Company Number: 5292539
INTEGRATED NEUROLOGICAL SER￿cEs
ANNUAL REPORT AND ACCOUNTS
FOR THE YEAR ENDED 31 MARCH 2021
Charity Number: 1107273
*AAIKP92Z*
03112r2021
COMPANIES HOUSE
A19
#272
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￿ seprfj￿s 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 Servi￿S, 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 ServI￿S flexibly and to reach different
seNice users.
Moving on to 21122, Covid-19 is still a central consideration. priorilising safety for all,
balan￿d 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 Suc￿sS against our outcome measures and to extend project to cover donor
information.
5. To deliver a fundraising strategy aimed at delivering sufficient resour￿5 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 re￿nt 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 MUlt￿dIScIplinary 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 re￿1ve 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 coMMen￿d 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 • ￿ch￿oNd 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 201￿20
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 re￿Iving 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 a￿sS 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 prO￿sS 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)1￿ng￿E
. 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 re￿1ve 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 un￿rtain 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 servI￿s 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 r￿1ve 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 intrOdU￿d 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 servI￿s
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 N￿mber. $292539
£GRAT￿ NEUROLOGICAL SERVICES
4LANCESHEET AS AT 31 MARCH2021
21120
Not¥
Fixed hs5¢t8
Tan￿￿1¢ 8Ssets
10
8.139
4.703
Curr¢lltagsels
Debiws
C8sli at bank and iu hand
Total eurrent
74,552
218.673
293,225
14268
87.288
205,556
IAAbiltsle8
Credilorsf4llins diits
within op¢year
Net ¢ty1'i￿t asse15
N¢t Assets
12
(8&002)
207.223
£215,362
(51371)
153.185
£ 157.888
14
Tkn fiikndA of th¢ eharfty
Reslcicled in¢om¢ fund5
URitstrioled fuiids
15
JS
17.000
198J62
17376
140,512
£ 215,362
£ 157,8S8
'or the yeu endiDs 31 Mar¢h 2021 t1￿ entitled to exemptiOJJ Ulmler section 4T1 of the
CoÉnpaoi¢s Acl 2006 K12titrgtO 51nall coihp8nies
Tlie munbws h#ve Th)t ￿4￿ll￿d the eonTrpally￿ oblainan #udit in accDTd•nce iyith seclion 476 of tITe
C(l￿p￿r¢SA¢tr20o6.
T1ie dire¢tOfS8cknowkdg¢ the1rrtsp)￿ibl1lti￿ foTcfjmplYinB￿ith the requir￿fte￿ts oftheA¢t iyith
Itsp¢¢t loHccounling records and th¢ prepar&(ion of WUAts.
These Bccounis hav¢ i%en pryred ar￿n18￿C with the provisio1￿ applicabk ts rompaniK subject to rfie
sin8ll Com￿nic5 irgim
Tlie8ccoynts ivcJE approved byihe board of dire¢tOES on IONov¢mb¢r2021
and signedon ils b¢I￿lf
c.@. J
.. Drrectoi. Trustt
Chris WilJiam$
(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. Re￿nCIliation 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 In￿Me (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 SER￿cEs
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 indir￿l nature n¢cessary to support them, including
governance costs.
All costs are allO￿ted 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 r￿t. 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
(cO￿rINUED}
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
POstcode￿atl0naI 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 Tn￿1
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
Inv￿tment income
2021
2020
Deposit interest
46
121
46
121
(29)

I￿rEGRATED 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
Di￿t 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
S￿1&[ 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 re￿ived 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)

I￿rEGRATED NEUROLOGICAL SERVICES
NOTES TO THE ACCOUNTS
FOR TBE YEAR ENDED 31 MARCH 2021
(CONT￿uED)
2021
Total
Funds
14a) A￿alYSIS 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$￿t of opernting leases as follows:
2021
2020
Total commitm¢nls
95,433
122.866
17) Purposes of restricted funds
All restricted funds are held as liquid ￿Sets and are used within the t?me period and for the purposes
specified by the grantor. The accounts show the amount applicable to this period. Balances are
carried forward to the next period as grant income re£eived in advance.
RRchmoDd Parish Lallds Cbarity
The total shown in the acwunts is made up of a gtant to support services for residents of the t￿lldOn
Borough of Richmond upon Tham¢s:
£30.000: to supN)rt the costs of provlding physioiberapy services for period July 2020 to June 2021.
A balance of £7,500 ha5 been Ca￿led forward.
H#mpton Fund
A sixth-monih grnnl of £13.000 towards salaries and rA)sts of the Rehabilitation team was award¢d in
December 2020. A balan¢¢ of £6.500 has b¢¢n Carri￿ forward.
D'oyly Carte Charitable Trust
A one-year grant of £3,000 to support the delivery of weekly therapy-led creative activity ￿Up$ 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 aC￿rdanC¢ 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)