LIVES. jii. sil A ¢￿p$ GBITICAL CAFIE YEAM KS70 ZZX ANNUAL REPORT AND ACCOUNTS 2021/22F ".; Voluntary Emergency Service tl LIVESHeadQuarters ri @livesHQ Registered company number 04680981 UVES.ORG.UK WE ARE LIVES We exist to provide emergency care in critical situations. To reach people in need and protect life. It's our reason for being. It's that simple. As a registered charity, our work is only made possible thanks to the kindness of our supporters and the dedication of our team of very special volunteers, who come from all corners of clinical care. Lincdrthye kntegratsd Vc•Jntary Emwgency Se Re415teth crynpary 04680981 2 1 LIVES - OUR YEAR IN REVIEW T￿7 And this is what we do We deliver an emergency medical response across Lincolnshire. We provide training and skills for people with and without medical exper(ence- deliverin8 sector-leading experience and knowledge. We use otjr extended exporience in saving live5 to inspire and train others to be life savers too. We work with our communitie5 to ensure that any individual who suffers a 999 medical emergency in Lincolnshire, can be assured that they're surrounded bythe best rapid response care available. We are a registered provider of healthcare with the Care Quality Commi55ion. LwKtilnshire Intetyated Volurtsry EmwgerKy Service RegIstw￿l Mm￿Y r￿n￿eT 04680981 OUR YEAR IN REVIEW - UVES 13 LIVES. IN NUMBERS I APRIL 2021- 31 MARCH 2022 1non OF THE TIME, LIVES WERE FIRST ON SCENE PATIENTS WITH BREATHING DIFFICULTIES 587 1.621 571 CARDIAC ARRESTS ATTENDED PATIENTS WHO HAD FALLEN ROAD O-O TRAFFIC COLLISIONS VOLUNTEERS GAVE MEDIC bl.1// MuuK> RESPONSE OFTHEIR TIME JOBS 542 . 642 852 CRIT CARE JOBS BUSIEST MONTH- MAY ncdftshlre Integrated Voluntary Ernergency Swv Registered C￿ry)any number 04680981 41 UVES- OUR YEAR IN REVIEW CONTENTS YIELCOME FROMTIE CIIAIR& CEO LIVES Voiunteersurvey LIVES Advi50ry Group Board of Trustees 63 OUR PiNIPOSE & CULTURE Ststement of Publit Benefit 65 io What Makes uS￿We AreP Key ManagementPersonnel Ourvislon 12 Ju5tCulture 12 OiR AMBITIONS FOR THEFimi OurValue5 13 Project Lifesaver Voluntary Response Communltyskills Research and Informatlon 69 IJUR sfRATEGY Strateglc Objectives ProJert Lffesaver OurHistory 17 18 20 FINAN￿ REVtEWl¢Accouirrs Income 72 74 ExpeTrJlture Mana8ln8Rlsk ManagingourFinances OwSthJcture.Governance and Management Communlty Flrst Responders Medlc Ftrst Responders Critical Care Responders Community Emergencymedicine service Falls Response Unlt The CommunStle5We Serve 26 30 31 33 36 38 41 IlK+EPENf￿AuDIIOR5'R￿10RT Sharirgour skills.. LIVES Education Towards Excellencw. Clinical GovemarKe 42 ACCOUNTS 9Z Workingwith Others Usin8TechnologyToAchieve OurAims Thankytyj 45 46 OUR INCOME GENERATION 48 50 Raising Funds Providing Educationto Others Communlty Defibrillators CllThical Governance Consultancy Marketingand Communlcatlons Llnco*thire Intsgr&e(I Wuntary Redstered compwy nwnber04680981 OUR YE4R IN REVIEW - UVES I WELCOME FROM OUR CHAIR & CEO Welcome to our Annual Revlew 2021-22. WewepIeasedtosh￿Qw[thyOU OWu￿Ua1reportaTh1acc(xmtsfQrthe20￿I22 year. AsweIsME￿erBedfr￿theg10ba1￿deMlcandM￿tyusu4I￿t1Vrt1eS have resumj. Itha5beenayearof bothexcitementondchallerEes. Wehave been pleasedt0welcomemanyr￿W￿￿jrtett5tothe argan15atloTr￿to￿9￿Ome bathose respondersytho th)senottoart1￿1y￿luntrwdurln8thepandeMlc Wecontinue wlthcurplarstorecruttlo0newr￿PO￿￿eryol￿rseachY*arandensurethatthÈvarewell SuFPLytedwthed￿ati0QMent0tsh1D8ndpeer5uPp0rtthroU￿t￿ird15trirttearrts. Weendthe withawaltlrgllstof dedICated,c(￿nWnl￿171nded IndfvlduaiswaitwEtoJoin owtÈam. ThrDu8houttheyearwehavècontlroJedtéthhowstr*icobiectivetO￿tt1ythe h)pattthattt chaltymake&WelHvelaurthd Medic￿, ￿rcritIcal C￿ec&that$erVeSthQcOmmUn1tlesof the LincolrEhirecoa5t.OurCriticalCareTeamcomewlththemedical eXperie￿et0PerforMan ¥rayof potentLillyllfe-SavirÉprrKedLrnTWrereathytodeliverhW)lyspeclalisedcrit￿Care inahe¥ibeat,thithfvsory*.reallycouklmeanthe(lfferencebeknwnllfeanddeath. Wehave a1505eenthe8rowthof ￿rCOnv￿J￿tyEMergenCymedttineseryICeSwiththeaPpotsthent of rflirxcal DirertlX5toprrNide dinicalleadershiptothlstsamin2022. Bothtearrts￿eeqU{ppe￿. empowered andreadyto all2viatethepressureontheNHSwith aunique bleMlof 5kilbarKI dec151c￿-makIngabll1tles.RIghtrs0￿S￿rVICessuCha$thlsaremOre imwtantthhnever. L￿d￿ShI￿ Intsgratedvduntary Em•rw¢y R•4*wgd cL*npany nurnber(>1680981 I LIVES - OUR YEAR IN REVIEW We rpmaknproudaTrJthankfvIforevEry￿e ofowv01unteers￿￿￿o)*es¥ltt￿t Yknomwe couldrwrtdeliverallf￿ln¥ernPrgeWreSpDnseacr0s5LlnC0In4Ire. We￿e￿o￿￿r￿nselythankftI1t0￿jrsupvJrter%1￿etherY0￿yet2knen part ina¥irtualchalleryg4 V￿aon￿dOnation0rare£u￿irP￿￿￿Yo￿5wPCrthaSbeenVita1.weareProUdto saythateyerypenryrecelved hasèll0wedustotontiTh￿WlthOur I￿￿avirgw0rk Thlsyearha8mostexcltthgiy, seenusmoveciosutocAJrplantodAop apwP05￿UIItethcatIc￿ trainin8fKilityforpr￿￿talerner￿enCyrnedl(l￿.wehave identffiedaslteandlntendtoxijmitpiannlng permlsslonfortNsleadlngfaclltytn lats202Z PrDJectLifesMrwilldeiiveraneOJcattcfflfadlltyw ciassrocffisthatwilltrAnLIVEsre5ponder%peoplew￿￿lnhe?1thCareandtt￿Wld0rco￿￿1tyto resporwjto me(kalemer8encle511woWaunlqu¢stateof thear¢lrn￿￿rs￿elParnlngeXper{el￿. A5werefiertupcfithe1astyear,v￿wouldllketotaketheoppOrturlltyI0eXpre55￿rheartfe1t thankst0everyonev4th0cc￿tWweSto5UpPortL4￿dthQsewh0YoIUnteerf0rL1VEs.wIIho yo￿WeW0Utdntbeab￿tQ help patients aryjthelrfamllleswlthinourlocal communities. durin8atime¥thenthryneed it rr#)st.Ittakesateamto save alifLThankyo TlKxna51nNitho￿ Chair Nikki cook4￿0 LNicohshwe Int¢9r&ed VohJntsry Emergoncy ServKo R8glsterBd cfjrnpary n￿ber 04680981 OUR YEAR IN REVIEW - UVES 17 OUR PURPOSE & CULTURE In a minute. your life or the life of someone you love can change dramatically. A fall. a car accident. your breathing can change. your heart could stop. .1 LIVES. Lin¢olnshke Integrat•J Vdurtary Emergw¢y knIc¢ I LIVES - OUR YEAR IN REVIEW Li £G I can safely say that becoming a responder (s one of the best things I've done. Helping people in their hour of need is such a special feeling. Lhcolnshlrè Integrated Vc4untsry Enwr98ncy R￿Stered ¢tynpaty numbor 04680 OUR YEAR IN REVIEW - UVES I g STATEMENT OF PUBLIC BENEFIT. Charltles are required to demonstrate how they provlde a benefft to the publlc. LIVES deliver5 benefittothepublic in the relief of injury or illness byfacllltatlngond dellvering rapld re5pon5e and treatfflent of those sufferSnga medlcal emer8encyortraumatic injury. This benefit Lsavallableto any memberof the publlc In LlrKolnshire and areas neafbYwhet￿r tlw are residentsorvisltors andaccessto the servlce is basedsolely onpatientnèe(L TheTru5tee5havecomplledwiththeirdutyinaccordancewlththe Charltles Act andthE Charlty Commlsslon'sguldance on publlc benefit in exerclsingthelrpowers and dutiesto consider itinall aspects of the companls actlvltle* Li Llncoln5hltE kntsgrntsd Wuntary Ernergew Servi 10 I LIVES - OUR YEAR IN REVIEW WHAT MAKES US WHO WE ARE? Manyof ourteamactivety shy awayfrom Ilmelwtand do notseek ptalsE ￿thankS fortheaction5thatthey undertake. Wedo hat we(Jo because Ittakes a team to save a Ilfe. We're united by a passion for proterting life and improylngpatient outcomes. Thavswhowe are.Thats ourculture. We are recognlsed as beln8a leaderln pre- hospital emergenrymedlclneand Inthe erneF8ing world of communlty emergencymedicine. Thavs somethlngwe quietly take FKide In. Qvalltyi5 embeddedin everythlrvdwedo- trainir equlpplngpeoplewith boththe skills to make a dlfference aTh4 theconfidence to usethem. From a Vol￿te@r re5pondin8quicktyand competenttyto an emergency In thelr commlmlty.to owteèmytho teach a child in school howto makea 999 calLthere 15 no organisation inthe UnltedKlngdomthat delivers an emergency responsethatequals thebroad scopeof practicethat we do. Ourgovernancesystems are robustand all¢)w U5 to evaluate and evldencÈthe hlgh standards thatwesetforourselve5 andtoputthin8S right quicklywhere thangè is ￿eded. Lit0]￿hiTe Integrated Voluntsry EmryKy Serv1¢* Reglsteyed company nunber04680981 OUR YEAR IN REVIEW - LIVES 111 OUR VISION. Our vision is that no person should suffer unnecessarily as a result of their illness, injury or their rural location. Our mission is to provtde equality and excellence of care to any person who suffers a medical or traumatic emergency within Lincolnshire. JUST CULTURE. LIVES iscommittedto fosteringa J￿tcultvreW1th1nthe or8an15ation. AJu5t Culture considerswldersystemlc Issues wherethlngsgo byrons enabllngprofes5ionals antl those operatin8the system to learnwithoutfearof retrlbution. Generally. InaJu5t Culture I￿dvertenth￿Man error.fre?tyadmitted Is not norrnallysubjectto sanction to encourage reportlngof Safety i55ue% In aJu5tCulture. Investigators principally èttempt tounderstand whyfailings occurred and howthe system ledto 5ub-OPtifflal behavlour5. However,aJu5tCulture a150 holds people aPPropr￿telYto accountwherethere is evidence of gross ne8llgence ordeliberate acts. Integrated Voluntary EMerge￿Y SetvK8 Reglstered corrpany ￿jr￿)*O46BO961 12 1 LIVES - OUR YEAR IN REVIEW OUR VALUES: WHAT MATTERS TO US MOST? INTEGRITY Our strength comes from working together and upholding shared values. We do the right thin& even when it's difficult. COMMUNITY This is where we're from. we're in this together. We're all united around a common purpose: to support the communities in which we all live. EXCELLENCE We strive to be the best we can in everything we do and to give all of our people an equal opportunity to grow and flourish. LID¢dnshke Ints9raied Voluntary EmoFg¢nty S•rvK• Reglstered cunpany number04680981 OUR YEAR IN REVIEW - UVES I OUR STRATEGY It takes a team to save a life And every memberof that team is vital to delivering theverybe5t outcomes forthe patient.That could be the bystander who witnesses a member of the public collapse in the streetand calls for help, or an ambulance crew who back up a LIVEScommunity firstrespondèr and takes overthe patienys treatment or a fire crew who work alongside colleagues from LIVES andthe a[nbUla￿[e service to extricate a seriously4njured patient from a road traffic collision. No single per50n, service or organisatiofthas allof the 5killsto meet the needs of ourrnostunwell orinjured patients. Teamworkandcollaboration are vltal. LIVES brings together people in ourcommunities rfjtht acro55 LiTrcolnshire togive them the competence and the confidence tobe ableto respond quickly and skilfullywhen someone intheirviclnity 5uffersa rnedical emergenry. Uncc4nshlM Integratsd Voluntary Emer9ency se￿￿e Re91ste￿I company numbw 0468(e81 14 1 UVES - OUR YEAR IN REVIEW I feel very happy to have LIVES on my doorstep and those volunteers who devote their time doing a wonderfuljob. ncdn5hirE Intsgr&ed Voluntsry Emergency Ser¥Ke OUR YEAR IN REVIEW - LIVES 115 OUR STRATEGY. If an individual 5uffersa medical emeoency in ourcounty.we should beequipped to protect thelrsafetyand maxlmlseposltive rredlcaloutcome&WhateYertttskes. IV5the basls uponwhich LIVESwas bulltln thepast. Itwlll always Inform ourplan5forthefvture. When location orge0￿2￿hY make5 it more difficultttsaccess emergew healthcare, wewill bethereto deliverprtrhospitalemergerymedlclne excellence, whereverlvs needed. i-•r-4 i• Llncolnshlre lnteg7tedvol￿tary ErnergerKy ServKe R￿t￿¢d ¢onwny numbw¢)4680981 16 1 LIVES - OUR YEAR IN REVIEW OVER THE NEXT FIVE YEARS, WE WILL STRIVE TO CONTINUE TO: I. UNDERSTAND OUR IMPACT. 4.SUSTAIN OUR GROWTH FINANCIALLY Weknowwe make a difference butmea5urlng thatls sometimes difficult.Wewill improve our data collertlon and adoptnew measuresto deMO￿trate the dtfferencewe make. Wewill workwlthresearch partnerstobuildan evidence base forthe effettlv?nessof ouremer8ency responseactivity.we will usethis infomiatlon to continuouslylrnprovethe quality of care thatwe deliverto people In our communltles. We wllldevelop a￿1 consolidate income 5treaTh that supportthe charityto deliyerour aims. We wlll ensure that¥￿ have adequate reserves to weatherunpredictable circumstances.And we will betran5parent wlth ryjrsupporters customers andfvnders.so theyare clear on howwe spend the funds thattheytrustU5 with. .ACHIEVETHE HIGklEST LEVELS OF GOVERNANCE EXCELLENCE 2. GROW OUR PRESENCE Weyrfant everycommunityin Lincolnshtre to have accessto ouremergenry response. We will increase the number of LIVES responders operation acrossLincolnshire.withtargeted recrultment in areas wherethere Is less coverage. We will irtvest inthe skills of these responders so they can meetthe needs of thelrcDmmunity. And e wlll Identlfy opportunltle5to use our 5kllls In differentway5tosupport people in medicalneed. Dolngthe rtght thingis importanttous even whenthat15dlfficult.we wlll malntaln robu5tand structured processes, in both clinical and charity governance.Wewlll ensure thatwe are complalrt with all regulJtoryrequirement5 and thatwe are a mdel of best practice. in both leadingvoiunteers and deliveringpreh05pltalemergency n*dicine. CtsmmuThitw 3. FOCUS ON QUALITY (Cffl￿Thty Iiipsmrf Pre￿p11￿1 We5trivetoexcelateverythingthatwe do. (￿r workls alway5based on evidence and we focus on dellverlngquallty service and care- in ourcllnlcal actlvity, (￿rtraIninsand the knowledgethatwe provlde.we In5plre and encourage allourpeople to be the best that tkycan b4 attheir chosen level. LIVES. 11 tsk•i • tt* If• e5PUll51 knte5 LirhcolnsttirB Integr&ed Ernero6rKy Swvke Reg￿tered Comp￿ n￿*)$r0468099l OUR YEAR IN REVIEW - UVES 117 PROJECT LIFESAVER. An education faclllty wlthout classrooms Projert Lifesaveris a unique andworld-leadinglearningenvlronmert for Pr*hospital Emergency MedlclnelPHEMI. Iys an educationfacility wlthout classrooms thatwilltrain LIVESresponder* people workingin healthcare alKlthgwldÈrcommunltytorespondto a wldevarletyof medlcal emergencles througha stateof the artimmersiye leamingexFerience. EveryyearPHEM respoThlerssave countle55 Ilve5.The5e committed individuals deserve the verybest facilitie5 inwhichto learn andtrair¥ facilltle5 that willtestthelrskllls Inawlde varletyof real-llfe, hl4h pressure envlronments. encouragethem to perform and refiect. andultimatÈty in5pireand supportthem to becomethe verybestthattheycan be. Project Lifesaver is LIVES plan to create a £IOmillion purpose-built facility 18 1 UVES - OUR YEAR IN REVIEW R8gtster8d corrw¢y numt*r046809BI Project Lifesaver is LIVES plan to create an £IOm purpostrbuilt facility that will use a comblnation of dlgltal tsthnologyand'real, stagè settlngs to Create an infinite variety of challen8in8 scenarios totraln and test the skllls of people working in the m05t dlfficult of emilronments. From a clty street. to a wral field an offshore wlndfarni or an Industrlal quarry. the C•ntre wlll replicate all of the challengesof the envlronment TwhilstcnKlallykeepln8the learners safe. Located in Lincolnshire, Project Life53ver will build on the reputations of both the county and LIVES as a model of best practice in dellverln8 PHEM in a rural location and establish Lin¢oln5hire as the best place to train in this challenging area of fflediclne. It wlll advance LIVES aim to moke Llncolnshire thesafest place in the UK to suffer a medical •mer8ency desplte the challenge5 of the gewaphy and a 8rnwln& a8eln8population. All of the action will be captured on video and wlll be able to be revlewed and debrlefèd In nèar- real time to ensure that all of the learningfrorn each scenario is embedded with each learner. DTawingfrom elite sport and marginal gains oncepts. we will encoura8e responders at all levels to be the very best they can be. be that in their clinical skills ortheircritical thinkin& During 2021122 LIVES has developed the plèn and buslness iase for Project Lifesaver and acquired a site (subjectto plannin8 permission and funding) on which tts develop the Centre. During 2022123 LIVES will be submitting planning applications and securing funding for the development with a view to beginnin8 ionstiuction in later 2023. LIVES. . 111 L Lkncolnshlre Integrot•J Volunt2ry EwgorKy Se￿[C8 stW8d compary number 04680981 OUR YEAR IN REVIEW - LIVES 119 My father's passion for care was a real driving force Suzl Lumbard. daughter of Dr Coop•r. DR L￿¢￿￿h1re Integrated Volu*ary Emeryen¢y Swvicè Rey5tered comparryNrrb8r04680981 20 1 UVES - OUR YEAR IN REVIEW OUR HISTORY. Beginning with two local doctors. Growlng Into an army of Ilfe-savlng volunt••r& YO￿Ve wd)ably never heard of ourtwofounders Dr Mlchael Cooper and Dr Rithard Harper-smith. Buttrustus. withoutthem. many lives in LIncol￿h1reW0U1d have been lost overthe last 50 years. Back Inthel97Osthey bullttheLIVE5conceptupon a simple Purp￿e..tO wovide expert emergencymedical assIstancef￿ road trafficaccidentvictim5 and trauma patients In ourcounty. Frorna starmllngstartthe Idea qulckiygatheredsupp￿tfroM over a hundred local dortors. and so the LIVESloumeybegarnThe road ahead would not be pa5ythough. In the beginnin8LIVES had no funds to speakof and themedlcal professionals vthovoluntÈered to help us provlded notonlythelrtlrr*,lyrtthelrown equlpmenttoo. Thankfully In those earlydoys, localbusine55e5 and institutes initiated a CLtlture of supportthavs stlll clearto seetoday. Theysawthe valueof LIVES.Theyrecognlsed that somethlngqulte exceptlonal had been brXn.AndWe￿ePrQudto saycommunity backinghas cont(rwJed tO8row.Thanksto the generosltyof local bLLsine55e& partners. members of the publlcand of cours¢ our growirgnumbèr of volunteers-we're stlllhere. Getthgstronger everyyear.Continuingto save live5 in ourcommunity. Lhcolnshlre Inte•r)￿ Wurtary ErMencySor¥ko Reglstered eornpaiy number04680981 OUR YEAR IN REVIEW - UVES 121 AT A GLANCE: MILESTONES IN OUR LIVES. 97 1980s 90 Drmichael CTrJper from Nettleham and Dr Rlchard Harper-smith of Tetford. devised the LIVES concepL An invitation from the Llncolnshire Ambulance Service to base LIVE5 Control within the aM￿lance control centre was accepted nd LIVES control was moved to the ambulance headquarters at Bracebridge Heath.This move greatly improved the efficiency of LIVES call-out and still operates to this day. as part of the computerised automatic dispatch (CAD) system. Communication system to improve the effitièncy of callrf)ut. A mixture of telephones and two-way radios were introduced with transmitters at Nettleham and Fulletby. The Chief Executive of the Ambulan¢e Trust invitèd LIVES to establlsh a community first rèsponder service for suspectÈd vlctlms of cardiac arrest. Itwas envisaged that thi5 wuuld enable an equality of service to be extended acrossthe rural areas within the county. LIVES saw this a5 an exten5LQn of their existin8 servlce and readlly agreed to participate.This then became the LIVES'First Responder Scheme,. Further transmitters were installed at Barton, Boston and Sleaford employlngthree part-tlme operators Communicatlons remained limited and additlonal transmitters were provided by charitable contribution, to atotal of seven. Each transmitter was then connerted tothe control room atthe Lincoln County Hospital by landline. These c05t £10,000 ayear in rertal alone. Li￿OIn$h￿re Inteorated Voluntary Ernrgency s￿lee Regls¢ernd company numbori)4680981 22 1 UVES - OUR YE4R IN REVIEW 2000s 01 2020s As our First ResP()nder Stheme grtsws. research by the Sheffield University School of Health and Associated Research {SHARRI shows that LIVES rèsponds to ovèr 25% OF CATEGORY A CALLS IN UNCOLNSHIRE. For 60% of these calls. LIVES arrives SIGNIFICANTLY FA$rE￿ WITH AN AVERAGE RESPONSE RATE OF 5.2 INUTES. LIVE5 improves re5ponsetime performance by 35Y• OVERALL AND 55% IN RURAL AREAS. LIVES. In 2020. LIVES celebrate5 its 50th Year although celebrations are curtsiled by the coronaviru5 pandemlc. Nikkl Silverls appolnted as the first Chlef Exetutlve of the tharity and Dr SlmonTopham becomes Medical Diroctor.This signals the beginning of a period of significant growth in thg services offered to the people of Lincolnshire. New clinical response team5 launch includlng the ground- breaking Community Emergency Medicine ServlcÈ {CEMS} teams and thè LIVES Falls Response service. These teams Lse LIVES emergency responding skills to bringcare to patient5who mlght not otherwise benefiL Crltical Care Car launches in 2021 to provide a crltlcal care service. direct to the patienL supportingthe most seriously ill orlnjured patients with advanced are and interventlons. The now iconic brand of UVES is launched in 2016, Introduclng our new bold yellow logo which we see today. LIVES celebrates 20 years of worklng togetherwlth Lincolnshire Fire & Rescue and adding additional 999 medlcal response wlth LIVES c￿responder5. LIVES. IVE Ltrth1Thth￿ lrtegrated Voljntary ErwgenCyServ￿8 R+Jtstered company numter 04680981 OUR YEAR IN REVIEW - LNES 123 OUR ACHIEVEMENTS LIVES responders are qualified and skilled medical volunteer5. livingandworking in the communitiesthat they serve. When a patientorbystander makes an urgent cèll for help. LIVES re5ponder5 will be there. LIVES responders share a commitmentto savinglife, whatever it takes. Thatswhatunites allour Emergency Responders whetherthelreprovidingrapid firstaid support ontheirdoorstep. or highly specialised medtcal interventions around the clock and acr055the county. For most Df ourpeople respondingto emergencie5 isn't jDb.This is a life choice that all LIVES'volunteers share. Lknwl￿htre knte9rat8d volunt￿ EmergewSeTh Reglstovodcompany numbeT 04680981 24 1 LIVES - OUR YEAR IN REVIEW A massive thank you from. the bottom of my heart for;, '.09"" everything your responders did i for my Dad when he collapsed..,, I the care and attention he received was wonderful. They worked fabulously together and offered -:• the best ever reassurance. care . and attention to detail. LlncolrnsN￿ Integrnted Vduntsry Emergw ServK Reg15ter•d ccmppJry ThJrntJer04680 OUR YEAR IN REVIEW - UVES 125 COMMUNITY FIRST RESPONDERS. LIVES Coffrfnunity FirstRespondersare ordlnarypeople, dokngextraordlnarythlngs. They cometous %Ylth little orno prevlous medlcaleXperlence.Justa￿I1In8nesS to learn Irf￿3ving5kLllSand 8ive upsomeof theirtimetobethere to respond to ca115 forhelp intheircommunlty.They'retralned and equippedto dealwith a nge of serlous and often lif*ttfeatenin8medical incidents.Whenever needed, theycan bequickly0TrsCe￿ to prDvlde a range of treatmnt5 Includhs Delivering lIf￿¥IngCPR and defibrillatorshockstoa pètlent whose hearthas Stopped due to cardiac arrest Glvlng oxy8ento a patientbyho needs helpwtththelrbreathlns AdmlnistÉrirg lIfe￿avIrgaut0lnJect0r medlcatlonto a patlent sufferingfrom a life-threatenin8aller8ic reactlon. If you askourtsamof Community First Responders.theyll tÈll you Its almost seccffld nature fortheffl to Use the Skills helped them acquire. to step up. step In aThJdo what we're tralnedto do. In the place they call hoMe.W•U￿￿￿Y hav• 241 CommunityPAtR•spnd•r& nCOl￿hro kntegrattd Wuntary Ern•rgÈrwS*¥i¢• 26 1 UVES - OUR YEAR IN REVIEW ft LItrES. FIRST R >Jis Lincdn5hTr Intsgrnted Volunby Emergoncy Se￿1 Reg￿te￿￿ company Thjmber 04680981 OUR Y￿R IN REVIEW - UVES 127 Thisyear LIVES Cornmunlty First Responders madethemselves availableto attend pmèrgencles for 67.176 hours andattended 7.226lobs. Thi5 15 a re(bJrtlon onpreviousyears which canlargety be attritwtedto pressure50n ourambulanceservlce colleaguesand decisions made by individual volunteers in responseto thi5.As ambulance Ivaittimesforless serlous calls Increase, mony Respondersrnake the difficultdecision to restrltt their availabilltytothe mostserious and lif threatenlngcalis.Wevalue thetime that each voILmtÈerglvestothelrcommunlty and 5UPPOrt thelrdecislonsabouthowto bestuse thlstlme. CommunltyFlrst Respondersfocus on'doiTr the baslcswell'often belngthefirsttoarrive on 5ceneanddeliver lifesavinglnterventions until more specialistresources arrive. During20I122 Comm￿1tyFlrstRPsp0ndeIsWerÈflrstOTh S￿ne at8427%of alllob5 theyattended.Thi5 is an increaseon prevlousyearsalthough not surprising because Responder5typically liveand w￿k inthe communitie5 inwhichthèy respond. GG I'd like to thank LIVES for saving our wonderful and special mother following a near fatal accident in October 2020. Without doubt the family are forever grateful and thankful that a LIVES paramedic was able to attend quickly and necessitate the correct procedures that undoubtedly saved our mother. Our family will be eternally grateful as without you. we wouldn't have seen our mother this Christmas. Lincdnshlre Int¢grat8d VOI￿taryEmergencY Ro915tered company NJmÈ4r04680981 I UVES - OUR Y&4R IN REVIEW LIVES. TralnlngactlvityforCoff￿Un1tyFlrstResPOnders had been curtailed durln8 COVID buthas retUr￿d to moreusual arrangements duringthis year a5 lockdown restrictionswere lifte(L Responders meetin distrittgroups ona monthly basisfor tTainingcoveringan 0rgo1ngpro￿arnMeof 5k1115 apprDprlateforthelrlevelof reSpor￿e.ThL$fa(e toface lÈamingissupplemented bythe LIVES Academyonline learnlngplatform which delivers theoretical and 5UPPOrtive trainingmodules. Responders undertook 4164 onllne leamlwd via LIVES Academy last yEar.AIthou8hwecan now meet togethertotrairn Onli￿ learnirghas remained a vital partof oureducation delivery. RecrultN*nt of new responders was also halted durln8the pandemlc dueto COVID restrlttions. This pausegave usthe opportunity to revievrf the recruitment process anddesign pattrthy5 to support new responder5thatensuredtheywere Ylell sUPP)rtedand 5uc£e55ful Inthelrvolunteer role.Wehaveacquireda waitinglistof volunteers wantin8tojoinLIVES as elthercommunltyfirst responders and invited107to attend a recrultment eventto assess thelrsultabSlltyas a LIVES community first responderwith 99 Subsequently offered places. Our intsntlon Istogrowthe CommunltyFlrstResponder cohort in a controlled and supported manner and we have a target to recruit and retainlOO newresponders each year forthe comingfive years.The recruitment planprlorttlses the recrultmpntof responders in areasthat are lesswell served atpresent Lhcolnslire Ints9￿ted Vduntsry EnxrgerySeNice Re9tstsrod ¢omp8ny nm*or 04680981 OUR YEAR IN REVIEW - LIVES 129 MEDIC FIRST RESPONDERS. Whenanemer8enry999call Is made. thepace at hich qualified medical profes51onals arrrve on thescene canbe plvotsl. In Some case5. itcanbe thed1ffere￿e betsveen suvvfvaland a fatallty. Durlng20J/22 ourcadre of 27 LIVESmedk5 attended 542Jobswhlch Ismorethan dwble thp amountundertaken inthe previous year.we had previously suspeThled ourrequirementsfor medlcvolunteersto commlttoa responding activity as manywere very busy intheiru5ual NHSJobs duetothe we55ure50f the COVID pandemlL Wearevery happytosee ￿nY of these VolUnteersre￿rnIn8to responding activltie5 ast￿ pressure5 Df thè pandemiceas•. ThaV5where LIVES Medic R?5ponders come in. Thelre tralned dortor& nur5e5 and paramedlcs. beyoThJthèt, they alsowveupthelrtlme forfree torespond for LIVES. BecJJsefor people like thenL the dedication to savlnglffq doesntt endwhen thelrshift does. Sincetho 197Os volunteer mÈdits have been bringingthelr skillsto medlcal emer8encies acro55 the county. often brinin8more skills orexperiencethan thosepossessed by a regularambulance crew. Recrultmentof new medlc responders has been paused durin8COVID. Durin8thisyear13 healthcare profe55ionalsattended a rNédicfirst responderselectlon event with nine 5ubsequentty offered a place a5 a LIVES medlcresponder. It Is plannedthatrecrultmentwill continuewith a small numberof medic responders joiningthe organisatlon eachyeartoen5urethat each can be supported to dÈvÈlop theirskilis.Regardless of a mèdit's bacKground, respondingas a solo re5pondertoanemergenry inyourcomThwnity can be qultedlfferentfrom yourusual work environmentènd s0edl￿at1Oft andtralning remain importanL Not allmedicresponders wantto pro8re55 to dÈliveringcritical care but forthose thatdotherels a defined pathway of educationand experienceto dos0. All our Medic Pirst Responders arefultysupported by LIVES.We provldpthem with spÈclallst oquipmentand acce55to advanced tralning50 they canfurthertheirskills. EverythlrEneededto perform complex medlcal prO￿dUreS,WhereYeT and￿eneVerthe¥re callèd upory Including Leadinga cardiac arrestteam, coordinating bystanders and healthcare professlonals during a cardiac arrest. Providing paln relief such as morphine to patientswho havesufferedtraumatlc Injuries. Travellingonthe ambulancewith the patienttoh05Pitaltoenable treatments to continue en route. Llncoln5hiro Integr0￿1 volun￿ Erwg¢rVs￿ Reglsteredcomp3fby numb8r 04680981 30 1 LIVES - OUR YEAR IN REVIEW CRITICAL CARE RESPONDERS. Ima8lnethe worst medlcal scenarloyou caFL Now Imagine ithappenlrBwithoutwarnin& You're rnilesfrom a (rltlcal carefacllity-your conditioni5 onthe brink of signific￿tlY worsenlng tf you dontretelve urgent medlcèl attentlon.There'snotime to transportyou to hosPltal. Llftrsavlng lrteryention Isneeded. It's needed nov¥.This 15 a realityftf thepatlentsour Crltical Care Respondersattendto everyday. thelrtlmetQ save li￿sthr0￿theIr$e[flesS workwith LIVES.theyare Ilterallya lifeline. Providin8sedotionatthe roadslde to straighten a badty broken le8and restore bloodflowtothe lim Iljttinga criticaltyinjured or ill patient Into amedlcaltyinduced coma to fflana8e their breathing and pmtect thelrbrainfromfurther damage. Lkndertake Ilfwvingsurgtcalpro¢edures Inthe communitysuch as openinga chest tostop bleedirEafter a stabbin& Our hightyqualffiedvolunteercritical Care Responders speciali5e indeliverlngrapld, advanced treatments. often In locatlonswhich are mllesawayfromthe hospltalfacllitles that thepatientneeds. Forthe pooplethey8ive up During 2021122, the team attended jobs. 22 EMERGENCY ANAESTHETICS DELIVERED PATIENT ESCORTS OR ON16 /• OF ALL JOBS 25 SURGICAL PROCEDURES UNDERTAKEN SEDATIONS ADMINISTERED Llncoh)shlr• Int•graW Voknntrry Enwg¢nry SeThke OUR YEAR IN REVIEW - LIVES I SI In2019 LIVES begandlfferÉntiatiFEbetween the skillsetof ourvoluntsermedlc respondpr5 and our critical care responderswho dellver thevery highest levels of prtrhospital interventlon& In 2022 we hove13 volunteer respondèrs perfomilng atthls leveL dellverwbg lrfesavingmedlcal and swgical wrterventions thatglve patlents the very best opportunlty to make Itto hospltèl ar￿ onto recovery. Therefore wi 2021 we launched a LIVES critical arecarto servethe comrfwJnltle5 of theea5t coastwho are often the furthestfrom the hospitalfacilitiesthattheyneed in anemergency. The coastal area isalso a challenglngarea for recruitingmedicalstaff and LIVES crltlcal care re5pondefsoftentrdvel extended dlstancesfrorn thetrhome5 orplaces of workto attend jobs In this area. Locatlngacrltlcal care car aThJ crew In the communitywill prowde moretimely andskllled responsetothose patlents that need itthe most. Durir82021122thissmall buteffectlve team attended 642iobs.They undertook 255urgical procedure450 sedatlonsand admthlstered22 pre-hospital emer8ency anaesthetics.Theytravelledto hospitalwith the patient onthe attendlngambularKelOI times, oron16% of alljobstoensure thatthe patientreceivedthe bestongoingcare. The car15 crewed with a criticalc¥edoctor critlcalcare paramedlc undertakingtJ¥ilight shifts carries extended capabiiitles beyond that of asolocritical ¢are responder includin8 blood pro￿￿ts and mechanicalCPR. Medic 50 also provldesan educatlon platformtoallow those Th￿diC responders aspiringto dellver critical careto develop experlence and skllls in anappropriatelymentorÈd ÈnvironmenL We have recognlsed thatthe modelof a sln8ie crftlcal care responderwith equlpment in theircar and respondingtoemÈrgenciesalone doES nDt appealto allpotential critical care medlcs. 50meof whomwould p￿fert0Y￿rk In ateèry on a shlft orfrom acentral locatlo Durln82022123we planto buildonthe critical C￿e responsewe can deliverto ourmost injured patients by wrplementkn8ProJertCode Crlmson. This project delivered in partnershlpwlth PothLinks and Èmer8ery service partners, will allow a LIVES critical care medictorequest blood productsare brO￿tt0 scenefor patlents who would benefitfromthls Interventlon ahead of arriwdl at Fwspital.The numberof patients whowill needthls aresmall butthis potentially life%aving intervertlon wlllbe a valuable additlonto our capabilities forth05e patlentswho we oftenmore than ￿ howfromthe hospfcal carethat theyneed. ctslnthire Intewatsd Voluntary Ernergm Servi ROst¥eil conN)any number04fj80981 32 1 LIVES - OUR YEAR IN REVIEW COMMUNITY EMERGENCY MEDICINE SERVICE. CommuAItyEmergencyMedlcine{CEMS}Is a servlcethats entirety￿1que to Llncolnshlre and its residents.This is rapid response with a difference.The CEMS team are equippe empowered and readytoallevlatethe pre5swe onthehospitalsystemthrough a ￿1qUe blendof 5kdl& diagnostics arKI decision*nakin8ability- care accessed ata GPsurgery, includingblood testingand ultrasound at t￿ s￿￿e. Rightthere andthery everythingis sorted andthe needfor the patlenttoenterthe healtkare system 15 minimised. lThb38ine the positi￿ impact that makeson the indlvidual and onNHS resource& Unlike manyof our otherresponseteam% the CEMS Clinicians are notvolunteers. thelre all paid medical profe551ona15.TheVre empowered byLIVESto make aludgement call as tovthich call-outs theyattend. based on cllnlcalneed and the direttbenefitto boththe patlentandthe ￿aIthServlceaS awholÈ. CEMSoffers somethirgqulteextraordinary.. Whereverthere is è medical Theed. we have the experlence and equipment on.board ourtlwee CEMS responsevehlcle% to brlng specialistrnedlcal procedures tothe patlent We provide enhaftced care, overand abovethe Inta9r*d Volwtary EmewKy SON OUR YEAR IN REVIEW - UVES 155 We have three hwly equlpped re5PDnse vehkle5 and CEMS Is supported solely byquallfied medical Specialists and experienced clinician4 includingdDrtor5. paramedlcs and rntrse5. GG Seeing the relief on the faces of the patients and their families when l arrive is so rewarding and that's what drives me to respond. The speciallst sklllswithlnthe CEMSteam mean they can carry wtmanyprocedures.that often an ambulance crewcannot.Thls could beanythlng from stltchireandtreatin8a seriouswound todia8nosiTrdandtreatin8complex diabetic emergencles Inthe patients'own homefor example-removingthestrainonA&E andfreeln8 It uptofoojs on otheremergencle5. In s CEMSfacilitatesoptimum discharge on scene and trlesto clrcumventthe needfor a patlentto ttend h05pitallA&E It 5IEnificantlyalleviatss workloads elsevknere in the health syste ncolnshut htegrdted Voljnw Erntrgenty Servict 34 1 UVES - OUR YEAR IN REVIEW The CEMSteam15commlttedto: Access to Infomatlon Is Importantand so we are pleased that systemshave also been Implemented cludinga¢cessto GP andAmbulance Servlce recordswhlch ensuresthatthe CEMS team ha5 access to approprlatepatient andactivitydata aswellasfacilitatin8effectlve comm￿LCatiOn wlthotherhealthcare profe$5ional& BrI￿nSfOCusédVaIue toa medical emergency51tuotiOFL DeliverirEmobileexpertise and innovation rlghtwhere Ivsneeded Comblnlng leading edge medicaltreatment v¥ith award winnlngtech Innovation to radlcalty iThprovepatient outcoffle5. During20J/22the CEM5tearn sawS701 patient5 With76.8%elther stayu￿at homeor referred forappropriate onward care duringthls eptsode.CEMS partlcularlytsrgets complex patlents whornay be ableto be kept at home throu8hadvanceddiagnostlcsandtreatrnents, howeverthere will always be aproportlon of patientsthatrequire admlsslonto hospital 2021122was thesetond full year of operation forthe CEMSteam.The team is madeup of 38 doctors.advanced cllnlcal practitloner& nursesand paramedlcsfrom avarletyof dtsclpllne&Thet?am adopts a wide range of workingpatternsfromfvlltlme to casuaL RecrUftrnent￿1I contlnue throu8hthe coming yearasth@tÈamcontinuestogrow. N20 CfP- Lincdn5hire Integrated Voluntsry Emarg•w ServKe Re91stW￿ company rythrber 04680981 OUR YEAR IN REVIEW - UVES 155 FALLS RESPONSE UNIT. For manysenlorpecple IEvln8alone in our comnwnlty.somethlnga5 simple asafall. could bethe beglnnlngof o horrlfic ordeal.The LIVES'Falls Response Unit meets a fuThlamental needfor older members of soclety suffera debllitating injuryatlK)me..toknow50meDne is there.We're on calltogettothose low Injury.yetpotentlally Ilfe changlngevents fast. Wetre there to ensure our elderly reSIdentsa￿ never left alone for a5econd lon8erthan necessary. fDllowlnga fall that leavesthem incapacitated. When anelderty person falls, thetrneeds potentlally80 way beyond treatmentof an initial injury. Thavsthy. whenthe call comes In, one of owexperlenced Falls Responders wlll beonthe Sce￿ quickly.to'. Conduct anlnltlal patienta55e5sment help to remob1115e. l¥ovide earlytreatmentto avold permanent damage. Determine clinicalneed and refèrforapproprlate treatment Undertake ayrailty assessmenv. to detemine If occupational health interventiors are requiredandarrarEe sh(rt termcare package5.whereappropriate. Look beyond the initial 999 tall made. tsketlmeto Identlfyany 51Klal care concemsandtryto make sure preventative measures are In place to minimise the chance of themfallirgagaln inthefuture. The Falls Response team arethere tomeet an tsntnedlate medical emergency need. butyrfe,￿jlsothere to meetavery human need too. Maybethays as 51mple as poppirEthe kettle ononcethe patient is comfortable and slttingwlth themfor a while. Maybe iY5 provldlng practlcal hew. such as movingthelr bedto en5urethey have an accessible place to rest and recover.ThaYsthe'FallsRespon5e Unlv. Th3Vswhatwe do. LiKc4nthire kntegrated V¢*JnW Servlce Registered company nwnber0468 36 1 LIVES - OUR YEAR IN REVIEW £6 For many senior members living alone in our community. something as simple as a fall. could be the beginning of a horrific ordeal. The Fal￿ Response Part￿rshIPwa$C0- cmmtssioned as a 5ervlce by Llncolnshlre County Councll and NHS LtKolnshlre from )ril 2021 followinga successful two yearpilot Thetsam of19 experienced Responder5 IS a ble[￿ of employed and casual stsff Yrtjowork to a bespoke scopeof practice Includln8the abilityto provide pain rÉliÈf.tèkè an ECGand specialist 5ki11s in the safe movlngof people.The tearn is mobili5ed in specialist 4x4vehicle5 that arrya ran8e of equipmentforsafermoving of people Indudlng liftingcushions and h)ists. Durirbg20211221,767patlentswere attended bythe Falls Response tea￿ arKlof these 54% have remèined athomÈfollowingtheir999 call. Futhrdevelopments ofthe service are planned indudingincrea5ingwound closure 5k1115 andthe abilityto referto additlonal pathways includingsocial pre5crlbing. Lin¢olnsly'r¢ Integr•ted Voluntsry EmErgenty Servic* ReglsterFd corry)any r￿￿)eV04680981 OUR YEAR IN REVIEW - UVES I 51 THE COMMUNITIES WE SERVE. LIVE5exlsts because ourcounty isDJraLthe Infrastructure Is sparse. andyetourpeople sufferthe same rr*dical andtraumatic emergencies every dayas those Ilvlng in cities orvrban areas. We believethatno one in our countysl*JJld suffer poorer outcomesfrom a medical Èmergency becausety liveorwork farfromth8 healtlKare faclilties they need Wehaye one clty, LirKolry and arovnd 30 markettOMTr5 andcoa5tal resortswith afalrly even dlstrltArtlonof vlllages acrossthe are OLtrlargest centre5 of populationare Lincoln lii&ooo}.Gr(msbyli34,000I. Scunthorpe{80,0001, Grantham{44.000I. and Boston141.000}. Intotslthewea covered by LIVES ha5jUSt ovori mllllon resldents.Approxlmately90.IK)O people live in area5 inthe tOPlO percent most dèprived In the country. Almost25percent of ourpopulationarea8edover 65 and this is predlctedto growfurtherincoffHn8years. LIVE5 is a Lincolnshire charlty. We Operate overthe hlstorlcal area of Greater Lincolnshire. anareathatextendsfrom the H¢Jmber to thewash and cover5 an area of 7,000 sware kilometr•sor1700 sq. mile& Thètr￿Sport Infrastructure In Llncolnshlre Is notably5parse,withthe onlymotorway connection beingthe MI80 irto the northof the area.TheAi rurs alon8thewestemed8e of thecotyandfacilitste5 acce55tDthe north and 50Uth. Intotalthereare 850 mlle5 of A roadsthatconnectthe maln service centresof the Greater L￿ColnshIre area Thearea Is lar8ely ruraland Is sparsely populated wlth anaverage of 150 people per sq. km comparedw1th417 persq.km acr05S England Inthe most sparsely populated district of East Lilld5eythere are only 80 people persq.km. Ruralareas mèke up 95% of the land area of Lincolnshire. Lnc￿￿h1re Integrated Voluntary Emewty SeryKe 58 1 UVES - OUR YEAR IN REVIEW SCUNTHORPE r80K PEQPLI) GRIMSBY C134K PFOPLEI M180 LINCOLN 1115K PEOPLE) B05TON (41K PEOPLE) GRANTHA14 [44K PEOPLE) Our healthsystem is comple& wlth multlple NHStrust5 and commissionin88roup5 and allsubJect to the challengesof fundlng. Lincolnshire is typical of many rural 5ettingswherp8096 of rural rèsldents Iivewlthln4km of a GP surgery, comparedwith 98% of the urban population, and only 55% of njral households. compared to 9PAof urbanhou5eholds,arewithin 8km of a h05Pital. The north and northeast of the county are served by h05Pital 5itesatGrlmsby and Scunthorp¢ withthÈ remainderof the countyaccessing hospltalfacilitles In Llncoln. Boston and Grantham.There is no MajorTrauma Centre In Llncolnshlre and ￿rM05t111 or Injured patients vlill oftenneed totravel outof countyto receive emergency care and treatment. The East Midland5 Ambulance Service Llncoln5hlre division covers the samearea a5 LIVES.The geographyand Infrastructurè of the8reater Llncolr6hlre area creatss challe￿$ for deliveringa tlmelyand skllled response to medlcal emergencle& LIVES existsto help addre55 these challtn8es. Lhcoln5hlre Integrat￿1 Voluntary Eftwr9enwSeNk¢ Reg￿tered company numbBr04680981 OUR YEAR IN REVIEW - UVES 139 Lkno)In5hire kntegrnt¢d VolLmtay Em¢rgew S¢Thk• 40 1 LIVES - OUR YEAR IN REVIEW SHARING OUR SKILLS LIVES EDUCATION. and Denmarkfcr overioyears andthere has beena steady improvementin patlent outcome5 IGIDbal Re5U5Cltation Alllance. 20181.Therefore. knowirE howto dellver safe and effectfve CPR Is a baslc skill that can save lÈves and one which is alreadytsughtto schoo aged chlldren In many parts of theworld. Every year. there are around 30,000 out of hospital cardiac arrests across the UK but sadly less than l in 10 people survive. For every minute defibrillation is delayed, the chances of survival fall by approximately 10 %. (Resuscitation Council UK. 2015). At LIVESwe belleve that•veryyoungper50n in Lincolnshire should havethe opportunity to learn IlfesavlngskillsbeforethÈyleave schooL In2019120 we launched ourschools partnership pro8rammetoenable every sthool in Lln¢oln5hiretoacces5th15 Ilftrsaving educationforthelr students.Sadlythe closure of schools and restrictions on socialgatherlngs during20201J have severely Ilmlted ourability to dellverthls IlfesavlngedLKationand it has beÈnslDwto rèsumefollowingthe easlngof restrlctions. Howevermhave seena re5umptlon of activity and durlng2021122we dellvered CPR warene55tralnlngto 30 prlmaryschools and sevensecondary. teachinga total of1,763 pupIIs under18thisvaluable and Ilfesavryskill. In recentyear5 there have been relatlvelyveryfew developments In Improvlng outcomes for patients in cardiac arrestbvtthe evidence base shows that improvements Inabout earller recognltlon andn￿re rnpld respons@to cardlac arrest with CPR is most likelyto make adifference. In Lincolnshire that mean5 more bystanders who can recogni5ecardiacarrest and start CPFL We also knowthat learnirEdoesn*finlshwhen you leaveschool.we continueto workwith communitygroups. sports clubs,falthgrwps and otheror8anisatlons, aswell as at communlty events toglve every personwho lives In Lincolnshire theopportunltyto learn lifesaving sklll&An evaluatlon of earller pro8rammesfound that85%ofthosewhot(bok part ina community trainingsession reported thattheirconfidence inperforrningCPR had improved followlngthe trlnlw Furtherniore, 8% reportedthat they had actfvely used thelrCPRtrainin& eitherln a medical emer8encyortoshowother5 what doto. Apopulation widelytrained in CPRhas the potentlalto double suryival rate& Evidence frorn other countrie5suggeststhat provldin8 trainin8 in CPR to members of the public has a slgnificant impact and irnproves patient outcoinesforthose whc*5uffera cardiacarre5t. Trdlftw￿ in CPR and howto V5ea defibrillator has been included In theschool currlculum InScandinaviantountrle5 suthas NorY¥ay L￿￿nShITe Intégrated Voluntary Erner9ency Sorvice Re￿5t￿ed company number04680981 OUR YEAR IN REVIEW - LIVES 141 TOWARDS EXCELLENCE CLINICAL GOVERNANCE. The quallty of carethatwe deliver is ndamentally importantto all at LIVES. Quality Is embedded in everythlngwe do at LIVE5. core Brtivty 15 trainingand equippingpeople with bDththe skills to make a difference and theconfidence to U5ethem. Many peijple are undearaboutwhata Clinical Governance system is andthere are nurnerous definit10￿￿t thatwhichwe prefer In LIVE5 is'a sy5temthroughwhlth or8anlsatlon5 are accovntsbleforcontinuouslyimprovingthe qualityof their 5ervltes and safeguarding hi standards of care bycreatingan environrTrènt Invthich cllnlcalexcellencewlllflourlsh. We are proud of ourgovernance systems thatare robust andallowu5 to evaluate and evidence the standards thatwe setfor ourselves andto putthlngs rBht qulcklywhere change is needed. There areeight pillars on ourclinical 8ovetnawKeframework OPENIESS- being transparentand hone5twith casualtle5. thelrfamilie5 and thelr representatives aboutthe standard and type of carethpy receive and deliveringa Dutyof Candour when things do notgo right LIIICALAUDIT- revlewirEa percentsgesample of activityto measure againstkey performance dicator&Aiso includesthe review of significantevent5to ensurethat lessons leamtto iryrovethe healthcare provision are identlfied and disseminated thinthè organisation CUMCAL EFFECTIVENESS- basing all activityon evidence that support5 thatthe activlty being delivered 15 safe. effective arnj meets thE needs of the Individual recelvlngcare where possible. lookingat the healthcare that 15 delivered to evidence concepts.trial new clinical artlvities give opportunity foracademlc research to underpinfurther developments. Often involves collaboration with academic healthcare organisatlor and educational E5tabllshments Lkncolnshlre kntqgratÈd Wunlary Eme￿￿￿ s￿￿e 42 1 UVES - OUR YEAR IN REVIEW EIXICATIOIITRAINING ANDCONTINUING PROFESSIONAL DEVELOPMENT- ensuring thatthe standards of Inltlal and ongoin8trainin8 re commensurate with the scope and needs of the organlsation INFO￿oN MANAGEMBif-ensuring that any dinical records of care ère comprehensive, ccvrate and kept safely in Ilne wlth GDPRprintiples and Medlcal Records Act riisK MA1IAGEP￿l{r. understandlngtla55ifying and mltlgatlrgthe rlsks that are a550ciatedwlth the deliveryof healthcar oriThJeedthe risks of not deliverlnghealthtare thatshould be PATIENT AILI CMER EXPERIEN￿ AND INVOLVEPWIT- ensurlng feedbackls soughtfrom personsytho come Into contact withthe service as patlents arKlthat learning 15 shared acrossthe organi5ation CARE QUALITY COMMISSION LIVES has been registered as a health care providerwith the CQC since August2011 forthe delivery of transport services. triage and medical advice provided remotely, and fortreatment of disease, disorder or injury. During2020 and in recognition oFthe expansion of both ourski11set and available technologies,we expanded our registration to include surgical procedures and diagnosticand screeningprocedures. areas of good and outstanding practice and with no recommendationsor action5. During2021122 LIVES undertook several conversations with the CQC underthe transitional monitoring aFrangements as CQC visits were susponded due to COVID. No concerns aboutour8ovefflance or compliance were raised duringthese discussions and we look forward to welcoming the CQC to LIVES when restrictions are lifted. LIVES wa5 m05t recently Inspected bythe CQC in January2018 with the inspection focused onthe provision of sèrvices using ourambulance. both patient transport and event first aid provision. The report wa5 very positive, identifyiHg LIVES values our CQC registration highly and continue toadhere to the standards requiredto ensure we remain compliant. Reg15terpd conyny numbort)46B09 OUR YEAR IN REVIEW - UVES 143 WORKING WITH OTHERS THE IMPORTANCE OF PARTNERSHIPS. Partnership i5kwto LIVE5 delivery of servicesto the communitie5 thatwe serve. We have anumberof Part￿r$ in deliverln8 both an e￿rge￿reSPonse andskillsto our Cr￿munities. aswell as in advancingthe cause of pr￿hOspItsl emergency medlclne nationally. fortheir de&icatlonand comiitment. Durlr 2021 we have be8undeliveringmedical trauma trainingto LFRfirefighters across Llncolnshire to en5vrethat theyhavethe skills and confidence they needto respond to the medicol needsof pètientsatlncidentstheyattend.This has led to further Dpportunitiesfor partnershlpworklng Inclusyingthe developTh*nt of an RTC (ro traffic Collisic￿)COurSef0r LIVESresponders that Integrates wlth ￿ LFR (kill Th￿tfor tearr to havethe oPp￿tunItyto wcrktogether. LIVES works in close partnership with East Mldland5Ambulance Service NHS Trust IEMASI and th15 PartnershW Is keytothe deployment of LWES responders to medlcal ernergencles acrossthe couity. LIVES respond5 to patient5 atthe invltstlon of EMASand volunteers are deployed bya d?dlcated teamof dlspatchers wfjthln the EMAS ccrtrol rooThL Cooperatlun between EMAScrews and LIVESteams on thefront linewith patients is overwhelmingly Positive andcontrlbutes tolmproved experlence and outcomesforpatients.The relationshlp betweenthe organisations lsgoverned by a servlce levelagreementwhichwas renewed 2020 forafurtherthreeyearterffL We welcorr*new partnershlpsand have been VEryhappyto develop our relationshipwiththe Unlversltyof Lincoln overthe pastyear. wlththts culminatlnglnthe slgningof a Memorandumof Understandin8between LIVES andthe Unlverslty In20J.Wp are pleasedts beworkirgwiththe Universltytodevelcpa postgraduatecertlficate In prtrhospitalcrlticJl carethatwill welcome Itsfirst cohort of students in 2O2Iwe￿è alsowelcomed ourfirst5tudentsfrom acro55the Medical School andtheschool of Health and Careto placementswlth LIVES service5. artd look forward to collaboratingon researthtofurtherthe developmentof pre-hospital ernergerKymedicine. LIVES has worked ￿fL￿rnal partnershipwith Llncolnshire Flre and Rescue ILFRI sincethe start of the Cornmunlty FirstResponderScheme in 1999 buthas cooperated atthe5cene of inaderts sinceour inception ini970. LFR volunteerfire fi8hters are trained as ctrresponders and attend medlcal emergencles inthelrcommunltle5 under thetralnlngand clknlcalgoverrkince 5tructrJre pmided by LIVES.The5e co-responders make $18nificant contributlonbothtothe charity andtothelrcommunities and wethankthem Lincoknshire Integrted Wunt•ry Em¥g¢rty Serylce R89tsteved company number04680981 44 1 LIVES - OUR YEAR IN REVIEW USING TECHNOLOGY TO ACHIEVE OUR AIMS. ThE Use of technology has become increasingly important to all aspects of LIVES activity. includingthe delivery of educatlon prD8rarnmes, the use of èquipmentfordiagnostlC5 and treatment of patients in the field. to the mainte*)ance of patient recordJ and communications with LIVES members. both cost saving through the more offective use of con5Utnables and quality through the more robust and timely management of equipment or consumable recalls when èdvisEd by regulators. This system will be embedded in the headquarters operation duringthe first half of 2021 before being rolled out to voluntary responders atdistrict level. Technology has driven a number of advances in clinical iare delivered to patients. CEMS teams routinely use handheld ultrasound scanners and point of care blood testing technology to inform clinical decision making. Durin82020 LIVES has established a defibrillatorreplacement prosramme whichwill result in all defibrillators and advanced life support monitors being ronewed to the Zoll platform. In tho 2021122 year wo rollod out 75 dofibrillators to Community First Responders and Medic Responders and 11 advanced life Support tllonitorsto Irilical care Responders. All devices are wireless enabled which will allow us to capture real- time rescue data for sharing with c5inician5 in the patient'5 onwardjourney. for review nd auditwiti ihe aitending responders to ensure the best quality clinical care. During 2021/22 we have begun the first stages of an ITsystems upgrade thatwill Ljnderpin the development of a charity-wide information reporting platform. Microsoft Dynamiis 365 Business Central was adopted a5 a finance system and implemented duriTrgQ3. Work on developingthe Dynatnic5 365platform to provide a CRM 5y5tem for volunteer rnanagemènt is underway and vwill be completed during 2022123 This will provide LIVES ReSPDnders with the up tu date information on their education, activity and availability. Future plans include the development of a Dynatnics 365 database for supporter information. and an electronic patient care record system that will be accessible from a mobile device. In April 2021 LIVES implemented an online inventoryrnanagement System to trackthe usage of medical equiprnent, consumables and drugs acr0$5 the orgènisation.There are benefits in Llrtdnshlre Integr*d Voluntary Fmerg￿5¢rt* RogISter￿ ctynpatyThJmb4Y 04680981 OUR YEAR IN REVIEW - LIVES 145 THANK You Volunteers are at the core of LIVES and without their skills. enthusiasm and dedication we could not provide life-saving care to the people of Lincolnshire LkKolnshlre Integratedvoluntary Erne￿￿ Swvte Rgglst¥¢d ¢omp8ny nLmb¢r 0468C19BI 46 1 LIVES - OUR YEAR IN REVIEW Volunteers are at the core Df LIVES and without their skllls.enth￿S1asM and dedication Nye could not provide life-5avingcare to the people of Lincolnshire. We are Stncèrelygrateful for the enDrmou5 contribution that these extraordinary people maketo the care provided to people sufferlnga medical emergencyin our county. We depend on the generoslty of our donor and supporters for providingvital funds to allow u5 to carry outour life-savingwork. We thank each of them for their 5UPPOrt.We hope you neverneed us but yourgenerosity allows us to be there for so many pooplo irn Lincolnshire every year. Ourstaff underpin the charity èndallow ourre5ponders of all kinds to deliver care to patients in need.we thaTrk each of them, be theyclinical, education or support, forthe extraordinary contribution they have made in the mosttrying of circumstances this year. Lkncohthire Irrtegrated Vohjrtary Emer9ewStN*e Reylst¢red ThJrber046B0981 OUR YEAR IN REVIEW - UVES 147 OUR INCOME GENERATION Income generation continues to strengthen with the fifth consecutive year of income growth in 2021122. Our total Incorne wa5 £3.676million. compared with E3.15Omillion in2020121 hich repfesent5 an increase of 16.7%. This amazing achievement is onlypossible due to the8enErosity andcommitmentof our fantastic 5UPPOrters towhomwe are so verygrateful. There are several factofs contributingto thlsgrowth includinga positive retum to the delivery of educ)tlon to commercial clients followingthe restrictions of the pandemicand strong sales of equipment. Fundraising income grewby 7.2% over another challengingyeaf inwhich much community fundraising activity continued to be curtailed by the pandémic. LhKdnshire kntèak7ted VO￿ Emergency se￿[¢4 Roolst¢r£d Com￿nY numb¥ 04680981 48 1 UVES - OUR WR IN REVIEW L6ncdn5htre IntsgRt•d Voluntary Ssrvk• Reglstetrpd company rnTrber04690981 OUR YEAR IN REVIEW - LIVES 149 RAISING FUNDS. COMMUNITY FUNDRAISING Althcmjgh manyof the COVIDrestrictions were eased,20JI22 continued to be challen8ingyearfiJrcoN4Trunlty fvndra151n8 as a lotof the big events arOUndt￿ cO￿ty werestill notopen butwedld see a lateflurry of smaller5cale Shows later inthe year. fundraising expertatlon&Aspon%)red fitne55 event Incleethorpes involvin8ateamdolng 40.000 burpee5 was ￿ldt0 thank the LIVES Crltlcal Care Paramedicand Doctorwho attended to thegym oyfflerfs mumafter shewaslnvolyed In nearfatal accident. Itis events such asthisthat brin8communitiestogethertosupportthework of LIVESthat areso vital to fundin8the deliveryof our emergencyrp¥onse andwe areverygrateful tothose who undertakethem in aid of ourcharity- A laoe partof attendingshows isspeaklng to people in the community.. showcasingthe charty, whatwedo. and howwe do it. It also allows U5 to uphold of ourcharftablealms iich Isto educate member5 of the publlcabout howto recognisethe siyts of cafdiacarrest andhowtDreactto iLNot only is thisa skill thatcould SavesDll￿one's life,but it isalso a tonversatlonstartervthlth often leads to an opportunityto attenda schooL orto discuss trainin& orhowa men*erof the publlccan be Involved wlth afundraiserora Responder. Ourfundratsingvolunteer5 are cnjclal tothe delivery of ourfundrai5ingèctivities and provide supportacross a range of activities in the communitysuch a5 5ervicin8our£ollection boxes.tslklrrfdto local schoo15and COMM￿Lty groups in ordÈrto ralsethe profile of thechKIty. attpndirg localshowsand eventsto support our 5tand5.we knowthat manyof thesevoiunteers have been disappointed tobe unable to take partinfundraisingactivitie5 thisyear.Weare immenselygratefttlfortheirongoings¥)port and lookforwardto seeingthem again in2022121 Notable commtnityfundraisingeveftts durlng thisyear include a charlty auction atThe George in Langworth which farexceededthE organ156TS I￿lre Integrnted Vol￿tary Em8wrKy Se￿1¢e Re9bsteved Company numb¥ i)4680 50 1 UVES - OUR YEAR IN REVIEW CHALLENGE EVENTS Many of oursupporters like a sense of achievemont wh':Ist r31singfunds for LIVES and providinga range of challenges has become an irnportant mechanism to acquire nEW donDr5. whi15t in5piringour existing supporters.This 15 Still a new income stream for LIVES and one thatwe hope will grow in the coming years. Although COVID restrictions were lifted, hosting events in 2021122 was still unpredicatable and so we made the decision to continue with hostiFEevents virtually. In May we hosted 51 Miles in May which asked people to cover J miles ihroughDUt ihe month of May and was an excellent. small-5cale opportunity for testingour nèwdonation platform. Enthuse.The Enthuse platfom links the fundraisers Strava to theirfundraising pa8e SO It was easy to keep a track of how many rniles each persDn ha5 done as well as howmuch they have raised. In 5eptemberwe hosted our largest virtual event yet. The Lands End to John O'GrDals virtual cycle.This saw host of teams takingon the 874 milesto coverthe length of the country. The event was sponsored by Ringrose Lawand in total raised over£7.000 and by the time wo had finished, theteam had covered a staggeringi3.520 miles between thèm.we also held a Longwalk Home For Christmas challengewith the much smaller target of 24 milès between the 1st Df Decetnberand Chr15tma5 Eve. Jiiqiiiiiii.I Aside from the virtual events. we had a team Df runners head down to London to take part in the London Landmarks Half Marathon. This is an amazing event andget5 bigger and biggerevery year. In Octoberwe had a tean of 46 runners take part in thè Lincoln iok.WÈ'd like to give special Mention to LIVES Responder Lee Cook who ran it whilst pushing another member of the teaffl around in a wheelchair. "-T.HANK. ¥,YOU' LI￿Ins￿le Int8gr&ed Voluntary Servke Reglstor¢d company nwnbor04680981 OUR YEAR IN REVIEW - UVES 151 LOCAL BUSINESS SUPPORTERS Ourbuslness Partnerships are 50 Importantto u&As well as ralslngvltal funds.ourbuslness supporters ralse our profile wlththelrownemployee5 but also offerustheopportunlty to developour netY40rksto include their customers partners too.we knowthat manybuslne55e5are experlerKin8 challenges Inreturnlngto moreusualtradingafterthe last tWDyears of the pandemic andwevalue all of the businesses thatwe havèworkedwith us and supported oui wortelther throughfijndralslng events ordonatlons of tlme orgoods. LIVES. Ourpartnershlp wlth Rlngrose Law extends overrnanyyear5 and we ¥vere delwedto collaborate wlth them onthe production of the Llncolnshire Kitchencookbook lastyear. Thlsyearwe have beendellghted toworkwlththemagaln to stagethe LIVESIRin8r05e Law Sulicitors Etragon Boat Festival 2022 whlch ralsed bothfund5fDrLIVES andthe profile of the charity. attr￿ted excellentmedla coverage and has bulltthefoundationfora bigger￿d better eventln20 TEAM LIVES REGULAR GIVING PROGRAMME We were alsogratefulforthe supportof Pepperells Sollcltor5 in stagin8 ourfirst legacy campaignthis year. The Soc￿1 media carr¢pai8n ranover Several weeks andfocused on sharing informatlon aboutthe Importance of makingo will and the difference thatle8acles can maketo a charlty. 4Jrlnglhep c. recrultFneit to Q8ular givingpro8¥Jrnrne wèspa "du4totFi8 Inablltty to re*l￿rt tr)e ..dtsftorslfta fat+ttrfa'te enwronmÈM Re8ular sivjn8 Incfjme Erpfore ltyJ yei tortctsvtr em he fDrmèr Èrfend IVFS rfgulaf Ivm¥prpsr3mme'hasbeEniebi'and s Tèam LIV¢S aDd thll litsnchè 3023￿.￿ bGth a Pxe.to4ac*￿d 'onllne gi¥'i¥EPIJ I¥L4mm? We coniiiiue to spè 8IYlfl835 a fw?danenl Incomo 511eairiwid arè ¥eryBrat?lul to Iho5e.dowr5 59e fil tfjgivg u_ srywll dortgttOII Q b¢lji5. LIVES. LIVES. ES Unc4)InshwE InttrJrat•d Volurtary Em¢r9ew S¢Thlc¢ 52 1 UVES - OUR YEAR IN REVIEW GRANTS AND TRUSTS Durlng20J/22we hwe continLsedto build onthe grants andtrusts pro8ramme thètwe launched priortothe pandemlcwe have identified8rant fvnderswho havean interestin ourworkand are Lxtrefflelygrateful to those who havesupported our chèrrtythi5 year. Grant Incomefof 20J122 decreasedfrom£207.049 in 2020121 whlth was D•fibrllkn I￿0￿¥￿¥ a reflectionof the addltlonalgrantsavaitablÈfor In201gLIVES embwked onan ambitious covi[>relatedartlvltles.tO￿37.33s in 20J/ projertto provide every Responder with a The verygenerous supportof the5efunders has newgeneration defibrillatorthat can share allowed LIVES tD delivera numberof Inltlatlves live patientdata with otherresponders that supportthe people of Lincolnshire. theho¥*ltal via the tloud.This technology will revolutionise howv￿trainand respondto patients lncardiaca￿e$t and undoubtably save many more Ilves everyyear. LIVES have raised over£ll&OOOtowards this projectto date,with overE6&000 raised duri￿thiSfin￿Cia1year. d teckno10￿es thatwillfeatwe In ProJect Lifesaverfs Immerslvesuite. informin8 our approathto crÉitin8a trulysector leadlng learningenvlronmentfor ple4￿)sPItal emergency medicine whenthe facilityis launched. Eart CMrtCrftk•l Cw• ¢•r. Il•d¢ SO. Followingfundin8from BASICS.enabled bythe Helpappeal. to purchase a vehicle ift2020to supporttheplarformthe East Coastcommunlty Fundand the Henry Surtees Foundation awarded LIVES wlth8rantsto ensurethe Service carrles the latestsertor leading life￿in8eqU1pfflent. whlchwlll sUPPOrt someof the m05tserious999 emergencies in the area. Support from these fvnder5 has coveredthe capitalcost5 of launchlng thls entlrely newaspect of our voluntary resporfje thiSyear.Incl￿1lr￿the hlghestvèlue sin8le8rant owcharltyhas everreceived toward$ ourwork. Our slncerethanksgoto thefollowln8 organtsatlons fortheir8ener￿s supportduringthls year. (BASICSI •￿•bI￿ bythe HLPApp•ttL CD5 Adlon Ch¥ltsblo TruBt Gr4ntS(ap• Uh•Or•t•d E•rt Fundingfrorn BASICS enabled bythe Help appeal has beena catalysttowards laL￿thIng our Codè Crimson Proje¢ whlchwlll corr wrto frultion in 2022. Code Crimson bullds uponaforrnali5ed agreementwlththe NHS to ènsure whole blood product5 areready fortollectlon by our Responders erprouteto seriou5 Incidents￿en Itls nèededtwen four hows a day.seven days a week GrOunthv￿UK.T•Kts ofH•lp Help fDrH•Jlth Onp C•mmrAtle5 ComrnunltyGr•nty PrnJ•d Rusbylknp B•Mvol•nt Fw Th• l¥•ll•nd Ch•rttshl•Tr4Mt Li￿￿1Th￿ c0mnw￿ FouThlttion (Tklt Knoll Offffihorn WlrA F•m) Comnwnlty FUMI Unlv•r•lty of Llncoln 1PMd￿dy1ty Uthwslty tsf Untoln'i PrnduGtlvlty Vwdxr Sth•m• Supportfrom the Productlvltyvoucherscheme has enabled LIVESto explorethe science Lkn¢olr*hire Integrated ￿Trtary Emergen¢yknice OUR YEAR IN REVIEW - LNES 155 LEGACIES We are imtnenselygrateful to those donors who have been generou5 enough to remember LIVES in thÉirwill and very thènkful forthp contribution thètthey maketo ourongoingcharitable work Historically legacie5 have formed a very small income stroam fDr thè charity. Although we have startèd to see some growth in this income stream in recentyears it remains a relatively Small and unpiedictable contributor to total Incorne Overthe last three years we began to promote LIVE5 as a potential beneficiary of legacy donations including providinginformotion Dn our website. This is a new area for the charity and we understand itwill be many years before we see the benefits of work done today. PROVIDING EDUCATION TO OTHERS Krnwledge 5harlng Esa powerful thin8.And never moresothanwhen tt equlps indlvlduals iththe potentialto change lives. The provision of traininghas beena8rowin8 Income streamfor LIVES overseveralyear5. Educatlon Income has Increased by28896 to E39Z927followingthe resumption of tralnlrydactivity afterthe pandemlGThls 15 an important Income stream and one thatweforecastwlll continuetogro UVES provldesfirst aidaMI pr*hospÈtal erner8encymedicinetrainingto individuals. b4tsinessesand Industyacross Lincolnshire andbeyondwe teath people howto react In a spettrum of emergencysltuatlons. From treatinga physlcal injury.to providingrapld inteNentionstoan iThJividual in • lif*threatenin8 condition ormental crfs15.Training people with and wlthrjrt prior medlcal k￿ledg& pa5sin8 onthe life-savingskills.we￿eBaIned overyears andempoweruEthem to be life saverstoo. Wedeliver qLFa1ification5L￿beha1f of three wardlng bDdies.We have dellveredthe Qualsafe sulte of pre-hospital andfirst aid CLwrses slnce 2016.and in 2019added Mental Health England coursesto ow capabilitie5. Dwing2020 ￿ were veryproud to begln dellYerlngThe ATACC Group range of high fidellty Pr￿hoSPital CDurses.The varietyof Oureducati(￿ provisionmeansthat ¥￿ can dellvertrainin8thètmeets theexart needs of thÈ diènt or Industry underpimed tynatlonally reCO￿lSe￿ ￿alIfiCatiOn￿ EILTH Wèare proud of our highlyprofessional cohort of educators who deliver engagln& confidenctrbulldlns cons15tentlyhighqLkallty trainingtoevery llamer they encounter. i/ Lhcoknthwe kntegraterthemto acquire skills, be safely deployed and keep Intouch wlththe charity and eachother. Overthe nexttwo year5 LIVES wlll Implementthe Micr050ft 365Dynamlcs plarformthatwill supportcore back office fiJrKtions and allowresponders easyaccess to Infomatlonthat theyneed.Th15 beglnswth the deliveryof Responder Central durirE2022 whichwill knldvoluntÈerpersonal informatlon. education records and currency da5hboard5. a5 wella5 availabllltyand artlvltydata FLrther Into thefuture, wewlll developan electrDnic patientreportform to capture patient data and interventlonsat sc￿e. Inltlal scoplngof this will be undertaken In20Jl22to identifythe most ppropriats solutionforourspedficneeds Overthe lastfiveyearswe havo reviewed the clinical and education modelsforvoluntary Response. Inthe comSngyearwewlllrevlewthe operatlonal and supportstwcturesthat underpln thedelivery of C¢￿￿unity emer8encyre5pon5e. The aim i5to ensure a robu5tandflexible structureforVoiuntaryRe5pon5ethat 5UPPOrt5 respDTh4ers to deliverexcellentcareto patients. Recruitment of Community FirstResponders has resumed followlrgthe pandemlcandwe planto rKruitlOO new CFRseachyearwith recruitment targeted to meetthe neecls of the communltles. In2021 webeguna prograMTh￿t0 replaceow estate of defibrlllat0rswithstat￿f-the￿rt unlts manufactured byZoll.Thi5 vogra￿￿e wlll cost£750,000 and befunded bygrantsand donation&The newdefibrillators havea number of advantages tnciudlng provldlng coachlng and feedbackto the individual carrying CPtI and standardi5ingdefibrlllatorconsumables acrossthe charity. therefore reducingthÈ needto hold dlfferent manufarturer5 5upplie5. Most importantly. all data relating to an Incldent is captured andstoredelectronically via WiFi and able tobe reviewed audited I providedto healthcare profes5ionalsto gulde future treatmentforthe patient. Llncohth*e Integratsd Volurtary Em¢rgry Swv Reglstwed cortwany nUm￿r 04680981 OUR YEAR IN REVIEW - UVES 169 COMMUNITY SKILLS Atourcorewe a￿ a tmwnurAty4asedcharltythat15 corfmltted tolmprovln8the tyrtcomes forpecpleln o coThThunitlÈs.We wlllcontlnueto deve1opourcomm￿1ty educatk)n actlvltle5wlthschoo15 and conThunity8roupswith *he8oal of providin8Èveryyoun8 personwlththe opportunlty to leam Ufe-savingCPRbeforethey leave 5th001. In t￿cOMI[r￿YearWewlll revlv*vour pro8ramme of delivering communityeducatlonforbystsnder CPRand considerthe expanslonof this to incorporate other lifesavin8skills.we knowfrom w*COVID pro8rinMnesthatthere Is demandfor these skillsand the intematlonal evidencebase for the impact on patientoutcome5is posltlve.Wewlllbe seeklryfundlrEto developthls inltlatfve Intoan on801￿ 5UStainable pro8ramme. Wehave be&￿t0 develop a modelforan entry level LIVES re5poTrJerthathark5 backtoourroots as an Inltlal response to cardiac arrests.This responderwlll onlyattend cardiac arrests ththelrlmmedlate vlclnltyand will be equlpped to dellverbaslc lfjfe supportand defibrlllatlonto patlent51nthefir5tfewminutÉs followln8theircoUapse. Ouraim isto recrulta large Thjmber of these responders acrossthe couirtysoeveryperson in Lincolnshire Isnever rrvye than a c￿PIe of mlnutesawayfrom a reSp￿der whocan be deployedtothem Inthi5 lif*threatÈnln8sltuatlon. COMMUNITY EMERGENCY MEDICINE Community emergerncy tnedicine 15 an emerging 3rea of response and LIVES is at the forefront of delivering innovative response models thèt meet the needs of Lincolnshire.We beliove there are a numberof other'pillar5' of CEM that will ernerge over the comingyèars and are keen to be part of the developmentofthis excitingarea of practice. In the immediaLe future ourplans including developingfurther pathways and skills for the Falls Response teams includingwound closllre. CEMS will be working with the NHS to review the delivery of the service and identify clusters of patientneed thatcan be addressed by the spetialist skill set of the highly skilled team. Urt(4￿h￿r• Int¢fvdWunt•y Em¢rgen¢y Se￿1¢? 70 1 UVES - OUR Y&4R IN REVIEW JTICAL CIRE TEIII RESEARCH AND INFORMATION LIVEShas a charitable objertivetoadvancethe tause of Pftrhospltal care on a natlonal ba515.we wantto contributetothe growin8areas of researth into thedellveryof pre-hospltalemergencymedlclne, aswell asto researcharound humanfactorsand marginalgainsin medicine, and tothe development of organisation and volunteerleadershlpmodels. Wehaveformed asmall group of responders Ytho have an Interestln undertakiTh8 research projects lnthefuture.we will further develop our relatlonshlpswlththe Universlty of Llncoln and Identlfyopportunltle5 to bulld Ilnks wlth other re5earchpartners. Dur[r￿2022We￿Ill present Posters at a mlnimum of bvo appropriateconference even ￿￿￿￿$￿re Integr￿ Vc4urtNy Errrncy OUR YEAR IN REVIEW - UVES I n FINANCE REVIEW AND ACCOUNTS Income and Expenditure Financial sustainability isa keystrategic objective forthe charity.we can onlydeliver care to patients. education to our own re5ponder5 and to communitie5, and plan for future growth if our income is 5ecureand we understand and control our costs. Historically LIVES relied on community fundraising togenerate income to Support the delivery of charitable actlvity. Forthe lastfiyeyears Dur strategy ha5 been to diversify our Income streams. develop new source5 of funding and mitigate the risks a550Ciated with income generation.This strategy has contributed to the sustainability of the charity through the difficult years of the COVID pandemicand to a positive financial position. L￿1￿hIre Intèaratsd VoiLmW Emwgency Setrvke Reglstered¢ompary 04680981 n i LIVES - OUR YEAR IN REVIEW LIVES. Lincolnshire Integrated Vohjntsry Emergew Setvke OUR YEAR IN REVIEW - UVES 173 INCOME Total income fortheyearwas£3.676mllllon. compared wlthEal5Omllllonln2020/J which represents an I￿rease of16.p16. Thls i5the fifth consecutlveyearof Income growth for the charlty and Is allgnedwith ourstrate8icaiffl of ensurlngthat LIVES Isfinanc￿lI¥SU5talnab1e. In2020121. Howeverfundra15kn8lncome lexcludinglegacle5}decreased to £41Z319-0 decrease of10.i%fFom£458,832 in2020DI. Grantlncomefor2021122 a15odecrea5ed from £207,049 In 2020121 which wa5a reflection of the additionalgrants availablefor COVID- reiatsdactivitie& tu £137.335in20J12Z NHScontrarted Income wa5 securedwiththe formal comm1551onlngof theFallss•rviceafter atwo-yew pllot. I￿O￿efrOM NHS Contracts accounts for53696 of all intome_This is a percentage redurtionfrom the prevlousyear as other incomÈstreams havegrovaL Re8ular8ivingmembershipfromthe Frlends of LIVES programme dropped bylO.o%.Thts can be attr(buted tothe ongolngeffects of the restrlctions onfacfrttrface reuultrnent of rth men*>ers duringthe pandemlc. Regulargiving income decreased from £96,828to£8sTr-a decr9è5o ofii.6%. Incompfrom Communlty Engagement Increased sIEnfficantly in 2021122 as adlvlty thathad bepnh3rrpered bythe pandemlcresumed. Con¥nuntty Engagement Include5 income from sale of defibrlllator5 andother equipmen¢ educatlonsale5 ￿dc[in1caI 8overMnce consultancy providesi8% of all income. C•mmunlty Emttpnry MDdldnè £1.96&486 Donotlom & L•pd £613452 Education income has Increased by 288% to£392.927followlngthe resumptlon of trainingactivlty afterthe pandemlc. Thls 15 an important Income streamand one thatweforecast will contlnuetO8row. Emrg•n¢y R••pongQ £381894 É66%984 Othwlnw £38.866 Sale of goods increasedby955%to £2uJo. Thiswas in part contribLtted to bya si8nificantsirEie sale. Incomefrom clinicalgovernance conwEtsncy was£44558whith Is reported asa distinct inc0mestreamf0r￿firStt[ffle In2020lJ.This is a small redurtion on the previousyeardue to a declsionto end a contractwith a cllent. £3.67&682 Although 2021122wa5 lesssubjectto lockdown& Itwas In maDyway5 a more difficult yearfor fundra15ing. Many events dld notrun durlngthe yearand grant incomethat had been available Inthepreviousyeartodealwith COVID￿elated pressureswas lessavallable inthe reporting year. It￿d$ a dfficultyearfortraditional fundralsingactlvltles although total fvndralslng income Ilnduding le8acie5}for2D21122was £611452-an increaseof 72% from£57Z248 Lint(Anshke kntegrated Voluntary Emetswcy SekvKe 74 1 UVES - OUR YEAR IN FEVIEW EXPENDITURE Total expendlture was£1462milliorL an iwea5e of 40.o%from£Z473mllllon In2020121 vthlch Yia5 anticwted. Thegrovrth In expenditure15 In large part attributedto Increased eosts inthÈ delivery ofcommunlty Emergery Medlclne 5ervice5 a5 recruitrnentof staff that had been curtailed durin8the pandemlcwas resume .681.579 £723.513 Communlty Engapm•t £781759 Ongoin8workto mitigate costsandensure appropriate èxpÈndlturÈ contiNesacross t charlty. Cost5 have been predictable through 2021h2with increases In expen(nture dlrectly relatsd to fijnded programmesof work While therewas aswlficant IncreaselnexpeThJiture a8ainst Comm￿LtY Engagement1111.5%},this is offsetbythe149.4% Increase In related Income. £271.566 Oth•r Totsl £3.461497 Whilstcost control is importanttott prndent mana8Èmeht of thetharity, it should benoted thatthe wèlity of care delivered to patlents ts centralto detlslon-makir The cost of fundralslngreduced byi%and returnonfvndra151ngactlvltles I￿reaSedfrOM i08.Ph in 2020/1 to12&9% in 20￿/21 ThÈtotèltost of tharitable artivities increased by 45%. howeverthis is in part offsetby overall Increaseof 18.796 in related incomÈ. The greatsst proportion of expenditure is attributableto Corrnnunity Emergency Medicine14&57%1.This also representsthE 8reatestprowtion of income{¥358%1. CHARITY RESTRUCTURING LIVES has grown significantly overthe13Stfive years and undertakes a broader rang2 Df activities across the Iharitythan has previouslybeen the Cose. It is forecastthat the charity will continue to grow in the comingyears. both through th continued development of the education oflering and through new business opportunitie5. LIVES Education Limited has been formed to sell and deliver the commertial education services thatthe charityundertakes. It began tradingfrom IstApril 2022. A busine55transfer agreetnent ha5 transferred assets and iontracts to the new entity butEII staff remainthe employee5 of LIVE5 due to the dual nature of their roles. Lfjn¢Ol￿th Ints9rated VohJ)tsry Emergery ServK8 OUR YEAR IN REVIEW - LIVES 175 MANAGING RISK ApyoA¢h t•Rl•k ￿n•1•mITht OperatlonaL Flnanclaland Compllance-to ensure thatthe Board Is alwaysfully Infornied of the overall risk picture, its mana8ement and mlt*tiorfj.All ri5ksare reviewed and Tnanaged atan apwopriate levelby Rlsk Management Committee. and allslgnlficant risks are rep)rtedand rev(ewed at each Board meetlngwhere managementand mitBation mea5ure5are (ftscussedand a￿eed LIVES operate5 In an envlrormentwith Inherent risks bothtothe charityand inthe deliveryof Its core charitable activities.The charltytakes proactlve stepsto evaluate a￿1 mttl8ate these risk&Th15 proce551smonitoredthrou8hthe Risk Management commltteevtho meet warterty. LIVES mana8ementprotesses èliowforboth bDttom-up andtopdown risksto be identified. welghted. monaged and rniti8ated.The objertlve isto quantify rlskas accuratelyas POS5ible and assess potential impacton stratebTC objpctives.This in tum allow5forthe proper prioritisatlon of investrnentdeclslons and future operational act(vlty. LIVES contlnuesto Invest In tts rlsk managementand compliance apabilities a5 partof an evolvingproces% In 2022the investment included the deplDyThent of a Learnin8from Events system to slmplify and streamline the captwe. investigatio Managernent￿d disseminationof learningfrom incidentsthat occw acrossthe or8arbisatlo Th15year. a separate cllnital riskreglstsf has been developed In recognltlon of the additional r￿k$faCed bythe chartyduetothp natwe of its artivity.This re8lster15 revlewed by the Cllnlcal Governante ¢ommittee. andan update is provldedtothe Rlsk Management commIttee￿O have overallownership. The charlty isalso aware thatthe development of Project Lifesaver and the plan to buildo new LIVES Educatlon Centrewill exposethe charltyto rlsksthat are newand prevlouslyunconsldered. Mit￿ot10ns Include the appointment of specla115t prolert manager5to delivErthp projert within a definedgovernance framework andthe development of a wojectwcificrisk reglster. Our risk re8i5terrec￿d5all rlsk5 vlhichare separated intofour domains-strateglc. Lh)coln$h*o Integrat•J VolLrtary Emerwry 76 1 LIVES - OUR YEAR IN REVIEW Threats to the health and safetyof volunteers andstaff throu8hthe predomlnance of lone working Key risk5faced bytheorganisatiun are categorlseda5: Breakdown of relatlonshlp5wlth key operatlonal partners Includlng East Mldlands Ambulance SeTrice. Lincolnshire Fire and Rescve, orwith NHS corrwnissioningor8ani5ations mak It dlfficultfor LIVE5 to dellverservlce5 Competltivethreatsfrnm otherCFR schemes orsimiiaraThY commerdal servlces. The impartof the COVID pandemlconthechaftty andthe wl(lereconomy has been a significantrisk that is uThJer constant reviewglventheemerg and evolvlngsituatlon.Approprknite mIt￿atiOnS havebeen Inplace thwghjuttheresponse and the Charltymalntalnssltuatlonal awarene55 of this andother potentlal rusksto h•alth. A redurtlon In Income thr•the loss of NHS fundin& declinelnfundra151rv&ora sustalned fallure In oneormore Income streams RisksassociatedwlththedellvÈryof clinical servi￿5 includin8ri5k5 a550clated Wttheducatlons cllnlcal conyliance andthe mana8ement of equlpment These r15k5 aswell asotherrisks identrfied bythe Boardcontinupto be [r￿[tored and mitlgated agains¢ both Interms of Ilkellhood of thesesituation5 occU￿lngandthe impact on LIVES If theyWe￿t0 happen. Areduttlon In operational capaclty dueto a S￿fficant reduct(on In volunteermembershlp or staffin& orr(sks assoclatsd withthe unplannedgrowth of activtyormembership Lkn¢olnsPkn Intsgr•t￿￿U￿t)ry Effor9¢n¢y S¢r*¢ OUR YEAR IN REVIEW - LIVES 177 MANAGING OUR FINANCES TTU5tee5hM reVI￿Pdthe￿roStsandlre0fthe Tru5tee5are permittedbytheCharltrfsMemDrandum V￿thatthethar￿Y19ag￿￿Co￿ern and.althO￿￿t ￿dArtIcleS ofAssocbtlonto investLIVESmonles fvllycompliantwththereserves poficy.Trustees believe ￿timediatelYreq￿redfDrits￿￿IpUrpOSe insuth thecharty ha5adequatere5erve5tOSLtstaintharitable InVests)￿t*SecurltIes orFfopwtyasrwbet￿usht activitlesshouldtherebeanurwpected decrease fit.Trustees conslderltaFproprlatetok￿1drÈserVÈsIna wKome or￿CreaSe ￿aCtIVity￿ expErienceof the coThbinèttonof Cashandbakncedriskkn￿tr￿ntfix emlc has dwnon5tratedthere5ilienceof thecharity whiterespcffldwEto unewtedfinaKlaltircthnstwKe& On31stMarch202IUVES portfolloha ay￿b￿0f £310Os%thlthasanlrryearlncreaseof 518 ThetharItyhaSw￿1tsF￿e1￿V$elnCL¥nestr￿SWM SLfficientca5htomeEtits Nabilitiesastheyarls&The rlsksaremitfjgatedbyourdiverse worneswrce% vdhithinc1udefundraiswuand(knnat￿ns.￿and tr￿t&lncOme ￿rfvedfr0mc0M￿rCIal5ale5and ccffltrarted(ncomefromseNiceswovidedtothe NH& LIVE51fftsim&rtpollcyls: T￿InvestMents￿￿st bemana8edinswhaway a5tofulfilCharityCummi55ionrewirerr*nt5tD (kntalnareascffiaNeretL¥ncfflth)5e In￿nts trtlthoutexcessive rtsktothe cwit ThetOtslfvr￿0f t￿￿tharItya5Qf￿Stm8rch3)22 are￿.636.966￿D2012}.￿40a755}0fVkn1th£2￿,294 arerestrltted aThJ ￿tay*lablefor8ener￿I PWw￿e. Thelmstn*ntsneed thyto ￿￿0videC3p1t0I8ro￿ there1sMreq￿rementftr themtogenerateknccln Thpreservestt¢ clwityheAdsasof JstM¥th 2022are£T2910112020IJ restated..£6&.S¥ A￿0(￿rat￿￿o￿ i5tobea(kpted inthe gernerrtofthed￿rit1sa$$etS Further definltlonof th15 canbefoundintlpJCH Inve5tn*nt Mana8ementdothmenL'AttitudetoRtsk' Trustees revlewedttEreser¥es policydwirg2(M9120. inreco8nition ofthe￿￿hoftt*Charlty￿d changes both incoffleand riskprofil& ￿(h¥￿S￿li(Y IStO￿ld si¥montK%of noTrconxnissK)nedsetNlce ostsanda provisionforcovprlngthecostsofyrfinding upthetharityrfnwNwKome 50urteshadThJtk foundatthattune. T1¥5wiII equateto£900,000 of uNestritted reservesaThlwllltntheviewof Trustee% smidoaseojrefinanclalfootkngforLtVESto pmtectagainstany5igritficantreducti)n knltsnomial Ir￿￿￿Or•￿$￿nIficartth￿seene¥pendIIMs T￿InVestMert58ètobÈn1aTragedc￿￿,èdVi5￿ baslswthnthe bound50f thedeclaredacceptableTlsk Tlplnbp5tments n￿staVoid weasthatrwcorbfilrt withtheoverallalm50f UVESwhereverp055fole. takinginto accountthe *diver5fficationof undwlylngholdlngswlthhthe Inve5tmentPortFollo. Itb notedthatdurfpg20Jrnthe charitymade furtherpY0￿￿t0W￿d$SroWlng1tsreservP$ln iinewiththis poliry. HoYfftr.Itdoes notyethcld therequiredreservestobec(mpliantwiththis policy. The polirywillbereviewedagaln In2022 torefiectthecthrtlnuedgrthvth of thecharity. Lkncdnshlre Integrated volu*￿ Ern￿encY Reglstered comp3nynumÈ4r04680981 78 1 UVES - OUR YEAR IN REVIEW LIVESproBramme.HLY•vever. artivitywas suspended LIVES tskes a responsible approachtofvndraislng from March 2020 In respiMsetothe pandernlc and 15 both gratsful and re5pertFultowards lockdown and ha5 notre5umed durkngthe year. allwhosupportor donate to osjr charlty. We LIVES doesnot undertake doorto doorcollection5 hold our5elve5 to h￿h standard5 and ensure ortelephonemathetinBcamPa￿n9to ra15e funds. thatwemeetor oxcÈ@d thè requlrermnts of thefundralsingregulatlon& Fundralslr activitiesare predominartly carried out at publlc events and venues, static collectlon tlns orthrough unsolitited donations. The(h￿rtYWork5 closelywith itsfundrai5ir partner5 to en5urethat best prartice is always adheredto. LIVES has voluntarlly reglstered withthe Fundraisin8Re8ulator and is a member of the Instituts of Fundrai5in& Ouremployed fLHKlraiskngteam regularly Lujdertake tralnlng opportunltles throuththe Instttute to Ènsurethey remain currentwith best Practi￿ and guideline5. The charlty employedthe 5ervlce5 of profe55ional fmdralsers d￿1￿2019/20w￿ uThJertookthe recwitmentof re8ulardonorstothe Friends of Fundraisin8 Promise LIVES is rommitted to our'Fundraising Promise, to ourdonors and supporlers.we have never been, and will never be. involved in cold calling direct mailingor aTry form of pressure selling.Wetake thp protertion of the personal data of all our supporters anddonors extremely 5eriou51y and regularly monitorand review our fundraising PDlicies and procedures to ensure we deliver'bestpractice'within the sector. We promise to provide information about our work so you can see how your money is being spent and the difference you're making. fo do this though. we need yourpem)ission to send you marketingcommunicotions If you tell us thatyou don'twant usto iontact YDU in a particularway,we won't If you sign up togive u5 a regularmonthlygift by direct debit, we won't ask you to increase that monthlygiftforat least a year We will nèver share yEJurdata with any othèr organi5ation lorrnarketing purposes We always aim to send you a personalthank you for yourdonation We work to best practice, andwill take oppropriète action promptly if we fail to rneetour standards We only send rnarketing comrnunications to those who have explicitlygiven u5 consent todoso Quallfyingthird party provisions made by the charityare In forceforthe benefit of thETrustee Lhcolnshtre Inlegrattra vol￿￿￿ry Emerg8ncy Servke R4tstek>J company numt4r04680 OUR YEAR IN REVIEW - UVES 179 OUR STRUCTURE GOVERNANCE AND MANAGEMENT LIVES is a charftable Ilmlted by 8uarantee, Incorporated on27February2003 and re*tsred asa tharityon4Juty2003.The cornpanywasest&lls￿ undera Memorar￿um of Assoclatiwwhlch establushed the objerts WMJ powersof the tharitablec(xnpany arKI ￿80verned der its Artlcles of A55o(latl￿. Aspecial resolutionwas passed attheAmual Ge￿ra1 Meetin8held in october￿9t0 adopt ￿ated Arttdes In Ilne wIththe￿rrentrÈe0Mrnendat￿nS of theCharltyCommlsslon.Inthe everrt of the companybelngbvouTrJ up. membersare requiredto contrlbuteanamountnotexceedlng£lO. The charityatthetimeof thi5reporthas eEht trustee&Oftheslxtrusteeslnplaceatthe year endfve are still in post ThreÈtr￿eeS have been recruIted￿d appolnted posttheywend, but iorto thEdatingof thi5reporL A board8ovThnce reView￿d￿taken in2019 identffiedthatfurtherTntstee recrultmentwas requtred bothto ensurethe contlnulrEskllls of theboard andtoplanforanticipatedfuture rettrements. Regularrecrultment has teen undertaken insubsewentyear5.TherEwasonÈ resi8natlonfromthe BoarddLrin8this reporting period AIIUVESTru5teesundergo an I￿luttl0nprQ(e whlch In addltlontofamlliarisatlonwlththe oblertlv¢sarKloperational artivitiesof LIVES, also intludesformaltraiiNftgintherole of aTrustep. Theprovtslon of Imrnediate medicalc¥etoany person injwed in anyattidentcrlnvolvedln any medlcalemergency inthearea of LwKolnshire. North EastLincolnshlre and anyareareasonably closethereto. To advantetheprinciplesof prtrhospitsl emergencycareon a nationalba5iS.' ProvldlThdadviceandswidance in all aspects of gJth are.. includiTrddeliveryof trainingand prDvlslonto approvedemergerKyequlpmentYthen requested tod)50. AmofB•n•fft Thearea the charityc￿OPeratelnIS LiNolnthlre. North EastLincoln5hire andthesurroundlngarea. Lkncoknshire Intsgtat*J Wuntary Erner9e￿y Sthce R￿st￿￿ company number 04680981 80 I LIVES - OUR YEAR IN REVIEW The board delegates responslbllltyto commlttees Inthe areas of Clinical Governance. Finance &Performanc¢ People &Oryanlsationand Rbk Management In orderto Strengthen t 8overnanre structureof LIVES ensure Infomed effettivedecision makin8and mitigate risk. Thesecommittees are taskedwith reviewin& monltorlngand evaluatlngkeyareas of the Crf8anisationand its activltie5 and mak(ng prorAsalsorrecoMmertd•tl￿stOthe Board of Trustees based on theirfindirqs Membership of commlttees Is drawn from the Board of Trustees and LIVES Senlor LeadèrshipTea From 2020. a mewnberofthe LIVESAdvisory Group has als0j0￿ed Èach commlttÈeto provlder a memberfs perspertlve. All commlttee5 operate wrfchint?rms of reference apwoved bythe board Therels o robust cllnlcal govemanceframework In placÈwithin LIVES toensure a consisterrt quallty of dellveryforall cllnical aspertsof the charlty. These pr￿esl 90 1 LIVES - OUR YE4R IN REVIEW I)EPENDENT AifilTORSREPORTTOTHETA115fEs OF UNCOLIISHtRE ImfEI￿TEDv0L1*ifARY Auditin8Standards Ilmltthe reqvlredaudlt proceduresto IdenttfynoTrcompllancewlth these laws and regulatlonstoenquiry of the Trusteesand otherrnana8ement and inspectlo This inspectlon included a review of legal fees foranyevtdence of noTrcompllance. discu55lons aroundwhetheranyincident5 occurred intheyear anda revlewof thehealth and safetypollcles In plac&Through these procedures. if webecaff aware of any notr compliance.we consldered the Impactonthe proceduresperformed on the related finanoalstatementiterrts. Illl•of ourR•p•rt Thlsreportls made solelyto the rharltable comparfs members. as a body, kn accordance wlth Chapter 3of Parti6 of the CornpanlesAct 2006. Owaudltwork ha5 been uThlertakÈn so thatwe mi8ht5tatetothe charitable companI5 members those matterswe are requlred to Stats to them In an Auditors'Reportond for no other purp05e.Tothefulle5textentpermltted by law, we donotècceptorassume responsibllityto anyone Otherth?nt￿ dwritable companyand It5 mewFrtJers as obody.for ourauditwork.for this report orfortheopinionswe haveformed Owingtothe inherent liiNtations of anaudit there is an unavoidable rlskthatwe maynot have detectedsome materialrnisstatements inthe financial statements, even though wehave properly planned ènd perforffledourwdit in accordance withauditirEstandards.Thefvrtherremoved non-compliancewithlaws and re8ulations is from theevent5 andtransartions reflected in the financial statementsthe le55 likelythe inherently limited procedures required byaudltlngstsndards would Idertlfy It. As wlth anyaudlt there Is a eat¥riskof nortrdetection of irregularities as these may Involve toliuslon, Intentlonal omissions orthe override of internal controls. Timothy God50n FCA{senlorSta￿tOryAudltorlf0r and on behalf of Duncan &Toplis Limited Statutory Audltor 5 ResolutionC105È EndeavourPark Boston Lincolnshire PE217TT Wearenotresponslblefor prèvéntirvdnon- compliance andcannotbeexpectedtodetsct non-corrpllancewlth all laws and regulatlorts. Date.. 24 October 2022 Duncan&Topli5 Limitsd are ell&ble to acta5 auditor5 interm5 of sertlon1272of the Conpanie5 Art200& AfiErtherdescription of our re5ponstriilitiesfor the audit of the financlalstatements is located on the Financlal Reportingcouncil'swebsite at wYiw.frcor&uk/audltorsresponslbllltles. Thls descrlptlon torn￿ partof ￿rA￿ditors,Report. LInCol￿1r0 Integrated Vokjntary EmergerKY ServK¢ R8d5tereLlcompany n￿t￿ri￿68098l OUR YE4R IN REVIEW - LIVES 19T srATElelTOF FIIIANCIALACTIVITES IINCOftPORAnNG IIKOIIEAIKI EXPEIIDITim Accoiim FOR ThEYEAR 31 MARCH 20L7 Total X121 20 DonationsaThAlegade5 Ch¥itableactivlt(e* 1*735 389894 1969A86 19)a434 66￿4 266213 663 3aJo othertradl￿act￿tles Ir￿stMent1￿C0MP Other(ncom* 2152 051 &629 %67&681 1894 Chwlt*ieKtfvitles.' 44￿09 ifftg979 780,9* IA68401 7tt758 3nL63 CornwWenga8ar*rt 014872 447ffi23 1461495 14T&389 144*0 &3 Net8ain50nin%tstmentS 15026 026 6&006 TotalfurK15brDubthtforward85 previou51y5tated I266A67 141288 w&755 Pr10ryEar￿1uStment Totsl f￿d5brOWft)rWarda5 festated 6A64 1266.467 140&7 677366 Nètrnove￿￿nt￿fundS 159206 w&6TJ 69.006 2* 16x967 2n394 04755 TheStlltw*ntDfFlnaKlaACtivitiesirKlude5411yih$8ndlossesrecwtsedlnthe￿4r. Th¢rrteSformpartofth￿efinwcIfyl$￿ornÈThts. Lkng)Inshire Intsgrated Vol￿t￿Y ErnwgeKy knic8 stw•d cOm￿ry nurrtjer 04680981 92 1 UVES - OVR YEAR IN REVIEW STAIEMEKfoF HNANCIAL POSITION AS AT31 IIARCH 2022 Int*bleasset5 13 14 15 1007.1 Stocks 16 ,790 4S3TO Debtor5 17 249996 CashatbankaThlln hand 1,796 T257.102 Credtors'.anrAvtsfthgtheb¥tthlnone IS1076 Credtor&afflwntsfallkn8thJeafteroneyear 19 (67ml IAoa755 ReStrfctedf￿d5 1422&4 126&467 JAo&755 UnrestrtctedfvrKIs I6X967 Thètr￿teeSJCknow1edSetheIrreSponsthllltIESfQrcC￿￿ms*Iththerequre￿*nts0f thÈktwlthrespetttoatttyntirqr•rw andpreparott0rnoffimnd￿5tI￿rnQnt% Thpfuwthlst*otr*rtslthtbEenyep•Edknx¢ordm*lththewtrlsknsK4kaielDeTrtltk5%tyrttD￿￿sn1Ic￿Trpar￿eSrtgTN*. T￿fiD￿ClaIStolernents￿eapPrOvedanda￿thr￿*SedfOrlsgjetytheTrU5tee5o￿￿llEtrbVXlMand**ollnthdrbehOlfty. Tnjstee Tl* rot•5hrmp¥tofth•sefinawblstatrmÈn LInC￿￿h￿9 Irtt8grated Vc4￿t￿Y ErnerY￿SerV￿e OUR YEAR IN REVIEW - UVES 193 srATeMENTOF CASH FLOWS FOR THEYEAR EIIDED 31 MARCH 2022 20 Netcashused Inopwatlrgartlvlttes 87Q139 ProceedsfromtheSa￿0f tsn8lbleftxedassets rtha5eof kntsr*blea5sets Purchaseoft8n8lbiefixedossets I?￿551) Iw683) 1258369) (34 Repaymentsof hirèpwchase 140.346) 146.3741 (zA734) 9rt796 70&062 50J,C Cash￿d(a5heqUlvBkntsatthQbeSiM￿oftheyq¥ $61,796 Tr*rffjeslryrnpartofthesefinancia15tat•mwrt* U￿)￿nshIre Intsgrated Volurtary Em4yy*nty Sgrvic• 94 1 UVES - OUR YEAR IN REVIEW IIOTESTO ThE FIIUJNCIALSTATEvEiif5 FOR TIEYEAR ENDED 31 MARCH 2022 2.3 kKth)*R•sowc•g Alliniome i5recognised oncethe charitabie¢otrpanyhas wtitlementto the lrtom4 ttbwobablethatthe Income 11lberete￿edandth￿aA%)￿t of incon l￿d¥able tan bew*agJredre14ably. LirKolnshtrelnte8ratedVoluntaryEmèr8wServl(t is aprlvate corrpany, Iimtted by8uaranteel￿thQytshare caplt4lregtsteredInEn￿￿d aryJWales.Thecharitablo CDrnpanlsregisterednurnberand registeredoffice adth8ss can befOu￿llnthe Trusteesamual rfjport Thepresentattoncwrency of thefinaKlal statementsisthePoundSterlinBI£ The recO￿tIM0f Incomefromle8acles 1sdqpondentonestabl1sh￿entrt19rnent. t￿ pr(*Jabilityof re(eipt amlthe abllttyto eStknate￿th 5ufficlent accwaCythean￿mt rwiwdblÈ. EvidÈnceof entitlementto a leKdcy existswhenthe tharltabie compwry hassufficientevidencethatagifthas been 1eftt0t￿M (through knowltdgeufth? exlstence of avalId￿li1 ￿dthedeOth of the bonefartorlandthgexecutorlssatisfièdthat theproperty inwestlon willrntbe requlrÈd tosat1sfyclalry￿IDthee5tOte. Recelptof le81cY￿￿Sttse recognlsed whenlt is probable that Itwlllbereceivedandthefair¥alueof the amountrecelvable,whlchwlllgenÈrally be the expected cashamounttobe d￿tribUtedt0the charftablecDrripany, can bEreliablymÈasured 11 Bxls of Pnpar•tlon of RrwKl•l Stltsmgrts fiTrancL715tatementshwebeen prepar inKcordarKewiththeCharitiesSORP (FRS 1021-Acctymtln8and Re￿rt1￿bYcharit1e￿ ststèmentof RecommÈndtd Prnctite appllcable to charttle5Wtparfrrgtheirat£OLmts I￿￿￿da￿e*tththeF(na￿ctsIRepcrth)8 StsThJard appllcable IntheUKaThJRewbllc of IrelaTrJ IFR5102lleffectivei january 20191the FIna￿laIRePortingSt￿d3rd pllcable intheUK and Republicof Irelond IFR51021 andtheCornp4nie5Act200& Grtntsare Incbjded Intheststement of FlnanclalActlvltles on are￿1v*[e bas1& Thèbalance of irKomereceivedforspeclfic puwposesbut notèxpended rkningthe periodls shtr•m lnthe relevantfunds on thgStatew*ntof Flnanclal Posltlon.Where inccrne isrecelved kn advance of entitlerrerrt of recelpt, ttsrecwltlon Is deferred and includedincredilors as defe￿ed incon*. Where entit[L￿lent￿rs bthire income is rerEived.the incornè 15 attru￿. Th?charitablecoryanymeptsthedefinitian Df public benefitentityur¥JerFRSiozAssetsarKI abllltie5 are i￿ttl011YrecDBfil$eil•thlstDr(C•1 costortrar6aCtlonvaiue unlessotherwtse stated llitherelevantaccountffigpoilcy. Z2 GDiTrg Concern Accountingstandards require theTfUStee5 tocor6lderthè appropriateness of the golng toncembasis whèn preparin8thefinantial ststement5.Th?Tru5tee5 havetaken notlce of thgFthancLIl Repjrtlrscounthlguldanc whlchrewlresthefeas(fflsforthlsdeclsion to beoxpiakned.TheTrusteesregardtheBoing ¢ontem ba5l5 asrernaintrÉapproprlate asthe tharitablècompanyhas adequate resotsrces to contlnue In operntional exlsteKeforthe fweseeablefuture.Thu&theyco•tlnueto tthegoIrBcon￿mbOslS of account￿8 In prpparlngtheanrojalfinaodal statements No￿Ounts aielnciudediThthefinanclal StsteDxDtsforservi￿S donatedty volunteer5. Donated servlcesarerecognlsed sirKoTr*thencontrol isobtain@d over the lte￿therecelPtaf econornlc benefitts probableand itcanbe mea5Lred reliably. Otherlncomeisrecognlsed Inthe perlod inv4hlth itis receivable andtothe exteThtthègocd5ha¥e been rKovlded or0ncorn￿Èt4ofiof the se￿iCe. Lhcfjlnshlro IntsgratedVol(mtary Enwn¢yStyvke OUR YEAR IN REVIEW - UVES 195 NOTESTOTrE HNAMCML5fATE￿NTS FOR THEYEARENDED 3114ARCN 2022 24 Res￿1(•5 Expnd•d ExperyJltwei5 ￿¢9S￿L%￿Oncethere isa legal orconstrKtiveablEatlontotrtrtsfereconomic benèfitto athirdptyitlsprobablethat a tran5ferof etonomicbenèfitswlllb@TwuSredin sétt1ernent￿d t￿￿nO￿tDf the obllgatlon can be rrtasuredrèliably.Expendtture Is da5sified byactlvity.Thecosts of eachartivity¥e made up of thetotal of rknctcostsandshared costs. includmgsupm costs invow iTrLmdertakiTg each actlvity.Dlrect Costs attributablEtoa stngloartlvltyareallocateddirerttytothat artivity.Shared coststhichccntrlbuteto rnwethJnonèactlvlty*MI supportcosts vthitharemtattEibutsbletoaslrBleactlvlty are apportiDnEd betweEnth05è8thvitles on abaslstor￿stentWtththe￿se0f resources. Centrnlstaff costsare allocated onthe ba51s of timÈ spent anddepredatlon charges allocated on￿port40nof thoasseVsu5e. 27 IntsWhA>s•ts JndAmurt154thrb Intangible as5etsare capitalisedaNI rec0bmlsedw￿ftfUtUre ecomrnlebenefits are prob*le andthècostorvaiueof thea55ètttmbemeasuredrellably. Intangible assetsareinitiallyreco8nised atcostAfterreco8nltlOn.￿derthe(ost fflodeL Intsnglbk ass•tsare measured at costless any acojrwiatedamwttsatlon andany acCur￿lated 1ryatr[￿tlO$5e% knOrti5BtiM￿ providBdon intan&ble ssets otmtestalojlatÈdt0￿[tQ Off the costof eathassetoftastralght-ilhe ba5isoverltsexpectedLLsefvl I￿. Thee5timateduseFLd Ilvesareasftlkny AmortlsatlonlsprovidedonthqfoI￿YIThSbaS1￿ Expe[x1￿lYe(ffl raLslngfund5 indudesall eX￿lItIrelr￿UTred bythetharitable torryan to ra￿efU￿{bffjrlts charttablewrF(Jses and Inciudescosts Df alIf￿￿alSln8act￿lllOS ¢vÈntsaThJnotrcharttabletradln& ComputersofNvare %StraW ilr* over5years z8 T•T￿l0 FIx4d Ass•tsandDyqci•tion Tanglbiefixedassets arelnltlallyrecognL%ed atCOStorin¢aseswherefixeda5sets h been donated.atvaluation at￿eti￿￿of acqutsltlorLAfterTeco8nitiLn underthecost modeltangiblefixeda55etsare mEa5ufEd at cost less acCurr•JlaterJdtp￿CIatI0Thèfid nYaCC￿ulèted1rnpèfjrrnent losses.All ¢osts IKurredtobrirgatanglblefixedasset intoltslntendedw0fkln8condition5ho￿d be I￿lUdedIntherr￿$￿e[￿Trl of cost Expenditureoncharltsbteactivities 15 incurred on dlrectlyuThkrtaklngthe oCtlvitles4*thlch furtherthetharitablecornparrfs objectives aswell a5aryassoclatedsupport¢osts. Gosvnance ¢ostsareth)secostslnosred dlrertlywlth expenditur?relatedtocharlty corwj1iar￿3nd statutoryrewlrement& Allexpenditwels Inclu51¥*of irrecoverableVAT. Depreciatlonts charged 50a5toaliocatethe cost Df ianglblefixedassetslessthewresidual valueovertheire5timatsdLL5?ful livè 25 Interest Recelvable Intere5tonfur¥Jsheldondepositi51r￿IUded Ythen receivable andthe arnountcanbe meagJredreli*ly bytFe th¥itablecomparry.' thls Is Mm)alty upon notification of the Intsrestpyldor payablebythe Institutlon wlthwhomthefvnd5arp dÈpDslted. D¢prettètithisprovidedonthefol*base&' SIKrt-termleasehold property -1096 orstraighi Ilneover thellfeof thele3se 16 T)xation Motorvehicles . Str3i8ht ilnèO￿5Years tharitableC￿Parryi5tons1deredlo pass thetestssetoutirbPawaphi Schedulo 6 of theRnanceACt201O￿X1theref0re Itnwets thethfinltlonof a charftablecornpwyfor UK corporaticthtaxpurposes.Accordingly.the tharitablecompany bpotentiallyexemptfrorn taYdtlonln¥espKtof Inc?me OTCaPitolgèins reteivedwlthln categories COVEred bychaptor 3Partll ofthetsporatlonTaMAct20100r Sectlon256of theTaxationof Chargeable Gains ArtI99ZtO￿ extentthat5uth Incomeorgèin5 are appiledexclusivelytocharltablepurpose F￿tLyes￿dfittln￿s -Straltht Ilneovor15or10yg UncolnshirB Inttyrated VoluntaryENwew Servlce I UVES - OUR YEAR IN REVIEW IIOTESTO THEFIIIANCIALSTATEMEpirs FOR TIEYEAR EIIDED 31 MARCH 2022 Z9 lTr¥estm•nts F￿ed 055etlrwe5trnentsareafonn of finandal trumentaThJare Inltiallyrecogntsedat the1rtr￿s0£t1oft costand5ub5equently measured atf4irvalue atthestatement of FIn￿tial Positiondatè.unle55theva (annotbemeagjred rellablylnhthTchcasè ttlsmeasuredat CD5tle5$1mpalrmenL IrwestmentgalThsand10sses.whether realtsedorunroallsed.arecombined presented asfjainsllLosseslon InveStr￿nts. Inthestatementof FlnanclalAtti¥lties. Provi5ior6 are measured atthe best estlm4ts of theaThountsrequiredto setNe the obli8atiorL WhÈrethÈ effettof the tlme value of mDney ismateriaL the provisi0Th15based onthe yesèntyalueof thoseanJJunts. dlscountsd atthe prtrtaxdi5tount ratethatrefiectsthe rlsksspecffictothe Ilabllity.TheunwindmBof dlscouTht1srecogni5ed intheStateff*Trt of FlnanclalActlv4tlesasafin4nce cost. Thech¥ltsbie C￿￿Pany0ntyha5 financialasset5andfironclalliabllttles of akLndthat wallfyasbasicfinanclal 5trkThents Basi(fin￿cial1rtstrumeThts eirritiallyrem8nised attransactlon value tffjd subseguerrtlyffleasuredat thelrsettEèmentvaluewlththe exceptlon of bank loansYttAchar?subsequently measuredat amortlsedc05tU51ng the effectivelnterest mèthod. Investments Insubsldlarlesarevalued atcostless rmi5ionforirryioirrnent. 2.10 Stocks Stocksarevaiuedatthe iowerof c05tandnet realisablevalue aftermaknn8dueallowance for obs01ete￿d slovHnDvln8Stc¢ks. zii Debtors Tradeand othgrdebtorsare recoyisedatthe settiemerrtamount aftèranytrade discount offered.PrepaymeThts a￿valued atthe amount prepaidnetof anytradediscounts du•. 2.15 F￿￿(E Lewsmd HirEPurthpse A55etsobtalnedUThderhirepurd￿sÈ contraEts andfin3￿e leases¥ecapitaltsed astsreible fixedassets.Assetsacquired finance leise are depreclatgdoverthè s￿￿erof theleasetÈrmandtheiruseful Ilves.Assets acquired byhlrepurchase aro depreciated o¥erthewLsefulIive5.Fina￿e ieasesarethosewhore substantially all of the beTrefitsand rlsksof thYn?r5hlp are as5umpd bythetharltable company. Cl>li8ations undersuth agreement5are Included Incredktors.netof thefinance chargtaliotatEdtofuture perlod5.The finance eiementof the rèntal payment Is tharged totheStatementof Fknanrial Attwltie550J5to produce a constant perlodicrateof chargeon the net Obli￿ti0[btyJtstondl￿g4DeèChper1ott. 112 Cath at8ankardlnHand cashatbarl(J￿ Inthd ￿￿le$cash￿d 5hort-termhighly Ilquid Snvestrnentswith ashortmaturttyof three rnonthsorlèss fromthe date of acquisilion¢xopenirvd of thethposltorslmllaraccount. 2.13 Ujbllltles KAIProvl Llabllltlesarerecogntsedvthenthere Isan obligationatthe St?tementof Financial Positlc¥tdatea5a resultof a p3ste￿￿.1tts probablethatatrartsfèrof ecoThJrnic benefit wlllbe requtred In settlement andthe amount 0*￿settlement can b•￿tImatedr•Ith1Y. LiabllStlesarerecogn15edatthe arrKsunt thatthecharitable cornparyanticipates itwillpayto settiethodebt Drtheamo¥nt ithasreteivÈda5 advanced payment5tor thegoods orservlces tt rNstprovide. Z16 OpEratlng Leases Rerrtals paldunderoperatlr¢ lÈa5es arechargedtothe Ststernent nf FlnancialActlvltlesona straw Ilne baslso¥ertheleaseter 117 P•nslon* The¢haritable COTryaThy cyorate5a defined ntributi0nper￿lOn5therneand thè penslon chargèrepresantstheamounts payable bythe charitable cornpany tothefvnd inre5pect ofthoyear. Lkn¢otshlr¥ Ints9r&￿ Vduntary EmergewS￿￿O OUR YEAR IN REVIEW - LIVES 197 IIOIE5TOThE HNANCIALSTAIEIEiirs FOR TrEYEAR VIDED 31 MARai 2022 2.18 FuTr1A￿￿n Genwalfvndsareunre5trlctedfurK whiol aTeavallableforuso*the discretion of theTrustee knifurther&xè of thegeneraloblecllvesof thèch¥itsble compt￿y￿d *thichhave notbeen desWatedforotherpLWPOS Dfpreclation-u5efulexpectedMfe Tang￿lefiXeda$setsth1chIfeValYed at costlessaccurnuiateddepreciation spreadoutovertheu5efvl Ilfeof the I￿1¥4dual asset&Theu5èfullifè issubittt toman3gernerbtsludgerr*rtbased on uttllsatlon of the assptSWithinthebusir* The assetsare revlewÈdpÈriodicallyto erwr2thattheba5is rernain54ppropriatÈ and is3￿r￿edTkne nets55a Restrlrtedfvndsarefvndswhlthare to beu5ed in a¢cordancèwithspeclfic rostriction5 ryosÈd bydonors orwhich beenraised bythecharltablg (omp forpartitulwpurposes.The costs of ralslngand admlnlster4rgyxhfvnd5are thar8edagalrstthe sp￿[fi£fUndThe aim and useof each restrictedfimd i5 seto inthe nDtestothefinancialstatemen InvestmentlrKorr*.gain5and105se5 allocatedto theappropriatefund. Inthpapplication of thechoritfs acCounti￿P0(lC[es, marwrneTht are r9qulredtomakejudgemenls estSmates and assurnptlonsaboutthe cwrylngvalue of a$5etsandli&ilitlesthatare notrea(fdy pparerbtfromothersources.ThÈÈstlmatÈs •rvJ underlying aswptior6arebasedo h15torlcal experiencesandotherfactors that areconsldeTedto berèlevantActual resutts maydlfferfrornthese &tirnates. Theestimate5 undèrlylreassvrffjons rereviewedonan ongalrybasls.Revlsions to accouTrtir8estitnate5¥ereco8nised intheperlod Inwthichtheestlmatesis revised If thÈ revision affertsonlythat ppriodorintt*periodof therevision aRdfubJreperlods If theTrvi51onaffects bDth current•Klfutyrewods. Thek*ysowcosof estimationuhcertalnty thathave a slgnlficantèffecton the arno￿ntsreC08nI5ed inthèfinancial statemÈnt3re de5Cflbed below. Lkncdnshlre Integkthdvoluntary EmOT9¢ncy Serv1¢¢ Ro¥stwl cry￿ny nwnter04680981 98 I UVES - OUR YEAR IN REVIEW m￿￿TOTHERNAKcIALSfAIEME1l￿s FOR ThEYEAREILIED 31 2022 T•tsl Totol fvnds 20 102Z 21 20ZZ Donati￿￿ Incl fftmemoryofaThJ rsaries 87.101 87. Resutar&￿n8sCknes ColiertiontiThs 641 7,952 s￿tut￿81yir COr￿ate LÈga¢ies Grants S774 81895 &774 29036 37536 nu6 2￿133 ZOi133 io,fg30 48&7ry 1*735 v&BS lJ7.JJS 6iu52 207.049 Tots12022 572248 Tota120 3M5TJ 197.615 Totd 2022 1022 Saleof 8Dod5 Clthlcalgmvth￿4N¢ 3YZ 101.799 CorrynI55i¢Thdseryice5 1.969486 l96u86 VJTL539 Grants ENEntmerfKalsUPPOrt 1,145 3A894 Ig69A86 66>984 02￿4 4559099 A¢¢1￿r+ Int¢9rated Vduntary E￿￿•n￿se￿kè R8g15terEd (r￿pary nwnber04680981 OUR YEAR IN REVIEW - UVES 199 F(XITHEYEARENDED 31 MARCH 2022 rot f￿d$ 2022 2012 FuTrthatslrgewnts OthwtraduVdarti￿tie5 .677 7,033 7JlyJ 10.117 38.Tr0 1&289 Tota12021 iQ89 T•tsl Totol 2022 Intere5trecelved Toto120 Totol f￿d5 M(scelianeouskncomp Z751 roto1202J 2152 Zi52 Lkncoln5hSre kn1•9ratqd Wuntsry EmèFgÈrty Serv R•Jisterod coTry)any number 04680981 100 1 LIVES - OUR YEAR IN REVIEW NOTESTOTHE FIIIANCIALsfATEIEIITS FOR THE YEAR EI•XI 31 MARCH 2022 196 I107Sa2 11509 1ry6tr4 612 rchD51ofBDJd5forrw 4S4TQ r¥ IM6 Stsffcosts 187.933 HQPra*L*s 24340 250 IW3 S/,107 kL9tasts 744 ITrosts XU9 lJ41 90A12 lwlandwthss1￿rfees Lrsssonth5posa1aThJre£Lx%ffiu￿￿111Md èS59ts 1rt578 Lincdfislire Inregr*d Voluntary Emwgeney Semce OUR YEAR IN REVIEW - LIVES 1101 FOR ThEYEARBIDED 31 MARCH 2022 Fff5pay¥blètothètharitabiec(•mpanYsa￿lltprfQrthe￿1￿rtofthethJritth C￿pa￿S￿￿[0(C0LMts Fee5pay2b￿t0tt￿tharltablecC￿parry¥￿￿t¢rtnrÉSP@£t0fr. A11nDTraL￿[t￿yl￿nDtlrtlL￿dab0¥e 950 Wws andsalarie5 Socialsecutitycosts Contr(butiontodefi￿Irontribvtlonp*￿IoTrsChgMQs 190 51,940 1566,J78 3022 A￿Tr￿MOnthtyheadtr￿rt Integrotsd Wlrtary Erngrgorry $9ryKe Reglstwed ccffjpany n￿ber 0468Ce81 102 1 UVES - OUR YEAR IN REVIEW NOTESTOTHE HIIANCIALSTATEMENTS FOR TrEYEARepm ￿ MAIICH 2022 Admini5trati)n F￿drais￿8 Ery*rgerryre¥)L 23 19 41 Intt*band£70,001-£8opc Int￿band£8000i-vJj.0Q0 Inthbmd£9Qo￿-£w￿0o T￿keyM￿geme￿tpwSQ￿nELa5 ts5tedintheTrth5'knARIReFQrtreceiypd 9fry)i￿VQb8￿Qfitstotr1I￿£42￿f20j.£4izty}. Durkngtheyear, nDTrustee5 re￿iVed￿nYreM￿r3tIOn orotherbenefits120m-£NILI. 7he charttable compthryhaspurthasedprofesslonalindemntty In￿rance onbghalf oftheTru5teesfardabnsmadeby third parknesarisln8fron% Fldtlttyloss Loss ofor d•ma8etodocuments PolI￿lon costof this 1ft￿rance is£689(2r￿-É7G3I. Durtngtheyearended ￿ March20U MTrustee expense5have beenln(urred{201-£NILI. Llncoln5hlrB Ints9Rted vol￿ Emer9ency Servk• OUR YEAR IN REVIEW - UVES1103 )TESTO THEHNANaALSfATEIEiirs FOR TIEYEAR ENDED 31 MARCH 2022 AthIr(￿rts Reclasslficatl At J Moffh2022 7TJ CPoryforthÈyt At J Mwch2022 Morth2022 At JMarch2021 Dufingtheye¥.fixed assetsvAth a netbookvpAueof E21870wereredossified fr￿tsTr81blefixed4$5etSto Ints￿Ible f¢xedasse Urthknshlr• Integratsd Volwrtwy EmwgerKy s￿ R89lstwl company numbw 04fj8¢)981 104 1 UVES - OUR YEAR IN REVIEW NI)TESTO THE FINANCIALSTAIEMEIITS FOR THE YEAR EILIED 31 MARCH 2022 Ati4vrd2 647.0￿ I￿929 Di5POS Redasskficatlon 14Q4 140A58) A••twMwth2022 At1￿)rI202} 0￿farthe C￿disPOsa Reclassfficatio V276 I*M7 315 474H5 6201 IW6) 1243oG) At JMth2022 174203 At3TMtr¢hw2J The netbookvalueof t*L4efixeda55etslTrdudeS£98,98012OX-M￿O47j In respÈttgf a55etsheldwderhlre purtha5e contracts. Durtr8theyear,fvda55ets wltha netbookvpAueof É2a87Owere redasstfiedfmmtanglblefixeda55etsto intargible fixeda55ets Lln¢olnshlr¢ Int¢ty4t•d Voknntèry Emèr#ewSe OUR YEAR IN REVIEW - LIVES I IOS FOR THEYFAREILIED 31 MARCH2022 AtiAW1l￿ A(kJitKnS Reclassific*lon 15027 Jrtll M¥thX+22 518 At¥Mvth20 yiW9 At3JMarth20 29WT 29W1 Thefollowln8was asubsldlaryundertsklrgof the LIVES Educatlon Llmlted 13e8￿0 Ll¥es HeaWartersUThlts Birth Ctyjrt, BostenRoad Industrlal Estat•, HarnEa5tl4Lkncoh5hlTr.LN96SB Tr&nlngservlce5 •Bof •h•Y•• Ordinary loo% No Thefin￿￿141resu￿$0f the sthsidiaryfortheyearwert LWESEthcatlcfflL(mited Thesubsidl?ry companywasdormantthrou8hr*rtthe perlod and did not5tsrttrJdln8untll IAprt12022. AsSUc￿ consolidated accounts have Mt beenprepared. Lkncdnshlre Integrnted Voluntary Ernergorry Swvic8 R¥stwod coTrynynLmter0468•J981 106 1 UVES - OUR YEAR IN REVIEW MOTESTOTHE FINAIKIALsfATBIEiifs FORM YEAR ENDED 31 MIJiCH 2022 FinishedyKlsandgwtsfvresaÈ 57.790 4S370 z2 TradÈdÉbtrys 93823 2499 LkncdnsNYe IntsgkBted V￿￿tary Emewcy Servke OUR YEAR IN REVIEW - LIVES 1107 NOTSTOTrEFINANCIALSTATEMBIIS FORM YEAR EIKIED31 MARCH 2022 Tr•Jecrtdtttrfs IW19 T87.722 T8r361 37.574 Oth?rt￿Ot1Qnaid5oCIa1seCUrtty obll8allonswwjerfinancelease￿d hwepwchasec¢rrtratt5 737 34470 (rUa￿anddÉfUred￿mQ 21L7e6 626371 DefErredincomeatlW12027 s￿a6 149986 (4432 749,986 Year end defe￿ed I￿Orne15fOrinCOThle recelvedkntt*)*arrekitl￿t0serYlCes andcIffitrnctsthat￿ belngcarrled out Inthe202>23financlaly. 2022 202F Net0bWtic￿S￿￿eTfi￿CeIeaSe0rn￿Nrepwth￿c 67 Liabilities underhtrepurchasecontractsaresecured onthp assetstovthiththeyrel*L LbKoln$No Irrt¢wt¢d Vo￿nt￿ry Emer￿￿ 5￿k¢ Reg￿tered cryny nUM￿r04680981 108 1 LIVES - OUR YEAR IN REVIEW FOR TrEYEAREml￿ 31 MARCH 2022 GeneralF￿lS.allf￿￿ Flr5tRe5por¥fer5 EthratioiTecPfflO￿F￿d CFRReffliitineTrtFuThJ W91 61 CEMSVqhlcieFuNI Covith19Fund MedIC￿F￿d DefibriliatwReplKErnent Pro8rarnTne Furvj 1rterad14pEdL￿ltI0rtFUTh A635 87.076 7ts00 696 Codècrlmscn MethcyIEqulpmurtFurKI 619 W9 1447.62¥ W&755 &rt681 1u614%) ts026 163&967 Llncohshh Integratsd VOl￿tary £rnQrr4￿s0￿Ice OUR YEAR IN REVIEW - UVES 1109 NOTESTOTK nMANaALSTArnIEIITS FOR YEAR 31 MARCH 2022 BASICspmvlded a grantof £3&0CQtofvndar vehicl•fortheMedic 50 s•rvicewhithFnvido5 crilicalwe covertotheEa5tCoastofLhcokn5Nre. annualgrantls receivedfromNHSLirKolnshire CCG, NFIS North LlrKolrshlre CCG andNHS North EaStL￿￿oInshIreCCG toffiJTrJthe provision of Flr5tRespMdersatrosstt*county Establbhed to collectdonatlonsandgrant5 tth¥ard5thecostof rWaCirEdefibrillat￿s forall Fir5tResponders within LIVE& UfiV((TechTrust wovlded?bTantto develop3 virtu41 learningpiatFrymtoenable Re5pondeT5to makntalnthÈlrcompeterythringCovidrestrictlo Establishedto purchase interactive dt5plav erFApmenttoen8agèaudiÈrKesof alla8es Sho owaudience5howirrpwtantttl5tolearnCPR skflls and Insplrothose*tho aremore Interested tobecomea LIVE5Comm￿ltyfvstrè$pL1)dÈr. EstabIi5hedtocollectdLThtio￿IndgthntstO SLWOrtth?recnF￿mentDf newCornrNEAty First Re5p)nder5.This contribute5tothe c05tof retruitrnentevents, Includi￿Wa8eS and verpje mre.￿dthetra1￿ln￿eqUIpplr80f newCFRs. Establishedto collectdrmtlNts a[￿V￿rtSta SLVPOrtthe Intetyl￿Of blood intoourcr4ticalcare resp0nseandf￿dthe￿ovl5Ionof equlpn*nttosafe tr￿sportb1Q0d from eachTTaumaunlt Inthe county ISitshkl•Fw BASICS provided a granttowardsthe blue Ilght stsliationof 3VghldesforthgCornmunlty Erngrgqncy Mè(ficlne se￿ice.ThIsco$I islncorporatsdinthegverall costfwthevehlciesYthltharEdepre(lated oNEr5year% M•d¢ 5OEqMI•Fund Establtshedtocollertdonatlons andgraThtstofvnd the pwchaseof advanced life-savingand diagnostic equlpmentspeclficallyfwourMedlc50 (rltkalc c¥wthlchcoverstheEa5tCoastof Lkncoknshlre. C•¥lM9 Fund EstabllshedtrJcollectdonatlorysandgrantstt)wards thepwchaseof addr(ioThalresourcesto equip RespOnder5￿thIppr0PrktePpEta allowttr*m tocontlnuerespondirEsafety4bJringCovid LkKolnshlre Intsgrnted Vol￿￿ Ernerger￿ R4Ost¢r•d ¢¢rrpw numb•r¢)46W981 110 I UVES - OUR YEAR IN REVIEW NOTESTOThE ANAMCIALSTATEMEIITS FOR THE YEIRENDED 31 MARCH 2022 AsTrsttstsd Bd(xJce¢rt Asrestoted Gohs/ BoFLvKeot Ge￿rnI 64￿6 ZSK*.￿ ￿￿154) 54866 726&467 FlrstRe¥thdtrs (38W9J 7.939 2a036 72J6 CFRRecruitmentFLnd (7.w) .600) .fvJ D365J MSVehicleFund Co¥l&i9FLmd Medk5oVehkkFund DefibrlUatorRepLicementFYwame F￿d 35000 33635 IA600 (638J Int•raCtI￿ Eduratlon Fund 7S)O 7&10 5B023 (4Q235) 677366 374A912 (147a389J x866 T•t•ldfimd¥ L40a755 ntdnsFurè Inte￿ied Voluntary EM*g￿LY SeryKg R•stst•r•d ¢omF•ny nuff&)er 04680981 OUR YEAR IN REVIEW - LIVES 1111 I￿voTHE FINAfrKIALSTATEhWITS FOR TTrLEYEARENDED 31 MARCH 2022 Generalfunds Restrlctedknd5 514629 (447,5￿1 1404755 %67568I ts461495} T•tslulfunth 1w6 163&967 yof fur#ls-PEIwy•K Asrestrted Gol Bulonceot TW12020 Incune ExpthithKe (L055esl JMLYch2 GQrWatfv￿Is 866 257Q889 (1￿&154} ￿865 579023 14672351 677366 Iu7&J891 x866 iAoI755 Restrirtedfun(ts Tots1￿1￿￿ Uncdnshlre Int8wat8d VC￿n￿ EmwgencyS8tvKo Re¥st¢r¢d ¢tsmpany numbw 04680981 112 1 LIVES - OUR YEAR IN REVIEW MOTESTOTHEFIIIANCIALSTAfEMEiirs FOR ThE YEAR ENDED 31 MARCH 2022 20 TanW8f￿daS5Ots Intawblefixedassets FiyEdas5etirNe5trnerrt5 515972 147.914 Currwrtassets 61*) 1144 Cre(knr5dUpinFWTeth￿Cffle1 167m91 ws67J 167.075) Totol fvftds TaEiblefiyÉdèssèts F￿dasset￿WeStrn￿ts 470,251 114533 27.755 crethilor5duelnfforethononeye 66A67 N2tirK0￿*for￿*vI1sper51aterr￿ntaf Financialkiivitie51 Oewecla￿OTrCl￿￿s AmorbsatlMtharBE5 146 Dwa) LossllprofitlonthesaieaTrJredasthatlonoffiy£dassets Increase instocks iai97 IrKreaselndebtors 70J) (124￿) IKrgaselldecreasellncf•ditors 870,139 Lknctsknshlrè Integrt*ed Wuntary EnwwS•Nk• OUR YEAR IN REVIEW - LIVES 1113 FOR THEYEAR EM)ED 31 MARCH 2021 2021 Ca5hinhaKI ,796 951,796 70&062 25 AMly￿0fdW1nrntd Cashatbtrkandln￿nd 961796 1*4269) I2An41 46JH k￿reP￿rth￿se tgS549J la ACqJtsitlonoftar￿￿￿Sd4S5ets Thecharitablecompanyoperates a definedcontrthutionpension schemè.The assetsofthe schemeareheld sep?ratetyfromttrw)se olthe C￿)rttable companyln an Independentlyadmlnlstered fund.Thepersloncost chargereprestntscontributlons payablebythe Ch￿rtable tornpanytothe fundand amountedto£72.9501202I- £y,9401.￿o576120￿-£?.7J4IWasp?YabIet0th￿f￿ndatthe baiancesheetdateand isirtluded lThcredltors. LthC0knsh￿ knte9rnt￿ ￿lUntary Erne￿Y Service R*stwgd ¢tynp￿ nLmber 04680981 114 1 LIVES - OUR YEAR IN REVIEW NOTES TO TrE FINAMCIALsfATEMENTS FOR T￿ YEAR£NDED 31 MARCH 2022 At31 Marth2022thecharitable companyhad Commitrr￿ntstO makefijbjre min1m￿lleaSepaYrnentsUnderno1tr cancellabieoperatknBlea5esa5folltsw&' NotlatQrth￿1YQ Laterth￿l yearandrth1aterth￿51￿5 Latwth*15yWS 74a27 8&499 78s997 272490 Thefoll*)wlngleasepaymentsha¥e been recog)sedasanexpetselntheStat¢mentof FinancialActivitle%" Opu*ingieaserentaLs 27.5C(I 29 Memberglithi E￿h ￿￿mber0f thetharitable companyuThdertakestocontributetothe assetsof the company inthe eventof it belngwoundupthiiehel$hÈ is amombw, Drwlthin Onèyearafterh￿5hEcp￿se5tobeJrneMber.suCharn0￿tas MtybewIred.r￿tÈy£0edln8￿0fOrthedebtsènd1labll￿tIos£oftIratt•dbèf0r•hèl$bo(PaSPstobeaMember. 30. Thpcharitsbleconpanyytha5ed rnana8ernpnttraIni￿c￿￿l4tlncySErvlce5arn￿ntirE toQ375[20￿-Q5s*ilfrQrnTak￿gchar8e of Yoursuctsss Lt4ac¢xnpaylnYthlchHllary Gibb tsa dIreCtor.T￿ba18nce owgd attheyearendwasoooI202J-a.I701. 31. T￿￿4$nOu1tIMats¢Ontr0l1kn8P￿rty Llncolnshtre IntegrthtVolLthry ErywrgorKy Reg￿tered companynurnter046809 QUR YEAR IN REVIEW - UVES 1115 LIVES. UVESHeadQu¥ters live5HQ Lincdnshire Integrated V￿Untsry EmBryenLy SeTwice Re9i5LEred compary nurnber04680981