Tiny Tickers Limited Annual report and accounts For the year ended 30 April 2021 Charity registration number 1078114 Company registration number 03758594
AT A GLANCE
INDEX
Our vision is that we want every baby with CHD to have the best chance of survival and the highest possible quality of life.
Chief Executive’s welcome ............2 Impact of the Covid pandemic ......3 Trustees’ statement ........................4 Independent examiner’s report .....6 Statement of finanical activities ....7 Balance sheet...................................8 Notes to the accounts .....................9
CHIEF EXECUTIVE’S WELCOME
A better start for tiny hearts
get the treatment they need from the first opportunity. This can save lives, improve post-surgery survival rates and lead to a better long-term quality of life.
This report covers the 2020-21 financial year, which began in May 2020. This, of course, was an exceptionally challenging year due to the COVID-19 pandemic. Despite these pressures, our finances remained stable and we were able to adapt to help families and health professionals in new ways.
Tiny Tickers exists to improve the early detection and care of babies with congenital heart disease (CHD), giving them a better start in life.
Heart problems are the most common congenital birth defect – affecting around one in every 125 babies.
We help babies with CHD by educating and supporting the health professionals who look after them; providing support, information and advice to newly diagnosed families; being a voice for patient families as we work with the NHS to improve services; and funding equipment that aids detection of CHD.
Every year in the UK more than 3,000 babies are born with a defect so serious it requires open heart surgery or other complex procedures during their first year of life. Early detection means babies
We are so grateful to all the donors, funders and volunteers, whose generosity and support at the most difficult of times meant we continued to make a real and positive impact for so many families.
JON ARNOLD CHIEF EXECUTIVE
HOW WE HELP: OUR WORK AREAS
We want every baby with congenital heart disease in the UK to have equal access to the highest quality detection, diagnosis, treatment and care.
We train and support
1
sonographers and other health professionals working to help patients with CHD.
We fund equipment and support new technologies to improve detection, diagnosis and treatment.
2
We influence service standards and are a voice for patients and families .
3
We provide families with
4
information, advice and access to support .
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OUR GRATITUDE TO NHS WORKERS
During 2020-21 we witnessed first hand the unwavering dedication and professionalism of NHS staff.
From sonographers who continued to perform pregnancy screenings in very challenging circumstances; to the staff at heart units who adapted their services to continue treating young cardiac patients.
On behalf of the families Tiny Tickers supports, we’d like to say thank you to all the NHS key workers who kept services running; kept units operational; and who strove to support families through an already distressing experience that was made even harder due to the pandemic restrictions.
Their dedication to their work is remarkable, and we are proud to support the NHS through our charitable work. Thank you NHS.
The impact of the pandemic The Covid pandemic had a significant
The Covid pandemic had a significant negative impact on the charity sector, and both our charitable activities and our finances were affected during the 2020/21 financial year.
Why we’re needed...
Arthur’s transposition of the great arteries was detected at his mum Ellie’s 20-week pregnancy scan during the pandemic. Ellie says: “Tiny Tickers and the resources they provide have been completely invaluable to us, especially throughout our pregnancy. A few months after our diagnosis, Tiny Tickers posted a photo on their Instagram of a team of sonographers they had recently trained and there was our sonographer! Without Tiny Tickers, our story could have been a lot different.”
We are proud of the way we responded – introducing new health professional training methods and resources, and responding to an increased demand for our support and advice services – all while working to ensure the continued financial viability of the charity.
Lockdown and the pressure the NHS was under meant that two our of core projects had to be paused – our in-hospital sonographer training, and our work to supply pulse oximetry testing machines. Instead, we created new
Below are photos of the team at King’s Mill taken during that training, and a recent photo of Arthur, who is doing well following open heart surgery.
projects – launching training webinars that AT A were phenomenally GLANCE well attended, and introducing a new We remain financially cardiac resources hub for stable despite the pandemic. health professionals on Some services temporarily our website. stopped, but we found new ways to help our Demand for our support beneficiaries.
Demand for our support and advice grew hugely – and we secured funding to introduce professionally-facilitated virtual support groups for parents affected by CHD.
with a full team. In the early weeks of lockdown, our income fell by 90%, but the rebound started with the 2.6 Challenge and continued from there. We ended a financial year that had started so worryingly with all our services resumed, our financial security intact, and a range
of new charitable projects underway. We’d like to place on record our huge thanks to our dedicated and tireless staff team and volunteers; and our extreme gratitude to all the funders, donors and fundraisers who rallied around to ensure we could continue our vital work.
Due to our having maintained a prudent level of reserves, we decided not to furlough staff – instead operating
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REFERENCE AND ADMINSTRATION DETAILS
Charity name: Tiny Tickers Limited
Company registration number: 03758594
Charity registration number: 1078114
Registered address: 76 Chiswick Lane, London, W4 2LA
Trustees:
Paul Schofield (Chair) Dr Shuba Barwick (appointed 04/21) Julie Davison (appointed 04/21) Sonia Beard (appointed 04/21) Professor Alan Cameron Jane Fisher Nick Flanagan Sally Insley (appointed 04/21) Allan Jones Matthew Worrall
Chief Executive Officer: Jon Arnold
Company Secretary: Gwen Young
Bankers:
TSB, PO Box 1000, Andover, BX1 1LT
Independent examiner:
Peter Clark FCA FBIM cyf Milestones, 98 Woodside Road, Amersham, Bucks, HP6 6AP
CHARITY & FINANCIAL INFORMATION
Trustees’ statement
New trustees are given a full induction. The trustees are responsible for our governence and for the use of funds.
Structure and governance
Tiny Tickers is constituted as a company limited by guarantee, incorporated on April 23rd, 1999, and registered as a charity on November 8th, 1999.
Also, they are responsible for regulating our fundraising, and setting the charity’s strategy and policies (and monitoring progress and fulfillment of these).
The company was established under a Memorandum of Association, which established the objects and powers of the charitable company and is governed under its Articles of Association.
Day-to-day management of the charity’s affairs is delegated to the Chief Executive.
Charity objects
In the event of the company being wound up, members are required to contribute an amount not exceeding £10.
The charity’s objects, as set out in our Memorandum of Association, are to improve the understanding, early detection and treatment of cardiovascular disease in babies and mothers, through research, training and education.
The directors of the company are also charity trustees for the purposes of charity law. The Articles of Association require that there are at least three trustees.
The trustees have referred to the Charity Commission’s guidance on public benefit when reviewing aims and objectives and when planning future activities.
Trustees are appointed at the Annual General Meeting and are required to retire by rotation, with one third of the board of trustees retiring each year.
Since the charity’s work aims to advance the life chances of approximately 3,000 babies born suffering from major CHD each year, the trustees are satisfied that the charity meets the Charity Commission’s public benefit test.
Trustees who retire at an AGM may, if willing, be reappointed. The board of trustees may appoint new trustees during the year, who will hold office until the next AGM, where they may be re-appointed.
Why we’re needed...
Gabriela has hypoplastic left heart syndrome. Evita, her mum, says: “I’ll always be grateful to those surgeons, doctors and nurses who saved our little princess - and so thankful for all the support from amazing groups like Tiny Tickers. Deep in my heart, I know she will grow up, despite the odds of having a 50% chance of reaching age five. There will be no day without her beautiful smile.”
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GLANCE Our income went down by 10.5% in 2020/21 We recorded a compared to the surplus of £60,608 - previous year. due to reduced services We raised and prudent financial £263,988. management. We have identified activities for these funds to be spent on in 2021/22.
The Covid pandemic may have stopped us doing some of our charitable work but congenital heart disease didn’t stop, and families needed us more than ever. We responded by introducing new virtual and digital projects to offer the support they needed.
Financial review 2020/21
Given the unprecented difficulties of operating during the global Covid pandemic (the UK’s first and second lockdowns both fell within this financial year), we were pleased with the overall financial performance.
After initial and signficant falls in most income streams as Covid restrictions were imposed, we saw a strong and generous response driven by individual supporters and virtual events that left our income at £263,988. This was a 10.5% reduction year-on-year.
Due to a combination of services that we were unable to operate during lockdowns, and prudent financial management given
the uncertainty surrounding income, our expenditure was significantly reduced year-on-year. It fell by 12.7% to £203,608.
This restrained expenditure, combined with rebounding income as the year continued, led to a surplus of £60,380. The Trustees felt that, given the ongoing uncertainty about future financial and operating conditions, running this level of surplus was a prudent approach.
As of 30 April 2021, our total funds stood at £227,217 – of which £162,765 was unrestricted, and £64,452 restricted.
The Trustees’ ambition remains to progress the organisation in a sustainable way, and our 2021/22 budget includes increased spending and a small budgeted
deficit as we ensure the operational team has sufficient resources to deliver both current and new charitable activities.
The Trustees believe the 2020/21 financial performance - despite the challenging circumstances - continues to provide a stable platform from which to deliver significant impact for our beneficiaries.
However, while the charity remains in a strong financial position, we are aware that the cloud of the pandemic will likely remain with us for some time and will, to some extent, guide our expenditure decisions into the next year.
It is the Trustees’ policy to hold unrestricted reserves equivalent to six
to nine months’ normal expenditure and our 2020/21 performance and 2021/22 budget continue to allow for the charity to operate within that policy once funds designated to planned charitable activities are taken into account.
Declaration
The Trustees declare that they have approved this annual report document. Signed on behalf of the charity’s Trustees:
Paul Schofield, Chair of Trustees Date: 04/01/2022
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CHARITY & FINANCIAL INFORMATION
Independent examiner’s report
Independent examiner’s report to the Trustees of Tiny Tickers Limited
We report on the accounts of the company for the year ended 30 April 2021, which are set out on pages 7 to 12.
Respective responsibilities of Trustees and Examiner
The Trustees (who are also the Directors of the Company for the purposes of company law) are responsible for the preparation of the accounts.
The Trustees consider that an audit is not required for this year under section 144(2) of the Charities Act 2011 (the 2011 Act) and that an independent examination is needed.
Having satisfied ourselves that the charity is not subject to audit under company law and is eligible for independent examination, it is our responsibility to:
-
Examine the accounts under section
-
145 of the 2011 Act;
● Follow the procedures laid down in the general Directions given by the Charity Commission under section 145 (5)(b) of the 2011 Act; and
● State whether particular matters have come to our attention.
Basis of independent examiner’s report
Our examination was carried out in accordance with the general Directions given by the Charity Commission.
An examination includes a review of the accounting records kept by the charity and a comparison of the accounts presented with those records.
It also includes consideration of any unusual items or disclosures in the accounts, and seeking explanations from you as Trustees concerning any such matters.
The procedures undertaken do not provide all the evidence that would be required in an audit and consequently no opinion is given as to whether the accounts present a ‘true and fair view’ and the report is limited to those matters set out in the statement below.
Independent examiner’s statement
In connection with our examination, no matter has come to our attention:
- (1) which gives us reasonable cause to
believe that in any material respect the requirements:
● To keep accounting records in accordance with section 386 of the Companies Act 2006: and
● To prepare accounts which accord with the accounting records, comply with the accounting requirements of section 396 of the Companies Act 2006 and with the methods and principles of the Charities Statement of Recommended Practice (Charities SORP (FRS 102))
have not been met; or
(2) to which, in my opinion, attention should be drawn in order to enable a proper understanding of the accounts to be reached.
Peter Clark FCA FBIM cyf Milestones 98 Woodside Road Amersham Buckinghamshire HP6 6AP
Date: 04/01/2022
Our supporters responded to the Covid pandemic by organising their own fundraising activities and taking part in virtual events like the 2.6 Challenge. We are so grateful to everyone who helped.
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Statement of financial activities
For the year ended 30 April 2021 (incorporating the Income and Expenditure Account)
All of the activities are continuing. There were no recognised gains or losses other than those stated above.
The notes on pages 9 to 12 form part of these financial statements.
| INCOMING RESOURCES Incoming resources from generated funds: Voluntary income 3 Activities for generating funds Investment income 4 Income resources from charitable activities: Training Other income Total incoming resources RESOURCES EXPENDED Charitable activities Training Influencing standards Awareness Research Family support / collaborative working Cost of generating funds: Cost of generating voluntary income Fundraising event costs Operating costs Governance costs Total resources expended 5 Net income (expenditure) for the year Total funds brought forward May 2020 Total funds carried forward May 2021 10 Notes |
211,046 8,991 220,037 207,042 3,803 19,127 22,930 71,271 846 - 846 943 235 19,940 20,175 15,787 - - - - Unrestricted funds £ Restricted funds £ Total 2021 £ Total 2020 £ |
|---|---|
| 215,930 48,058 263,988 295,043 |
|
| 43,196 1,560 44,756 58,452 13,282 10,615 23,897 46,073 21,213 1,447 22,660 22,857 - - - - 8,926 4,288 13,214 12,393 57,310 - 57,310 47,619 4,295 - 4,295 7,666 32,622 - 32,622 35,041 4,854 - 4,854 3,077 |
|
| 185,698 17,910 203,608 233,178 |
|
| 30,232 30,148 60,380 61,865 |
|
| 132,533 34,304 166,837 104,972 |
|
| 162,765 64,452 227,217 166,837 |
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Balance sheet
As at 30 April 2021
| Current assets Debtors 8 Cash at bank and in hand Total current assets Creditors: amounts falling due with one year 9 Net current assets Net assets Funds of the charity Unrestricted funds Restricted income funds Total funds 10 Notes |
- - - 1,311 163,765 64,452 228,217 166,526 Unrestricted funds £ Restricted funds £ Total 2021 £ Total 2020 £ |
|---|---|
| 163,765 64,452 228,217 167,837 |
|
| 1,000 - 1,000 1,000 |
|
| 162,765 64,452 227,217 166,837 |
|
| 162,765 64,452 227,217 166,837 |
|
| 162,765 - 162,765 132,533 - 64,452 64,452 34,304 |
|
| 162,765 64,452 227,217 166,837 |
For the year ended 30 April 2021, the company was entitled to exemption under section 477 of the Companies Act 2006 relating to small companies. No members have required the company to obtain an audit of its accounts for the year in question in accordance with section 476 of the Companies Act 2006. The directors acknowledge their responsibility for complying with the requirements of the Act with respect to accounting records and for the preparation of accounts.
These accounts have been prepared in accordance with the provisions applicable to companies subject to small companies’ regime.
The financial statements on pages 7 to 12 were approved by the trustees on Tuesday, January 4th, 2022 and signed on their behalf by:
The notes on pages 9 to 12 form part of these financial statements.
Paul Schofield, Chairman of the Trustees
Date: 04/01/2022
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Notes to the accounts
For the year ended 30 April 2021
1. Basis of preparation
The principal accounting policies adopted, judgements and key sources of estimation uncertainty in the preparation of the financial statements are as follows:
1.1 Basis of preparation
The financial statements have been prepared under the Companies Act 2006 and in accordance with the Charities Statement of Recommended Practice (Charities SORP (FRS 102)) and Financial Reporting Standard 102 (FRS 102).
The financial statements are drawn up on the historical cost basis of accounting, as modified by the revaluation of investments.
Tiny Tickers meets the definition of a public benefit entity under FRS 102.
The financial statements are prepared in sterling, which is the functional currency of the charity. Monetary amounts in these financial statements are rounded to the nearest £.
1.2 Going concern
The Trustees have a reasonable expectation that the charity has adequate resources to continue in operational existence for the foreseeable future and the company is well placed to manage its risks successfully. Accordingly, they adopt the going concern
basis in preparing the annual report and accounts.
2. Accounting policies
2.1 Incoming resources
Income is included in the Statement of Financial Activities (SoFA) when:
● The charity becomes entitled to the resources;
-
The trustees are virtually certain they will
-
receive the resources; and
● The monetary value can be measured with sufficient reliability.
Where incoming resources have related expenditure (as with fundraising or contract income) the incoming resources and related expenditure are reported gross in the SoFA.
Grants and donations are only included in the SoFA when the charity has unconditional entitlement to the resources.
Incoming resources from tax reclaims on donations are included in the SoFA at the same time as the gift to which they relate.
Contractual income and performance related grants are only included in the SoFA once the related goods or services have been delivered.
Gifts in kind for sale or distribution are included in the accounts as gifts only when sold or distributed by the charity. Gifts in
kind for use by the charity are included in the SoFA as incoming resources when receivable.
Gifts in kind are accounted for at a reasonable estimate of their value to the charity or the amount actually realised.
Donated services and facilities are only included in incoming resources (with an equivalent amount in resources expended) where the benefit to the charity is reasonably quantifiable, measurable and material.
The value placed on these resources is the estimated value to the charity of the service or facility received.
2.2 Expenditure and liabilities
Liabilities are recognised as soon as there is a legal or constructive obligation committing the charity to pay our resources.
Where the charity gives a grant with conditions for its payment being a specific level of service or output to be provided, such grants are only recognised in the SoFA once the recipient of the grant has provided the specified service or output.
Grants payable without performance conditions are only recognised in the accounts when a commitment has been made and there are no conditions to be met relating to the grant which remain in the
control of the charity.
Governance costs include costs of the preparation and examination of statutory accounts, the costs of trustee meetings and cost of any legal advice to trustees on governance or constitutional matters.
Support costs include central functions and have been allocated to activity cost categories on a basis consistent with the use of resources.
2.3 Assets
Tangible fixed assets for use by charity are capitalised if they can be used for more than one year, and cost at least £500. They are valued at cost or a reasonable value on receipt.
Depreciation is provided on all tangible fixed assets at rates calculated to write off the cost on a straight-line basis over their expected useful economic lives as follows:
● Project and office equipment - over 4 years
Investments quoted on a recognised stock exchange are valued at market value at the year-end. Other investment assets are included at trustees’ best estimate of market value.
Stocks and work in progress are valued at the lower of cost or market value.
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Notes to the accounts (cont.)
3. Analysis of voluntary income
| Donations from individuals Corporate donations Grants from trusts and foundations |
150,375 150,900 21,575 16,932 48,087 39,210 2021 £ 2020 £ |
|---|---|
| 220,037 207,042 |
4. Analysis of investment income
| 4. Analysis of investment income | ||
|---|---|---|
| 2021 | 2020 | |
| £ | £ | |
| Bank interest receivable | 846 | 943 |
5. Analysis of resources expended
| Charitable activities Training Influencing standards Awareness Research Family support / collaborative working Cost of generating funds Cost of generating voluntary income Fundraising event costs Operating costs Governance costs |
3,406 41,350 44,756 58,452 10,615 13,282 23,897 46,073 1,669 20,991 22,660 22,857 - - - - 4,762 8,452 13,214 12,393 4,201 53,109 57,310 47,619 4,295 - 4,295 7,666 6,324 26,298 32,622 35,041 4,854 - 4,854 3,077 Activities undertaken directly £ Support costs £ 2021 £ 2020 £ |
|---|---|
| 40,126 163,482 203,608 233,178 |
Included in governance costs is £950 in respect of fees for the independent examination of the accounts (2020: £950).
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Notes to the accounts (cont.)
6. Trustee renumeration and expenses
No renumeration or out-of-pocket expenses were paid to trustees during the year or the preceding year.
7. Staff costs
| 7. Staff costs | |
|---|---|
| Gross wages Employer’s national insurance contributions Employer’s pension contributions |
155,230 158,603 9,635 10,851 3,661 3,468 2021 £ 2020 £ |
| 168,526 172,922 |
The charity has six employees, four of whom are employed on a part-time basis. In the prior year, there were five part-time and one full-time salaried employees.
8. Debtors
| 8. Debtors | ||
|---|---|---|
| 2021 | 2020 | |
| £ | £ | |
| Trade debtors | - | 1,311 |
| Accrued income | - | - |
| - | 1,311 | |
| 9. Creditors: amounts falling due | within one year | |
| 2021 | 2020 | |
| £ | £ | |
| Accruals | 1,000 | 1,000 |
| 1,000 | 1,000 |
There were no employees whose emoluments exceeded £60,000.
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Notes to the accounts (cont.)
10. Funds analysis
| Unrestricted funds Restricted funds Training Awareness Family experience videos Communicating unexpected news Cardiac resources hub Virtual support groups Pulse oximetry Restricted funds total Total funds |
132,533 215,930 185,698 - 162,765 B/f at 1 May 2020 £ Incoming resources £ Outgoing resources £ Transfer from unrestricted £ C/f at 30 April 2021 £ |
|---|---|
| 4,247 19,940 - - 24,187 8,373 2,870 1,447 - 9,796 - 4,687 38 - 4,649 - 1,734 - - 1,734 - 2,000 1,560 - 440 - 4,250 4,250 - - 21,684 12,577 10,615 - 23,646 |
|
| 34,304 48,058 17,910 - 64,452 |
|
| 166,837 263,988 203,608 - 227,217 |
11. Transactions with related parties
There were no transactions with related parties during the year.
Details of restricted funds are as follows:
Training
A number of funders have requested their funds should be allocated to the delivery of our sonographer and health professional training services.
Awareness
Our Think 20 and Think HEART awareness campaigns empower parents to better understand their baby’s heart
development, their 20 week screening, and the signs a newborn baby could have an undetected heart condition.
Family experience videos
Funding had been secured for a series of films to support families who have a diagnosis of CHD.
Communicating unexpected news
We are developing training interventions and materials to assist sonographers with the very difficult task of communicating to parents that their baby may have CHD.
Cardiac resources hub
During the pandemic we launched a new resources hub for health professionals containing a range of content related to CHD detection, diagnosis and treatment.
Virtual support groups
Funding has been secured to continue a new project launched during lockdown - facilitating small virtual support groups to families affected by CHD.
Pulse oximetry
We continue to place pulse oximetry testing machines in NHS Trusts, to aid with the detection of potential CHD.
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THANK YOU
We would like to thank all those who have supported our work - including the wonderful funders, fundraisers, donors and volunteers who make it possible for us to do what we do. Thank you all so much.
Facebook: www.facebook.com/tinytickers Twitter: @tinytickers Instagram: @tinytickers
Charity number 1078114 info@tinytickers.org www.tinytickers.org