Infomialion. access lo communty and lar9eted support lo both families and healthcare professionals. we are planning to undertake a review of our digital infrastructure lo make sure that rt 1$ lst-lor-purpose and futU￿-prO0led We aspire to understand the ne8ds and challeng85 laced by lamilies with Iwins. Iriplels and ffloré. In 23124 we will comrn15sion a piece ol Slate of the Nation research which, for the tirsl lime, will look al the health, developmental, social and Iinancial challenges faced by families with muliiples. The research will also hohlight some of the potential campaigning and advocacy opportunrties for the charity lo act as the voice of our communty. Our lirsl conference for hèatth¢are professionals o b8ing planned for March 2024, aimed al raising awareness of th8 importance of best praCt￿e in care acro$$ malemity units. This will complèment our online leaming series. mentioned above. Thé ¢harty has pul In plac8 plans to exereise a lease break option on ils current Heèd Office to enable a move Irom Aldershol lo Woking. The decision was taken lo move lo a more accessible office which better surts the ongoing needs of the charity. This move took place in Octcèer 2023. HOW WE RUN THE CHARITY The Tru$lees, who are also directors of the Charity for the purposes of the Companies Act, submit their annual report, Including the directors, report. and the audited financial sl318m8nls of Twins Trust Ilhe Company) for the year ended 30 June 2023 The Trustees confirm thai the annual report and financial statements of the Company Comply with current slalulory requirements, the requirements of the Company's governing document and the provisions of the Statement ol Recommended Practice ISORPI applicable lo charities preparing Iheif accounts in accordance with the Financial Reporting Standard applicable In the UK and Republic of Ireland {FRS 1021 leffeclive 1 January 20191- Icharities SORP IFRS 10211 The Trustees have had regard to the Chafity Ccrfnmtssion's guidance on public benefit. Since the Corvpany qualthes as $mall under Section 383, the strategic report required of medium and largg companies under The Companies Act 20¢A Istralegic Report and Director's Report) Regulations 2013 is not required. This section of the report is inlènded lo provide more financial Information so readers can better undefsland how we raise our money and where we spend it. We also want rt lo be easy lo understand how we organisè ourselves A5 fequired In law. we confimi Ihal Twins Trust is a going concem wrth clear plans ol how besl to undertake our fLrture work. STRUCTURE, GOVERNANCE ANO MANAGEMENT CONSTITUTION The Company is registered as a charitable company limited by guarantee {036888251 and was set up by Memorandum of Association on 24th December 1998. The Company is conslrtuled under a Memorandum of Association and is a registered Chanty In England and Wales 110764781 and in Scotland ISC041055I. These Arti¢le$ and Memorandum ol Association were updalod and passed at our ITUStee meeting In June 2023. Paga 10

TWINS TRUST LTD IA company limlted by guaranteel TRUSTEES, REPORT ICONTINUEOI FOR THE YEAR ENDED 30 JUNE 2023 The principal objects of the company are still to protect and promote the health and wellbeing of multiple birth families. METHOD OF APPOINTMENT OF TRUSTEES The management of the Company 1$ the responsibility of the Tru51ees. There can be a maximum of fourteen and 8 minimum of six Trustees al any one lime. Board members are appointed for an Initial lem of 4 years. The current Board will appoint a maximum of three new trustees annually to fill gaps on Ihe Board, atthough they have the abilty to co-opt someone lo xt a Trustee al any lime if the￿ are vatancie5. No member can serve on the l)oard for a penod of more Ihan eight consecutive years wilhoul the agreement of the Board. Trustees are recrurted lo help fill skills requirements. which the Board has identified in a skills audit. This is to ensure a broad range of strengths and expenences and is reviewed regularfy. INDUCTION AND TRAINING OF TRUSTEES Members of the public affj invited lo seek nomination as Trustees via our website. social medp. email cwr quarterly magazine "Multiple Matters Most new Trustees are al￿adY lamiliar wtth the practical wod( of the Charity. having personally been rrembefs or used Twins Trusl's services. New Trustee$ a￿ invited lo observe a board meeting before seeking election or appointment An induction p&k 1$ provided consisting of a Code of Conduct. role description. a ￿pY of the Charity Commission publication 'The E55enlial Trustee. what you need lo kno*. the strategic plan, lalesl financial Inforrnalion and a copy of the Memorandum and Articles ol Association TTUStees speak wrth Ihe CEO and are invited lo meet the Senior Management Team and other members of the staff team. ORGANISATIONAL STRUCTURE AND DECISION MAKING The Board ol Tnjslees admin151er5 the Charity and Is responsible for the strategic direction and policy of the Charity The Board meets a minimum of five limes a year either in person or virtually Trustees arrange themselves into subgroups lo enable more detailed considerat￿n of speCrf￿ issues between meetings as required. A Chiel Executive Is appointed by the Trustees lo manage the day-l04ay operations ol the Charity. To facilitate effective operations, the Chief Executive has delegated aulhorrty, wrthtn lemis of delegation approved by the Trustees. for operational matters including finance. empbyment and Prows￿￿n of services The Chief Executive also acts as Company Secretary and attends toard meetings. RELATED PARTY RELATIONSHIPS In so lar as rt Is complementary lo the Charrty's objectives. the Charity is guided by both local and national pOI￿Y Twins Trust has connections wrth a UK wide network of local clubs." these are not dependent branches but members of the Charity that are supported with appropriate Infomation and guidance on the conduct of local community groups. The Charity also aelively works in partnership with other Organisat￿n5 to fulfil its objectives. RISK MANAGEMENT The Trustees have a risk management strategy. which includes a review of the lop risks the Chafily may face at each Board meeting These Ir5¢1ude safeguarding. IT security. budgetary contToIs and reporting. dependency on inc(Mne sources and loss of revenue The risk fegister is reviewed In full annually and discussed In brief at each meeting but Is available and updated for full re¥￿W for each meeting il required. As part of the ongoing review process. Trustees are satisf￿d thal systems and pr￿dureS are in plxe to Page11

TWINS TRUST LTD IA company limlted by guarant•e) TRUSTEES. REPORT ICONTINUEDI FOR THE YEAR ENDED 30 JUNE 2023 milig8le the Charity's exposure lo the major risks including the impact of the cost of living crisis. Th￿ includes steps lo strengthen and prolecl the future financial performance ol the charty Trustees are 8150 recrurted to the Board with a background in relevant areas of identified flsk. FINANCIAL REVIEW The Charrty made 8 loss of £23,868 by the end of the financial year. This in part can be attnbuled lo re- calibrat￿n of our fundraising activities following the Covid pandemic. This is offset by reserves. and we continue lo have designated reserves in excess of the amount we are bound lo hold under our resetyes policy. INVESTMENT POLICY AND PERFORMANCE The Trustees. having regard lo the liquidty requirements of operating Twin Trusfs services and lo the reserves licy, have ¢)peraled a policy of keeping available funds in interest bearing deposit accounts. The funds held on deposit achieved an average interest rate of 2.77% over the year. RESERVES POLICY In determining the re$eNe$ policy of the Chanty, the Trustees have conside￿￿ the level of operaling expenses requirttd. 11 is the Tiuslees intention to maintsin free lunresIr￿ted and undesignaled less fixed asselsl reserves equivalent lo approximately four months operating expenses and it reviews th15 IXJSrtion at every meeting Al the year end the free reserves balance sl(¥)d al £383,360. This equates lo approximately 5 2 months operating costs. We have a wlicy and follow HMRC guidance of designating any surpluses made on our parenting classes (seminars and web1narsl. which will be used lo contribute lo the running costs of Cufrenl classes and the development of new classes in the following year. There was £13.690 in this designated Pafenl Talk Fund al 30th June 2023. The Trustees have also agreed to designate further lunds of £80,000 as follows.. 20k- Office move (this w85 designated last year but the office move loc& place in October 20231. 20k - Investment in our digital service delivery Ilhis similarfy is a carryover fTom last year. bLrt Is now framed moreaccuralely as Investment rather than updates). 20k- Policy research and tampayn development- lo allow us to make the best use of the research we have crmmisstoned 20k- Trusts and foundation fundraising Inve¥lment- lo bol$leT our expertise and capacity in this area. The Charity held restricted reserves al 30th June 2023 of £55,074 in our Cenlie for Research and Clinical Excellence Fund ICRCEI, which funds our collaboration with Sl George's Foelal Medicine Unrt and £1.293 in our 8ereavemenl Support Service Fund IBSSI, which provKles support to familie5. who have lost one or mLve babies as a result of a muttiple pregnancy PRINCIPLE FUNDING At present the Charity's principal funding comes from membership subscriptions, donations and associated gift aid In addilion. Twns Trust has been in receipt of key grants over this period from the Dapartmenl of Health (Northern Ireland) of £10.500 and £15.000 from the Scottish Government. STAFF SALARIES Twins Trust sets salaries according lo our salary F(Jlicy, which also govems when and how these are reV￿ad Page 12

TWINS TRUST LTD IA company llmited by guaran￿> TRUSTEES. REPORT ICONTINUEDI FOR THE YEAR ENDEO 30 JUNE 2023 I slaff, Incl¥Jding the Chief Executs"ve. are subject to a fomBI appratsal process. Trustees use a mixture of Ferf0mPn￿. Industry and third sector pay settlerrenl Indutors and the overall financial health of the Charity to deteFmine If an annual cost of living rtse Is appropnate As shown In Note 12 to the Financial Stalemenls. the Chief Executive was the only member of staff paid £60,000 or more The senior management team comprising of seven departmental managers and one comanagers were paid a cumulative total of £314.862 over the course of the year We had 20. 7 full time equivalent membefs of staff over the Coufse of the year (21 in 20211221 Trustees. Llablllty All the Trustees are rrtmbers of the Company As the Company ts limited by guarantee and has no share capital, the financial Interest of exh Trustee is Iirniled to a £1 guarantee Small company provlsions This report has been prepared in accordance with the special provisions relating to companies sutsjecl to the small companEs regime within Part 15 of the Companies Act 2006 Dbclosure of Infomiatlon to audito Exh of the per¥Jns who are Trustees at the kn.me when this Trustees. Report Is approved has confirrrtd that.. 50 far as that Tfustee Is aware. there is no ￿le¥aftt audit infomHtson of wh￿h the Company's auditors are unaware. and that exh Trustee has taken all the step5 that ought lo have been taken as a Trustee in order to be aware of any ￿levant audit Information and to eslab115h that the Company's auditors are aware of that inforrnath￿. Approved by order of the Members of the board of Tnjslees and signed on their behall ty.. Slmon Bem¢y-Edward8 Chair Dale.. Page 13

TWINS TRUST LTD IA company limitèd by guarnnt••l STATEMENT OF TRUSTEES. RESPONS181LITIES FOR THE YEAR ENDED 30 JUNE 2023 The Trustees (who are a150 the directors of the Company lor the purposes cf company la41 are respons1￿e f preparing the Trustees, report and the financial statements In accordan￿ ￿th applicable law and United Kingdom Aceounling Standards {Uniled Kingdom Generally Accepted A¢¢ounlin9 Pyaclicel. Company law requires the Trustees to prepare finanual 5tatemerrts for eath finaneial year. Under company law, the Trustees must not approve the finanual sialemenls unless they are satisfied that they give a true and fair view of the stste of affairs ol the Company and of Ils Incoming resources and application of resources. Including rts Income and expenditure, lor that period. In prepanng these financial 5talemenls, the Trustees are required to" select suitable aecounling policie$ and than apply them consislenlly.. observe the methods and pnnciples of the Charitie5 SORP IFRS 1021, make judgments and accounting ests'males that are reasonal￿e and pnjdent", slate whether applicable UK Accounting Slandard$ IFRS 1021 have been fc4lowed. subièct to ally matenal departUTe$ disclosed and explained In the financial slalemenls". prepare the finanual staternents w the g￿ng concem baws unless rt is Inappropriate to presume that the Cornp￿ry wll conbnue in bu&ness. The Trusteès are responsible for keeping adequate ac¢Dunting rewrds that are suffiaent lo show and explatn the Company's transactions and disclose wth reasonable a￿Ur8¢Y at any tsme the financial postson of the Company and enable them tg ensure that the finanual statemen15 comply wth the Companies Acl 2006. They are also respon&ble for safeguarding the assets of Ihe CorTwany and hence tsking reasonable sleps for Ihe Pfeventyon and delectson of fraud and other irTegulanbes Approved by txder of the members of the board of Tru$lee$ and signed on its behalf by.. Slmon B•rn•ydward$ Chair Date.. rLII Page 14

TWINS TRUST LTD IA company limited by guarantee) INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF TWINS TRUST LTD Opinlon We have audrted the financial slalenEnls of Twins Trust Ltd Ilhe 'charilable company I lor the year ended 30 June 2023 whieh ccynprise the Slalemenl of financial aclivilies, the Balance sheet, the Slalemenl ol cash flows and the related notes. including a summary of significant accounting policies The financial reporting framework that has been applied in Iheif preparation is applicable law and Unrted Kingdom Accounting Standards. including Financial Reporting Standard 102 'The Financial Reporting Standard applicable In the UK and Republsc ol Ireland. (United Kingdom Generally Accepted Accounting Practice) In our opinion the financial slal8menls' give a true and fair of the slate of the ¢harilable company's affairs as al 30 June 2023 and of its incoming resources and application of resources, Including Ils income and expenditure for the year then ended, have bèen properfy prepared in accordance wrth United Kingdom Generally Accepted Accounting Practice.. and have been prepared in accordance with Ihe requirements of the Companie$ Act 20C6. Chanlies Acl 2011, the Charrties and Trustee Investment Iscollandl Ad 2￿5 and regulation 8 01 the Charities Aceounls Iscollandl Regulations 2006. Basis for oplnlon Vle conducted our audrt in accordance with Inlernal¢onal Standards on Auditing IUKI IISAS IUKII and applicable law. Our responsibilities undei those standards are further described in the Auditor's Tesponsibililies for the audrt of the financial slalements section of our report. We are independent ol the charrtable ¢(￿panY in accordance with the ethical reouiTemenls that are relevant lo our audil of the linancpl slalemen15 In the United Kingdom, including the Financial Reporting Countil's Ethical Standard. and we have fulfilled our other ethical responsibilrties in accortJanee with these requirements. We believe that the audit evidence we have oblained 15 8ufficienl and appropriate lo provide a basis IOT our opinion. Concluslons relating Io going concem In auditing the financial slalèmenls, we hav8 concluded that the Trustees. use of the going concem basis of accounting in the prepaialion of the financial slalemenls is appropriate. Based on the work we have perfom)ed. we have not ￿ent￿led any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubl on the charitable company's ability lo ontinue as a going Concern for a period ol al least twelve months from when the financial slalements are aulhorised lor issue. Ouf responsibilrties and Ihe responsibilities of the Twslees wrth respect lo going concern are described in the relevant sections of this report. Page 15

TWINS TRUST LTD IA Company limited by guarantee) INOEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF TWINS TRUST LTD ICONTINUEO} Other information The other inlorrn8tion comprises the Informalion Included in the Annual report olhgr than the financial statements and our Audilorfs report Ihereon. The Trustees are responsible lor the othei information contained within the Annual report. Our opinion on the financial slalements does not cover the other Inlomiation and, except lo the extent otherwise explicrtly slated in our report. we do not express any fomi of assurance conclusion Ihereon Our responsibility Is lo read the other inlomialK)n and, in doing so, considei whether the other information 15 materially inconsi51enl with the financial slalemenls or our knowledge obtained In the course of the audit, or otherwise appears lo be materially misstated If we Identify such material Incon5151en¢ies or apparent material misslalemenls. we are required lo determine whether this gNes nse lo a materlal misslalement in the financial slalemenls themselve5 11, based on the work we have performed, we conclude that thgre is a malenal misstalemenl ol this other InformalK)n, we are required lo report that lacl We have nothing lo report in this regard. Opinion on other matters prescribed by the Companies A¢t 2006 In our opinion, ba￿ on the wcrtk undertaken in the course ofthe audrt.. the Information given in the Truslees, Report lor the financial year for which the financi•l staternents are prepared is consistent wrth the finaneial stalemenls. the Trustees, Report ha5 been prepared tn accordance with applicable legal fequiremenls. Matters on whlch we are requlr•d to report by exception In the lighl of our kn￿￿etJ9e and understanding of the charitable company and ils environment obtained in the course of the audrt, we have not identified material misslalements in the Trustees, Report. INe have nothing to report in Tespecl of the following matter5 in felalion lo which Companies Act 2006 and the Charitie5 Accounts (Scollandl Regulations 20LK las amended) require u5 to report lo you If. in our cpinion. adequate accounling recofds have not been kepl. Of returns adequate for our audit have not been received from branches not visited by us. or the financial slalements ar8 not in agreement with the accounting records and returns.. or certain disclosures of Trustees, remuneration specified by law are not made.. or we have not Teceived all the Information and explanations we require for our audit., or the Tru$lees Wore not enlilled lo prepare the financial slalemenl$ In accordance wrth the small companies regimo and lake advantage ol the small companie5. exemptions in preparing the Trustee$, Report and from the requirement lo prepare a Slrale9ic Report P4e 16

TWINS TRUST LTD IA company Ilmited by guaranteel INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF TWINS TRUST LTD ICONTINUEDI Responsibilities of truste•s As explained more fulty in the Tfuslee5' responsibilrties stslemenl, the Trustees (who are also the directors ol the charrtable company for the purposes of company lawl are responsible for the preparation ol the financial statements and for being satisfied that they give a true and fair view, and for Such Internal control as the Trusl*s determine is necessary lo enable the preparation of financial statements Ihal are free from maleri misstalemenl. whether due lo fraud or error In prepanng the fTrnanual slalemenls. the Trustees are responsible lor assessing the charitable cornpany's abilty lo continue as a going concern. disclosing. as applicable, mattefs related to going concern and using the going concern basis of accounting unless the Trustees either intend lo liquidate the charitable company or lo cease operations. or have no realistic alleTnaliv8 bul lo do so. Audttorfs responsibilities for the audit of the financlal statements We have been appointed as auditor under section 4411 Ilcl of the Charities and Trustee Inve51menl (Scollandl Act 2005 and under the Companies Act 201% and report in accordance with the Act and relevant regulations made or hamng effect Ihereunder. Our objectives a￿ lo obtain reasonable as$uran¢8 al)out W￿￿ther the financial statements as a whole are fr¢e from material misslalemenl. whether due to fraud or error. and lo issue an Auditorfs report that includes our opinion. Reasonable assurance is a h￿h ￿Ve1 of assuran￿. bul is not a guarantee that an audit conducted in accordance with ISAS IUKI will always detect a material misslalemenl when It exists. MIsst8lemenls can arise from fraud OT error and are considered material If. Individually or in the aggreg8le, they could reasonabty be expected lo Influence the economic decisions of vsers taken on the basis of these financial slalements. Irregularities. including ffaud, are instances of non-compliance wih laws and regulations. We design prcCedu￿S in line with our responsibilities, oullsned above. lo detect matenal misslalemenls in respecl of IrregularitEs. includin9 fraud. The exlent to which our procedures are capable of delecling Irregularrtie$, in¢ludin9 fraud 18 detailed below. We gained an understanding ol the legal and regulatory framework applicable lo the charitable company and the industry in which il operates. and considered the risk of acts by the charitable company that were contrary lo applicable laws and regulations. including fraud. We designed audit procedures lo respond to the risk. ognising that the risk of not detecting a materk31 misstalemenl due lo fraud is higher than the risk of not delecling one resuming from erToT. as fraud may Involve delibeTale concealment by, lor exampSe, forgery or intentional Mislep￿sentatIOns. or through collusion. We focussed on law5 and regulations which could give rise to a material rnisstalement in the financial slalements, including, bul not limrted lo, the Charities Act 2011, the Companies Act 20C6 afvj UK lax kgIslat￿I. Our lesls included agreeing the financial slalemenl disclosufes to undertying supporting documentation and •nquiTies with management. There are inherent limrtalions In the audit procèdures described above and, the further removed non-compliance wrth laws and regulations is from the events and Iransa¢lions reflected in the financial staternenls. the less likely we WQLtld becom8 aware of It. We did not hjentify any key audit matters relating to Irregularrties, including fiaud As in all our audits, we also addressed the risk of management override Internal controls. In¢luding testing journals and evaluating whether there was evidence of bkqs by the Trustees that fepresenled a nsk of malorial misslalemenl due lo fraud. Because of the inherent Iimilalions of an audit. the￿ is a risk Ihat we will not deleet all Irregulanlies, including those leading to a material misstatement In the financial slatemenls or non-compliance with regulation. This risk increases the rn0￿ that compliance with a law or regulation 15 rernoved from the events and Ifansactions Page 17

TWINS TRUST LTD IA company limited by guarant9el INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF TWINS TRUST LTD ICONTINUEOI refiected in the financial stslemenls. as we will be less likely lo become aware of instances of non-compliance The risk is also greater regarding Irregularrties occurring due lo fraud rather than error, as fraud Involves intentional concealment. forgery, ¢ollu5ion. omission or mi5represenlat￿n. A ftjrthgr descriplK>n of respon$ibilrties for the audit of the financial 51alemenl8 is located on the Financial Reporting Coun¢il'$ website at.. wwM.frc.OT .ukl dilorsres onsibililies. This description forms part of our Audrtorfs report. Use of our report This report is made solely to the charitable company's members, as a body. in accordance with Chapter 3 ot Part 16 of the Companies Act 20C£. and lo the charitable ¢ompany s trustees, as a body. in accordance with regula110n 10 of the Charities Ac¢ounls (Scollandl Regulations 2006 Our audrt work has been undertaken so that we might slate lo the charitable company's members and Trustees those matters we are required to stsle to them in an Auditor's report and for no other pvrpose To Ihe fullest extent perrn￿ed by law. we do not accept or assume responsibility to anyone other than the chanlable company and its members, as a body, lor our audit Wotk, for this report. of for the opinions we have fomed. ma￿ Dickinson FCA (Senior statutory auditorl for and on behalf of Shaw Gibbs (Audit) Limited Stalulory Auditor Wey Court Wesl Union Road FaTnham Surrey GU9 7PT Dale.. sh￿ Gibbs (Audrtl Lirnrted are eligible to act as audrtors in tems of section 1212 of the Companies Act 2006. Page 18

TWINS TRUST LTD IA company limilod by guaranttrel STATEMENT OF FINANCIAL ACTIVITIES (INCORPORATING INCOME AND EXPENDITURE ACCOUNTI FOR THE YEAR ENDED 30 JUNE 2023 Restrict￿ Unrestricted funds fund$ 2023 2023 Totsl fund$ 2023 Total funds 2022 Note Income frorn: Donations and legacies Charrtable activities Other trading a¢livilies Investments 70.771 47,498 39.699 224,634 702.268 92.126 12,081 295,405 749.766 131.82S 12,081 262.373 173.931 136.641 2,988 Total incom• 157,968 1,031,109 1,189.077 1. 175.933 Expenditure on- Raising lunds Chafrtable aclivrties 3.(XJ4 219,666 16.488 973,787 19.492 1,193,453 18.3 1, 725,407 Total 8xpendlture 222.670 990,275 1,212,945 7, 143. 757 Net lexpendlturevlncome Transfers between funds 164,7021 64,846 40,834 164.8461 123,8681 32,176 19 Net movemènt In funds 144 124,0121 123,8681 32,IT6 Reconciliation of funds: Total funds brought forward Net movernenl in funds 56.223 144 559,590 {24,0121 615,813 123.8681 583.637 32,176 Total funds c•rried forward 56,367 535,578 591,945 615.813 The Statement of Financial Activities includes all gains and k)sses recrynised in the year. The notes on pages 23 10 49 loryn part ol these financial slalemenls. Page 19

TWINS TRUST LTD IA company limited by guarantee) REGISTERED NUMBER: 03688825 BALANCE SHEET AS AT 30 JUNE 2023 2023 2022 Not• Flxfjd assets Intangible assets Tangible assets 14 15 45,778 12,750 76, 805 14.483 58.528 91,288 Curr•nt assets Oebtors Investments Cash al bank and in hand 16 17 86,991 331,800 269,884 94,329 302.456 333,279 688,675 730.064 Credrtors.. amounts falling due within one year 18 1155.2581 (205.539) 14et Cufrent assets 533.417 524,525 Total assets less current liabilities 591,945 615.813 Total net assets 591.945 615.813 Charity funds Reslricled funds Unrestricted funds 19 56,367 535.578 56.223 559,590 19 Total funds 591,945 615,813 Page 20

TWINS TRUST LTD IA ¢ompany limitèd by guarant•el REGISTERED NUMBER: 03688825 BALANCE SHEET ICONTINUEOI AS AT 30 JUNE 2023 The Tru8lees ackn¢)wledge their respon$ibililies IGY complying wth the requirements of the Act respect to accounting records and preparation ol finaneial slalemenls. The financial stements have been prtrpared In accordance wrth the provisions applicable lo entybes suect lo the small companies regime. The financial statements were approve(l aThd aLrthon5ed for Issue by the Trustee5 and signed on tr￿1r behalf by." tuh. Simon 8em•y-Edwards Chair Ralmeet 8hattl Treasurer Dale". The notes on pages 23 to 49 fomi part of these finanaal statements. Page 21

TWINS TRUST LTD IA company limited by guarantee) STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 30 JUNE 2023 2023 2022 Note Cash flowy from operatlng activltl•s N•t cash used in operating activities 22 {27,7581 57,606 Cash flows from investing aclivities Purchase of inlangible assets Purchase of tangible fixed assets Purchase of investments (3.598J (10.5251 (61.456) 16.2931 129.3441 N•t cash used In Investlng acliviti•¥ 135.6371 175,5791 Cash flows from financing activitios Net cash provided by fin•nclng actlvltles Change in c•$h and cash equivalents in the year Cash and cash equivalents at the beginnin9 of the year 163,395 333,279 117,973) 351252 Cash and ¢•sh fjquivalents at the end of the year 23 269,884 333,279 The notes on pages 23 10 49 form part of these financial statements Pa38 22

TWINS TRUST LTD IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 General Information The Company is a charitable company, incorporated in EngL4nd. Wales and Scotland. Its registered office is Sutte 7.02 Crown House. One Crown Square. Woking, GU216HR. The Company Is a company limrted by guarantee. In the event of the Company being wound up. the liabilty in respect of the guarantee is limrted lo £1 per mèmber of the Company. Accounllng pollcles 2.1 Bash of preparation of financial statements The financial slalemenls have been prepared in accordance with the Charities SORP IFRS 1021 Accounting and Reporting by Charities. Slalemenl ol Recommended Practice applicable lo charities preparing their accounts In accordance with the Financial Reportin9 Standard applicable in the UK and Republic (rf Ireland IFRS 102} leffective 1 January 20191. the Financial Reporting Standard applicable in the UK and Republic of Ireland IFRS 1021 and the Companies Act 2006. Twins Trust Ltd meets the definition of a public benefil entity under FRS 102. Assets and liabilths ar• initially recognised at histor￿al cost or transac￿n value unless otherwise stated in the relevant accounting policy 2.2 Golng concern The Trustees consider that there ore no material uncertaint￿$ about the Company's abilrty to c(￿linve as a going concern. 2.3 Income All Income is fecc*Jnised once Ihe Company has enlillement lo the income, rt is probable that the income will be received and Ihe amount ol Income ￿e1Vable can be measured reliably Donated services or facilities are recognised when the Company has control over the item. any conditions associaled wrth the donated Item have been mel. the receipt of economic benefit from the use of the Company of the item Is probable and that economic benefit can be measured reliably. In accordance with the Charities SORP IFRS 1021, the general volunteer lime ol supporters 15 not recogni$ed Refer to the Truslee$' report for more inft)rrnalion about their conlribulion. On receipt, donated prolessi¢)nal services and facilth'es a￿ recognised the basis of the value of the lo the Company which Is the amount rt would have been willing to pay lo obtain services or facilities of equivalent economic benefit on the open market.. a cOr￿spOndIng amount 1$ then reccgnised in expenditure in the pericKI ol receipt. Income tax recoverab￿ in relat￿ lo donations received under Grfl Aid or deeds of covenant is recognised at the timè of the donation. Membership subscription income is recognised upon receipt. Page 23

TWINS TRUST LTD IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 Accountlng policiès Icontinuedl 2.4 Expenditure Expendrture is recognised orKe 1$ a legal or ￿nstrUctive obligation to transfer economic benefrt to a Ihird party. rt is probable that a transfer of economic benefrts will be reqLJired in settlement and the amount of the obligation can be rneasu￿d reliably Expenditure is classified by activity. The costs of each activity are made up of the lotsl of direct costs and shared cosls. includin9 support costs Involved In undertaking each athvrty Direct cos15 attnbutable to a single activity are alWled directly lo that auivity Shared costs which contribute lo more than one activity and support costs wh￿h are not attributable lo a gingle activity are apportioned between those activities on basis consislenl with the use of resourcès. Central staff costs are allocated on the basis of lime spent. and depreciation charges allcKate(l on the portion of the asset's use. Expenditure on raising funds Includes all expenditure incurred by the Company to raise funds for charrtable purposes and includes costs ol all fundraising aclivrties events and non-charitsble trading. Expenditur8 on chanlable activrties is incurred on directly undertaking the activities which further thè Company's c&jectsves, as well as any associated support costs. 2.$ Government grants Go￿rnment grants relating lo tangible fixed assets are treated as deferred income and released lo the Statement ol Iinancial activities over the expected useful lives of the assets concerned. Other grants are credited lo the Stslement of fi'nancial activilies as the related expenditure 1$ incLbried. 2.6 Intefest receivablè Inleresl on funds held on deposit Is Included when receivable and the amount can be measLbre(I reliably by the Company, this is nomally upon notrficalion of the Inte￿51 Pa￿ oi payable by the in51itulion wrth whom the funds are deF)osiled 2.7 Intangible assets and amorti$•tion Intsngible assets are caprtalised and recognised when future economic benefits afe probable and the cost or value of the asset can be measured reliably Intangible assets are inrtially recognised al cost. After recognrtion. under the cost model. inlangib assets are measure(l at wsl less any accumulated amortlS31ion and any accumulated Impairment Amortisalion is provided al rates calculated to write off the cost of Intangible assets. less tt￿1r ¢stimated ￿sIdUal value. over their expected useful lives on following bases. The estimated useful lives are as follows SOf￿are development S year5 straight line Page 24

TWINS TRUST LTD IA company limitgd by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 Accounting pollcies Icontinuedl 2.8 Tanglble flxed assets and deprfjciallon Tangible fixed assets costing £1,000 or more are capilalised and recognised when future economic benefrts are probable and the cost or value of the asset can be n￿aSured reliably. Some compuler equipment costing less than £l.000 is Ca￿tall¥ed Tangible fixed assets a￿ Initially recognised al cost. After recognition. under the cost model, tangible fixed assets are measkjred al cost less accumu5aled depreciation and any accumulated impaim)enl losses All costs Incurred lo bring a tangible fixed asset into ils intended working condrtion should be included In Ihe measU￿rnent ol cost. Depreciation is charged so as lo allocate the cost of tangible fixed assets less their residual value over their estimated useful lives. using the slraighl-line method. Depreciation is provided on the following basis.. Compuler equipment 3 years slraighl line basis 2.9 Investments Investments held as current assets represent deposit accounts that afe not readily convertible lo cash. 2.10 Oebtorn Trade and other tjebtors are re¢ognised al the seitlemenl amount after any trade discounl offered. prepaYn￿nIS are valued al the amount prepaid net of any trade discounts due. 2.11 Ca$h at bank and in hand Cash al bank and in hand includes and short-lerm highly liquid investments wrth a short rnaturrty of three month5 or less from the dale of acquisition or opening ol the deposit or similaf account. 2.12 Liabilitles and provisions Liabilitie5 are recognised when Iherg is an obligatson at the Balance sheet date as a result ol a past event. it is probable Ihal a transfer of economic benefrt will be required in settlement, and the amount of the settlemenl can be eslimaled reliably Liabilities are reco9nised al Ihe amount that the Company ant￿ipaleS il will pay lo settle the debt or the amount il has received as advanced payments lor the goods or services Il musl provide Provisions are measured al the best estimate of the amotjnts required to settle the oblig8lion Whe the effect of the time value of money is malenal. the prov1sion is based on the present value of those amounts, discounted al the pre-tax discount rale Ihal reflects the risks specific lo the liability The unwinding of the discount is ￿cOgnised in the Statement of financial activities as a linance cost. Page 25

TYIINS TRUST LTD IA company limited by guarant8•1 NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED JO JUNE 2023 Accountlng policies Icontinuedl 2.13 Deferred Income Deferred income represents amounts ￿ceIVed relating to futLb￿ peric*Js and is ￿leaSed lo incomin9 resources in the period to which it relates. 2.14 Financlal Instruments The Company only has financial assets ar￿ financial liabilrties of a kinLI that qualify as basic financial Inslfumenls Basic financial instruments a￿ Initially recognised al transaction value and subsequently measured al their settlement value with the e¥ceplion ol bank loans which a subsequently measured al amortised cost using the effective Inlerest method. 2.1S Pensions The Company operates a defined contribution pension scheme and the pensicm charge represenls the amounts payable by Ihe Company to the fund in fespect of the year. 2.16 Fund accounting General funds are unrestricted funds which are available for use al the discretion ol the Tru51ees in furtherante of the general objectives of the Company and which have not been designated for other purposes. tksignaled funds compnse unrestricted lunds that have been Sel aside by the Truslees for particular purposes The airn and use of each designated fund is Sel out in the notes to the financial slalemenls. Reslncted funds are fund5 which are to be used ln accoTdance with specific restrictions imposed by donors or which have been raised by the Company for particular purp05e5 The costs of raising and administering such funds are charged against the specrfic fund The aim and use of each re5tncted fund is set out In the notes to the financial stalemenls. Investment Income. gains and losses are allocated lo the appropriate fund. Page 26

TWINS TRUST LTD (A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 Income from donatlon8 and legacies Restricted Unrestricted funds funds 2023 2023 Total funds 2023 Donations 70,771 224,634 295,405 R8stlFcl8d Unrestricted funds funds 2022 2022 Tot81 lunds 2022 Donal•)ns 88,685 173, 688 262,373 Income from charitable activiti Restricted Unrestrict8d funds funds 2023 2023 Total funds 2023 Courses and study days Infom131ion lo parents and professionals Membership subscriptions Grants 200 87.740 64.895 542,773 6,860 87.940 65,000 542,773 54,053 105 47.193 47,498 702.268 749,766 Rest17Cted Un￿S1￿cled funds funds 2022 2022 Total fvnds 2022 Coutses and stuty days Informalion lo parents and professionals Membership subscnplions Grants 480 92,937 40.26Q 572. 155 93.417 40.905 572, 155 67,454 645 66.554 67,679 706.252 773,931 Page 27

TWINS TRUST LTD IA company limited by guarantoel NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 Go¥•mment grants 2023 2022 Department of Health, Social Services and Public Safety Northern Heatth and Social Care Trust Southem Health and Care Trust Scoltish Government 10.500 4,239 3,308 15,000 lo.5￿? 6. 128 1. 185 19.993 33.047 37.8 Department of Heallh, Stxial Services arKI Public Safety (Northem Ireland) - the grant part funds the ¢osls ol our iegional coordinator who loises with. supports. and advises health proles510nals and organis*ions Ihiou9houl the region In Iheir delivery of care lo multiple birth families. Northern Health and Soeial Care Trust (Northern Ireland) - the grant contributes towards the costs ol providing support and setvices lo multiple birth families within the trust area Southern Health and Social Care Trust INorthem Irelandl - the grant contnbutes loward5 the costs of providing SUPPOrt and services to muhiple birth families wrthin the trust a￿a Scottish Government - the grant was received for the PTovision of I￿e anlenalal courses for expeclanl pafenls of muftiples across Scotland Income from other trading actlvlties Income from fundralslng •v•nts Restrleted Unrestricted funds funds 2023 2023 Total funds 2023 Fundraising. publicity and $810s Magazine 39,699 84.796 7.330 124.495 7,330 39.699 92,126 131.825 Page 28

TWINS TRUST LTO {A company limited by guarantee) NOTES TO THE FINANCIAL STA TEMENTS FOR THE YEAR ENDED 30 JUNE 2023 Incom? Ifom other tradlng activities Icontinuedl Income from fundraislng events Icontinuodl Restricted Unreslrictgd funds funds 2022 2022 Total funds 2022 Fundfaising, publicrty and sales Magazine 64.093 68.328 4,220 132,421 4.220 64,093 72.548 136.641 Investment Income UnrestfiCt8d funds 2023 Total funds 2023 Investment income 12.081 12.081 Unreslncled funds 2022 Tolal funds 2022 InVest￿nI InC￿e 2.988 2.988 Expenditure on raislng funds Costs of raising voluntary incomo Restrlcted Unrestrlcted funds funds 2023 2023 Total lunds 2023 Fundraising. publicity and events 3,004 16,488 19,492 Page 29

TWINS TRUST LTD {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 Expendilure on ralslng funds Icontlnued) Reslncted Unrestricted funds funds 2022 2022 Total funds 2022 Fundraising. publicity and events 2,504 15.846 18,3%) Analysls ol expenditur• on charitable a¢iivitl•s Summary by fund type Re$tricted Unrestrlcted funds funds 2023 2023 Total 2023 Northem Ireland Scotland Family Crisis Support IFCS) Northem Ireland Big Lottery General Bereavement SupFx)rt Service Centre for Research and Clinical Excdlence ICRCE) Parenl Talk$ 24.511 63,359 78,944 9,832 24,511 63,359 78,944 9.832 878,875 31,431 11.589 94,912 878.875 31,431 11,589 94,912 219,666 973,787 1,193.453 Page 30

TWINS TRUST LTD IA company limited by guarantgel NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 Analysis of expenditure on charltable activities Icontinuedl Summary by fund typ9 Icontlnuèdl Reslnc18d Unrgslricled lunds funds 2022 2022 Total 2022 Northein Irel8fKI Scolland Famity Cn5is Support IFCS) Northern Irelan¢J Big Lottery General Bereavement Support Service Centre for Research and Clinical Excellence ICRCEI Parent Talks 35, 142 43,068 60,076 24,991 35, 142 43.068 60,076 24 991 787 969 30.089 48. 108 95.964 787,969 30,089 48. 108 95.964 241.474 883.933 1, 125.407 10. Anatysis of expenditure by activities Activities undertaken directly 2023 Support costs 2023 Total funds 2023 Northern Ireland Scolland Family Cri$ts Support {FCSI Northem Irèland Big Lottery Genefal Bereavement Support Service Cenlre for Reseaicb and ClinKal Excellence ICRCEI Parent Talk8 24.511 63.359 78.944 24,511 63.359 78,944 9,832 878,87S 31,431 11,589 94,912 9.832 312,205 31,431 11,589 94.912 S66,670 626.783 566.670 1.193.453 Page 31

TWINS TRUST LTD IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 10. Anatysh of expenditure by activities Icon¢inufjdl Activities undertaken diwlly 2022 Support costs 2022 Tot81 lunds 2022 Northern Ireland Scotland Family Crisis Support IFCS) Northem Ireland Big Lottery General Bereavement Support Service Centre for Research and Clinical ExcellenGe ICRCEI Parent Talks 35.742 43.068 60.076 24,991 295 9Q7 30,089 48, 108 95,964 35.142 43.068 60.076 24.991 T87,969 30,089 48,108 95. 964 492,062 633.345 492.062 1, 125.407 ATralysls of dlrocl costs Family Cr1515 Northern Support Ireland Big IFCS) Lottery 2023 2023 Northern Ireland 2023 Scotland 2023 General 2023 SeNiee delivery administration costs 1,237 2.172 1.957 76,751 27,689 8,479 124,115 2.142 18.422 54.627 Magazine Sales staff c051s and other expenses Courses and study days Consultancy costs IT costs 23.047 227 61,499 1,800 72.592 7.875 4.119 61 24.511 63,359 78,944 9.832 312,205 Page 32

TWINS TRUST LTD IA cornpany limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 10. Analysis ol expenditure by actlvltl•8 Icontlnuedl Analy$l$ of dii&ct costs Icontinuedl Centre lor Research and Clinical Excellence ICRCEI 2023 8erea¥ement Support SeTrice 2023 Parent Talks 2023 Total funds 2023 SéNice delivery administration costs Maga2ine Sales Staff cos15 and other expenses Courses and study days Consultancy ¢¢$ts IT costs 3,157 262 418 86,014 27,669 8.479 375.275 55,339 I6.0￿• 27,106 466 14.669 1,198 17,2431 2.703 44,372 49,506 702 616 31,431 11.589 94.912 626,783 Family Crisis Support (FCSI 2022 Northern I￿land 819 Lollery 2022 Northem lTrland 2022 Scotland 2022 General 2022 Service delivery administration costs Magazine Staff costs and other expenses Courses and study days Consurtancy Costs IT costs Grants payable 1, 182 326 1.7T4 4. 740 67.721 37,940 119.955 1,290 25, 966 43.035 33.916 44 40.437 2,305 57.441 19.251 789 72 35. 142 43.068 60.076 24991 295.90T Page 33

TWINS TRUST LTD (A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 10. Analysls of expenditure by actlvitl•s Icontinuod) Anatysls of dirgct costs Iconlinu•dl cent￿ for Research Bgreavemenl and Clinical Support Excellenco SgrvKe (CRCE) pa￿nI Talks 2022 2022 2022 Tolal lunds 2022 Service delNery adminislralion costs Magazine Staff costs and other expenses Courses and study days Consullaney e¢sls IT costs Grants payable 1.472 181 77.396 37.940 351,336 62.313 27.271 44.089 21,085 7.141 391 14, 557 io 125 38.694 56.523 416 33.000 566 30,089 48. 108 95, 964 633.345 Analysis ol support costs Total fund¥ 2023 G•noral 2023 Staff costs Office costs Conferences and exhibitions Professional fees 425.213 41,767 208 34.702 7.100 2.248 7,403 39,054 8,975 425,213 41,767 34,702 7,100 2.248 7,403 39.OS4 8.97S Finance Costs Insurance Other costs DepTeeiation Govemance costs 566.670 566,670 An element of support casts have already been allocated within direct costs to funds to represent staff and other costs. The remaining co$ls are believed to be attributable to the general fund. Page 34

TWINS TRUST LTD IA company Ilmlted by guaranteel NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 10. Analysis of expenditure by activltles Icontinuedl Analysis of support costs Iconlinuedl Tolal funds 2022 Gener81 2022 Stsff costs Office costs Conferences and exhibilKJns Professional fee¥ Finance eosts Insurance Other costs 390. 755 30.433 390.755 433 60 7,623 6,609 2.189 7,965 36.991 7,623 6, 609 2,189 T,965 36.991 9,437 Depreciation Governants costs 9.437 492,062 492.062 Spllt of General Fund - Olrect costs Support Services 2023 Other General 2023 Total funds 2023 SeNce delivery administratson co515 Magazine Sales Staff costs and other expenses Courses and study days Consultancy costs IT costs 4,301 72.450 27,669 8,479 76,751 27,669 8,479 124,115 2.142 18,422 54,627 124.115 1.686 16,192 456 2.230 54.627 146,294 165,911 312,206 P89e 35

TWINS TRUST LTD IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 Support Se￿￿es 2022 Other General 2022 Total runds 2022 SeThti delivery admintstrab'on costs Magazine Staff costs and other expenses Courses and study days Consuttancy costs IT costs 2,465 65,256 37,940 67,721 37,940 Y 19.955 1.290 25.966 43.035 119.955 890 9.292 4C 16.674 43.035 132, 602 163.305 295,907 11. Auditorfs remunoratlon 2023 2022 Fees payable lo the Company's audrtor for the aLKIrt of the Company's annual accounts 8.975 8. 715 12. Staff costs 2023 Wages and salaries Sooal security Costs Contribution to defined contribution pension scheme5 676,490 51,493 22,029 629,290 46,382 17,664 750,012 693.336 Staff costs are allocated according to the function5 of each staff member and IheTefoTe fomi part of ¢Jirect ¢osl$ and support costs as appropriate. Fundraising staff costs of £62.123 12022. £78.1991 are Included in support costs. A re(1Undar￿Y payment h•J been made to one employee during the year for £4.862 12022.. NILI. AII redundancy payments have been paid in fijll and no amounts are owing at 30 June 2023. The average number of petsons employed by the Company during the year was as follows". 2023 No. 2022 Alo. Staff 31.5 28.8 Page 36

TWINS TRUST LTD IA company limited by guaranteol NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 12. Staff costs Icontinuedl The average haad¢ount expressed a5 full-time equivalents was. 2023 No. 2022 No. Staff 20.7 21.0 The number of employees whose employee benefrts lexduding employer pension Cjxts) exceeded £60.(K)O wa$.. 2023 No. 2022 No, In the band £60.001- £70.000 In the band É70.001 £80,000 Key management personnel werg considered lo be various senior 51aff and their Temuneration for the year was £314,86212022 £245.3111. 13. Trustees, remuneratSon and expenses During the year. no Trustees receNed any remuneration or other benefits (2022- ENIL) During the year ended 30 June 2023, expenses lolalling £50 were reimbursed or paid directly lo 1 Trustee f2022- £22710 5 Twslees). Dunng the year insurance costs were paid of £2,24812022 - £2.1891. An element of this cosl relates to Trustee indernnily insurance. Page 37

TWINS TRUST LTD (A company limrted by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 14. Ini8ngSble assets Computer software Cost Al 1 July 2022 155,132 At 30 June 2023 155,132 Amortlgatlon Al l July 2022 Charge for the year 78,327 31,027 AI 30 June 2023 109,354 Net book value AI 30 June 2023 4S,778 At 30 June 2022 76.805 Page 38

TWINS TRUST LTD IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 16. Tanglble flxed assets Plant and machlnery Cost or valuation Ai 1 July 2022 Additions 35.863 6,293 AI 30 June 2023 42,156 Depreclatlon At 1 July 2022 Charge for the year 21.380 8,026 AI 30 June 2023 Net book value At 30 June 2023 12,750 AI 30 June 2022 14.483 16. Debtors 2023 2022 Due within ono year Trade debtors Other debtors Prepayments and accrued income 6,509 53,462 27,020 16.286 44.001 34 042 86.991 94.329 17. Current asset Inve$tment$ 2023 2022 Short term investments 331,800 302,456 Page 39

TWINS TRUST LTD IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 18. Creditors- Amounts falling due wlthln onfr year 2023 2022 Trade creditors Other laxalitsn and sooal security Olher credrtors Accruals and deferrgd ineome Grants accrued 35,931 12,915 38.435 14. 760 488 114.253 37.603 72,040 34.108 155.258 205.539 The movement in grants commiited during the year is as follows.. 2023 2022 Grants committed al the beginning of the year Amounts claimed 37.603 13.4951 37,603 34.108 37.603 Page 40

TWINS TRUST LTD IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 Twins Trust ha$ committèd lo make iesearch grants to thg lo11¢￿Ill9 indiwduals.. Grants awarded 2018119 Dr BT8nda F Nance, NIHR Clinical Research Fellow In Obslelrics and Gynaecology Ifull-limel and Honorary SPR in Obsletncs and Gynae¢ology at Sheffield NHS Teaching Hospitals. Ur)Neisty of Sheffield. £19,614 (split of 50'.50 Twins Trust BMFMSI Explon'ng novel teChn￿ueS for the prediction of spontaneous prelem birth in multiple Pfegnanc*s. Lindsay Kindinger, Acadèmi¢ Clinical Lecturer in Obslelric8 and Gynaecology. Irbslilule for Women's Health, University College London. £19.608 Isplrt of 50_50 Twins Trust. BMFMSI Quantilalive fetal libronectin. ¢ervical length and vaginal mierobiola for the prediction of preterm birth in t￿in pregnancies undergoing felal laser surgery. This bursary has been named in memory of Eva 8oyle, a much-mi$$ed, forever-loved twin. The grant recipients Inrtially had 2 years lo complete the research but extensions have been agreed as resLstt of the Covid-19 pandemic until May 2022 The giants a￿ payable when the research is complete. Grants awarded 2019120 Dr Andrew Sharp, Department of Women's and Children's Health. Liverpool Women's Hospbtal. £20,00018pIrt of 50.50 Twins Trust: BMFMSI Examining the role of the vaginal microbicrfne and cervical length al 16 weeks in the prediction ol prelem birth in hvin pregnancy. The grant recipient has 2 yoars lo complete the research and the grant is payable when the researth 1$ eomplele. Grants aw•rd•d 2021122 Lisa Story, Honorary Consullanl in Obstet￿$ and Felal M&Sicine, Sl Thomas. Hospital £18, 190 (split of 50 50 Twins Trust. BMFM51 Evaluation of the impact of fibronectin an(1 ceN¢al length monrtoring in trip￿t pregnancies The full amount of £9.095 was unpaid al Ihe year end Twins Trust has considered Ihe eff8Ct of discounting the grants committed and determined that the effect is not material. Deferred Income comprises advertising Income received in advan￿ of publication. course and audrt fees received In advance and donations received in advance of the specified purposes they are to provide. An analysis of the movement on deferred Income is 5htr4￿ bebw. Page 41

TWINS TRUST LTD IA company lirnited by guaranto•1 NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 Deferred Income Income Deferred received income at durlng thè 01 July 2022 yèar Amounts released during the year Deferred Income at 30 June 2023 Advertising Income Course Fee$ Maternity Engagement Audit Fees NI BMJ Lottery Olher grants 2.943 5.835 40.850 7.896 28.479 16.911 91,4CK) 30.300 114.9541 187,9401 160.4001 17.8961 189.3941 9.295 10,750 86,780 25,865 86.003 225.391 1260.5841 $0,810 Page 42

TWINS TRUST LTD {A ¢(¥fflyny limited by guaranieel NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 19. Statement of fvnds Statement of fundi . current year Balance al 30 June 2023 Balance at 1 July 2022 Transfers inlout Income Expenditure Unre$tricted funds Designatgd funds Pargnt Talks Digital Fundmebsile Update Research Future Strategy and Operations Trust and Foundation Fundraising Investment 18,672 30.000 30.000 30.(100 89,930 194,912) 13.690 20,000 20,000 20,000 110.0001 110,0001 110,0001 20,000 20,000 108,672 89.930 194,912} 110.000 93,690 Genoral funds Support Service5 Other Gèneral Funds 68.942 872.237 1146,2941 77.352 1749,0691 1132,1981 450,918 441.888 450,918 941.179 189S,3631 154,8461 441.888 Total Unrostrictsd funds S59,590 1,031,109 1990,2751 64,8461 535,578 Restricled funds Centre for Research and Clinic Excellence ICRCEI Family Cfisls Support IFCS) Scotland Northem Ireland Bereavement Support SerV￿e Northem IreLand Big Lottery 34,904 15,500 29,384 50,833 21,250 18,837 29.768 7,896 19,2141 181.4601 163,3591 124,5111 134,2941 19,8321 55,074 1S,127 42,109 5.674 5.819 1.293 1,936 56,223 157,968 1222,6701 64.846 $6,367 Totsl of fund$ 615,813 1,189,077 11,212.9451 591,945 Page 43

TWINS TRUST LTD IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 19. Statement of funds {contlnued} ststement of funds - prlor year Balance * 30 June 2022 8alan¢e al l July 2021 Transfers vrf(NJl Income Expendrture Unrestrlcted funds Deslgnated funds Parent Talks Digital FundlWeb$rte Update Research Fulure Slr*egy and Operations 19354 95,282 (95.9641 18,672 43.620 20,(￿XI (13.620) 70,000 (14.625) ,000 30.OGQ (10.375) 137.974 95,282 (106.339J (18.245) 108.072 General fvnds Support servI￿s Other General Funds 41,065 819. 129 (132, 601) (660.839) 91.536 (109.457J 402,085 4￿.918 402.085 860. 194 (793.440J (17.9211 450.918 Totsl Unrgstricted funds 540,059 955,476 (899, 779) (36, 166) 559.590 Restrictèd funds cent￿ for Research and Clini¢ Excellen¢a ICRCEI Family Crisis Support IFCS) Scotland Northern Ireland Bereavement Support Serwce Northem Ireland Big Lottery 28,213 5,745 56.712 69.831 23. 743 18.301 26,8T9 24,991 (50,0211 (60.078) 143.068) f35, 142) (30.680) (24.991) 34.904 15. 19.325 16.841 9.620 5,819 43.578 220,457 (243. 978) 36. 166 56 223 Page 44

VIIINS TRUST LTD IA company limited by 9uaranteel NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 19. Statement ol funds Icontinuedl Total of funds 583.637 1. 175. 933 (1. 143. 757) 615.813 Unrestricted Ineludes d•sl nated funds Support Services To provide services lo multiple birth familiès lo help them meet the challenges they may fa￿. Parent Talks To provide classes. talks and seminars lo help and support families 10 meet the unique challenges of raising muhiple ts'rth children. Dlgital Fund Funds sel aside lo enable further devebprn•nl of our digital development plans. which are a strateg priorty sel out in our 5 year plan Rosearch Fund To undertake medical research lo reduee the number ol still births and premature births as a result of multiple pregnancy. This will help us resume our matched lunding partnership wrth the Bntish Malemal and Felal Medicine Society IBMFMSI and sUpp￿ment the research Pfoiects being caffied out * our Centre for Research and Clinical Excellence. Futllfe Strategy and Operatlons FuTrd To fund future strategic planning ¢osls, expansion ol the staff team and improvements lo the Chanty office space. R•8triclgd Scotland To work individually and with other agencies to idenlrfy tha needs ol famil￿$ in Scotland afHI lo help ttrm by providing support. services and advice Northem Ireland To work Individually and with other agencies lo identify the needs of familigg in Northern Ireland and lo help them by providing support. seNices and advice. Awards lof All England and Wales To piovide new resources to families and professionals in these tsvo countries lo help them meet the challenges they may face. Famlly Crlsis Support IFCSI To provide practical help in the home or equipmnl lo famils in dire need. Bereavement Support Serylce IBSSI To prowde support lo families who have lost one or more bab*s as a result of a mvKiple pregnancy. Clinlcal Research To undertake medical research to reduce the number of still births and premature births as a result of a multiple pregnancy This fund was wound down by 30th June 2020, but this vital research will continue lo be a pnority. Page 45

TWINS TRUST LTD IA company limitgd by guaranteel NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 Centre for Research and Cllnical Excellence {CRCEI Ifomierly Twln to Twin Transfusion Syndrome ITTTSI Fund) To enable the delivery ol work that raises awarene55 of TTTS and provides additional support lo these expeclanl pa￿ntS and reseafches how lo reduce the risks they experience in pregnancy. Northern Ireland Big Lottery The money is lo run and develop our club neh¥ork across Northem Ireland as well as be present at hospital Twins Clinics to chal to expectanl Pa￿nIS. Trustees regulady fevw the financial pOsit￿n of our wional lunds and have over successive year5 agreed lo meet any shortfall from unreslncled funds. This is reflected In the transfer5 between funds noted In these accounls. During the year the Trustees have designated funds lo assist in specrfic projects and these have been transferred from general funds Summary of funds Summary offunds- currènt year Balance at 30 June 2023 8alance at 1 July 2022 Transfers Inloul Income Expendlture Designated funds General funds Restricted fvnd5 108,672 450.918 56,223 89,930 941,179 157.968 194,9121 895.363} {222,670) 110,0001 154,8461 64.846 93,690 441,888 56.367 61 5,813 1,189.077 11,212,945) 591,945 Summary of funds- priorye•r Balance al 30 June 2022 Balan￿ 81 l Juty 2021 Translers inloul I￿)Me Expenditurn Designated fvnds General funds Reslricled funds 137.974 402.085 43.578 95,282 860, 194 220,457 {106.339) 1793.440) (243.9781 (18.2451 (17.921) 36.166 108.672 4x1.918 56.223 583. 637 1, 175.933 (1, 143. 757) 675,813 Page 46

TWINS TRUST LTD IA Company limited by guaranteel NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 21. Anatysis of n•t assets between funds Analysis of net assets between funds . ¢ufrent y8ar Rgstricted Unrestricted funds funds 2023 2023 Total funds 2023 Tangible fixed assets Intangible fixed assets Current assets 12,750 12,7S0 45.778 45.778 573.200 688,675 196.150) {1SS,2581 115.475 159,1081 Creditors due wilhin one year Totsl 56.367 535.578 591,945 Analysis of net assets between funds . prlor year Resliicted Unreslncl8d funds funds 2022 2022 Total furtds 2022 Tangible fixe(l assets Intangible fixed assets Current assets Credilors due wrthin one year 14.483 76.805 14 483 76, 805 730.064 f205.539) 126.945 (70. 722) 603. 119 (134,817J Total 56,223 559, 590 615.813 Page 47

TMNS TRUST LTD IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 22. R8conciliation of net movement in fund* to net cash flow from opef•tlng activitles 2023 2022 Nel lneomelexpendrtu￿ for the year las per Statement of Finan¢ial Activrtiesl 123,8681 32,176 Adjustments for.. Depreciation charges Decrease In debtors 0g¢rease in credrtors 39,053 7.338 150,2811 36.991 13. 732 125.2931 Net cash provlded byllused Inl operatlng actlviti8S {27.7581 57.6LiS 23. Analysis of cash and cash equlvalents 2023 2022 Cash in hand 269,884 333.279 Total cash and cash equivalents 269,884 333.279 24. Anatysis of ¢hartgeg In net debt At 1 July 2022 Cash flows At 30Juno 2023 Cash al bank and in hand Short term investments 333,279 302.456 163,3951 29,344 269.884 331.8WI 25. PensloD commltments The group operates a defined contribut￿n pension scheme. The assets of the scheme are held separately from those of the 9fOUP in an independently administered fund. The pension cost charge represents conlfibulions payable by the C￿￿panY lo the fund and amounted to £22,02912022 - £17.6641. Contributions lolalling £nil 12022 £nill were payable lo the fund al the balance sheet dale and are includgd in creditors. Page 48

T￿Ns TRUST LTD IA company limited by 9uaranteel NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2023 26. Operatlng lease commltments At 30 June 2023 the Comp8ny had commitments lo make lUtU￿ minimum lease payments under non- cancellable ¢)pefating leases as follcms." 2023 2022 Not later than 1 year Later than 1 year and nol later than 5 yews 5.144 20,577 5, 144 5.144 25. 721 The following lease payments have been recognised as an expense in the St*emenl of finanryal activities.. 2023 2022 Operating lease Tenlals 21,690 21.217 27. TaxatlOD The Charitable Company is exempl from corporation lax on ils chantable aclivrtie$. 28. Gifts in kind During the year the Charity rec&ved donations in kind of £50012022 - £9751 in respect of Norland trained ?arty years practitioner costs from the Norland agency. Ouring the year the Charity received donations in kind of £29.00012022 - £nill in respect of legal services from Sheaman & Sleding (London) LLP. This has teen ieflecle(l in Income and expense on the Slalemenl of financial activities 29. Related party transaction5 During the yeaf. donations received from Trustee$ wrthout condrtions allached lolalled £557 12022 - £6351 There have been no other related party transactions in the current or prior year requiring disclosure other than the Trustees, expenses reirnbursed disclosed in note 12. Page 49

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