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← Integrated Neurological Services

2025-03-31-accounts

Integrated Neurological Services Annual Report and Accounts 2024/25

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

Contents

Chair’s Report 3
About INS 5
Looking Back – Strategic Aims for 2024/25 6
Demand and Complexity 8
New Groups 13
Defining Outcomes 15
Our Impact 17
Carer Support 19
Partnership Working 21
The Team 23
Digital Infrastructure 25
INS in Barnes 26
INS in Hounslow 27
Premises Strategy 28
Events
Fundraising
Looking Ahead – Strategic Aims for 2025/26		 29
30
31

Our Vision

Our Mission

We provide holistic therapy, social and emotional support tailored to the rehabilitation needs of adults with neurological conditions and their carers, empowering them to maximise their abilities and live life to the full.

Adults with neurological conditions and their carers can access longterm, professional and peer support in the community, helping to manage symptoms, increase independence and live well with their condition.

Our Values

Caring Collaborative

Professional

WwW? Inclusive Empowering #

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Integrated Neurological Services Annual Report & Accounts 2024/25

Chair’s Report

It is my pleasure to introduce this Annual Report for Integrated Neurological Services (INS) for the year 2024-2025. You will find inside, as well as the financial report, details about the services INS provides together with some of the feedback and stories from INS clients.

Last year, INS celebrated 30 years of care provision for those with neurological conditions in the Boroughs of Richmond and Hounslow. We don’t stand still, and INS’ care and services continue to evolve to meet the needs of clients with the further development of our holistic approach to therapeutic support and wider social engagement for clients. The INS team offer a welcoming environment to our clients while providing a professional service to complement those provided by the statutory services.

Demand is increasing and during the year INS provided support for 800 people – 644 clients and 156 carers. The level of complexity of clients’ conditions has also increased. You will be able to see more detail of the numbers of sessions held and people supported with service provision on page 6 of this report. In summary during the course of the twelve months:1,483 individual therapy sessions were held, with over 5,000 group attendances and over 3,000 group exercise sessions provided and facilitated.

I’m glad to share here that the team at INS has been further strengthened by the appointment of Evana Topolovec as Operations Lead. She brings a wealth of experience to INS to enable the further development of robust systems, planning and strengthening team capabilities which we at INS need more than ever for staff and volunteers to be matched to the needs of clients and to focus our fundraising capabilities in an increasingly competitive environment for funds (over 50% of INS annual income comes from fundraising and 36% from contracts).

I would like to take the opportunity here to thank our partners, supporters, funders, fellow trustees and our wonderful INS staff and volunteers, 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 enable them to live as independently as possible through the support of INS’s integrated approach.

I hope you will take the time to read on and that you find the report both interesting and inspiring.

When I joined INS as a Trustee in 2019, I knew I was joining a good organisation with strong values of inclusion, collaboration, empowerment and innovation and with an understanding of the needs of people who have long term conditions as well as those of their carers. It has been a pleasure to witness the care and commitment of staff and volunteers at INS.

Anne Gowan Chair of Trustees

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Integrated Neurological Services Annual Report & Accounts 2024/25

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Looking back – Strategic aims for 2024/25

We have continued 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 for 2024/25:

Image: Hampton Fund

About INS

At Integrated Neurological Services (INS), we have over 30 years’ experience supporting adults in Hounslow and Richmond with neurological conditions to access long-term, professional and peer support in the community. Together with their carers, we help them to manage symptoms, increase independence and live well with their condition.

We provide the affordable, ongoing neurological care and rehabilitation, which is not available on the NHS, to help people improve their condition or prevent it from deteriorating.

Our multidisciplinary team delivers therapy, social and emotional support tailored to people’s individual rehabilitation needs and goals.

Neurological conditions can be lifechanging if they cause long-term disability and affect people’s ability to live independently.

We assess the whole person before providing services and support to help with physical, cognitive and communication issues and improve people’s independence, confidence and social participation.

We offer support for as long as needed, often over many years. Help, advice and peer support is also available for family carers, many of whom have health issues of their own.

To make our services as accessible as possible all individual services including therapy and counselling sessions, carers’ groups, and social and creative activities are free of charge. We make a small charge for some therapy groups.

“ The support from INS is like a rock that you cling to… It’s the lifeline.”

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Integrated Neurological Services Annual Report & Accounts 2024/25

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Demand and Complexity

INS continues to see high demand for services and high levels of complexity. In 2024 we received 284 referrals for clients and carers, a 2% increase from 2023. Despite this being smaller than the previous year’s increase, our small team of administrative and clinical staff continue to work at full capacity, seeing more complex cases which require more input than before. Based on increasing demand and available resources, from April 2024 we stopped accepting new referrals from boroughs outside Hounslow or Richmond, with exemptions for cases where the person referred is registered with a Hounslow or Richmond GP practice.

The distribution of referrals received by borough has remained similar to previous years, with 51% of referrals originating from Richmond, 46% coming from Hounslow, and 3% coming from individuals living out of area but with GPs in Hounslow or Richmond: a reduction compared to the previous year’s 8.6%. In Richmond, self-referral has continued to be the most common referral route, followed by referrals through the Richmond Rehab Unit. In Hounslow, referrals most often come from voluntary organisations like the Stroke Association, or Hounslow GPs.

Stroke is the most common neurological condition referred to our services, representing around 45% of all referrals received in the past year. 58% of referrals received for individuals living Hounslow were for Stroke clients. Stroke referrals have also increased in Richmond, growing from 25 referrals last year to 48 referrals this year. Most referrals we receive are for older people; 60% of people referred this year were over the age of 60, with the average age of referred people being 61.

Due to funding challenges in Hounslow, we have had to reduce our provision in the borough of Hounslow while ensuring a high quality of service for those Hounslow residents we support. This has been extremely challenging as many of the Hounslow service users face complex health and social issues.

Referrals Received by borough and condition for the year 2024/25

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Integrated Neurological Services Annual Report & Accounts 2024/25

This year we are proud to have supported 800 people, 60% of whom are aged 65 and older. An increasing proportion of our service users are adults of working age, with most of these individuals having experienced a stroke; 41% of service users aged under 65 who had interventions during the year were stroke survivors, and 46% of referrals received for people aged 65 and under were for people who have had a stroke compared to 44% in the previous year. People of different ages have changing needs and priorities, so over the year we have adapted our services to better accommodate the increasing number of service users who are in work by offering some sessions online and later in the day.

During the year we delivered an average of 19 interventions per person – a 19% increase compared to the previous year. We delivered 1,483 one-to-one complementary therapy and counselling sessions, which includes one-to-one physiotherapy, occupational therapy, and speech and language therapy as well as one-to-one support and advice.

During the year, we carried out 133 home visits to provide assessments, reviews, and 1:1 therapy sessions for service users who were unable to visit INS. We assisted some service users to access transport solutions such as Dial-a-Ride and blue badges, which gave them more independence to leave home and access community activities.

Following our strategic aim to increase our capacity, we increased our bank of Therapy Assistants, who support the clinical team in the delivery of groups and with clinical administration.

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Service Users Supported
700 644
593
600
506
500
400
300
160 160 156
200
100
0
Clients Supported Carers Supported
2022-2023 2023-2024 2024-2025
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We were able to offer some new groups this year, while continuing to offer our core range of popular activities. We restructured some of our popular groups to accommodate more people in need while ensuring the safety of all participants. As a result, 359 individuals were able to attend group sessions, a 7% increase compared to last year.

To ensure that we have capacity for new service users to receive services we have in some cases changed groups to fortnightly: groups like our Neuro Exercise satellite in Barnes and our Monday Neuro Exercise group have changed to a fortnightly model, with two groups running on alternating weeks. Some activities, such as our popular Open Gym, have moved from continuous attendance to 8-week blocks, to provide flexibility and allow more people on our waiting lists to access services. Additionally, we have increased information about alternative providers and other services available.

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Interventions
16,000 14,870
14,000
12,236 12,255
12,000
10,000
8,000
6,000
4,000
2,000
0
2022-23 2023-24 2024-25
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During the year, the proportion of interventions Interventions by borough 2024-25 for Richmond service users has increased from 47% in 2023/24 to 50% of all interventions in 10% 2024/25. The proportion of interventions for service users in Hounslow has decreased from 45% in 2023/24 to 40% in 2024/25 due to the closure of our Hounslow satellites, resulting in a 40% reduction of activity in the borough. Around 10% of interventions were recorded for people living outside the boroughs of Hounslow and Richmond. This includes some carers who 50% we do not have borough data for, but their cared for live in the catchment areas and are receiving our services. 28% of service users who fall under this category are registered with Hounslow Richmond Other a GP practice in Hounslow or Richmond.

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Interventions by borough 2024-25
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Image: Richmond Foundation
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Conditions Supported

Stroke, Parkinson’s and Multiple Sclerosis (MS) remain the most prevalent conditions among our service users, with 40% of clients presenting with Stroke, 26% of clients having Parkinson’s, and 11.6% of clients living with Multiple Sclerosis. We continue to see a rise in referrals for people living with multiple health conditions, and 36% of people we supported last year have more than one neurological diagnosis.

This year we supported twice as many people with Traumatic Brain Injury as the year 2023/24. We also experienced an increase in the number of people with Motor Neurone Disease (MND) receiving our support, for whom timely intervention is vital.

“ [The Open Gym] is a very friendly and relaxing environment. Everyone seems at ease, people say hello and ask how you are. This is a pleasure to be there.”

We supported 9 people with Functional Neurological Disorder (FND). INS is currently the only service in Richmond able to support people with this diagnosis, as the Community Neuro Team is not commissioned to cover this condition.

Clients supported by condition 2023-24 Clients supported by condition 2024-25

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Image: Service users take part in a Nature Discovery session led by the Kew Community Access team
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Stroke Head Injury
Parkinson’s Huntington’s Disease
Multiple Sclerosis Multiple System Atrophy
Motor Neurone Disease Peripheral Nerve Injuries
Functional Neurological Disorder Progressive Supranuclear Palsy
Ataxia Spinal Cord Injury
Brain Tumour Traumatic Brain Injury
Guillain Barre Syndrome Other conditions
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Integrated Neurological Services Annual Report & Accounts 2024/25

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New Groups

Upper Limb group

In May, our physiotherapist and occupational therapist ran a six-week multi-disciplinary Upper Limb course for Stroke survivors. The course focused on Stroke education and establishing treatment plans based on the clients’ individual goals. They supported clients to think about how they might increase the use of their affected arm in home-based activities and meaningful tasks. It was a great opportunity for peer support, and service users were encouraged to share their ideas and experiences of recovery and rehabilitation.

Music Therapy

In June, we collaborated with Otakar Kraus Music Trust to pilot an occupational therapy-led course of 8 Music Therapy sessions for clients with musical experience who wished to reengage in music. Members explored musical influences with an aim to select a shared piece of music to learn and play together.

Online peer-support groups

As part of our aim to be accessible to all service users, in August we launched a monthly online group for people living with MS, focusing on peer support and with topics chosen by participants. The group meets online each month, with a topic chosen by members to research and share alongside general discussion.

In response to demand from our service users, we also launched an online peer support group for working age adults with Parkinson’s. Both online sessions run later in the afternoon, which is ideal for service users who may have work commitments during the day.

Tai Chi

In February 2025 we ran a pilot course of 8 weekly Tai Chi sessions, delivered by Aileen at Dao Lu CIC. Feedback for the sessions was very positive, and participants felt that the group improved both their physical and their social and mental wellbeing.

“ Most of the gyms available cater towards the fit

and healthy - INS provides an environment where we can feel comfortable and know that we are well looked after. Without it I know my mobility, balance, etc. would be negatively affected.”

Thinking Together

Our clinical team is seeing more service users who have cognitive issues due to their neuro condition and find it hard access community and statutory services they need. To help address these challenges for service users with neurological challenges and their carers, we piloted a new OT-led cognitive group called Thinking Together. The group aims to increase understanding of cognitive challenges which can result from conditions like traumatic Brain Injury, Stroke, Parkinson’s, and Multiple Sclerosis, and to promote strategies for adapting together. It encourages shared understanding and collaborative problem-solving for both those with neuro conditions and their carers. By educating both parties, the group helps foster empathy, communication, and a team approach to managing everyday cognitive challenges.

Each session focused on a different aspect of cognition, with seven key areas such as memory and attention, emotional regulation, communication and executive function. Sessions included education, group discussions, and practical strategies that members participated in during the sessions. The group included 10 participants: 8 people with neurological conditions and 2 carers. Feedback was positive, with participants appreciating the opportunity to learn in a supportive and relatable environment.

We plan to deliver further Thinking Together groups as part of our programme, together with a structured workbook, developed in collaboration with the pilot group, to enhance the learning experience. This will contain detailed information and reflective exercises based on slide presentations from each session and will support both in-session learning and home practice.

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Integrated Neurological Services Annual Report & Accounts 2024/25

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Defining Outcomes

Our outcomes are complex for those with a long-term or progressive neuro condition, and given the varied nature of neurological conditions’ presentations we are mindful that our service users’ goals and outcomes will vary significantly. Our focus is on helping them, and their carers, to live well with their condition and stay as independent as possible. This may be through improving mobility, cognitive or communication skills, supporting them to walk or drive again, return to work, or to feel confident to engage with others. We want people to feel empowered to manage their condition and help them get effective and timely support from relevant statutory and voluntary organisations.

Many service users have cognitive and communication issues and need one-to-one support or input from carers or family to evaluate their response. For example, therapists may use standardised tools to measure progress or use communication friendly survey methods (e.g. forms designed for people with Aphasia).

Within the varied service user group at INS, it can be challenging to capture outcomes, however our re-energised approach enabled us to successfully bid for Motability Foundation funding where a key aspect of the project is to devise an assessment tool and review the progress of participants. The monitoring and evaluation process for this project is helping to advise other aspects of INS’ provision and outcome measurement.

Moving forward – demonstrating the impact of our holistic support

We continue to develop this as one of our strategic priorities, focusing on the following actions:

Bharti and Anil

In 2025, INS was chosen as one of the charities supported by local grant funder Hampton Fund, to feature in a short video about their work. Bharti, who is an INS client, and Anil, her husband, spoke with the Hampton Fund about how INS has supported them since Bharti was referred in 2013, following her diagnosis of Parkinson’s.

At the time of her referral Bharti was working, while adjusting to her changing symptoms as her Parkinson’s progressed. In her interview, Bharti describes how attending activities at INS and meeting other people with Parkinson’s helped her both practically and emotionally.

“The staff here are wonderful. They gave me confidence.”

Bharti has been able to attend a variety of groups and activities, including exercise groups like Move into Wellbeing, and Expanding Horizons activities like Creative Writing. Bharti’s husband, Anil, has also received support from INS, through direct support and advice as well as through respite when Bharti is attending sessions.

“When Bharti comes to any exercises here (to INS), my mind is at peace… Bharti’s in safe hands… If Bharti had to go anywhere without me, where I didn’t know the place, I’d be very anxious. When Bharti’s at INS I can feel at ease.”

If viewing on a computer, click the image to watch Bharti’s interview as part of The Hampton Fund’s feature video

“ It’s more than an exercise class; it’s

a safe and happy zone with likeminded people and very empathetic staff.”

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Our Impact 93% 84% ftftftft182% of exercise group survey respondents found that the group had helped them work towards their goals of exercise group survey respondents found that attending a group helped them become more confident in exercising independently of exercise group survey respondents are now exercising more frequently as a result of attending an exercise group 94% 97% 00% of exercise group survey respondents found that attending exercise sessions has been beneficial for their physical wellbeing of exercise group survey respondents found that attending exercise sessions has been beneficial for their social wellbeing of exercise group survey respondents found that attending an exercise group had contributed to improving their mood of exercise group survey respondents found that attending a group has benefitted their overall wellbeing Ins neuro-support, for life Responses collected and collated in 2024-25 from responses to the following group surveys: 100% 7% 100% of creative, social or communication group survey respondents enjoyed meeting or connecting with other attendees of creative group survey respondents found that attending a creative group has lessened feelings of isolation or loneliness of creative group survey respondents felt that attending a group has improved their overall wellbeing Open Gym, Tai Chi, Neuro Exercise, PD Fit, Local History, Creative Writing, & Working with Words

Carers’ Support

In March we shared a survey with our carers, asking about their experience of using our services and the impact of their caring role on their lives. 22 carers responded. Most people who answered care for their spouse, while some people care for a sibling, adult child, or parent. 64% of respondents have been supporting someone with a neurological condition for more than five years.

People shared how their caring responsibilities impact their daily lives, with many saying they provide full time support for their family member, which has reduced their ability to work and engage with hobbies or social activities. One person said, “I think around my husband’s needs first, then work around them.”

“ Knowing that there is an organisation who

“ Penny [Carers Link] and Marie-Anne [Physiotherapist] have been so kind and compassionate …When my wife was in physio classes I could leave her in the care of Paul [Exercise Lead] and others knowing she would be well cared for.”

understands the issues of being a carer for someone with a neurological condition, is invaluable.”

We asked carers how INS has helped them. Many people wrote about the value of having someone to talk to, whether that person is a member of staff or another carer. The information and resources provided in conversations and sessions have helped carers to navigate often-challenging health and social care systems to access the support they need and are entitled to.

Some participants have accessed our counselling service, online Mindfulness drop-in sessions, and carers’ exercise sessions, which they found helpful for their fitness and wellbeing. Some people also noted that they benefit from respite when their family member is attending sessions at INS.

91% of respondents agreed that support from INS had helped them to feel less isolated, even if they cannot regularly take part in sessions. One person shared, “I don’t engage as much, because I am often looking after my dad. But the emails and info make me feel connected and, really importantly, I feel if I ever desperately needed some support for myself, I could start with INS for support and I feel there is expertise to help and empathise.”

Although many carers refer to us for individual and group support, such as advice, counselling or our mutual support groups, some prefer to seek advice from our clinical team during INS therapy sessions with their cared for person. Increasingly carers want advice and information around their concerns for the future, as the person they care for may have changing needs.

Some individuals do not identify as an unpaid carer and do not present for help. We are always looking at new ways to support those people.

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Partnership Working

Kew Gardens Discovery Team

Working with partners is very important as it enables us to reach more people to access our services, raise awareness of INS support, increase capacity and provide wider expertise to the INS community. These partnerships ensure INS continues to evolve and improve our practise and opportunities for our service users.

CILS partnership

INS continues to work as part of the Community Independent Living Service (CiLS) partnership, delivered by 20 local charities and led by Age UK Richmond. This includes accessing Age UK Richmond’s Barnes Green Centre to deliver weekly neuro exercise groups.

Richmond Carers

For over a decade we have carried out a contract as part of the Carers Hub Service to provide support and advice for carers of adults with neurological conditions living in Richmond. The hub includes six local charities, led by Richmond Carers Centre,

We were pleased to collaborate with the Kew Gardens Discovery Team, who led three nature discovery workshops for service users at our premises in Twickenham and at our satellite venue at the Barnes Green Centre. The sessions were well attended by INS service users and attendees at the Barnes Green Centre.

Queen Elizabeth’s Foundation for Disabled People (QEF)

We have enjoyed a continued partnership with the Queen Elizabeth’s Foundation for Disabled People, who deliver monthly driving assessment and adaptations’ advice clinics at our premises in Twickenham. This is invaluable for those who have been recently diagnosed or whose condition has deteriorated.

Training for Medical Students

We have an annual contract to provide teaching sessions to medical students at St. George’s Hospital, involving service users with lived experience of neuro disability and caring

for someone with a neurological condition. Over 300 students receive online training from INS each year.

Hounslow Stroke Association

In 2025, we celebrated five years of our partnership with the Hounslow Stroke Association, as part of the Hounslow Stroke Services contract. This contract enabled us to expand our support further into Hounslow, which included our satellite venues in Brentford and Feltham.

Move Into Wellbeing

Our partnership with Move Into Wellbeing, who deliver blocks of chair-based dance sessions at our premises in Twickenham, has been consistently popular and well received by our service users since we started working together in 2023. The sessions are led by a Move Into Wellbeing instructor and supported by INS staff and volunteers.

Developing Our Profile

During the 2024/25-year INS has been involved in work across Hounslow and Richmond actively advocating for the needs of people with neurological conditions and their unpaid carers and creating engagement opportunities for their lived experiences to be shared.

Otakar Kraus Music Trust

We continue to work with the Otakar Kraus Music Trust to deliver group Music Therapy sessions throughout the year. This year we worked collaboratively to deliver pilot groups with input from our Occupational Therapist and our Speech and Language Therapist.

This work has included playing an active part in Hounslow’s Age and Disability Equality Group and working with South West London Healthwatch to engage with INS service users regarding Accessible Information Standards.

We have also participated in two Richmond work streams, the first as part of the Modern Day Services Future Design Work Group, and more recently a Joint Needs Assessment for people with neurological services led by Richmond Public Health.

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The Team

Developing a multi-skilled team of staff means we can continue to be flexible and responsive to changing needs and demand in delivering our holistic therapy, social and emotional support. We have a multidisciplinary team which includes clinical therapists, social worker, counsellors and support staff. All clinical staff are registered with the Health and Care Professions Council and counsellors with professional bodies. We have continued to grow our bank team, enabling the charity to provide a wide range of services and respond to new projects; this has been particularly helpful in delivering satellite services. From a financial perspective, it allows us to staff services appropriately according to funding changes and challenges.

As part of our strategic plan, in February we successfully recruited Evana Topolovec to our new role as Operations Lead (4 days/week) to support the CEO/Clinical Lead in areas like Finance, HR and IT and lead on our future premises strategy. The CEO/Clinical Lead also works a 4-day week.

Early in 2025, INS was awarded a three-year grant from Motability Foundation to support people with neurological conditions and their carers to travel with confidence, using public transport. This will be delivered by our occupational therapy team, and the project includes funding for a part-time Occupational Therapist and a part time Therapy Assistant.

Our work would not be possible without our wonderful team of over 25 volunteers, who help with administration, IT and fundraising, as well as supporting a range of therapy, exercise and activity groups. Without them, we would struggle to give so many people the support they need and we always welcome new volunteers. We are also fortunate to have the support of several expert volunteers in areas like IT, database, and project management, who have helped us develop more efficient ways of working.

Our Therapy Assistants provide essential support to our clinical team, and last year both assistants left to train as a Physiotherapist and Occupational Therapist, following their work at INS. We recruited two new Therapy Assistants, who have been working with our therapy groups and supporting service users in a range of activities.

Last year we said goodbye to one of our Trustees, Karen Pearce, who chaired our Clinical committee. INS currently has nine Trustees on the board, and we are recruiting for a new clinical Trustee.

We have continued to offer longer-term student placements in different therapy areas, including physiotherapy and speech and language therapy. This provides them with the opportunity to support individual and group sessions, which gives them valuable hands-on experience, something we feel is important to support the next generation of professionals.

Feedback from the students about their placement experience at INS was very positive, with the two speech and language students saying how a placement at INS has helped them grow in confidence and develop their clinical skills, as well as having the opportunity to work with such kind and passionate clinicians.

“ INS is a great support and comfort … The constant warmth and engagement of Mike the administrator, the admin team and all volunteers is extremely welcome.”

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Digital Infrastructure

Building on work completed in the previous year, we have continued to improve and maximise the use of technology at INS. This is an area where expert volunteers have enhanced what has been achieved, particularly in upgrading our database. Our new Operations Lead has optimised our use of our cloudbased software by upskilling the team.

During the year, we developed and refined our online referral webform, which individuals and professionals can use to submit referrals to INS services. This form is linked directly to our database and means that referrals do not need to be sent by email, which improves our data security. Alternate versions of our referral form are still available for potential service users who may be unable to access the webform.

Having launched our new website in September 2023, our new web platform has enabled us to be agile in our communications, fundraising, and events advertising. Our team can easily create pages for challenge events and fundraising appeals, and the site’s improved editing capabilities means that information is up to date.

We are continuously reviewing our data collection and reporting processes, and working with our IT volunteer, Patrick, to make improvements where we can. As part of this we recently updated our database to record the duration of our interventions with service users, which will enable us to analyse the amount of support received in more depth.

INS in Barnes

We have continued to offer physiotherapistled exercise classes at Barnes Green Centre for INS clients, in partnership with Age UK Richmond as part of the Community Independent Living Service (CILS). The neuro exercise group has become so popular that as of April 2025, we now run two groups on alternating weeks to increase opportunities for people to attend.

63% of Barnes satellite attendees are aged 70 and older, compared to 50% of all Richmond service users. According to the 2021 census almost 1 in 6 Richmond residents are aged 65 and older, and the borough is home to the 4[th] highest proportion of people aged 66 and older living alone in London. These factors contribute to an ageing population which is at a higher risk of developing neurological conditions.

These sessions are ideal for people living further away from our main premises in Twickenham, who may not be able to travel regularly for exercise. 60% of service users who attended sessions at the Barnes Green Centre have only attended INS services at that venue within the last 12 months. Alongside the neuro exercise group, our Physiotherapist also delivers one-to-one assessments and reviews at the venue.

This year we have been able to further diversify the range of activities offered at the venue. Our Speech and Language Therapist delivered an education session to satellite attendees, and in August the Kew Gardens Discovery team delivered a nature workshop in collaboration with INS, which was attended by INS clients and 13 Age UK Richmond service users.

Below: Attendees enjoy making ‘seed bombs’ at the Kew Community Access Discovery session in Barnes

In August 2024, to prepare for the Big Give Christmas Challenge Appeal, we began to use Mailchimp for digital fundraising and communications. Using Mailchimp has allowed for improved supporter engagement, as well as more efficient communication with service users. We are continuing to explore Mailchimp, and we look forward to developing new and engaging ways to communicate with our supporters and the INS community.

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INS in Hounslow

This past year has been a story of great success and disappointment. All three satellites had grown in both levels of activity and the diversity of sessions and partners delivered. For both Hounslow and Barnes service users it allowed access to INS nearer to home and therefore individuals were more likely to accept referrals to the service. As detailed below, Hounslow organisations were hugely disappointed about the closure of the satellites and concerned about the impact on their clients. Satellites provision will continue to be part of INS's strategic aims.

Our weekly satellite groups at venues in Brentford and Feltham continued to be popular last year. 19 clients and 7 carers came to Wednesday afternoon sessions at The Musical Museum in Brentford between April and December, and 43 clients and 14 carers attended sessions at Age UK in Feltham during the same period.

Despite growing numbers, due to a lack of funding, both Hounslow satellite projects were unfortunately forced to close in December 2024. The closure of the Hounslow satellites is of great concern, as the activities at both venues were a vital outreach for people at the far ends of the borough who may experience barriers to accessing services at our main premises in Twickenham.

To help reduce the impact of these closures, all Hounslow satellite attendees were contacted to discuss other support options that INS may be able to offer. A feedback form was also shared with attendees, who shared their thoughts on the closures. One respondent described feeling, “utterly heartbroken at the demise of the Feltham satellite.”

The clinical team reviewed the list of attendees to identify those most affected by the closure of the satellites, using criteria such as individuals not attending other sessions at INS in Twickenham, online, or by home visit. Around 30 people were identified as high-priority for outreach, and they have been contacted by the team with alternative solutions for support, including in-person and online exercise, communication, and social groups.

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Below: End of year celebrations at the Age UK Feltham INS satellite venue
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Our Premises

As part of our Strategic plan, we have been evaluating options for a future, sustainable service delivery model, which includes extending our lease and upgrading facilities with a capital fundraising campaign or relocating to different premises within Richmond borough.

Last year, we achieved the following in developing our premises strategy:

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Integrated Neurological Services Annual Report & Accounts 2024/25

Events

Heritage Walkathon

In June 2024 INS staff, supporters, and volunteers took part in a Heritage Walkathon, to celebrate 30 years of INS and raise money to support our services.

The walk started close to where INS was founded in Kew, and participants walked in two teams ‘through our history’ to our satellite venues in Brentford, Feltham, and Barnes in a celebration of our work across the boroughs. The walkathon raised over £3,200 including Gift Aid.

Bridge Drive

In April 2024 we held our Bridge Drive at Priory Park club in Kew. The event was attended by more than 40 people and raised £1,113.

We would like to thank Ellie, Sara, Frankie, Mark, Alan, and Beatrice for supporting and helping to organise the event and for hosting the Drive at the Priory Park Club.

We would also like to thank Squire’s Garden Centres, and Newen’s The Original Maids of Honour for generously donating raffle prizes.

Quiz Night

In November we held our annual Quiz Night, which was attended by around 80 supporters. The evening raised £1,900 for INS.

Thank you to Keith, Alan, Chris, Nicola, Debbie, and Michael for their exceptional support on the night.

Fundraising

We are grateful to residents of Grove Park Terrace in Chiswick, who selected INS as the beneficiary of their summer street party, which raised £624 in donations.

In December 2024 we ran our first Big Give Christmas Challenge fundraising appeal, which was the first public match-funding appeal we have participated in. The appeal raised a total of £11,487 for our counselling service. The success of this appeal appeal created increased engagement with our donors and the confidence to increase the target for following year.

We are very grateful to our private match-fund pledgers, and to The Reed Foundation for acting as our match funding Champion. In January 2025 we won The Big Give’s Supporter Engagement award, which included a prize of £1,000 in unrestricted funding.

Trusts and Foundations

The greatest success of last year was the securing of multiple multi-year grants enabling INS to look further ahead. Innovation and development helped secure a successful award from Motability Foundation to deliver a new area of service to INS clients and carers.

We are always trying to build our longer-term funding, as this helps us plan ahead in areas like recruitment, and we are so grateful to a number of generous Trusts and Foundations who continue to support us.

As part of this sustainable funding, in June 2024 we were given a wonderful 5-year endowment of £150,000 by the Edward Gostling Foundation, as part of their plan to wind up by 20230, with an amount to be drawn down annually.

We are also extremely grateful for the generous, ongoing support of two local grant makers, Hampton Fund and Richmond Foundation; in September 2024 we were awarded a 3-year core funding grant from Richmond Foundation.

In December 2024, we were delighted to be awarded a 2-year core funding grant of £70,000 from Garfield Weston.

Starting in June 2025, we have a fantastic 3-year project grant of £202,000 from the Motability Foundation to support our service users with neuro conditions and their carers to ‘Travel with Confidence’.

Thank you also for the amazing support from: John Horseman Trust; Lambert Charitable Trust; Sir Jules Thorn Charitable Trust; National Lottery Awards for All England; Bruce Wake Charitable Trust; Ashcroft Charitable Trust; Girdlers Company Charity; Barnes Fund; Souter Charitable Trust; Dyers Company Charitable Trust; Marsh Charitable Trust; Percy Bilton Charitable Trust; Civic Pride Fund; British Aphasiology Society; P F Charitable Trust; Lower Hall Charitable Trust; William Allen Young Charitable Trust; February Foundation; Green Hall Foundation.

Thank you to the businesses and individuals who generously donated prizes to our raffle, including The Maids of Honour, The Orange Tree Theatre, Twickenham Ales, Squire's Garden Centres, Syon Park, and EMPWRD Consultancy.

30

Integrated Neurological Services Annual Report & Accounts 2024/25

296

Looking ahead – Strategic aims for 2025/26

We have developed our Strategic Operational Plan, with key priorities to ensure sustainable growth for INS within achievable resources and funding. ​This strategic plan builds on the ongoing priorities for 2024/25 which we continue to work on along with our updated strategic aims.

Administrative Details

Address

82 Hampton Road Twickenham TW2 5QS

In 2025/26 we will:

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

Integrated Neurological Services Annual Report & Accounts 2024/25

32

31

REGISTERED COMPANY NUMBER: 05292539 (England and Wales) REGISTERED CHARITY NUMBER: 1107273

Report of the Trustees and

Unaudited Financial Statements for the Year Ended 31 March 2025

for

Integrated Neurological Services

Ark Accountancy Limited Chartered Certified Accountant 56-58 High Street Ewell Epsom Surrey KT17 1RW

Integrated Neurological Services

Contents of the Financial Statements for the Year Ended 31 March 2025

Page
Chair's Report 1 to 2
Report of the Trustees 3 to 14
Independent Examiner's Report 15
Statement of Financial Activities 16
Balance Sheet 17
Cash Flow Statement 18
Notes to the Cash Flow Statement 19
Notes to the Financial Statements 20 to 28
Detailed Statement of Financial Activities 29 to 30

Integrated Neurological Services

Report of the Trustees

for the Year Ended 31 March 2025

We are also extremely grateful for the generous, ongoing support of two local grant makers, Hampton Fund and Richmond Foundation; in September 2024 we were awarded a 3-year core funding grant from Richmond Foundation.

In December 2024, we were delighted to be awarded a 2-year core funding grant of £70,000 from Garfield Weston.

Starting in June 2025, we have a fantastic 3-year project grant of £202,000 from the Motability Foundation to support our service users with neuro conditions and their carers to 'Travel with Confidence'.

Thank you also for the amazing support from: John Horseman Trust; Lambert Charitable Trust; Sir Jules Thorn Charitable Trust; National Lottery Awards for All England; Bruce Wake Charitable Trust; Ashcroft Charitable Trust; Girdlers Company Charity; Barnes Fund; Souter Charitable Trust; Dyers Company Charitable Trust; Marsh Charitable Trust; Percy Bilton Charitable Trust; Civic Pride Fund; British Aphasiology Society; P F Charitable Trust; Lower Hall Charitable Trust; William Allen Young Charitable Trust; February Foundation; Green Hall Foundation.

FINANCIAL REVIEW Financial position Review of Financial Results

INS made a deficit for the year of £22,550 (2023/24 £21,681). The decline on last year reflects an increase in income of £3,712 offset by an increase in costs of £4,581.

Income

INS receives most of its income from grants, donations and from contract income. The environment for fundraising and grants continues to be very competitive. We are grateful for the continued support from a number of generous donors including the Richmond Foundation, Hampton Fund and the Edward Gostling Foundation. Overall, the income from grants was lower this year which reflects the fact that some grant makers were not able to continue their funding due to factors such as changing priorities.

The income includes £52,189 in donations, which is slightly down on last year. We are delighted to have a number of supporters who have organised fundraising events for INS, such as marathons, sponsored walks and social activities. Some examples of these are set out earlier in the report. We were also fortunate to receive some large legacies with a total of over £20,000 received in the year.

Income from charitable activities includes income from contracts and teaching income. Overall income from charitable activities increased to £297,448 in the year, with increases in both contract income and teaching income.

Staffing and expenditure

INS continues to manage its expenditure carefully and seeks to minimise costs wherever possible. Total costs were in line with last year. Payroll costs for the year were held to £397,705 which is slightly lower than the previous year. Non payroll costs were slightly higher in 2024/25 reflecting higher maintenance and repair costs on the premises as well as additional costs incurred in upgrading our digital infrastructure.

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 opportunities. This helps us to maximise our effectiveness and the amount of funding which is directed to our charitable activities. Overall fundraising costs were held at 7% of income.

Page 12

Integrated Neurological Services

Report of the Trustees

for the Year Ended 31 March 2025

FINANCIAL REVIEW

Reserves policy

The Trustees have reviewed the charity's reserves policy, taking account of the current uncertain economic circumstances and the funding challenges within the charitable sector.

They have agreed a policy to build towards holding six months' expenditure in unrestricted reserves This will help INS plan prudently for the future and strengthen its sustainability.

The level of unrestricted reserves at 31 March 2025 was £162,785 (2023/24 - £185,335).

FUTURE PLANS

Looking Ahead - Strategic aims for 2025/26

We have developed our Strategic Operational Plan, with key priorities to ensure sustainable growth for INS within achievable resources and funding. This strategic plan builds on the ongoing priorities for 2024/25 which we continue to work on along with our updated strategic aims.

In 2025/26 we will:

STRUCTURE, GOVERNANCE AND MANAGEMENT

Governing document

The charity is controlled by its governing document, a deed of trust, and constitutes a limited company, limited by guarantee, as defined by the Companies Act 2006.

REFERENCE AND ADMINISTRATIVE DETAILS

Registered Company number 05292539 (England and Wales)

Registered Charity number 1107273

Registered office

82 Hampton Road Twickenham Middlesex TW2 5QS

Trustees Ms A Gowan Chair L H Gray Ms T P James T D G Millar G Norman Ms K M Pearce P A Rogers Dr C Vyas Ms J M Walmsley S Williams

Company Secretary Ms S Vines

Page 13

Int Neurolo of the Trustees for the Year Ended 31 REFERENCE AND ADMIIYISTRATIVE DETAILS Independenl Examin¢r Mary E Ryan FCCA Ark Accountancy Limited Chartered Certified Ac£ountsnt 5&58 High Street Ewell Epsom KT17 IRW Approve by order of the b(Ard of trustees on 12 November 2025 and signed on its behalf by: Williams - Trustee Page 14

Inde Inte endent Examiner's Re ort to the Trustees of ated Neurolo ical Services Independent ex2miner's report to the trustees of Integrated Neurological ServKces ('the Comp2ny') I report to the charity trustees on my examination of the accounts of the Company for the year ended 31 March 2025. Respousibilitie5 and basis of report As the charity'5 trustee5 of the Company (and also its directors for the purposes of company law) you are responsible for the preparation of the accounts in a¢cordan¢e with the requirements of the 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 111 Tespect of my examination of your charitys accounts as Carried out under Section 145 of the Chaiities Act 2011 (Ihe 20 R l Act,). In carying 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 ststement Since your charity5 gross income exceeded £250,000 your examiner must be a member of a listed body. I can confirni that I am qualified to undertake the examillation because l am a member of the Association of Chartered Certified Accountants, which is one of the listed bodies. I have completed my exarnination. I confmn that'no matters have come to my attention in connection with the exarnination giving me cause to believe: accounting records were not kept in respect of the Company as required by Section 386 of the 2006 Act. or the accounts do not accord with those records. or the accounts do not comply with the accounting requirements of Section 396 of the 2006 Act other than any requirement that the accounts give a true and fair view which is not a matter considered as part of an independent examination" or the accounts have not been prepared in accordance with the methods and principles of the Statement of Recommended Practice for accounting and reporting by charities (applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of ITeland (FRS 102)). I have no concerns and have come across no other matters in Connection with the examination to which attention should be drawn in this'report in OTder to enable a proper understanding of the accounts to be reached. Mary E Ryan FCCA The Association of Chartered Certified AccounLgnts Ark Accountancy Limited Chartered Certified Accountant 56-58 High Street Ewell Epsom Surrey KT17 IRW 12 November 2025 Page 15

Inte ted Neurolo ical Services Statement of Financial Activities for the Year Ended 31 March 2025 31.3.25 Total funds 31.3.24 Total funds Unrestricted funds Restricted . fi￿dS Notes INCOME AIYD EIYDOWMENTS FROM Donations and legacies 227,334 86.613 313,947 314,183 Charitable activities Charitable Activities 171.586 125.862 297,448 277,166 Other trading acttvities Investment income 3,108 16,700 3,108 16.700 18,102 18,040 Total 418,728 212,475 631.203 627,491 EXPENDITURE ON Charitable activities Charitable Activities 441,278 212.475 653,753 649,172 NET INCOME/{ExPEND￿URE} (22,550) (22,550) (21,681) RECONCILIATION OF VUNDS Total funds bTought forward 185.335 185,335 207,016 TOTAL FUNDS CARRIED FORWARD 162,785 162,785 185,335 The notes forni part of these fmancial statements Page 16

Inte ted Neurolo ical Services Balance Sheet 31 March 2025 31.3.25 Total funds 31.3.24 Totsl fimds Unrestricted fimds Restricted fi￿dS Notes FIXED ASSETS Tangible assets 12 .734 8,734 11.170 CURRENT ASSETS Debtors C&sh at bank and in hand 13 25,698 271873 24,698 50,396 281658 22.672 180 689 297,571 34,483 332,054 203,361 CREDITORS Amounts fal ling due within one year 14 (143.520) (34,483) (178,(M)3) (29.196) NET CURRENT ASSETS 154051 154 051 174 165 TOTAL ASSETS LESS CURRENT LIABILITIES 162.785 162.785 185,335 NET ASSETS 162 785 162 785 185 335 FUNDS Unrestricted funds 16 162 785 185 335 TOTAL FUNDS 162 785 185.335 The charitable company is entitled to exemption from audit under Section 477 of the Companies Act 2006 for the year ended 31 March 2025. The members have not required the company to obtsin an audit of its financial statements for the year ended 31 March 2025 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 preparing financial statements which give a true and fair view of the stale of affairs of the charitable company as at the end of each financial year and of its surplus or deficit for each financial year in accordance with the requirements of Sections 394 and 395 and which otherwise comply with the requirements of the Companies Act 2006 relating lo financial statements, so far as applicable to the charithble company. (b) These financial statements hav¢ been prepar¢d in accordance with the provisions applicable to charitable companies subject to Ihe small companies regime. The financial statements were approved by the Board of Trustees and authorised for issue on 12 November 2025 and were signe on its behalf by: S Williams- Trustee The notes forni part of these financial statements Page 17

Integrated Neurological Services

Cash Flow Statement for the Year Ended 31 March 2025

Notes
Cash flows from operating activities
Cash generated from operations
1
Tax paid
Net cash provided by/(used in) operating activities
Cash flows from investing activities
Purchase of tangible fixed assets
Interest received
Net cash provided by/(used in) investing activities
Change in cash and cash equivalents in
the reporting period
Cash and cash equivalents at the
beginning of the reporting period
Cash and cash equivalents at the end of
the reporting period		 31.3.25
£
95,369
1,706
97,075
(602)
4,496
3,894
100,969
180,689
281,658		 31.3.24
£
(68,075)
2,108
(65,967)
(7,560)
-
(7,560)
(73,527)
254,216
180,689

The notes form part of these financial statements

Page 18

Integrated Neurological Services

Notes to the Cash Flow Statement for the Year Ended 31 March 2025

  1. RECONCILIATION OF NET EXPENDITURE TO NET CASH FLOW FROM OPERATING ACTIVITIES
RECONCILIATION OF NET EXPENDITURE TO NET CASH FLOW FROM
ACTIVITIES		 OPERATING
Net expenditure for the reporting period (as per the Statement of
Financial Activities)
Adjustments for:
Depreciation charges
Interest received
Increase in debtors
Increase/(decrease) in creditors
Net cash provided by/(used in) operations		 31.3.25
£
(22,550)
3,038
(4,496)
(29,430)
148,807
95,369		 31.3.24
£
(21,681)
3,420
-
(15,275)
(34,539)
(68,075)
  1. ANALYSIS OF CHANGES IN NET FUNDS
At 1.4.24 Cash flow At 31.3.25
£ £ £
Net cash
Cash at bank and in hand 180,689 100,969 281,658
180,689 100,969 281,658
Total 180,689 100,969 281,658

The notes form part of these financial statements

Page 19

Integrated Neurological Services

Notes to the Financial Statements for the Year Ended 31 March 2025

1. ACCOUNTING POLICIES

Basis of preparing the financial statements

The financial statements of the charitable company, which is a public benefit entity under FRS 102, have been prepared in accordance with the Charities SORP (FRS 102) 'Accounting 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) (effective 1 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 statements have been prepared under the historical cost convention.

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.

Income

All income 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 amount can be measured reliably.

Expenditure

Liabilities are recognised as expenditure as soon as there is a legal or constructive obligation committing the charity to that expenditure, it is probable that a transfer of economic 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 have been allocated to activities on a basis consistent with the use of resources.

Tangible fixed assets

Depreciation is provided at the following annual rates in order to write off each asset over its estimated useful life.

Furniture & equipment

Taxation

The charity is exempt from corporation tax on its charitable activities.

Fund accounting

Unrestricted funds can be used in accordance with the charitable objectives at the discretion of the trustees.

Restricted funds can only be used for particular restricted purposes within the objects of the charity. 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 the leased property.

Further explanation of the nature and purpose of each fund is included in the notes to the financial statements.

Hire purchase and leasing commitments

Rentals paid under operating leases are charged to the Statement of Financial Activities on a straight line basis over the period of the lease.

Pension costs and other post-retirement benefits

The charitable company operates a defined contribution stakeholder pension scheme. Contributions payable to the charitable company's pension scheme are charged to the Statement of Financial Activities in the period to which they relate.

continued...

Page 20

Integrated Neurological Services

Notes to the Financial Statements - continued for the Year Ended 31 March 2025

2. DONATIONS AND LEGACIES

DONATIONS AND LEGACIES
Donations
Gift aid
Legacies
Grants
Grants received, included in the above, are as follows:
Steel Charitable Trust
Richmond Foundation
Barnes Fund
Other grants
Hampton Fund
Hounslow Thriving Communities Fund
Sports England
The February Foundation
The Bruce Wake Charitable Trust
Heathrow Community Trust
Geoff & Fiona Squire Foundation
John Horseman Trust
Edward Gostling Foundation
Basil Samuel Charitable Trust
Souter Charitable Trust
PF Charitable Trust
Sir Jules Thorn Charitable Trust
Lambert Charitable Trust
Vandervell Foundation
National Lottery Community Fund
LB Richmond upon Thames
Richmond Carers
Greenhall Foundation
The Girdlers' Company Charitable Trust
William Allen Young Charitable Trust
Garfield Weston Foundation
The Dyers Company		 31.3.25
£
52,189
10,804
20,556
230,398
313,947
31.3.25
£
-
60,000
6,300
2,290
40,000
-
-
5,000
-
5,320
-
10,000
30,000
-
2,000
4,000
3,500
2,500
-
13,500
2,988
450
2,000
1,550
2,000
35,000
2,000
230,398		 31.3.24
£
57,215
6,871
2,030
248,067
314,183
31.3.24
£
15,000
56,100
6,300
31,242
29,800
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

continued...

Page 21

Integrated Neurological Services

Notes to the Financial Statements - continued for the Year Ended 31 March 2025

3. OTHER TRADING ACTIVITIES

3.
OTHER TRADING ACTIVITIES
Fundraising events
4.
INVESTMENT INCOME
Rents received
Deposit account interest
5.
INCOME FROM CHARITABLE ACTIVITIES
Activity
Contract Income
Charitable Activities
Teaching Income
Charitable Activities
Membership/attendances
Charitable Activities		 31.3.25
£
3,108
31.3.25
£
12,204
4,496
16,700
31.3.25
£
226,661
49,224
21,563
297,448		 31.3.24
£
18,102
31.3.24
£
18,040
-
18,040
31.3.24
£
211,854
44,980
20,332
277,166

6. CHARITABLE ACTIVITIES COSTS

Total resources expended have been allocated to the following categories of expenditure:

Fundraising Charitable Total
Expenditure
y/e 31.3.25 £
%		 £
%		 £
Support costs

Premises		 2,438
4		 58,504
96		 60,942
Office costs 6,853
8		 78,807
92		 85,660
Communication & Marketing 591
17		 2,885
83		 3,476
Consultancy & professional 18,638 18,638
Depreciation 3,039 3,039
Governance 173
4		 4,174
96		 4,320
Total 10,054 166,021 176,075
Direct other costs
Project costs 1,434
8		 70,275
92		 71,709
Staff expenses 5,749 5,749
Equipment 1,045 1,045
Recruitment 1,470 1,470
Total 1,434 78,539 79,973
Payroll costs 30,623
8		 367,082
92		 397,705
Total 42,112 611,641 653,753

continued...

Page 22

Integrated Neurological Services

Notes to the Financial Statements - continued for the Year Ended 31 March 2025

6. CHARITABLE ACTIVITIES COSTS - continued

7. SUPPORT COSTS

SUPPORT COSTS
Governance
Management Finance costs Totals
£ £ £ £
Charitable Activities 151,882 949 22,958 175,789

8. NET INCOME/(EXPENDITURE)

Net income/(expenditure) is stated after charging/(crediting):

31.3.25 31.3.24
£ £
Depreciation - owned assets 3,038 3,420
Other operating leases 47,355 43,507

9. TRUSTEES' REMUNERATION AND BENEFITS

There were no trustees' remuneration or other benefits for the year ended 31 March 2025 nor for the year ended 31 March 2024.

Trustees' expenses

There were no trustees' expenses paid for the year ended 31 March 2025 nor for the year ended 31 March 2024.

10. STAFF COSTS

STAFF COSTS
Wages and salaries
Social security costs
Other pension costs
The average monthly number of employees during the year was as follows:
Administration
Clinical services
Fundraising		 31.3.25
£
367,324
16,917
13,464
397,705
31.3.25
1
16
1
18		 31.3.24
£
362,238
23,898
12,173
398,309
31.3.24
1
12
2
15

No employees received emoluments in excess of £60,000.

continued...

Page 23

Integrated Neurological Services

Notes to the Financial Statements - continued for the Year Ended 31 March 2025

11.
COMPARATIVES FOR THE STATEMENT OF FINANCIAL ACTIVITIES
Unrestricted
Restricted
funds
funds
£
£
INCOME AND ENDOWMENTS FROM
Donations and legacies
199,702
114,481
Charitable activities
Charitable Activities
57,573
219,593
Other trading activities
18,102
-
Investment income
18,040
-
Total
293,417
334,074
EXPENDITURE ON
Charitable activities
Charitable Activities
315,098
334,074
NET INCOME/(EXPENDITURE)
(21,681)
-
RECONCILIATION OF FUNDS
Total funds brought forward
207,016
-
TOTAL FUNDS CARRIED FORWARD
185,335
-
12.
TANGIBLE FIXED ASSETS
Plant and
Furniture
Computer
machinery
& equipment
equipment
£
£
£
COST
At 1 April 2024
-
7,030
7,560
Additions
602
-
-
At 31 March 2025
602
7,030
7,560
DEPRECIATION
At 1 April 2024
-
1,908
1,512
Charge for year
120
1,406
1,512
At 31 March 2025
120
3,314
3,024
NET BOOK VALUE
At 31 March 2025
482
3,716
4,536
At 31 March 2024
-
5,122
6,048		 Total
funds
£
314,183
277,166
18,102
18,040
627,491
649,172
(21,681)
207,016
185,335
Totals
£
14,590
602
15,192
3,420
3,038
6,458
8,734
11,170

continued...

Page 24

Integrated Neurological Services

Notes to the Financial Statements - continued for the Year Ended 31 March 2025

13. DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR

13.
DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR
Trade debtors
Tax
Accrued income
Prepayments
14.
CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR
Trade creditors
Social security and other taxes
Other creditors
Deferred income
Accrued expenses		 31.3.25
£
44,778
1,480
980
3,158
50,396
31.3.25
£
8,270
6,941
2,493
154,483
5,816
178,003		 31.3.24
£
17,405
3,186
-
2,081
22,672
31.3.24
£
9,532
8,286
2,654
4,000
4,724
29,196

15. LEASING AGREEMENTS

Minimum lease payments under non-cancellable operating leases fall due as follows:

Within one year
Between one and five years
16.
MOVEMENT IN FUNDS
Unrestricted funds
General fund
Designated fund
Edward Gostling Foundation
TOTAL FUNDS		 At 1.4.24
£
165,335
20,000
-
185,335
185,335		 31.3.25
£
47,354
111,963
159,317
Net
movement
in funds
£
(52,550)
-
30,000
(22,550)
(22,550)		 31.3.24
£
46,290
155,737
202,027
At
31.3.25
£
112,785
20,000
30,000
162,785
162,785

Page 25

continued...

Integrated Neurological Services

Notes to the Financial Statements - continued for the Year Ended 31 March 2025

16. MOVEMENT IN FUNDS - continued

Net movement in funds, included in the above are as follows:

Unrestricted funds
General fund
Edward Gostling Foundation
Restricted funds
Hampton Fund
National Lottery Community fund
Other restricted fund
The February Foundation
Heathrow Community Trust
Age UK
Richmond Carers
The Barnes Fund
LBRUT
Greenhall Foundation
Girdlers' Company CharitableTrust
TOTAL FUNDS		 Incoming
resources
£
388,728
30,000
418,728
40,000
13,500
90
5,000
5,320
118,775
16,952
6,300
2,988
2,000
1,550
212,475
631,203		 Resources
Movemen
expended
in funds
£
£
(441,278)
(52,550
-
30,000
(441,278)
(22,550
(40,000)
-
(13,500)
-
(90)
-
(5,000)
-
(5,320)
-
(118,775)
-
(16,952)
-
(6,300)
-
(2,988)
-
(2,000)
-
(1,550)
-
(212,475)
-
(653,753)
(22,550		 Resources
Movemen
expended
in funds
£
£
(441,278)
(52,550
-
30,000
(441,278)
(22,550
(40,000)
-
(13,500)
-
(90)
-
(5,000)
-
(5,320)
-
(118,775)
-
(16,952)
-
(6,300)
-
(2,988)
-
(2,000)
-
(1,550)
-
(212,475)
-
(653,753)
(22,550
(22,550
-
-
-
-
-
-
-
-
-
-
-
-
(22,550

Comparatives for movement in funds

Unrestricted funds
General fund
Designated fund
TOTAL FUNDS		 At 1.4.23
£
187,016
20,000
207,016
207,016		 Net
movement
in funds
£
(21,681)
-
(21,681)
(21,681)		 At
31.3.24
£
165,335
20,000
185,335
185,335

Page 26

continued...

Integrated Neurological Services

Notes to the Financial Statements - continued for the Year Ended 31 March 2025

16. MOVEMENT IN FUNDS - continued

Comparative net movement in funds, included in the above are as follows:

Unrestricted funds
General fund
Restricted funds
Hounslow Thriving Communities Revenue
Fund
Hampton Fund
Sports England
National Lottery Community fund
Other restricted fund
The February Foundation
The Bruce Wake Charitable Trust
Heathrow Community Trust
Geoff & Fiona Squire Foundation
Age UK
London Borough of Hounslow
Richmond Carers
Lambert Charitable Trust
TOTAL FUNDS		 Incoming
resources
£
293,417
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
627,491		 Resources
Movement
expended
in funds
£
£
(315,098)
(21,681)
(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)
-
(649,172)
(21,681)

Purposes of restricted funds

All restricted 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 amount applicable to this period. Balances are carried forward to the next period as grant income received in advance.

Edward Gostling Foundation

In June 2024, the Edward Gostling Foundation granted a Deed of Gift of £150,000, to establish an endowment fund (The Edward Gostling Fund) with a restricted amount of capital and interest to be drawn down each year, over a five-year period.

Bruce Wake Charitable Trust

In March 2025, we received a one-year grant of £2,500 towards our Seated Exercise and Open Gym groups. This has been carried forward.

Percy Bilton Charity

In March 2025, we received a grant of £745 from The Percy Bilton Charity for equipment to support our exercise and physiotherapy programmes. This was purchased in 2025-26.

British Aphasiology Society

In February 2025, we received a grant of £5,000 for a project to support working age adults with Aphasia. This has been carried forward.

,

continued...

Page 27

Integrated Neurological Services

Notes to the Financial Statements - continued for the Year Ended 31 March 2025

17. RELATED PARTY DISCLOSURES

There were no related party transactions for the year ended 31 March 2025.

Page 28

Integrated Neurological Services

Detailed Statement of Financial Activities for the Year Ended 31 March 2025

Detailed Statement of Financial Activities
for the Year Ended 31 March 2025
31.3.25 31.3.24
£ £
INCOME AND ENDOWMENTS
Donations and legacies
Donations 52,189 57,215
Gift aid 10,804 6,871
Legacies 20,556 2,030
Grants 230,398 248,067
313,947 314,183
Other trading activities
Fundraising events 3,108 18,102
Investment income
Rents received 12,204 18,040
Deposit account interest 4,496 -
16,700 18,040
Charitable activities
Contract Income 226,661 211,854
Teaching Income 49,224 44,980
Membership/attendances 21,563 20,332
297,448 277,166
Total incoming resources 631,203 627,491
EXPENDITURE
Charitable activities
Wages 367,324 362,238
Social security 16,917 23,898
Pensions 13,464 12,173
Subcontractors 74,975 80,588
Motor, travel & subsistence 678 335
Health & childcare 2,091 -
Recruitment 1,470 653
Small equipment 1,045 3,122
477,964 483,007
Support costs
Management
Other operating leases 47,355 43,507
Rates and water 329 1,276
Insurance 7,987 7,594
Light and heat 6,882 6,836
Telephone 1,819 5,846
Carried forward 64,372 65,059

This page does not form part of the statutory financial statements

Page 29

Integrated Neurological Services

Detailed Statement of Financial Activities for the Year Ended 31 March 2025

Detailed Statement of Financial Activities
for the Year Ended 31 March 2025
31.3.25 31.3.24
£ £
Management
Brought forward 64,372 65,059
Printing, postage & stationery 2,402 2,870
Sundries 3,287 6,408
Computer, software & IT costs 29,155 20,064
Equipment maintenance 797 942
Repairs & renewals 34,050 10,912
Cleaning 14,781 13,599
Training - 1,082
Plant and machinery 1,526 1,908
Computer equipment 1,512 1,512
151,882 124,356
Finance
Bank charges 949 1,098
Governance costs
Accountancy fees 4,320 4,014
Legal & professional fees 18,638 36,697
22,958 40,711
Total resources expended 653,753 649,172
Net expenditure (22,550) (21,681)

This page does not form part of the statutory financial statements

Page 30