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← Integrated Neurological Services

2024-03-31-accounts

Integrated Neurological Services Annual Report and Accounts 2023/24

Registered as a Limited Company in England & Wales: 5292539 Registered Charity: 1107273

Contents

Our Vision

Our Mission

Chair’s Report 4
Adults with neurological We provide holistic therapy, Looking Back – Strategic Aims for 2023/24 6
conditions and their carers can
access long-term, professional		 social and emotional support
tailored to the rehabilitation		 Demand and Complexity 7
and peer support in the needs of adults with Partnership Working 12
community, helping to manage neurological conditions and their
symptoms, increase carers, empowering them to Carer Support 14
independence and live well with maximise their abilities and live
their condition. life to the full. The Team 15
Digital Infrastructure 16
Satellite Updates 17
Our Values Experiences Survey 24
Events 26
Fundraising 28
Professional
Collaborative
Inclusive
Caring
Empowering
Bee
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Integrated Neurological Services Annual Report & Accounts 2023/24

Chair’s Report

It is with pleasure that I share with you this year’s Annual Report in its new attractive, easy to interpret and navigate format. In it, you will clearly see the increase in INS’s service provision to meet the increase in demand year on year. The demand for INS services is greater than ever as we see more people and more complex cases requiring in depth support for a wider range of conditions.

We have strengthened further our clinical team and welcomed to INS, a new senior Occupational Therapist, as well as expanding the recruitment and deployment of volunteers who support group-based work. Specialist volunteers in other areas of expertise have also been successfully recruited including in IT support, website design and project management, contributing to a more visible, accessible and flexible INS.

The development of a multi-skilled and flexible team and the ability to work with partner organisations most effectively has enabled INS to meet a significantly increased demand and ensure sustainable growth within capacity.

During the period INS provided 1,509 one to one therapy and counselling sessions including 274 initial assessments 5,052 Group attendances for 334 people 12,255 Interventions for 747 clients and carers, 135 Home visits to deliver assessments and therapies. The complexity of the service provision required to support clients is only increasing.

Through the innovation of satellites (provision of services directly in the community where people need more neuro support) at Feltham, Brentford and Barnes, INS supported 160 people.

You will see more of the services and some of the stories of the team and the service users within this Annual Report.

The work of INS is dependent on securing funding which is provided from a number of sources: contracts, grants, donations, and fees from training provision. We thank our funders and donors.

As we look ahead to the coming year the challenge of meeting the demand for services, experienced over this last year is likely to continue and increase, securing funding will be key to providing the resource to meet these challenges. This is at a time when there is greater competition for funds and donations. INS have successfully built relationships with funders and donors and this support is needed more than ever.

In this last year, celebrating 30 years since the foundation of INS, donations have increased year on year by 30% through a diverse and enjoyable range of group and individual fundraising activities supported by staff, volunteers, sponsors and donors. The growth of these activities and donations more generally are part of the INS strategy to spread and grow the sources of financial support to continue to work sustainably.

I would like to take the opportunity here to thank INS staff, volunteers, fellow trustees, partners, funders, and supporters for their continued loyalty and commitment to the work of INS. It is because of their dedication that INS is able to support our service users within the boroughs of Richmond upon Thames and Hounslow to live as independently as possible through the support of INS’s integrated approach.

Anne Gowan Chair of Trustees

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Integrated Neurological Services Annual Report & Accounts 2023/24

Looking back – Strategic aims for 2023/24

Following our Strategy Day in August 2023, we identified the following as key priorities for the year 2023/24:

Demand and Complexity

In 2023 we received 278 referrals for both clients and carers, an 18% increase compared to a bigger growth in the previous year.

We continue to see a growing need for support for Stroke survivors in Hounslow, which represent 64% of referrals we receive from the borough. In Richmond, the primary neuro condition we support is Parkinson’s.

For Richmond service users, the main referral routes are either through self-referral, the Community Rehabilitation Team, or family and friends. Most Hounslow service users are referred through voluntary organisations, such as the Stroke Association. Voluntary organisation referrals for Hounslow-based Stroke clients account for 14% of all referrals received. Other Hounslow service users are most often referred through the Community NHS Team, their GP, or by self-referral.

Service users who have been referred from other boroughs are most often referred via self-referral, or through a family member or friend. From April 2024, we have no longer been accepting new referrals from other boroughs.

Top 20 terms used in ‘reason for referral’ section of referral forms. Word size is equivalent to number of times word appears throughout all referrals.

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Integrated Neurological Services Annual Report & Accounts 2023/24

In 2023/24, we supported 747 people through…

This year we supported 747 people with one-to-one therapies, group activities, support and advice, averaging around 16 interventions per person: a 16% increase in people supported compared to last year. The highest number of interventions an individual has received is 123; an intervention can include one-to-one therapy sessions, group activities, professional referrals, case administration and provision of information and advice.

We delivered 1,509 one-to-one therapy and counselling sessions (including 274 initial assessments), and 135 home visits to support individuals who would otherwise be unable to access support in the community.

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Clients and Carers supported
2021-2022 [J 2022-2023 | | 2023-2024
593
506
412
157 160 160
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Interventions per year

Throughout the year we supported 334 people with 5,052 group attendances, averaging 15 group attendances per person.

1,509

One to one therapy and counselling sessions including 274 initial assessments

12,255 Interventions for 747 clients and carers

5,052 Group attendances for 334 people

135

Home visits to deliver assessments and therapies

To help increase our capacity, some of our groups are run by volunteers or with peer support, for example Working with Words, Local History and online discussion groups for conditions like Multiple Sclerosis.

INS clients and carer interventions by borough 2022/23

INS clients and carer interventions by borough 2023/24

487

Service users supported aged 60 and older (65%)

225

Enquiries logged and responded to

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Integrated Neurological Services Annual Report & Accounts 2023/24

Although there has been an increase in the number of service users supported over the year, we have not seen the same growth in one to one or group interventions, which indicates our capacity is becoming an issue. Managing demand and capacity is one of our key priorities for 2025.

Support for service users in each borough continues to be similar between Hounslow and Richmond, with a small percentage from surrounding boroughs. However, we are currently only taking new referrals from Hounslow and Richmond, due to capacity issues.

With an older population, in both boroughs, we are seeing an increase in people who have issues with cognition and a lack of co-ordinated services to deal with this. We have seen a rise in more complex referrals, with our small therapy team spending more time on professional referrals and case management, as well as providing therapy and rehabilitation.

In some cases, there are no statutory services for the ongoing rehabilitation we provide. For example, there is no long-term service for stroke survivors available in the community, so a referral to INS for ongoing support would come after a short period of rehabilitation. With some other conditions, like Functional Neurological Disorder, the community team has no commissioned service to cover this, so our therapists have been liaising with other NHS services. We are supporting individuals living with more than 15 different neurological conditions.

A carer and client take part in sports exercise activities at our Feltham satellite.

The numbers of carers referred to us and supported has stabilised after an increase the previous year following the pandemic. However, we are seeing more carers who are experiencing severe stress, due to the complexity of support needed for their cared for person and we are helping them to navigate this support from statutory services.

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Clients supported by condition 2023/24
Stroke
Other conditions
93 Parkinson’s
7 []
_ Multiple Sclerosis
MND
Ataxia
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a Stroke
Brain Tumour
—, 239 ||
mn—~ i Guillain Barre Syndrome
Head Injury
Huntington’s Disease
Multiple System Atrophy
Peripheral Nerve Injuries
Progressive Supranuclear Palsy
Spinal Cord Injury
Parkinson's [J
143 | Traumatic Brain Injury
Other conditions
----- End of picture text -----

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|
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Referrals by borough and condition 2023-2024

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Partnership Working

Our partnerships with local charities and organisations allow us to diversify our range of support and activities, and our strong links with local networks mean that we can ensure our service users are receiving timely and responsive support across the boroughs.

Move into Wellbeing

In the summer of 2023, we began partnering with Move into Wellbeing, a local charity delivering chair-based dance exercise sessions for adults with Parkinson’s and other mobility-related conditions. The group consists of a series of fun and stimulating exercises performed to music. The highly interactive group works on participants’ strength, coordination, balance, flexibility and dexterity, with all movements differentiated to suit an individual’s needs. The sessions are particularly beneficial for clients who are living with a secondary diagnosis of dementia.

10 people provided feedback for the Move into Wellbeing sessions at the start of 2024. All respondents thought the content of the group and the instructor were Excellent. 60% felt that attending the group Definitely improved their overall wellbeing (40% thought it Probably improved their wellbeing), and all participants felt they were Probably or Definitely exercising more frequently as a result of attending the group.

“ I felt all participants were made to feel welcome -

whatever their ability. We were encouraged to do our best . It was enjoyable. And just the right length of time.”

Otakar Kraus Music Trust

We continue to offer Music Therapy group sessions to our clients, delivered in partnership with Otakar Kraus Music Trust, running blocks online and in-person at INS in Twickenham. Having successfully run online music therapy blocks during the Covid19 Lockdown, we have continued to offer a hybrid model of music therapy, with some blocks run in-person and some online. Online sessions have continued to be a popular and therapeutic option for service users who aren’t able to access in-person sessions.

Queen Elizabeth’s Foundation for Disabled People (QEF)

Since 2019 we have partnered with Queen Elizabeth’s Foundation for Disabled People, who deliver monthly driving assessment and adaptations advice clinics at our premises in Twickenham.

We work with local organisations where we use or hire their venues to host our weekly satellite hubs: Age UK Richmond’s Barnes Green Centre, Age UK Hounslow’s Southville Community Centre, and The Musical Museum.

One of two boat trips for INS clients and carers with the River Thames Boat Project in Summer 2023, supported by student Speech and Language Therapists.

“ There is such an air of positivity at INS, plus the staff are all so caring in every way, it is good for both my physical and mental wellbeing.”

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Carer Support

This year we have provided information and advice, practical, and emotional support for 160 unpaid family carers through a variety of services. Our carers mutual support group meets monthly, and provides a space for attendees to meet other unpaid carers for peer support and advice. Our counselling service supported 21 carers with an average of 16 sessions each. The sport and exercise and neuro-exercise groups held at our Feltham and Brentford satellite hubs give carers the opportunity to exercise with their cared-for family member or friend, and our Friday afternoon Open Gym session offers slots for carers to exercise with supervision, helping them to remain fit and healthy.

In February we hosted a Carers information session at Barnes Green Centre, in partnership with Richmond Carers Centre and Homelink Day Care, which was attended by 11 carers and clients.

To celebrate Carers Week in June, we hosted an information session at our satellite in Feltham, with talks from the Hounslow Service and Harrow Carers. The session was an opportunity to support existing INS service users and new people in the community, with talks on carers assessments and presentations from INS carers.

In July we held an online carers session, delivered by Rose Dent from Richmond AID, who gave a talk on the topic of benefits.

In early 2024 we worked with Richmond Carers Centre to gather feedback about local services for carers. The survey was answered by 16 carers who receive support from INS. 100% reported that they feel they have been treated with dignity and respect during their time as an INS service user. 100% feel better able to provide support for their cared for, and 100% feel they have been supported to maintain or improve their own health and wellbeing. 94% agreed that they feel recognized and valued as a carer and feel better able to get the help they need, when they need it. All carers surveyed said they would recommend INS to other carers.

The Team

INS has had a successful year pursuing its objective of recruiting experienced staff and increasing our bank team to flexibly respond to demand.

In this year we said farewell to Alex Sloan, our excellent permanent occupational therapist. Alex was a key member of the team, developing a range of groups including the mindfulness courses. Due to the development of our therapy bank we have been able to retain Alex’s skills and knowledge. We have been extremely lucky to recruit an experienced occupational therapist, Dr Richard Jefferson who brings a huge range of experience in working with people with neurological conditions in the community.

After maternity leave we welcomed back Marie-Anne Crowley, physiotherapist, and added an additional bank physiotherapist, Holly Wilkinson, to lead our neuroexercise group at our Brentford satellite.

As part of our ongoing development of the team, Paul Underwood became our permanent exercise lead, co-ordinating our exercise groups across the organisation.

In order to cover our growing range of groups across the satellites we have developed a bank group assistant role and have been joined by excellent additional team members.

For the first time we have taken Speech and language Therapy students from City University and physiotherapy students from London Met.

“ Once you have left hospital, you are left in limbo and don’t know

which way to turn, but INS was there and helped with forms and advice. They made life easier.”

This year we were joined by Dr Richard Jefferson, occupational therapist, and welcomed back Marie-Anne Crowley, physiotherapist, after maternity leave.

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Digital Infrastructure

This year has seen significant progress in developing our digital strategy, with the support of two expert volunteers in IT and website development.

“Some years after I retired from my career as an Enterprise Software Engineer, I was keen to find somewhere I could use my skills to help a deserving cause. I found INS through the excellent Richmond CVS website.

Following the upgrade of our Salesforce CRM platform in 2022, in September 2023 we terminated our website contract, and with the help of a volunteer website expert, we launched the first phase of our new website, which was tested by a small group of service users before launch.

Initially, I was able to advise INS during their migration from Microsoft Office Desktop to Microsoft 365, and the selection of a new IT Service Provider.

The new website is easier for users to navigate and for developers to edit, and has enabled us to introduce online webforms for client and carer referrals. Further developments are following in stages, including plans to create separate referral forms for individuals and professionals and more signposting and information. We plan to expand the website in collaboration with our service users to ensure that our website serves our community in the best way possible.

I now provide ongoing configuration enhancements to the INS Salesforce implementation, which is used for all customer facing activities. Personally, it has been interesting learning the Salesforce capabilities and very rewarding implementing changes that would otherwise be delayed waiting for external suppliers.

In January we upgraded our IT systems by replacing our out-of-date server with a cloud-based one, and updated some IT equipment to meet the increase in capacity and improve data security. Strengthening our internal infrastructure and digital processes will help us be more sustainable and support service delivery across different venues. Recently, we moved to a new IT provider to help implement these changes and support us going forward.

INS is doing wonderful work, and I am very glad that I can contribute in a small way to their operations.”

Patrick O’Hara, IT Volunteer

“ Thank you to everyone at INS. You are a wonderful charity and wonderful people.”

Richmond Satellite

We have continued to deliver weekly physiotherapist-led group neuro-exercise classes at Barnes Green Centre, in partnership with Age UK Richmond to deliver the Community Independent Living Service (CILS).

This year we supported 30 people at the satellite hub who are living with a variety of neurological conditions such as Parkinson’s, MS, and Stroke, through exercise, 1:1 support, and information and advice sessions.

Around 8% of our Richmond-based clients are Barnes residents, with 57% aged 70 and over and 11% aged over 80. Richmond is home to one of the largest populations of people aged over 75 years and living alone across the London boroughs, and the prevalence of neurological conditions increases with age, making the Barnes neuro hub a key resource for service users in the area.

Feedback from an evaluation survey for the weekly neuro exercise course, attended by up to 10 service users, included 100% finding the group instructor 'excellent' and 67% saying that attending regularly had 'definitely' improved their overall wellbeing.

83% found that they were exercising more frequently and finding that attending the group was helping them work towards their goals. Comments about the group included: 'Kind and nurturing' and 'I very much enjoy the group'; while others appreciated 'the regular sessions and mix of exercises' and the 'mutual support’ offered.

Although many of our Barnes hub service users are able to access activities at our venue in Twickenham, we regularly collect and evaluate feedback to provide more accessible services in Barnes. This year we offered OT Fatigue Management sessions and a Carers Information and Advice session at the satellite, delivered with Richmond Carers Centre and Homelink Day Centre.

In September, the Barnes neuro-exercise group enjoyed a visit from Philip Barron, CEO of Richmond Parish Lands Charity, which included a professional photography session. We are very grateful for RPLC’s support, and we have been able to use the photos in many communications since, including our website and annual report.

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Case Study

X was referred to INS following a stroke. They received an initial assessment with our Occupational Therapist (OT), and together they identified that INS could offer support with their speech, walking, and mobility. They also wanted information about other support available such as financial support, and information about support for their carer.

X attended 1:1 sessions with our Speech and Language Therapist (SLT) to help improve their apraxia and aphasia, and joined the Local History and Communicate with Confidence groups. The 1:1 and group support X received helped them to become more confident in their speech and improve their wordfinding and speaking. Our SLT provided benefits advice and carer support information, as well as information about the Queen Elizabeth Foundation for driving support and assessments.

X received 1:1 therapy with our OT. These sessions included education, orthotics advice, and exercises to help them work towards performing everyday activities independently. The OT provided information about the Dial-A-Ride service to help X travel with more independence.

‘Living Well’ in Feltham

In February 2024 we celebrated the second anniversary of our Living Well Hub at Age UK Hounslow’s Southville Community Centre in Feltham. The hub is our second satellite hub, delivering groups on Thursday mornings. Over the year the community of clients and carers at our Living Well hub has grown, and we have been able to offer a variety of activities over 43 half day sessions, including weekly neuro exercise and sports activities for 28 people, 36 communication group sessions for 21 people, 19 initial assessments and 1:1 therapy sessions, social and peer support, and a variety of information and education sessions.

Our Physiotherapist worked with X in 1:1 sessions to improve their walking and gait. they joined exercise sessions at an INS satellite, and the neuro-exercise group. X was able to come to information and advice sessions around a variety of topics at the satellite, including presentations from local social prescribers.

The weekly programme of activities is co-ordinated and supervised by Penny Cooke, our hub coordinator, and supported by therapists, our exercise lead, and therapy assistants. We have also received invaluable support from 3 volunteers, who assist in the groups and social sessions.

We recently surveyed 8 people who have attended neuro-exercise and sports activity sessions at the Living Well hub. All respondents felt that the sessions had helped to improve their strength, stamina, and mobility. They all agreed that the sessions had helped them to work towards their personal goals, and they now perform similar activities at home in their own time.

We have continued to offer information sessions across our satellites in partnership with other organisations. This year at the Living Well hub we have hosted talks on bladder and bowel continence, and a carers health engagement session in partnership with Healthy Hounslow. Alongside hosting information sessions our hub co-ordinator has continued to provide 1:1 support for attendees, such as signposting to services and information gathering, or supporting people with more specific concerns such as helping with PIP health assessments.

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‘Living Well’ in Brentford

On 5[th] July 2023 we launched a pilot satellite group at The Musical Museum in Brentford to support our growing number of service users in Hounslow, especially those who may find it difficult to travel to Twickenham or are not able to come to our satellite hub in Feltham on Thursday mornings. The Brentford satellite group was officially launched on 20th September 2023 and runs for a duration of 2 hours on Wednesday afternoons. Across 22 half days we have supported 32 clients and 11 carers through neuro-exercise group sessions, social support, and information and advice sessions with other organisations which have included 4 Parkinson’s Outpatients clinics and an education session on Neuropsychology in partnership with the Hounslow CNRT.

The exercise sessions are led by a Neurophysiotherapist who is employed to work solely at the satellite, and supported by the satellite co-ordinator and 3 volunteers. Recent feedback collected about the Brentford sessions has been very positive, with all attendees noting the benefits of meeting other people with neurological conditions and socialising with others whilst exercising to keep fit. For some, the group is the only regular in-person group they attend.

Some participants have found that engaging in sessions at the Musical Museum has empowered them to go out in the community in ways they may not have been able to do previously. During a feedback session at the satellite, a carer shared that exercising with her partner in sessions had given them the confidence to do more at home, and they were recently able to go on an independent outing together, which they hadn’t been able to do since her partner’s stroke.

In 2023/24 we supported:

85 people at our Feltham Satellite

43 people at our Brentford Satellite

30 people at our Barnes Satellite

“ Being among such empathetic session leaders and likeminded people helps me stay positive, resilient, and determined.”

“ I’m fully accepted just as I am which is very heartwarming and inclusive!”

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Local History

In 2022 Emma Gale, our speech and language therapist (SLT), created the Local History group: a communication group with the goal of providing a supported environment for people with communication difficulties to learn and practice strategies to improve their speech and language, connect with the history of the local area, and gain confidence to communicate in their everyday life.

The group is run in two blocks of 8 weekly sessions, which run bi-weekly, to accommodate demand. Topics have included local life in the Victorian and Tudor periods, and the Second World War. The sessions are delivered by the SLT or group volunteers, using a mix of images, video, and artefacts to stimulate discussion. For some sessions they have hired Discovery boxes from Richmond Museum, which contain objects and information surrounding the topics they have been learning about.

The group encourages participants to engage in meaningful conversation and to share their own knowledge of the local area and generates opportunities for peer-to-peer discussion and support. This has been a successful model for many attendees; a client who attended the group has become a group volunteer and assists in the research and presentation of sessions.

Feedback is consistently positive for the Local History group. In feedback collected in December 100% of respondents felt ‘comfortable’ in the group, 80% said they enjoyed the sessions, and 100% said they would like to attend another course of sessions.

Case Study

X was referred to INS following a stroke. they suffered from aphasia and experienced some limited mobility in their upper limbs. They were interested in joining a communication group to build their confidence. Following an initial assessment with our speech and language therapist (SLT), it was identified that INS could support X with groups to increase their confidence in speaking and aid their communication. It was determined that INS could also offer X emotional support from professionals with an understanding of aphasia. their carer was identified as someone who would benefit from counselling.

X participated in the Communicate with Confidence and Local History sessions to improve their speech and conversation skills. Initially shy, over time X gained confidence and began to engage fully in the sessions, interacting with the other members regularly. In June 2023 all group members brought their carers to a session in celebration of Aphasia Awareness month, and X’s carer was able to attend. He has benefitted from the supported communication format of the groups, and their wellbeing improved as a result of their increased connection with others.

X attended a wide range of other therapy and activity groups, such as Art and neuro-exercise, as well as 1:1 occupational therapy to improve their wellbeing, confidence, and fine motor skills. their carer attended counselling sessions and joined the carer’s mutual support group.

In March, attendees visited the London Museum of Water and Steam in Brentford to deepen their knowledge of the history of the River Thames.

“I started to attend the Local History group in August 2023 after a notice in the INS newsletter. I’ve had a strong interest in local history for many years, and this group really appealed to me. I began by attending, discovered how interesting and fun it is, and subsequently joined as a researcher and volunteer.

The atmosphere created in these small sessions is safe and nonjudgemental, and Emma Gale, the facilitator, is excellent at drawing people out. Many of the clients have speech problems from Stroke, Parkinson’s, Aphasia and other conditions that may make them hesitate to speak.

Emma’s knowledge and her skill at gently urging them to contribute helps people relax, and the sessions – currently on local life in the Victorian period – are stimulating and highly enjoyable. Bravo Emma and her team. I hope Local History will continue well into the future.”

Local History attendee and group volunteer

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Experiences Survey

We shared a survey with our service users to gather feedback about their experiences with INS. 73 people responded: 16 carers and 57 clients. 42 respondents live in Richmond, 24 live in Hounslow, and 7 live in other boroughs. Of 73 respondents, 33% have been involved with INS for less than 1 year. 26% have been involved with INS for more than 5 years.

Participants were asked whether they agree or disagree that INS has helped them to do the following:

“ (INS) has helped me to hope - to have a more positive outlook on my condition. It has also helped me to manage my relationship with my doctors and other clinicians and health professionals. And of course, my basic skills are improving - balance especially. And my voice and speech.”

We asked which services respondents are currently accessing, both at and outside of INS. 32% are currently accessing groups or services from other organisations, including Richmond Aid, Ruils, the Stroke Association, Homelink, and Richmond Carers Association.

The most accessed groups and services at INS were In-person exercise sessions (38), communication groups (19), and counselling sessions (16).

97% agreed that they would recommend INS to others. 74% of people surveyed agreed that the support they have received from INS staff and volunteers has helped them to cope emotionally, and 59% of participants found that the support from other service users they have met through INS helped them to cope emotionally.

“ Just being there, and locally - as another point of access to physiotherapists and people experienced in the problems associated with neurological conditions. It’s very unique in that regard - being specific but also being local. We’re lucky to have INS.”

We asked participants what they think INS is especially good at doing. Many people shared that they feel INS is good at offering specific groups for different neurological conditions, as well as general support and creating a positive, inclusive atmosphere and providing a friendly, knowledgeable service.

“ (INS) Ensure their clients are ok and well at sessions, which makes it feel like you’re always in a safe space with a homey touch! Tons of positive energy!”

When asked if there is anything INS can improve on, offer, or provide more of, respondents gave a range of suggestions. Most commonly, people were interested in more frequent group sessions, and a wider range of Expanding Horizons activities such as a drama group, a politics group, yoga, a research-based group, creative groups and massage or nail painting activities. Carers were interested in online information and resources. We look forward to reviewing this feedback in depth to help guide our future service provision.

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Kayaking Group

In the summer we ran a block of kayaking sessions for a small group of service users, delivered by The Lensbury Resort. The sessions were led by The Lensbury’s qualified instructors and supported by our Exercise Lead.

Events

In May 2023 we attended the Richmond CVS Volunteer Fair, where we were able to meet prospective volunteers and share information about our services.

In July we arranged a boat trip on the River Thames for 20 clients and carers with the River Thames Boat Project. The trip was supported by Ruhi Grover, our Expanding Horizons Co-Ordinator, and 2 speech and language therapy students who were on placement.

Sarah Vines, our CEO, was invited to co-chair Hounslow Council’s celebration of International Day of Persons with Disabilities on 4[th] December, with the theme: “Transformative solutions for inclusive development: The role of Innovation in fuelling an accessible and fair world.”

In January and February, we attended Ruils’ free Community Health fair in Ham, and their Carers’ Community Health fair in Mortlake as stallholders. The fairs were an opportunity to meet with local organisations, and individuals in the further reaches of the borough who may not have heard of our services.

We were also able to attend multiple fairs in Hounslow throughout the year, including Health and Wellbeing Roadshows and the Isleworth Health in The Park fair.

Sarah Vines, our CEO, and Penny Cooke, our Satellite Co-Ordinator, attended Hounslow council’s Voluntary, Community, and Social Enterprise (VCSE) Alliance network breakfast meeting in January 2024.

In January we hosted two sessions on bladder and bowel continence in the context of neurological conditions at our satellite hub in Feltham. Presented by Janice, Hounslow CNRT nurse, the sessions provided information and advice to 30 clients and carers.

The sessions were very well received, with participants feeding back that they enjoyed the opportunity to take part in water-based activities in a supported environment. All survey respondents agreed that the instructors and sessions were excellent, and that the sessions had helped them to work towards their own goals.

“ From beginning to end I felt well supported and knew what was expected in the session. The whole event was well planned and executed by everyone involved. Such a thoughtful even activity/event to show that with a disability you can achieve great things. ”

“ The freedom once out on the water. The supportive staff from INS and the kayaking team. I realised an untapped form of exercise.”

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Fundraising

This year we are very grateful for the generosity of our local community and corporate supporters, who have raised £17,900.25 for INS, alongside donations of supplies and time spent volunteering with us.

We would like to thank the following groups, organisations and individuals for their support this year:

Trusts and Foundations

INS is very grateful to receive grants from a number of charitable Trusts and Foundations to support our work.

During 2023-2024, INS was awarded grants from the following organisations:

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Looking ahead – strategic aims for 2024/25

INS continues our strategic development to make the charity as resilient and agile as possible, so we can respond to future challenges and ensure a secure and sustainable service. Following our Strategy Day in April 2024, we identified the following as key priorities:

In August 2023 we celebrated our 30[th] year of working to support local people living with a neurological condition and their family carers. To mark the occasion and raise funds, we organised The Big 30 Challenge : a sponsored challenge event open to all. To ensure the event was inclusive there were many ways to take part and help reach the challenge goal of 215 miles (the distance from London to Paris). Some people used the bikes and the treadmill on-site, whilst others walked or ran in their own time, completed a quiz, or took part in a French conversation challenge session. Over 30 staff, service users, and supporters participated, raising around £4,000 including Gift Aid.

In June we were chosen to be the charity beneficiary for Richmond Bridge Club’s Café Bridge event: an annual fundraising day attended by around 200 people to raise money to support a local charity of the Club’s choosing. We were pleased to be able to support the event with a raffle, and the event raised £5,956. Thank you to our Trustee, Lew, who nominated INS for this opportunity.

We held our annual Quiz Night in November, which was attended by 75 supporters who raised a total of £1,977.87 through ticket sales, a raffle, and refreshments sales. Many thanks to Keith Severs, Eleanor Kinnear, Alan and Beatrice Paton, Sara and other Friends of INS for their support, as well as volunteers Debbie and Michael.

Thank you to the local businesses who have supported our fundraising with raffle prizes this year. We are so grateful for your generous support.

30

Integrated Neurological Services Annual Report & Accounts 2023/24

Administrative Details

Address

82 Hampton Road Twickenham TW2 5QS

Phone

020 8755 4000

Email admin@ins.org.uk

Website www.ins.org.uk

Registered as a Limited Company in England and Wales: 5292539 Registered Charity: 1107273

32

Integrated Neurological Services Annual Report & Accounts 2023/24

REGISTERED COMPANY NUMBER: 05292539 (Engl*nd and Wales) REGISTERED CHARITY NUMBER: 1107273 ort of the Trnstees and Unaudited Financial Ststements for th¢ Year Ended 31 March 2024 for Inte ed Neurolo ical Services Ark Accountancy Limited Chartered Certified Accountant 31 Cheam Road Epsom Surrey KT17 IQX

Inte rated Neurolo ical Services istered number: 05292539 ort of the Trustees for the Year Ended 31 March 2024 The trustees who are also directors of the charity for the purposes of the Companies Act 2006. present their report with the financial sÉatem¢nts of the charity for the year ended 31 March 2024. The trustees have adopted the provisions of Accounting and Reporting by Charities.. State￿ent of Recommended Prdctice appli¢able to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and R¢public of Ireland (FRS 102) (effective l January 2019). ORJECTIVES AIYD ACTIVITIES Objectives and aims oking back- Strategi¢ ¥im$ for 2023f24 Following our Strategy Day in August 2023. we identified the following as key priorities foT the year 2023124: - Manage resources and demand from our increasing number of new servic¢ user3 to ensure sustainable growth within our capabiliti¢s. - D¢velop a multi-skilled workforce which is adaptable. flexible and responsive to meet changing needs and demand. - Ongoing review of our service provision and delivery to in¢rusing service usets through building and training a team of full and part-time. pernianent and tempoT8ry. therapists, staff and volunteers. - Develop an adaptable WOTking model for our 'fNS satellites., to reach moT¢ people and provide accessibl¢ services in placeg where p￿PIe need neuro supporL Increase. partnerships with ¢xternal provid¢rs to reach more service iLse.r8. 811pplement our r&snurc&8 and provide wider expertise to the fNS ￿MmunIty. - Develop our digital strategy to build skills and capabilities in technology. including a new website and IT systems. to help manage resources and achieve strategic aims. - Build and diversify current filnding and resources to ensure financial support for strategic aims. Develop OUT profile with ststutory servic&s and act as an influencer on behalf of the INS community within local health service changes. Page 2

Inte ated Neurolo ical Service5 Re istered number: 05292539 ort of the Trustees for the Year Ended 31 March 2024 o Vandervell Foundation FINANCIAL REVIEW Financial position Review of Financial Results INS made a deficit for the year of £21,681 (2022123 - a deficit of £59.883). The improvement on last year refle¢ts an increase in income of £46.790 partly by offset by slightly higher costs. Income The environment for fundraising and grants continues to be very competitive. Grants are one of the two major sources of Income for us and we were very pleased to achieve a large increase in grants in 2023r24. This increase was due to a number of grants from new supporters as well as continued support from long-t¢mi donors including the Richmond Parish Lands Charity and the Hampton Fund. Donations have in the past been a relatively small part of our incorne but this is a source which we are working to improv¢ and l am pleased to report that we saw an inGrease in donations of 300/0 in the year. In addition. we are fortunate to have a number of supporters who have organised fundraising events, such as marathons. sponsored walks and Social activities. As a result of their efforts we received income of over £18.000 from fundraising events which is a very large increase compared to th¢ previous year. The maiD decrease in incom¢ during the year h&8 been in the area of contract income which decreased to £277.166 (2022123 - £325.231). The decrease largely reflects the ending of the One You Hounslow and Crossroads contracts. staff￿g #nd expendi￿re tNS continu￿ to manage its expenditure carefully and seeks to minimize costs wherever possible. W¢ have supported 16 /0 mor¢ people in 2023124 aTLd have done this without increasing staff numbers. In fac¢ payToII costs for the year were held to £398.307 which is slightly lower than the previous year. Overall total Costs were in line with last year. Some one-off costs wer¢ in¢urred in upgrading our IT and website and in improving our premise5 but these were offset by lower costs elsewhere. As noted above, INS depends upon grants and donations. and we are very grateful to all our supporters and donors. Fundraising is a very important part of our business and we continue to focus our resources on pursuing appropriate OppOr￿AltIes. This help us to maximise our effectiveness and to m￿lMise the amount of funding which is dIr￿ted to our charitable activities. In the current year. 93 pence in every pound raised was spend on its chaTitable activities. Reserves policy The Trustees have reviewed its reserves policy, tsking account of the current uncertain economic ¢iTcumstances and th¢ funding ¢hallenges within the charitable sector. They have agreed a policy to build towards holding six months, expenditure in unrestricted reserves This will help fNS plan prudently for the future and strengthen its sustainability. The level of unrestricted rcseryes at 31 March 2024 was £185.335 (2022J23 - £207.016). Pagell

Inte rated Neurolo ical Services istered nurnbeT: 05292539 ort of the Trustees for the Year Ended 31 March 2024 FUTURE PLANS Looking ahead - strategie aims for 2024r25 INS continues our strategic development to make the charity as resilient and agile as possible. so we can respond to futs]re challenges and ensure a secure and sustainable service. Following our Strategy Day in April 2024, we identifjed the following as key priorities.. - Manage den]and for service users to ensure sustainable growth within capabiliti¢s for resources and funding. - Develop a multi-skilled workfo￿¢ which is adaptabl¢, flexible and r¢sponsiv¢ to meet chatLging needs and demand. - Measure outcomes for service users and their journey through INS. - Develop an adaptable working model for'INS satsllites, to Teach more people and provide more accessible services. Increase partnerships with extemal providers to reach more service users, supplement our resources and provide wider expertise to the INS community. Develop our digital strategy to build skills and wabilities in technology. in¢luding INS website and IT systsms, to help manage resources and achieve strntegic aims. - Build and diversify current funding and resources to ¢nsur¢ financial support for strategic aims. - Develop our Profile with statutory Servi￿ and act as an influencer on behalf of the fNS con]munity within local health service changes. - Develop a premises strategy to meet the needs of our future services. STRUCTURE, GOVERTh ANCE AND MANAGEMENT Governyng document Th¢ charity is controll¢d by its governing do¢umenL a deed of and wnstitutes a limited company, limit¢d by gUar￿ltee, as defined by tlic Compani¢s Act 2006. REFERENCE AND ADMINISTRATIVE DETAIIS Registered Company number 05292539 (England and WaIes) Registered Cbarity number 1107273 Registered office 82 Hampton Road Twickenham Middl¢sex TW2 5QS Truslees Ms A Gowan Chair LHGray Ms T P James T D G Millar G Norman Ms K M Pearc¢ P A Rogers Dr C Vyas Ms J M Walmsley S Williams Company Secretary Ms S Vines Page 12

Inte ted Neurolo ical Services istered number: 05292539 ort of the Trustees for the Year Ended 31 March 2024 REFERENCE AI¥D ADMlf4lSTRATIVE DETAILS Independent Examiner Mary E Ryan FCCA Ark Accountancy Limited Chartered Certified Accountant 31 Cheam Road Epsom Suryey KT17 IQX Approve by order of the board of trustees on 14 Novevnber 2024 and signed on its behalf by: Williarns- Trustee Page 13

Inde Inte endent Examiner's Re ort to the Trustees of ated Neurolo ical Services Independent exaffliner's report to tbe trustees of Integrated Neurological Seryices ('the CompaJ)y'} I report to the charity trustees on my exgmination of the accounts of the Company for the year ended 31 March 2024. Responsibilities and basis of report As the charity's trustees of the Company (and also its directors for the purposes of company law) you are responsible foT the preparation of the accounts in accordance with the requirements of th¢ Companies Act 2006 (the 2006 Act'}. Having satisfied myself that the accounts of the Company are not required to be audited under Part 16 of the 2006 Act and are eligible for independent examination. I report in respect of my examination of your chaTity's accounts as carried out under Section 145 of the Charities Act 2011 (lhe 2011 AcV}. In carrying out my examination I have followed the Directions given by the Charity Commission under Section 145(5) (b) of the 2011 Act. Independent examiner's statement Since your charity's gross income exceeded £250,000 your examiner must be a member of a listed body. I can confirni that l am qua]ifJed to undertake the examination because l am a member of the Association of Chartered Certified Accountants, whi¢h TS on¢ of th¢ listed bodi￿. I have completed my examination. I ￿nfIrM that no matters have come to my attention in ￿nne¢tion with the examination giving m¢ ￿use to b¢liev¢: accounting records were not kept in reswt of the Company as required by Section 386 of the 2006 Act. or th¢ ac¢ouDts do not accord wtth those records" or the aGcounts do not comply with the accounting requirements of Section 396 of the 2006 Act other than any requir¢rnent that th¢ acoounts give a true and fair view which is not a matter consider¢d as part of an Independent examination" or the accounts have not been prepared in accordance with the methods and principles of the Ststement of Rocommendcd Prllctico for occountinE tsnd r¢porting by churitics (r4pplicable to charitios preparing their accounts in accordance with the Financial Reporting Standard appli¢able in the UK and Republic of Ireland (FRS 102)). I have concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understamding of the accounts to be reached. Mary E Ryan FCCA Ark A¢countancy Limit¢d Chartered Certified Accountant 31 Cheam Road Epsom Surrey KT17 IQX 15 November 2024 Page 14

Inte ated Neurolo ical Services Statement of Financial Activities for the Year Ended 31 March 2024 31.3.24 Total funds 31.3.23 Total funds Unrestricted fijnds Restricted fvnds Notes INCOME AIYD ENDOWMEFITS FROM Donations and legacies 199.702 114.481 314,183 235,769 Ch8ritsble aetivities Charitable Activities 57.573 219.593 277,166 325.231 Other trading activities Investment income 18,102 18.040 18.102 18.040 2,775 16,926 Total 293,417 334,074 627.491 580.701 EXPENDITURE ON Choritable activities Charitable Activities 315.098 334.074 649,172 640.584 NET INCOMEI(EXPENDrruRE) {21.681) (21.681) (59,883) RECONCILIATION OF fuNDS Total funds brought forwaTd 207.016 207.016 266,899 TOTAL FUNDS CARIUED FORWARD 185.335 185.335 207,016 The notes form part of these financial statements Page 15

Inte rated Neurolo ical SerYic¢s istered number.. 05292539 Balance Sheet 31 March 2024 31.3.24 Total funds 31.3.23 Total funds Unrestricted funds Restricted funds Notes FIXED ASSETS Tangible assets 12 11,170 11.170 7.030 cURREr￿[ ASSETS D¢btors Cash at bank and in hand 13 22,672 176689 22.672 180.689 9,505 254 216 199361 4.000 203,361 263,721 CREDITORS Amounts falling due within one year 14 (25.196) (4.000) (29.196) {63,735) NET CURRENT ASSETS 174,165 174.165 199 986 TOTAL ASSETS LESS CUIIRENT LIABILITIES 185.335 185,335 207.016 NET ASSETS 185.335 185.335 207.016 FUNDS Unrestri¢ted funds 16 185 335 207,016 TOTAL FUNDS 185.335 207.016 The charitable company is entitled to exemption from audit under Section 477 of the Companies Act 2006 for the year ended 31 March 2024. The members have not required the company to obtain an audit of its.financial statsm¢nts foT the year ended 31 March 2024 in accordance with Section 476 of the Companies Act 2006. The trustees acknowledge their responsibilities for (a) ensuring that the charitable company keeps accounting records that comply with Sections 386 and 387 of the Companies Act 2006 and PTeparing financial statements which give a true and fair view of th¢ stat¢ of affairs of the charitable company as at the end of each financial y¢ar and of its surplus or deficit for each financial year in accordance with the requirements of Sections 394 and 395 and which otherwise cornply with the requirements of the Companies Act 2006 relating to financial statements, so far as applicable to the charitable company. (b) These financial statements have been prepared in a¢cordance with the provisions applicable to charitable companies subject to the small companios regim¢. The financial statements were approved by the Board of Trustees and authorised for issue on 14 Novernber 2024 and were signed its behalf by: S Williarns- Trustee The notes forni part of these financial statements Page 16

Inte rated Neurolo ical Services Cash Flow Statement for the Year Ended 31 March 2024 31.3.24 31.3.23 Notes Cash flows from operatlllg activities Cash generated from operations Tax paid (68.075) 2.108 (37.066) 5,294 Net cash used in operating activities 65 967) Cash flows from investing ac¢5vities Purchase of tangible r￿ed &8sets Interest received (7,560) (1,947) 1,388 Net cash used in investing activities 559 Change in Cash and eash equivalents ID the reporting period Cash and cash equiv#leDts at the beginning of the reporting period (73.527) (42,919) 254 297,135 C2$h ¥nd cgsh equivalents al the end of the reporting period 180.689 254,216 The notes forni part of these financial stalements Page 17

Inte rated Neurolo ical Services Notes to the Cash Flow Statement for the Year Ended 31 March 2024 RECONCILIATION OF NET EXPENDITURE TO NET CASH FLOW FROM OPERATING ACTIVITIES 31.324 31.3.23 Net expenditure for the reporting period (as per the Statejnent of Financial Activities) Adjustments for: D¢pr¢Giation charges Inter¢st r¢¢eiv¢d (Increas¢)/decrease in debtors (De¢rease)linGre&8e in creditOTS (21.681) (59.883) 3.420 3,131 {1,388) 11.668 9.406 {15.275) 34.539 Net cash used in operations 68.075) 37 066) ANALYSIS OF CHANGES IN NET FUNDS At 1.4.23 C&sh flow At 31.3.24 Net ea$h Cash at bank and in hand 254,216 73.527 180689 254.216 73.52 180.689 Total 254.216 73,527 180,689 The notes forn) part of these financial statements Page 18

Inte rated Neurolo I Services Notes to the Financial Statements for the Year Ended 31 March 2024 ACCOUNTING POLICIES Basis of preparing the financial statements The financial statements of the chaTltable company, which is a public benefit ¢J]tity under FRS 102, have been prepared in accordance with the Charities SORP (FRS 102) 'AccouDting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effe¢tiv¢ l January 2019),, Financial Reporting Standard 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland, and the Companies Act 2006. The financial staternents have been prepared under th¢ historical cost conveDtion. Integrated Neurological Services meets the definition of a public benefit entity under FRS102. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated on the relevant policy note. lllcome All inwme is recognised in the Statement of Financial Activities once the charity has entitlement to the funds, it is probable that the income will be received and the alnount can be measured reliably. Expenditure Liabilities are recognised as ¢xp¢nditur¢ as soon as there is a legal or constructive obligation committing the charity to that expenditure, it is probable that a transfer of ecojjomic benefits will be required in settlement and the amount of the obligation can be measured reliably. Expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all cost related to the category. Where costs cannot be directly attributed to particular headings they bave been allocated to activities on a basis consistent with the use of resources. Tangible fixed asstts Depreciation is provided at the followin8 ar￿Ual rates in order to write off each asset over its estimated useful life. Furniture & equipment 20Yo on cost Taxation The charity is exempt from corporation tax on its charttable activities. Fund accounting Unrestricted funds can be used in accordance with the charitable objectives at the discretion of the I￿St¢es. Restricted funds can only be used for particular restricted purposes within the objects of the cbarity. Restrictions arise when specified by the donor or when funds are raised for particular restricted purposes. Designated funds have been created to provide for the dilapidation of th¢ leased property. Furth¢T ¢xplanation of the nature and purpose of each fvnd is included in the notes to the financial statements. Hire pllrehase and leasing commitments Rentals paid under operdting le&5es ar¢ charged to the Statement of Financial Activities on a stTaight line basis over the period of the le&se. Pensioj) Costs and other posl-retiremeDt benefits The charitable company operates a defined contribution stakeholder pension scheme. Contributions payable to the charitV¢ble company's pension scheme are charged to the Statement of Financial Activities in th¢ period to wliicli tliey i'elale. Pag¢ 19 continued...

Inte rated Neurolo icaI Services Notes to th¢ Financial Stst¢m¢nts - continued foT the Year Ended 31 March 2024 DONATIONS AND LEGACIES 31.3.24 31.3.23 Donations Gift aid Legacies Grants 57215 6,871 2.030 248 067 44,093 11,588 180,088 314,183 235 769 Grants received. included in the above, 8re follows: 31.3.24 31.3.23 Steel Charitable Trust Richmond Parish Lands Charity Barnes Fund Other grants Hampton Fund Leathersellers, Foundation James Tudor Foundation Hounslow Thriving Communities Fund Sports England The r.ebruary Fund The Bruce Wak¢ Charilable Trust Heathrow Community TTUSt Geoff & Fiona Squire Four)dation John Horseman Trust EdwaTd Gosling Foundation Basil Samuel Charitable Trust Souter Charitable Trust PF Charitable Trust Sir Jules Thorn Charitable Trust Lambert Charitable Trnst Vandervell Foundation National Lottery Comrnw]ity Fund 15.000 56.100 6,300 31242 29.800 12,500 55,000 6.000 22.650 33,000 10,000 6.074 31,064 3,800 22.800 2,200 5.000 2,000 7,980 5,000 15,000 14,000 10.000 3.000 3.000 3.000 5.001 2.000 9.644 248.067 180 088 OTHER TRADING ACTIvrriEs 31.3.24 31.3.23 Fundraising ¢vents 18.102 2,775 Page 20 continued...

Inte rated Neurolo ical Services Notes to the Financial Statements- continued for th¢ Year Ended 31 March 2024 JNVESTMENT INCOME 31.3.24 31.3.23 Rents received Deposit account interest 18.040 15,538 1,388 18,040 INCOME FROM CHARITABLE ACTtVlTIES 31.3.24 31.3.23 Activity Charitable Activities Charitable Activities Charitable Activities Contract Income Teaching Income MembeTshiplattendances 211.854 44.980 20.332 278.522 22.565 24.144 277,166 325 231 CHARITABLE ACTIVITJES COSTS Total resources expended have been allocated to the following categories of expendibjre: Fundrdisin Ch￿l￿ble Tutsl Expenditur¢ yle 31J.24 ort costs Premises Office costs Communication & Marketing Consultancy & profe&sional Depreciation Govemance 2.226 4,621 1,468 53.415 53.141 7,166 29,231 3.420 11.020 96 92 83 55,641 57,762 8,634 29,231 3,420 17 459 96 Total 8.774 57.393 166.167 Direct other costs Project costs Staff expenses Equipment Recruitment 1561 76.486 2.850 3.148 653 92 78.047 2.850 3.148 653 Total .1561 83.137 84,698 roll costs 31.864 92 398.307 Total 41.004 608,168 649.172 Page 21 continued...

Inte rated Neurolo ical Services Notes to the Financial Statements - continued for the Year Ended 31 March 2024 SUPPORT COSTS Governance costs Management Finance Totsls CharTtabl¢ A¢tivtti¢s 124.356 1,098 40.711 166 165 NET INCOMEI(EXPENDrruRE) Net incomel(expenditure) is stated after chaTgingl(credtting): 31.3.24 31.3.23 Depreciation - owned assets Other operating leases 3,420 43,507 3,131 37,941 TRUSTEES, REMUNERATION AND BENEFITS Ther¢ were no trustees, remuneration or other benefrts for the year ended 31 March 2024 nor for the year ended 3 l March 2023. Trnstees, expenses Tliertt wety iiu 31 March 2023. Irusiett5 ¢xpwis¢s paid fvr di¢ yw glided 31 MarLlI2024 1101 foi. ilie yew. ei)ded io. STAFF COSTS 31.3.24 31.3.23 Wages and salaries So¢ial security costs Other pension costs 362238 23.898 12,173 378.774 25,489 12,638 398.309 416,901 The full-time equivalent number of employees was: Administration Clinical services Fundraising 1 (2023- 1) 7 (2023= 7) 1 (2023- 1) Total 9 (2023.. 9) The average monthly number of employees duritig the year was as follows: 31.3.24 31.323 Administration Clinical services Fundraising 12 15 No employees received emoluments in ¢xc¢&5 of £60,000. Page 22 continued...

Inte ated Neurolo ical Services Notes to the Financial Statements - continued for the Year Ended 31 March 2024 ii. COMPARATIVES FOR THE STATEMENT OF FINANCIAL ACTIVITIKS Unrestricted d5 Restrtcted funds Total fund5 Ir4coME AND ENDOWMENTS FROM Donations and legacies 155,631 80.J38 235,769 Charitable activities Charitable Activities 173.493 151,738 325231 Other trading activities Investment income 2.775 16.926 2.775 Total 348.825 231,876 580.701 EXPENDITURE ON Charitable activitie5 Charitable Activities 408.708 231876 640.584 NET INCOMEI(EXPENDITURE) (59,883) (59.883) REcof4CILIATION OF FUNDS Total funds brought forward 266.899 266.899 TOTAL FUNDS CARRIED FORWARD 207,016 207.016 12. TANGIBLE FIXED ASSETS Furniture & equipment Computer equipment Totals COST At l April 2023 Additions Disposals 100.950 16,931 7,560 16,931 117,881 7.560 110,851) 93.920 At 31 March 2024 7.030 14.590 DEPRECIATION At l April 2023 Charge for year Eliminated OFL disposal 93.920 1,908 93,920) 16,931 1.512 16931) 110,851 3,420 110,851) At 3 1 March 2024 1.908 1,512 3,420 NET BOOK VALUE At 31 March 2024 5,122 6,048 11.170 At 31 March 2023 Page 23 continued...

Inte rated Neurolo ical Services Notes to the Financial Statements - continued for the Year Ended 31 March 2024 13. DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR 31.3.24 31.323 TTade debtors 17,405 3.186 2.081 4,211 5,294 Prepayments 22.672 9.505 14. CREDJTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR 31.3.24 31.3.23 Trade creditors Social security and other taxes Other credttors D¢forred ineome AcGrued expenses 9,532 8,286 2,654 4,000 4,724 2,302 6.062 289 25,593 29,489 29.196 63,735 15. LEASING AGREEMENTS Minimum leose payments under non-cnllcellnble operoting Icoses fllll duo oq follows: 31.3.24 31.3.23 Within one year Between one and five years 46.290 155.737 15.809 202.027 15,809 16. MOVEMENT IN FUNDS Net movem¢nt in funds At 31.3.24 At 1.4.23 Unrestricted funds General ￿nd Designated fund 187,016 20,000 {21.681) 165,335 20.000 207.016 185.335 TOTAL FUNDS 207.016 21,681 185 335 Page 24 continued...

Inte rated Neurolo ical Services Notes io th¢ Financial Statements- continued for the Year End¢d 31 March 2024 16. MOVEMENT IN FUNDS - continued Net movement in funds, included in the above are &8 follows.. Incoming resources Rewurc¢s expended Movernent in funds Unrestricted fund5 General fund 293,417 (315,098) (21,681) Restricted fund5 Hounslow Thrlving Communities Revenue Fund Hampton Fund Sports England National Lottery Community fund Other re51rict¢d fund The February fund The Bruce Wake Charitable Trust Heathrow Community Trust Geoff & Fiona Squire Foundation Age UK London Borough of Hounslow Richtnond Carers Lambert Charitsble TTUSt 22.800 29.800 2.200 9,644 26,966 5,000 2.000 7.980 5.000 76.075 124.527 17,081 (22.800) (29,800) (2,200) (9,644) (26,966) (5,000) (2.000) (7,980) (5.000) (76.075) (124,527) (17.081) 5.001 334.074 334 074 TOTAL FUNDS 627,491 649 172) 21681) Comparatives for movement in funds Net movement in funds At 31.3.23 At 1.4.22 Unrestricted funds G¢neral fund Designated fund 246,899 20.000 (59.883) 187,016 20.000 266,899 59,883 207 016 TOTAL FUNDS 266.899 59.883 207.016 Page 25 continued...

Inte rated Neurolo ical Services Notes to the Financial Statements - continued for the Year Ended 31 March 2024 16. MOVEMENT IN FUNDS- continued Comparative net movement in funds, included in the above are as follows: Incoming resources Resources expended Movement in funds Unrestricted funds General fund 348.825 (408,708) (59,883) Restricted funds Hounslow Thriving Communities Revenue Fund Hampton Fund Sports England Leathersellers, Foundation James Tudor Foundation Other restricted fund 20,170 33.000 3.800 10.000 6.074 158832 (20,170) {33,000) (3.800) (i 0,000) (6,074) 158.832) 231.876 231.876 TOTAL FUNDS 580 701 640.584) 59.883 Purpose5 of restricted funds All reslricted funds are held as liquid assets and are used within the time period and for the purposes specified by the grantor. The accounts show the arnounl applicable to this period. Balances are carried forward to the next period as grant income received in advance. 2023124 D'oyly CArte Charitable Trust A one-year grant of £3.000 towards art and creative therapy through activity groups to improve the quality of life for adults with neurological conditions was awarded in March 2024. This has been carried forward. Isleworth & Hounslow Charity There is £1,000 which has not been spent from an original grant of £2.780 for equipment from Isleworth & Hounslow Charity. Last year £1,000 was carried forward as part of overall deferred income, 2022123 Sports England (Queen5 Jubilee Aclivity Fund) A grant of £3,200 to run the four blocks of yoga sessions was awarded in May 2022 and £800 has been carried forward. A grant of £2.800 to run four blocks of Move into Wellbeing dance exercise sessions was awarded in August 2022 and £1.400 has been carried forward. Thriving Communities Revenue Fund Round 2 A six-month grant pa)'ment of £l1.400 (first stage of a £22,800 grant) to develop OUT Living Well neuro hubs in Hounslow was awarded in December 2022 for a project start date in April 2023. This has been carried forward. National Lottery Awards for All England A one year grant of £9,644 to support people with neurological conditions to communicate with confidence was awarded in March 2023. This has been carried forward. Page 26 continued...

Inte rated Neurolo i¢al Services Notes to the Financial Statements- continued for the Year Ended 31 March 2024 17. RELATED PARTY DISCLOSUR There were no related party transactions for the year ended 31 March 2024. Page 27