RECISTERED COMPANY NUMBER: 04883580 (England and Wales) RECISTERLDCHARITY NUMBER.. 110193S Report of the Trustees and Un8udit¢d Fillanci&l Statem¢nt$ For The YeAr Ended 31 Deeeniber 2023 for The Natloiial Organisafion For FASD Fuller Spurliiig Mill House 58 GuTldford Street Cliertsey Surrey KT16 9BE The Natlort#l Organisation For FASD Conteitts of the Financial Statetneiit$ For Th¢ Year Ended 31 Decejnbei. 2023 Pxge Report of the Trustees IndepeiEdent Examiner's Report Stotement of FinantiAI Activities 12 B#lxnce Sheet 13 to 14 Note5 to the FinAntial StAteiknent8 11 10 22 Dtt#Èled Statemeiit of TriDaneial Aetivities 23 The NAtional Organisation For FASD Report of the Trustee5 For The Year ETtded 31 Decernbej. 2023 TI1¢ ITU51ees wljo are also (firectors of th¢ charity for the purposes of the Coinpa11ies Act 9006. present iheir rtpori with tlie financial statements tsf the Charit} for tlie year ended 31 Deceinber ?023. The tTU51e¢5 have adopted the provisions of A¢countlll8 and Repoilinbi by Cliarities.. St&l¢l￿¢￿t of Recoinineiided Pra¢ii¢e applieablc lo chai'ities prepariiig their a¢¢ounts in accordaiice wilh ihe Finallcial Repoiliiibi Standard appltc&ble in the UK aixl Republic of Irelafjd IFRS 1021 {effective l Januwy 20191. OIIJEcfivLs AND AcfiviTIES Objectives And #i￿S Whal we do: The Natioi?al Organisation for FASD is the IIK'S n#iitsJittl charity for Fetal Alcohol Spectrum Disorder IFASD}, lifelong coijdilion ¢aused by aleohol liarm in pregnan¢y. We seek lo decrease incidence of FASD 2t)d to create brighier futures for those who Iiave it. A key part of our n)issioii is to edueal¢ professioiials about tlie iieed for greater awareiiess of the imponattce of helping people understand tlie risks of alcoliol in pregii&n¢y irtcluding how to have diffI¢ult discussions about alcohol-exposed pregnancie5 and to help them understand the life chaiigTiiig need for FASD diagnosis and PASD-infoni)ed support. The need: I.-ASD affects 2-40/0 of lh¢ population, Imoye tlsan autisn). Mosi peoplL livinbTr witl? FASD are undiagrtosed and are aniong society's Inost viilner*ble due to lack of recowition, f¢w avcTrucs for diagnosis and limiied syppori. for the first time rt¢ent pol￿0Y cliaiiges l)ave iii¢reased prospects foT a Jnore positive futt)re for FASD preveiitioii, dtagiiosi5 aiid support 10 people with FASD. We &re iii dan&iei' of missiiig this u11￿que opportunity due th¢ challffligiiig ¢onfrontsng health and sobial care systcms. OIIIEC'fivES AND AEMS SigThifitfint Activities Whorn we woi.k: We are the national FASD actton and advocate-based chai'ity focusing on educalitig Pl￿feSsIonals. incre&sing pllbli¢ awareness of the risks of alcohol in prcgiian¢y and siipporitiig people of #ll ages iyitli FASD Rlld Iliose wlio ¢ar¢ for theii). We have three core pYograi?)Ines Ipl¢a5e Mole a tiainin¥ ¢l¢n)ent Yuns ¢ross-OTgaiiisationally throughout these prograinin¢s1. l. Our leariiiiEg programine has r¢¢ently lauiiched a new al¢oliol and pregi)ancy toolkit that include5 inRovative eL¢arniiig aiid hand5-oii resources to help i*ateriiity t¢al￿S and others have life-chaiigiiig conveigatioiis about the risks of aleoliol and pregiiancy. 2. Our wellbeing progi'&tiinie supports ¢hildren aiid yoiing people witli FASD and th¢ET familie5 id include5 the in(ernaiionally &celaiJiied Me and My FASD toolkit and website {www.fasd.me}, aloiig with iiiforii)ation and resources 10 help fAmilie5 effectively advocate. 3. Our prev¢iition aiid iiiiiovatioii prograinine I&i5Ls awareness of FASD among professitsiials and policy makers via our publications like Tlie Tinie Is Now= The National P¢i'spe¢live on Rampiiig up FASD Prevetition, Dia£Jiosis and Suppon Services as well as via our expartdi118 traintiig progiamnie and t5cliool. These are all in line with the new NICE Quality Standard 204. How m#ny (lo we reach: Ille arc hclping to cliange the way tlje &iation Ihinks abouÉ FASD. Though we hav¢ a small siaff {see below for more details), our fingerprit)ts are oji major national polity thange5. OUY resources ar¢ iised nationally and we are ¢onsulted by local aiEas across the country. Our websi1¢ in 2023 had 40.741 u%eis and 154,452 views. Oyi. wcbsite foi. youiig people with fASD had 12.209 user5 and 55.957 views. TheiE h&ve been more than 10,620 videos views oli Me aiid My FASD You Tvbe chaniiel in the past 2 years. Our videos on NatiOEval FASD YouTiibe havt been viewed 22,469 tiines in the past 5 years. We ¢o-administer with other sister oi'gatiisafions tlie fASD UK Alliance the 4.000-person strong FASD UK Fatebook group. Our helpline IEsponded to more than 164 inquiries. Our recei)t wErtual b¢)ok ¢lub had more than 600 atleiidees over 21 sessioIis. Oiir kacebook pa#e hAs 4,028 followers. Twitter ha$ 3,195 and our Chief Executive's xc¢ouni has 2,184 followers. Ther¢ Ore Jnore tlian 830 followeTS on National FASD'S InstagTai)) and 800 followers on @PreventFASD. We reaclj 1,745 directly via our co2E niailing list and 2,346 directly via our FASD.Ine Inailiiig list. Our eschool had 4W users iii 2023. Given tliat tlic inain iieed is raisEng &wai'eness, th¢s¢ stattstics pn)ve we atr at tlie forefront. Page I 'rhe National Oryanis$tion For FASD Report of the Ti'u8¢ees For The Y¢4r F.nded 31 December 2023 OWECTIVES AND Acfivi'i'iES Signifacant aetii'ities The difference we make: Natioi)al fASD has succeeded iii raisiiig Ilie profile of FASD. The publication ofNICE Quality S(atr)dèJrd 204 In March 2022 now provides a platform for equiiy (we were involved in tliis proces5). It coi'ers assessing. dtagttosing. and managiiig FASD in childi'¢n and young people. supyon over the life couise. as well as support duriiig pregnancy to PIEveiil fASD. For the ftrst liiiie It provides guidelines for FASD diagnosis acrnss Scotland, England and Wales Ibased on SIGN 156) and follow's the DHSC FASD 14ealih Nccds Asse5sm¢nt for England 120211. Oui. a¢hieveiMe11ts are heavily feaiured in this docuinent. Oiir WOTk suppoitiiig people with FASD lias gained irttsnialional attention for its ui)ique aiid IT&iisforinalional opproach. M051 importantly, w¢ help iniprove lives. Oui work is proudly ¢o-PToduced w2th people witli FASD 4nd their faii)iliei and natioiially reiiowned expert￿trUsteeS. 'It's imtK)Itant to leartt about FASD because il's not veryè kiiown about. CDmpared to when I was younger it's a lot more iiow but it's imJx)rtant to get ii out there so the youiigei. people get the lieli) tliai soin¢ of us didn't get.. Clairey y(kung adult with fASD 2023- a time of growth.. Al Ihc tnd of 202? Natioiial FASD re¢¢tved OnC￿ff legacy grants from four Acres and Sylwia Adains Cliai'itabl¢ Trust to allow us 10 see what we could accoii)plish at a lTrigher level of stsffjiig while a150 bringing in outside fundraising consultants to seek to wtden our fundinb base. We increas¢d (Fur staff In 2023 to iiiclude 3 full-time and 4 part-tÈm¢ staff. What that Infusion of fuiidiiig aiid in¢r¢as¢d staffing eiiabled, with giiidan¢e from OUT Trustees. was foT US to explore how we could stivcture tsurselve5 lo gene￿(C Inore unir5tricled iiicome while loiwarding tlie goals of the cliarity. So the year was spent developirsg oui. traiiiitig offer aiid our ¢￿17001 and furiljtr developinB resouir¢s. While the staff expansioii was highly successlul ￿ld allowed us to help meet the iiicyeasiiig iieed Lieneraieil by policy ¢liaiiges. th¢ fundraising ¢onsultsnts weie not successful iij btingin&T in ihe level of fLEnding we'd hoped for and Governn)¢ni still ha5 ttot reiiewed it5 FASD fui)din8, $0 some siaff coiitr#Gt5 were unable to be renem'ed at Ilie eiid of 2023 and we liave g*one down to 2 full-tiine and 3 pai#-tiiiTrc staff Iti 2024 (which is still a higher level tllan pre-20231. The work done in 2023 has help¢d us realign and iestructure in a ]y)sitive way that will be17¢fii the orgaTllSatlQll'5 long-ierm stabilily. Wliil¢ pJY)graii)Imatieally 2023 was & strong year, finan¢i4111y it was challeiigiiig. We Iitste that unrestFiCted tnrtrme wa5 not tovering uDre51ricted costs. Trustees have ¢ncouiaged staff to reorient toward fo¢using on increasing our work with Integraied Care Boards, Health Boatds and Tru5t5 and Local Authorities Tiioviiig forward. Trustees are confideiit the organisatioi) can conlijiue its aciivilies Ind Tneet ils core inission because ihanks to tlie added work iii 2023 Inade possible with th¢ ijlCTe8s¢d staffing we have a plaii iii place ¢0 increase our ut]Yeslrict¢d income througli service ts)ntracts to ICBS. Trusts Local Auihorities and other I￿eans. Me & My FASD Club & Lkvkng FASD- At the heart of our work is promoting positive futures for people wÈth FASD. In addition lo our widely acclainied websitc www.fasd.iii¢ - w¢ do ihis through the Me and My FASD Club aiid the Living FASD masazint. which wenl fix>1￿ strength to st￿l£1h in 2023. The puiposc has evolv¢d to allow people with FASD to uiiderstand the condition, the iIDpa¢t that it has on thejn. to suggesl sirategics that may be ¢ffecÉiw¢ in their lives and show case people with FASD who have achieved. Not only has Ilje Me & My FASD project Èn&i?a&ed lo rea¢li out to people who liave b¢eii isolated be¢ause tliey have not been aware of the coiiditioii or the support that we offer as i chaiity or have iiot Inet otheT people with FASD. li has also giv¢17 people wilh FASD who are amaLiJg a platforni to bJDadcasi their achieveinents. Tlie key irnpact of the Me &My FASD Club, but particularly the Liviiig FASD Magazine has beet) that li has been able io share the success of people with FASD throughout the UK. In th¢ four i)1agazine5 that we publislied ii? 2023 we have featured 65 young people and ailults with fASD who liavc tcliievEd. This has ran8ed from learnin8 to tie tlieir shoelaces. transitionijig suc¢essfully into school or befter nianasing their Ineltdowns throiigh to 8aii)iiig a Gold Duke of Edinburgh's Award, wintting medals at tlie special Olympics or be¢oniing ridiiig for flie disabled iiatEonal ¢liampions. Ea¢h young person becoiiies a role illodel for the readers and chips away at reinforcing the narrative that people witli FASD cali aiid d(> aGliiev¢. W¢ hove now attempted to start to link younger people who express an iiiterest in a hobby with an oldei. person with FASD in the magazine so that people ¢an see an aspirational route froii? small beginniiigs to bigger thing5. Pag¢ 2 The National or￿n1$Xt10ll For f4ASD Repoi't of the Trustees For The Year Ended 31 December 2023 OBJEcfJvES Af4D ACTIVITIES Tll tli¢ Inain all of those who ar¢ featured iii tlie Magpazine are self-selecling initially noniinaiirig (hei*selves or ilieir ¢l)ildreEI lo be included. We have developed a pDrtal ¢inail address ihai allows us io capture the iniportai)t pennissioE)s to illake us GDPR coJi)plianl froiii tli¢ firsi stages of cominunication. Working alongsEde our new Educaiioh Projects iiiana8¢r foi. a year we have #Iso created a teniplate for the Inagaziiie iii p&Jticul&r that allows us to IMOTY easily dtvelop tlie 24 p28es of Copy tliat is needed for ¢&ch inagaziiie. InciEasiii8ly the magazine and Club is bttiig featured as p￿t of our social in¢dta feed willi the a￿lTr of developijig iiiore iiileractioti aiid subscrtbers. In additioii to the packs thai people have sub5ei.ibed to tE¢¢ive ihe Inagazine and TE50ufce5 (such as our'where are you today and nowliiext whitel)o*rd") and a new FASD passport io help people wttli fASD self advocate) are featured the Me & My FASD Club page5 on thc websile - www.fasd.melclub Th¢ r¢sourc¢s aiid iiiaga7in¢ also provide the foyiidatioii for niueh of the Irainii)g thal ive deliver as OrgE￿Is￿li0￿ and as such ihis also evolvts willi what w¢ pi'ovid¢ via tl?e Me & My FASD Club. Whai is par¢É¢ularly gratifying is Iiow when we are piovidiiig face to face Iraiajiiig where there are families present oft¢0 th¢r¢ are people there who have subscribed to Ihe Club aiid 5igii its praises as a 8ain¢ ¢hang¢r for how Iheiryoung person views fASD. Althougl? th¢ Club has ntri yet reached tlie nunibers of subscribers thttt we anticipated tt is dIslributce on ihe National FASD website so that practitioners and pr¢gnant woineii could get Inore inforination and easily access the toolkii. launeh: On the 215t June. at t]ie National Libeial Club we lifted the curtain on our bi'and-new Aleohol & Pr¢gnan¢y toolkil for midwEves a]id niat¢ii?ity pra¢titioners. Maternity stafTfroni a r￿1ge of backgrnunds attended an "Audienee with the ¢xpeits" CPD sessioii that gave them the first look ai the new (oolkit and access to a series of talk5 from experts in their fields. Ea¢li professioiial also re¢eived a bag coijtatning some of the new resourcts Ptesenters included-. Deputy Chief Medical Officer Dr Jean¢lle de Gruchy Pa8e 4 The NAtional Or￿￿1$atIon Foi. FASD Report of the Trustees For The Yeai. Ended 31 Dtctmber 2023 OBJEcfivES AP4D ACTIVII'IES Specialisi SubstaJi¢e ai)d Alcohol MisJst Midwife Laiiey Hollaiid S¢iitor Coninii5sioner foi. C.liildJElI, Youiig people and Materiiily and National Midwife Research Sp¢ciali5t in FASD and Alcohol Di. H¢len 14owlett Consultaiil psychiatrist and leading UK FASD specialist Prof Rajo Mukherjee MBE, Meinber of National FASD Expeits Comrnsttee Founder of Birth Mutji and Soil aiid Meinbcj. of Nalion&l FASD Ekperts Coininittee Janet GritTJn N&tional FASD'S Di￿tOr of Innovation and author of tlie Alcoliol and Pregnancy Toolkit Joanna Buckard. Youiig adult with FASD who is one of our advisor5 National FASD'S Chief Executive aiid paient of a youiig adult with fASD Salldra Butclier opeiied aiid closed ihe event. Tliere were displays coiiiaining eleinents of the toolkIt for practit¥oners to explore. Feedback from tlie preseiitets.. "Thaiiks 10 everyone who lias worked sa ta￿leSS1Y in 1969 Discussions with pollty ittaktrs aiid Titne is Now follow ui)- Dur&ng 2023 we coiitinlled to follow up on our 2022 l'epoffj "The Time is Now.. Naiional Perspectives on Ramping UP FASD Diagnosis. Prevention ond Slipp017 Services,, Creoted based on 9 roundtabl¢s involving mor¢ tliaii 60 leadang praclttiontrs, experts, commissioners, policy makers, people with l*ved experi¢n¢e thai resulted &n a 140-page booklet outlitting best piaclice aiid ways ftsiMr#rd following tlie NICE Quality Staiidard on FASD. We worked wilh faniilies and groups who reaGhed Dut to Iheir Int¢gral¢d c.are Iloards lo deiei'miiie what artioii has been takeTI siiice publtcaiioii of NICE Quality Standard 204. We also worked dÈTectly with soime areas s¢ekiJig to Eii)prove their cair related to alcohol, pregnancy #nd FASD. In autUTnn 2023. we iiiet with the new CliÉef Midwife, Kate Brintworth to discus5 alcohol and pregnan¢y And ou¥ recoTiim¢ndations to reduce the nuinber of alcoliol exposed pregiiallcits. We Hiet with SenEoi' Digital MidwÈfe Advisor. Dawn Cross from NTr4S England to start a discussion with her about if i( would be possible to Inake alcohol and pregnancy discussions mand8toYy in the di¥ilal maternity reeoj'ds. We ctsiitinued ongoin¥ and valued discu5S10115 with key leaders in OHID amd DHSC and in key local and regioiial area5 across the IIK. SpreHding AwAreness, coll*bor8tiveIy: Nalional FASD v&lue5 wol'king collaboratively. We pailicipate IJ the sleer&ng coiminitlce for tlie FASD UK Alliance and have beeii workin¥ with them on a niodel i1?aiiau￿eme11t plan as called for iii NIC.E Quality Staiidard 204. 111 2022-2023. we have spokcii at. displayed at. liad Ineetili8S With and taken part iii wide i'an¥e of ¢onf¢rert¢es and event5 reacliing thousands. includiiig but not limited to the ADHD Fouiidation, the Viitual School Heads National Coiiference, CaiT)brtdge5hiJr Virtual Scliool Head5 conference. Paediatric traijiees aiid Meyivdevelopmeiital iittwoA(, Keys, South Wales Doctoral Training Progranime in Cliiiical Psychology, Royal College of Speech and Language Thuapists, University East Anglia. FASD Iiational service away day, Portinaii Group. Forensic CAMHS tr8iiiing, K>ngstoii CCG SEND Partnership. Birmingliain City University. EUYASD. BACCH (British Association of Commiinity Child Health), SLT Aware, Sheffield All Age FASD Steertijg Grotjp, Early Yea￿ SEND ¢ollferen¢e Hertfordshiie. South East Posi Adoptton Ndwork, Evelina Children's Hospital, Leaming Technology awards, CordtiiBaaf, CouTi¢iI for Disabled CliildreTI, BBCMl￿e. Our clitef executive is oli tlje faculty of tlie koyal College of Paediatrics and Cl)ild Health trainings on FASD. Slie a]so participated i)) podcasts for the Association for Adolescent aijd Child and Mental Healtii ￿ld one for Greater Manchester ICB foi. spe£cli aiid language therapists. Pa8¢ 6 The National Org#nisation For FASD Report of the Trustees Foy The nded 31 Detembei. 2023 OBJEcfiv£s AND AC'I'IVITIES W¢ also provide support to a wide rdnge of researchers and studi¢5. iE)cluding key St￿diES from tli¢ UJiEversity of Salford and Uiiiv¢rsity of Bristol. Training: The National FASD IMit)ing offer rtteived a positive boost in 2023 from the one-off legacy funding. We hI￿d a new Training Proje¢t Officer to help guide the prograinine aiid have been able to r¢laiii this post IElto 2024 as a result of ils su¢ttss. National FASD is commiited io advaiicing uiideJstanditJg ai)d support for indtviduals witli Felal Alcohol Speciruin DFsorder (FASDI throughout the UK. OIEr training initiaiives are designed to ratse awareiiess. empower fatnilic5, infoFin professioiials, an the org￿lsa140n str￿ggled in 2023 10 brii)g in new funde￿. despite ejigaging 2 coiisJliing firiii at the requ¢st of prior fundtrs as parl of thelr legacy graiit awai"ds. A￿ a result. Trustees approved spending som¢ ￿ServeS, whsle keeping Ininiinal reseTve5 needed foi. aiiy outstandiiig conJIniti￿¢nt$. I'hey approved a ￿neW¢d focus oiTr pui%uiiig llnrestricted in¢on)e via contraets aiid servi¢e agreements with N14S bodies aiid local authoritt¢s. as well as iii¢reasing ouy provision of Tesources, as this noi only helps the organisatioii fulfil its InissiL)n. bui it meeig tli¢ needs of NHS bodic5 V15-a-vis ili¢ NICE Quality Stand3Yd and lielps local aTeas to ineet Ilie growtng need resulting fTom i'ecent policy changes. This strategy ss working. At ilie eiid of 2023 the oiEaiiisatiOll secuiEd an £89,897 coniraci foi. LoiitiiiuenEn8 and resource developmeoi. We &re dedicatcd to our misstort and look fonvard to contiiiuing OUT efforts to makc a wsiiive difference in tl?e Iivc5 of individuals with FASD and through promoting aleohol-fre¢ pregiianeies. STRIJCTURE, GOVFRNANCb AND MANAGEMENT Gov¢riiinE doeument The charity is corttrolled by its g7ovemiiiy docLTrment, a de¢d of trust, and wnslilute5 a lirnitrd rompaTrys IiTnited by guarai)tee. as defined by the Companies Act 2006. Recruitrntnt and Appointment of new trnstÈÈs Trustees are selected and invited to join ihe Board of Trustees by existing Trustees and ilie appoijitnient of Trllsttts is vested widi t]ie Truste¢s. Existing Trustees Can recon?Tnend Ilie appoinlEnellt of a new Trustee ai any time. The number of trustees shall be t)ot less th￿1 three but shall not be subject to ally maximum. Org9nisationAI structure The day to day manageiiient of the charity, as designated by the trustees. is ui)dertaken by tlie Chief Executive. Page 8 The N#tiollxl OrganisAtion fior FASD Report of th¢ Trustees For The Year bnded 31 Deeember 2023 s'rRUCTURE, GOVERNANCE AND MANAGLMbNT Indllction 9nd traln5ng of ntiv tru5tee5 A potetitial Trustee ig iiTrvilEd to becoJii¢ a Trusiee and the aims of the Charity afe explained in detail. c.opies of annu reports aiid accouiiis aiid a copy of t]ie goveriiiiig trust dctd tjid the C.liai'ity coinmi5sioiI's guidance, The Esseiiiial Tivstee. are mad¢ available to potenlial Trusttts. The yofentia￿ Trustee is tlien invst¢d to a normal board nieeting and introduced to the r¢sr of the Trustees and UlFless Éli¢re alr any tsbjections is invited to joiii the cliarity as a Trustee, after the meetin¥. It is reconimejded thai all Trustees read tlie relevtnt Charily Coinillissioji gusdclines and th¢ i¢sponsibiliit¢s of a Trusle¢ are clearly defiiied uiider 113ese guidelii)es. (ICSA guide 'Rcciuiiiiieiit AppoiTltiiJeiit and Tiiductioii ot. Charity Trllsiees'}. Wider network WORKING COOPERATIVELY.. The Nalional Org2nisat¢on for FASD is proud to be a Ineniber of the FASD UK Alliance. a coalitioii of independent groups aci'oss the British 151es. As a sister OT¥aiiisation in the FASD UK Allt&nce. we aetively wnlribuie and advertise FASD UK Facebook support groups for familie4 proftssionals, leei)s artd adults with FASD and one focused on FASD and g¢nder identity. These groups reach moiE tlian 4,000 individuals aiid fainilies. Tlie Naiional OrgaTiisalion for FASD lielps channel stakcholdey vtews froni ilie FASD UK Alliance Tnio poli¢y debates. We work in cooperation with other disabiliiy groups, advocacy gr(>ups aEid professioiial organisaiions on a raiige of inters￿ti￿¥ ittierests. The Nl1 tional Oi'¥aiiisation for FASD fully agrees with th¢ mollo "Togeiher We AJE Stronger., We work collatx)ratively witli a widc ranke of nerworks. researche￿ and pn)fessional or#anisations. REFERENC.E AND ADMINtST114TIVE DETAILS Registei'ed Coimpany llumber 04883580 (England and Wale5) Register¢d Chai'ity nuniber 1101935 Re£i$tered office Mill House 58 Guildford Street Chertsey Surrey KT16 9BE Trustees L Bradfoi'd (resigned 18.4.231 K L l)rice {resigned 1.7.231 R Reyt]olds T V Griffiths N L Pasek MBE G Dan¥el {appoint¢d l.1.23) {r¢signed 19.7.231 P Jackson OBE, FRCPCH (appoint￿ l.1.23) B Carpenter CBE D.Liit lai)pointed 1.4.231 Iresigiitd 13.6.231 A Bovaird {appoint¢d 16.10.231 Hon. Vic¢-PresldeRt Mieh&el Attwell Chief Executive Sandra Butcher Page 9 Tht Nitionsjl Org4nisatffton Foi. FASD Report of the Trustees For The Year Ei)ded 31 Deceml)er 2023 REFERENCE AND ADMINISTRATIVE DETAILS Independent ExaMain¢r Susaji Keai)e Fuller Spurling Mill Hous¢ 58 Guildford Street Che11sey Surrey KT16 9BE Approved by order of th¢ ly)ard of trustees on 2211d October 2024 aiid sigrted oli it5 behalf by= N Paoo N L Pasek MBE- Trusiee Page 10 Indepuident Exhminer's Report to the Ti'ustses of The NatitsnAI Organi$4tion For FASD Independent examiner's report to the trustees of The NAtional Organi5ation For FASD ('the Company,) I report to the charity tru51tt5 011 tt)y ex2mination of tlie accouryls of the Comptny ftsrthc ycai. elided 31 Deeetnber2023. Respon5ibilitÉes bA$Ès of r¢port As th¢ ¢harity's trustees of the Coinpgny (and also its directors foi. die purposes ofcompany law} you are ￿$￿nSIble for the pre￿￿raIton of the accounts in accord￿7¢¢ with the requirements of the Coinpani¢s Act 2006 ('the 2006 Act'l. Having satisfied myself tliat the ac¢ouJ]ts of the Coinpany not requared to be #udiled ui)der Part 16 ofthe 2006 ALt aiid are ¢ligible for independent examination, I report Éll Tespeot of Iny ex&iniiiation of your charity's accouijts as carrÈtd out uiider Secttoo 145 of the CharitEes Au 2011 ('th¢ 2011 Act'l. In cayrying out niy eX￿ninatIon I have followed the Directtons given by tjie Chwity Comniission under S¢¢tion 145(S1 Ibl of ihe 2011 Ad. ImdependeEJt examiiier's $tAternent I hav¢ ¢oinpleted my e￿}￿l￿atIon. I confirn? that no rnatters have com¢ to my attention iii ¢ODneaioii with the examination givtng nie cause to believe.. a¢counting retords were not kept in respea of the Company as required by Sedion 386 of the 2006 Act., or the accouiits do notaccord witli Ihtsse records., or the aco)unts do not comply with ilie o¢counting requiremertts of Section 396 of the 2006 Act other any reqiiiremeni that the a¢counts gtve a true and fail. vicw wliicli is not a matt¢r coiisidered as part of ali indepeiident exaininati¢)n,' or the ac¢ounts have not be¢n prepared in accordaftte with the methods 2nd principles of tlie Statement of Recommended Practice for accouiiting aiid repoitifig by Chalili￿ (appli￿ble to charities pirpaiEng their accounts in accordance with the FinaiJ¢ial ReportEng Standard applicable in ihe UK and R¢public of Irelajid {FRS 10211. I have no concenis and l)ave (x)inE acJK)ss no other Inalie￿ conne¢tion with the examination to which attention should be drawn in this report oiller lo enable a proper understanding of the a¢wulltS lo be reached. Susan Keane Fuller Spurling Mill 14ouse 58 Giiildford StlEet Cherlsey Surrey KT16 9BE Date.. Pagtll The NAtionAI Org8nisAtion For FASD Statement of Fpn#ncl#l Activittes Ilncorporating Income Expenditure Atcount) For The YeHr Ended 31 Deeembcr 2023 31.12.23 Totsl funds 31.12.22 Tot&1 funds Unrestricted funds Reslricted funds Notes INCOME AND ENDOWMENTS FROM Doiia1É0115 ajid lega¢ies 19.185 64,500 83.685 379,629 Other trading acttvities 61,024 15.145 Totsl 80.209 144.709 394 774 EXPENDITURE ON Rai5in8 funds 15,517 23.049 3.384 Ch%ritAble g¢tivities Wellbeing Learniiig Prevetition project Governatice 100,157 13,897 126.306 92,730 114,054 126,J06 92.730 26.069 65.087 136.421 2,310 TotAI 118 769 240.465 359,234 233,271 NET INCOMEI{EXPENDITURE) (38.5601 1175,9651 1214.525) 161,503 RECONCILIATION OF bUNDS Total funds brought fotward 66.385 199,564 265,949 104.446 TOTAL FUNDS CARRIED FORWARD 27,825 23.599 51,424 265.949 The notes form part of these fjiiancial 51atemenls Page 12 The NAtionAI Organisation For FASD B#l*Thce Sheet 31 Deceniber 2023 31.12.23 Toltl ruiids 31.12.22 Total funds Urtrestricted funds Reslr&cled fu￿dS Notes FIXED ASSETS Tangible assets 3,598 3,598 CURRENT ASSETS Sto¢ks Debtor5 Cash at baiik and in hand 19,500 2,176 9.682 19,500 2.176 70.781 132,279 174 157 31,358 61,099 92.457 306.436 CREDITOR,$ Amovnis falling due within ojie year 14 137.500) (44,6111 (40,4871 NET CURRCINT ASSETS 23,599 47.826 265,949 TOTAL ASSETS LESS CURREf+iT LIABILI'riEs 27,825 51,424 265,949 IYET ASSETS 23,599 -11.424 265,949 FUNDS Un￿StrICted fujids Restricted funds 27.825 66,385 199564 TOTAL FUNDS 51.424 26S,949 The charitable coinpany is entitled to ¢xemptiLllI frol￿ audit under Sectioii 477 of (he Comyaiiies Act 2Q06 for tlie year ended 31 December 2023. The rmembers h&ve not iEquired the coihpally to obtaÈn an audit of its fJnan¢ial stawiien¢s for the year ended 31 Derembcr 2023 in aGcordance with Section 476 of ihe Companies Aet 2006. The trustees aeknowledge their responsibilities for la) ensuring that Ilie charitable eompatty keeps a¢cotJnting records that coniply with Sections 386 &nd 387 of the Conipunics Act 2006 and prcpai'iiig finaticFal statements which give a true ￿ld fair vi¢w of tlle srat¢ of aff)tis of tli¢ ¢liaritsbl¢ ¢oinpany as at the end of tach finan¢ial year and of its surplu5 or defIcit for each fJnaiJ¢ial year irt a¢cordan¢e with the requiren)ents of Sections 394 and 395 and whicli otherwise comply with the requir¢m¢nts of ihe Companies Act 2006 relatin¥ to financial ststeinejiis. so far as applicable lo Ihe charitablt Comp￿)Y. Ibl The notes form part of tllese fil)￿le1a1 statements Page 13 continued... The National OrganRsation For FASD Balance Sheet- continued 31 December 2D23 These finaiicial statenietjts have beeii prepared in accordaiite witlTr ihe provisiolls applicable to charitable ¢ompanies subjeLt to the small Coinpanies Irgime. ThB financial statemenls were appiDv¢d by tli¢ Board of TrUS￿eS aiid autlwrÈsed foi. issue on 22" October 2024 and were signed ot> its behalf by.. N PoAdL N L P8sek MBE- Trustee The notes fori* part of these finantial slatenieiits P&ge 14 Tho N&tional OrgAnisatioiTr For f4ASD Notes to the TrÉnARtial StHtements rior Tlie Year Ended 31 December 2023 ACCOUNTING POLICIES B*5ls of preparing the fin#n¢ixl 5tstemeiits The fiiiaiicial staiemenis ofthe cliaritable coinpany. whiGh is a public beiiefii entity under FRS 102. Iiave bee prepared in a¢¢ordanLe witli the C,liaJ'ities SORP IFRS 102}'Accounting ajid Reporting by Charitie5.' SialenTrtnt of Reconijneiided Practice applicable ro chariti¢s preparing their accouiits in accordance with the Fiiiaiicial Repoitiiig Stwidard applicable in the UK aiid Republic of Ir¢land IFRS 1021 {etTective l January 2019),, Financial Reporting Staiidaiyl IQ2 'The Financial Reporting Staiidard applicable in the UK and Republic of Ireland, and the c.oiiipaiiies Act 2006. The financial statements have beeii prcpaTcd under the hisiorical tost conventioii. All i#¢oiiie 15 recognised in tli¢ Stateii)ent of Finaiicial ActivatIes oiice the cliaTlty lias entitlement to the funds, li is probable tliat Ilie itkcoJiEe will be received 8iid the anioiinl caj) be nieasured reliably. Rcveiiue grwits ar¢ ¢redit¢d io the statetnent of financial activiiies when iw¢ivable. Expenditll LEabiliti¢s are recogiiised as expenditure 2$ .soon as there is A legal or constNctive 061igatiort LOrniMittin¥ the chai'ity to Ilial ¢xpeJdiiure, it is probable ihal a Irangfer of econoiiiic benefits will be requtred settlenieiit and th¢ amouni of the obligation cali be measured Irliably. Expendituit Is accouiited for on an xci'uols basis ond has beeti c13Ssified under lieadings that aggregate all c051 related to ihe category. whe￿ ¢os(s cannoi be directly aiiributed 10 partTrculkr headings t]icy havE beEn allocated to activiiaes ott a basis consistent with the usc of resources. Ch&rlt#ble AetlVTtie5 Cliai'itable actTvilies include exp¢nditui'¢ assoGiated with th¢ pmvision of iraining and edu¢aiion to healtlicare professionals to rni5e awareness of F¢tal Alcohol Spectrkim D¢sorder and support servicei to tliose affected by the coiiditioii. They iiiclude both tlie dire¢1 eosts and supp)rt costs relaliiig to tliese aclivilie5. The charitable activities hcadinss liave be¢n ¢hanged for 2020 and onwaTds to reflect the programmatic focus of ihe trustees g(iing fonvard. Gow¢rrtknce costs Governance costs include tliose ineurrcd in the govetmanee of the chaiily and ils assets aTrd are primarily associated with coiistiluiional and stltuiory ¥equireJneiils. Allocation aEid ai)portionrn¢nt of to$t$ Supp¢>rt eosts include centi21 fut)¢tIOT15 and have been allocated to a¢tivity cost Caiegories on a basis Consistent with ihe use of resources, e.g., allo¢atiiig staff costs by the tinie spenl and other costs by their usage. iiew system of allocation of support costs forthe Charity was implemented in 2020 to apportion ¢08ts betwe¢n'. Wellbeing Learnin¥ Preventiort Tangible fixed a5set5 DepiE¢iatiOli is PTovided at the followÈng annual rates IlF order to WTite off each asset over its estiinaled useful Fixtures and fittin85 250/0 Oft Cost Stoeks Stocks are valued at the lower of tost and nEt realisable value. after makin¥ due dlowance for obsolete and slow moviiig it¢ms. Taxatio The charity is Exempt COrporat￿On tax on its chariiable aciiviiies. Page 15 coiitinued... The NAtioNal Orga￿kSAtIoTr For FASD Notts to the Financial Statemtnt5- Coftrtinued For The Yeai. Ended 31 Deeember 2023 Accouf4TING POLICICI S . eollttjtued Fund atcountlng Unrestrt¢i¢d funds can bc used ID accordan¢¢ with tjie Char￿table obje¢tives at the disGretion of the truste¢s. Restri¢t¢d funds can only be ￿Sed for particulai. re5trided puws¢s witliiii the objects of tlie cliarity. Restrictions arise when specified by the donor or when funds are raised foT particular Testricled purpost5. The iestricted income funds are specift¢&lly de5igfialed for GP/Midwives projects, which aye used to educate aiid raise awaTen¢55 about FASD aiid its haimi to over 15,000 GP and Inidwiveg 111 the UK. li also iiicludes funding for tlie Mc and My FASD, for aij experiinent in staff expansion and briiiging in external fuJidraisEJig expertise. Debtors Trade and oiher debtor5 ale reco8nts¢d at th¢ seitleinent ainouiit due after any trade discouni offered. Prepayments are valued at the amount prepaId net of any trade discounts due. Cash At bank snd in h8nd Cash al baiik and casji iii hand inclu(fes casli at bank and iii liand, aiid deniand deposits wilh banks. Creditors Credilors and provisions 21E Ir¢ogiiised where the chai'ily li&s a pie5ent obligation r¢sultiDg froim a past event thtti will probably IE5uII in ilie traiisfer of funds lo a ihird party and il)e aiiiouiii due 10 settle the obligation can be measuird or esiiinat¢d reliably. CreditOTS and provisions arc J￿nI]allY recogiiised at their seiilein¢nt amount after allowing for any trad¢ discounts due. FinanciHI Instruments The Chai'itable Coimpajiy has finAiicial assets aiid fiiiancial liabilities of 2 kind thai qualify as basic finaiicial instiuiiients. Basie financial instruments are iiiltially recognised al ti'ansadioji v31ue and subs¢qu¢titly measured at their settlcinent vallie, ¢xcepl for Invesiiments wliich are Ineasured at iheir market valuation at the balanee sheet date. DONATIONS AND LEGACIES 31.12.23 31.12.22 Donalion5 Grants 9.560 74.125 8,254 -171,375 83.685 379,629 (yrHER TRADING ACI'IVITIES 31.12.23 31.12.22 Shop income TrainiiigleducatioDal 5¢rvices 13.933 47,091 8,342 6,803 61,024 PAge 16 continued... The N&tion%l Ory4nisation For FASD Notes to the Finuncial St*temÈnt5- CQJltinued For The Yexii. Ended 31 Deeember 2023 CHARITABLE ACTIVITJES COSI'5 Direct Costs {se¢ noie 51 Support Sts Is¢¢ note 61 Toials WellbeFng L¢aiiiing Prevention projeet Governance 8,831 31,404 210 105,223 94,902 92,520 114,054 126.306 92,730 3.095 40,445 295 740 336 185 DIRECT COSTS or CHARITABLE ACTIVITIES 31.12.23 31.12.22 Project prEntiii& proiiioiion abd diuribution Eiitertaillment 39,568 877 36,591 154 40,445 SUPPORT COSTS Govemance cosis Otlier Totals Wellbeing Leamin PieveiitiQTi project Governai)ce 100,396 92,270 89,797 4.827 105,223 94,902 92,520 3,095 2,723 3.095 282,463 13,277 295,740 Support costs. included iii tlie above, aTE a5 follow5.. Preveiiiion proj￿¢ Wellbeing Learning Wages RenL rates and utilities liisuranee Telephon¢ Office costs Sundries Travel Depieciatiorb of taiigible fixed assets Independent examiners fte Aecountancy. legal and consultaii¢y costs 79,945 5,469 553 374 12.579 660 60.528 8,405 645 442 8.034 6.484 1.732 66,642 5.593 771 H2 3,138 326 12.885 $16 2.723 105,223 94.902 Pa8e 17 Ltinlin￿ea... The NRtionAI OrganisAtion For FASD otes to the FiRanciAI StateiiEents- eontinutd For The I'exr Ended 31 December 2023 SUPPORT COSTS- cOnti￿ued 31.12,23 Total 31.12.22 Total Governance Wages Rent. ratrs and utilities Insurance Telephone OtTice costs Slllldries Travel Deprecialioii of taiigible fjxed assets IIidependent examiners fee Accountancy, legal and consultaiicy costs 213,115 19,467 1,969 1.258 23,751 7,470 14,617 816 2.500 10.777 134.816 19.26.1 1,846 1.209 9,714 6.782 3.182 2.500 595 2.310 3.095 295 740 193,142 NET INCOMEIIEXPENDITURF.) Nd Incal￿e/{exPW1d1tUr¢I is siat¢d after chargingllc￿dit1ngl'. 31.12.23 31.12.22 liidependent exEminers fee Deprecialioti owiied assets 2,500 816 2,31Q TRUSTEkS' REMUNERATION AND BENEFITS Thett were 110 iruste¢s' rei￿U￿¢rat10n or otheF benefits fDr the year ended 31 D￿ernber 2023 nor for the y¢ar ejided Jl DeceJttber 2022. Trustees. expenses There were no trustees, expenses paid for ihe y￿r ended 31 Deceinber2023 nor foi. tIFe ye&r ended 31 Decetnber 2022. STAFF COSTS The average nionthly nuniber of ernployte5 durÈng the yearwas as follows.. 31.12.23 31.12.22 AdTnini5tratroJi No employees received einoluinents in excess of £60,000. Page 18 continued... The N&ttonAI Oi'ganishtion bor FASD Notes to tlie Finan¢tal S¢Ate￿ents- continlled or The Year Ended 31 December 2023 10. COMPARATIVES FOR THF STATEMENT Ob FINANCIAL AcfiviTIES UnFesiri¢ted funds ReslricÉed Cunds Total fujids INCOME AND ENDOWMENTS FROM Donations aiid lega¢ies 8.252 371,377 379.629 Other trading activities 15.145 Tot41 371377 394 774 EXPENDITURE ON Raisiiig funds 2,836 548 3,384 Charitable #etivities Wellbeing L¢arning Prevention project Governance 608 25.461 65.087 136,421 26.069 65.087 136.421 2.310 Total 227.517 233.271 NET INCOME Trdnsfers between funds 17,643 8.750 143.860 8.750) 161,503 et moven)tht funds ?6.393 161.503 RECONCILIATION, OF FUNDS Total fuiids brought forw2rd 39,992 64,454 104.446 TOTAL FUNDS CARRIED FORWARD 66,385 TATr4GIBLE FIXED ASSETS Fixtures fittings COST Addiliotjs 4,414 DEPRECIATION Cbafge for year 816 NET BOOK VALUE At 31 December 202.3 At 31 Deceinber 2022 Page 19 ¢oiitinued... The National OrexnÉ5ation For FASD Notes to the FlnaNcial StAtemenls- ¢ontlnue For The Year Ended 31 Dec¢mb¢r 2023 12. srocKS 31.12.23 31.12.22 Stocks 19.500 13. DELITORS: AMOUNTS FALLING DUE WITHIN ONE VEIAR 31.12.23 31.12.22 Trade debtors Other debtors Prepaym•iis aiid accrued incoine 935 399 842 508 250 2.176 132.279 14. CREDITORS: AMOUNTS FALLINC DUE WITHIN ONE YEAR 31.12.2.3 31.12.22 Trade creditors Other ci'editors Delerird income A¢cTued expenses 2,727 1.464 37.500 2,940 182 2,335 35,625 2.345 44,631 40.487 15. MOVEMENT IN FUNDS Net IT)0ve1￿¢￿t Tn fund5 At 31.12.23 At 1.1.23 Unrestriet¢d funds Uiirestricted 66,385 138,5601 27,825 R¢$tri¢teil thnds Ltr4rning Prevention project Wellbeing Austiii & Hope 100.800 83.980 14.784 179,088) 183,980) {13.897) 21,712 887 1,000 175.965 TOTAL FUNDS 265.949 214,5251 51.424 Pa¥e 20 continued... The N4tlon41 OrgillssAtion For FASD Notes to the FÈnancial Ststem¢nt$- Continued Foi. Th¢ Y¢4r Fjiided 31 December 2023 Is. MOVEMENT IN FUNDS- eontlnued Net moveinejit in fllnds. Included ITr tlie above are as follows- In¢oJ7)ing resourtt5 Resoiirce5 expeiided Movement in fuiids Unrestrlcted thnds Unrestricted 80,209 1118.769) lJ8,5601 Re$lrleled funds Learniiig Prevention project Wellbeing A￿still & Hope 54,750 8,750 1133,8.381 192.7301 113.8971 179.088) 183,980) {13.8971 1.000 64,5QO 1240,465 175,965 TOTAL FUNDS 144.709 359.2.34) 214,525) Comparative5 foi. movemeiit in fund5 Net n)ovenienl '] ransfers between funds At 31.12.22 Ilnrestricted funds Uiirestri¢ied 39,992 17.643 8.750 66,385 Restricted funds Learning Preirention project Wellbeiiig 36,441 28,013 55.702 54.713 33,445 {8.7501 83,393 82,726 33.445 64.454 143.860 8,750) 199 564 TOTAL FUNDS 104.446 161 .503 265.949 Cojnpayative net movement in funds, includcd in the above are as follows.. Intoiiiing resour¢es Resources expeiid¢d N4ovenient in funds Unrestricted funds UnrE5tricted 23,397 15,754) Restricted fvnd5 L¢aTni118 Preveiition project Wellb¢ing 121,221 191.250 165,519) 1116.5371 25 4611 55.702 54.713 371,377 227,5171 143 860 TOTAL FUNDS 394,774 233.2711 161.503 Page21 ¢tsntinued.. The NAtionAI Organi5ation For FASD Notes to tlie FlttxnciAI Statements- continued Foi. The Ye81. Ended 31 December 2023 15. MOVF.MENT IN FUNDS- continued Midwlves Project Grants recelved froin Diagco reslTiCted to be u5¢d on these proj¢¢tS ond ale uiilised as and when appropriate. Other proJe¢ts The other resiri¢t¢d funds for L¢art]in8, Prevenlioll, Well-Bein& Au5tin-Hope and CoiiiactlPe&TS ar¢ explained further in the Trustees. Report. 16. RELA TED PARTY DISCLOSURES Oi?e tl'U5tee also works foi th¢ Greater Manchester ICB bul is tiot a nieinber of the finanEt and gowernanee comniittce. The TTUSt¢¢ has iecused lierself froiii all trustee discusssons related to ihe ¢ontraci with tI￿t body tiientioi)ed in Trustees Report and was duly transparent with ihe ICB. Page 22 The Nfjtion91 Orgaiiisition For FASD Det4iled Statement tsf FiRaneial Activittes For The YÈ#r Ended 31 DeceRMh¢r 2023 31.12.23 31.12.22 INCOME AND ENDOWMENTS DonAtions and legacies Donaiions Grants 9.560 74,125 8.254 371.375 83,685 379,629 Other tradiiig Activtttes Sliop Fncoine Trainiiigleducational servi¢¢s 13,933 8.342 61,024 15,14.5 Total incoming resour¢ 144.709 394,774 EXPENDITURE Other tradlttg #¢tlvitie$ Pund raising Cosis 23.049 3.384 Charitgble Activities Proj¢¢t priiitin& proii)Olion and distyibuttoii Eiitertainmen¢ 39,568 877 36,591 154 40.445 36,745 Supibort eosts Other Wages Rent, l'ates and utilities Ii?suraiict Teleplioiie Office costs Sundries Travcl Computer equipm¢nt 134.816 19,263 1,846 1.209 9.714 6,782 3.182 19,467 1,969 1.258 23.751 7,470 14.617 816 282.463 176.812 Govorn¥tn¢¢ eost$ Ind¢pendeni examiners fee Accountancy, legal and consultancy costs 2,500 10,777 2.310 13,277 16.330 Total resources expended 759 234 233 271 Net (expenditure)lincorne 214.52.S) 161.503 This page does Jiot fonn part of the statutory fittancial statemerttg Pagy 23