2021-03-31-accounts

LIVES. LIVES LIVES AN UALIiREPORY-: AND ACCOUNTS 12020/211 KI UVESHeadQuarters ri @live$Hq LIVES.ORG.UK

CONTENTS

1 APRIL 2020 - 31 MARCH 2021 el 11,237 INCIDENTS ATTENDED BY LIVES TT CD 4® OF THE TIME, ( /) parents (A/\8 LIVES WERE WITH BREATHING FIRST ON SCENE DIFFICULTIES pis eee cee EA eS AT Se TN a Ol Seer a ea CARDIAC Vrs Qans: Yi PATIENTS ROAD O—O? ARRESTS WHO HAD SS TRAFFIC APIENEES | HARREN Zasee (SUe= EOS Ore VOLUNTEERS GAVE 8) S) OF THEIR TIME STROKES AMBULANCES WERE - —=0° REDEPLOYEDINTERVENTIONSTHANKS FROMTOLIVES gaa = | B

eS eae ® ed IS . Key Management Personnel 65 Statement of Public Benefit 8 Boardof Trustees 65 eeie Sean eee Project Lifesaver 68 aa f aoeariaer S oun smarecr : Seer it is Research and Information 7 eines Be FINANCE REVIEW & ACCOUNTS nR ae We Provide 5 Ene k B ape d ie eg : ee 77 Patient Story Sh eee ee TomeisBcalCnc Ga n ncs ne e x1 OEFEAENTAUTORSREPORT 6 ae 2 Rae SA pancte oe : Peewee lye

OUR YEAR IN REVIEW = LIVES | 3

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SS
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Welcome to our Annual Review 2020-21. workWife ereand proudlook toafter sey thethat health every pennyand wellbeingfoceivedof fiasourvolunteersalowed Usfawhether continuetheywith otc were abl if e -savingto
WhileCOVID-19muchpandemic, of this year for us, will betheremembereddeterminationfor the disruption and devastation caused by the respond, unwell,or shieldingto protect their family and loved ones. It takes ateam.
who [remained] on the frontline throughout this anduncertain collaborative time will liveeffort l o ngf ourin ourresponders [memory.] and medics Whilst it’s proved tobe a challenging year, we also had reason to celebrate. 2020 marked LIVES’
There's 50th Anniversary, and although our initial celebratory plans were curtailedby the pandemic,
the pandemicno doubt emerged, that it haswe reviewed beena challengingour business year forcontinuity everyone,plan includingto ensure forthat us hw e recould at LIVES. continueAs, itallowgav e usd our an respondersopportunity tothe lookhighest backlevel and of care reflect withinon theourincrediblelocal communities. achievements that have
to operate andrespondto those patients in need ofurgent care. Consequently,
have gone above and beyond tohelp patients across the county, despite the challenge ofour volunteershaving We also saw the launch of [two][ new] [clinical][ response][ teams;] [our] [Community] [Emergency] [Medicine] [Service]
a significantly lower numbers of volunteersable to respond throughout the pandemic. (CEMS) Team, and LIVES Falls Response Service. These two new services allow our teams to use LIVES
Througha emergency responding skills to bring care to those patients who might not otherwise benefit. Both
fundraise,we've beenfinancialwe'veable beento focus year incredibly whereon what it’sgratefulreally matters;been almostfor the impossibleoursupportresponderswe've for our recei teamsfr t o m v entureyouedall. outBecause and actively of this, skillsteams are and d e cision-makingquipped, empoweredabilities.and Right readynow,to alleviateservices thesuch pressureas this are on the NHSmore important with a unique blend ofthan ever.
patients. Whether you've taken part in a virtual challenge, given aao n de- Bythe time you are readingthis Annual Report,we would have also launchedour brand-new Critical Care
off donation or a regular payment, your support has been vital. Car for the Lincolnshire Coast. Our Critical Care Team come with medical experience to perform an array
Akeythe relationshipelement of [our] with [fundraising] our local parishes,hasbeen x ' ofcriticalpotentially care in life-saving a heartbeat,procedures,which for rightsome, there really oncould the spot.mean theThey're difference ready to betweendeliverhighly life andspecialiseddeath
Councils end Trusts endFoundations. y We're now in themidst [of][ planning] [for] [LIVES’][ brand-new] [purpose-built][ facility,][ Project][ Lifesaver.]
In the last year, we've seen
unwavering support from thesea displaygroups,of . 7 S — / ThisEmergencyincredibleMedicine -an building will education be aunique facility and world-leadingwithout classrooms learningthat environmewill trai n tLIVES for P re -Hospitalsponders,
in healthcare and the widercommunityto respond to any number ofmedical emergency
including an incredible £48,581 donation from b 4 4] peopleworking
the Julia and Hans Rousing Trusts’COVID Charity \ . . £ situations and scenarios through a unique, state of the art, immersive learning experience.
> SurvivalFund. This grant came at the start on the last year, we would like to take the opportunitytoexpress
of \A DP Reflecting
thewelcomeincreasedsecond reliefwave ataof timethe ofpandemic real uncertaintyand providedand oy \‘ thanksyou, weto everyonewouldn't be able tohelp patientswho continues to supportand their us, andfamiliesthose whowithin volunteerour local forcommunities,ourLIVES. heartfeltWithout
helpedreceived us antocost amazing launchof deliveringour online t £23,584 f our r service.ainingom VocTec, platform We which alsoduring P during time when they need it most: From the bottom of our hearts, thank you.
‘a time when face-to-face trainingwas not possible. |. é)
4 ai Michael Adie, Chair Nikki Cooke, CEO
/ : ,
LIVES - OUR YEAR IN REVIEW YEAR IN REVIEW IN REVIEW REVIEW \ OUR YEAR IN YEAR IN IN REVIEW
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4 | LIVES - OUR YEAR IN REVIEW YEAR IN REVIEW IN REVIEW REVIEW
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OUR YEAR IN YEAR IN IN REVIEW - LIVES | 5
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In a minute, your life or the life of someone you love can change dramatically. A fall, a car accident, your breathing can change, yout boat coule Srp:

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:~_eSR ORY 45 tity. a ETS ho ¥Vj
ix oea aa. 3 {7 , LIVES.eNa
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; GG I cansafely say that becoming a responder is one of the bestpeople things in their I've hour done. Helping of need is such a special feeling.

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OUR YEAR IN REVIEW - LIVES | 7

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PUBLIC BENEFIT.
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WHO WE ARE?
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a
Charities are required to demonstrate how
they provide a benefit to the public.
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LIVES delivers benefit to the public in the relief of injury or illness by facilitating and delivering rapid response and treatment of those suffering a medical emergency or traumatic injury. This benefit is available to any member of the public in Lincolnshire and areas nearby whether they are residents or visitors, and access to the service is based solely on patient need.

The Trustees have complied with their duty in accordance with the Charities Act and the Charity Commission's guidance on public benefit in exercising their powers and duties to consider it in all aspects of the company’s activities.

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SSS
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We're not here for praise.We don't thrive on We are recognised as beinga leader in preshyplaudits. away In from fact, the many limelight. of our teamWe doactivelywhatwe worldhospitalof emergencycommunity medicine emergencyand medicine.in the emerging do because it takes a team to save alife. We're united by a passion for protecting Quality is embedded in everything we do - training life and improving patient outcomes. and equipping people with both the skills to make That's who we are. That's our culture. a difference and the confidence to use them. The fact is, there is no organisation in the United Our governance systems are robust and allow Kingdom that delivers an emergency response us to evaluate and evidence the high standards that equals the broad scope of practice that we that we set for ourselves and to put things do. That’s something we quietly take pride in. right quickly where change is needed.

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eh Pa 4, ~ = 1. SHS ) .
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= = :
oe / YOUR OUR VALUES:
» . / >), VISION. WHAT MATTERS
4i ee Yi — TO US MOST?
SY \ ~aaa~ iy4 i "|| shouldOur visionar suffer is. that unnecessarilyno person erred
‘ SS as a result of their illness, INTEGRITY
»esSSNSBNAS2. 2 GRD7.f: injuryee ortheir rural location. Ourand strengthupholdingi. comes shared fromvalues. working We; dotogether the
ye - Our mission is to provide right thing, even when it's difficult.
, waif.)é a | equalityto anyperson and excellencewho suffers of a care
es medical or traumatic emergency <r COMMUNITY
\ =f) within Lincolnshire. E} ’ (Al This is where we're from, we're in this together.
y Be oe We'resupport all the unitedcommunities around a commonin which purpose; we all live. to
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J)U Si CU LTU R E.
ee
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EXCELLENCE We strive to be the best we can in everything hg nA weopportunity do and to give to grow all ourand people anflourish. equal

LIVES is committed to fostering a Just Culture within the organisation. A Just Culture considers wider systemic issues where things go wrong, enabling professionals

and those operating the system to learn without fear of retribution.

Generally, in a Just Culture inadvertent human error, freely admitted is not normally subject to sanction

to encourage reporting of safety issues. In a Just Culture, investigators principally attemptto understand

why failings occurred and how the system led to sub-optimal behaviours. However, a Just Culture also

holds people appropriately to account where there is evidence of gross negligence or deliberate acts.

10 | LIVES - OUR YEAR IN REVIEW

OUR YEAR IN REVIEW - LIVES | 11

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es
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| feel very happy to have LIVES on my doorstep and those volunteers who devote their time doing a wonderful job.

Li Ste ‘A vy \ all Partnership is key to LIVES delivery of wit (a an ‘ services to the communities that we serve. Pee - Be ae i. Rael 1 igh ; ss ii -

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OUR YEAR IN REVIEW = LIVES | 13

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5 “a . ® a|
OVER THE NEXT FIVE YEARS ' —
WE WILL CONTINUE TO ae fl > e
———— . ; Bd Jiht, Jie‘} a F Z .‘ = 4
’ iery: | -: 4Zz é4
hi
We know we make a difference but measuring Our work is always based on evidence and ¢ i‘ =a
ourthat datais sometimes collectiondifficult. and adopt We willnew measures improve to wecarefocus —in onour deliveringclinical activity, qualityour service training and and j ; ; Aia wo a S wealN el !ae;
workdemonstratethe differencewe make.We will the knowledge that we provide. We inspire , | ty 7 4 ee uy A? Q&A
baseresponse withfor the activity. research partnerseffectivenessWe will useof ourto build thisemergency information an evidence to andthat encourage they can be,all at theirour people chosentobelevel.the best ;:s; Ji | “iffhi ra ik §ofpon\ i ‘ he is 5 ae, »’ i? pay:feet’ayy Nx
continuously improve the quality of care thatwe : ! ‘ \\e’ - 7 ; 4
deliver to peoplein our communities. We will develop and consolidate income streams : \ | ' : VyJ. \e-54 . va Ro“| vy,Meé a ee é
2. GROW OUR PRESENCE willthat support the charityto deliver our aims. We om ' \ ‘ \ | y
Wehavewant every communityin Lincolnshire to weatherensureunpredictable that we have circumstances. And adequate reserves we will to aN %t \ -\ 2 \ \ Af
the tumbaccess e rs toctLIVESourresponse. Generaancy Wewillfeapand incr e ra s e peand tierspatent funders, [so] iu) [ they] Ouse [are] [clear] pouon esihow cesta we spend ne Le } Bi\ di ‘ \Q é7
in Beet the funds that they trust us with. j Hi ' =
operation across Lincolnshire, with targeted ia } ; £. » _
recruitment in areas where there is less coverage. iA f ] A 4
Wetheywill investin the skillof the s e respondersso 5. ACHIEVE THE HIGHEST LEVELS OF / f Th | y As
we willcan identify meet theopportunitiesneeds of theirto usecommunity. our skills And in . a2 7 4 | ij ayoli ; ‘ i
different ways to support people in medical need. Doing the right thing Is important to us even Fi ee /
when that is difficult. We will maintain robust and Bye f
structured processes, in both clinical and charity eT ML! . y
governance.We will ensure that
withmodel all regulatory requirements weand are that complaintwe are a 4 j J ; -| ||
and deliveringof best prehospitalpractice, in both leading emergency volunteers medicine. | Se ii -ta|/
.rae = 2 &i i ia
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PROJ ECT LI FESAVER = aProject €6million purpose-built Lifesaver is LIVES facilityplan to that create will buildLocatedon intheLincolnshire,reputations Projectof both Lifesaverthe countywill
Use a combination of digital technology and and LIVES as a model of best practice in
ewes ‘real’ stage settings to create an infinite delivering PHEM in a rural location and establish
variety of challenging scenarios to train and Lincolnshire as the best place to train in this
An education facility without classrooLEE Catdifficulthe skills of environments. of espeople working Froma incity street,the most challenging areaLIVES aim to make of Lincolnshire medicine. It will the advance safest
to a rural field, an offshore windfarm or an place in the UK when suffering a medical
Project Lifesaver is a unique and world-leading learning environment industrial quarry, the Centre will replicate emergency, despite the challenges of the
for Pre-hospital Emergency Medicine (PHEM). It’s an education facility all of the challenges of the environment geography and a growing, ageing population.
without classrooms that will train LIVES responders, people workingin whilst crucially keeping the learners safe.
healthcare and the wider community to respond to a wide variety of medical During 2020, LIVES has developed the plan and
emergencies through a state-of-the-art immersive learning experience. All the action will be captured through a network business case for Project Lifesaver and in 2021 is
of cameras. This footage will be reviewed and focused on acquiring land, planning permission
Every year, PHEM responders save countless lives. These committed debriefed to ensure that all learning from and funding to deliver this exciting project.
individuals deserve the very best facilities inwhich to learn and train; each scenario is embedded with each learner.
facilities that will test their skills ina wide varietyof real-life, high pressure Drawing from elite sport and marginal gains We hope to be in our new home during 2023.
environments, encourage themto perform and reflect, anultimately concepts, we will encourage responders at all
inspire and support them to become the very best that they can be levels to be the very best they can be, be that
i in their clinical skills or their critical thinking.
Project. Lifesaver. .is LIVES $
plan to create a £6million rns
purpose-built. facilityene le
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ss a o a :
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Pm Qe ic z tH Sh a : :
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- OUR YEAR YEAR IN REVIEW OUR YEAR IN REVIEW - LIVES | 17
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G6
Mywas father’sa real driving forcepassion. for care OUR HISTORY =
Suzi Lumbard, daughter of Dr Cooper. , pS
~~:
- Beginning with two local doctors. Growing
a+. into an army of life-saving volunteers.
¢ ttZ ot %< * 2s ~~. . You may not have heard about our two founders, Dr Michael Cooper
& _— =e o# and Dr Richard Harper-Smith. But without them, many livesin
= P ~o Lincolnshirewould have been lost over the last50 years.
ce % ~ ¢ Back in the 1970s they built the LIVES concept upon a simple
’ . Dye: > purpose: to provide expert emergency medical assistance for road
4 2
—— _ aa ra traffic accident victims and trauma patients in our county.
From a standing start, the idea quickly gathered support from over
ap: local doctors, and so the LIVES journey began The road
ean —T¥:ty] . \: : coy —— ~ —!>:— ~ - <¥ toahead wouldahundred speak of and not the be easy medical though.professionals In the beginningwho volunteeredLIVEShad tono helpfunds
— “5 Vo . vw) us provided not only their time, but their own equipment too.
: ww SS -
- ~a” } iH ; . enBian f ‘@v Thankfullyinitiated [a][ culture] in those [ of] early days, [ support] [that's] local [ still] businesses [ clear][ to] and [ see][ today.] institutes
- - Pityae , ws. 3 aN‘ TE.- — I Eee ae They saw the value of LIVES. They recognised that something quite
ee | 3 3 ‘ od ° } " exceptional had been born. And we're proud to say community
dor . |/ \ naar pas , - backing has continuedto grow. Thanks to the generosity of local
’
zx 4s > ,] ' Fy businesses, partners, members of the public and of course, our
LE f/ i re]| alreea == is : . =. me. Sy» everygrowing year.number Continuing of volunteers to save lives -we're in still our community.here. Getting stronger
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OUR YEAR IN REVIEW - LIVES | 19

AT A GLANCE:. MILESTONES IN OUR LIVES.

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1980s 2000s 2020s
Dr Michael Cooper from Nettleham As our First Responder Scheme grows, research by the 5
and Dr Richard Harper-Smith of Sheffield University School of Health and Associated l
Tetford,Coonaniettion devised the avcleriteLIVES leave concept. ( ( ) ) AnAmbulance invitationControl Service from the Lincolnshire to base LIVES Research25% OF (SHARR) showsCATEGORY [A] [CALLS] that LIVES [IN][ LINCOLNSHIRE.] responds to overFor \
-roads:seicnboos E 3 control centrewithin thewasambulance accepted FASTER,60% ofWITHthese ANAVERAGERESPONSE calls, LIVES arrives SIGNIFICANTLY RATE OF 5.2
ears Gutrsduced wihtabies and LIVES control was moved to MINUTES. LIVES improves response time performance
at the ambulance headquarters at by 35% OVERALL, AND 55% IN RURAL AREAS.
Nettleham and Fulletby. Bracebridge Heath. This move In 2020, LIVES celebrates its 50th
greatly improved the efficiency of year, sithough celebrations are
j J Pa LIVES call-out and still operates as custalied by the Covid9 pandemic:
aft 7 . | part ofthe computerised automatic New clinical response teams
P| dispatch (CAD) system to this day. launch, including the ground-
g ‘’ The Chief Executivei ‘ of the Nikki Silver is appointed as the first Chief breakingaa CommunityNicmeten?,Emergeni
Ambulance Trust invited LIVES Executive of the charity and Dr Simon Topham Medicine Service (CEMS) teams
= af to establish a communityty first becomes Medical Director, This signals the Service.and theThese LIVES teamsFalls Response use LIVES
responder service for suspected beginning of a period of significant growth in the Fasc =a responding skills
victims of cardiac arrest. It was services offered to the people of Lincolnshire. tb a a tonatente why
envisaged that this would enable i, ees ert ee he “ “ran reth) penny tte ee
BaresFurtherog ui transmittersSlaskad wereorl installedtanec at Barton, extendedan equalityacross of servicethe rural to areas be introducing¢ now ourIconic newbrand bold yellow logoo is whichlauns wein see 2016, today. mightCritical not otherwise Care Car launches benefit.in
eeclasspath [csa] ¢ [ze] ‘t [ as] =Pa. UdUaaapid eni withinas an extensionthe county. of LIVEStheirexisting saw this LIVESLincolnshirecelebrates Fire 20 & Rescue andyears of working adding togetherwith additional 2021service,to directprovidetoa thecritical patient, care
charitable contribution, to a totalte ofabablncente seven. Each service and readily agreed to 999 medical response with LIVES Co-responders. supporting the most seriously
re agg See on Brumann] participate. This then became the ill or Injured patients with
roomThese at the Lincoln County Hospital by landline. LIVES First Rrithmder Scheme.ater L IVES A i advancedane on earsd int ti
cost £10,000 a year in rental alone. withina soabuiperideastes
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OUR YEAR IN REVIEW - LIVES | 21

—=—s Life can change ina heartbeat. It can hangin the balance in the blink of an eye

Andit only takes one unpredictable event to start the clock ticking:aswerve in the road,a debilitating fall, a heart attack in the middle of the night. These are the emergencies that have the powerto turn lives upside down. They don't care \ if it’s night or day. They don't care if you're alone. They don’t careif time is against you. But LIVES responders do. LIVES responders are qualified and skilled medical volunteers, living and working in the communities that they server. When a patient or bystander makes an urgent call for help, LIVES responders will be there. LIVES responders share a commitment to saving life, whatever it takes. That's what unites all our responders, whether they're providing rapid first aid support on their doorstep, or highly specialised medical interventions around the clock and across the county. For most of our people respondingto emergencies isn't a Job. This is a life choice that all LIVES’ volunteers share.

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A massive thank you from
the,bottom of my heart for
, everything your responders did
: for my Dad when he collapsed;
the care and attention. he received.
Abeas:wonderful. we derful Thch Bastedrked
fabulously together and offered
the.best ever reassurance, care
and attention° todetail:
—
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OUR YEAR IN REVIEW - LIVES | 23

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FIRST * ce - y a a
RESPONDERS. —— e. aird < ss\a alosY —
LIVES Emergency First Responders are ordinary people, doing extraordinary v be ii Nr sy
things. They come to us with little or no previous medical experience,just a ¢T 4 = -- t — =
willingness to learn life-saving skills and give up some of their time to be there ec A- y = af’—;
to respond to calls for help in their community. They're trained and equipped . ‘ J a. wa 4 . ("3 s 7 Sn al
to deal with a range of serious medical incidents. Whenever needed, they a % | 4 s a L / —
can be quickly on-scene to provide a range oftreatments including: a » * . | A : . be Ne | VE:Ss
+ whoseDelivering life-savingCPR and defibrillator shocks to a patient ‘ p 4: 3
heart hasstopped due to cardiac arrest. ~ a 0 >
+ Giving oxygen toa patient who needs help with their breathing. 4 de re) t he a
+ Administering life-saving autoinjector medication toa patient - - ; oe
suffering from a life- threatening allergic reaction. , esr"
you ask our team of Emergency First Responders, they'll tell you it’s et! "
Ifalmostto step second up, stepnature in and do whatfor them wee to use trained the skills to do, wee in the placehelpedthem they acquire, —aese7%= i 7? A a ed First fp.. ~<a X x
call home.
We currently have 349 Emergency First Responders. a ¥ 5 yo * |
This year LIVES Emergency First Responders madethemselves available to attend — "h < wa iit— - - —— hoe pas
emergencies for 92,724 hours and attended 8,361 jobs. This is a significant reduction ie aaa eae om , . ; - a! sey
on previous years which can largely be attributedto the impact of Covid-19. Many Pn ’ : / ; z 2 oe j
LIVES responders had to make difficult decision as to whether to continue with their ; Lge Gees > - ae,
responding activity, taking into consideration their own health and the health of their it ; = : sie
family members.We respect the decision that each has made and have programmes in y / + ' = _ —_— ¥
place to support all responders to return
buddying’and able to do so. In order to keep our respondersto activitysafe,as soonwe h a ds t heyo suspendfeel comfortableour (Can +t ae (Onanislya | ew, egy =) = 4./ Low =o PP2044 PX
know system in which two responders will pair up to attend jobs together, We | i — Ss - = q t
confidence,to restore buddying that m an dy areresponders with aware appropriate protections that enjoy this‘buddying’ also had anor impact find in itplace useful on activity fromforNovemberdeveloping levels.We2020. wereskills and able \mc> Cfey \é ° AK > 4 >, " .
Emergency First Responders focus on'doingthe basics well often being , — —. = \ * -egialeam
the first to arrive on scene and deliver |ifesaving Interventions before more } a . | ip :
specialist resources arrive. During 2020/1, Emergency First Responders were t . y = ra Re a 4
first on scene at 83% of all Jobs they attended. This Is not surprising as our z zs ? e fas
responders typically live and work in the communities in which they respond.
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OUR YEAR IN REVIEW - LIVES | 25

24 | LIVES - OUR YEAR IN REVIEW

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ay > g font? 98 we
Training activity for Emergency First Responders Academy deployment. Although we can now ‘ a ") OF Mk = Ne Pas . . i
wascircumstances, severely curtailed our responders during 2020/21.meet in In districtusual partofmeet tooureducation train, online learningdelivery will in theremainfuture. a vital ‘VAY ~ Nel\ é i -isna aft= aee y eA : een. ae zs
groups ona monthly basis for training. Covid-19 s & Sa a ; ath ~~ on . Sx ’ - t sf ' * |
restrictions meant that face-to-face training During 2020/21, we introduced formal training for al \ <2 re at A abe ye a ry , ,) @5 nat
sessions could not be held during most of the year clinical mentors across the LIVES organisation > —- ee 3) Ws Ba ~ mma §\ \ i Fs “A e |
and are only now beginning to resume in mid-2021. witha particular focus on how we support new NOS bass | | 5 jh ] po—
Thiscompetent, createdengaged and a challenge in supported. keeping responders Emergency First Responders and those who As . ~CB : f
Academy online learning platform wasThe rolledLIVES out firstare struggling 18 responderswithconfidence are now enrolled or skills. on theThe »x ¥ 3, ” a#, Ci.a aeadx ; v
in mid-2020 following a very short development course.
time We have recognised that the academic s « & J LIVES I M® . bo =
has [allowed] end fundingus to fromdeliverVoctech,online LIVESlearningAc p a demyckages forlevelsome of th i ndividuals,s programmewho may wouldbe inaccessible otherwise ——- me 4 ss ‘
of be oO ~ — ——_——! PF fe A
essential skills to responders tokeep them excellent mentors. Therefore, we are revising the 5 ' BS =) Y <a), ie.
competent and safe. Responders undertook programme to ensure that it meets the needs of 4 y | , y hte —
2,474 sessions in the first six months ofthe the organisation and the individuals taking part. Li ee&7 Yy ANGe } 4 , d.
yr = = iy % ie
~ SS -- = — rsees
é G
Recruitment of new responders was also halted The pause in activity during 2020/21 gave us
I'd like to thank LIVES for saving our wonderful duringThis has 2020/21 had a significant due to Covid-19 impact restrictions. on responder theprogramme. opportunityThis tois revisit anagreement our Responder between Deal LIVES
and ° ° numbers, as a pauseon recruitment had already and our [volunteers,] setting out clearly what we
special mother following a near fatal been implemented in 2019 and recruitment can expect from each other.For the first time,
accident° .in October 2020. WithoutFH doubt the activitybefore it hadwas only paused resumed once at more. the beginning of During this time, 2020 we16 hours included on call an explicit and participation commitment in ato aminimum monthly
family are forever grateful and thankful that and pathwaystailored recruitmentto support events new have respondersbeen designed ofeducation two fundraising requirements events forper eachyear, Emergency as well as
a LIVES paramedic was able to attend quickly implemented.We currently have 187 potential First Responder. Inreturn, LIVES commits to
and 5 responders on a waiting list to Joln the charity and providing volunteers with nationally-recognised
necessitate the correct procedures that have recruited 62 new responders since restarting education and qualifications, appropriate
undoubtedly ° recruitment in December 2020. Our intention is uniform and equipmentto undertake the role,
will be eternally saved grateful our mother. as without Our family you, we toina grow controlled our Emergencyand supported First Responder manner,We cohort havea support.development As part pathways, of the [rollout] welfare [of] and [ the][ Responder] wellbeing
wouldn't have seen our mother this Christmas. targeteach year to recruitfor the and next retain five years. 100 new Theresponders recruitment Deal,responders LIVES at has alllevels refreshedand allthis uniform has been and [rolled] PPE for
plan prioritises the recruitment of responders out across the organisation throughout 2021.
—<- in areas that are less served at present.
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26 | LIVES - OUR YEAR IN REVIEW

OUR YEAR IN REVIEW - LIVES | 27

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FIRST RESPONDERS.
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CARE RESPONDERS.
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eee
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eee bo When an emergency 999 call is made, the pace at During 2020/21, our29 LIVES Medics attended Imagine the worst medical scenario you can. the patient needs. For the people they give up which qualified medical professionals arrive on 219 jobs. This isareductioo n previous years Now imagine it happening without warning. their time to save lives through their selfless the scene can be pivotal. Insome cases, it canbe end recognizes that many were very busy in You're miles from a critical care facility. Your work with LIVES, they are literally a lifeline. the difference between survival and a fatality. their usual NHS jobsdue to the pressures of the condition is on the brink of significantly Covid-19 pandemic.For this reason, we suspended worseningif you don't receive urgent medical + Providing sedation at the roadside That's where LIVES Medic Responders come in. the requirements of the Medic Responder Deal attention. You'reway beyond being helpedby a tostraighten abadly broken leg and They're trained doctors, nurses and paramedics, and revalidationto ensure that no LIVES Medic paramedic. There's no time to transport you to restore blood flowto the limb. but beyond that, they also give up their time for was under excessive pressure to fulfil their hospital, Life-saving intervention is needed. It's free to respond for LIVES, Because for people volunteer role. We are very happytosee many needed now. This is a realityfor the patients our + Putting[a][critically][injured] or ill patient like them, the dedication to saving life doesn't of these volunteers returning to responding Critical Care Responders attend to every day. into a medically induced coma to end when their shift does. Since the 1970s, activities as the pressures of the pandemic ease. manage their breathing and protect volunteer medics have been bringing their skills Our highly qualified volunteer Critical Care their brain from further damage. to medical emergencies across the county, Recruitment of new Medic Responders has been Responders specialise in delivering rapid, + Undertake life-saving surgical procedures often brining more skills or experience than paused during Covid-19, and in the year prior advanced treatments, often inlacations which in the community suchas openinga chest those possessed by aregular ambulance crew. whilstthe model for delivering medic response aremilesaway from the hospital facilities that to stop bleedingafter a stabbing. was reviewed. A recruitment event was held in Allour Medic First Responders are fully supported May 2021, in which nine volunteer applicants by LIVES. We provide them with specialist were assessed and five were offered volunteer equipment they can furtherand access their skills. to advanced Everything trai n ingeeded so to Mr e cruitmentdic Responder will continue roles. fi withtc a small pacer number During 2020/21, the team attended jobs. perform complex medical procedures, wherever of Medic Responders joining the organisation and whenever they're called upon, including: each year, ensuring that each canbe supported to develop their skills. Regardless of amedic’s + Leadinga cardiac arrest team, background, responding to an emergency coordinating bystenders and healthcare community can be quite different from yourin your 2© 1 @)3 professionals during a cardiac arrest. usual work environment. This is why education + Providing pain reliefsuch as morphine to and training remain important.Not all Medic EMERGENCY PATIENT Eocene, patientswho have suffered traumatic injuries, Responderscare, but for thosewant tothat progress do, thereto delivering is a definedcritical ANAESTHETICS DELIVERED OR ON 13.5% OF ALL JOBS * Travelling on the ambulance with pathway of education and experience to do so. the patient to hospital to enable treatments tocontinue enroute. 51 76 SURGICAL SEDATIONS PROCEDURES UNDERTAKEN ADMINISTERED

OUR YEAR IN REVIEW = LIVES | 29

28 | LIVES - OUR YEAR IN REVIEW

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rrOi
In 2019, LIVES began differentiating between Some of whom would prefer to workina
the skillsetof our volunteer Medic First team, ona shift or froma central location.
Responders and our Critical Care Responders Therefore in 2021, we will be launching e LIVES
who deliver the very highest levels of pre-hospital Critical Care Car to serve the communities of ares)
interventions. In 2021, we have 19 volunteer the Lincolnshire Coast. These patients areoften ’ Loe f=
responders performing at this level, delivering the furthest from the hospital facilities that yr Ss : a >
life-saving medical and surgical interventions they need in an emergency. The coastal areais ‘ ir q
that give patients the very best opportunity a challenging area for recruiting medical staff (a ) ‘ Ss. —
to arrive at hospital and onto recovery. and LIVES Critical Care Responders often travel t 7
During 2020/21, the team attended extended distances from their homes or places of 4 = f , = "|
undertookandanaesthetics. administered [51] [surgical] They 29travelled pre-hospital [procedures,] to hospital emergency76763 sedations jobs.with They workacommunityresponse Criticaltoattend Careto willthose Car jobs alongprovide [patients] and crewmorethe directly East timely Coast. Locatingandwithin skilled the “ ‘ MePa:j é t oi1 \ * q ‘ ° ‘ : AY» \ rti “ yI4tiv4 ‘Me Ne)Ke‘ =q a A, }
the patienton the attending ambulance 103 that need it the most. ef 4) ahfF RYre ayLV i iFec Lh ‘adie!I
times, or 02 13.5% of all jobs to ensure that The Critical Care Car will be staffed with a Doctor ;
the patient received the best ongoing care. and Paremedic crevy, whowill work defined shifts
and will carry extended capabilities including blood
We have recognised that the model of a single products. It will also provide an education platform
Critical Care Responder with equipment in their to allow Medic First Responders who aspire to
car and responding to emergencies alone does not deliver critical care to develop experience and
appeal to all potential Critical Care Responders. skills in an appropriately mentored environment. (E{O)M M U N ITY = M E RG E N CY
INA MEDICINE SERVICE.
NY ; tis ax ¢ ae “ Community Emergency Medicine (CEMS)is a ultrasound at the scene. Right there and
\;RS HyVE:is4 ie; PA be-y " ae a hfRN ipoma a 2" Wesoon t Lae, andservicea difference. its residents. that's entirelyThe ThisCEMSuniqueisteamrapid to Lincolnshireareresponse equipped,with minimised.then,the patient everythingtoImagine enter [is][ sorted] thethe positive healthcare [ and][ the] impact [need] systemis [ for] that
| Iy Fi, Ss | a 3 empowered and ready to alleviate the pressure makes onthe individual and on NHS resources.
: H > Cs_Lc os 5 [ij] § y\: & ! {i 8ewea || gaMA)oS & sy,as onskills,the hospitaldiagnosticssystem and throughdecision-making a unique blendofability. Unlike many of our other responseteams,
— kad LO ote =ie baniit CEMS offers something quite extraordinary. they'reour CEMS all paidCliniciansmedical areprofessionals. not volunteers,Theyre
- ve | Fail { vd 4 uy epee Res Where there is a medical need, we have the empoweredby LIVES tomakeajudgement
ae: } xs gow Sera a experience and equipment on-board our three call
ba Ye se bra 6 CEMS response vehicles,to bring specialist clinicalas toneed whichand call-outsthe direct they benefit attend,to b othased the on
seeare _ eesDy RS Pep 5a, enhta eb 2Sk medicalenhanced procedures care, over and above to the patient. the care We provideaccessed patient and the health service as a whole.
re , 2 fate iy a te eR My eat weh) ata GP surgery, including blood testing and
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30 | LIVES - OUR YEAR IN REVIEW

OUR YEAR IN REVIEW - LIVES | 31

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4 4 vehicles,We have threeready andhighly waiting.equippedpp CEMS responsePis The= BringingCEMS team focusedis committed value toamedicalto: workdisciplines i plng patterns,and across from full-timea wide rangeng to casual.of
supportedsolely by qualified medical emergency situation. Recruitment isongoingduring 2021/22,
specialists and experienced clinicians, particularly to Doctor and Associate posts.
Seein g the relief includingi doctors, paramedics,i and nurses. + Deliveringinnovation rightmobile where expertise it's; neededand ITsystems have been implemented throughout
on the faces of The specialist skills within the CEMS team mean = Combining leading edge medical treatment the charity, including access to GP and Ambulance
the . they can carry out many procedures, that often with award winning tech innovation to Service records, ensuring the CEMS team have
patients and anambulance crew cannot. This could be anything radically improve patient outcomes. access to appropriate patient and activity data,
their families fromto diagnosing stitching andand treating treating complexa serious diabeticwound 2020/21 was the first full yearof operation for with otheras well as facilitatinghealthcare professionals.effectivecommunication
when | arrive is emergencies in the patients’ own home for the CEMS team. Much of the year was spent in
a example - removing the strain on A&E and freeing establishing the service, recruiting staff and During 2020/21, the CEMS team were called
so rewarding and it up to focus on other emergencies. In short, implementing working practices. The team to2,437 patients, with 56.12% of those
that Ss’ what drives- CEMSand tries facilitates to circumvent optimum the discharge need for a onpatientscene to wereresult also of the facedongoing with Covid-19many challenges pandemic. asa treatmentpatients remaining during this at episode.home with 28.63%no further
me attendhospital/A&E. It significantly alleviates patients attended A&E, whilst 11.65% accessed
to respond. workloads elsewhere in the health system. Twenty-nine CEMSmediwere re c ruiteds another care pathway or service.351% were
to the team, specialising in a variety of deceased during the episode of care.
7
| ‘ ‘i # CEMS CALLOUTS IN 2020/21
ro 8 onARS L PIS RUE cat : . 4 ¢ Wee =o ; PATIENTTREATED AT HOME Bi
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32 | LIVES - OUR YEAR IN REVIEW OUR YEAR YEAR IN REVIEW REVIEW -
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OUR YEAR YEAR IN REVIEW REVIEW - LIVES | 33
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i Pr Sey 5 .
eS i oe
FALLS a
‘
RESPONSE UNIT. iat . = J é
For many senior members living alone in our community, something 4 « Wy <rya? For many senioree
as simple as a fall couldbe the beginning
Imaginea of a horrific ordeal. a _ et members living alone
awkward position, STS orSomeone simply don't you love have falls the strength at home. toThey're get up. in They'rean ; f tmTS. in our commun= ity,Y
immobilised.They feel vulnerable, disorientatedand scared. x » a something as simple
i : \eg ‘Y
The LIVES' Falls Response Unit meetsa fundamentalneed for ' asa fall, could be
older members of society who suffer a debilitatinginjury athome; , ‘ . . + +
to know someone is there.We're on call to get to those low injury, ‘ vg a . the beginning of a
yetour potentially7 lifez changingi events fast. We're‘ thereto ensure Sa 1) See:a horrific+7 ordeal.
elderly residents are never left alone for a second longer than es. a i a ae
necessary, following a fall that leaves themincapacitated. ri mt eye
| sade a » ———
When an elderly person falls, their needs potentiallygo way beyond j : ”
treatment of an initial injury. That's why, when the call comes in, one of ao. Phyl * slat as st ay
our experienced Falls Responderswill be on the scene quickly, to: f peesss Wadley Ty
+ Conductan initial patientassessmentand help to remobilise. The Falls Response Unit has beena pilot relito a pati e nt fwho has suffered injury.
+ Provide early treatment to avoid permanent damage project in conjunctionwith partners since A full dataset for the Falls Response Unit is not
ae 2 December 2018. In April 2021, we were pleased available due to the transition of commissioning.
Determine clinical need and refer for appropriate treatment. to confirm that it has been co-commissioned However, from August 2020 to year end, the
+ Undertake a ‘frailty assessment; to determine if occupational health interventions as a service by Lincolnshire County Council and Unit has attended 1,538 patients, an average
are required and arrange short term care packages, where appropriate. NHS Lincolnshire. This support allows us to of 6.74 patients per day. Of these, 54% have
+ Look beyond the initial 999 call made, take time to identify any social care concerns and try to make Dey rec specs ee Responses eeaoeeee met 333 eal
sure preventative measures are in place to minimise the chance of them falling again in the future. vehiclespi the beam and equipmentatid 0 peeytoce support LetYu themDe spose urtherplanned, cevelopments including increasedof the wound sevice assessment are
The Falls Response team are there to meet an immediate medical emergency need, but they're also there Cae rere tele es sabia ike oe CraneAe) Bhi! are
to meet a humanneed too. Maybe that’s as simple as popping the kettle on once the patient is comfortable etnaoy 4Sree a epee rality related services Bcross the county.
theyand sittinghave anwith accessible placethem fora while. to rest Maybe and it's recover.providingThat'spracticalthe Fallshelp,Responsesuch as Unit!moving That’stheir bedwhat we to ensuredo. 25 10onsSOMMLYof people CO TBO at eonor cellver painpales
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34 | LIVES - OUR YEAR IN REVIEW

OUR YEAR IN REVIEW - LIVES | 35

DURING COVID-19 a WE SERVE ty] es fae For responding activity, 2020/21 has been Aninitial challenge that was shared across LIVES exists because our county is rural, the We have one city, Lincoln, and around 30 the most challenging year that LIVES the health sector was securing supplies of infrastructure is sparse, and yet our people market towns and coastal resorts witha fairly has faced. Planning for respondingto the personal protective equipment (PPE) to allow suffer the same medic a ndl traumatic even[distribution] of villages across the area. Covid-19 pandemic began In early February responders to continue to deliver safe care for emergencies every day as those living in cities Our largest centres of population are Lincoln 2020, with a review of the business both themselves and patients. We were grateful or urban areas. We believe that no one in our (115,000), Grimsby (134,000), Scunthorpe (80,000). continuity plan to ensure that It would to several donors and business supporters county should suffer poorer outcomes froma Grantham (44,000), and Boston (41,000). meet the challenges that we anticipated. who helpedus to secure immediate stocks of medical emergency because they live or work equipment until usual supply chains were able far from the healthcare facilities they need. In total the area covered by LIVES has just We sincerely thank all our staff and volunteers tomeet the demand. Furthermore, we had to over1 million residents. Approximately 90,000 who have remained dedicated andflexible train hundreds of responders to safely put on LIVESis a Lincolnshire charity.We operate people live in areas in the top 10 per cent most during the pandemic. They have all dealt and remove new PPE, and to change responding over the historical area of Greater Lincolnshire, deprived in the country. Almost 25 per cent with their own challenges and concerns. practice in accordance with guidelines from an area that extends from the Humber of our population are aged over 65 and this is and we are extremely grateful for the time Public Health England and other bodies. This to the Wash and covers an areaof 7,000 predictedto grow further in coming years. and commitment that they have shown to was done through the rapid deployment of an square kilometres or 2,700 sq. miles. The transport infrastructure in Lincolnshire their communities and to the charity. e-Learning package and the trainingof operations is notably sparse, with the only motorway staffas specialist fittersfor Level 3 PPE. The area is largely rural and is sparsely connection being the M180 into the northof populated, with an average of 150 people per the area. The Al runs along the western edge ry | Despite these efforts, volunteer responding sq.km comparedwith 411 per sq. km across of the county and facilitates access to the el7 PAV Bod» activity was paused for[a][seven-day][period] England. In the most sparsely populated north and south. In total there are 850 miles Sa Y 74 oa during April 2020, a decision that was taken in district of East Lindsey there are only 80 of Aroads that connect the main service me § ne a 4 the interests of responderand patient safety people per sq. km. Rural areas make up centres of the Greater Lincolnshire area. 5 = na but is unparalleled in LIVES history. CEMS and 95% of the land area of Lincolnshire. WReT ac© ~~" ee) j Fallsthe periodwith Response no continuedsignificant to respond pandemic- throughout XP cag related disruption to service availability. a r 4. ” . ¢: || monthlySupport face-to-face activities were training suspendedsessions includingfor all oe. eee = 4 ——— ~ —* -— <= Se | Emergency First Responders. £ Y | our ‘buddying ‘y, | attend jobs in up’pairs. system,These in suspensionswhich responders hada ke ‘ Se Es aA a a Ry ye el en "i We also suspended ; : ; confidence. This was reflected in the decline * significant impact on responder activity and . of job numbers we attended in the year. 3 }

36 | LIVES - OUR YEAR IN REVIEW

OUR YEAR IN REVIEW - LIVES | 37

} FATHER OF GIRL INJURED IN LOUTH NORTHLINCOLNSHRE | HIT-AND-RUN PRAISIES LIVES VOLUNTEERS : (80K PEOPLE) sataa) Ose On 6th January 2020, Gary's twelve-year-old In anews article, published by the local Aiea daughterIzzy was hit while on her wayhome press, Gary expressedhow Rich and Liz acted from school by a vehicle that made no attempt “impeccably” while treating his daughter, and WEST LINDSEY tostop after the Incident. Despite numerous did everything they could to help reassure her Injurles, she managed to make her way home. and the rest of the family. “The level of care we EAST received made the fact that they are volunteers aoe any, calledOnce Izzy999 and two arrived home, Gary LIVES Comi m unitymediately peopleeven morewill unbelievable. never needto We seehop th e mthat in action,most i Mel: ~~ O First Responders were dispatched, but we are relieved that if you do indeed need q 4 arrivingat Gary's house minutes later. them,you will be in safe hands" LINCOLN ‘ 4 He adds. foea ¢ Rich and Liz, the two LIVES Community First “We don't often receive praise, but we . ipa Responderswho attended Izzy, were initially don't do this for the glory,we do this KESTEVEN confusedwhen they arrived on scene, Liz said: tohelp our community”Liz said. ' “We knew we were going to a road traffic collision GRANTHAM| (41KBOSTONPEOPLE) : & whenincident,we arrivedso we didn'tat a residentialknow what address?to expect “Wethe patients hardly everwe seefinda aout er5 whathanding happens. over toto the (44K PEOPLE) ambulance service so it was nice to know the Al Rich said: “As we didn't arrive at the scene of outcome as Gary kept updating social media KESTEVEN the incident, it can be difficult to comprehend and we knew how his daughter was recovering. HOLLAND what has actually happened as thereis no scene to assess.We initially tried to “Although it was a horrible incident to attend, understand exactly what had happened so especially for Gary and his family, it’s nice we could assess the patient's injuries. toknow some positivity has come out of it and Izzy is recovering well’ she added. “My main concern was the injury to her head, Our health system is complex, with multiple NHS trusts and commissioning groups and all subject but our years of[training] has also given us an residentsto the challengeslive withinof funding.4km of Lincolnshirea GP surgery, compared is typical of many rural settings where 80% of rural understandingthat children compensate alot eeSS ty 3ee 55% with 98% ofthe urban population, and only for their injuries and illnesses; the worry that she - ie — = ee wie The northofruraland households, northeastof compared the county to are97% served of urbanby hospitalhouseholds, sites at are within Grimsby and 8km of Scunthorpe, a hospital. couldstayinalsothebecomemoreback of my mind,severely luckily unwell she didn't? had to ber}shS ae\ . SSSleb ded£1Limes with the remainder of thecounty accessing hospital facilities in Lincoln, Boston and Rich and Liz spoke to Izzy and helped calmand sf ¥ & Ve s Grantham. There is no Major Trauma Centre in Lincolnshire and our most ill or injured patients reassure her, before assessing and treating i hou co will often need to travel out of county toreceive emergencycare and treatment her multiple injuries.The ambulance service ; arrived later and transferred Izzy to hospital. A a The Lincolnshire division of East Midlands Ambulance Service covers the same area as LIVES. The Gary's daughter geogrephy[and][infrastructure][of][the][Greater][ Lincolnshire] area creates challenges for delivering isnow recovering well, despite : é im ‘Z/i timely and skilled response to medical emergencies. LIVES exists to help addressthese challenges.a seriousteeth, cuts injuries includingand swelling losingto her forehead. her front bo3 wy |bi - OUR YEAR IN REVIEW OUR YEAR IN REVIEW - LIVES | 39

38 | LIVES - OUR YEAR IN REVIEW

LIVES EDUCATION. CLINICAL GOVERNANCE. ees es Therefore, knowinghow to deliver safe and The quality of care that we deliver is Many people are unclear about what a Clinical Every year, there are andeffective one whichisCPR is a basiclready skill taught thatto can save school- lives Qf u alityndamentally important is embedded in everything to all at LIVES.[we][ do] definitions,Governance but systemis that and which there arewe prefer numerousin LIVES around 30,000 out of aged childrenin many parts of the world. at LIVES. Our core activity is training and isa system through which organisations are . ry equipping people with both the[skills][to][make] accountable hospital[cardiac][ arrests] AtLIVES,we believe that every young person a difference and the confidence to use them. qualityof theirfor servicescontinuously and safeguardingimproving the high across the UK, but sad ly in Lincolnshire should have the opportunity standards of care by creating an environment less : to learn life-saving skills before they leave We are proud of our governance systems that are in which clinical excellencewill flourish” than Tin 10 people school.hol. InIn 2019/20, . wewe launchedlaunched ourourschool:schools robustb iadand allowIl us to: evaluateuateand and evidenceevidence th the survive. For every minute partnership programmeto enableevery school in high standards that we set for ourselves and to There are eight pillars on our clinical defibrillation is d elayed, Lincolnshire to access this life-saving education put things right quickly where change is needed. governance framework. the chances of survival. forand their restrictions students. on Sadly, social the gatherings during closure of schools fall by approximately 2020/21 have severely limited our abilityto 10%. (Resuscitation deliver this life-saving education. However, Council UK, 2015). we2021 have withseenaresumptionmore than 30 schools of activity accessingduringthe P OPENNESSomate - being2 , CLINICAL AUDIT - reviewing a programme in the early part of the yearand transparent and honest with percentage sampleof activity to we look forward to a busy autumn delivering casualties, their families measure against key performance Therarehty of lincoushire means het echleving this life-saving education programme. and their representatives indicators. Also includes the earlyAaty a defibrillcropdefibrierp at ion needseepublicY involvemena . 5 We also know that learning doesn't finish when aboutofdelivering care the they standarda Dutyreceive ofi and Candour and type reviewensureimprove of that thesignificant lessons healthcare learnt events provision to to; youé leave school. Inai normal year,‘ LIVES. would when things2 do notgo right are identifiedtlnnat and disseminated_ A population widely trained in CPR has the Getiver an extensiveSs caer within the organisation potential to double survival rates. Evidence programme to teach life-saving CPR in sports from other countries suggests that providing. clubs,faith groups and other organisations, as ——~ ugh Oe training in CPR to members of the publichas rel as 3 Compe apy events Lovano we yon CLINICAL RESEARCH AND DEVELOPMENT - a significant impact and improves patient somevelsthe Covid-19 pandemichas restricted EFFECTIVENESS - basing Where possible, looking at the healthcare outcomes for those who suffer a cardiac arrest. gatherings of people, and no community CPR all activity on evidence that is delivered to evidence concepts. trial has been taught duringthe 2020/21 year. that supports that the new clinical activities and give opportunity Trainingin CPR and how to use a defibrillator activity being delivered for academic research to underpin further has been includedinthe school curriculum We look forward to resuming these vital is safe, effective and developments. Often involves collaboration in Scandinavian countries such as Norway community education activities in 2021/22. he meets the needs of the Ke with academic healthcare organisations and Denmark for aver10 years andhas been individual receiving care and educational establishments a steady improvement in patient outcomes (Global Resuscitation Alliance, 2018).

40

| LIVES - OUR YEAR IN REVIEW

OUR YEAR IN REVIEW - LIVES | 41

gee x... es EDUCATION, TRAINING INFORMATION afH E | M PO RTANCc E O F ANDPROFESSIONALCONTINUING MANAGEMENTensuring DEVELOPMENT- ensuring Care are comprehensive, s that the standards that accurate and kept safely in 5) are defined to achieve / thatanyline with clinicalGDPRprinciples recordsof |[ecemraiemnemmmmmmennd] PARTNERSH |PS ex Clinical Effectiveness Ne and Medical Records Act Partnership is key to LIVES delivery of We look forward to working more closely with LFR services to the communities that we serve. into the future as we prepare to deliver trauma MeRISK Pan Weboth an haveemergency several partners responsewhen and delivering skills to our trainingclinicallyto govern all Lincolnshire all LFR medical fire crews, activity and following to MANAGEMENT ~ PATIENT AND CARER communities, as well as in advancing the cause the award of a contract for these services in 2021. understanding classifying EXPERIENCE AND , “ acd saltipating thevicks INVOLVEMENT - ensuring of pre-hospital emergency medicine nationally. that are associated with feedback is sought from * y WORT e AEG pies the delivery of healthcare, persons who come into contact LIVES works in close partnershipwith East to have further developed our[relationship] orindload the deksof withthe service as patients Midlands Ambulance Service NHS Trust (EMAS). with the University[of][Lincoln][(UOL).][This][ has] Ne notthat delivering should be healthcare Mig a ndcross tha t leahe o r ningisganisation shared LIVESThis pa r esponderstnership istokey medicalto the deployment emergenciesof across culminatedUnderstanding in the betweensigning LIVESof a Memorandumand UOLin 2021.of the county. LIVES responds to patients at the We look forward to collaborating with UOL to invitation of EMAS and volunteers are deployed deliver post-graduate qualifications, facilitate by a dedicated team of dispatchers within the placements for students across the Medical EMAS control room. Co-operation between School and the School of Health and Care, EMAS crews and LIVES teams on the frontline and collaborating on research to further the CARE QUALITY COM MISSION isimproved overwhelmingly experiencepositiveand outcomes and contributesfor patients. to development of pre-hospital emergency medicine. The relationship between the organisations is Weare also delighted to continue developing governed by a service level agreement, which was our involvement with the National Centre for LIVES has been registered as a healthcare The reportwas very positive, identifying renewedin 2020 for a further three-year term. Rural Health and Care, and were particularly provider with the CQC since August 201 for the areas of good and outstanding practice and proud to be invited to give evidence to the delivery of transport services, triage and medical with no recommendations or actions. LIVES has worked in formal partnership with Rural Health and Care Parliamentary Inquiry in advice provided remotely, and for treatment LincolnshireFire and Rescue (LFR) since the start December 2020. LIVES is a charity responding of disease, disorder or injury. In recognition of During 2020/21 LIVES undertook several of the Community First Responder Scheme in to the needs of our rural communities and it the expansion of both ourskillset and available conversations with the CQC under the 1999 and has cooperated at the scene ofincidents was an honourto be able to share learning technologies, we expanded our registration transitional monitoring arrangements as CQC since our inception in1970. LFR volunteer from our operating model with the Inquiry. in 2020to include surgical procedures and visits were suspendeddue to Covid-19.No firefighters are trained as co-respondersand diagnostic and screening procedures. concerns about our governance or compliance attend medical emergencies in their communities were raised during these discussions. under the training and clinical governance LIVES was most recently inspected by the CQC in structure provided by LIVES. These coJanuary2018 with the inspection focused on the LIVES values our COC registration highly responders make a significant contributib o thn provision of services using our ambulance,both and continue to adhereto the standards to the charityand to their communities and we patient transport and event first aid provision. required to ensure we remain compliant. thank them for their dedication and commitment.

42 | LIVES - OUR YEAR IN REVIEW

OUR YEARIN REVIEW = LIVES | 43

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Weare sincerely grateful for the enormous
: contribution that these extraordinary people
; make to the care provided to people suffering
@ medical emergency in our county.
L We depend on the generosityof our donor and
supporters for providing vital funds to allowus to
Carry out our life-saving work. We thank each of them
for their support. We hope you never need us, but the
—— generosityfor so manyof pe o urple supportersin Lincolnshireallows every us tobe year. there
Volunteers are at the core of ofOur allstaff kinds underpinto deliver the care charity to patients and allow our inneed. responders We
LIVES and without° their. skills,. thankSupport,eachfor theof them, extraordinary be they clinical,contribution education or they have
enthusiasmF . and dedicatione ° made in the most trying of circumstances this year.
we could not provide°
life-saving° ° care to the
people [of][ Lincolnshire] ° ° Za
anyleatli s a ee a - liasP ameWwW,A a ifri Cet™~ s :
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46 | LIVES - OUR YEAR IN REVIEW OUR YEAR IN REVIEW = LIVES | 47
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a
‘agaist
\
ll iNcofiat= \ cytyvesineerg!eo-op medicalering,caemernevesef indosency
& i.
This. year has undoubtedly been one
of the most challenging. for income. »
generation: in° the historyPy of the charity° oo ¥ Py
\ a >|
\
2020 was the year of our 50th anniversaryand Our total incomewas £3.15million compared 7}- ~ + -ba .‘a4 ’ 4& y 7
a full year of celebrations and fundraisingwas with £2.48million in 2019/20, which represents i, {ea ; Sf
planned to both recognise the contribution anincrease of 26.6%. The growth in income lon ‘ fd - a
ofpandemic our people affected and to almost generateall income.of these andThe canCommunity be attributedEmergency to the Medicine expansion service of the whichis aeS ‘ 4m a© a7 <=2«| q
createdafundraisingchallenging and incomeenvironment generation. for commissionedincome remainedby steady NHS Lincolnshire. over the year.Fundraising This “ ty oef ¢ ~2= «< \ - ——
amazing achievement is only possible due to the A) f
We are immensely proud that in these generosity and commitment of our fantastic Ny \
challenging circumstances, the Fundraising supporters to whomwe are so very grateful. j é > ’
Team turned their hand to new income , 17 iy ‘
generating endeavours including virtual a = " z ”
challenges, increased grants and trusts, and 4 ~~_—
statutorygiving income streams significantly, 7 ;
a. ; hs fs .
- OUR YEAR YEAR IN REVIEW OUR YEAR IN REVIEW - LIVES | 49
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48 | LIVES - OUR YEAR YEAR IN REVIEW

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RA |S | N G FU N DS. £33,320TheRotaryin 2021.Club Theof Skegnessclub have aawarded long-standingLIVES numberpeople. ofFromitemseducational that will toolsallow usthat toreachwill teachmore
——— workedpartnershipona withcommunity LIVES, havingdefibrillator previouslyproject, purchasinlifesaving skills innew technolo our schools g y to programme, improve our to training
purchasing and placing25 lifesaving community courses for our volunteers, every penny will help
COMMU NITY FUNDRAISING access defibrillators in the Skegness area. make areal difference.We are immensely grateful
This recent donation has allowed LIVES to funda to The Rotary Club of Skegness and all community
Community groups for their ongoing support through the year.
thestreamprofilethatofFundraisingboth the charity, generates is anHowever,donationsimportantduringand income2020/21raises TherecalendarDoddington was onein July.Hall brightWeto providewere spark delighted in our eventsto work with KS ry| | | el Our fundraising volunteers are crucial to the
all an evening tour of = Hum | | ! delivery of our fundraising activities and
community events have been cancelled. their famous sculpture trail for ourresponders wf f° . 1 = | provide support across a range of activities in
ThisTeam has been frustrating for the Fundraising and supporters to celebrate our SOth year. More RRs a Pep i the community suchas servicing our collection
in and we look forward to being back out than 200 people joined us for a summer evening i’ a — 1A | boxes, talking to local schools and community
teachingour communities lifesaving CPRatevents, skills duringgiving talks 2021.and andshowcase we were our proud new CEMSto taketheopportunityto response vehicles. :‘i "25°T-a arYO V/\ UN 42= groupsattendingstands. in [We] order local [ know] showsto [that] raise [ many] andthe events profile [of][ these volunteers] to of supportthe charity, our
to be unableto take
y j neo —Y g 3S part in fundraising activities this year. We are
N q 5 ae 4 have been disappointed
/ _ 2 — ~~ 1 immensely grateful for their ongoing support
a _ ee and look forward to seeing them again in 2021
‘ ‘7 a a '
. ) —' at . Pf Pada, CHALLENGE EVENTS
x a sel 7 “ Weert) . ” 4 >» i ares | Many of our supporterslike a sense of achievement
t peti od f LIFE TERE - r~ 4 a , [ay a yt ‘y eats ho~ whilst [raising] [funds] [for] [LIVES.] [Providi] a ra [n] ge [g] of
peSac)a>: —]ve { [J] v =Xtatomy, aaa¥ we3 . @= YW owGrd<>;ve)i ; ——~ rsae > h- . &) ae(éae 'te...MLIVESs=ggf —\\
(Sse }, £ A 4j .= RY S> j cancellationchallenges planned or postponementfor 2020/21 of could all mass not gatherings,taketo the place al
= : Wg aa “A To bridge [this] [gap] [‘virtual][or][ online] [events] [had] [been]
ial | ‘ a> > % pO provided, allowing individuals [or][ teams] to still take part
/ Pn), mi 2c ire Lg in several challenges including a’5! miles in May’ and the
: f id ay SENG some real appetite for cycling challenges and something
e Bi Cle & , J the fundraising team are building upon going forward
50 | LIVES - OUR YEAR IN REVIEW Ne ° Sgt,
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LOCAL BUSINESS SUPPORTERS GRANTS AND TRUSTS 2020/21 has beena difficult year for many One highlight in the fundraising year was the During 2020/21,[we][ have][ continued][ to][ build][ on][ the][ grants][ and][ trusts][ programme][ that][ we][ launched][ in][ 2018/19.] businesses and this has had an impact new corporate relationships built through our We have identified grant funders who have an interest in our work and are extremely grateful to those who ‘on our ability to work with local business Lincolnshire Kitchen Cookbook project. LIVES have supported our charity this year. Grant income for 2020/21 more than tripled, an increase from £57,138 ‘supporters. We value and continue to nurture worked with 20 Lincolnshire businesses such in 2019/20 to £173,799 in 2020/21. This income streamnow represents 55% of total income generated. our relationships with many local businesses as Belvolr Fruit Farms, Fairburns Eges and and organisations to raise awareness of our Bottomley Distillers to showcasing their produce Their funding has helped us to continue to respond during the pandemic, supported services. Unfortunately, many plans for 2020/21 and skills in a high-quality cookbook. We thank the provision of[life-saving][ training,][ equipment][ and][ supplies][ to][ responder][ groups,] were curtailed by the COVID pandemic but we all ofthose who supported the project and and supported the development of an e-learning platform to continue to deliver look forward to rescheduling these in 2021. particularly chef Darren Rogan who cooked every education to responders when responders were unable to train face-to-face. cone of the recipes that feature in the book. # Our sincere thanks go to the following organisations for their generous support: P > We were very grateful to be chosen by Lincolnshire S|i , Co-opCommunity as the Champions beneficiary of programme,theircounty-wide Their donation AnglianBritish AssociationWater Positive of Immediate Difference CareFund RESSouterWind CharitableFarm HoldingsLtdTrust li”dt ~. «itSee f . Sfaccounts)our fundraisingS5 359 was|Cecrarnoed a significantover the wintera contributionOU period.202 aneel towards et GroundworkEceleslasticalUKMovement- Tesco bags For forGood Help TheThe Grange Gilbert Lane Wind TrustFarm Community Fund "7 Julla and Hans Rausing Trust Voctech ; We particularly thank those very generous Len Pick Trust Western Power Distribution businesses who donated personal protective Medlock Charitable Trust Worth Waynflete Foundation nit equipment A yp .. A coronavirus(PPE)pandemic, during thewhich early daysallowed our of the Moy Park Ltd, Grantham t-,, a) + responders to safely respond to emergencies. =, n al Your generosity, enthusiasm and commitment = ~— < has been very much appreciated. FRIENDS OF LIVES REGULAR ASSIS G IV [ NG PROG RAM M E We are immensely grateful to those donors who have been generous enough to remember LIVES in their will and are very thankful In 2018, LIVES launched a regulargiving programme, Friends of LIVES. Almost all donor acquisition Un Ae he AOL TS ad el arated ey isDevelofrom done face-to-face or le inDir communityerere he reel ei venues andec‘ has proved ceeae populareaewith donorsences5 and supporters. Historicallythe charity Althoughlegacies we have haveformedP starteda very to seesmall some income growth stream in thisfor new Friends,March 2020. DuringHowever, incomethis time,continued subscriber to grow numbers based fellon donorsby 18%signedas we upwere prior unable toto suspension recruit income streamin recenti years, Acorns a areés small and of the programme, with income rising from £72,679to £96,828, an increase of 33.2%. unpredictable contributor at 3.6% of total income for 2020/21 We have previously used the services of professional fundraisers to recruit Friends ofLIVES Reeino WOH Rai nS LokGeral members. However,3 this year we were informed that they were closing the business and would ae not resume trading after the pandemic We are planningto restart the programme in 2021 and we understand it will be many years before we see the benefits. and will be recruitingaRegular Giving Manager to deliver the programme in-house.

52 | LIVES - OUR YEARIN REVIEW

OUR YEAR IN REVIEW = LIVES | 53

COMMUNITY ENGAGEMENT MARKETING AND AND SHARING OUR SKILLS COMMUNICATIONS Every year there are around 30,000 out We know that learning doesn't finish when you of hospital cardiac arrests across the UK. leave school.We continue to work with community — Sadly, less than 1 in 10 people survive. For groups, sports clubs, faith groups and other everychances minute of survival defibrillationfall by approximatelyis delayed, the organisations,to give every personas wellas who at lives community in Lincolnshire events Sharing the story of our LIVES responders and their activity 10%. (Resuscitation Council UK, 2015) The the opportunityto learn life-saving skills. The isan important part ofraising the profile of LIVES across the earlyturality defibrillation of Lincolnshire needs means public that involvement, achieving pandemictraining duringhas curtailed2020/21 and our wecommunity are hopeful CPR of county and encouraging communities to support our work. this is where minutes really do matter. resuming activity during 2021. An evaluation of earlier programmes found that 85% of those A populationwidely trained in CPR has the who took part ina community training session WEBSITE a eameseeace tat SEE iesalesisBSsonra tela LIVES has undergone significant growth in the last two years and a review of our communications CPR to members of[the][ public][ makes] a significant Furthermore, 8% reported that they had actively strategy in 2020 identified that the website needed significant workto ensure it reflectedthe impact and improves patient outcomes for those used their CPR training eithina m e dicalr activityof the charity. Website donations have becomea significant income stream and mechanism who suffer a cardiac arrest. Training in CPRand emergencyor to show others what do to, for driving traffic to the site, with almost £24,000 taken through the websitein the past year. how ln lise'e dafibsillater ss been tnchidedin the In order to ensure that the site covers all LIVES services and has the required functionality, Then ae alin fe Granda cole ieccieh the decisionwas taken to buildanew bespoke website would be the best totell the asthereoutcomes Norway has beena and(Global DenmarksteadyResuscitation Improvement for over 10Alliance, years Inpatient 2018). and 7 . 4 2 ae | 4I;; b ~ ') Ij J<! LIVESbeensomeone rewrittenstory.mayDesignersbe to ensurevisiting and a the consistent professionaldevelopers site. The newhavewebsitebeen instructed messagewillbe launched regardless and all websitein late of the 2021. copy reason has KnowingCPRis abasichow to skilldeliverthat safecan saveand liveseffective E NTAL | & = oy ; one and ME TH ; Nit ie SOCIAL MEDIA Fj 8,278 Likes which is already taught to school-aged EAL p * tm (11.6% increase) AtLIVESchildrenin Lincolnshire inwe many believethat should parts have of everythe theworld. opportunityyoung person to PA\ai|RGI. plaf fA f g ff ’ P Eyfereies?SocialCUEmediaandMSL remains (unease S[TIO] akey focus BOICE ofLe! ourSEE brand2020/2. iw (0.9%9,134 increase) Followers learn life- s* killsaving before they leave school. \ at i “ ‘ Instagram and Linkedin “has growm in both number 1,259 Likes In 2019/20, we launched ourschools partnership i "3 “ hare era sobs aes (22.5% Increase) hes ea ey ea launched a number of new initiatives to identify We also sawgrowth on LinkedIn followers for the airtel Wehate Dea ieatictewekwih and encourage new supporters.[We][ recognise] LIVES main page, with followers now over 450. schools during the pandemic restrictions of 2020 that there is now[a][clear][ age][ demographic][ of] We cannot measure growth from previous years but have restarted this activity in 2021 and look supporters for each platform that wasn't as as this has not been tracked but itis a positive forward to continuing this vitally Important work. prominent in previous years andrequires us to sign that our corporate following[is][ increasing.] tailor content and messaging to each audience. We Donations through Facebook has also seena also recognise that video contents increasingly considerable increase with £10,166 taken in needed to engage supporters on social media. 2020, almost £5,000 increase from 2019.

54 | LIVES - OUR YEAR IN REVIEW

OUR YEAR IN REVIEW - LIVES | 55

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'
TELLING OUR STORIES i “i
;
Whilst the pandemic curtalled much face-to-face We have shared stories of success with local eo ~ z oS
tellingactivity,theit storydid giveof ourus timecharity to focus and our on proudlypeople. Billpress coveringBarber, who Emergencyreached a milestone First Responder, of 2,000 . 4rt ? Se — Nees
As we continuedto respond to emergencies Jobs,Look North.which was His subsequently story and thatpicked of LIVES up bymade BBC é‘i -SE=e 9
throughoutthe lockdowns, we were able to lunchtime and evening news. LIVES was also fi ’ ;
‘suchexplaincontinuedto localto operate, includingpeoplevia themedialess usualhow weactivity featuredspread of onseventhe front regionalLincolnshirepage anda double newspapers page PROVI Di NG -hs
Forumas with supporting food andthe Lincolnshire Resilience medicine deliveries, toin an over organised campaign, 300,000 Lincolnshire giving households.exposure E D U CAT |oO N AryLd : ’
vulnerableand the vaccine membersroll out of toour somecommunitiesof the most in the We have also taken the opportunity during TO @il | E RS . QO
east of our county. And we continued to tell lockdown to increase our bank of case studies, y
the story of the incredible difference LIVES speaking to supporters, responders and ty
Responders make to 999 medical emergencies. patients helping us support our campaigns
and tell the life-saving story of LIVES Knowledge sharing ls a powerful thing. And
never more so than when It equips Individuals
with the potential to change lives.
LIVES provides first aid and medical training We deliver qualifications on behalf of three
An to individuals, businesses and industry across awarding bodies. We have delivered the Qualsafe
a J‘ CH| i: N / oe aaa—— ; o LincolnshiretoFrom react treating in a spectrum andbeyond a physica! of injury, emergencyWe teach to providing people situations.how rapid sincesuiteFirst Aid courses of 2016,pre-hospital and in to 2019 our and addedcapabilities. first Mental aid courses During Health
TheATACC Group
: ba , 4 interventions to an individual ina life-threatening 2020, we began delivering
» | law = Ww ‘ condition or mental crisis. Training people with range of high-fidelity pre-hospital courses, The
A . \ \ “ [y] wy and without prior medical knowledge, passing variety of our education provision means that
J { . \ } , b cl a . * ‘ on the life-saving skills we've gained over years we can deliver training that meets the exact
A + Y L b 4 / aly QS and empoweringthem to be life savers too. needs of [the][ client] or industry, underpinned
= y ‘ } The provision of training has been a growing
|y — ky / \ \ N “4 by nationally recognised qualifications.
‘ & \ income stream for LIVES. However, all but We are proud of our highly professional cohort
essential delivery was halted during 2020 of educators who delivery engaging confidence-
Ms | , and income fell by50%. We are anticipating building consistently high-quality training to
a significant growth in this income stream every learner they encounter. We know that
" in 2021/22 as businesses resume training 2020/21 has been challenging for them and we
j " y + Z andbeenmany missedcatch during up on the training that 2020/21 year. has thank them for their commitment and resilience.
aa
garyr of s TF |
56 | LIVES - OUR YEAR IN REVIEW OUR YEAR YEAR IN REVIEW - REVIEW - - LIVES |
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OUR YEAR YEAR IN REVIEW - REVIEW - - LIVES | 57

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mm \
ce i. CLINICAL GOVERNANCE
. Ji dome | f a na ie
=— || ‘4 ,.__ei Fo i rdsag ies : ,, + anes2s Seré Anycare aboveorganisation the levelor ofindividual First Aidproviding at Work, is Wecontrolled are deliberately fashion, mindful ofgrowing this ensuring income thatina weslow, are
| ‘RONas Hpees b>: yo bet =~ fort SITS required to have a pre-established governance working with clients who share our commitment to
! q v) SCABNCE 5 eects: “sah aie ca ae framework,with the aim of ensuring certain delivering quality care to patients. We currently
—f- ee 7 ha —, standards are kept to, while continually have six clinical governance clients and envisage
eas ns ? improving the quality of care they provide. this growing slowly over the coming years.
In essence, this means the right medical action,
taken by the right person, at the right time.
(E{O) MM U N | PNY LIVES Is a CQC-registered organisation.
That means we have proven expertise in 4G
DEFIBRILLATORS. designingGovernanceandframeworkembeddingwithin a robustour Clinicalown pre-
es whatendhospitalwe'reit takes emergency able to to meet share response the our requiredknowledge services. standardswithWe know Nothingunachievable.. is ever
Earlycommunities defibrillation to acquireis an communityimportant part public of accessthe Chain defibrillatorsof Survival (CPADs)in cardiac arrest. including LIVES advising supports on the CEE MOSSores soanreres 4iie SHEETSours, LIVES has always‘5
most appropriate device for their needs and the best location
During [2020/21,] to ensure availability and access. pepsa cons aeDeere sie| seen my potential
we sold 48 defibs for use incommunities and businesses across Lincolnshire. ina Enc epi a pcouice [ear ecteai) cate, and su orted me
Wedefibrillator are awareneeds that purchasingto be ‘rescuea defibrillatorre a nddy’availableis only the forfirstuse step when ini it is the needed chain= to to saving save a l ife.ife. TheDuring Overea the ocoons last three street years,or LIVESsnetine: hasOu createdaprewecne to drivePP forward y
2019 we launched a defibrillator guardian service, taking responsibility for community defibrillators pf.clinical gavernance aise with businesses
andensuring they are checked and ready to be used at any time. During 2020/21,we signed nine vine needko be ebiete Proves assure vad Seamer
new service level agreements to manage 4] community defibrillators across the county. Psy sts Dera asmiacisucas) sei
The Circuit is the national defibrillator network which connects defibrillators to ambulance services
across the UK so that in those crucial moments after a cardiac arrest, they can be accessed quicklyto
help save lives. The Circuit provides a map showing where all defibs are located During 2020/21, LIVES
have been encouraging customers to register their community defibrillator on The Circuit to ensure it
ts accessible. We now have 231 defibs registered on The Circuit, with LIVES being the guardian of 41 of
these. During the year we have transferred a further 51 defibrillators to a local guardian, with 190 awaiting
transfer during the coming year. This is an important national initiative that we are happy to support.
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58 | LIVES - OUR YEAR IN REVIEW

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—————s
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LIVES is nothing without our people. LIVES people are unswervingly dedicated, committed professionals° who care about their° communitieseg2 and patients. Volunteer does not mean amateur.LIVES Every individual is an important responders commit to developingthe the team. It takesa team to save p a* life.rt of skills and confidence to deliver the very best care to patients every time. This yearhas been a challenging year for everyone involvedin LIVES. The pressures of responding LIVES people take many roles. They may be on the front lineof medical emergencies duringa volunteers responding in their communities and pandemic have caused risk, uncertainty and fear supporting their local district, clinicians on our for many. Many volunteers chose not to respond CEMS team or responders on our Falls teams, during the height of the pandemic to protect both trainersacross the deliveringcharity, fundraiserseducation programmes givingup their themselvesdecision to step and their back fromloved responding ones. We support duringtheirthis timeworkingto Inageneratewide varietymuch neededof roles income, in our HO.or staff time and take a‘pause’in their LIVES activities.

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‘
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i
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it’ssomeone’ an amazing back° from feeling° cardiac arrest,and when° you bring°
then‘ you see them out and about with.
their family, living life to the full.
—
,
Nj
4’ H KA‘| afea ‘. x -
| x ~ an
ze %
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| .
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60 | LIVES - OUR YEAR IN REVIEW

OUR YEAR IN REVIEW - LIVES | 61

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OUR PEOPLE s LIVES VOLUNTEER SURVEY
Laer ee During Decemberwe undertook the annual Usual mechanisms for keeping our responders
Wealsorecognised LIVES Volunteer Survey. This is a chance intouch with the charity and engaged, such as
are that many LIVES volunteers Our Sales team were re-purposed to support to understandthe views of our volunteers face to face district training wes suspended. We
key workers, with a significant number procurement and distribution of PPE in the early across the charity, and to understand wanted to understand the level
theengaged [in][ front] [line][ NHS roles.] We recognise days of the response. Our Fundraising team were levels of engagement with the charity. that responders have with the charity,ofengagement and how
pressure that these individuals were under creative with their income generating activity supported and confident they feel. The survey
andfurther actively sought to not put them under and found new ways of engagingour supporters 2020 was a difficultyear for many responders, was restructured from previous years to have
pressure to respond during this time. and raising our profile. Our Education teem were both for those who have chosen to continue more focus on indicators of engagement and
quick to develop e-learning packages to fill some responding throughout the pandemic and specific questions relating to COVID were asked.
We suspended the requirementfor LIVES medics of the gaps left by the suspension of face-to- for those who have chosen not to.
to complete a specified minimum number of face training, and our Operations team were
Jobs per year, and we delayed the introduction busy supporting responders from a distance.
of a minimum requirement for hours on call for
community first responders during the year. We introduced a new wellbeing framework to
support LIVES staff with managing their health
dedicatedconfidenceOur focus forresponders to resume2021/22 to regainistheirsupporting responding the skillsthese activity.and recogniseandand wellbeing differentthat pressures andthe pandemic their work-lifefor membershas created balance. of thenewWe 80)(+)% ©)re)re)%
team and have put in place a programme to
OurHQ team had to adapt to the challenges support this. Everymember of the HQ team had Volunteers sald the Volunteers said
of working from home.A skeleton team the opportunityto undertake Mental Health training they had received they were confident in
delivering essential support services Awareness training with six mental health first had prepared them for the performing their role
remainedin HQ throughout the pandemic. healthaiders trainer trained employedin full anda byspecialist the charity. mental We've also reality of their role
We did not furlough any individuals throughout introduced Amber Days’ recognising that team
the pandemic andwe did not disestablish any members may not always be feeling 100%. These
posts. Our clinical teams continued to deliver Amber Days give our staff the opportunity to flag
Care to patients throughout the pandemic. how they're feeling whilst working from home. 1)8%6 80%re)
Volunteers said Volunteers said
they were responding they would still bea
less due to Covid-19 responder in 12 months’ time
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We thank all volunteers who completed the survey for sharingtheir views. Actions have been taken in response to feedback includingthe development of new Education offerings and support mechanisms. The volunteer survey will be undertaken again in 2021 end a staff survey will be implemented.

62 | LIVES - OUR YEAR IN REVIEW

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Ss PERSONNEL s
LIVES. JRoaeADVISORY
The. LIVES Advisory G ayy net Poa y ee : h The management of LIVES is undertakenby our Chief Executive, Nikki Cooke supported by the LIVES
charity.s FormedLiatin 2019,f roeit istela representativeCOL groupSer of 14 LIVES membersede from across the Leadership Team who lead on strategic work in each of their Directorates.The team are listed below,
county.communities,Advisoryand meetGroup quarterly members andcome act from bothboth as a medic sounding and board community for the firstHeadquarters responder team. Chief Executive Nikki Cooke
Medical Director Dr Simon Topham
They help to develop future plans, to understand the impact of the plans or projects, and as
a voice for LIVES members to raise questions or concerns with the management team. Head of Finance and Performance Stephanie Gibson (from 1st April 2020)
AdvisorycommitteesGroupwhererepresentativesthey have full also committee attend eachmemberof therights. board HeadHead ofof Fundraising0; oo andCommunications GemmaChris Cole Shaw
We'd like to take the opportunityto thank these dedicated people who give so freely esd cl ees Bist eysood
of their time and expertise to support the charity and their responder colleagues.
— . : “ BOARD OF TRUSTEES.
. - 7 .
Seer [] : . , in ¥ae andOur managcommitt e dandd, Board that ofweTrusteesmeet ourare responsible overall purpose forasensuring a charity. LIVES is effectively and properly governed
aes ont : ol [Pe a ¢ = , Se , le "
aad — /\= . _t ~ . Some of our Trustees retired from their roles during this year. We thank them for their significant
é = is ». contribution to the charity over many yearsand wish them wellfor the future.
. —— | | cs ; IE ie, The Trustees who served during the year are as follows:
r 4
|ate ; NY . haa Doe Chair Michael Adie
eae rd ; > y Vice Chair Andrew Wilson
M : LIVES. | 5. \ Trustees JonathanThomasin Teer Nicholds
: 4 —~ fooumeems, =“)| ws—— TimothyJenniferHilary Gibb Harper Downing(appointed(appointed19th 19th July 2020)July 2020 - resigned
: Ra Peter Carlsson (resigned 30th April 2020)
~ einane . . : Dr Derrick Alan Sagar (resigned 30th April 2020) 10th May 2021)
.. . ; =~on o Tyee; AndrewDr John BenjaminHill (resigned Coyle31st July (resigned 2020) 29th July 2020)
it: , . - 5m ioet 3 Dr Yvonne Owen(resigned2nd September 2020)
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OUR YEAR IN REVIEW = LIVES | 65

a G6 LIVES is. a forward-thinkingoa organisation,sos ; The Communitysalle d First RespondersP grounded 5[in][ our][ Lincolnshire] : ;[ communities] ae provided; fantastic care for my, daughter5 and always looking. for new ways to add value. until the ambulanceae could arrive. They were amazing in every way. They cared for her and relaxed her. | was astounded LIVES is also outward-looking, committed to advancing the cause of pre-hospital emergency medicine, not onlyfor the benefit of our own people but for those beyond our county borders. to find out they were volunteers. We don't make change for the sake of it, but we are committed to growing to meet <a the needs of our communities. Our first priorityisalways the continuity of our core emergency response to those patients who need us most in our large rural county.

Weare therefore delighted to share our plans for the coming years.

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OUR YEAR IN REVIEW = LIVES | 67

CHARITY RESTRUCTURING VOLUNTARY RESPONSE LIVES has grown significantly over the last Trustees have taken professional advice and LIVES responders are at the heart of our charity Wewill continue an ongoing programmeto deploy five years and undertakesa broader range reached the decision to createa trading company and our plans for the next three years are focused technology to responders that makes it easier for of activities across the charity than has to undertake the trading activity of the charity. on supporting the growth and development of them to acquire skills, be safely deployed and keep previously been the case. It is also forecast Initially this will be limited to education activity, this service and the individuals who deliver it. in touch with the charity and each other. Building that the charity will continueto growin the but Trustees are minded that this may expand onthe successful deployment of Workplace and coming years, both through the continued furtheras the charity grows. This subsidiary Recruitment of EmergencyFirst Responders has the LIVES Academy elearning platform, LIVES development of the education offering and will be established during the 2020/21 year. been on hold during the pandemic but has now will implement a number of epps and platforms through new opportunities that will arise. resumed. Our intentionis to continue to grow to support respondersover the next two years. the numbers of Emergency First Responders This begins with the upgrading of all mobile supporting communities, but ina controlled and phones to smartphones during 2021, which will supported programme that gives every individual support the rollout of future apps and provide the best chance of success. We will recruit 100 the WiFi hub for the new defibrillators. We will PROJ ECT LI FESAVE R new Emergency First Respinders each year and also deliver a new learner management system target recruitment to meet the needs of the to capture volunteer information, education communities as we move closer to our goal of and currency dashboards as well as deliver Project Lifesaver is LIVES plan to developa project managers have been appointed and land providing 24/7 coverage across the county. educational content. We will deploya system for purpose-built facility to provide Emergency acquistion is underway. It is hoped that planning capturing feedback, managing investigations, Respondersand others working and volunteering permissionwill be secured during the early part In 2021 we will begin a five-year programme to and sharing learning across the organisation in pre-hospital emergency medicine with of 2022, with building work undertaken in 2023. replace our estate of defibrillators with stateWe will develop an electronic patient report the very best facilities to train in. of-the-art units manufactured by Zoll. This form to capture patient data and interventions Project Lifesaver will not only provide excellent programme will cost £750,000 and be funded at scene. And we will work with our partners andbuildbestLocatedpracticeon inthe Lincolnshire, county'sin delivering reputation ProjectPHEM Lifesaverasin aarural model will area of willalsogenerationfacilities forcreateand LIVESwillnew contribute responders opportunities to to the trainfor long- income in, but Intoby 2021, Emergency grants the and first donations First 80 Responders defibrillators overa five-year andwillninebe issued period thereplace the currentat EastNMA MidlandsLite dispatch Ambulance systemapp ofto Service all text responders messages to deploy to and establish Lincolnshire as the place to trainin term viability and resilience of the charity. advanced life support monitors to critical care improve the quality of dispatch of our volunteers. this challenging area of medicine. Furthermore, medics. The new defibrillators have a number it will advance the[safest][ area] LIVES’[in][the] aim[UK][to] to make[ suffer] Lincolnshire[amedical] | feedbackof advantagesto the including individvalprovidingcarryingcoachingout CPR, and Cj emergency, despite the challenges of the . At , standardising defibrillator consumables across ‘ ~ geographyand a growing, ageing population ra f the charity and reducing the need to hold different > 8 Thebasefrom,buildingfor and LIVES officeswillclinical foralsocharityhouseteams staff.an operationalto operate >wesaeae es" —A”A &. 1} “ manufacturersdataelectronicallyaudited relating and provided tovia ansupplies.WiFiand incident to healthcareMost can is captured be importantly, reviewed, professionalsand stored all "yC Ans ~ihy’” business case for Project Lifesaver was . a Rd developedThe in 2019/20 and a funding pipeline s%>al > = to guide future treatment for the patient. J has beenidentified in 2020/21. This year, e . - OUR YEAR IN REVIEW OUR YEAR IN REVIEW - LIVES | 69

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During2021 we willlauncha Critical Care Car, known as Medic 50, to \A . —~ 3 Mi a
support the communities on theeast coast of Lincolnshire who are the sR ) i \ \ €& Ss bee
most distant from the hospital facilities they might need in anemergency. tk soe & ta) | ae \ — ts SESSA?
By havinga car with critical care capabilities located in the coastal 2 - - aw em Se a
area for the busy twilight and evening period, in which other critical f y Be Ww - y y= 7 “ —4
care resourcesto patients in oftenaren'tlife-threateningalwaysavailable,conditions.we can deliverFundingenhanced for the carevehicle i ‘f/ — ~ ’ @ éY] @& is4y4 ay ™ a CC oo
has been secured from the HELP Appeal via the British Association of \ @ ¥ | ! a Bs eS ‘-+¢ / i
Immediate Care and is being sought for the remainder of the equipment. ‘ A - y / .
MedicLIVES 50 cadre, will as be staffed well as providingby volunteer opportunitiesmedics from for the suitably existing qualified \ * . =ae| 2. ~V, , \ \
healthcare professionals who prefer to volunteer on a sessional Pv ” y \ \ .
basis. The car will carry resources that are not usually carried by ey i a
LIVES responders, such as blood products and infusion pumps, as A
well as advanced invasive monitoring including blood pressure, blood 3S
temperature and the ability to undertake pre-hospital blood testing.
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COMMUNITY SKILLS

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RESEARCH AND INFORMATION
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At our core we are a community-basedcharity to patientsin the first few minutes following LIVES has a charitable objectiveto advance the cause of pre-hospital that is committedto improving the outcomes for their collapse. Our aimisto recruit alarge care ona national basis. We want to contribute to the growingareas of people in our communities. We will continueto number of these responders across the county research into the deliveryof pre-hospital emergency medicine, as well develop our community education activities with 50 every person in Lincolnshireis never more as to research around human factors and marginalgains in medicine, and schools and communitygroups with the goal of thana couple of minutes away from a responder to the development of organisationand volunteer leadership models. providingevery young personwith the opportunity who canbe deployedto them in this lifeDuring2021 we will form aresearchgroup of memberswho have to learn life-savingCPR before they leave schoo! threatening situation During 2021/22 we wil an interest in undertaking research projects in the future. We will We have begun to developa mode! for an entry pilot this modelin the Louth area and undertake further develop our relationships with the University of Lincolnand level LIVES responder that harks back to our an evaluation to determine how to implement identify opportunities to build links with other research partners. roots as an initial response to cardiac arrests this model to best effect across the county This responderwil! only attend cardiac arrests in their immediate vicinity and will be equipped to deliver basic life support and defibrillation

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es

Financial sustainability is a key strategic objective for the charity. We can only deliver care to patients, education to our own responders and to communities, and plan for future growth if our income is secure and we understand and control our costs.

Historically LIVES relied on community fundraising to generate income to support the delivery of charitable activity. For the last four years our strategy has been to diversify our income streams, develop new sources of funding and mitigate the risks associated with income generation. This strategy has contributed to the sustainability of the charity through the last difficult year of operation and to the positive financial position.

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INCOME
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EXPENDITURE
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Total income for the year was £3.150million, 33.2%. This success in maintaining fundraising Total expenditure was £2.473million, an increase Whilst cost control is important to the compared with £2488million in 2019/20 which income is attributable to the resilience and of 14.2% from £2.165million in 2019/20. This prudent management of the charity, it should representsan increase of 26.6%, whichis a creativityof our hardworking fundraising increasewas anticipated given the growthin be noted that the qualityof care delivered pleasing result in a challenging environment team and the generosity of our supporters income and the additional costs associated with to patients is central to decision-making. in which many traditional income streams and donors to whom we are very thankful delivering the Community Emergency Medicine The cost of fundraising reduced by19% were adversely affected by the pandemic. Income from non-fundraising activities reduced service. Prudent budgets were set in anticipation and return on investment increased from 2020/21 was a difficult year for traditional during the year. Community engagement income of the impact of the pandemic on charity activity. 71.9% in 2019/20 to 108.7% in 2020/21. fundraising activities and total fundraising income dropped from 13.9% of income in 2019/20 to (including legacies) for 2020/21 was €572,248-a 8.5%, education income from the sale of training Ongoing work to mitigate costs and ensure The total cost of charitable activities increased drop of 1.79 from £581,995 in 2019/20. However almost halved as face-to-face training was paused appropriate expenditure continues across the by 20%, however this is offset by an overall fundraising income (excluding legacies) rose to for six months, and event medical support income charity, Costs have been predictable through increase of 34.5% inrelated income. £458,932 - an increase of 19.8% from £383,184 fell to zero as all events were suspended. 2020/21 with increases in expenditure directly in 2019/20. Grant income for 2020/21 increased Income from clinical governance consultancy related to funded programmes of work. There The greatest proportion of expenditure substantially from £57,138 in 2019/20 to £207,049 was £50,035 which is reported as a distinct have been reductions in costs associated with is attributable to Community Emergency in 2020/21, a nearly four-fold increase. income stream for the first time in 2020/21. delivering Education.This has been in line with Medicine (51.3%). This also represents the However, the income from sale of goods including the reduction in income, due to restrictions on greatest proportion of income (60.6%). Regular givingmembership from the Friends defibrillators decreased by 7.9% from the face-to-face deliveryand the resulting fall in sales. of LIVES programme dropped by 18%. This previous year. NHS contracted income increased was largely due to the restrictions on face-towith the commissioning of the Community face recruitment of new members during the Emergency Medicine service. This income pandemic, however, actual income increased stream now accounts for 60.6% of all income. from £72,679 to £96,828- an increase of | £1,908,434Community Emergency Medicine 4 SF ak El £1,268,401Community Emergency Medicine y ra Sa Donations£572,248 & Legacies i |L £558,028Emergency Response {f i £384,452Emergency Response kel Community£370,063 Engagement BA £266,213CommunityEngagement Be Donations£274,219 & Legacies Other Income Investment Management Costs £18,565 £18,566 - OUR YEAR YEAR IN REVIEW REVIEW OUR YEAR IN REVIEW - LIVES | 75

74 | LIVES - OUR YEAR YEAR IN REVIEW REVIEW

Approach to Risk Management The charity is also aware that the development The impact of the coronavirus pandemic LIVES of Project Lifesaver and the plan to build anew on the charity and the wider economyis a operates in an environment with inherent LIVES Education Centre will expose the charity to significant risk that is under constant review risks both to the charity and in the delivery of risks that are new and previously unconsidered. given the emerging and evolving situation. Its core charitable activities. The charity takes Early mitigations include the appointment of proactive steps to evaluate and mitigate these specialist project managers to deliver the project These risks as well as other risks identified risks. This process is monitored through the Risk within a defined governance framework and the by the board continue to be monitored and Management committee who meet quarterly. development of a project-specific risk register. mitigated against, both in terms of likelihood of these situations occurring and the LIVESbottom-up management and top-down processes risks to allow be identified,for both Key Risks impact on LIVESif they were to happen. weighted, managed and mitigated The objective Key risks faced by the organisation is to quantify risk as accurately as possible and are categorised as: assess potential impact on strategic objectives. + Risks associated This with operating during the MANAGI NG OUR FINANCES activity.of investment in turn LIVES allows decisions continuesfor theand to invest proper future operational prioritisation in its risk riskspandemicactivity to theandand health income the ofimpactstreams, staffon andoperationalas volunteers wellas the Golng Concern 2021The reserves are £681,683the charity (2019/20holds restated: as of 31st £281,156). March management and compliance capabilities as part Trustees have reviewed the forecasts and are of an evolving process. In 2020, this included the + Breakdownof relationships with of the view that the charity[is][a][ going][ concern] Trustees reviewedthe reserves policy during, appointment of a Clinical Governance Manager key operational partners including and, although not fully compliant with the 2019/20, in recognition of the growth of the to support the Medical Director in managing East Midiands Ambulance Service, reserves policy, Trustees believe the charity charity and changesin both income and risk the risks associatedwith clinical activity. commissioningLincolnshire Fire and Rescue, or with NHS has adequate reserves to sustain charitable profile. The charity's policyis to hold six months Our organisations making it activities should there beanunexpected of non-commissioned service costs anda risk register records all risks which are difficult for LIVES to deliver services decrease in income or increase in activity. The provision for covering the costs of winding ensureSeparatedOperational, that into the Financial four Board domains isand always ComplianceStrategic, fully informed -to + Areduction f ailureunding in declinein onein or income morefundraising income st through the o r aeams losssustained of NHS experience t ohe unr e siliencexpected of o the f inancial thepandemichas charity circumstances. while demonstratedresponding upnotto the £900,000 been charity found of if unresatnewthaincome t rictedtime. This reservessources willhad andequate of the overall risk picture, its management will, in the view of Trustees, provide a secure and mitigations.All risks are reviewed and + Risks associated with the delivery of The charity has multiple diverse income streams financial footing for LIVES to protect against managed at an appropriate level by Risk Clinical Services tnchicing as associated and sufficient cash to meet its liabilities as they any significant reduction in its normal income, Management Committee, and all significant with education, clinical compliance and arise. The risks are mitigated by our diverse or any significant unforeseen expenditures ; risks are reported and reviewed at each Board the management of equipment income sources, which include fundraising meeting where management and mitigation + Areductionin operational capacitydue to and donations, grants and trusts, income Itis noted that during2020/21,the charity measures are discussedand agreed. significant reductionin volunteer membership derived from commercial sales and contracted made significant progress towards growing This or staffing: or risks associated with the income from services provided to the NHS. its reserves in line with this policy. However, been year,a separate clinical risk register has unplanned growth of activity or membership it does not yet hold the required reserves risks devfac e dloped by theincharityrecognitiondue t o fthethe additionalnature + Threats to the health and safety of Reserves willto be compliant with this policy.The policy ofits activity. This reg i sreviewedsterby volunteers and staff through the The total fundsof the charityas of 31st the baContinled reviewedproveragain in the2022 Chatty to reflect the Clinical Governance committee, andan predominance of[lone][ working] March 2021 are £1,408,755 (2019/20 restated: ; update Is provided to the Risk Management + Competitive threats from other CFR schemes £677,360) of whch E}42-208 are restricted committee who have overall ownership. or similar and commercial services endnot avetlsble for general purpose.

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Investment policy and performance ) Ethical restrictions The investments must avoid areas that Fundraising Promise beseechinvest LIVES monies[ss] patittednotaeby immediatelytheof AssCharity’see requiredto for arbithe large diversificationapiece of underlying eeromise’etreto our donors and our ‘Fundraisingett have Weworkpromise so you toaprovide informationeGmot our its own purpose in such investments,securities or holdings within property as may be thought fit. Trustees consider the investment Portfolio nevercalling, been,direct andmailing will never or any be, form involvedof pressure in cold peedo thisandthough, the differencewe need your you'repermissionaw To it appropriate to hold reserves ina combination Fundraising Approach selling. We take the protectionof the personal to send you marketing communications eh case aod eanced tsk sivas tie [Uc LIVES takes a responsible approachto dataseriouslyof all andourSeesorters monitorand donors and reviewextremelsi If you tell us that you don’t want us[to] On 31st March 2021, LIVES[portfolio] had a value of fundraisingand is both grateful and respectful fundraising policies and proceduresto ensure Contact you in a particularway, wewon't £295,561 which as an in-year increase of 228%. towards all who support or donate to our charity. we deliver ‘best practice’ within the sector. ¥ We hold ourselves to high standards and ensure Ifyou sign up to give us a regular monthly The LIVES investment policy is: that we meet or exceed ofthe fundraising regula t heions. requirementsFundraising Weorganisation will never sharefor marketing your data withpurposes any other giftincreaseby direct that debimon t hly. wegiftwon't for askat leastyouto 2) a year TheGeneral investmentsobjectives must be managed in suchaway publicactivitiesevents are predominantly and venues, static carried collection out at We always aim to send youa personal We iaipaaeeworkto best practice.characand will as to fulfil Charity Commission requirements to tins or through unsolicited donations. thank you for your donation bad otatl elke ad obtain a reasonable return on those investments Ie we fall to meet our standards without excessive risk to the capital The charity employed the services of We only send marketing communications professional fundraisers during 2019/20 who tothose who have explicitly b) Capital growth and Income requirements undertake the recruitmof r e gularnt donors givenus consent to doso The investments need only to provide to the Friends of LIVES programme. However, Capital growth; there is no requirement activity was suspended from March 2020 in for them to generate income response to the pandemic lockdown and has Qualifying Third Party indemalty Provisions ¢) Acceptable risk notnot undertakeresumed during the door to door year,collectionsLIVES doesor Qualifying third party provisions made by the charity are in force for the benefit of the Trustees. Amoderate’ approach Is tobe adopted In telephone marketing campaigns to ralse funds. the management of the charity's assets Further definition of this can be found The charity works closely with its fundraising in the JCH Investment Management partners to ensure that best practice is always document, “Attitude to Risk” adhered to. LIVES has voluntarily registered with the Fundraising Regulator and is a member 4d) Functions delegated to the Trustees’ of the Institute of Fundraising. Our employed agent (Investment manager) fundraising team regularly undertake training The investments are tobemanaged on opportunities through the Institute to ensure they ofan the ‘advisory’ declared acceptable basis within therisk. bounds remain current with best practiceand guidelines.

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Governing document Recruttment and appointment of new Trustees Governance structure Decision-making structure LIVES is a charitable company limited by The charityat the time ofthis report has sixTrustees. The board delegates responsibility to committees There is a robust clinical governance framework in guarantee, incorporated on 27 February 2003 in the areas of Clinical Governance, Finance place within LIVES to ensure a consistent quality and registered as a charity on 4 July 2003. The Dr Alan Sagar retired from the board in April & Performance, People & Organisation and of delivery for all clinical aspects of the charity. company was established under a Memorandum 2020 having served more than 30 years as Risk Management in order to strengthenthe These procedures are regularly reviewed by the of Association, which established the objects and a Trustee and as a LIVES Doctor. Mr Peter governance structure of LIVES, ensure informed Medical Director and the Clinical Governance powers of the charitable companyand is governed Carlsson also retired after more than1! years effective decision makingand mitigate risk. committee to ensure that they continue to meet under its Articles of Association. A special of service. We wish them both well in their These committeesare tasked with reviewing. the needs of the charity and the communities it resolution was passed at the Annual General retirements and thank them for their many years monitoring and evaluating key areas ofthe serves. LIVES is registered with the Care Quality Meeting held in October 2019 to adopt updated of service to the charity and to Lincolnshire. organisation and its activities and making Commission, which regulates the quality of clinical eeecompanytoof contributethe being lineCharity anpe woundCommission. amounttheup,ae notmembersIn exceeding thecere eventare £10. requiredof the Aboardrequiredideriified governance boththattofer ensurethaninistearecriterentices review the undertakencontinuing skills in 2019 ofTrusteesseehiethe committees andie Seniorbieuv xis Leadershipaesdrawnpdfrom Team.Fie eethe raheFromBoard 3otof tertofmakePereall recommendationsclinical pikeehequipmentBei eetacintouse this or committee. proposedPie eraeani; ity of the board and to plan for anticipated future Charitable retirements. An ongoing annual recruitment 2020/4 [oernes of ieE> Auory Soe Objects aefobs) sScensa TEacuta ot bro has alsojoined each committee to provider a TheEge & Performance— ensures The provision of immediate medical care new Trustees in 2020: Mrs Hilary Gibb and Mrs TeneaMRS budgetingclose financialin LIVES,monitoringwithin termsand effective of reference t ‘0 aredin ‘dent j H Wewel thentotheboard within terms of reference approved bythe board. geting : any person injured in any accident or jenny Harper. We welcome them to the boa approved by the Trustees. This committee involved in any medical emergency in the and thank them for their commitment. Further Trustees are responsible for: also scrutinises performance data from across areaandanyToemergency advance of Lincolnshire,area the reasonably principles North close of pre-hospital East thereto. Lincolnshire furtherThreerecruitment furthergrow willourdedicatedTrustees be undertaken resigned group in from of2021Trustees. the to + DeliveryinSettingthe Articlesthe strategic direction of LIVES of Association Objects, as statedof LIVES enesystemsiberiealencti within8 7Basarpecspeleallieto fremeial ensurei appropriate tancselianschirh‘ internal care ona national basis; boardOwen,duringMrAndy2020.Hill Weand thank DrDr Ben CoyleYvonne for the + Upholdingx the core[values] of LIVES and4 projectsmemesand to guardGRagainst fraud. Providingofand such care; advicex including and guidancedelivery inofall training aspects contribuurine8 thek thnaas t* heyions tristees:havemade: Dcto the Owen charity fies ++ MonitoringEnsuring thatperformance andLIVES complies financial with all solvency PeopleLIVES. areOur of deliveryfundamental model importance is focused on to skilling equipment provision to approved emergency been involvedwith the charityfor manyPOYyears, Ors relevant law and regulatory legislation and equipping volunteersto deliver in their when requested to do so. originally as a responding Doctor before arenes Banari becomingTrusteeginally ClinicalPoDirector. She thenbecamea ScENcirieefai that policiesoi , proceieans ere intemel communities,these people are and supported itis of utmost tobeimportancethe very best that after standing down fromher Clinical CO SCOOT a ne) that they canbe, whether they be volunteers or The area the charity can operate in Lincolnshire, Director role. We wish her every success and + Protection of the assets and property of LIVES employees. The People & Organisation committee North East Lincolnshire and the surrounding area. thank her for the contribution she has made. + Reviewing and managing risk monitors recruitment, retention and development AILLIVES Trustees undergo an induction + Upholding and applyingthe principles of nes)aeaa aesSiee ue process, which in addition to familiarisation equality and diversity and ensuring that LIVES cee enna with the objectives and operational Is fair and open to all sections of the community activities of LIVES, also includes formal training in the role of a Trustee. - OUR YEAR YEAR IN REVIEW OUR YEAR IN REVIEW - LIVES | 81

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STATEMENT OF TRUSTEES RESPONSIBILITIES
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LIVES is aware that it faces several risks in The Head of Sales is responsible for the Trustees, who are also the directors of Lincolnshire Integrated Voluntary Emergency Service the deliveryof its activities and takes active development of commercial activities as a (LIVES) for thepurposes of company law, are responsible for preparing the Report of the steps to evaluate and mitigate these risks, source of income. This is predominantly through Trustees and the financial statements in accordancewith applicable law and United Kingdom These risks are monitored through the Risk the sale of training and clinical governance Accounting Standards (United Kingdom Generally Accepted Accounting Practice). Management committee and an organisational services and equipment to corporate, risk registered is maintained with risks stratified community and public sector clients. This Company law requires Trustees to prepare financial statements for each financial year, and regularly reviewed based on their risk rating. function continues to grow and provide a giving[a][true][ and][ fair][ view][ of][the][ charity's][ state][ of][affairs][ and][ of the][ incoming][resources] and sustainable income stream for the charity. application of resources. This includes income and expenditure of the charitable company Management Structure for that period. In preparing those financial statements, the Trustees are required to: The Head of Finance & Performance is responsible pakheadquartersaand headquarterssupport servicestak staffteam seersprovideof 28 people.to ensure leadershipthatargsthe nariandfor ensuring the performanceeffective information financial acrossenmanagement the charity. +eeptl+ makeselect judgementssuitable clic accountingtacomaand estimates policiesthat and are then apply reasonable themandconsistently; prudent; organisations managed safely, complies * state whether applicable UK Accounting Standards have been followed, subject to any with all regulations, generates sufficient Key management remuneration material departures disclosed and explained in the financial statements; and ert Soo pea Alldirectors give their time freely andno director = prepare the financial statements on the goingconcern basisunless it is inappropriate Gemlearant ari[pions] aan received remuneration[in][ the][ year.][Details of] to presumethat the charitable company will continue[in][ operation.] directors’ expenses and related party transactions The organisation is led by a Chief Executive are disclosedinnotes 12 and 29 to the accounts, Trustees are responsible for keeping adequate accounting records that disclose with who works alongside the Medical Director and reasonable accuracyat any time the financial position of the charitable company and enable reports directly to the Board of Trustees. The pay of senior staff[is][reviewed][ annually][ and] them to ensure that the financial statements comply with the Companies Act 2006. They are normally increased in accordance with average also responsible for safeguardingthe assets of the charitable company and hence for taking The Head of Operations is responsible for the earnings. In view of the nature of the charity, reasonable steps for the prevention and detection of fraud and other irregularities. quality and effectiveness of all activity delivered the directors benchmark against pay levels in by LIVES. This includes the activity of First other charitable organisations of a similar size. Insofar as the Trustees are aware: Sere aaatteec ake + there is no relevant audit information of which the charitable company’s auditors are unaware; end of education, provision of equipment and of * the Trustees have taken all steps that they ought to have taken to make themselves aware of any clinical governance consultancy to clients. relevant audit information and to establish that the auditors are aware of that information. The Head of Fundraising& Communications Auditors is responsible for all marketing fundraising, community engagement and communications The auditors, Duncan & Toplis, will be proposed for re-appointment at the forthcoming Annual General Meeting. activities. This includes the development and delivery ofthe fundraising strategy, This report has been prepared in accordance with the special provisions of development of new sources of income Part 15 of the CompaniesAct 2006 relatingto small companies. fencing () oN of[effective] a erentsitateny[communications] and[ campaigns.] the celivery [-dy Board of Trustees on16 October 2021and signed onits behalf by: ir MW Adie -Trbsfee' AS is ee 82 | LIVES - OUR YEAR IN REVIEW OUR YEAR IN REVIEW - LIVES | 83

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REFERENCE AND
ADMINISTRATIVE DETAILS
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Registered Company number Company Secretary
04680981 (England and Wales) MrMV Adie
Registered Charity number Senlor Statutory Auditor
1098364 Timothy Godson FCA
Registered office Auditors
LIVES Headquarters Duncan &Toplis
Units5-8 Birch Court 5 Resolution Close
Boston Road Industrial Estate Endeavour Park
HORNCASTLE Boston
Lincolnshire Lincolnshire
LN9 6SB PE2171T
Trustees Bankers
Chair Michael Adie Natwest
Vice Chair Andrew Wilson 27High Street
HORNCASTLE
Trustees Thomasin Nicholds Lincolnshire
Jonathan Teer LNg5XB
Timothy Downing
Hilary Gibb (appointed 19th July 2020) Investment Advisors
Jennifer Harper (appointed 19th July 2020 - resigned 10th May 2021) JCH Investment Management
Peter Carlsson (resigned 30th April 2020) 1Henly Way
Dr Derrick Alan Sagar (resigned 30th April 2020) Doddington Road
Dr John Benjamin Coyle (resigned 29th July 2020) Lincoln
Andrew Hill (resigned 31st July 2020) LN63QR
Dr Yvonne Owen (resigned 2nd September 2020)
Key management personnel
Allof the above Trustees (who are also the Directors of the charity for the Mrs N Cooke, ChiefExecutive Officer
purposes of company law) held office duringthe year under review. DrS Topham, Medical Director
Mr A Bateman, Head of Finance (resigned 30 April 2020)
Mrs S Gibson, Head of Finance (appointed 1 April 2020)
Mr C Keeble, Head of Operations (resigned 4 April 2020)
Mr C Cole, Head of Operations
Mrs K Raywood, Head of Sales
Mrs G Shaw, Head of Fundraising & Communications
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INDEPENDENT AUDITORS’ REPORT TOTHE TRUSTEES OF LINCOLNSHIRE INTEGRATED VOLUNTARY INDEPENDENT AUDITORS’ REPORT TOTHE TRUSTEES OF LINCOLNSHIRE INTEGRATED VOLUNTARY
EMERGENCY SERVICE EMERGENCY SERVICE
ee a
Opinton Bass for opinion Other Information Matters on which we are required
We have auditedthe financial statements of We conducted our audit inaccordancewith The other information comprises the information plead
Lincolnshire Integrated Voluntary Emergency International Standards on Auditing (UK) (ISAs includedin theAnnual Report other than the We have nothing to reportin respect of
Service(the ‘charitable company) for the (UK)) and applicable law. Our responsibilities financial statements and our Auditors’ Report the following matters where the Charities
year ended 31 March 2021 which comprise under those standards are further described thereon. The Trustee are responsible for the (Accounts and Reports) Regulations 2008
the Statementof Financial Activities, the in the Auditors’ responsibilities for the audit of other information contained within the Annual requires us to report to you if, in our opinion:
Statement of Financial Position, the Statement the financial statements section of our report. Report.Our opinion on the financial statements
of Cash Flows and the related notes, including We are independent of the charitable company does not cover the other information and, * the information givenin the Trustee's
asummary of significant accounting policies. in accordance with the ethical requirements except to the extent otherwise explicitly stated Report is inconsistentin any material
The financial reporting framework that has that are relevant to our audit of the financial in our report, we donot express any form of respect with the financial statements; or
been appliedin their preparation is applicable statements in the United Kingdom, including assurance conclusion thereon. Our responsibility
lawincluding and UnitedFinancialKingdomReporting AccountingStandard Standards, 102'The theStandard, Financialand Reportingwe have fulfilled Council'sour Ethicalother isso,to consider read the whether other [information] the other informatioand, in doi n g * sufficienthavnot accounting b e en kept:o r ecords
Financial Reporting Standard applicable in the ethical responsibilities in accordance with is materially inconsistent with the financial ai tha financial statements are not iisireament
UK and Republic of Ireland’ (United Kingdom these requirements. We believe that the audit statements or our knowledge obtained in the
Generally Accepted Accounting Practice). evidencewe have obtained is sufficient and course of the audit,or otherwise appears to wah sie aecounting records and returns of
appropriate to providea basis for our opinion. be materially misstated. If we identify such + we have not received all the information
In our opinion the financial statements: material inconsistencies or apparent material and explanations we require for our audit.
Conclusions relating to golng concem misstatements,we are required to determine : oe
give a true and fair view of the state of the Inauditing the financial statements, we have whether this gives rise to a material misstatement Responsibilities of trustees
charitable company’s affairs as at 31 March concluded that the Trustee's use of the going in the financial statements themselves. If, based ’ ‘
2021 andof its incoming resources and concern basis of accounting in the preparation on [the][ work][ we] [have][ performed,] we conclude that As eee more fully in the Trustee's
application of resources, including its income of the financial statements is appropriate. there is amaterial misstatement of this other Responsibilities Statement, the Trustees
and expenditure for the year then ended; information,we are required to report that fact. (who are also the directors of the charitable
company for the purposes of company law)
+ have been properly preparedin Bissed on tne worr ye neve pe(fornedl fe We have nothing to report in this regard. are responsible for thepreparation of the
accordance with United Kingdom Generally UAE bypee ceca es financial statements and for being satisfied
Accepted Accounting Practice; and relating fe events or conditions that, individually that they give a true and fatr view, and for such
or collectively, may cast significant doubt on
% ¥ internal control as the Trustees determine
have been prepared in accordance with the the charitable company’s ability to continue “ Sis the peeretilonot
requirements of [the][ Charities] [Act] [200.] as a going concern for
eteaeNp come a periodofUg ereat least parrnancial statementsmen that areoe free from material
statements are authorised for issue. misstatement, whether due to fraud or error.
Our responsibilities and the responsibilities of
the Trustees with respect to going concern are
described in the relevant sections of this report.
- OUR YEAR YEAR IN REVIEW REVIEW OUR YEAR IN REVIEW = LIVES | 87
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|||||||||||||||||||||| |---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---| |INDEPENDENT|AUDITORS’|REPORT|TO|THE|TRUSTEES|OF|LINCOLNSHIRE|INTEGRATED|VOLUNTARY|INDEPENDENT|AUDITORS’|REPORT|TO|THE|TRUSTEES|OF|LINCOLNSHIRE|INTEGRATED|VOLUNTARY| |EMERGENCY SERVICE|EMERGENCY SERVICE| |——| |In|preparingthe|financial statements, the|We have identified areas of laws andregulations|Auditing standards limit the required audit|Use of|our report| |Trustees are responsible for assessingthe|that could reasonably be expected to havea|procedures to identify|non compliance with| |charitable companys|abilityto|continue|as|material effect on the financial statements|from|these laws and regulations to enquiry ofthe|This report is|made|solely|to|the charitable| |mattersa going|relatedconcern, disclosingto|going|concer as applicable,andusing|ourof|the general sector,commerciala review|of experience, regulatory|knowledgeand|legal|ThisTrusteesinspectioand|other|managementand i|n|spection.|company’s|members, as a|body, in|accordance| |the|going|concernbasis|of accounting unless|correspondenceand|through|discussions with|for any evidenceincluded of|non compla rev|i|ewance,of legal discussions fees|ridReports)araRegulatiof|tee Chetites2008. Inc Our|audit|o|nelnswork| |the Trustees|either intend|to liquidate the|Trustees|and|other management|obtained|as part|around|whether|any incidents occurred|in the|year|has|been undertaken so that|we might state| |charitable companyor|to cease operations,|of|the|work required|by|auditing|standards.|We|anda|review|of|the|healthand|safety policies in|to the charitable|company’s|members|those| |or|have|no|realistic alternativebut to do so.|have also|discussed|with the|Trustees and other|place.|Through|these procedures, if|we became|matters|we|are required to|state|to|them in| |management the policies and procedures relating|aware of any|non compliance, we considered|an Auditors’ Report|and for|no other purpose.| |Auditors’|responsibilities|for|the|to|compliance|with|laws|and|regulations,|We|the|impacton|the|procedures|performedon|To the fullest extent|permitted|by|law, we|do| |audit of the financial statements|communicated laws and regulations throughout|the related financial|statement items,|not accept or|assume responsibility to|anyone| |the team and remained alert to any indications|other than the charitable company andits| |WeTeportsection have145 of been the appointedCharities as auditorAct 2011 under and|of|non|compliance|throughout|the audit.|Owingthere istoan the unavoidable inherent|limita risk|t|ionsh ofwe may not|a|n|audit,t|members,report, or foras|thea|body, opinions for|ourwe audit work,have formed. for this| |in accordance with the|Act|and|relevant|The potential|impact of different|laws|have detected some material|misstatements| |regulations made or|having|effect thereunder,|and regulations varies considerably.The|inthe financial|statemev|e|n|nts,though we|—| |Our|[objectives are][ to][ obtainreasonable]|[assurance]|regulationscharitable company that directly is|subjecttoimpactthelawsfinancialand|haveauditproperly planned and|performed|our|Addl.| |aboutwhetherwhole erewhether free from the|financial material statements misstatement, as a|statementslegislation)|(forand examplewe have assessedfinancial the extent reporting|Thelaws furtherandin accordancewithregulations removed isnonfrom complianceauditing standards.the|events with|Timothy{|FGGodson|FCA|(Senior Statutory|Auditor)| |Auditors’Reasonable Reportdue|to|fraud that or includes error,|andour opinion.to issue an|offinancialcompliancestatements with such audit. lawsThis as part included of ourthe|and transactionsstatements,the|lessreflected likely thein the inherently financial limited|forStatutory Auditor and|on|behalf|of Duncan & Toplis Limited,| |assurance is ahigh level of assurance,|identification and testing of unusual material|procedures required by auditing|standards|5 Resolution Close| |butinaccordance isnot a|guarantee that an audit conducted|journal entries and challenging management on|would identify it.Aswith|any|audit, there is|a|Endeavour|Park| |detect a materialwith misstatementISAs (UK)|will when always it exists.|keymadeestimates, in the preparation of the assumptions and financialjudgements|greateras these risk may of involve non detection collusion,of intentional irregularities|BostonLincolnshire| |Misstatements can arise from fraud or error and|statements. These key areas of uncertainty|omissions|or the override of internal controls.|PE2I71T| |are considered material|if, individually or in the|are disclosed in the accounting policies,| |aggregate,influence|they|could reasonably be expected to|We are not responsible for|preventingnon|3| |theeconomic|decisionsof|users taken|Additionally,the charitable companyis subject|complianceand cannot| |on|the basis of these|financial|statements.|to laws|and regulations|in the|industry|in|which|non compliance with allbelaws expected and regulations.todetect|Date|KEis(|Ore 2|{| |ofWeIrregularities, designnon|compliance proceduresincludingwithin lawsfraud, line with and regulations.are instancesour|couldtheyemploymentwhere operate, havethe consequencea materiallaw requirements.including healtheffect for|non and complianceThesesafety areareas and|Athefurther audit of descriptionthe financial of our statementsresponsibilities is located for| |responsibilities,material misstatements|[outlined]|in above, respectto detect of|or disclosures|in the financialon statements.the amounts|wwwfrc.org.uk/auditorsresponsibilities.ondescription the Financial formsReporting part of|ourCouncil's Auditors’website Report.This at:| |irregularities, including fraud. The extent to| |which our procedures are capable of|detecting| |irregularities, including fraud is detailed below:|

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|||||||||| |---|---|---|---|---|---|---|---|---| |COMPANY|STATEMENTOF FINANCIAL|ACTIVITIES (INCORPORATING INCOME|AND EXPENDITURE ACCOUNT)| |_|INFORMATION|SSFOR THE YEAR|ENDED 31|MARCH 2021| |Company registered|number|04680981|Unrestricted|Restricted|Total|AsrestotedTotal| |eatphegeeed|tbe|1098364|fide|fede|fits| |Registered office|LIVES Headquarters|os|£|£|s|£| |Unit 5-8|Birch|Court|Income|from:| |BostonRoad Industrial Estate|Donations|and|legacies|4|34573|197.675|572,248|581995| |Komeasite|Charitable|activities:|5| |ue|Emergency|response|3104|31348|384,452|F79.IS| |Community emergency|medicine|1908434|=|1908,434|17.481| |Community|engagement|266.213|-|266,213|344,864| |Other trading|activities|6|16,289|-|16,289|2470| |Investment income|7|124|a|Ww|2| |Other income|8|2152|:|2.152|1847| |Total income|2,570,889|579,023|343.912|2,488,404| |Expenditure on:| |Raising funds|9|266451|7768|274,219|338621| |Charitable activities:|3| |Emergency response|49.938|408,090|558,028|617.929| |Community|emergency|medicine|1,246,089|2g|1268,401|825.986| |Community|engagement|340998|23.065|370,063|379.963| |Investment|management|costs|2.678|=|2,678|2674| |Total expenditure|2,006,154|487,235|2,473,389|2,165,173| |evCoens|Patera|es|pores|[coms)]|564735|mes|676,523|323231| |Net|gains/(losses) oninvestments|54866|-|54,866|(17.236)| |Net movement in|funds|619,601|m788|731389|305,995| |Reconcillation of funds:| |Teta|de reg|rede|Goce:|mesmo|gmasen|an| |=|RUSE|Y|OR|BRK Sie|a|SE|a|SS| |atedes bree|t fryeres|645,866|30500|«677,366|anan| |Net movementin funds|619,601|m768|731.389|305995| |“Tetalfundscarrtedforwerd|=——=s=«*«~«iCATT|ORTSS|73S| |The Statement of Financial|Activities includes all gains and losses recognised in the year.| |The notes form part of these financial statements.|

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‘STATEMENT OF FINANCIAL POSITION
— AS AT31 MARCH 2021
2021 Asrestated
Neots £ 2020€
Fixed assets
Tangible assets 3 584,784 365710
Investments “4 295.561 240,695
880,345 606,405
Current assets
Stocks 5 45.310 24,923
Debtors 1 249,996 125908
Cash at bank and inhand 961,796 460,714
4,257,102 611545
Creditors: amounts falling due within one year ” (626,371) (394,309)
Net current assets 630,731 217.236
Total assets less current liabilities L51.076 62364!
Creditors: amounts falling due after one year 8 (102,321) 146.275)
Net essets excluding pension asset 406,755 677,366
Total net assets 1408,755 677,366
Charity funds
Restricted funds 20 142,288 30,500
Unrestricted funds 20 1,266,467 646.866
Total funds 408,755 677,366
The trustees acknowledge their responsibilities for complying with the requirements of the Act with respect to accounting records
and preparationof financial statements.
The financial staternents have been prepared in accordance with the provisions applicable to entities subject to the small companies regime.
The financial statements were approved and authorised for issue by the Trustees on 16 October 2021 and signed on thelr behalf by:
A
MrMV Adie
Trustee
Thenotes statements,
Company registered number: 10983642 .
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STATEMENTOF CASH FLOWS
—_— FOR THE YEAR ENDED 31 MARCH 2021
Asrestoted
Nota 2021£ 2020€
Cash flows from operating activities
Net cashused in operating activities 2B 870,139 475315
Cash flows from lervesting activities
Proceeds from the sale of tangible fixed assets = 186,054
Purchase of tangible fixed assets (322,683) (277,188)
Net cash used In investing activities (322,683) (91134)
Cash flows from financing activities
Repayments of hire purchase (46,374) (10,595)
Net cash used in financing activities (46,374) (10.595)
Change in cash and cash equivalents in the year 501,082 373.586
Cash and cash equivalents at the beginning of the year 460,714 87,128
Cash and cash equivalents at the end of the year 24 961,796 460.714
The notes form part of these financial statements
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NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS.
FOR THE YEAR ENDED 31 MARCH 2021 FOR THE YEAR ENDED 31 MARCH 2021
[ae a en a RE nrne
1. General information 23 > Incoming resources 24 Resources expended 26 Taxation
L Allincome is recognised once the Expenditure is recognised once there is a legal The charitable company is considered to pass
porcapital registeredinpics England [3] by end-7 WalesErmergeney The charitableServe [Ao] thecharitable income, companyit is probable has entitlement to that the income orbenefit constructive toa third party, obligation itis to probable transfer thata economic thethe Finance tests set Actout 2010 inParegraph and therefore1Scheduleit meets 6 of
company'stiersbine registeredFoandatianumberWastes and registeredsavaaliseart office willreceivable be received can beand measured the amountreliably. of income transfersettlernentbe measuredof economicand reliably.the amount benefits Expenditureof thewill obligation isbe classified requiredcan in thecorporationcharitabledefinition companytaxof purposes.a charitable is potentiallyAccordingly,company exempt for the from UK
Testatem nts br e oecetion is the mercy Pound Sterling of ina (€)foanca Usdependentthe probabilitylependent ononofestablishingestabisieg receipt and the etlemen abilityentitlement,to Upefupincluding of the tallsupportotal o costsrectcanscostsinvolved snIn stored undertakingcosts,cost recerected3 Part 11 whitestof theCorporationCategories co veredvered by Chao p tert
2. Accounting policies receivable.estimate with Evidence of sufficiententitlement accuracy the toaamount eachsingleactivity.activity Direct are allocatedcosts attributabledirectly to toa that ActSection1992, 256to ofthe the extentTaxationthat Texsuchof Chargeable Actincome 2010 oror Gainsgains
21 legacy exists when the charitable company activity. Shared costs which contributeto are applied exclusivelyto charitable purposes.
BasisThe efpreparationof financial statements has sufficient evidence that a gift has been more than one activity and support costs
Inapplicable102)-StatementofinStandard accordance accordanceIrelandfinancial Accounting (FRSapplicableto of statementshave charities Recommendedwithwith 102)and the (effectivetheinReporting Financial preparingtheCharitiesUK Practice and|been January Reporting their accountsby SORPRepublicCharities:prepared (FRS thethatbenefactor)amountleftexistencetolegacy satisfypropertytoitthemmustwill receivable, which claims ofbe be(through receivedandain valid recognisedquestion inthe the willexecutor knowledge estate.andandwill will the thewhen not isgenerally Receiptfair death satisfied ofbeIt value ls requiredthe ofprobable of be of the thata thethe arewhichabasisExpenditureCentralofallocated ontime apportioned are consistent spent, staffnot on the costs attributable to and raising between portion of the depreciationwith are fundsallocatedthe thoseuse includesa single asset's use. of activities chargesonresources, the activityallbasis on 2.7 pobseiite!ato:Tangible fixedTangibleaai}enhah Asse TERA:J fixed5 ertaetvesdipdiarpd assetsseedetestassetsihida are andedL ‘ e deniedfadinitially depreciationthlon,arepharsineynpeerrtrecognisedunder themensésris) cost
2019), the Financial Reporting Standard expected cash amount to be distributed to the expenditure incurredby the charitable any
(FRSapplicable102) andin thethe UKCompaniesand RepublicAct of2006. Ireland Grantscharitableare includedcompany,incanthebe Statementreliably measured.of activitiescompanypurposestoandevents raise Includes andfunds noncharitable costs for its of charitable all fundraisingtrading, eaetalichidediaScaredintendahovimpabme e secreng "atangt:pailfipswiatrndspent
The charitable companymeets the definition of Financial Activities on areceivable basis.
aabilitiespublic benefitare initiallyentity recognisedunder FRS 102. at [historical] Assets and Thepurposes balance of income receivedfor specific Expenditure on charitable activities Is incurred Denrecation’s Steel sont inate
coststated orin transactionthe relevant value unlessaccounting otherwise policy. asteryttylts shownbut notal)W expendedLehierarPostionreeves duringfines the [en] Where. onasfurther welldirectly undertaking the theas any charitable associatedcompany's support costs. activities objectives, which costoDepreciationistangible fosprovidedaeseteon the a44 folHeelies. Reree
22 AccountingGoingé satconcernhepiedstandar the Trustafthagire ctrecetreWare extitemeskitscreditorsbasta)occursOca asisdefer [belore] 4deterred [ficome] ome.and Governancecompliancedirectly with end costs expenditurestatutory are those related requirements. coststo charity incurred MotorShort-termstraightvehicles line leasehold over-Straight the life property ofline theover lease [-][10%][ or]
concernstatements.basisThewhen Trustees preparinghavethetakenfinancialnotice No amounts are included in the financialF Allexpenditure is Inclusive of recoverable VAT,: Fixturesline over and3,5fittingsor 10 years - Straight 5 years
of the Financial Reporting Council guidance, statements for services donated by 25 Interest receivable
concernwhichtocharitablebe explained.requires basis companyastheTheremaining reasons Trustees has adequate for this appropriate regard resources decisionthe asgoingthe theprobablevolunteers.as income item, anditthewhenDonated servicesreceipt canbecontrolof measured iseconomicobtained are reliably. recognisedbenefit over is whenInterestmeasuredreceivableon reliablyfundsand theheld [by][ the] on [ charitable] depositamount canbeis included [company;]
to continue in operational existence for the this is normally upon notification of the
inforeseeableadopt preparingthe goingconcernfuture.the annualThus, financial basis they continueofaccounting statements. to extentdapedetetheirkedgoods havecognisedbeenand providedreGu withinterestwhompaidtheorfunds payablearebydeposited.the institution
or on completionof the service.
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OUR YEAR IN REVIEW - LIVES | 95
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94 | LIVES - OUR YEAR IN REVIEW

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NOTESFOR TO THE FINANCIAL STATEMENTS NOTESTO THE FINANCIAL STATEMENTS
SS THE YEAR ENDED 31 MARCH 2021 emFOR THE YEAR ENDED 31 MARCH 2021
2.8 Investments 2.13 Financial instruments 2.17 Fund accounting 3. Gittical accounting estimates
Fixed asset investments are a form of financial The charitable company only has General funds are unrestricted funds and ereas of Judgement
Instrumenttheir transactionand arecostinitiallyand subsequentlyrecognised at financialof akind thatassetsqualifyand financialas basic liabilitiesfinancial whichdiscretionare availableof the Trusteefor usein at furtherancethe continuallyEstimatesandeval j u atdg e dmentsand arearebased
measured at fair value at the Statement instruments. Basic financial instruments of the general objectives of the charitable on historical experience and other
of Financial Position date, unless the value are initially recognised at transaction company and which have not been factors, including expectations of
cannot be measured reliably in which case value and subsequently measured at designated for other purposes. future events that are believed tobe
Investmentitrealisedis measuredor unrealised,gainsat cost and l oeare ss impairment.es, combined whether and theirofmeasured bank settlementloansat amortisedwhich value are with cost subsequently the using exception Restrictedto be used infundsaccordance are fundswith specific which are reasonableCritical accountingunder thecircumstances.estimates
inpresentedthe Statement as ‘Gains/(Losses)of Financial onActivities. investments’ the effective interest method, haverestrictionsbeen raised imposedby the by charitable donorsor which company and assumptions:
29 Stocks 214 FinanceAscats obtained leases and hirehire purchase purchase forraising particular and administeringpurposes. The costssuch funds of are Theand assumptionscharitable company makes concerningthe estimatesfuture.
210 DebtorsrealisableTradeStocksfor obsolete and are other value valued and afterdebtors slow-moving at themaking are lower recognisedat due allowance stocks. of cost andnet the byascontractsshorterlives.depreciatedleasestangiblefinance lease areAssetsare of and thethose fixedover finance leases areacquired lease assets,wheretheir term depreciated usefulby substantially Assets andhire purchase their lives. acquired capitalisedover useful Financeall the are cparesdogniontinitheFESSare allocatedieURALnotesOU ROEtotheROnSto theappropriateTesthe financialictespeEe c oodiefiesstatements, find:eee 28The aay ben. TheresciLehaneasto theof causing s carryingtauttingurrotions raated Sathave accountingwiaamounts materialbyochual definitionpeckof estimates adjustmentesate assets lanl seidomPo and ond
offered.settlement amount after any trade discount of thebenefits and risks ofpitas liabilities withinthe next financial year,
prepaid net Prepayments of any tradeare valued discounts atdue. the amount Obligationsare assumed byunderthesuch charitable agreementscompany,are
211 includedin creditors, net of the finance
Cash at bank and ln hend charge allocated to future periods. The
Cash at bank and in hand includes cash and finance element of the rental payment
short-term highly liquid investments with {s charged to the Statementof Financial
afrom short maturity of three months or less Activitiesso as to produce a constant
of the thedeposit date ofor acquisitionsimilar account.or opening perobl i odicgation rate outstandingof charge on in each the netperiod.
2.12 Liabilities and provisions 215 Operating leases
probableLiabilitiesPosition dateasobligation atare the recognised 2 Statement result of when apast of Financial there event, is itisan FinancialRentalsare chargedpaid Activities to under the Statement operating on a straightleasesof
ofwillthe be settiement required that 2 intransfer of settlement,can be estim economic a tednd thr e liably.benefitamount 216 linePensions basis over the lease term.
thatLiabilitiesit the charitablearerecognisedcompany at anticipates the amount ibrarpension charge represents [Shoe] the [na] amounts [irked] soot
will pay to settie the debt or the amount payable by the charitable company
ithas received es advanced payments for to the fund in respect of the year
the goods or servicesIt must provide.
Provisionsestimate of are the measured amounts requiredat the best to
thesettletimethevalueobligation.of moneyWhereis material,the effect theof
provision is based on the present value of
those amounts, discounted at the pre-
tax discount rate that reflects the risks
specifictheof Financial discount to the Activities is lability. recognised asaTheInfinance unwinding theStatement cost. of
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NOTES TO THE FINANCIAL STATEMENTS: NOTES TO THE FINANCIAL STATEMENTS
_ FOR THE YEAR ENDED 31 MARCH 2021 aFOR THE YEAR ENDED 31 MARCH 2021 aes
4. — Income from donations and legacies 6. Income from other trading activities
Asrestoted Income from fundraising events
Unrestricted Restricted Total Totol
funds funds funds funds Asrestated
2021 2021 2021 2020 Unrestricted Tetal Toto!
« £ e £ funds funds funds
amniversariesDonations inc!. "in memory of" and 80.531 = 80,531 217.983 2021« 2071« 2020£
ColectiontinsR 7 06.828 = 96,828 7269 par:Fi events 6172 6172 1693
si 29.0367982 :x 29,0367.952 52868859 se ltd ee16.289 16,289 2470
EE
Corporate 37536 2 37,536 21239 “SS
Legacies 113316 = 13,316 1988n Totol 2020 as restoted 2470ESS2470
Grants 9374 197.675 207,049 57138
374,573 197,675 572,248 581995
Total 2020 as restated 534563 47432 581,995 7 eee en
a a a Unrestricted Total AsrestotedToto!
5. Income from charitable activities funds2021 funds2021 funds2020
£ e €
Emergencyresponse Communitemergencmedicine y engegementCommunity activitiesTotal AsrestotedactivitiesTotol Interest received SSees [SSS] Se14 i a4Se ee32
2021 20271 2021 2021 2020
Saleofgoods .: @: 113.833- 113.833S 123.6282 aTotol 2020 as restated 32 Ez
Clinicalgovernance : : 50,035 50,035 - Se
Education : < 101199 wuss 199,716
Commissioned services 3104 1,908,434 2 1911539 117.481
Grants 361348 F = 381348 379.75 8. Other incoming resources
Event medical support : : 4s 45 21520 fentioes
384452 1.908,434 266,213 2.559.099 1902060 Unrestricted Total fundsToto!
2021 2071 2020
« « £
Profit on disposal of fixed assets = - 187
Miscellaneous income 2352 2,152 660
2152 2,152 1,847
Total 2020 as restated 1847 1847
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|||||||||||||||| |---|---|---|---|---|---|---|---|---|---|---|---|---|---|---| |NOTES TO THE FINANCIAL STATEMENTS| |a|FOR THE YEAR ENDEDere31 MARCH 2021| |9.|Total resources expended| |—|Mevesueant|Tout|aLerear| |oman|Spey|voceas|pgent|ee|some| |end legacies|respenes|«|©|.|«|€| |Casts drctly|electedte ethos| |Sutteg|M503|0g|BT|87128|=|ussnses|1061679| |Medical equipment|& consumables|2|40.027|35490|1306|-|76823|193.478| |Gorical training|:|2223|9.960|36|+|Taso9|2650| |Responder|training|:|147|:|-|>|men|8857| |Vehicle costs|:|zm|16340|:|>|ue|21973| |Purchase of|goods for resale|5532|493|.|39385|45410|2481| |Provision|of|external|raning|:|:|:|13066|-|mess|4504| |Fundraising|11086|-|-|60|-|ws|18547| |‘Support|corts|allecated ta|actirttles:|=| |Staff|costs|S636|15235|14408|59243|-|sun|«6| |Staff|related expenses|4093|3997|S055|7298|*|S4AAB|56,032| |HQ Premises|6156|Baa|aon|6294|=|4303|asa| |Oncvauasel|«40|30935|629|6003|a|Bene|easy| |Advertising|74S|33|2839|336|3|M423|16576| |Vehicle| |Testscosts|131|6|75|8|881|0|73|19208wes|9.3|0|5509|7+|eS263h|3467073835| |Insurance|B01|6203|nse8|3108|:|993|37916| |Finance costs|am|3524|12606|2050|2678|4473|aH| |Depreciation of tangible fixed|assets|8526|7977|48057|4802|-|90412|483| |Legal and professional fees|72665|10757|14a10|7584|>|4057|105189| |Governance costs|128|246|un|8|¥|8x87|ng| |Lasterdisposaland reclassificationof fixed|1800|sw|“as|1809|-|ome|:| |‘Total expenditure|TH|ssto28|Vategar|370,063|2676|2472389|(2165173|

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NOTES TO THE FINANCIAL STATEMENTS
a a aFOR THE YEAR ENDED 31 MARCHA2021
10, Auditors’ remuneration
2021 ee)
: .
Fees payable to the charitable company's auditor for the audit of the charitable 7.500 3900
company's annual accounts
redshetab slashesAnilmeen nrespectot L065 6598
TL Staff costs
Asrestoted
gr bod
Wages and salaries 14392,190 841177
Social security costs 122,048 77.607
Contribution to defined contribution pension schemes 514940 30,909
ee J
The average number of persons employed by the charitable company during the year was as follows:
Asrestated
2021 2020
(Average monthly hesacount Ne.Ss No.35
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NOTES TO THE FINANCIAL STATEMENTS
a FOR THE YEAR ENDEDne en ee 31 MARCH 2021 ee ee en ee
The average headcount expressed as full-time equivalents was:
2021 Asrestoted2020
canine ba Ln
Fundraising 85 45
Emergency response 4 3
C maioe 19 8
Comer) Naa 4 3
a 26
The number of employees whose employee benefits (excluding employer pension costs) exceeded £60,000 was:
2021 2020
No. No.
Inthehere band £60,001 -£70,000 mee 1O 21
RES
cena ocone 2 4
Thekey’-£317, 277)managementend consultancypersonnfe e sl ofLas asEnillistedlisted(2020-£48,438)inthein the TrTrustees’.‘Annual Rileport, received‘emp!employee benefitsits to!totalling£4) £412,338((2020
i
2 Trustee's remuneration and expenses
During the yearyear , no Trusteeses receivedreceived any remunerationtion o rrother other benefitsbene! (2020 -~€£ NIL) ..
The charitable company has purchased professional indemnity insurance on behalf of the Trustees for claims made by
third parties arising from:
-Fidelity [loss]
Loss of or damage to documents
~Pollution
The cost of this insurance Is £763 (2020 - £25).
During the year ended 31 March 2021, no Trustee expenses have been incurred (2020 - €NIL).
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NOTES TO THE FINANCIAL STATEMENTS
SeeFOR THE YEAR ENDED 31 MARCH 2021
B. Tangible fixed assets
leasehold Moter Fixtures
property£ vehides£ and fittings£ Total«
Cost or valuation
At 1 April 2020 (as previously stated) 3747 30,897 1241352 1,309,666
He eeeee ee
Ati April2020 (as restated) IAT 216297 1282816 1,506,530
Additions 8541 69,780 244,362 322,683
Disposals (330) (35.042) (725238) (760,670)
Transfers between classes (6,602) 118,790 (124,802) (12,614)
As at 31 March 2021 39,026 369,825 647,078 1,055,929
D
At1 April2020 (as previously stated) 1563 24945 1,098,715 135,223
Prior Year Adjustment : 5310 287 5597
Att April2020 (as restated) n1563 30.255 109,002 140,820
Charge forthe year 8537 48161 33714 90,412
Ondisposals (3n) (34,097) (713761) (748,169)
Transfers between classes (2513) 93798 (103,203) (1,918)
As at 31 March 2021 7276 38,17 315,752 4TWMS
eoNet besk wales
At31 March 2021 21,750 231,708 331326 584,784
aEEEAt31Morch 2020 (as restated) 25.854 m__V\186,042 vO153.814SewOOOO365,710
The net book value of tangible fixed assets includes £153,041 (2020 - £191,267 (as restated) in respect of assets held
under hire purchase contracts.
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NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021 FOR THE YEAR ENDED 31 MARCH 2021
a er a a ne nn rem nn
4. Fixed asset Investments ”. Greditors: Amounts falling due within one yesr
Listed Asrestoted
lervestments& 2021€ 2020€
Cost or valuation
Atl April2020 240,695 Trade creditors 187,722 102996
Revaluations 54,866 Other taxation and social security 181,361 142,629
At 31 March 2021 295.561 Obligationsunder finance lease andhire purchase contracts 37,574 39.994
Other creditors 7.928 548)
Net book value Accruals and deferred income 271,786 103,209
At 31 March 2021 295,561 626,371 394,309
At31March2020 240,695
SS 2021 Asrestated2020
€ £
1s. Steck Deferredincome at April2020 44,326 25319
Resources deferred during
Pee
2021 re2020 Amounts released from previousthe yearperiods (44,326)154,545 (2544 3 19)26
€ £ 154,545 44,326
Finished goods and goods for resale 45,310 24,923 Year end deferred income is for income received in the year relating to services and contracts that are being carried out
in the 2021-22 financial year.
en a
ee —
6. Debtors
Aare 1. Creditors: Amounts falling aftermors than one yesr
2021 2020 Asrestated
« é€ 2021 2020
Due within one year: & €£
Trade debtors 156,173 77,562
Other debtors = 3.886 Net obligations under finance lease and hire purchase contracts 102,321 146.275
Prepayments and accrued income 93,823 94.460
249,996 125908 Liabilities under hire purchase contracts are secured on the assets to which they relate.
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NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021 FOR THE YEAR ENDED 31 MARCH 2021
19. Prior year adjustments Covid-19 Fund Defibrillator Replacement Programme Fund
‘ ‘ 2
haveDuringas operating beenthe restated. 2021leases. financialTheThereimpactyear was thereaon material reserves were impactsomewas a hire neton purchase grossincreaseassets and agreements of £6,864.grossidentifiedliabilities thatso hadtherefore previouslythe priorbeen yearclassifiedfigures theEstablished toRespondersto continue purchaseresponding ofwith collectadditional appropriate donations andsafely during resources PPEto grantstoallowCovid.cee towardsthem towardsEstablished tofor all First theResponders cost collect of replacing donationswithinentities LIVES. and zi grants
Interactive Education Fund
ee i ne eee a ee BASICsaieprovided a grent of £35,000 to funda new equipmentEstablished toto engagepurchaseaudiences interactiveof all displayages, show
vehicle for the Medic So service which provides our audienceshow important it is to learn CPR
= s fund titical care cover to the East Coast of Lincolnshire. skills and Inspire those who are more interested
- to become a LIVES community first responder.
Statement of funds - current year
As restated
Balance at Geins/ —_Belanceet Statement of funds - prier year
1 April 2020 Income Expenditure (Losses) 31 March 2021
£ € £ « €£
Unrestricted income funds Asrestoted Asrestoted
Gererol Bolonce ot Asrestoted —Tronsfers Goins/ Bolonce ot
Restricted Income funds EAR REE 2,570,889 (2,006,154) S4BEE 266,467 TApril2019€ Income£ -—-Expenditure£ Infout£ (Losses)£ _31Morch2020£
First Responders : 391348 (383,409) : 7,939 Uneestaicred fame
Education Technology Fund : 49.334 (21298) S 28,036 General 43391980996 (1538784) (21202) (17,236) 646,866
CFRRecruitment Fund : 19,460 (7.144) - 12,316 Restricted fensds
CEMS Vehicle Fund - 8,000 {4.600) : 6,400 Groundwork UK Grant Ss 7500 = 7500
Covid-19 Fund - 51781 (54781) : : BAee - 23000 i ‘ 23000
Medic50crea Fund = is100 ve6: . eae6: FirstResponders 3775 (612418) 232703 :
Pabst ane 30,500 16,600 (638) = 46,462 Community Grant 9750 : - (9750) :
Interactive Education Fund - 7,500 - - 7,500 CDS Action Grant - 3152 - (3.152) 2
30,500 579.023 (467,235) = 142,288 Boe oes Coe 3.000 : (3.000) - :
Total Funds 677,366 349,912 (2.473.389) 54,866 1,408,755 Help for 6 49n rs (497) " Z
Rugby Group Benewctant - 7,780 - (7780) .
Description, nature and purpose of restricted funds CFR Recruitment Fund Gay andPeter Hartley's 3 1,000 (1,000) - <
FirstAnannualCCG, RiNHSjesponder grantNorth isGrantLincolnshirereceived fromCCGNHSandLincolnshireNHS North Established tosupportFirstrecruitment Responders. the recruitmentevents, collect Th i s donationscontributesncludingof newwages Communityand grants to toandthe venuecost of CharitableNorthCouncil Lincs TrustCounsh SSSSS= 5000 (5.000)) SSz Se:
East Lincolnshire CCG to fund the provision hire, and the training/equipping of new CFRs. 17721 427,47 (626,389) 212021 : 30,500
Educationof First RespondersYechnelegy acrossFond the county. CEMSBASICs Vehicle providedFund a grant towards the blue SRPSeah ot fs SSie a EY4502406ee aenRta) MEnyEE (7290) eaE208.
Established to collect donations and grants towards light installation of three vehicles for the
the cost oftechnology and simulation equipment to Community Emergency Medicine Service. This
ensure LIVES is at the forefront of education delivery Cost is incorporated in the overall cost for the
to our external clients and to enable our Responders to vehicles which ere depreciated over 5 years.
maintain their competency during Covid restrictions.
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NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS
————— FOR THE YEAR ENDED 31 MARCH 2021 FOR THE YEAR ENDED 31 MARCH 2021
21. ‘Summary of funds 22. Anslysis of net nesets between funds
Summary of funds - current year Analysis of net aesets between funds - current yeor
Unrestricted Restricted Total
As restated funds funds funds
Balance at Gelns/ Balanceat 2021 2021 2021
1 Apetl 2020 Income Expenditure (Losses) 31 Merch 2021 « £ £
General funds 646,866£ 2570889« (2,006,154)« 54,866« 266,457& FixedTangible fixed asset inve as s tmentsets 2955647025 ) 114533: 584,784295.561
Restricted funds 30,500 579,023 _ (467,235) > ___ 42,288 Current assets 1229347 2755 \as71oz
Total of funds 677,366 3149,912 (2,473,389) 54,866 1,408,755 Creditors due within one year (62637) - (626,37)
Creditors due in more than one year (102,321) © (102,321)
Summary of funds - prior year ee ee ee
Asrestated Analysis of net assets between funds - prior year
Bolonce Asrestoted erestoted
TApril 2019 ot Income —ExpenditureAsrestoted —_Tronsfersinfout = (Losses)Goins/ 3)— MorchBolonceot 2020 Unrestrictedfunds Restrictedfunds fundsTotol
General funds 43397£ 1.980.996£ (1.538784)£ = (212021)£ (17,236). 646,856£ 2020£ 2020€ 2020E
Restricted funds m7) -427§47__(626389) 212021 : 30500 Tangible ford assets 335210 30500 365.70
Total of funds 454632 2,408,143 (2,165,173) > _ (7236) 677,366 Fored asset investments 240.695 2 240,695
Currentassets EnS4S : 6rus45
Creditors due within one year (394309) ~ (394,309)
Creditors due in more than one year (146.275) : (446,275)
Totel as restated 646,865 30,500 677,366
rl
2 Reconciliation of net mavement in funds to net cash flow from operating activities
Asrestoted
2021 2020
« é
Net income for the year (as per Staternent of Financial Activities) 731389 305.995
Adjustmentsfor:
Depreciation charges 90,412 48620
Loss/(gain) oninvestments (54,866) 17236
Loss/(profit) on the sale andreciassification of fixedassets 13,197 (1387)
Increase in stocks (20,387) (8s74)
Decrease/{increase) in debtors (124,088) 18717
Increase In creditors 234,482 97,508
Net cash provided by operating activities 870,139 4753S
LIVES - OUR YEAR IN REVIEW OUR YEAR IN REVIEW - LIVES | 109
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108 | LIVES - OUR YEAR IN REVIEW
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NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021 FOR THE YEAR ENDED 31 MARCH 2021
24. Analysis of cash and cash equivelents 27. Operatinglease commitments
2021 Asrestated At3) March 2021 the charitable company had commitments to make future minimum lease payments under non-
« 2020£ cancellable operating leases as follows:
Cashinhand 961,796 460,714 Asrestated
Total cash and cash equivalents 961796 460,714 7 i
Notlater than i year 86,499 28.8
25. Analysisof changes ln net debt Lateretathan aegs year andnot later thanS Heyears ee 45357Ee
actaabe eo sealers ter than years 272,490z 73859384
« «a «
Cashat bank andinhand 460,714 501,082 961,796 The following lease payments have been recognised as an expense in the Statement of Financial Activities:
Hire purchase (186,269) 46,374 (139,895)
ZT4AAS 547.456 821,901 Asrestated
ee ee ee 2021 2020
€ £
aNN A RN i RE RN Operating lease rentals 27,500 24,283
26. Pension commitments eT
Theseparately charitable fromcompany those of theoperates charitablea defined company contribution in anindependently pension scheme. administeredThe assets fund. ofthe Thescheme pension are held cost charge 28. Members’ liabilityA Fi
£7,734 (2020 - €5.481) were payable to the fund at the balance sheet date end are included in creditors, maybe required,not exceeding£10 for the debts and liabilities contracted before he/she ceases to be amember,
rtA SH a
29. Related party transactions
keyConsultancy [management] fees [ personnel] amountstoas Enl i lsted (2020 in the - £48,438)Trustee'swereAnnu p a lid Report. to Doctor Simon Topham during the year, he is part of the
The charitable company purchased management training/consultancy services amounting to £2590 (2020 -
Enil)at the year end from Takingwas Charge£1,170 of (2020Your -SuccessEnil), whichis Ltd, a the company balancein which of the Hilary monthly Gibb instalments is a director. stillTheto balancebe made.owed
a a a
30. Controlling party
There is no ultimate controlling party.
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LIVES. 11 UVESHeadQuarters I(￿sHq