2021-12-31-accounts

THE BRITISH PAIN SOCIETY EXPERTISE WHERE IT MATTERS The British Pain Society (A company limited by guarantee) Consolidated Financial Statements Year ended December 2021 3rd Floor Churchill House 35 Red Llon Square London WCIR 4SG Charity Number: 1103260 Reglstered Charity Sn Scotland Number: SC039583 Company Number: 5021381

The Brit15h Pain Socièty Content5 Page No. Reference and administrative infomiation Dirertors, report 2-8 Independent Examlnerfs report Consolidated Statement of Financial Activities io Consolidated and Charity Balan¢e Sheets li Consolidated and Charity Statements of Cash Flows 12 Notes to the Flnancial Ststements 13-23

The Britlsh Paln Society RÈfÈrèncÈ and admlnlstratlvÉ lttforniatlon Dlrertors 1st January- V December 2021 9" December- 31st December 2021 DrA. Bhaskar President Prof. R Kna88S Vice President Dr A. Eissa Honorary Secretary Dr A. Gulve Honorary Treasurer Emerttus Prof. S. Ahmedzal Council Member Dr P. Brook Council Member Dr N. Collighan Council Member Mrm. Hey Council Member Dr R. Krishnamoorthy Council Member Dr S. Love-jones Council Member Ms C. Manson Council Member Dr D. Pang Council Member DrA. Swift Council Member Dr A. Bha5kar Prof. R Knaggs Dr A. Eissa Dr A. Gulve Dr N. Collighan Dr T. Femandez Mr M. Hey Dr R. Krishnamoorthy Dr S. Love-jones Ms C. Manson Dr D. Pan8 Dr A. Swift Presldent Vicè Prèsidènt Honorary Secretary Honorary Treasurer Council Member Councll Member Council Member Councll Member Council Membèr Council Member Council Member Council Member Staff members as of 31" December 2021.. Ms Jenny Nicholas Chlef Executive OffI￿r Ms Dina Alrnuli Secretarlat Manager RegistÈrèd office: Third Floor Churchill House 35 Red knon Square London WCIR 45G Bankers: CAF Bank 25 Kings Hill Avènue Kings Hill West Malllng Kent ME19 4JQ Solicitor.. Hempsons Solicitors Hempsons House 40 Villiers street LDndon WC2N 6NJ Independent Examiner: M J Cridland BA IHonsl FCA Scott Vevers Ltd 65 East Street Bridport Dorset DT6 3LB

The Brit15h Pain Society is the largest multldisciplinary professional organisation in the field of Pain in the UK. It comprises doctors, nurses* phy51otherapi5t5, 5cienti5t5, psycholoEi5ts. occupational theraplst5, and other healthtarè prtsfessionals actively engaged in the diagnosi5 and management of pair) and in paln research. As of 31" December 2021. there were 827 members. The Society is the Sritish Chapter of the International Association fgrthe Study of Paln IIASPI and is part of the European Federatlon of IASP Chapters IEFICI. The wholly owned trading subsidiary 'BPS Pèln Business Ltd, was establlshed In September 2014 to run trading operations on behalf of the Sociéty. The Directors present their Annual Report and Financial Ststements for year ended 31° December 2021. These financial statements comply wlth the charitèble companvs Mèmorandum and Artlcles of Assoclatlon and applicable laws and re8ulations Ithe Charities Act 2011, the Companies Act 2006, the Charities and Trustee Investment (Scotlandl Att 2005. regulations 6 and 8 of the Charitles Accounts IScotIandl Regulations 2006 and the charitles SORP IFRS 1021 published in October 20191. I. STRUCTURE. GOVERNANCE AND MANAGEMEKr The British Pain Soaety 15 a wmpany limited byguaraniee Incorporated on 21"lanuary 2004 and is governed by its Mernorandum and Articles of Associatlon, along with the Regulations last updated on 30 September 2021. The Directors are appointed by ballot of the memberg, exceptfor the Vice President, Honorary Secretary and Honor3ryTreasurer who are appointed by the Dirertors. Any Ordinary or Honorary Member of the Society is entitled to stand for election to the post of Directorlfrustee. Only Members who have previously seryed as Trustees of the Pain Society, the Britlsh Pain Society, or as Board members of either the International A￿0¢18110n for the Study of Pain IIASPI or the European Federatlon of IASP Chapter5 IEFICI are eligible to stand for the post of President. Vice President, Honorary Secretary or Honorary Treasurer. however, if no person who falls within the eligibility categorie5 15 willing to be cotynsidered for election, Council may consider a tandid8tÈ or candidatès from the Ordinary and Honorary Members. All new directorsltru5tees are required to undertake formal induction traininE. This is scheduled to take place prior to the first Council Meeting follow[￿ thelr appointment. The Council of the Society meets at least four times a year. All the decisions related to the management of the Society are made by the Council at these meetings. The President sets the Agenda for the Council meeting and takes overall responsibility for the day-to-day running of the Society along with the Executive OfFicers. There is support for the Council from the following Committees and subcommittees.. Scientific Programme Committee, Communlcations Committee, Patlent Volce Commlttee, Sclence and Research Commlttee, Education Committee, and Finance. The Council 15 SUPPQrted by a 5ecretari8t. including CEO who leads the SecretaTiatteam in the delivery of the Socie￿$ objectives and projects and contributes to the strategic planning processes of the Society. The Sècretariat deals with the day to day rLJnnlng of the Soclety, thè org3nisatlon of the varlous meetings promoted by the Society and managing the membership of the Society. All executive decisions are made bv the Council or the Officers. who are the President, the President-elect lif applicable). the Vice Presidentlsl lif ppIic3blel the HonoraryTrea5urer. the HonoraryTreasurer-elert lif applicablel. the Hunorary Secretsry and the Honorary Secretary-elect lif applicable) and the Immediate Past President lif applicablel, with inputfrom the CEO. An Annual General Meeting of the members is us(rally held at the time of the Annual Scientific Meetin& hr)wever, due to COVID-19, the 2021 Annual General Meeting was held a5 a separate virtual meeting In December 2021. There are currently fourteen SocSety Spe¢Sal Interest Groups ISIGsl,. Acute Paln, clin1￿1 Information. Headache, Information & Communication Technology, Interventional Pain Medicine, Medicolegal, Neuropathic Pain, Pain in Children, Pain ManaEement Programmes, Pain Education, Pain in Older People,

Ph11050phy & Ethl¢s, Paln In Developing Countries and Prlmary and C¢mmunity Care. The governance of these groups is established within the Articles and Regulations of the Society. Rlsk ManagÈmÈnt The Council has identified areas of risk within the Society and actions that have been taken by Council to minlmise or ellmlnate these. Althgugh there is rurrently no form41 writlen busine55 continuity plan in place, work on thls Is well underway and will be completed in early 2022. The specific areas of risk identified are a5 follow5.. Finoncirjl probity.. The Direttors have established 5VStems of internal control, comprising financial estimates and annual budgets. delegated authorities for operational management and segregation of duties, reviews of financial and investment performance and the identification and management of risks, in 3ccordance with the publication CC8 "Internal Financial Controls for Charities". The internal controls have been formalised and are set out as Finan￿ Procedures for the Society. The internal controls are subject to ongoing assessment and evaluation by the directors. At least two meetings a year are held to consider financial management and performance in detail. The Honorary Treasurer reports on financial matters to each Council meeting of the Society, comprising directors and Co-opted members. These meetinES record the formal review and approv31 of all aspects of finance, Internal controls, and accounts. In 2022 the SocSety wlll continue looking towards further prudent investment by spreading risk of funds across additional instltutions. The Society also looks to diversity its sour￿5 of income through the introduction of an Industry Support Scheme. In 2018 the Council agreed to explore how to appoint professional advisers in a Trustee capacity to the CDuncil. Sknll gaps identified were fundraisin& marketing, and PR. In 2019 a 5peaal re501ution went before the AGM to propose ameriding the Memorandum & Articles to enable such appointments. COVID-19.'The pandemic Is a potentlal area gf financlal rlsk to the Soclety as we may experlence reduced Income for fa(e-t{Ffa￿ events should restrictions be re-imposed. The pandemic 15 also a potential area of projert or seNice development risk to the Society, as many of its Council, Committee and Special Interest Group Members in the event of another lockdown, may bè redeployed to front line services whlch could have the potential to delay progress of some projetts. staAf retentltrn.-The Soclety wishes to retain its Secretariat staff. They become familiar with the Socievs activities over a yearor so and it is in our intereststo avoid rapid turnover. To this end the Directors have attempted to provide a better and strurtured salary system and improve moral@ by allocating specific areas of re5pon5ibility. These areas of re5pon5ibility will be reviewed in 2022 due to the change in the number of staff members. Apprdisals are undertaken for members of the Secretsdat whereby career aspirations and tralnlng needs can be Identified. The Soclety makes a 5% salary contribution to the staff pension scheme, which increases to IO% after three year5 of service providing staff contribute a mlnirnum of 5%. InformutNon Techntslogy (7nd Duto Protection.- The Soclety has a webslte with a built-in database In operation. Data protection and antlviral systems are in place,. the dats 15 backed up d2ily. Compliance with GDPR is a55e5sed regularlyand procedures are in place to ensure that this compliance is maintained. Heolth undSafety The board accepts formally and publidy its collective role In pmviding health and safety leadershSp its organisation. E4ch member of the board accepts their individual role in providing health and safety leadership for their organisation. The board will ensure that all board deci51ons reflect Its health and safety Intentlons, as artlculated In the health and safety policy statement. The board recognises its role in engaging the active participation of workers in improving health and safety.

The board will ensure that it is kept informed of and alert to, relevant health and satety rlsk management Issues. In view of the Health and Safety Commission recommendations, the Fx)ard wlll appoint one of its number to ￿ the "health and safety director-. In line with statutory requirements. the Society ha5 Employers ￿abilitY Insuran￿ and Public ￿abIlity Insurance, the leve15 of which are reas5e55ed on ? regular basls. Decllnlng membershlp numbers.- Further work contlnues In this area as numbers continue to slowly decline. In 2020 a simplified fee-based structure based on income was introdu￿d. In 2022 the Society wlll conduct a revlew ot its Membership structure with a view to increase recruitment and retentlon. Invofvement with other bodies Although the Chronlc Pain Policy Coalltion ICPPCI remained temporarily inactive during 2021 while they consolidated, the Society continues to be involved in their work. The CPPC is an umbrella organisation uniting patients, professionals and parliamentarians which aims to develop ènd help to implement a strategy for Improvlng the prevention and treatment of chronic pain in the UK. The Society is a generic stakeholder for NICE (National Institute fijr Health and Care Excellen￿) guideline The Society is a generic stakeholder for Interventional Procedure5 and Health Technology Assessments for NICE. The Society is a member of the Association of Medical Research chariti￿ IAMRCI. The Society is a generic stakeholder with NHS England Clinical Reference Groups ICRGSI. The Society has reciprocal representation on the Board of the Faculty of Pain Medicinè. Thè Faculty of Pain Medicine of the Royal College of Anaesthetists, the Chronic Pain Policy Coalition, the Royal College of Nursin& the Physlotherapy Pain I￿S0¢iatIOn, The Royal College of GPS. and the Brltish Psychological Society each have one representative who sits on the Brftish Pain Society Council as a co- opted member. The Royal Pharmaceutical Society is also represented at the British Pain Society Council via an eletted Council member who 15 elected as an individual but who has link5 With the orBanisation. The Society is a member of the Specialised Healthcare Alliance1SHCAI, wa its Courkcil CRG liaison officer. The Sotiety is a member of the Health Conditions in Schools Allian￿, wa a representative of the Pain In Children Special Interest GrDUP. 2. OBIECTIVES AND Acriv￿lEs The objects as set out in the Memorandum and Articles for whith the Society Is esiabllshed I'the Objects") are the advan￿MentOf health by ralsing thestsndard ofthe managementofpain by promotion ofeducation, research. and training. The direttor5 confirm that they have referred to the Charity Commisslon's general guidance on public benefit when reviewing the Society's aims and objectives and in planning future actlvltSes. All the artivlties below are for the public benefi't. The main activities undertaken in re14tic)n to the objects are to.. Provlde faulities for the exchange of information, opinions, and experience about pain between attive workers In the field. Increase awareness of pain prevalence. disability and pain management among healthcare and other profe55ionals and the publlc. Promote education and training in pain rnanagement artd resèarch into the understandinB and relief of pain. Institute or asslst In instltuting and provide contlnulng support for paln research. Cause to be written. published, produced, and circulated, and to encourage contributions to and publicatign and production of, periodicals, journals, books* papers, abstracts, pamphlets, postÈrs and

other documents and films. videos, recorded tape5, and communitstions Includlng leamed Journals. mainstream print, broadcast and online media and social media platforms. Endow Chairs, Readerships, Scholarships, Fellowships and Lectureships at, and provide other support to, appropriate institutions to faalitate the condurt of sEudy and research irb furtherance of the Objects. Dlsseminate the useful results of ￿Search. Sponsor and hold meetings, symposia, conferences, lectures, classes, semlnars, courses, and exhibitions either alone or with others. Encourage and promote the study and research into aspects of pain. The Society offers five bursarieslgrants that are avail£ble to its members.. the" clulow Research Award" the "Patrick Wall International Meeting5 Bursary" the "British Pain Society Annu31 Scientific Meeting Bursarf. The British Pain Society Study Day Bursary" and the"International Association for the Study of Pain World Congress Bursarf. Full detalls of the awards. Includlng ellgSblllty and applicatlon fom￿, are available on the Society website. 3. ACHIV4EMEKfs AND PERFORMANCE The Society continued to provlde an educatlonal programme to increase the knowledge gf pain management to professionals and lay people within the remit of the Memoranda and Artlcles Of Associatlon, although due to COVIDsome events were unabletotake place, and others moved to a virtual fomiat. It has been successful in producing the following series of meetings and publications.. Soclety Meetings/Evgnts A joint Society/NSUKI webinar wa5 held on 20 January 2021 on Canter P31N. A webinar on Life After COVID was held on 15, April 2021. On 22 Aprll 2021, the Soclety ran a weblnar on the then ￿￿ntlY publlsh¢d NICE Chronic Paln Guidelines. AJoint SocietylRoyal College of General Practitionerfsone day meeting on Pain ManagementtDok p13 on 23 Aprll 2021. On 19, May 2021, a weblnar on Chronic Pain & Medical Cannabls: ProjettTwenty21 Research was held. Ajoint SocietylNSUKI webinar was held on I" July 2021 on Enigma of Failed Back Surgery Syndrome. 516 Meetingsffvents The Interventional Pain Medicine SIG hosted a webinaron RF Denervation.. Needle, technique, or patient selection? What matters Ilumbarl on 7 january 2021. The Philosophy & Ethics Society SIG continued to hold regular Webiriars throughout 2021 as follows,. Discussing NICE Guldelines- 18, January 2021 A trauma.led approach to pain- 8 Febru3ry 2021 Pain and work-getting people back to work- IS, March 2021 Pain. Health. Poverty, and Inequality- 12 April 2021 What 15 pain and how do we talk about It?_ 20, September 2021 Healers in the UK-Who are they and do they do?- 18, Ortober 2021 Hypnosis and imagery for pain- IS" November 2021 A new way of thinking about pains- 13, De￿mber 2021 The Pain Management Programmes SIG held a webinaron Post COVID-19 Syndrome or Long-COVID.. The pandemlc afterthe pandemlc on iyh June 2021. Publications/Resources The Soclety continues to provide its quarterly Newsletter'Poin News, free of ¢h4rBe to Sts members. The Soclety continues to provlde its quarterly journal 'British Journal of Puin, free of charge to its members. In December 2017, the joum21 was moved behlnd a paywall for non-members.

The Societyiointly published an updated resource with The Faculty of Pain Medicine and the A5s0ciation of Anaesthetists on 'Re¢ommendatlons for Good Practice in the Use of Epidurdl Injection for the Management of Pain in Spinal oriL￿n in Adults (Second edition). The Society contributed to a publication on 'The Use of Contrast Agents In Interventiorbal Paln Procedures: A multispecialty and Mulitsociety Practice Advisory on Nephrogenic Systemic Fibrosis, Gadolinium Dep051tion In the Brain, Encephalopathy After Unintentional Intrathecal Gadolinlum InjectSon and Hypersensltlvity Reactions,. The Society endorsed the Faculty of Paln Medlclne second edition of 'Core Standards for Pain Management Services in the UK. The Society is updating the following publications to be published in 2022= Guidelines for Pain Management Programmes for adults Developing Group B3sed Pain Management Interventions through Virtual Platforms The Society is working with the Irish Pain Society to produce a joint publl¢ation on'managlng pain after your surgery. patient information leafiet. which will be published in 2022. A joint statement from the Faculty of Pain Medicine, The Brltish Pain Society, The Chronic Pain Policy Coalition, and the Royal College of General Practitioners IRCGPI was publishèd on Clarification on the 13test NICE chronic Pain Guidance,. Regarding patients already on medication on 23 April 2021. The Society published a statement on the new NICE Chronic Pain Guidelines whlch were published by NICE on the Ihot April 2021. All the Socievs publitations and patient Informatlon leaflets are available to download free of thar8è from the website. The Society's social media presence on Twitter, Facebook and Linkedln tontlnues to grow. The online discussion forum for members continues into 2022. In 2021. the Society re￿iVed 19 requests from media for comment. The Society contributed to the Managlng Pain campaign which was launched Oh 19, M3rch 2021. Thè

managingpain campaign is dedicated to ralslng awarèness for people living with pain.

Burst7rles & Grants Appllcatlons forihe 2021 clulow Award were received. with a decision made in early 2022. Informationfor people afftctedbypoin The Sooety. although an organlsation for healthcare professionals, provides a copy of the British Pain Society publication Understanding ond Mqrjagffng Long Term Ptsin.. Intrormotionfor Potients and a list of self-help groups and other useful addresses to people affected by pain whts contact the Society. In ddition, most the Soclews professional publications, have 3 sister patient version. The Society also continues to contribute and endorse patient infomtation leaflets with other 0rgan1satio￿. The Society launched a National Awarenes5Campalgn for Pain, to raise the profile of pain and to generate income to the Societyi which was reinvigorated in 2020 with thè 3ppointmènt of 3 new Patient Lead to wtsrk alongside the sub-committee Chair and now falls underthe remit of the Patient Voice Committee. 4.FINANCIAL REVIEW Net income for the year as shown in the consolidated statement of fiNanti31 resourcès was £13,34712020 £115,708), Including net expenditure £23,96D on restricted funds12020 £225,997). The turnover of the tradinB subsidiary BPS Paln Business Ltd was £39,26812020 £2501. After allowlng for all related costs, a donation was m2de to the charity of £nll (2020 £nill. The following is a summary of reserves at 3￿rDe￿rnber 2021..

Rèstrictèd funds.. Clulow legacy (including interest) Other grants etc PLC Seminar 116,734 257.228 834 Designated funds- ASM SIGS Map of Medicine 151,862 83.482 7.774 General funds: invested in fixed assets Free reserves Total 4,635 308,301 The net SIG funds of £83,482 are designated wlthln the Soclety accounts to furrher the actlvltles of the specific SIGS. Thè Soclety contlnues to supptsrt Its èducatlonal artlvltlÈs, Includlng Spèclal IntÉrÈst Group Conferences and a series of Study Days/Webinars. These meetings may be 511PPOrted by unconditional educational grants or spDn50r5hip Itran5acted through the trading company) from various comparhie5. and lor transparency the SIG activities are accounted for separately. The Directors have reviewed the Society's needs for reserves in line with the guidance issued by the Charity Commisslon and have made the following provision: . to have £300,￿0 general funds belng kept In reserve to cover the ongolng costs of the Society should therè be a failure of incDme. Sustainable finances remain an ongoing priority forthe Society and further work is needed to maintsin and grow this posltion. The principal source of funding comes from the subscriptions of the rllembers whith increased slightly durlng 2021. The Dlrectors recognised and had add￿SSed where there have been signlflcant changes in finances in 2021, especially with regards to COVID-19 and have therefore planned accordingly for 2022. Goln% CgnceTn The Directors continue to discuss its finances in detail at Council meetings, with the Executive Officer5 meeting more frequent￿t0 discuss flnanclal and workload15sues. Followlng the anticlpated reduced income from the move of educational events to online, we have also CDntlhued to look at rÈducln8thÈ torresponding expenditure. In 2022 we plan to hold a hybrid annual Conferen￿ and are also planning to hold more face-to-face event5. as COVID-19 restrictions allow. The Dirertgrs have confidence that the Society and tradin8 arm have adequate resources to remain in operation for 12 months after approval of these financial statements. S. PLANS FOR FUTURE PERIODS The Society will continue to raise the profile of pain and generate income to the Society through a National Awareness Campalgn for Paln. The Britlsh Pain Societls 2022 Annual Scientiflc Meetin8 will take place as a hybrld event between the 13-15 June 2022.

The Society will revlew several of its existing publications. Under5torJding ¢wd MayKvJlng Lono Term Poin nformt7tionforpotients CancerPoin and Spinal Cordstimulation. TheSoa¢ty ¢ontinu8s toexpand its range of weblnars, with severdl Speaal Interest GrThJps ISIGS) also running several webinars in 2022. Topic5 will indude; EMDR and the Psycholo8y of Persistent Paln HollstFc PraCti￿S for Hollstic Problems Flrst Order Principles for Enhanung Wellness Assessment and Mana8ement of Patients with PostCovld-19 Syndrome Headache Paln Pain and Frailty Wel1F￿1n8 at work The Philosophy & EthIc5 SIG will commeno planning for thelr annual meeting due to tsk8 place in JLH)O 2022. The Society has commenced work on developlng an education platform. for all healthtare professlonals with arl interest In pain to access. The Society besan work at the end of 2020 on a larEe 2-year0steoarthrltls MDT pilot project. 6. STATEMENT OF DIREcfoRS' RESPONSIBILITIES Company law requires the director5 to prepare finanaal statements foreach flnanclal yeèrwhich gives a true and fairview of the state of affalr5 of the charitable Company and of the incoming resources and appliTrtio of resources, including the income and expendtture, of the charitable company durin8 that perlod. In preparing those finanaal statements the dirertors are requlred to: Selert suitsble accourrting policies and then apply them consistsntlv. (lil Observe the methods and principles in the Charities SORP. (illl Make judgements and estimates that are reasonable and prudent livl Stste whether applicable UK Accounting StarKlard5 have been followed. subject to any material departures disclosed and explained In the financial statemerts. Iv) Prepare financial staten)ents on a going concern basis unless it is inappropriate to presume that the companywill continue in business. The directors are respoF15ible for keeping properaccounting records whith disclose with reasonable accuracy at any tirne the financial position of the tharitable company and to enable them to ensure that the financial statements comply with the Companies Aci 2c*)6. the Charities and Trustee Investment Iscotlandl Act 2005 and the Charities Accounts IStotland> Regulations 2006 las amended). They are also responsible for safeguarding the assets of the charitable company and hen￿ for trdking reasonable steps forthe prevention and detection of fraud and other Irregularl￿8$. In preparing this report the dirertors have tsken advantageof spe¢i31 provisions of the Companies Act 2006 relatlng to small companie Signed= DrAshish Gulve (HIV￿ary Trea5urerl The British Pain Society

THE BRtr15H PAIN SOCIETY INDEPENDENT EXAMINEW5 REPORTTO THF TRUSTEES I report on the accounts of the company for the year ended 31" December 2021, which are set out on pages io ta 23. RespectNe reSF)onslbllltles of trustees and examlner The irustees (who are also the directors of thè company for the purposes of company lawl are responsible for the preparation of the accounts. The trustees consider that an audit 15 not required for this year under section 1414121 of the Charitles Att 2011 (the Charities Act) ènd that an independent examination is needed. Having satlsfied myself that the charity is not Subject to audit under company law and Is eligible for independent examination, it is my responsibility to- examine the accounts under section 145 of the Charities Act,. to follow the procedures lald down In the general Directions given bythe charity Commission under Section 1451Sllbl of the Charities Act.. and tQ State whether particular matters have come to my atterbtion. Basls of Independent examlnerfs report My examination was carried out in accordance with the general Directions given by the Charity Commission. An examination Includes a review of the accountine records kept by the charity and a comparison of the accounts presented with those records. It also includek tonslder3tion of any unusu81 Itèms or dlsclosures In the a¢¢ounts, and seeklng explanatlons from ytsu as trustees ¢oncernlng any such matters. The procedures undertaken do not provide all the evidence that would be required in an audit and consequently no opinion is given as to whether the accounts present a 'true and fair vie¥kn and the report is limited to those matters set out In the statement below. Independent emamlnerfs #atement In conrtection with my examination, no matter has come to my attention to indicate that: accounting records have not bèen kept in 3Ctordancè with soctlon 386 of thè Companies Act 2006- the accounts do not accord with such records.. where account5 are prepared on an accrual's basis, whether they fail to comply with relevant accounting requirement5 under section 396 of the Companies Act 2006, or are not conslstent wlth the Charlties SORP IFR51021 any matter which the examiner believes should be drawn to the attention of the reader to galn a proper understanding of the accounts. M J Cridland BA (Honsl FCA S￿tt Vevers Ltd Chartered Accountants & Registered Auditors 65 East Street 8rSdport Dorset DT63LB Date: oole*LIIL

THE BRITISH PAIN soaErY CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIE5 lincludlng consolld3ted irk¢ome and expendÉture account) For The Yèar Endod 31st De¢embèr 2021 Unre5trlcted Restrlcted Fund5 Fund5 TOTAI 2021 TOTAL 2020 Notes Income from.. Donations and legacies 166,125 15,488 181.613 IM.837 Income from charitable activities 104,909 104,909 247,497 Incomefrom other tmding attivities Commercial trading operations 22,000 22,000 250 Investment income-interest received 2,736 2,736 3,890 Total Income 295,770 15,488 311,258 396,474 Expenditure on: Raising Funds Commercial trading operatior15 35,661 35,661 Charitable activities 222,802 39,448 262,250 279,356 Other- tax paid by BPS Pain Business Ltd Total Expenditure 258,463 39,448 297,911 280,766 Net in¢omel{expenditure) for the year 37,>)7 (23,960) I3￿47 115,708 Gross transfers between funds Net movement In fund5 37,307 (23,960) 13,347 115,708 Reconcilialion of funds: Totsl Funds at l January 2021 518,747 398,756 917,503 801,795 Total Funds at 31" December 2021 SS6.054 374.796 930.850 917,503 All amounts derive from continuing activities. All gains and losses recognised in the period are included in the statement of financial activltie5. The notes on pages 13 to 23 form part of these fjnancial ststéments io

CoM￿Y Re8i4tratlon Number. 5021381 IEwdl3ndWa￿s> THE BRITISH PAIN SOCI BALANCE SHEETS As at 31 Detember 2021 Cvnsolklated 2021 2020 Charfty 2021 2020 Fl¥ed assets Tan8ible assets Investments 12 13 4,635 4,635 4,564 4,635 4,565 Current assets Debtors Cash at bank and in hand 14 52,Q99 I,020.217 137,627 9S2,837 I,￿0,464 24,784 1,038.082 1,011.465 Total cwrent assets 1,072?16 I,[￿2,866 1,110,765 Credltors: amounts falllng due wlthln one year 15 146,101 207,525 138,677 198,870 Net Current assets 926,215 912,939 924,189 911,895 Net a￿ets 930￿50 917,503 916,460 Funds ot th• charfty Restricted income funds 16 374,796 398,756 374,PJ6 398,756 Unrestrirtedincomefund&' Designated funds General funds 243,118 312,936 556,054 234,934 283,813 518,747 243,118 310.911 554.029 234,934 282,770 517,704 Total tharltyfunds 930.850 917,503 928,825 916,460 The directors have prepared group accounts In accordan￿ wlth section 398 of the Companies Att 2tNJ6, the Charities Art 2011 and sertion 44 of the Charities and Trustee Investment {Scotlandl Act 2(105. These acc¢xtnts are prepared in accordance wlth the sped81 provlslons of Part 15 of the Companies Act relating to small companies. For the financlal year In question, the company is entitled to exemption from audit under Section 477 of the Compan5es Act 21J)6 relating to small companies. The members have not requlred the company to obtain an audit of its finanaal statements for the year in question in accordance with Section 476 of the Companie5 Act 2006. The directors acknowledge their responsibilitie5 for complying with the requirements of the Companles Act 2006 wlth respect to accounting records and the preparation of accounts. The financial ststements were approved by the Directors on.- Signed on their behalf by - Dlrector The notes on pa8es 13 to 23 form part ofthese financial *atements li

THE BRITISH PAIN SOCIETY STATEME￿ OF CASH FLOWS AND CONSOLIDATED STATEMENTOF CASH FLOWS ForThe Year Ended 31s1 December 2021 Consolidated 2021 2020 Chartty Note 2021 2020 Net (ash flow from •yratiMJ artivrties 67,T36 29,353 150,031 Cash flow from Investlng activltle5 Purthase of Offi￿ equipment Interest received (2,032) 3,890 12.032) 2,736 (2,736) Net cash flowfrom InvestlnB artivities 2,TJ6 1,858 (2,736} 1.854 Cash flows from financin8 activitles Net increasel(de(Yease) In cash and cash equivalents 37J80 69.594 26,617 151,885 Cash and ¢ash •qulvalents at I" January 2021 982,837 913,243 1,011,465 859,580 Cash and cash equivalents at 31- December 2021 1,020,217 982,WJ7 1,038,082 1,011,465 Analysts of cash and cash equlvalents Cash at bank and in hand Fixed Term Bond Total cash and cash equivalents 1.020,217 982.837 1.038,082 1,011,465 1,020,217 982.837 1,038,082 1,011,465 The notes on page5 13 to 23 forrn part of these financial Statements 12

THE BR￿lSH PAIN SOCIETY NOTES TO THE FINANCIAL STATEMEMrs For thÈ yèar ènded 3tst December 2021 l General Information The charity is a company limited by guarantee incorporated in England and Wales under the Companies Act 2006 and Charities Act 2011. The address of the registered office is provided in legal and administrative deiails. Detalls of the charitls operations are provided in the Report of the dlrectors. The liability in reSp￿t of the guarantee Is Ilmlted to £1 pei member of the charlty. 2 Accountlng pollcles The principal accounting polic]￿ adopted, judgements and key sources of estimation uncertainty in the preparation of the financial statements are as follow5.. al Ba￿$ of preparatlon The financial statements have been prepared In accordance with Atcounting and Reporting by Charities - Statement gf Recommended Practice applicable to charities preparing their accounts in accordance wlth the Financial Reporting Standard applicable in the UK and Republic of Ireland IFRS1021- (Charitie5 SORP IFRS 10211, the Charitie5 Act 2011. section 44 of the Charities and Trustee Investmenl IS¢otlandl Act 2005 and the Companies Act 2006. The British Pain society rneets the definltion of a public benefit entlty under FRS 102. Asseis and liabilities re initially r@cognSsed at hlstorital ctsst or transaction value unless otherwise stated In the relevant policy note. bl Preparation of accounts on a golng concern basis Preparation of the accounts is on a going concern basis. The Trustees arè rtf the view that the level of resèrves will support the charity going forward. cl Basis Of ¢onsolSdatlon The financial statements consolldatè the rèsvlts of the charity and its wholly owned 5ub5idiary BPS Pain Business Ltd on a line by line basis. The accounting year ends are coterminous. The parent charity has iaken advantage of section 408 of the Companies Act 2006 not to Include an indlvldual Income and expenditure of its results. dl lrt¢omE All incoming re50UTces are induded on the Statement of Flnanclal Actlvltles when the charlty Is legally entitled to the income, It Is piobable the income will be received and the amount can be quantihed wlth reasonable accuracy. Membership subscription perlods commence on 1st November each year and therefore the recognition of subscription income received in advance is deferred. InterÈst on funds held on deposit is included when receivable and the aThount be measured ieliably by the charlty. el Donated servlces and facllhles Donated professional service5 and donated facilities are recognised as income when the charity has control over the item, any conditions a55QCiBted with the donated item have been met, the re￿Ipt of economic benefit from the use by the charity of the item is probablè and that Ètonomic benefit tan be rneasured reliably. In accordance with the Charities SORP IFRS 1021, Eeneral volunteer time is not recognised. Information on the contrlbution of directors is given in the annual report. On receipt, donated professional servlces and donated facilities are recognised on thè basis of thÈ value of the gift to the charity which 15 the mount the charity would have been willing to pay to obtain servi￿S or facilitie5 Qf equivalent economi benefit on the open market,. a corresponding amount Is then recognlsed in expendlture In the perlod of receipt. 13

THE BR ￿lSH PAIN SOCIErY NOTES TO THE FINANCIAL STATEMENTS For thè year ended 31st December 2021 2 Accountin8 policies l¢ontlnued) n Expenditure Expenditure is accounted for on an actruals basls and has been classified under headings that aggregate all cost related to the category. Where tosts cannot be directly attributed to partlcular headings they have been allocated to activlties on a basi5 consistent with the use of resources. Grant5 offered 5ubjert to conditions which have not been met at the year end date are noted as a commitment but not accrued as expenditure. gl Allocatlon of support cost5 Support costs Include central functions and have been allocated to the actrvity cost category Df the annual sclentific meeting on a basis consistent with the use of rÈsourcÈs as detailed in the notes to the financial statement5. h) Fund accountlng Unrestricted funds are available to spend on activitie5 that further any purposes of the d)arity. Desl8nated funds are unrestricted funds of thè tharlty which the trustees have decided at their diKretion to set aslde to use for a specific purpose. Restrlcted funds are donatlons which the donor has specified are to be solely Used for particular areas of the Society's work or for specific projects being underlaken by the Soriety. Further explanation of the nature and purpose of each fund Is Included in the notes to the financial statements. 11 Tangible fixed asset5 Tangible fixed assets are stated at cost less depreciation. Assets costing less than £500 are written off in the year of purchase. Depreciation is provided at the following annual rates in order to write off each asset ovèr its estimated useful life as follows= Office Equipment- 20% on a reducln6 balance ba51S. J) Penslon5 The charity operate5 a defined contribution pension scheme. Contributions are charged to the Statement of Financial Activities as they become pzy3ble in accordance with the rules Of the schemè. The charity is under no further obligation to make any extra payments irrespettive of how that penslon fund performs. k) Operatlng loases Rental tharge5 payable under operatln@ leases are charged on a stralght line basis over the terms of the leasÈ. 3 Financial pèrformancé of the charlty A summary performance of the charity excluding the result% of its wholly owned subsidiary 15: 2021 2020 Incoming resources Income from subsidiary company paid under licence Donation of profils under gift aid 291W3 396,220 291W3 279,S18 12,365 396,220 279,356 116 Expenditure on charitable activitle5 Net expenditure 14

THE BRITISH PAIN SOCI￿y NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st December 2021 4 Income from donatlons and legacles 2021 2020 Donations Gift aid received Grants subscriptions 15,759 295 15,488 150,071 181,613 2.820 142.017 144,837 5 Income from charitable artivities 2021 2020 Meeting Incomè Research awar￿ and gr?nts SIGS Focus tsn Pain Research Meeting Other income includinR rtsyalties Pain Awareness Campaign 88,863 240,997 2,700 2,321 10,203 5,843 19 104,909 247,497 6 Other trading artivities- BPS Paln Busines5 Ltd Z021 2020 Income generated by BP5 Pain Bu5ines5 Ltd 22.000 BPS Pain Bvsine55 Ltd Iregistered In England and Wales, company no. 92200781 is the charity's wholly owned subsidiary. It operates the trade exhibition at the annual scientific meetin& and other trading activitles, under licence from the charity. The results of the company for the year were a5 follows:_ 2021 2020 Turnover Bank interest Cost of sales and administratlon Costs Costs recharged by the charity under licence Operating Ilossl I profit Corporation tax Profit Dtsnation under glft ald to The British Pain Society Retalned In subsidlary 39,268 250 138,286) (1,406) 982 11,152) (4) 11,156) 982 982 {1,156) Aggregate assets 2,025 15

THE BRITISH PAIN SOCIETY NOTES TO THE FINANCIAL STATEMENTS Forthe year ended 31st December 2021 7 Expenditure on charitable activities 2021 2020 Research grants ASM costs Other meeting costs Newsletter & Journal 5ecretsriat & other staff costs Property costs Offi￿ costs Computer 5y5tem & softwaie Insurance Doubtful debts Accountancy Depreciation Loss on disposal Legal and professional fees Governunce costs Council expenses Induction of trustees & trustee trainin8 Independent examination Annual report 19,971 25,247 799 45,749 86,803 26,619 13,320 11,653 3,379 (7461 14,250 1,159 15,OC 10,919 38,395 109,230 41,986 8,588 14,395 6,781 1,121 16,299 1,141 205 6.498 3,216 8,364 72 2,382 13 2,786 3,132 279,356 262,250 The following tabl￿ show the cost of the maln charitable activities including support costs and grant funding to third parties split between activities. Artlvltlès fjrartt fundln£ Support undertaken of aclivities costs dlrectly Total Artivity or programrne 2021 ASM Charitablè8rants Inotè 81 Newsleiter & publlcations Secretariat costs Governance costs 25,247 39,372 64,619 19,971 45,749 121,080 10,831 262,250 19,971 45,749 121.080 10,831 50,203 192,076 19,971 2020 A5M Charitable grants Newsletter& publications SecrÉtorJut costs Govemonce costs 107.963 107,963 15,000 38,365 109,230 8,798 279,356 147,595 15,( 16

THE BRITISH PAIN SOCIETY NOTES TO THE FINANCIAL STATEMENTS Forthe year ended 3tst December 2021 8 Grants The attathed annual report details the grants offered by the charlty. The Clulow Award.. The award is awarded bi-annually lup to a maximum of £50,0￿1. and is paid in four instalments at agreed mile5tone5. The first three instslrnents will be paid at 30% of the total invoice from the receiving institution. The first instalment will be transferred following recèipt of the signed grant value and the fourth at io%, each against an award letter. The second and thlrd instalments will be pald on recelpt and approval by The British Pain Society trf two prts8rÈgg reports to bÈ subrnitt@d at 12 and 18 months from thè date of receipt of grant award letter. A final in5talment gf IO% will be paid upon receipt of the study fsnal report. Patrick Wall Iniernarlonal MeetSng5 Bursary.. The Society has made funds avallable to asslst scSentlsts, cllnlcal or allied health practitioners at the early stages of their tareer In paln research who require finantlal assistance to present their work at overseas scientific rreeting5, Othei than the Brit15h Pain Society5 Annual scientific Meeting and the IASP World Congiess (separate bursaries are available for these two meetings). British Pain Society Annual Scièntlfic Mèèting Bursary= Most years, the Society offer5 bursaries to members of the Soclety to attend Its Annual Sclentlflc Meetlng IASMI. 2021 2020 aulow award costs 19,971 19,971 15,000 15,000 Tot41 grant5 and bursarie5 awarded= 9 Net Incomellexpendlturel for the year This is stated after char8ing- 2021 20ZO Depreciation Operating lÈase paymènts Independent Examlner's remuneration.. Accountancy service5 Independent Examination Fees 1,159 20,658 1,141 40,751 1,400 982 1,200 17

THE BRITISH PAIN SOCIEri NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st December 2021 10 Analy515 of staff costs and council expenses No charity trustee received a salary, benefits or any other payment for servi￿$ Supplied to the charity12020 nill. The costs of staff which all relate to key management personnel were.. 2021 2020 Salarie5 and wages Soclal seeurlty costs Pension costs TempoTaTV and agency staff costs 72,174 3,025 7,715 6,254 89,168 93,280 5,048 8,858 109,230 No employee earned more than £60.000 during the period. The average monthly head count of full-tlmè equivalent employees lincluding casual and part-time staff) during the year was as follow5= 2021 2020 No 2.75 Engaged in charitable activities 4 trustees wère reimbursed expenses, including those of attending the ASM during the year of £1.39812020 6 trustees £1.3241. The total c05t of running the council excluding ASM costs was as follows: 2021 2020 Meeting- Catering Meeting- Rotjm Hire l Telecoms Meeting-Travelling Meeting- Hote15 471 1,755 1,031 1,332 2,786 11 Corporatlon tax The charity is exempt from tax on income and gain5 falling within section 505 of the Taxe5 ACE 1988 or sertion 252 of the Taxation of chargeable Gains Act 1992 to the èKient that these are applled to Its charitable objects. 18

THE BR¥fisH PAIN SOCIETY NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st December 2021 12 Tanglble flxed a55ets (Group and charltyl office Equipment Fixture5 & Flttings Total C05t'. Adjusted at 1st January 2021 Additions Disp05als As at 31 December 2021 10,081 1,256 (940) 10,397 10,063 20,144 1,256 10,063 20,460 Depreciation= As at l January 2021 Charge for the year Disposa15 As at December 2021 7,095 8,485 316 15,5 I,iyJ (9141 15,825 (914) 7,024 8,801 Net book value: As at l January 2021 2,986 1,578 4.564 AS at 31 De￿fflbeT 2021 3,373 1,262 4,635 13 Flxed asset Imiestment Group Charity 2021 2020 2021 2020 Wholly owned subsidiary BPS Paln Business Ltd- l ordinary share of £1 14 Debtors & prepayments fjri>up Charity 2021 2020 2021 2020 Operational invoices Amounts owed by group undertakSngs Other debtors Meeting prepayments Gift Aid Tax recoverable Taxation and VAT 47.710 38,975 24,489 36,477 58,094 39,107 58,094 4,729 4,094 295 1,451 137,627 295 52,099 24,784 99,300 19

THE BRITISH PAIN SOCIETY NOTES TO THE FINANCIAL STATEMEi4TS Forthe year ended 31st December 2021 15 Credltors.. amourrts falling due within one year Group Charlty 2021 2020 2021 2020 Trade credltors Subscriptions Advanced Payments Other creditor5 Accnjals for grants payable Accruals ASM Advanced Payments Taxation and VAT 29,593 58.979 12,041 35,000 7,034 51,958 63,117 973 30,000 4,872 56,605 26,968 58,979 12,041 35,000 5,689 44,053 63,117 973 30,000 4.122 56,605 3,454 146,101 207,525 138,677 198.870 16 Analysis of tharltable funds Net Income Balance 31.1221 Income Expendlture Transfers 01.01.21 2021 RestA£t￿ funds Clulow legacv Grants PLC Seminar (19,971) {19,971) (19,477) (3,989) 136.705 261,217 116.734 257,228 834 15,488 15,488 {39.448) (23,960) 398,756 374,796 Deslgnated funds SIGS Map of M￿leIne Pathways ASM 10,203 (5,775) 4,428 79,054 7.774 148,106 234,934 83,482 7.774 151,862 243,118 85,643 95,846 {81,88n (87,662) 3,756 8,184 General fund 160,656 (132,515) 271,990 {259,625) 28,141 282,770 310,911 Total funds of ihe Charliy 12,365 916.460 928,825 BPS Pain Business Ltd 39,268 311,258 (38.286) 1297,9111 982 1,043 2,025 930.850 Total funds 13,347 917,503 20

THE BRITISH PAIN SOCIETY NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st December 2021 16 Anatysls of ¢h•rttublefvnds (contlnuedj Net Bulunce 32.12.20 In¢ome Expenditure ncome TrunsAef$ 01,01.20 2020 Restrlrtedfvnds aulow legacy Gmnts PLCSemFnor (15000) [15,000) 240,997 151,705 20,220 261,217 834 240,997 [J5 000) 225,997 172,759 398,756 l￿sIgnat¢dfvnd5 SIGS Mup olmedicine Pathwuys ASM (1,243) 1,457 77,597 7.774 79,054 7,774 (J243J 1,457 233 477 234,934 Generolfund Totalfunds of the chority 15Z527 (2&7,113) (110 590) 396220 (279,356) 116.864 282,770 916.460 799,596 BPS Pain Business Ltd 254 (1,410) 396,474 (280,766J (1,156) 115,708 Z199 801,795 Totalfunds 917,503 Detalls of restricted funds Clulow Legacy A legacy was recelved from Mildred B and Elalne Clulow for 'Baslc research Into the causes and cures for pain" Gmnts In 200812009 erants were re￿1ve￿ frorn Industry to support the development of a Primary Care initiative to produce a range of GPlprimary care resource& PLCSeminar In 2016 3 restrlcted grant for the work of the Patient Liaison Commlttee was received. In agreement with the funder, the grant was agreed to be used to support the provision of an annual 'Professor Slr Mlchael Bond Lerture, aimed at tgpics relevant to people livin8 With pain. Detalls uf deslgnated funds SIGS The directors have set aside the accumulatlon of surpluses from meetings over several years to be spent on the work of indlvldual special Interest groups as detailed in the annual report. In 2020 the Society introduced a nominal membership fee for it5 SIGS. The membership fees are designated for the Individual Special interest 8roups. Mt7p of Medicine Pathway5 In 2011 educational grants were recelved from Industry whlch were agreed to be used to support the production of a Series of pain pathways with the Map of Medicine. ASM The Designated ASM Fund5 are accumulation of surpluses from meeting5 over several yèars and arè to bè spent on education and research. 21

THE BRITISH PAIN SOCIETY NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st December 2021 17 Analysis of net assets between funds Consolldated General Deslgnated Unrestrlrted Re5trietÈd Total Totsl 2021 Fixed assets Current assets Creditors- amounts falling due within one yèar 4,635 454,402 4,635 697,520 4,635 1,072,316 243,118 374,796 (146.101) (146.101) {146,101) Net assets 312.936 243,118 556,054 374,796 930,B50 2020 FAxed ossets Current assets Creditors.. umountsfallin9 due within one yeor 4,564 4.564 721.708 234,934 398756 [207,525) {207Tr5) (207,525) Net tlssets 2&1,813 234,934 518 747 917,503 Charfty 2021 Fixed a55etS Current assets Creditors.. amounts falling due within one year 4,636 444,952 4,636 688,070 4,636 1,062,866 243,118 374,796 (138,677) {138,677) {138.677) Net a55ets 310,911 243,118 554,029 374,796 928,825 2020 Flxed ussets Current ossets Creditors.. omountslulllng due withln one yeor 4,565 477.075 4,565 4.565 1,110,76S 234,934 398,756 (198,870) (195 870) (198 870) Net ossets 282,770 234,934 517,704 916.460 18 Gross obllgations under operatÉng leaslng agreements As zt 31 December 2021 the group had future mlnlmum lease commltments as follows-. 2021 2020 Total Total Not later than l year Later then l year and not later than 5 years 16,837 67,348 84.185 78,372 78,372 22

THE BRITISH PAIN SOCIETY NOTES TO THE FINANCIAL STATEMENTS For the yÉar Ènded 31st December 2021 19 Reconciliation of net movement In funds to net cash flow from operatlng actlvltles Group Charity 2021 2020 202L 2020 Net movemenl in funds Less Flxed Asset Additions Add back depreeiation charge Add back loss on disposal Interest received Decrèasellincreasel In debtor5 Increase/ldecreasel in creditors 13,347 (1,256) 1,159 1.141 26 205 (2,736) (3,890) 85,528 (1.261} (61.424) (H,167) 115,708 12,365 (1,2561 1,159 26 2,736 74,516 {60,193) 116,864 1,141 205 (3,886) 79,971 (44.264) Net cash used In operatlng acrivltles 67.736 29,353 150,031 23