## 



## 

## 

|Trustees|lordVictorAdebowale|
|---|---|
||SirAndrewCash|
||DrGrahamJackson|
||Jennifer RuthPoole|
||ProfJosephHarrison|
||Dr MarkSpencer|
||MichaelBloomfield|
||NandaRatnavel|
||PaulJenkins|
||PremSingh|
||ProfVivienneBurnet|
|Charitynumber|1090329|
|Companynumber|04358614|
|Registeredoffice|2ndFloor|
||18SmithSquare|
||londonSW1P3HZ|
|Audrtor|RSM UKAudit llP|
||CharteredAccountants|
||CentralSquare|
||5thFloor|
||29WellingtonStreet|
||leeds|
||LS14Dl|
|Banker|BarclaysBankPlC|
||1 ChurchillPlace|
||london|
||E145HP|
|Solicitors|CapsticksllP|
||1StGeorge'sRoad|
||Wimbledon|
||london|
||SW194DR|
|Investmentadviser|SarasinandPartnerslLP|
||JuxonHouse|
||100StPaul'sChurchyard|
||london|
||EC4M8BU|





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|Name|Attendance|
|---|---|
|VictorAdebowale|5/5|
|AndrewCash|5/5|
|GrahamJackson|4/5|
|MichaelBloomfield|3/5|
|PaulJenkins|4/5|
|RuthPoole|4/5|
|PremSingh|4/5|
|VivienneHarpwood|5/5|
|JuliaHickey|5/5|
|OwenWilliams|2/3|





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|Auditcommitteemembers|I|Attendance|
|---|---|---|
|JuliaHickey(outgoingChair)-to 31Mar 2021|I|4/4|
|NandaRatnavel(incomingChair)-from 25<br>Mar 2021|<br>I|/<br>n a|
|PaulJenkins||4/4|
|MichaelBloomfield|14/4||
|LizMay(independent)|13/4||
|MarkStevenson(independent)||4/4|





## 

## 

|Remunerationcommittee|Meetingsattended|
|---|---|
|DrOwenWilliams(Chair)-to 30 Oct2020|3/3|
|JuliaHickey-to31Mar 2021|`5/5 `|
|DrGrahamJackson|`4/5`|



|Investmentcommittee|Meetings attended|
|---|---|
|PremSingh(Chair)-from 16July2020|3/3|
|JuliaHickey-to31Mar2021|`4/4 `|
|DrOwenWilliams-to 30 Oct 2020|1/2|
|SuneetKumar(independent)|`4/4`|





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|I<br>I|Theimpact ofCOVID-19 onConfedExpoandthe,AvirtualConfedExpoeventisplannedforthis<br>ongoingviabilityofbothConfedExpo andtheIyearandrevenuefrombothattendeesand|Theimpact ofCOVID-19 onConfedExpoandthe,AvirtualConfedExpoeventisplannedforthis<br>ongoingviabilityofbothConfedExpo andtheIyearandrevenuefrombothattendeesand|
|---|---|---|
||Horizonfacility|!sponsorsisinlinewithbudget.Areturn toa|
|||face-to-face eventisplannedfor 2022and|
|||actionshavebeentakentomitigatethecost|
|||impactofthevenuecancellation.|
|||ConfedExpoisrunbythecommercialdirector|
|||andisamajor focus ofboththeexecutiveteam|
|||andourstakeholders.Theeventisacorepart|
|||ofourofferandiscentraltothestrategic|
|||directionofboththeConfed andNHSEI.|
|||Thecommercialteam,withtheoversightofthe|
|||subsidiaryboard,aretakingallpossibleactions|
|||toreturntheHorizonfacility toabreakeven|
|||position.Whileitisunlikelythatthefacility will|
|||beretained beyondthelife ofthecurrentlease,|
|||itsfinancialperformanceisdoselymonitored.|



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## 

|||Unrestricted|Restricted|TotalFunds|TotalFunds|
|---|---|---|---|---|---|
|||Funds2021|Funds2021|2021|2020|
||Nates|£|£|£|£|
|Incomefrom:||||||
|Charitableactivities|3|14,156,866|139,943|14,296,809|14,769,103|
|Othertradingactivities|4|473,233||473,233|1,962,241|
|Investments||173,049||173,049|189,845|
|Otherincome||102,685||102,685||
|Tatal income||14,905,833|139,943|15,045,776|16,921,189|
|Expenditureon:||||||
|Charitableactivities|5|14,039,830|139,943|14,179,773|16,590,407|
|Othertradingactivities|7|1,031,765||1,031,765|1,941,982|
|Totalexpenditure||15,071,595|139,943|15,211,538|18,532,389|
|etgains/(Iosses)oninvestments||911,770||911,770|(180,977)|
|Netmovementinfunds||746,008||746,008|(1,792,177)|
|Totalfundsbrougtforward||7,566,012||7,566.012|9,358,189|
|Totalfundscarriedforward||8,312,020||8,3ll,020|7,566,Oll|





## 

## 

|||`2021 `||`2020`|`2020`|
|---|---|---|---|---|---|
||Notes|£:|£:|£:|£|
|Fbœdassets||||||
|Intangiblefixed assets|11||97,438|||
|Tangiblefixedassets|12||480,135||682,110|
|Investments|13||5,160,812||5,549,042|
||||5,738,385||6,231,152|
|Currentassets||||||
|Debtors|14|3,599,490||6,119,428||
|Cashatbank||5,298,836||1,392,066||
|||8,898,326||7,511,494||
|Creditors:amountsfalling due||||||
|withinoneyear|15|(6,324,690)||(6,176,634)||
|Netcurrentassets|||2,573,635||1,334,860|
|Totalassetslesscurrentliabilities|||8,312,020||7,566,012|
|Incomefunds||||||
|Unrestrictedfunds:||||||
|Fundsrepresentedbyfixed assets||577,572||682,110||
|Generalunrestrictedfunds||7,734,448||6,883,902||
|Totalfunds|19||8,312,020||7,566,012|






## 

## 

|||2021|2021|_2020 _|_2020 _|
|---|---|---|---|---|---|
||Notes|_i_|_i_|_i_|_i_|
|Foœdassets||||||
|Intangiblefixedassets|11||97,438|||
|Tangiblefixed assets|12||480,135||682,110|
|Investments|13||5,160,812||5,549,042|
||||5,738,385||6,231,152|
|Currentassets||||||
|Debtors|14|3,564,484||5,601,938||
|Cashatbank||4,930,318||1,216,475||
|||8,494,802||6,818,413||
|Creditors:amountsfallingdue||||||
|withinoneyear|15|(5,923,549)||(5,957,957)||
|Netcurrent assets|||2,571,253||860,456|
|TotaJassets_less_currentliabilities|||8,309,638||7,091,608|
|Income funds||||||
|Unrestrictedfunds:||||||
|Fundsrepresentedbyfixed assets||_srrsri_||682,110||
|Generalunrestrictedfunds||7,732,066||6,409,498||
|Totalfunds|19||8,309,638||7,091,608|





## 

## 

## 

|||`2021 `||`2020`|`2020`|
|---|---|---|---|---|---|
||Notes|£|£|<br>£|<br>£|
|Cashflows**fromopel**atingactMties||||||
|Cashgeneratedfrom/(absorbedby||||||
|operations|20|2,531,159|||(4,060,965)|
|Net cashinflow/(outflow)fromoperating||||||
|activites||2,531,159|||(4,060,965)|
|Cashflows frominvestingactivities||||||
|Purchaseofintangiblefixedassets||(97,438)||(661,227)||
|Proceeds fromsaleoffixedassets||||40||
|Proceedsfromsaleofinvestments||1,300,000||2,000,000||
|Interestreceived||173,049||189,845||
|Net cashgeneratedfrominvesting||||||
|activities||1,375,611|||1,528,658|
|Netincrease/(decrease)incash andcash||||||
|equivalents||3,906,770|||(2,532,307)|
|Cashandcashequivalents at beginningof||||||
|year||1,392,066|||3,924,373|
|Cash andcashequivalents at end of year||5,298,836|||1,392,066|





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||**2021 **|**2020**|
|---|---|---|
||£|£|
|Membershipsubscriptions|2,811,806|3,598,652|
|Contractdelivery|10,967,139|10,081,463|
|Grantincome|139,943|247,062|
|Conferencecentreincome|76,812|602,984|
|Otherincomefromcharitableactivities|301,109|238,942|
||14,296,809|14,769,103|



## 

||**2021**|**2020**|
|---|---|---|
||£|£|
|Publicationsincome|3,496|19,831|
|Audiovisual income|1,569|30,099|
|Membershipsubscriptions|41,258|39,117|
|Events and partnerships|387,911|1,764,794|
|Contractdelivery|39,000|108,400|
||473,233|1,962,241|





## 

## 

|`5.`|Expenditure on charitable activities|Expenditure on charitable activities||||
|---|---|---|---|---|---|
||||Support|||
|||Direct costs|costs|Total2021|Total2020|
|||£|£|£|£|
||Membershipsubscriptions|2.925.740|755,067|3,680,807|5,105,933|
||Events andpartnerships|147,675|38,111|185,786|531,195|
||Contractdelivery|7.709,022|1,989,524|9,698,546|9,814,483|
||Grants|139,943||139,943|236,666|
||Digitalexpenditure|91,560|23,629|115,189|144,167|
||Conference centre|285,755|73,747|359,502|757,963|
|||11,299,695|2,880,078|14,179,773|16,590,407|



## 

|pport costs|||
|---|---|---|
||2021|2020|
||£|£|
|Management|798,969|834,979|
|Governance costs|87,068|100,443|
|Finance|262,090|296,137|
|Informationtechnology|480,065|515,570|
|Human resources|399,882|278,283|
|Accommodation|852,004|1,115,948|
||2,880,078|3,141,360|





## 

## 

## 

||**`2021 `**|**`2020 `**|
|---|---|---|
||£|£|
|Publicationsexpenditure|1,062|6,261|
|Audiovisualexpenditure|615|3,256|
|Membershipsubscriptions||21,075|
|Events andpartnerships|867,579|1,637,331|
|Contractdelivery||26,076|
|Otheradministrativeexpenses|162,509|247,983|
|Expenditurefrom othertradingactivities|1,031,765|1,941,982|



## 

||**`2021`**|**`2020`**|
|---|---|---|
||£|£|
|Netmovementinfundsisstated aftercharging|||
|Feespayabletothecompany'sauditor anditsassociates|||
|inrespectofbothauditandnon-auditservicesareasfollows:|||
|-Audit|50,024|49,000|
|-Othernon-auditservices|2,629|11,588|
|Depreciationofownedtangiblefixed assets|201,976|170,073|
|Loss ondisposaloftangiblefixed assets||15,975|
|Operatingleasecharges|555,478|620,738|





## 

## 

## 

## 

|a.**Employees**|||
|---|---|---|
|Numberofemployees|||
|Theaveragemonthlynumberofemployeesduringtheyearwas:|2021|2020|
||Number|Number|
||210|216|
|Employmentcosts|||
||2021|2020|
||£|£|
|Wagesandsalaries|9,174,230|9,677,254|
|Socialsecuritycosts|990,568|1,061,472|
|Pensioncosts|786,213|774,813|
||10,951,011|11,513,539|





## 

## 

## 

||**2021 **|**2020 **|
|---|---|---|
||**Number **|**Number**|
|£260,000-£269,999||1|
|£240,000-£249,999|||
|£170,000-£179,999|1||
|£160,000-£169,999||1|
|£150,000-£159,999||1|
|£140,000-£149,999|1||
|£130,000-£139,999|1||
|£120,000-£129,999|2|3|
|£110,000-£119,999|3|2|
|£100,000-£109,999|1|4|
|£90,000-£99,999|1|1|
|£80,000-£89,999|4|1|
|£70,000-£79,999|7|8|
|£60,000-£69,999|18|13|





## 

## 

## 

||System||
|---|---|---|
||Development|Total|
||£|£|
|Cost|||
|At1April2020|||
|Additions|97,438|97,438|
|Disposals|||
|At31March2021|97,438|97,438|
|Amortisation|||
|At1April2020|||
|Amortisationchargedinyear|||
|At31March2021|||
|Carryingamount|||
|At31March2021|97,438|97,438|
|At31March2020|||





## 

## 

## 

|**2.Tangible **fixedassets||||
|---|---|---|---|
|Groupandcharity||||
||Ftn.ñtUie,|Co••ip\lteland||
||fixturesand|other||
||fittings|equipment|Total|
||£|£|£|
|Cost||||
|AtlApril2020|743,530|113,214|856,744|
|Additions||||
|Disposals||(67,933)|(67,933)|
|At 31 March 2021|743,530|45,281|788,811|
|Depreciation||||
|AtlApril2020|88,179|86,455|174,634|
|Depreciation charged inyear|178,131|23,845|201,976|
|Eliminatedondisposal||(67,933)|(67,933)|
|At 31 March 2021|266,310|42,367|308,677|
|Carryingamount||||
|At 31 March 2021|477,220|2,914|480,135|
|At 31 March 2020|655,351|26,759|682,110|





## 

## 

|Groupandcharity||Usted|
|---|---|---|
|||investments|
|||£|
|Costorvaluation|||
|At1April2020||5,549,042|
|Sales||(1,296,000)|
|Purchases||`2,460`|
|Valuationchanges||905,310|
|At31 March2021||5,160,812|
|Carryingamount|||
|At31March 2021||5,160,812|
|At1April 2020||5,549,042|
||`2021 `|`2020`|
||£|£|
|Investmentsatfairvaluecomprise:|||
|Fixedincome|1,096,408|1,363,133|
|Equities|3,242,951|3,167,193|
|Property|101,336|142,872|
|Alternativeinvestments|412,958|512,096|
|Liquid assets|307,159|363,748|
||5,160,812|5,549,042|



## 



## 

## 

## 

||Group||Charity||
|---|---|---|---|---|
||2G21|202C|`2021`|`2C20`|
|Amounts fallingduewithinone year.|£|£|£|£|
|Tradedebtors|3,181,277|5,585,615|3,053,040|5,279,899|
|Amountsduefromfellowgroup|||||
|undertakings|||332,738||
|Otherdebtors||7,466||7,466|
|Prepaymentsandaccruedincome|318,409|496,170|178,706|314,573|
||3,499,686|6,089,251|3,564,484|5,601,938|
|Amountsfallingdueaftermore|||||
|thanoneyear:|||||
|Prepaymentsandaccruedincome|99,804|30,177|||
||99,804|30,177|||
|Totaldebtors|3,599,490|6,119,428|3,564,484|5,601,938|



## 

||Group||Charity||
|---|---|---|---|---|
||2021|2020|2021|2020|
||£|£|£|£|
|Tradecreditors|142,871|590,051|135,191|425,928|
|Amountsduetogroup undertakings||||426,093|
|Othertaxationandsocialsecurity|1,325,005|724,785|1,325,005|755,040|
|Othercreditorsandaccruals|1,059,339|1,316,071|1,059,033|1,241,569|
|Deferredincome|3,797,475|3,545,727|3,404,320|3,109,327|
||6,324,690|6,176,634|5,923,549|5,957,957|





## 

## 

## 

## 

||Group|Charity|
|---|---|---|
||£|£|
|At1April2020|3,545,727|3,l.O9,327|
|AmountreleasedtoStatementofFinancialActivites|(4,339,936)|(3,740,111)|
|Amountdeferredinyear|4,591,684|4,035,104|
|At 31March2021|3,797,475|3,404,320|



## 

||2021|2020|
|---|---|---|
||£|£|
|Carryingamountoffinancialassets|||
|Debtinstrumentsmeasuredatamortised cost|3,204,213|5,790,106|
|Instrumentsmeasuredatfairvaluethrough|||
|netincome/(expenditure)|5,160,812|5,549,042|
|Carryingamountoftìnancialliabilities|||
|Measured atamortised cost|1,202,210|1,906,121|





## 

## 

## 

## 



## 

## 

## 

|Group||||Movementinfunds|||
|---|---|---|---|---|---|---|
|||||Other|||
||||Movement|<br>charitable|Revaluations||
||BaJanceat|1|intangible|<br>incomeand|gainsand|Balanceat31|
||April2020||fixed assets|<br>expenditure|losses|March2021|
|||£|£|<br>£|£|£|
|Fundsrepresented|||||||
|byfixed assets|682,110||(104,538)|||577,572|
|Generalunrestricted|||||||
|funds|6,883,902|||(61,224)|911,770|7,734,448|
||7,566,012||(104,538)|(61,224)|911,770|8,312,020|
|||||Movementinfunds|||
|||||Other|||
||||Movement|<br>charitable|Revaluations||
||Balanceat|1|intangible|<br>incomeand|gains and|Balanceat31|
||April2019||fixedassets|<br>expenditure|losses|March2020|
|||£|£|<br>£|£|£|
|Fundsrepresented|||||||
|byfixedassets|206,971||475,139|||682,110|
|Generalunrestricted|||||||
|funds|9,151,218||(661,187)|(1,425,152)|(180,977)|6,883,902|
||9,358,189||(186,048)|-1,425,152|180,977|7,566,012|





## 

## 

## 

## 

|Charity||||Movementinfunds|||
|---|---|---|---|---|---|---|
|||||Other|||
||||Movement|<br>charitable|Revaluations||
||Balanceat|1|intangible|income and|gains and|Balanceat31|
||April2020||fixed assets|<br>expenditure|losses|March 2021|
|||£|£|<br>£|£|£|
|Fundsrepresented|||||||
|byfixed assets|682,110||(104,538)|||577,572|
|Generalunrestricted|||||||
|funds|6,409,498|||410,798|911,770|7,732,066|
||7,091,608||(104,538)|410,798|911,770|8,309,638|
|||||Movementin funds|||
|||||Other|||
||||Movement|<br>charitable|Revaluations||
||Bataneeat|1|intangible|<br>income and|gains and|Balance at 31|
||April2019||fixedassets|<br>expenditure|losses|March 2020|
|||£|£|<br>£|£|£|
|Fundsrepresented|||||||
|byfixedassets|206,971||475,139|||682,110|
|Generalunrestricted|||||||
|funds|8,712,323||(661,187)|(1,460,661)|(180,977)|6,409,498|
||8,919,294||(186,048)|-1,460,661|180,977|7,091,608|



## 



## 

## 

## 

## 

||202l|2020|
|---|---|---|
||£|£|
|Surplus/(deficit)fortheyear|_746,008_|(1,792,177)|
|Adjustmentsfor:|||
|Investmentincomerecognisedinstatementoffinancialactivities|(173,049)|(189,845)|
|Lossondisposalof tangiblefixedassets||15,975|
|Fairvaluelossesand(gains)oninvestments|(911,770)|180,977|
|Depreciationoftangiblefixed assets|201,975|170,073|
|Movementsinworkingcapital|||
|(Increase)/decreaseindebtors|2,519,938|(1,380,269)|
|Increase/(Decrease) increditors|148,057|(1,065,699)|
|Cash(absorbedby)/generatedfromoperations|2,531,159|(4,060,965)|



## 

|Atthereportingenddate,thecharitablecompanyhadoutstandingcommitmentsforfuture|Atthereportingenddate,thecharitablecompanyhadoutstandingcommitmentsforfuture|
|---|---|
|minimumleasepayments undernon-cancellableoperatingleases,whichfall|due asfollows:|
|**`20ll`**|**2020**|
|£|£|
|Withinoneyear<br>577,307|350,930|
|Betweenoneandfiveyears<br>1,128,443|1,628,544|
|1,705,750|1,979,474|





## 

## 

## 

## 


|2021||Confederation|||Services|Confederation|
|---|---|---|---|---|---|---|
|||_Income_|_Expense_||_Income_|_Debtor_|
|Related Party|Descriptionof|£||£|<br>£|<br>£|
||ReJ.ationship||||||
|Nuffield Hea|ChairisNon-Exec|9,261||||6,970|
||Director||||||
|UniqueHealthSolutions Ltd|ChairisDirector||6,276||||
|PowysTeachingHealthBoard|TrusteeisChair|35,050||||39,660|
|Tavistockand PortmanNHS|TrusteeisChief|9,010||||9,010|
|Foundation Trust|Executive||||||
|DerbyshireCommunityHealth|TrusteeisChair|6,944|||75||
|ServicesNHSTrust|||||||
|Rotherham,Doncaster&|SpouseofTrusteeis|9,940||||9,940|
|South HumberNHSFT|ChiefExecutive||||||
|MiltonKeynesHospitalNHS|TrusteeisChief|7,543||||7,543|
|Trust|Executive||||||
|NIAmbulanceService|TrusteeisChief|4,539||||4,539|
||Executive||||||
|CalderdaleandHuddersfield|TrusteeisChief|8,927||||8,927|
|HSFoundationTrust|Executive||||||
|UniversityofSheffield|TrusteeisProfessor||9,750||||
||(VisitingChair)||||||
|CardiffUniversity|TrusteeisEmiraras||16,947||||
||Professor||||||
|WhitehillSurgeryAylesbury|Trusteeisapartnerof||16,650||||
||thesurgery||||||
|AllocateSoftware|TrusteeisSenior||||1,500||
||Advisor||||||





## 

## 

## 

|2020||Confederation||Serviœ5|Cot.fedeatiol.||Senriœs|
|---|---|---|---|---|---|---|---|
|||_Income_|_Expense_|_IncrJme_|Oebtw|_Creditor_|_Debtor_|
|ReIat!!dParty|Descriptionof|E|E|<br>E|<br>E|E|<br>E|
||Relationship|||||||
|LamgSuissonllmited|CharityChaIr was||24.579|2,850||18,499|3,420|
||Chair|||||||
|Derbyshire Community|TrusteeisChair|4,944||199|4.944|||
|HealthServicesHSTrust||||||||
|Calderdaleand|TrusteeisChief|6,427|||6.427|||
|HuddersfieldNHS|Executive|||||||
|Foundation Trust||||||||
|WhitehillSurgeryAylesbury|Trusteeisapartner of||16,650|||||
||thesurgery|||||||
|Gateshead HealthNHS|Trustee wasChair,left|1,681||533|5.303|||
|FoundationTrust|Sep 2019|||||||
|Care UK|TrusteeisChief|||271||||
||Executive|||||||
|TavtStodcandPortmanNHS|TrusteeisChief|8,010||2,714|8,010|||
|Fondation Trust|Executive|||||||
|Nor.hern!iea.&Sodal|TrusteeisChief|12,448||432|8,712||210|
|Care Trust|Executive|||||||
|Yor1cshire&HumberAHSN|Interimchair of|||7,657|||6,000|
||charityisadirector|||||||
|BBraunMedicaillmited|Interimchair15non-|||6,000||||
||exective director|||||||
|WelshHealthSpecialised|TrusteeisChair|||1,000||||
|SenncesComrruttee||||||||
|Rotherharn.Doncaster&|SpouseofTrusteeis|8,940||2,094|8.940||(718)|
|SouthHumberNHSFT|ChiefExecutive|||||||
|Powys Teaching Health|TrusteeisChair|39,2S0||1,045|44,700|||
|Board||||||||





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||**2021 **|**2020**|
|---|---|---|
||£|£|
|Turnover|473,235|1,962,240|
|Costofsales|(618,044)|(1,542,364)|
|Gross(Ioss)/profit|(144,809)|419,876|
|Administrativeexpenses|(162,509)|(247,983)|
|Otheroperatingincome|7,189||
|(Loss)/profitbeforetaxation|(300,129)|171,893|
|Tax|||
|(Loss)/profitforthefinandalyear|(300,129)|171,893|
|The assetsandliabilities ofthesubsidiarywere:|||
|Current assets|736,261|1,149,428|
|Currentliabilities|(733,879)|(675,024)|
|Totalnetassets|2,382|474,404|
|Aggregatecapitalandreserves|2,382|474,404|





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