Company Number: 5292539 INTEGRATED NEUROLOGICAL SERcEs ANNUAL REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2021 Charity Number: 1107273 AAIKP92Z 03112r2021 COMPANIES HOUSE A19
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BEGBIES Chartered Accountants 9 Bonhill Street tKJndon EC2A 4DJ
INTEGRATED IYEUROLOGICAL SERVICES coNrENTS Page No. Annual Report of the Trustees 2-22 Statement of Finar¢cial Activities 23 Balan¢e Sh¢¢t 24 Statement of Cash Flows 25 Not¢s to the Accounts 26-35 tnd¢pendent Examin¢rfs Report 36
INS Annual re 0rt2021 Introduction from the Chair I have great pleasure in introducing the INS Annual Report for 2020-2021. In doing so I am following in the footsteps of our previous Chair, Dugald Millar, who stepped down as Chair in November 2020 after steering INS through what was a challenging year. This year has also been a testing time for everyone, since March 2020 to the present, through the pandemic and the consequent restrictions and relaxations. The vaccination programme and the implementation of health protocols have assisted the increased opening up of faCe-tO-fa seprfjs at INS in addition to the online services so ably created and deployed by the team at INS in support of our serwice users. However, this report is for the financial year ending in March 2021 when we were still as a nation in our third lockdown. As you will see in this Report the team at INS have created a range of innovative services to meet the extraordinary challenges of 2020-2021 to continue to provide seNice users with support. The need for such support has been greater than ever for those people with neuro-disabilities and people with long temi conditions and their carers. These services and their delivery have continued to evolve underour CEO, Sarah Vines, who joined INS in August 2020 and who has led the INS team in continuing to deliver all contracted services through a blended model of face to fa and online support throughout the period. New volunteers have been recruited. and INS has participated successfully in the DWP'S Kick Start scheme to both provide meaningful work experience for young people and in support of the innovation in INS services for our users. We would like to take this opportunity to thank our fvnders who have enabled us to ontinue to sustain and evolve our ServiS, our donors who have continued their generous support. our volunteers who have given of their time and expertise, the partner organisations we workwith in the statutory and voluntary sectors to improve services and outcomes for people with long temi conditions and those who care for them. We also thank the Friends of INS who have continued with their valuable support to INS. In conclusion I would like to express the wholehearted thanks of all the Trustees to our staff at INS, who together with our volunteers and supporters give INS the strength to continue to work sustainably and innovatively to meet the needs of our client community. Anne Gowan
INS Annual re ort 2021 Summary of Achievements in 2020121 INS adapted quickly to continue to deliver of all its contracted services and to support its seNice users throughout the pandernic. We developed a new hybrid model including both fa to face and online services. We completed a survey of our seNice users to understand the impact of moving our service online. We supported those who we digitally disengaged by telephone. We reviewed policies in line with changed environment. We supported current volunteers to support online Sep41 and recruited new volunteers to support revised new model. We made regularly updates to our commissioners and funders about our service adaptations. We continued to listen to service users and innovate new services We recruited and provided an induction to our new chief executive. We took part in DWP'S Kick Start Scheme to provide young people with meaningful paid work experien. In Dec 2020 our therapists presented at the UK Stroke Forum online conferen about delivery online stroke rehabilitation. We carried out a trustees, skills audit and created a recruitmenvsuccession plan.
INS Annual re ort 2021 Looking ahead - future and strategy for 2021122 Throughoutthe 2020121 financial year INS adapted to the Covid19 guidance. INS started the year by offering a ful remote service moving to a hybrid model as restrictions lifted. We first opened our door to individuals for therapy in September 2020. The re-designed model has created new opportunities to deliver ServIS flexibly and to reach different seNice users. Moving on to 21122, Covid-19 is still a central consideration. priorilising safety for all, baland with the need to promote physical and emotional wellbeing. Covid will continue to be a key element to all decision making and INS'S strategy will need to be able to flexibly respond as required. 1. To develop and embed new hybrid model. 2. To create agile working practices to respond to pandemic. 3. To develop and support staff and volunteer team to deliver the new model. 4. To complete upgrade of CMS system which enables INS to analyse and report on SucsS against our outcome measures and to extend project to cover donor information. 5. To deliver a fundraising strategy aimed at delivering sufficient resour5 to provide the new model. 6. To modernise marketing plan and improve social media profile. 7. To review and update policies and procedures in accordance with new working practices. 8. To reach seNice users throughout Richmond and Hounslow by developing partnerships and satellite services. 9. To engage with Servi users and partners to grow and develop the service.
INS Annual re ort 2021 Service Overview At INS, we focus on a person's abilities and notlheir disability. We have a comprehensive assessment process for each person referred to us, and we develop a rehabilitation programme which is centred around their needs, tsiloring their treatment to goals identified by them, matching these to our therapies and activities that will help maintain and improve their overall health and well-being. Although we are a smaller and leaner organisation compared wth rent years, we have continued to deliver a wide range of therapy and support services that have a positive impact on our clients, enabling them to live fulfilling and active lives. The INS approach Our vision is to ensure all people with neurological conditions receive a client-centred and holistic professional support tailored to their needs, looking at the Who person - both clinical and social - to maximise their abilities and reduce the impact of their disabilities. The seniices are designed and delivered using a MUltdIScIplinary approach drawing on a range of disciplines that provides a truly integrated service that addresses all the person's needs - physical, emotional. and environmental. Each client has a nominated keyworker and regular reviews to monitor their progress and symptoms. On average, our clients and their carers re1ve around 30 interventions through both one-to-one therapy and a choice of participating in 30 different group activities including condition-specific exercise-based groups as well as and social and creab've groups sessions. INS seNices are provided by skilled and qualified staff. The multidisciplinary team of professionals are experts in providing holistic care and the current team is made up of a senior physiotherapist, an occupational therapist, and a rehabilitation assistant. Six volunteer counsellors are supported by a senior social worker and two community development staff complete to team who are abty aided by a cohort of skilled volunteers. We have been working in Southwest and West London for nearly 26 years, supporting adults primarily in the London Boroughs of Hounslow and Richmond. INS seNi¢es provided include: 1. Assessment of new clients and their unpaid carers by a therapist leading to joint agreement of goals, which are reviewed regularfy throughout the year. 2. Monitoring of each client's condition and undertaking an objective measurement of the impact of INS intervention in moderating the effects of their disability- 3. Condition-specific groups led by clinicians and social workers, which include exercises and activities to improve physical, cognitive and communication abilities and personal independence.
INS AnDual re ort 2021 4. Programmes to address specific client needs, e.g. mobility and functionality problems. communication difficulties: and courses on coping with the emotional and psychological impact of a neurological condition. 5. Individual counselling and social work support for clients andlor their carers. 6. Support and advice for carers offered individually, or through our monthly carers, mutual support group and a 'Carers Fit Club.. From April- September 2020 a fijll table of online therapy assessments and treatments were provided online and by phone. In September 2020, in line with professional body guidance, individual face to fa sep4ices resumed following individual risk assessment. Throughout this period staff continued to monitor servicEs users who could not engage with on-line services by telephone. Much time and care was taken to support INS servi users to learn how to use Zoom in order to receive one to one intervention and take part in groups. Throughout the 20121 financial year INS provided groups exclusively online. these included. Stroke Groups - therapy led classes to enable stroke patients to achieve their personal goals Parkinson's Groups - enabling those living with Parkinson's to better manage symptoms and improve their independen- including a 'newly diagnosed, group. Multiple Sclerosis Groups - exercise. social and symptom management group Neuro-exercise groups aimed at improving and maintaining cardiovascular fitness and balance for clients. Symptom Management such as fatigue management- therapy led group teaching strategies and techniques to better management symptoms and impaimients Mindfulness 8-week course and drop in. Carers Fit Club- maintaining the physical fitness health and well-being of carers Mind-Body-Spirit - exploring spiritual and philosophical links to well-being Expanding Horizons - groups including music and art therapy. indoor sport, and crafts. Seated Exercise- a group for those unable to exercise whilst standing. Carers Mutual Support Group - facilitated session for carers of people with neuro conditions.
INS Annual re Ort 2021 One You Hounslow - outreach events across the borough giving health and wellbeing information. Neuro-Pilates to focus on building core strength and improved control Contracts In 2020 the following contracts to provide both specialist and wider preventative services were successfully renewed or extended. 1. Hounslow Community Stroke Service - commissioned by Hounslow Council since 2013. In this year, INS began the first year of a five-year contract, in partnership with the Stroke Association (with INS as the lead), to continue to deliver the community stroke service for Hounslow residents living with a stroke. and their carers. 2. One You Hounslow - commissioned by Hounslow and Richmond Healthcare NHS Trust (HRCH) extended from its end date of March 2021 for a further year. INS support Hounslow residents who are at risk of developing a long-term health condition, such as diabetes and cardio-vascular disease. 3. Community Independent Living Service (CILS) - INS is part of a 20- organisation consortium commissioned by Richmond Council to deliver the contract providing community services to adults in Richmond to help them live independently, develop their health and wellbeing. and stay connected in their communities. The five-year contract commenced on the 1 November 2019 and INS successfulty completed the first year. Age UK Richmond is the lead contractor and sub-contract INS to deliver services to people living in Richmond with a neurological condition. Partners include Richmond AID. Richmond Mencap, Richmond MIND, Greenwood Community Centre, Ham & Petersham Neighbourhood Care Group and Multicultural Richmond. 4. Richmond Carers Hub Seryice- INS is one of 5 organisations commissioned by LB of Richmond upon Thames and NHS Richmond Clinical Commissioning Group Council. The Hub supports carers living in Richmond. INS delivers services to carers supporting people living with a neurological condition. The five-year contract coMMend in July 2020.
INS iknnual re ort 2021 Our services in numbers Age of clients 2019-20 85 and i)ver 8% under 45 45to54 13% 75to84 25% 55to64 18% 65to74 Ages of INS clients 2020-21 Ovei 85 Under 45 9% Aged 75-84 ed 45.$4 15% ed 55-64 Aged 6S-74 31%
INS Annual r ort 2021 Total clients by borough 2020-21 9°A 43% . Hounshw • choNd wolher Client referrals by diagnosis 2019-20 io Head Injury MS PD Stroke Others
INS Annual re Ort 2021 Client referrals by diagnosis 2020-21 45 1 35 25 20 15 io Head Injury Multiple Sclerosis Parkinson's Stroke others io
INS Annual re ort 2021 Referrals come from both clients themselves and their families, statutory and other charity organisations. In this year the highest proportion came directly from individuals and their families. this may be due to pressure especially on NHS providers due to the pandemic. ClSent referrals by source 20120 50 45 35 30 25 47 20 36 37 15 io li
INS ADnual re ort 2021 Diagnosis of INS clients 2020-21 loo 80 60 107 66 52 20 45 li Head Injury Multiple Sderos Parkinson's Stroke others In 2020-21 the largest number of individuals referred had experienced a stroke. Some of these Servi users were referred after reIving minimal rehabilitation from the NHS. INS were able to provide support and rehabilitation throughout the pandemic. initially online and then in person. Outcomes and Evaluation During the lockdowns, social isolation and reduced mobility has become an increasing challenging issue for those with neuro4isabilities and Iherefore an INS priority. We worked to ensure that people were supported on-line. by phone and later face to fa. A proportion of our seNice users were unable or preferred not to asS online services and the team kept in touch with these clients by telephone. As we were able to return to face-to-face work, we prioritised retuming to face to face for those who were most isolated or experiencing most impact from the lockdowns. A client survey was undertaken to see how those using online sep11$ developed because of the pandemic were coping. Over 60 service users responded. 12
INS Annual r¢ ort 2021 From INS Client Feedback SuNey Report JU 2020: "98 % (53) of respondents were very or somewhat satisfied with their Zoom sessions, with only one (2 % ) reporting dissatisfaction, probabty due to a poor Zoom connection. 84% (49) respondents indicated wllingness to consider future attendance of Zoom sessions. Nine (160/0) weren't sure.. Satisfaction . Vwysaiisfied 'The survey asked how easy clients found attendan at Zoom sessions. 51 {93Yo) found the prOsS easy or only slightly difficult. Four respondents (7Yo) had difficulty or found access impossible for them. and 18 (35¥0) reported needing help to access sessions." Difficulty • Èasy . No Pmblen srTihtty DiffKuIt •Somewhat Ch)1ngE . VeryDiffitult • Imposslble 13
INS ADnual re ort 2021 Case study A 61-year-old female stroke survivor. referred to us shortly before first lockdown. She was working age and had no previous health problem5. Having begun to re1ve in- person seniices she soon adapted to newly developed online services. These included Neuro Exercise group, 8-week Mindfulness course with OT. 8-week Taking Back Control course with OTICounsellors. A psychoeducational groLJp supporting emotional adjustment to a neurological condition. Covers: low mood, anxiety, grief cycle. assertiveness. stresslfrustration, lifestyle etc. She laterjoined the INSight group- a client group aimed for seNice-users to provide feedback to INS. Client reported decreased anxiety and increased wellbeing. Email feedback included: °AII 5NS staff keep up the amazing work you are doing as you are making a big differen during this unrtain and unprecedented time. You are all truty stars ¢1 11 O Thank you. °Take care and thank you - these courses have come just at the right time." Partnership working We continue to focus on partnership, working with local statutory and voluntary and community sector organisations to reach more people with long-temi neurological conditions, plus their carers. and provide them with the long-tenn therapy and support that they need. which is uniquely provided by INS. We continue to work in partnership with Hounslow and Richmond Community Healthcare NHS Trust (HRCH), GP practices. social prescribers. and other health professionals. And we work closely with other voluntary and community partners. This has been particularly helpful during the pandemic where it was important to share new practice and procedures. During this period of change, the new CEO established herself within partnership meetings in both Hounslow and Richmond. As the NHS undergoes significant change in the way it works with the third sector, the INS CEO has joined the NW London Third Sector Strategic Group. a consortium of charilTres working closely with the new NWL NHS commissioning group- 14
INS Annual re ort 2021 Education INS provide a unique educational programme for medical students frorn St George's University Hospitals NHS Foundation Trust focussing on the consequences of neurological conditions. INS clients and carers help us deliver sessions for medical students to help them understand the impact of living with a neurological condrtion. Focussing on the client experien. medical students can hear the patient and carer experience in small interacttve workshops. The programme was curtailed online by the pandemic but resumed in October 2020. By March 2021 over 150 students have taken part in INS community online sessions. During this year we were also able to provide face and virtual placements for St. Mary's University students 15
tNS Annual re ort 2021 OUR ORGANISATION Integrated Neurological servIs is a company limited by guarantee governed by its Memorandum and Articles ofAssociation dated 27 July 2004 (amended 13 July 2013). It is registered as a charity with the Charity Commsssion. staffing During this unprecedented period our Interim CEO, Margie Butler. was replaced by Sarah Vines, a Chartered Physiotherdpist, as a permanent CEOIClinical Lead. Trustee Board Structure The Board of Trustees of INS currently meets four times a year and is responsible for the strategic direction and policy of the organisation. Detailed work is undertaken through several committees. Committees in 2020121 Advisory Responsibilities Chair To act as an executive board.. also oversees risk management. quality assuran", remuneration Dugald MillarlAnne Gowan Sue Stevens Clinical To oversee all clinical activity including safeguarding To oversee all financial matters Finance and Fundraising Fundraising and Marketing Chris Williams To oversee all Fundraising and Marketing matters and develop and implement fund raising strategies including grant applications and events Anne GowanlPeter Rodgers Strategy To provide space for Trustees and the CEO to work as a group to develop strategic approaches Dugald MillarlAnne Gowan Trustee Induction and Training Trustees are elected to serve for a period of three years after which they may stand for reelection at the Annual General Meeting. New Trustees r1ve an induction from the Chair and the Chief Executive. All trustees are now expected to have a level 1 Safeguarding Adults training and are encouraged to attend trustee training at Richmond cvs. 16
JTr4S Annual re ort 2021 Policies. Procedures, Standards and Risk Managernent We work to the relevant professional standards (e.g., National Institute for Health and Care Excellen (NICE)) and all therapy staff are registered with The Health and Care Professions Council (HCPC). We have a comprehensrve set of policies and procedures, and we meet the Department of Health Information Standard. Exposure to major risks is reviewed at Advisory Group meetings on a quarterly basis and reviewed with the whole Truslee Board annually. INS commission Ellis Whittam to ensure employment policies are updated. 17
INS Annual re ort 2021 Communication and fundraising Like most small charities, our fundraising activities last year were affected by Covid-19. We were fortunate to have the support of both local and national Trusts and Foundations who continued to fund our work. as well as new support for some emergency Covid-19 grants. However, some funders changed their priorities due to Covid-19 and we were no longer eligible. We adapted to move some fundraising events online, such as our annual quiz, and intrOdUd other small fundraising challenges and sponsored activities. Due to restrictions over the last year. our support from community fundraising was also greatly reduced. Our Servi users and supporters continued to donate generously throughout the year for which we are very grateful INS is very grateful to receive grants from a number of charitable Trusts and Foundations to support our work. Trusts and Foundations During 2020-21 INS was awarded grants from the following organisations.. Barnes Fund Bryan Guinness Charitable Trust D'oyly Carte Charitable Trust Dyers, Company Charitable Trust Edward Gostling Foundation February Foundation Garfield Weston Foundation Hampton Fund Hayburn Trust Heathrow Community Trust James Tudor Foundation John Horseman Trust Lambert Charitable Trust Leathersellers, Company Charitable Fund London Borough of Richmond upon Thames Emergency Covid grant Munro Charitable Trust P F Charitable Trust Peter Sowerby Foundation Postcode Community Trust Richmond Parish Lands Charity Sir Jules Thorn Charitable Trust Souter Charitable Trust Trelix Charitable Trust Vandervell Foundation 18
INS Annual re ort 2021 Community During 2020-21 the following organisations kindty made donations to INS: Fulwell Goff Club Richmond Team Ministry Rotary Club of Twickenham Fundraising Events 2.6 challenge: With many fundraising events cancelled due to Covid-19. the national 2.6 challenge asked people to complete a challenge based around the number 2.6 or 26. INS staff. volunteers and service users took part and. thanks to generous donations from our supporters, raised over £2,000. Birthday fundraiser: INS Trustee, Gary Norman, did the first Facebook birthday fundraiser for INS. raising over £250. Sir William Wells sponsored walk.. INS Patron, Sir William Wells, who has Parkinson's. did a sponsored walking challenge during lockdown, with the support of his fami. and raised nearly £5.000 for INS, an amazing achievement. INS Quiz night.. With many fundraising events being held remotely, the annual INS Qutz night took place online for the first time. Hosted by Keith Severs. one of the Friends of INS, who usually organise the Quiz night. Ihe evening raised over £1.000. We receive several generous regular donations which are invaluable in supporting our work. We are also very grateful for those donations we receive in memory of family or friends. Thank you also to all our loyal volunteers and Trustees. to the Friends of INS for their fundraising activities, and all those who support us by giving to INS. 19
INS ADiiual re ort 2021 Legal and Administrative Infomiation Patrons The Baroness Cumberfege CBE, DL Robin Jowit OBE Serge Lourie The Baroness Wilkins Sir William Wells Founder President Eleanor Kinnear Vice President Dr. Elszabeth Grove Board of Trustees Dugald Millar. Chair to November 2020 Anne Gowan. Chair from November 2020 Susan Stevens, VI Chair to November 2020 Peter Rogers, Vice Chair from November 2020 Telfer Saywell JP, FCA, Treasuref Christopher Williams Lew Gray Sue Jeffers, tNstee to March 2021 Chetan Vyas Monica Bithal Gary Norman New trustees Steve Williams, from September 2021 Tessa James, from September 2021 Advisor Neurological Consultant: Dr. Peter Bain. MBBS MA MD FRCP. Senior Management Interim Chief Executive- Margie Butler (frorn January 2020 to August 2020) Chief Executive- Sarah Vines {from August 2020) Charity Name: Integrated Neurological servIs Charity Registration Number: 1107273 Company Registration Number: 5292539 Operational Centre and Registered Address: 82 Hampton Road, Twickenham. Middlesex TW2 5QS Tel.. 020 8755 4000 Fax: 020 8755 4003 Email.. admin@ins.org.uk Website.. www.ins.org.uk Independent Examiners: Begbies Chartered Accountants and Registered Auditors, 9 Bonhill Street, London EC2A 4DJ Bankers: CAF Bank Limited. West Malling. Kent, ME19 4TA', HSBC 67 George Street, Richmond, TW9 1 HG 20
INS ADDual re ort 2021 Our Finances Review of Financial Results INS rnade a surplus for the year of £57,474 (2019120 resulted in a surplus of £5,322). Despite the results of Covid, and the resultant lock down, INS successfully maintained our seNice contracts by delivering zoom-based sessions for our clients. Furthermore, we are indebted to the Hayburn Trust. who awarded us a significant grant of £45,000. which is fully accounted for in the above fuure. It's important to note that these funds were not credited to INS'S bank until the following financial year, therefore will be expended over a number of future years. We are also thankful to our other funders who continued to support us through this challenging period. who are listed in another section of this report. Directly employed staff numbers remained stable at 8.1 FTE compared to 8.2 FTE in 2019120, reflecting our continuing focus on optimising expenditure. Income The income for the year was £540,671 (2019120". £600,399). The reduction in income reflects the effect of Covid on our operations. Charitable activities. which includes contracts amounted to £284,283 (2019120: £370,981). Income from donations and legacies was £242,501 {2019120: £215,107). Expenditure Total expenditure forthe yearwas£483.197 (2019120.. £595.077). Charitable expenditure was £453.414 (2019120: £560.056). 94 pence in every pound raised was spent on the costs of charitable activities, focused on providing services to people with neurological and other long-temi conditions. 6 pence in every pound were spent on fundraising. Total funds on 3181 March 2021 were £215,362 {2020: £157.888). Reserves The Trustees maintain a policy of keeping at least three months. expenditure in unrestricted reserves. On 31st March 2021 the reserves, unrestricted funds available for spending. were £198,362 {2019120= £140.512). We will continue building up our reseples in future in line with our Reserves Policy. Responsibilities of the Board of Trustees The Trustees are responsible for preparing the Report of the Trustees and the financial statements in accordance with applicable law and Unrted Kingdom Accounting Standards (United Kingdom Generally A¢pted Accounting Practice). Company law requires the Board of Trustees to prepare financial statements each financial year which give a true and fair view of the state of the affairs of the charitable 21
INS Annual re ort 2021 company as at the balan sheet date and of its incoming resources and application of resources, including income and expenditure, for the financial year. In preparing those financial statements, the Trustees should follow best practice and- select suitable accounting policies and then apply them consistently. make judgments and estimales that are reasonable and prudent. O state whether applicable accounting standards have been followed. and D prepare the financial statements on the going concern basis unless it is inappropriate to assume that the company will continue that basis. The Trustees are responsible for maintaining adequate accounting records which disclose with reasonable accuracy at any tirne the financial position of the charitable company and to enable them to ensure that the financial statements comply with the Companies Act 2006. The Trustees are also responsible forsafeguarding the assets of the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. This report has been prepared in accordan with the Statement of Recommended Practi. Accounting and Reporting by Charities and in accordance with the special provisions of Part 15 of the Companies Act 2006 relating to small entities. Approved by the Board of Trustees on 10 November 2021 and signed on its behalf by: Chris Williams Trustee, INS 22
[tEGRATED NEUROLOGICAL SERVICES STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 MARCH 2021 2021 Res¢ri¢¢ed Funds 2020 UDrestri¢ted Funds Totsl Fyllds Total Funds Notes IDcome from'.- Donations and1¢8acies Charitable activities Other Investments Total 124,681 25.674 13,841 46 117,820 258,609 242,501 284,283 13,841 46 215,107 370,981 14,190 121 164,242 376,429 540,671 600.399 Expenditure on'_ Raising funds Charitable activities Tothl 29,783 81,615 111.398 29,783 453,414 483.197 35,021 560,056 595.077 371,799 371,799 Net income 52.844 4.630 57.474 5,322 Transfer between funds 5.006 57.850 (5.006) (376) Net movement in fllDds 57,474 5.322 R¢coD¢ili*tion of funds Total funds brought forward Total funds c4rried forward 140.512 198.362 17.376 17,000 157.888 215,362 152,566 157,888 (23)
CowpaLy Nmber. $292539 £GRAT NEUROLOGICAL SERVICES 4LANCESHEET AS AT 31 MARCH2021 21120 Not¥ Fixed hs5¢t8 Tan1¢ 8Ssets 10 8.139 4.703 Curr¢lltagsels Debiws C8sli at bank and iu hand Total eurrent 74,552 218.673 293,225 14268 87.288 205,556 IAAbiltsle8 Credilorsf4llins diits within op¢year Net ¢ty1'it asse15 N¢t Assets 12 (8&002) 207.223 £215,362 (51371) 153.185 £ 157.888 14 Tkn fiikndA of th¢ eharfty Reslcicled in¢om¢ fund5 URitstrioled fuiids 15 JS 17.000 198J62 17376 140,512 £ 215,362 £ 157,8S8 'or the yeu endiDs 31 Mar¢h 2021 t1 entitled to exemptiOJJ Ulmler section 4T1 of the CoÉnpaoi¢s Acl 2006 K12titrgtO 51nall coihp8nies Tlie munbws h#ve Th)t 4lld the eonTrpally oblainan #udit in accDTd•nce iyith seclion 476 of tITe C(lpr¢SA¢tr20o6. T1ie dire¢tOfS8cknowkdg¢ the1rrtsp)ibl1lti foTcfjmplYinBith the requirftets oftheA¢t iyith Itsp¢¢t loHccounling records and th¢ prepar&(ion of WUAts. These Bccounis hav¢ i%en pryred arn18C with the provisio1 applicabk ts rompaniK subject to rfie sin8ll Comnic5 irgim Tlie8ccoynts ivcJE approved byihe board of dire¢tOES on IONov¢mb¢r2021 and signedon ils b¢Ilf c.@. J .. Drrectoi. Trustt Chris WilJiam$ (24)
INTEGBATED IYEUROUIGICAL SERVICES STATEMENT OF CASH FLOWS FOR TBI YEAR ENDED 31 MARCH 2021 2021 2020 Cash flows from operating activities.. Nel cash provided by operating activitie5 (not¢ I below) Cash flows from investing activities- Interest recelved 31.339 16,226 46 121 Change in c&sh and cash equivalents in the year Cash and cash equivalents at the ginn]llg of the year Cash and c&sh equivaknts at the end of the year 31.385 187.288 218.673 16.347 170,941 187.288 Not¢5 to the statement of c4sh flows l. RenCIliation of net income to net cash flow from operating activities 2021 2020 Net income for the year (as p¢r stat¢ment of financial activities) 57,474 5,322 Adjustments for.. Depreciation charges Interest received (Increa5e)mecrease in debtors In¢reas¢ in cmlitors Additions to fixed assets 3.719 (46) (56.284) 33.631 (7,155) 31.339 3.386 (121) 4,019 3,620 Net cash provided by op¢raling activities 16.226 (25)
tNTEGRATED NEUROLOGICAL SERVICES NOTES TO THE ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2021 l) (i) A¢¢ounting policies ( a ) Basi$ of aceounting The financial statements have be¢n prepared in accordance with the Charities.. Statement of Re¢ommended Prnctice (applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102)) (issued in October 2019)- (Charitie5 SORP {FRS 102)). The Financial Reporting StaThdard applicable in the UK and Republic of Ireland (FRS 102) and the Companies Act 2006. Integrated Neurological Service5 meets the defmition of a public benefit entity under FRS 102. Assets and li8bilities are initially r¢cognised at historical cost or transactiOD value unless otherwise stated on the r¢l¢vant a¢¢ounting policy Dote. ( b ) Going concerll The trustees consider that there ar¢ no material uncertainties about the charitys ability to continue as a going con¢¢rn. ( c ) Fund ac¢ollntlDg Unrestricted funds are available to ws¢ at the discretion of the trustees in furtherance of the general objectives of the Charity. Restricted fund5 are subje¢t to restrictions on their exp¢nditure imposed by the donor or through tsrnls of the appeal. ( d ) Illcomillg resources In line with previous practic4 incoming resources are included in the Financial Accounts when the income is received and the amount can therefore be accurately quantified. Donations. legacies and gifts ar¢ inoluded in fvll in the Statement of Financial Activities wh¢n r¢c¢ivable. Restricted income from grants and conlrn¢ts 1Ved in advancz of related future costs is treated as deferred InMe (Not¢ 13). Restricted incfjme from grants is used as specified by the grantor. Details of restricted grants are provided ID Note 17. Income generated from charitable Activiti is primarily from contrncts. which are treated as restricted income and used as specified by the ntraCt. Donated servic¢s or¢ included at their value where this can be quantified. The value of services provided by volunteers has not been included in thes¢ accounts. (26)
INTEGRATED NEIJROIL)GJCAL SERcEs NOTES TO ThE ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2021 {COKfINUED) ( e ) Resources eipended Expenditure is recognised on an accrnal basis as a liability is incurred. VAT which cannot be recovered is recorded as part of the expenditure to which it relates. Charitable expenditure comprises those costs incurred by the charlty in the delivery of its activities and servicu for its beneficiaries. It includes costs that can be allo¢ated diffctly to such activiti¢s and also th0 costs of an indirl nature n¢cessary to support them, including governance costs. All costs are allOted b¢tw¢en the ¢xpenditure categories of the SOFA on a basis designed to reflect the use of the resource. Costs relating to a particular activity are allocated directly. others are apportioned on an appropriate b&sis e.8. time allocation. { f ) Pensions The charity does nol OP¢Tat¢ a pension scheme for its employees but does administer contributions to a stakeholdtr pension scheme for l 0 { 202(I-14) staff. The charity makes contributions to this scheme. ( g ) Tanglbk rued assets Individual fixed assets wsting £500 or MO ar¢ capitalised at rt. Tangible fixed assets are stated at cost less depTe¢iation. D¢pr¢ciation is provided at rates calculat¢d to write off th¢ cost of fixed assets, less their estimated r¢sidual valu¢, over thetr expected useful liv¢s on th¢ following basis.. Furniture and Equipment 20Yo Straight lin¢ basis { h ) Operntittg leases Rentals applicable to operating leases where substsntially all of the benefits and risks of ownership remain with the lessor are charged on a straight line b&5is over the terni of the (li) L*gal status of the ehirity Th¢ charity is a company limited by guarante¢ and has no share capital. In the event of the charity being wound up. th¢ liability in respect of the guarantee is limited to £1 per member. Its regi51er¢d office is 82 Hampton Roa¢ Twickenham, Middlesex TW2 5QS. (27)
INfEGRATED NEUROIAIGICAL SERVICES NOTES TO THE ACCOUNTS FOR THE YEAR EIYDED 31 MARCH 2021 (cOrINUED} 2) (a) Ineome from don4tiotss and legacies 2021 2020 Donations GTant5 Fund generation events i*gacies 72.251 158.136 7.370 4.744 242,501 30.396 164.653 9,343 10.715 215.107 2021 Unres¢ri¢ted R¢strided 2021 Total 2020 To¢al 2) (b) GraDts Ricljmond Parish Land5 Charity Hamplon Fuel Allotrnent Charity Childwick POstcodeatl0naI Lott¢ry Barnes Workhouse fund Jarnes Tudor Foundation Garfield Weston London Borough of Richmond upon Thames Other Grants 51,715 19.500 51,715 19.500 51.715 25.000 5.000 8.000 4,000 13.698 13,698 7,875 7,875 4,167 4.017 57,164 158,136 4,167 25,000 4,017 21,015 117,820 36.149 40.316 45,938 164.653 (28)
INrEGRATED NEUROIA)GICAL SERVICES NOTES TO THE ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2021 (CONTINUED) 3) (a) Income from eharitabk activities 2021 2020 Contract Income Teachillg Income Other Charitabl¢ Incom¢ (MembershiplAttendant Fees) 258.609 8.909 16.765 284,283 325,664 10,812 34,505 370.981 2021 2020 Total Reslri¢¢ed Tolal 3) (b) Contract income London Borough of Hounslow LA)ndon Borough of Richmond upon Thames Community HealthcaTe Tn1 Richmond All) Age UK Richmond Richmond Care Centre 120.0(KI 120.000 124.490 107.450 40.000 4.433 35.101 14.191 325,664 40.000 40.000 84.241 14.368 258.609 84,241 14.368 258,609 4) Income from other acliviti¢s 2021 2020 Sundry in¢om¢ 13.841 13.841 14,190 14,190 Invtment income 2021 2020 Deposit interest 46 121 46 121 (29)
IrEGRATED NEUROLOGICAL SERVICES NOTES TO THE ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2021 (CONTJMJED) 6a) Totsl resources expended - ¢urrent year Direct Direet (Other) Costs (Stsffj Costs Support Costs Totsl 2021 Raising funds 22.155 6,396 1,232 29,783 Charitsble #etlvifi Clinical Services (Neuro} Comtnunity Partnership Service5 Total 130,231 135,024 287,410 49,741 61,841 117.978 13,389 63,188 77.809 193,361 260,053 483,197 Allatysis of support costs Community Clini] Partnership Total FundrnbsiDg Services Services 2021 Premises Office costs Communications & marketing Consultancylprofessional fees Depreciation Governance 1.911 3.873 427 20.062 24.205 1.131 25,794 20.332 955 10.938 1.599 2.223 61.841 47,767 48,410 2.513 10,938 3,719 4,631 117.978 2,120 2,223 49,741 185 Total 6.396 Analysis of direct (other) ¢osts Dit project costs Staff ¢xpens¢s Equipment Recrllilment Total 1,232 1.848 4.779 481 6.281 13,389 58.521 2.573 61,601 7,352 481 8,375 77.809 2.094 63.188 1.232 (30)
INTEGRATED NEUROLOGICAL SERVICES NOTES TO THE ACCOtJNTS FOR THK YEAR EKDED 31 MARCH 2021 (CONfINUED) 6b) Total resources expended - previoiis year Direct Direet (Other) Costs (StsfQ Support Costs Totydl 2020 Costs RAisiMg funds 26.085 6.504 2,432 35,021 Charitable activities Clinical Services (Neuro) Community Parthership Services To*al 153.332 158.975 338.392 47.71Q 60.520 114.734 18.433 121.087 141.952 219.475 340.582 595,077 Analysis of support costs Community Clinical PartneTsbip Total Fundrnising Services Servicey 2020 Premises ottice wsts Communications & marketing Consultancylprofessional fees Depreciation Gov¢mance 1.780 3.581 963 18.689 22.383 2.548 24.028 18.802 2.152 11.922 1.456 2,160 60.520 44,497 44,766 5,663 11,922 3,386 4,500 114,734 1.930 2.160 47,710 180 Totsl 6,504 Analysis of direet (other) costs Direcl project costs Staff expenses Equipment Recruitment Total 2.432 3.648 3.864 456 10.465 18,433 115.518 2.081 121.598 5,945 456 13.954 141,952 3.488 121.087 2,432 (31)
IThGRATED NEUROLOGICAL SERVICES NOTES TO THE ACCOIJNTS FOR THE YEAR ENDED 31 MARCH 2021 (CONfINUED) 7) S¢aff costs 2021 2020 S&laries and wages S1&[ security costs Pension wsts 257.288 20.004 10.118 287,410 304.801 25.385 8.207 338.392 2021 2020 Sthff numbers (average) io Staff numbers (Fyil time equivalent) 2021 2020 Administration Community partnership serYic¢s Clini¢al services Fundraising 2.60 1.20 3.50 0.80 2.20 1.70 3.30 1.00 8.10 8.20 The number of employees whose emoluments exceeded £60,000 in th¢ year was as follows: 2021 2020 £60,001- £70,000 The key management personnel of the charity comprise the trustees. the Chiefexe¢utiv¢ and senior management. The total employee remunernlion of the key manag¢ment p¢rsonnel amounted to £61.269 (2020.. £53.474). 8) Trnstees remuneration & related party tranyA¢tioDs No trustee rec¢ived any remunerdlion during the year. No trustee or othei person related to th¢ charity had any personal interest in any contract or transaction entered into by th¢ ¢harity during the 12 months. (32)
INTEGRATED NEtJROLOGICAL SERVICES Y40TES TO THE ACCOtrNTS FOR THE YEAR ENDED 31 MARCH 2021 (CONTINUED) 9) TaxatioD As a r¢gistered Charity Integrated Neurological ServirKs is exempt from corp)ration KatIOn since all income is applied for charitable purposes. 10) Tangible fixed assets Equipment Software Totgl Cost at l April 2020 Additions Cost at 31 March 2021 89.025 7.155 96.180 16,93] 105.956 7.155 113,111 16.931 Depreciation at l April 2020 Charge for the year Depreciation at 31 March 2021 Net book Yalu¢ at 31 M8rch 2021 89.025 333 12.228 3.386 15,614 l J17 101,253 3,719 104.972 8.139 89.358 6.822 Net book value At 31 Mar¢h 2020 4,703 4.703 I l) Debtors 2021 2020 Debtors and prepayments Accrued donation income 31.095 43.457 74.552 18.268 18,268 12) Credito'rs: amounts falliug due withill one year 2021 2020 Taxation and social security Grant income reived in advance (Note 13) Accrued su&contractors payments and expenses 6,244 58,893 20,865 86.002 6.671 17,375 28.325 52.371 13) Deferred income 2021 2020 Balance at l April 2020 Amount released to inwming r¢sourc Amount deferred in the year Balance at 31 March 2021 17,375 (17,375) 58.893 58,893 24.438 (24.438) 17.375 17.375 (33)
IrEGRATED NEUROLOGICAL SERVICES NOTES TO THE ACCOUNTS FOR TBE YEAR ENDED 31 MARCH 2021 (CONTuED) 2021 Total Funds 14a) AalYSIS of net assets b¢tweell fuDds current year Unrestricted Restricted Funds Funds Tangible fixed assets Current assets Current liabilities 8.139 259,225 (69.002) 198,362 8.139 34.000 293,225 {17.1)00) {86,002) 17.000 215,362 Total 2020 Total Funds 14b) Analysis of net assets between fuDds - previous year UDrestrieted Re5tri¢ted Funds Funds Tangible fixed assets Current assets Current liabilities 4.703 170.806 (34.997) 4.703 34,750 205.556 (17,374) (52.371) Total 140.512 17,376 157.888 15a) Movement of funds - current year At l April IntOmiDg Outgoing 2020 Resources Resources Transfers At 31 M4r¢b 2021 Unrestricted funds Restrithd funds 140,512 17.376 157.888 164.242 376.429 540.671 (111.398) (371.799) (483.197) 5,006 (5.006) 198.362 17.000 215.362 Total fullds 15b) Movement of funds previous year At l April 2019 At 31 March 2020 Incoming Outgoing Resources Resources Trathsfen Unrestricted fijnds Restricted funds 128.128 24.438 152,S82 447.817 (135.830) (459.247) (4,368) 4,368 140.512 17.376 Totsl funds 152.566 600,399 {595,077) 157,888 (34)
INTEGRATED NEi]ROLOGICAL SERVICES NOTES TO THE ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2021 {CONTINUED) 16) Lease commitments- operating leases At 31 March 2021 the charity had total commitments in Te$t of opernting leases as follows: 2021 2020 Total commitm¢nls 95,433 122.866 17) Purposes of restricted funds All restricted funds are held as liquid Sets and are used within the t?me period and for the purposes specified by the grantor. The accounts show the amount applicable to this period. Balances are carried forward to the next period as grant income re£eived in advance. RRchmoDd Parish Lallds Cbarity The total shown in the acwunts is made up of a gtant to support services for residents of the tlldOn Borough of Richmond upon Tham¢s: £30.000: to supN)rt the costs of provlding physioiberapy services for period July 2020 to June 2021. A balance of £7,500 ha5 been Caled forward. H#mpton Fund A sixth-monih grnnl of £13.000 towards salaries and rA)sts of the Rehabilitation team was award¢d in December 2020. A balan¢¢ of £6.500 has b¢¢n Carri forward. D'oyly Carte Charitable Trust A one-year grant of £3,000 to support the delivery of weekly therapy-led creative activity Up$ was awarded in March 2021 and has been carried forward. (35)
tNDEPENDENT EXAMtNER'S REPORT TO THE TRUSTEES OF INTEGRATED NEi)ROLOGICAL SERVICES I r¢port to th¢ trustees on my examination of the accounts of th¢ abov¢ chaTity ("the Trust.) for the year end¢d 31 Mar¢h 2021. Responsibilities and basis of report As the charity's trustees. you ore responsible for th¢ preparation of th¢ accounts in accordance with the requirements of the CompaDi¢5 Act 2011 ("the Act.). I report in respect of my examination of the TTusVs accounts carried out under section 145 of the 2011 Act and in carying out my examination. I have followed all th¢ applicable Directions given by the Charity Commission under section 145(5Xb) of the Act. Independent exgminer's statemtmt The Charity's gross income exce¢ded £250,000 and l am qualified to undertake the examination by b¢ing a qualifi¢d member of the Institute of Chart¢r&l Accountallts in England and Wal¢s. I have completed my examination. I confirn) that no material Matte have come to my attention in connection with the examination which gives me caus¢ to beli¢ve that in. any material respect.. the accounting r¢cords wer¢ not kept in aCrdanC¢ with section 130 of the Charities Act. or the accounts did not aCCOTd with the accounting records. or the accounts did not comply with the applicable requirements concerning the forn) gnd content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 other than any Tequirement that the accounts give a'true and faiv view whiGh is not a matter considered as part of an independent examination. I have no concerns and have come across no other matters in connection with the examination lo which attention should be drawn in this Teport in order to enable a proper understanding of the a¢counts to be reached. CL.s Signed: Christopher Pexton. FCA Begbies. Chartered Accountants 9 Bonhill Street, London EC2A 4DJ Date.. 2 December 2021 (36)