**REGISTERED CHARITY NUMBER: 1107496**
## **REPORT OF THE TRUSTEES AND**
**AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2022**
**FOR**
## **ARRHYTHMIA ALLIANCE**
Bronsens Chartered Certified Accountants Statutory Auditors
6 Langdale Court Witney Oxfordshire OX28 6FG
**ARRHYTHMIA ALLIANCE**
## **CONTENTS OF THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2022**
|||**Page**||
|---|---|---|---|
|**Reference and Administrative Details**||1||
|**Report of the Trustees**|2|to|7|
|**Report of the Independent Auditors**|8|to|9|
|**Statement of Financial Activities**||10||
|**Balance Sheet**||11||
|**Cash Flow Statement**||12||
|**Notes to the Cash Flow Statement**||13||
|**Notes to the Financial Statements**|14|to|19|
|**Detailed Statement of Financial Activities**|20|to|21|
**ARRHYTHMIA ALLIANCE**
**REFERENCE AND ADMINISTRATIVE DETAILS FOR THE YEAR ENDED 31 DECEMBER 2022**
**TRUSTEES** Mrs T C A Lobban MBE., FRCP. Mr M Bullock Mr P Chauvineau Prof. A J Camm Mr P Turner Professor N J Linker Mr N Breakwell Dr A J Turley (appointed 28.1.23) **PRINCIPAL ADDRESS** c/o Murphy Salisbury Limited, Celixir House Stratford Business & Technology Park Stratford upon Avon Warwickshire CV37 7GZ **REGISTERED CHARITY** 1107496 **NUMBER INDEPENDENT AUDITORS** Bronsens Chartered Certified Accountants Statutory Auditors 6 Langdale Court Witney Oxfordshire OX28 6FG
Page 1
**ARRHYTHMIA ALLIANCE**
**REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 DECEMBER 2022**
The trustees present their report with the financial statements of the charity for the year ended 31 December 2022. The trustees have adopted the provisions of 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).
## **OBJECTIVES AND ACTIVITIES**
## **Principal Objects**
The principal objectives of the charity are:
To advance education into the causes, prevention, diagnosis and treatment of cardiac arrhythmias and promote a better understanding, awareness and quality of life for those affected by cardiac arrhythmias.
There have been no changes to these objects in the period of review.
## **Objectives for the year**
To raise awareness of cardiac arrhythmias To improve diagnosis of cardiac arrhythmias
To improve treatment of cardiac arrhythmias
To improve quality of life for people living with cardiac arrhythmias
To lead the development of professional standards and hold them in trust on behalf of the sector, both nationally and internationally
To build and maintain a national network of organisations and individuals committed to achieving best practice in service delivery
## **Strategies**
To bring together member charities, healthcare professionals, commissioners and their allies
To advance the concerns and needs of all our members
To develop the knowledge and skills base of medical professional and professions allied to medicine
To cultivate multi-centre and multi-disciplinary research
To prevent sudden cardiac death in vulnerable groups
To promote the value and need for cardiac pacing, implantable defibrillators, catheter ablation and other treatments for cardiac arrhythmia
To prevent misdiagnosis in patients suffering from arrhythmia and transient loss of consciousness (T-LOC)
To assess and quantify unmet need amongst those affected by cardiac arrhythmia
To promote centres of excellence for arrhythmia diagnosis and treatment
To secure better care, leading to a better quality of life, for individuals with cardiac arrhythmia
Page 2
**ARRHYTHMIA ALLIANCE**
## **REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 DECEMBER 2022**
## **OBJECTIVES AND ACTIVITIES**
## **Significant activities**
Arrhythmia Alliance is a collaboration of patients, caregivers ,healthcare professionals, policy makers and all those affected by or involved in the care of people with heart rhythm disorders (arrhythmias). Arrhythmia Alliance (A-A) continues to support both patients and healthcare professionals providing information, education support and awareness leading to improved outcomes for those living with a heart rhythm disorder.
During 2022 we achieved a mixture of physical events as covid restrictions were lifted and in-person meetings resumed.
This report covers the following areas:
1. Support people living with a heart rhythm condition
2. Raising awareness of arrhythmias
3. Fundraising
4. Hosting educational events for both healthcare professionals and patients
5. Voluntary and affiliated groups
6. Trustees
7. Staff
## **1. Supporting patients**
We continually update our online and printed patients resources, reviewed by patient and caregiver volunteers and approved by our medical advisory committee.
New for 2022 was the launch of a series of webinars 'Living with...' covering devices, drugs, conditions, lifestyles and latest digital, technologies and treatments.
Know your pulse campaign
Our Know Your Pulse (KYP) campaign promotes the need to a aware of our pulse and the rhythm of our heart. If pulse checks were routine, thousands of lives could be saved every year, through the prevention of AF-related strokes. Our website information contains many new videos and educational materials. Know Your Pulse - Arrhythmia Alliance - UK (heartrhythmalliance.org)
## **2. Raising awareness of arrhythmias**
## **Arrhythmia Alliance World Heart Rhythm Week (6-12 June 2022)**
www.worldheartrhythmweek.org
World Heart Rhythm Week 2022 (WHRW2022) featured many aspects and activities such as A-A Defibs Save Lives - Bernard Gallagher campaign, and 'Listen To Your Heart' focused on patients/the public and used a series of infographics to raise awareness of the key facts and figures about arrhythmias and arrhythmia-related conditions.
We continued from 2021 with "The Five Ws" encouraging healthcare professionals to ask "Who, What, Where, When, and Why" to gain a complete patient history because "The more you know, the more you can PREVENT, DETECT, PROTECT, CORRECT, and PERFECT".
#KnowYourPulse. This is an existing well-recognised Arrhythmia Alliance campaign, which many of the supporters are already familiar with - it highlights the importance of everyone knowing their pulse to know their heart rhythm
## **WHRW2022** reception at the Palace of Westminster, London, UK
The purpose of the event was to raise awareness of heart rhythm disorders and learn more about how a simple pulse check to get to know your heart rhythm could actually save your life and even help prevent a devastating stroke caused by a common heart rhythm disorder known as atrial fibrillation (AF).
More than 100 people attended the event, including Peers, healthcare professionals, people with heart rhythm disorders and their caregivers and family members.
## **A-A virtual coffee mornings were launched during WHRW2022**
Page 3
**ARRHYTHMIA ALLIANCE**
## **REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 DECEMBER 2022**
## **OBJECTIVES AND ACTIVITIES**
Arrhythmia Alliance Coffee Mornings were launched via zoom platform on the Monday of WHRW the first of which was to meet the Patient Services Team face to face and a presentation on who the team are and the support, advice and information on varying heart disorders we can offer.
WHRW2022 attracted media coverage from both medical and mass media. In India, Australia, UK, USA, Europe and numerous other countries. Millions of people were reached and our aim to raise awareness of heart rhythm disorders was achieved.
## **Arrhythmia Alliance Healthcare Pioneers Report**
The aim of Arrhythmia Alliance Healthcare Pioneers Report - Showcasing Best Practice in SVT is to identify and recognize innovative approaches to diagnosing and treating SVT. The award ceremony was held at The Palace of Westminster, London, UK during World Heart Rhythm Week.
To inspire others to improve care standards for patients with the SVT, Arrhythmia Alliance called for healthcare teams to showcase their exemplary work in SVT services. The case studies were reviewed by an international panel of expert judges, with the winners published in the report.
## **3. Fundraising**
During the year donations were still very low compared to pre pandemic
## **4. Hosting events for both healthcare professionals and patients**
## **Heart Rhythm Updates - 2022 was a mixture of face to face and online live webinars**
Heart Rhythm Updates (HRU) - are organised to keep healthcare professionals informed about the latest developments in arrhythmia care, covering all aspects from prevention to perfecting the patient care pathway. This year we arranged physical meetings around the UK including Coventry, Oxford, Teeside, and London as well as virtual events.
Through the series, individuals can also access focused content on the A-A bespoke virtual platform. The platform allows individuals to listen to arrhythmia experts review a range of topics. Content can be viewed and re-visited at a time to suit the delegate - this has proved extremely popular. A virtual exhibition is also available to view the latest in innovation, technology, and treatments.
## **HRC**
Arrhythmia Alliance Heart Rhythm Congress (HRC) is the charity's flagship annual event and has been running for 17 years. Held at The International Convention Centre (ICC), Birmingham it is the largest heart rhythm event in the UK attracting healthcare professionals and faculty from all over the world, with the overall number attending increasing year on year. The aim of HRC is to educate, inform and provide an opportunity for networking and debate.
This year we held our first hybrid congress. The last two years, HRC has been online only due to the COVID-19 restrictions of physical meetings.
We were able to offer our delegates the option of being able to attend in-person and/or accessing the content online via our virtual platform.
Healthcare professionals who attended A-A HRC can qualify for up to 24 Continuing Professional Development (CPD) points approved by the Royal College of Physicians if they attended the in-person congress and/or 18 CPD points if they attended the online congress.
## **Patients Day**
Patients Day was online only.
Patients Day provides medical professionals and experts with a unique opportunity to interact with people who suffer from an arrhythmia and learn their insights into this debilitating range of conditions. Patients are able to share views and experiences with others in similar situations. This was more of a challenge with a virtual format; however, we were able to provide an online platform with over 30+ hours of pre-recorded presentations from leading arrhythmia specialists internationally. Each presentation also had the opportunity to submit a question to be answered by our faculty.
## **5. Volunteers and affiliated groups**
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**ARRHYTHMIA ALLIANCE**
**REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 DECEMBER 2022**
## **OBJECTIVES AND ACTIVITIES**
We continue to support and affiliated groups and organisations and help to establish local support groups.
## **6. Trustees**
Trudie Lobban MBE Founder and Trustee for Arrhythmia Alliance continues to receive requests to present at events across the world including:-
American Heart Association's Cardiac Implantable Electronic Device Infection Summit and Venice Arrhythmias and attending in person conferences such as Heart Rhythm Society, USA and events in Australia and Europe.
## **7. Staffing**
We continue to work remotely which is proving to be very successful and enables a wider area for when we are recruiting.
Summary
Arrhythmia Alliance remains unique in the world as a collaboration of patients, caregivers, healthcare professionals, policy makers and allied professionals all working collaboratively to improve outcomes for people living with heart rhythm conditions. This is welcomed by medical societies, patient organisations, policy makers such as NICE and allied professionals. The ethos of Arrhythmia Alliance is 'collaboration' - together we can achieve so much more. Plans for 2023 are already in place to further expand on work and outreach.
## **Public benefit**
The Trustees confirm that they have complied with their duty under Section 4 of the Charities Act 2011 to have due regard to the Charity Commission's general guidance on public benefit.
## **Volunteers**
Arrhythmia Alliance utilises volunteers to assist in our work.
## **FINANCIAL REVIEW**
## **Balance sheet**
At the end of the year the Charity is in a strong position with funding in place from a variety of Foundations.
The charity's total funds at the end of the period was £1,596,146.
The Trustees have a strategic and operational plan in place to ensure stability and growth.
## **Statement of financial activities**
During the year income has increased from £765,667 to £1,120,648. Expenses have increased from £589,631 to £1,114,056; the majority of costs relate to the running of the Congress. The principal sources of funds are gained from Grants and Donations..
## **Reserves policy and performance**
The Trustees have a policy of maintaining a level of unrestricted reserves which should ensure that there are adequate funds to meet anticipated future liabilities. In practice the Trustees consider that holding reserves equivalent to a minimum of three months' core costs (i.e. the day to day running costs of the Charity), excluding funds tied up in fixed assets, should provide sufficient funds to respond to unexpected adverse changes in the Charity's funding or activities. This equates to a minimum of £32,000 based on current levels of activity. The Trustees intend to gradually build up unrestricted reserves to the desired level over the next few years.
## **Financial Review**
The accounts have been prepared adopting the Accounting and Reporting by Charities: Statement of Recommended Practice (2015) issued in January 2015.
Page 5
**ARRHYTHMIA ALLIANCE**
## **REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 DECEMBER 2022**
## **IMPACT OF THE CORONAVIRUS PANDEMIC**
As with most charities we have felt the impact of COVID-19, this has specifically meant that we have had to adapt our activities to enable our activities to be delivered remotely and to enable our staff to work safely away from our offices. There will be an impact on our reserves but the Trustees are confident that the level of reserves and in particular cash reserves held by the charity will enable us to continue in operational existence long into the future and will enable us to continue to carry out our objectives.
## **STRUCTURE, GOVERNANCE AND MANAGEMENT**
## **Governing document**
The charity is constituted under a Trust deed dated 30 November 2004 and is registered charity number 1107496. The charity was granted charitable status on 7 January 2005.
## **Appointment of trustees**
The management of the charity is the responsibility of the Trustees who are elected and co-opted under the terms of the Trust deed.
There must at all times be a minimum of three Trustees. The first Trustees are entitled to hold office for life. Future Trustees must be appointed by a resolution of the Trustees.
## **Organisation**
An Executive Committee compromising of 20 members supports the Trustees and as of 1 January 2008, the Chief Executive is responsible for managing and controlling the activities of the Charity under the Trustees direction.
## **Trustee Induction and training**
New Trustees undergo an orientation process to brief them on their legal obligations under Charity Law, the Charity's governing documents, the Committee and decision-making processes, the Business Plan and recent financial performance of the Charity. During the induction process they meet key employees and other Trustees. Trustees are encouraged to attend appropriate external and internal training events, which will assist them in carrying out their role.
## **Key management remuneration**
The Founder & CEO is not remunerated as she is a Trustee. Pay & remuneration for key management personnel is set in accordance with guidelines for the roles they fulfil within the Third Sector.
## **Risk management**
Risks considered are Health & Safety; Display Screen Equipment; GDPR; Policy for Safeguarding vulnerable adults and children etc.
All risks are managed with professional advice received from Citation (HR appointed company) and adjustments made as required from advice received. Citation (HR Company) also provide HR advice, staff contracts and policy handbook; IT and Web Consultants provide support with these areas.
The Medical Advisory Board review and approve charity literature.
One of the Trustees is an accountant and assists and provides financial guidance; we also have a lawyer to provide legal advice to cover any such risk.
## **ACKNOWLEDGEMENTS**
Arrhythmia Alliance would like to acknowledge the various Trusts, Foundations and Medical Industry that so generously gave their support during the financial year.
Page 6
**ARRHYTHMIA ALLIANCE**
## **REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 DECEMBER 2022**
## **CONNECTED CHARITIES**
As the parent organisation, Arrhythmia Alliance works in direct partnership with its affiliates - Atrial Fibrillation Association (AFA), AFA-US, Syncope Trust (STARS), STAR-US and Arrhythmia Alliance US.
Arrhythmia Alliance also works with Sudden Adult Death Syndrome (SADS UK), Cardiomyopathy Association (CMA), the Department of Health, the Heart Improvement Programme, the Primary Care Cardiovascular Society, the Royal College of Nursing, the National Service Framework Team and the Medical Technology Group. Also included are the Genetic Interest Group (GIG), Long-term Medical and Primary Care Trusts. Industry partners include the Association of British Healthcare Industries - Cardiac Rhythm Management. All groups aim to work together to promote timely and effective diagnosis and treatment of arrhythmia.
## **STATEMENT OF TRUSTEES' RESPONSIBILITIES**
The trustees are responsible for preparing the Report of the Trustees and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).
The law applicable to charities in England and Wales, the Charities Act 2011, Charity (Accounts and Reports) Regulations 2008 and the provisions of the trust deed requires the trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the charity and of the incoming resources and application of resources, including the income and expenditure, of the charity for that period. In preparing those financial statements, the trustees are required to
- select suitable accounting policies and then apply them consistently;
- observe the methods and principles in the Charity SORP;
- make judgements and estimates that are reasonable and prudent;
- state whether applicable accounting standards have been followed, subject to any material departures disclosed and explained in the financial statements;
- prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in business.
The trustees are responsible for keeping proper accounting records which disclose with reasonable accuracy at any time the financial position of the charity and to enable them to ensure that the financial statements comply with the Charities Act 2011, the Charity (Accounts and Reports) Regulations 2008 and the provisions of the trust deed. They are also responsible for safeguarding the assets of the charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.
6.10.23 Approved by order of the board of trustees on ............................................. and signed on its behalf by:
........................................................................ Mrs T C A Lobban MBE., FRCP. - Trustee
Page 7
**REPORT OF THE INDEPENDENT AUDITORS TO THE TRUSTEES OF ARRHYTHMIA ALLIANCE**
## **Opinion**
We have audited the financial statements of Arrhythmia Alliance (the 'charity') for the year ended 31 December 2022 which comprise the Statement of Financial Activities, the Balance Sheet, the Cash Flow Statement and notes to the financial statements, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).
## In our opinion the financial statements:
- give a true and fair view of the state of the charity's affairs as at 31 December 2022 and of its incoming resources and application of resources, for the year then ended;
- have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; and
- have been prepared in accordance with the requirements of the Charities Act 2011.
## **Basis for opinion**
We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditors' responsibilities for the audit of the financial statements section of our report. We are independent of the charity in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC's Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.
## **Conclusions relating to going concern**
In auditing the financial statements, we have concluded that the trustees' use of the going concern basis of accounting in the preparation of the financial statements is appropriate.
Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the charity's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.
Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.
## **Other information**
The trustees are responsible for the other information. The other information comprises the information included in the Annual Report, other than the financial statements and our Report of the Independent Auditors thereon.
Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.
In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact. We have nothing to report in this regard.
## **Matters on which we are required to report by exception**
We have nothing to report in respect of the following matters where the Charities (Accounts and Reports) Regulations 2008 requires us to report to you if, in our opinion:
- the information given in the Report of the Trustees is inconsistent in any material respect with the financial statements; or
- sufficient accounting records have not been kept; or
- the financial statements are not in agreement with the accounting records and returns; or
- we have not received all the information and explanations we require for our audit.
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**REPORT OF THE INDEPENDENT AUDITORS TO THE TRUSTEES OF ARRHYTHMIA ALLIANCE**
## **Responsibilities of trustees**
As explained more fully in the Statement of Trustees' Responsibilities, the trustees are responsible for the preparation of the financial statements which give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.
In preparing the financial statements, the trustees are responsible for assessing the charity's ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the charity or to cease operations, or have no realistic alternative but to do so.
## **Our responsibilities for the audit of the financial statements**
We have been appointed as auditors under Section 144 of the Charities Act 2011 and report in accordance with the Act and relevant regulations made or having effect thereunder.
Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue a Report of the Independent Auditors that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.
We gained an understanding of the legal and regulatory framework applicable to the charity and the sector in which it operates and considered the risk of acts by the charity that were contrary to applicable laws and regulations, including fraud. We designed audit procedures to respond to the risk, recognising that the risk of not detecting a material misstatement due to fraud is higher than the risk of not detecting one resulting from error, as fraud may involve deliberate concealment by, for example, forgery or intentional misrepresentations, or through collusion. We focussed on laws and regulations which could give rise to a material misstatement in the financial statements, including, but not limited to, the Charities Act 2011. Our tests included agreeing the financial statement disclosures to underlying supporting documentation, enquiries with management and, if deemed necessary, enquiries of legal counsel. There are inherent limitations in the audit procedures described above and the further removed non-compliance with laws and regulations is from the events and transactions reflected in the financial statements, the less likely we would become aware of it. As for all our audits, we also addressed the risk of management override of internal controls, including testing journals and evaluating whether there was evidence of bias by the directors that represented a risk of material misstatement due to fraud.
In carrying out this review we did not identify any key audit matters relating to irregularities, including fraud.
A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council's website at www.frc.org.uk/auditorsresponsibilities. This description forms part of our Report of the Independent Auditors.
## **Use of our report**
This report is made solely to the charity's trustees, as a body, in accordance with Part 4 of the Charities (Accounts and Reports) Regulations 2008. Our audit work has been undertaken so that we might state to the charity's trustees those matters we are required to state to them in an auditors' report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charity and the charity's trustees as a body, for our audit work, for this report, or for the opinions we have formed.
Bronsens Chartered Certified Accountants Statutory Auditors 6 Langdale Court Witney Oxfordshire OX28 6FG
6.10.23 Date: .............................................
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**ARRHYTHMIA ALLIANCE**
## **STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 DECEMBER 2022**
|Notes
**INCOME AND ENDOWMENTS FROM**
Donations and legacies
2
**Charitable activities**
4
Charitable activities
Investment income
3
**Total**
**EXPENDITURE ON**
**Charitable activities**
5
Other costs
Charitable activities
**Total**
**NET INCOME**
**RECONCILIATION OF FUNDS**
Total funds brought forward
**TOTAL FUNDS CARRIED FORWARD**|2022
Unrestricted
fund
£
265,111
854,508
1,029
1,120,648
98,232
1,015,824
1,114,056
6,592
1,589,554
1,596,146|2021
Total
funds
£
379,318
386,190
159
765,667
75,000
514,631
589,631
176,036
1,413,518
1,589,554|
|---|---|---|
The notes form part of these financial statements
Page 10
**ARRHYTHMIA ALLIANCE**
## **BALANCE SHEET 31 DECEMBER 2022**
|Notes
**FIXED ASSETS**
Tangible assets
11
**CURRENT ASSETS**
Debtors
12
Cash at bank
**CREDITORS**
Amounts falling due within one year
13
**NET CURRENT ASSETS**
**TOTAL ASSETS LESS CURRENT**
**LIABILITIES**
**NET ASSETS**
**FUNDS**
14
Unrestricted funds
**TOTAL FUNDS**|2022
Total
funds
£
8,672
156,551
1,936,158
2,092,709
(505,235)
1,587,474
1,596,146
1,596,146
1,596,146
1,596,146|2021
Total
funds
£
7,468
86,385
1,691,999
1,778,384
(196,298)
1,582,086
1,589,554
1,589,554
1,589,554
1,589,554|
|---|---|---|
The financial statements were approved by the Board of Trustees and authorised for issue on ............................................. and were signed on its behalf by: 6.10.23
............................................. Mrs T C A Lobban MBE., FRCP. - Trustee
The notes form part of these financial statements
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**ARRHYTHMIA ALLIANCE**
## **CASH FLOW STATEMENT FOR THE YEAR ENDED 31 DECEMBER 2022**
|Notes
**Cash flows from operating activities**
Cash generated from operations
1
Net cash provided by operating activities
**Cash flows from investing activities**
Purchase of tangible fixed assets
Interest received
Net cash 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**|2022
£
249,185
249,185
(6,055)
1,029
(5,026)
244,159
1,691,999
1,936,158|2021
£
177,605
177,605
(5,383)
159
(5,224)
172,381
1,519,618
1,691,999|
|---|---|---|
The notes form part of these financial statements
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**ARRHYTHMIA ALLIANCE**
## **NOTES TO THE CASH FLOW STATEMENT FOR THE YEAR ENDED 31 DECEMBER 2022**
## **1. RECONCILIATION OF NET INCOME TO NET CASH FLOW FROM OPERATING ACTIVITIES**
|**Net income for the reporting period (as per the Statement of Financial**
**Activities)**
**Adjustments for:**
Depreciation charges
Interest received
(Increase)/decrease in debtors
Increase/(decrease) in creditors
**Net cash provided by operations**|2022
£
6,592
4,851
(1,029)
(70,166)
308,937
249,185|2021
£
176,036
6,543
(159)
50,004
(54,819)
177,605|
|---|---|---|
## **2. ANALYSIS OF CHANGES IN NET FUNDS**
|**Net cash**
Cash at bank
**Total**|At 1.1.22
£
1,691,999
1,691,999
1,691,999|Cash flow
£
244,159
244,159
244,159|At 31.12.22
£
1,936,158
1,936,158
1,936,158|
|---|---|---|---|
The notes form part of these financial statements
Page 13
**ARRHYTHMIA ALLIANCE**
## **NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2022**
## **1. ACCOUNTING POLICIES**
## **Basis of preparing the financial statements**
The financial statements of the charity, 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 2015)' Financial Reporting Standard 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland' and the Charities Act 2011. The financial statements have been prepared under the historical cost convention and on a going concern basis.
## **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**
Tangible fixed assets are stated at cost less depreciation. Only individual tangible fixed assets costing £200 or more are capitalised.
Tangible fixed assets are depreciated at rates calculated to write off their costs, less their estimated residual value, over their expected useful lives on the following bases:-
Computer Equipment - 33% straight-line basis
## **Taxation**
Arrhythmia Alliance is registered with the Charity Commission and under the provisions of Section 505, Income and Corporation Taxes Act 1988, is exempt from liability to taxation.
## **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.
Further explanation of the nature and purpose of each fund is included in the notes to the financial statements.
## **Pension costs and other post-retirement benefits**
The charity operates a defined contribution pension scheme. Contributions payable to the charity's pension scheme are charged to the Statement of Financial Activities in the period to which they relate.
continued...
Page 14
**ARRHYTHMIA ALLIANCE**
## **NOTES TO THE FINANCIAL STATEMENTS - continued FOR THE YEAR ENDED 31 DECEMBER 2022**
## **2. DONATIONS AND LEGACIES**
|Donations
Grants
Other fundraising and sponsorships
Grants received, included in the above, are as follows:
Other grants
**3.**
**INVESTMENT INCOME**
Deposit account interest
**4.**
**INCOME FROM CHARITABLE ACTIVITIES**
Activity
Grants and other income
received
Charitable activities
AED funds
Charitable activities
**5.**
**CHARITABLE ACTIVITIES COSTS**
Other costs
Charitable activities|Direct
Costs
£
-
920,971
920,971||2022
£
48,772
185,599
30,740
265,111
2022
£
185,599
2022
£
1,029
2022
£
843,794
10,714
854,508
Support
costs (see
note 6)
£
98,232
94,853
193,085|2021
£
184,030
174,717
20,571
379,318
2021
£
174,717
2021
£
159
2021
£
362,248
23,942
386,190
Totals
£
98,232
1,015,824
1,114,056|
|---|---|---|---|---|
continued...
Page 15
**ARRHYTHMIA ALLIANCE**
## **NOTES TO THE FINANCIAL STATEMENTS - continued FOR THE YEAR ENDED 31 DECEMBER 2022**
## **6. SUPPORT COSTS**
|Other costs
Charitable activities|Governance
Other
costs
£
£
98,232
-
93,853
1,000
192,085
1,000|Totals
£
98,232
94,853
193,085|
|---|---|---|
## **7. AUDITORS' REMUNERATION**
During the year the following was paid to Bronsens Accountants Limited, auditors of the charity.
|Auditors' Remuneration|2021
£
1,000|2020
£
1,000|
|---|---|---|
## **8. TRUSTEES' REMUNERATION AND BENEFITS**
There were no trustees' remuneration or other benefits for the year ended 31 December 2022 nor for the year ended 31 December 2021.
## **Trustees' expenses**
During the year £572 (2021 : £858) was reimbursed to 1 (2021 - 1) Trustee for travel costs incurred on behalf of the charity and other costs paid on behalf of the charity.
## **9. STAFF COSTS**
|Wages and salaries
Social security costs
Other pension costs
The average monthly number of employees during the year was as follows:
Employees|2022
£
191,633
11,974
3,413
207,020
2022
12|2021
£
159,598
9,889
2,589
172,076
2021
9|
|---|---|---|
No employees received emoluments in excess of £60,000.
continued...
Page 16
**ARRHYTHMIA ALLIANCE**
## **NOTES TO THE FINANCIAL STATEMENTS - continued FOR THE YEAR ENDED 31 DECEMBER 2022**
## **10. COMPARATIVES FOR THE STATEMENT OF FINANCIAL ACTIVITIES**
|**INCOME AND ENDOWMENTS FROM**
Donations and legacies
**Charitable activities**
Charitable activities
Investment income
**Total**
**EXPENDITURE ON**
**Charitable activities**
Other costs
Charitable activities
**Total**
**NET INCOME**
**RECONCILIATION OF FUNDS**
Total funds brought forward
**TOTAL FUNDS CARRIED FORWARD**
**11.**
**TANGIBLE FIXED ASSETS**
**COST**
At 1 January 2022
Additions
At 31 December 2022
**DEPRECIATION**
At 1 January 2022
Charge for year
At 31 December 2022
**NET BOOK VALUE**
At 31 December 2022
At 31 December 2021|Unrestricted
fund
£
379,318
386,190
159
765,667
75,000
514,631
589,631
176,036
1,413,518
1,589,554
Computer
equipment
£
197,788
6,055
203,843
190,320
4,851
195,171
8,672
7,468|
|---|---|
continued...
Page 17
**ARRHYTHMIA ALLIANCE**
## **NOTES TO THE FINANCIAL STATEMENTS - continued FOR THE YEAR ENDED 31 DECEMBER 2022**
## **12. DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR**
|Other debtors
VAT
Prepayments
**13.**
**CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR**
Taxation and social security
Other creditors
**14.**
**MOVEMENT IN FUNDS**
At 1.1.22
£
**Unrestricted funds**
General fund
1,589,554
**TOTAL FUNDS**
1,589,554
Net movement in funds, included in the above are as follows:
Incoming
resources
£
**Unrestricted funds**
General fund
1,120,648
**TOTAL FUNDS**
1,120,648
**Comparatives for movement in funds**
At 1.1.21
£
**Unrestricted funds**
General fund
1,413,518
**TOTAL FUNDS**
1,413,518|2022
£
87,797
3,087
65,667
156,551
2022
£
3,978
501,257
505,235
Net
movement
in funds
£
6,592
6,592
Resources
expended
£
(1,114,056)
(1,114,056)
Net
movement
in funds
£
176,036
176,036|2021
£
11,289
5,330
69,766
86,385
2021
£
6,022
190,276
196,298
At
31.12.22
£
1,596,146
1,596,146
Movement
in funds
£
6,592
6,592
At
31.12.21
£
1,589,554
1,589,554|
|---|---|---|
continued...
Page 18
**ARRHYTHMIA ALLIANCE**
## **NOTES TO THE FINANCIAL STATEMENTS - continued FOR THE YEAR ENDED 31 DECEMBER 2022**
## **14. MOVEMENT IN FUNDS - continued**
Comparative net movement in funds, included in the above are as follows:
|**Unrestricted funds**
General fund
**TOTAL FUNDS**|Incoming
resources
£
765,667
765,667|Resources
Movement
expended
in funds
£
£
(589,631)
176,036
(589,631)
176,036|
|---|---|---|
A current year 12 months and prior year 12 months combined position is as follows:
|**Unrestricted funds**
General fund
**TOTAL FUNDS**|At 1.1.21
£
1,413,518
1,413,518|Net
movement
in funds
£
182,628
182,628|At
31.12.22
£
1,596,146
1,596,146|
|---|---|---|---|
A current year 12 months and prior year 12 months combined net movement in funds, included in the above are as follows:
|**Unrestricted funds**
General fund
**TOTAL FUNDS**|Incoming
resources
£
1,886,315
1,886,315|Resources
expended
£
(1,703,687)
(1,703,687)|Movement
in funds
£
182,628
182,628|
|---|---|---|---|
## **15. RELATED PARTY DISCLOSURES**
There were no related party transactions for the year ended 31 December 2022.
## **16. TRANSACTIONS WITH CONNECTED CHARITIES**
During the year, the charity recharged £4,911 (2021: £4,527) to Syncope Trust and Reflex Anoxic Seizures (STARS), charity number 1084898 for costs incurred on their behalf. Repaying for services was apportioned to STARS for £151,728 (2021: £79,438). The balance due to this charity at the year end was £330,500 (2021: £183,609).
During the year, the charity recharged £4,911 (2021: £6,790) to Atrial Fibrillation Association (AFA), charity number 1122442 for costs incurred on their behalf. Salary costs totalling £49,958 (2021: £25,845) were recharged from the charity to AFA. Repaying for services was apportioned to AFA for £148,669 (2021: £74,222). The balance due to this charity at the year end was £90,852 (2021: £3,292 (due from).
Repaying for services was apportioned to Arrhythmia Alliance US of £98,232 (2021: £75,000).
Page 19
**ARRHYTHMIA ALLIANCE**
## **DETAILED STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 DECEMBER 2022**
|**INCOME AND ENDOWMENTS**
**Donations and legacies**
Donations
Grants
Other fundraising and sponsorships
**Investment income**
Deposit account interest
**Charitable activities**
Grants and other income received
AED funds
**Total incoming resources**
**EXPENDITURE**
**Charitable activities**
Staff costs
Social security
Pensions
Telephone
Printing, postage and stationary
Conferences and travel
Parliamentary groups
AED equipment cost
Computer maintenance costs
Other direct costs
**Support costs**
**Other**
Staff costs
Fundraising costs
Other direct costs
Legal and professional fees
Computer and other costs
Computer and printer lease
Printing, postage, stationery & advertising
Rent, rates and insurance
Bank and finance charges
Contribution to AA USA
Carried forward|2022
£
48,772
185,599
30,740
265,111
1,029
843,794
10,714
854,508
1,120,648
185,086
11,974
3,413
6,643
33,912
633,063
-
11,915
17,487
17,478
920,971
6,547
578
2,756
22,867
26,574
138
1,785
6,983
7,364
98,232
173,824|2021
£
184,030
174,717
20,571
379,318
159
362,248
23,942
386,190
765,667
154,505
9,889
2,589
7,108
14,306
190,521
3,000
37,920
17,618
6,231
443,687
5,093
684
3,600
21,584
17,993
215
753
1,965
2,874
75,000
129,761|
|---|---|---|
This page does not form part of the statutory financial statements
Page 20
**ARRHYTHMIA ALLIANCE**
## **DETAILED STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 DECEMBER 2022**
|**Other**
Brought forward
Consultancy costs
Depn of computer equipment
**Governance costs**
Auditors' remuneration
Total resources expended
**Net income**|2022
£
173,824
13,410
4,851
192,085
1,000
1,114,056
6,592|2021
£
129,761
8,640
6,543
144,944
1,000
589,631
176,036|
|---|---|---|
This page does not form part of the statutory financial statements
Page 21