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 $h¢)wed that 68D/• received no multiples training at any point during their educ*i¢)n
In addition, Ihe charity regulaily hears from our professional communty that they are keen to increase their
knowledge of - an¢J confmaence in - dealing wrth muliiple pregnanc￿$.
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 cr*nmunty. We funded four independent stud￿5 Ic(*ing into different potential causes and
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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 famil*s
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 schc*Jl 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
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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$1 ènded the financial year with a defi¢il of £23,868.
The charity generates Income from a vanety of sources. the most signilicanl bein9 ongoing membership5
(including Gift Aidl, equating lo 58% of the charity's incon*1£670.1491 This has diversified throughout the year
and lundraising
including Iru51s, grants. individual fundraising, corporate support and Individual donations
now makes up £310.002 of income127Vhl. The Charity is very grateful lo its membefs fof Iheir continued supp)rt
during the challenging cost of living cris￿.
Alongside income raised from the rnembership base, there's been really strong performance Irom fundraisin9
events The highlight wa5 the 'Saving Babies, Lives, appeal, which ran in March 2023 An incredible £62.916
wa5 raised In just 36 hours by 1,200 people, lar exceeding the original £50.000 tar9el This appeal raised over
four times MO￿ than the charity s Pfevious largest appeal Twins Trust staff and community rallied round lo
reach the goal Thanks lo the generosity of partners Including lèad sponsor. Leigh Day, the first £15,000 ol gifts
were maleh-funded. The appèal was shortlisled foi a Third Sector charity award in the Breakthrough of the Year
category.
Twins Trust has been dNersifying in¢ome streams and there are now corporate partnerships in place with two
law firms, Irwin Mrt¢hell and Leigh Day. Both firms gave £10,DOO lo Twins Trust in 2022123. Leigh Day was
named as the lead spon50r of the Saving Babies, LNes campaign. while I￿1n Mitchell gave £5.000 in June
2023 for the Walk for Twins Tfust. plus £5,000 for the Saving Bab￿$, 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, compan*s 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 la*41 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•y*dward$
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 st*ements have been prtrpared In accordance wrth the provisions applicable lo entybes su*ect 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 ttr*m
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 famil*s 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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