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2020-12-31-accounts

Reg￿tered Charity Number 1108851 Registered Company Number 5380237 THE ARTHRITIS & MUSCULOSKELETAL ALLIANCE Report and Accounis 31 December 2020

The Trustees Iwho are also Directors for thè purw)se5 of company lawl present their iewrt and tho linaneial statements of the Arthritis and MusoJloskeleW Allan￿ for the year eThJed S1 Decembèr 2020. REFERENCE AND ADMINISTRATIVE DEfAILS Regislered charlty number: 1108851 Reglstered company numbar: Prlnelpol addr•s¥ and registered oflice Internation￿ House 24 Holix)m Viaduct London EC1A 2BN Sonlor ¥laff mombor Sue &own. Chiel Execajtive Indewnd•nt Examlner Philip Lang David Howard Chartwed Accountants 1 Park Road Hampton Wi¢k Kingslon-upon-Thames KT1 4AS Prlnclpal bankws Nalional Wostsmlnster Bat pk P O Box 2021 10 Matyebone High Stregt LoThYon WC1A 1 FH Board ot trustoe$ The trust8es. who ara Oir8cttys of the ccnpany, have hekJ Of￿ SI￿ 1 January 2019. as follows: Matthew Bennett Emma Cowley luntil July 20201 Lily Elizabeth Oavie5 Shantel Irwin Chris Martey Ilrom July 20201 Sarah North (from July 20191 Sally Pernbery Ilrom July 203JI Ruth Sephlon John Skinner Jane Taylor Ilrom July 20201 Dirk Vennix Zak Vora Ifrom January 2020 Anthony Wooff Ichairl Rob Yeklham IVicE Chairl

STRUCTURE. GOVERNANCE AND MANAGEMENr Status and History The Arthritis and Musoulosk8letal ￿liartr IARMAI 15 a regIStw￿ charity. and a o)mpany limited by guarantee, not haviThJ share Ca￿tal. AFtMA was established in 1972 under the name of th8 8riDsh League loaiNst Rhgumatwn. It first registered as a charity on 22 April 1986. ARMA In￿rpOrated on 2 M￿ch 2005 aThJ the Annual General Meeting of ARhrtA on 25 May 2005 resolved to ￿l￿-uP the unincorKX)rated charty. ARMA reregistered with the Chanty Commi￿0n on 5 Awil 2005. ARMA is governed by the rules a￿1 rwJulations set down in its CA)nyany MemoraTrlum and Articles ol Association dated 1 Auousl 2rK)5. Or9¥nlsatlonal Structure ARMA'S principal decision-mthng bcdy is the eoard ol TnJstees. wFk) are elecaed from its m&mber8hip. The Board meets three-monthly. There 15 also a RepresentatNes' Forum to which all ol its membership organisalions are able fo nominate a retwesentative. The Board is abo able to establish ad-hoc working groups that are acwuntablo lo the Boar¢J. m￿hOd of Rg¢wltment, Appolntment. Eloctlon. Induction •nd Trnlnlng of Truslees Th& charity recruits its trustees from tsts memt4r tyganisatkins through a process of elecb'on. Trustges will be appointed lor a tgrm ol three years and may serye a s8cofKI term off thr&8 years rf Te-electad by tho membership. An ele¢tgd trustee will retire at th¢ dose ol the AGM at the ermj of the last year ol the trustee's tèrm of office. The Board from Ilme to timewill co-opltwstees to fill gaps In eyprtise or experi9n¢e that il has Id8ntilr8d within its membership. Appolntmènt and Electlon Trustees are el8Ct8d lor a pericrtfj of threg ygars and may stand lor a term ol threg years. 11 selected by the Board to t¢ its Chair, a trust¢e's term of office can be exterKl&d by a further three ygars. Co-opted members are Se1￿￿1 tor an lnits￿ period of one year. Tho ap￿Intment of a Truytee may ba extanded by a unanimou$ dgcisK)n of ihe Board to ensure adequate Board ￿)ntinUity and tTuslee rotation. The e￿On$10n ol the term ol Off￿ lor a Trustee wouk1 normally be limited to a single oxtension ol up to one year. ro stand lor a post, candhYat8s must b& nominated by a designated representabve from an ARMA m8mber organisation. 11 caThdidat8s arg nominat￿1 in excess ol the nurrthr ol vacanaes then th¢re is a postal ballot ol the organisations who arg members ol ARMA. The dected carJKlates a￿ conhrmed at the Annual General M8eling of the charity. Indu¢tion and Tralnlng of Trustees There is a wrrtien induetion pack for trustees sthting out IM)w the organisat)n is Tun, key duties of trustees and links lo dowments for trust8es on the Charity Commi%sion website. All members ol the Board have received WFyes ol the new Charty Governance Cfxje and Ihe ACEVO guide to charity finance for non-ftnancial trustees. New trustees are olfered a buddy from amorvJst existing trustees. Rlsk and Corporate Govornance K4gugr8 The Board has wnducted its ￿vIeW of the major risks to wh￿h the chanty is exposed and has established syslgm5 to mf(vJale those risks. The rnajor rid( ¢urrenVy faang the charty is the lutur8 financial suslainaly.lrty ol the charity unless tt de¥eknp5 a larger more diverse lundir¥J base. Other risks Klentified, which would severely impact u￿n the charty. indude Ihe 105s of key personnel, loss ol reputation, linanciaS mismanagetnenvtraud, and u)nfli(ts ol interest. Systems have been put in pla￿ to monitor and aLldress these rtsks. arxl wocedLtres are p8riod¢ixlly rev￿￿ed to ènsure that they still meet the n8eds of the charity. Thè Board will attendto ri%kon a six [￿nth1YtsaS1s arKI has resow to review its iisk 18gisterat alternate meetings. In 2020 the Board dso heid a halt ¢Jay discu&8ion of risk management and subsequenlly set up a finan￿ and risk commthe. There werè no ￿rN)uS incidents which rgquir&J re￿rti￿ to the Charity Commiswn during W20.

The Board has a ConfliLt of Interest Policy to manage ry)nfl￿ts ol interest. Trustegs, R8sponsibililie$ in the Preparatton ot F6rnn¢ial Statements The trustees we respo￿lb￿ for preparing the twees' annual T9￿rt and the fin￿la1 statsments in acLxJrdance with applicable UAW arKI regulations. The provisions of charty law require the trustees to pr8pare finarKial statoments lor each th'nancial yèar. Undertt7al law, the trustees havè eleciedto prepare the linancial sratements in acwrdance with FRS102 and the charty SORP IFRS1021. The finan¢iJ statemenis are required by law to give a true and lair view ol the stats ol affairs ol the charity as at the balancè sheèt date, and of the incoming resour￿$ and application of resources lor that peiiLKI. arKI must not be approvl by the truste85 ynles5 fftoy are satislled that Ihis is the (ase. In yeparing those financol StateM￿t$. the trustees are required to.. select suitable accountir¥J p)1￿18$ arxl ttn aFYy th9m CfmSiStenUy: make judgements arJ esbmates that are reasonable aThJ prud&nt". ar propare the financial statements on the going C0￿M basis unless th is inapwoprsate lo presume that the charty will Continl￿ on thai basi The Irust8è5 are responsible for keeping prwr acojuntirg rg¢or(ts, whi¢ disdos8 with reasonable accuracy al any time th8 ftnancial postion of the d)arity, to enthe thgm to ensure lftal the financial statem8nts comply with the requiremènts of the Charibes Ad 2011. They are Jso responsible fDr safeguardirKJ lh$ assets ol the charity. aThJ hon￿ lor tth"rvJ reason￿6 steps lor th8 pr8vention and detection ol fraud and oth9r irr9gularit￿$. The trust88$ arg responsible lor th8 maintenanc arn1 integr%ty of tha corporat& and linanaal informaiion on the charity's websiie. LegI￿at￿)n in the Uniknx lfjnodom govaming the preparation and dissemination ol financial slalem6nts may dilfgr Ifom legislation in other jurisdi¢tion& IrKl8p•ndent Examiner The charity's tru5t88s consKlw that an audit is not requirgd lor Ihis y9ar (under section 144121 ot the Charities Act 20111 aThJ that an in¢J8p•ent e¥aminatson is no8￿. Aco)rdirKJly, Philip Lan&. David Howard Ghartered Acctsuntants, has been aFpoinled as IndepeTrJent Examiner. OBJECTIVES AND ACTIVrnES charItab￿ Obl9¢t]￿S The principal objective of the charity is lo a(Ivance &Yucation in th8 caus8s. pravention and trèatment ol rheumati¢ cornplaints by brirrtJing together organ￿￿.￿n$ rewesenting professional and patient 9roups. which promotès the development of awareness, knOw￿ge arkj the means of prevention, trealment, rehabilitation and rall￿ ol rI￿umatiC ￿MpL￿.nts. Publle B8n•fit In setting our objedive5 an(t planniThJ our activth.es tho Trustees have gwen c￿lu$ consideration to thè Charity Commtsgon's general guidance on wblic Ixnefrt. The Trusteesconsider that the Charity complies with thg duty to have (Jue regard to thè public benerrt published by ihe Commission. Char￿able actlvlt19S The Board agreed a strategy lor 2019 - 21, devek)p&J in collatKJrat*)n with the membership. The strategy aims to locus activibes on those issue5 where collabofation is essential to impact in ordor lo make best use of resource5. It also streTrJthened govemance by clanfwng relatKJn5hip btheen staff, Board and membèrship. Key headlines of this slTategy= ARMA is an umbrella bc%ly representirvJ the breadth ol musculo3kebt￿ CofK151K)ns arby Pfofessons. Our vision for musculoskeletal IMSK> health- The MSK heatth of the wpulatxjn is womoled throughout lrfe; Everyone with MSK condtb.ons T￿r￿eS aFPTowiate. hKJh qualty 1rrteNenti0r￿ to promote their heahh and well-being in a timèly manner.

We engage with.. P blic Poli Desired impact.. Integrate(S approathes to MSK are irK4uded in dl FX)It¢y. Setvi r Commi Desired impact.. EV￿enCe-Inlofflled MSK pathways are in pl MSK heakh is recognised a￿1 prY)nbsed. nin Sèrvi Iivg Desired impact.. Ev￿enCe based Interventy"on5 are beirKJ delivered Person¢enlred. integrated MSK care is b&1NJ delwered. There is an improvement IQ￿us. with intK)vaD"on. spread ol good wactica and quality knprovement at the haart ol wjvwn. ARMA Memb•rs Arthritis Action Back Care British Association ot SF#X Exer¢i8e Med￿4￿ IBASEMI British Assoaation ol Sport Rehat4lrtators and ThèraFMsts IBASR4T) British Dietetic Association British Chiropractic AssocHtion British Orthopaedic AssociatKn British Society ol Rehabilrtation Mediung Chartered Society ol Physiother8Py College ol Podiatry Ehler5-Danlos SuFport UK Faculty ol Sports and Exerose ￿1cl Fibromyalgia Action UK Hypermobility Syndrome ASs￿lat￿)n The Institute ol Osteopathy McTimoney Chiropractic Assooation Musculoskeleial Association Chartgrgd Physiothefaptsts National Axial Spondyloarthrihs Society National Rheumatoid Arthritis Society PMR Polymyalgkg Rheumatica Giant Cell Artgri1i% UK Podiatry Rheumr Care Associaiyjn Primary Care Rheumatology So¢ Psoriasi5 AssrKiation RCN - Rheumatology Forurn Rhèurnalology Pharmacy Neiwork Royal College ol Chirowactors Scleroderma & Raynaud's UK Soaety ol Musculoskeletal Mediune Socxety of Sports Therapsts UK Gout soC￿tY Versus Arthritis

THE ARTHRITIS AND MuSCULOSKEL￿AL ALUANCE NOTES TO THE FINANCIAL STATEMEKrs For thè year ended 31 Decembgr >)20 ACHIEVEMENTS AND PERFORMANCE In commn with most charittes, 2020 has been a very diff8renl year trom the one Origin￿lY plann&Y. The organisation had to adapt our plans a￿1 resFxJn(I to the pandemic in ways whi¢h Tnade the best use ol ARMA'S strengths in collatr￿TatIOn and focus on cross cyttirhg issues which requir8 multi-disciplinary worknng. People with MSK ￿nditionS were impaded by the fact that many NHS sÈrv1¢85 were paused Lluring thè year and by the laci that manywere taking treatmentswhich put them at higher riskol COVID- 19 and allectèd Ihelr likely response to the vaccine. ARMA members had io suppx)rt people wth MSK conditions io navigate these dillicu￿.es and professionals whos8 work was impacted by the pandèm￿. ARMA supported our members to ￿$￿¥)nd effectively to the paThdemic aryj delivered on some work which was not related to COVltk19. We delwered our first ever fvrfset chat in partnership with NHS England our first ever nats)nal c0nlerer￿. Both of these wero SLwssful Ilkely to be repealed in 2021. K8y hvJhlighls from 2020 include the tolkwing al#￿￿8$ arKI achievements. ARMA: Weekty support mgetings lor our members Irfyn Marth- D8c8nwr Involvtrment in NHS Englan¢J's rospon5e to thg pandemic Enabling the Voice ol pecyle with MSK coThJiiions to Influence NHS EwlaTrJ's resp)n8e lo th8 pandemi¢ Successfully transl8rr8d our plann9d ¢onferert8 to on line delNery Held a suc¢esslul Bone and Joinl W8ek with ttigh leveL8 of enoogement arKI m8ssaging felevant lo the restoration ol services after COVID. Daliv&red 6 webinars ind￿li￿a ￿r tsvo most pjpular welxnars ev9r Acllvltl•$ and Evgnts cov1[￿19 rgsF¢nse Weekly meettrgs lo share intell￿ar￿¥ arKI i¢Jentity conThnon issues have continued since late March. Fortnighlly meetings ol those [nern￿rs r9presentl￿j hgalthcare wofessionds in private pra¢fjcg to disojss issues ol corn￿￿n Co￿rn such as PPE guidancearKI $UFPOrting the NHS resp)nse. Enabling joini activities such as ￿tter to g)vernmenL Supporting Fnembers io give Conststenl messa9iThJ aTourwJ the vaciine. Supporte<l lobbwng on govemmgnt lurKling for ¢hawiiS, ind￿11￿a 8mphasi$ing thg imp)rtance of nalKsnal suwort arKI he1￿ineS. ment Wtth NH Involvgment in NHSE COVID MSK ￿0Up enablirKJ tsvo-way flow of infomation betyfftn NHSE and memters. Support for the NHS Change Challenge woject. Supportiro the (Jevelopment ol pab.ent sew-managgmenl resources to SUFPOrt those who could not access s6rv¥ces. Patient voice Involvement in the NHSE MSK LNed ExFeriertt Group. collaborati￿ on the production ol the MSK knved Experie￿ Themes of What Matters report on oxperiences ol the first lod(down whicli indLKled intelligerts from ARMA member helplines. Hosting a tweet chat on MSK Coproduction. Ensure(I patient rnember or9anisatiorL8 could rewnd io NICE guidan￿ on rheumatokjgy and COVID-19.

THE ARTHRMS AND MUSCULOSKELETAL ALUANCE NOTES TO THE FINANCIAL STATEMENTS Forthe year erKled 31 December 2020 Shieldin Engaging with DHSC on shiekJirNJ guhdartt, pressing for bètter SUPF¢Jrt lo people shièlding especially around eM￿0yrnenL Supportiro n)emb8rs to gNe consistent messaging about shielding irKluding risks for pe￿? with MSK conditK)ns, decisions abo￿ ihe pause in Shiekjl￿ aThJ Ihe secorKI lo¢k(lown. Non COVID work vents Organised a day long on line ¢wleren￿ - 213 of atteths des¢rilxd the ￿)nference 8$ gxee11ent, the rest as gocJ. Held a successful Bone ar¥J Joinlweek with hKJh18veLs olerMJagem0nt and m8ssagitvJ relevant to the rg$1018tion ol sgr¥￿ after COVID. Drafte¢J a pw'n pjlicy position Stat￿8n1 a dcum8nt seltitvJ out what the different MSK prol&ssions do for ￿bI￿abOn at an appropriate time. Responded to the NICE Chrontc Pain guidan¢e drafL Delivered 6 webinars, two aimed at the fit￿SS I￿$￿Y. tsvo pA￿lia￿¢ weblnars reLql&a to COVID and our mosl popular wets'nars ever.. Cauda Equina12.800 vi￿) Women a(¥J Axial s[￿ndy10aAhribSIl.(￿ ￿￿S). We are delighted to wetom8 4 n9wlreturnirwJ members: Bntish As$C￿latIon of Sport and Exercise ￿￿11¢￿)e, College ol Pc¥Jiaty. ￿TIMon6Y Chiropractic Association and Psoriasis Association. FINANCIAL REVIEW nanci81 R¢sults of Actlvllles and Events The detailed linancial results of the thaiivs aclywhes and events a￿ set out in the Statement ol Financial Activities on page 10. Totsi i￿ornIng resources lor the year were £92,51012019'. £91,739 2018= £69,585, 2017= £120.534 2016= £171.019. 2015.. £110.618. 2014." £190,887, 2013-. £177.210, 2012- £125,876), and total resources experKled were £88,32512019.' £91.738 2018.. £126,171, 2017.. £182,783, 2016.. £133,896, 2015: £124,444. 2014-. £181,708, 2013.. £138,030, 2012.. e128,4171. resulting In wsilwe net movefflent of funds 01 £9.730 ItM)Sitive £1 in 20191. Reserves Pollcy The trustèes have identified a risk relatirHJ to Ihe ¢harths luiaThiaJ gjslainability and seek to rnitvJate thal risk through ihe application ol a reserves policy. The Board ol Trustees has establish8(l a wjlicy wilh the am of mant&niro unrestrictÉd fu￿1$ Iwhich are the free reserves of the thar¥tyl at a level whith wuates to approximately 12 months, worth of lutuie re staffing costs lesDmat*l at £72,000). Thi8 level of reserves would enable the charity to ¢y)ntinue rts ¢urrent activrties atvj achieve ts p1anr￿1 work Frogramme in thg èvent of a sKJnifioantdfop infunding. Al the year erKI the free resetves were at £35,42812019= £25.6981, whith is the level set out in the reserves px)licy. In 2019 the trust￿ iM￿e￿￿n1ed a strategy 10 dNtrrsfy In￿Me SO￿rees. This

THE ARTHRMS AND MUSCULOSKELEfAL ALUANCE NOTES TO THE FINANCIAL STATEMEKrs Forthe yoar ended 31 Dè¢omb¢r 2020 strategytook longer than anticipated to improvethe chanb.es irMx)me. txrt by the end of2020 the finwKial tuation had improved with no need lo use reseJves lor gener￿ evr￿(lure. Investments Policy The trustèes are empowered lo irNest the monEs ol ARMA in arxordance with its memorandum of assoaation Idause 4.1 jl. In practsc8, the Board has consklered thal the n￿$1 approprsatè w11￿Y for investing funds is the COIF Charities Deposit Fund, which has bean ¢Jesigned for the ehar¢ty S￿)r. This furKI ènsure5 the safekeeping ol reserves. whilsi meeting the iequirgm$nts tor short not￿ wilh minimal risk ol capital loss. PLANS FOR FLrruRE PERIODS The Board develope<l an owrational plan lor a119 Klenlifyng priotlty aclvltles to deliver the strategy. All aspects ol this plan were developed in collatrKJralion with the merrtbership arkj are in line with the charitabl& objedves of ARM Lonlierm objethves No health without MSK health- driving MSK up the agenda Acces5 to pain services for everyone with slBnfficant thronk paln Core Strdnds of ARMA artlvlty to dellver the overall aims Aestart of MSK services post Cowd-19 MSK Health Inequalities Social prescribing semces to understsnd MSK and thronic pain and include an appropriate offer Access to mental heahh support for people with MSK conditlons Availabllity of community MDT serv6￿ for pain Pedlatrlcs Access to services Ourlng 2021 we will also r8wi8w our slralegy aTrJ develop a slralegy lor 2022- 2024. Impact of Fu￿￿ Acllvltles and Events The trust8ès will continue to measure the chwivs success by ass8ssuYJ tha ouieomès of our activititrs in line with our dgsir&1 outcomtrs in the stralegy. FUNDS HELD As CUSTODIAN Although the charity maintains restr¥ctad furHts to deal with irwing reswrces that are eamarked for a particular purpK)se by donors, sponsors and other ftJr**rs, the dRrity does not hohj. aThJ the trustees o not antiupatè that it will tn lulure hokl, any luTrJs as custcKlian for any thtrd paty. Small company provrsion$ This rerxjrt has bèen prepared tn a￿rdance with Ihe SFecial Fwvisions for small companies uThJer Part 15 of the Companies A¢t 2C#)6.

THE ARTHRITIS AND MUSCULOSKELETAL ALUANCE NOTES TO THE FINANCIAL STATEMENTS For tho yoar •ndod 31 D￿bÈr 2020 Thi5 rpportwas aFf¥oved bythetru¥tggson 26 Awli 2021 ar¢dwas str3n8d for and on beh￿* of thg tKJard by Chair Anthony Woc41 ..2021

THE ARTHRrris & MUSCuLOSKEL￿Al ALLIANCE Independent Examiner's Report to the trustees of the charf The report on the accounts ol the (wty for the year end￿ 31 December 2020 set out on pagés 9 to 17. Respon$lbllltt8s and basis of report The charity's trustees are responsib￿ for Ihe preparation of the accounts in accordance vAth the requirernents ol the Companies Act 2(M)6 Ithè'2006 ACYI. Having satislied myseff that Ihe accounts of thè company are not required lo be audited under Part 16 91 the 2006 Acl and are eligible for indepeThJent examination. I report in respect ol my exarnination ol your ¢haniys a¢counts as carned out under sects'on 145 01 the Clwitiég Act 2011 Ithe '2011 Acri. In carry.sng our my examination I have lolk)wed Ihe Direcbons given by the Charrty Commission urTrder section 14515llbl of the 2011Act. 11 is my re$pjnsi￿1ty lo.. 111 exarnine the account$ und¢r Stttion 145 01 the Chantw kt., lill io ltsllow the proce(tures laid th)wm in general Direclk)ns gwen by the Charity Commrssion. undar s¢¢tion 14515llbl ol the Charit￿ Act., and Ilill 10 Skte whether part￿Ular matters have (xjme to my atteni)n. 8asls of Ind8pend&nt exarnlnw's r•port examination was Carried out in accordance with the general Directions giv?n by the Charity Commission. An 8xaminaiion includes a review ol tho ac¢ountirMJ records kept by thè charity and a cornparison ol the ac￿UnIS pre$ented wth thos8 re¢orJs. 11 also includes consMJeraiion of any unuwal ilems or disdosures in the accounts. and Seeking explanations from you as trustees c4JncerniwJ any suth Matters. The procedures undertaken ¢Jo not provid8 all Ihtr evidence that wouk1 Twuired in an audit and consequently no 0￿.n10n is gNen as lo whèthgr the accounts pr•sert a 'true and Idr view and Ihe repNI is limtted lo thc6tr rnaliers sot OLrt In tho $iemenl below. Ind8p8ndnl ox•mlner'g Statwnent In connection bwth my èxamlnaiion. no matter has tsjme lo my atleniion give8 me reasonab￿ CaLtse to ballgv that in, any matenal resp6￿.. lil accounting records were not kepl in ac£w¢Jance sectJn 3B6 of tho Companw Act 2006.. or 1111 the accounts do noi accord with such records.. or liiil the accounts do not comply vth relevant ac¢ounbng requirements under $e¢tion 396 of the Companies Act 2006 tslher than any requirement that the accoun￿ gfve a Iwe aThl fair view noi a matter con8id8red as part ol an independeni examination.. or Ilvl the attounts have not b8en prepared in aetsjrd￿￿ with the Charilies SORP IFRS1021. I havè com¢ acrtsss no matters in COnn￿￿On wilh Ihe eXaMinat￿n to which attention should l￿ drawn this report In order 10 enable a proper undarslandirrfJ ol the accounts to t* reached. Phi11p Lane FCCA David Howard Chartered Aclxwntants 1 Park Road Hampton W￿k Kingslon uFy)n Thames Surrey KTI 4AS o J 2021

THE ARTHRMS & MUSCULOSKELEfAL ALLIANCE STATEME￿ OF FINANCIAL ACTIVMES {INCLUDING INCOIAE & EXPENDMJRE ACCOUNT) For Ihe year ended 31 De¢wnbgr 2W20 Unrwtrleted Restricted Funds Funds Total 2020 Total 2019 INCOME Income from generated lunds Income from investment 118 Incom• Irom ¢haritable actmtles Bringing Ihe ¢ornmunily together to improve quality ol lrfe lor p6opt• musculoskeletal condrt5ons 92.455 99.955 91.621 TOTAL INCOIIE 91,739 EXPENDITURE Expenditure on eharltsbl¢ •ctlvitlgB Bringing the community together to Improve qUal￿Y ol life for people ¥￿th musculoskeletal conditions 1,955 90280 91,738 TOTAL RESOURCES ExpeNOED 19SS ￿80 91 738 Translèrs between lunds 15.5451 NET INCOMEIIEXPENDffUREI ANO NET MOVEMENT IN FUNDS FOA THE YEAR RECONCILIATION OF FUNDS Fund baLinces at 1 January 2020 25.698 25.697 Fund balanc88 41 31 December 2020 34,764 35,428 25,698 Thè nei mov8meni in lun(ts for Ihe at¥)ve WriC#Ys arises from th& chanty's continuing operations. No separate Stetemem ol Total Re(xNJnis&l Gains aTrJ Losses has b¢¥n as all such pains and kjsses are deatt with In the Slatèm¢rt ot FinalK￿l A£livikn 10

THE ARTHRMS & MuSCULOSKEL￿AL ALLIANCE BALANCE SHEET 31 D￿rnber 2020 2019 FIXED ASSErs Furniture & fittings Computer equipme 214 214 CURRENT ASSETS Trade debtor5 Other debiors Cash at bank and Èn haThJ 500 825 57,495 74,322 61,820 LIABILMES Creditors.. Amounts falling due wthin one year 7S.682 $0.198 NEf CURREKf ASSErs 34,972 25.484 TOTAL ASSETS LESS CURRENT UABILmes & NET ASSETS 25.698 THE FUP4DS OF THE CHARITY Rutrlet•d Incorna lurrfls Local Ne￿orkS Fund Projaets Sponsorship FurKI unr￿￿eted In¢orne lunds General Fund Designat8d FurJs 664 34,764 377 24,657 TOTAL CHARITY FUNDS The directors a￿ satisfied thai the company is enbd8d to exemption frtyn the requirement tts obtain an audit under secknon 477121 of the Compani83 kl 2CQ6 and Ihat memb&rs have not required ihe ¢ornpany to obtwn an audrt in ￿Ndance ￿th sect￿￿ 476 of the Act. The dirèctors aCknoVA￿ge their rwthsiknlii$ for cornplying ￿th Ihe rowir$monts of the Companies Act 2006 with respe￿ to accountiThJ recoth and Ihe preparation of aLxounts.' 111 io keep accountsng records in accordan￿ wrth 8ects.on 386: lill lo prepare accounts which give a true and fair view of Ihe state of affwrs ol the company in accordance with see￿n 3¥J. and which olher*is• COm￿Y vthh the requlrements of the Act relating lo acctsunts. so lar as awicable io the company. The accounts have been prepared in accordance with thg pwsions in Part 15 of the Cornpanses Act 2006 apty￿able to ￿MpanieS Subject to the small companies wim&. Tha financial 3latements are wepar8(l in accordm with Ihe s[ECi￿ prO￿s1onS of the CompaNies Act 2006 and sectKJn 138 01 Ihe Charilies Act 2011. These accounts are prepared in accordance with the Financial Rew)rring Standaffl awuble in th8 UK Rewblic of Ireland IFFIS 1021 (effective 1 January 20191- (Charities SORP IFRS 10211. 11

THE ARTHRrns a MUSCULOSKELETAL ALLIANCE BALANCE SHEEr 31 December 2020 The ffnancial stat8m8nts on pa9 authorised lor issu8 ori ..... 9 to 17 w8r8 approv￿ by the Board ol Directors and 2021 and sign8d on their bd)Jl by .. Chalr .. Treasurer thony Wooll 12

THE ARTHRMS & MUSCULOSKELEfAL ALUANCE NOTES TO THE NNANCIAL sTATEmE￿s Forthe year ended 31 December 2 ACCOUNTING POUCIES Basls of accounllng The f nanaJ Slatwrvts have iEen FYepar8d in a(wdarreiwth Accouriw and Rerxyo"ng by Ghartt]e5. Statement of Recommended Practre aFplb2t kn thatibes weparir¥J accounts in accordance with the vinancial Flwjrting S13fKJard apkat48 in Ihe UK and ol IrelaTrJ IFFIS 102118ttective 1 January 20191 . Ch￿rtS SORP IFRS 1Wdll, the Finarri￿ SlaThYard aWK4tle in the UK and Rep￿￿le ireknd IFFIS 1Q21 aTrJ the CwanE5 Ad 2(X)6. Assels aTrJ are initially r￿niSed at h￿tor￿1 cost Or transaction vJue oth8Th￿se staw m the reknnt accounting p)licy ntilelsl. The princip￿ ￿c￿lI1￿ tr• yeparatJn of thè statmnts are 5p1 out tlow. Income Grants, ¢$Jnal￿n8 and other slftts ty￿$ ￿ voljntary w)me are lywght into acwjnl r8c8iv&J, excw that oknaled I[￿orn6 i8 irthknl gross of any attrbthat48 tax reo)verable. reÈvanl. Donatons wen lor 5peErfr WryK6e5 are Ireaied as reSW￿ ir￿￿8. Investmen ￿me is ac(x)unt a receNable bask% onGg Ihe twi dedared. cr ts inleresi earn￿. Cr• is taken in tho accounts lor the twrlion of subscnrAKMs, wh¢h ats rewable in Al ofvr I of are dso 8ccount8d for on an acuu b•sts. Expendlture Ex￿￿lI￿re alhxal8d to Ihe ch￿1￿8 Xwity wlwe the costs ￿ ba &J8nlitl&J as ￿Ing LectW related to that acbvity. ￿1 costs thal Can￿ be hY8ntiW as relau￿ dir8Ctty to th8 chanty$ 81 aclwty are caw(bsed a5 either govonmrte costs. Any costs that cannot b8 Srecilicalty cat8wr&ed are ￿￿Kaled ts) based raik? aFf4rable lo the nature of the cost invofved. T8nglblg Ilxed ￿8018 and d8Fff8clatlon Tangible fixed assais ar& siaied al hi5tiyd o)sl. D8preaat￿n is wovk1ed on all ￿ngible fixed a558ts at cabXAal￿ kn Tfte each a68at drthn to ttB eSlirnal8d r8stitiual value oventy over wlul hfe. 88 Ic￿. Furniture & fittings- 1SYo per annum CorrpJter equiprynt- over 3 ￿ar¥ Fund accounllng The general lund eomw9•5 Iho axurwLatsd 8tsrpll￿ ol unreslrKI￿ resources over resources expended. Thoy are a¥aiL4e Icr use ￿ fUrther8￿e ol th• oeneAI ctiethes of the charity. Designa18d tunds are a partkular of Un￿sIr￿ted fiJrth Co[￿￿ng of anNxJftts, have be¢n alocaied or desKJnat•d lty sweilK FrtNp)s88 by tha InJsiÈe5. The use ol d8swJnaled t￿1& rern￿n8 at Ihe dk%crelion of Ihe Irus¢ees. Ae51ricted funds ￿ fvrth S￿￿10 spodf¢ The FXNF¥)9• 8TrJ use ol the restricted lunds are sel Irs the nol8s to ArTr)wts unwii at lh• year are torward In Ihe tsaL9￿e sheet. L•gal 8tatU8 of the eharlty bl The charfly 45 a company IHnii&l by gUaraV￿ aTrJ has rK¢ shar¢tyal. The charitywas irrLKwral8d Ewland and Wdes cn 2 Marc ￿, Coftwyno. 53WJ7, aTh4 UK Charityno. 1108851. registered on 5 Awl 2005. The v8gtered Off￿ 15 24 Hoixn Vig(hx¢, Lcffj(kJn. EC1A 2BN. Debiors Trade and Olher debl¢xs sr8 fBttYn￿d at the se1ttwn￿ &J8. Going concem The Chanty's aciwltrgs, tofv Ihg lactor5 likely lo its fuiwe dev8k¢)menl. hs finaru Sit￿￿. frnanaal risk manapment rtiectivts and derivatN8 athiues, and ts e4X>5ures to aThJ cash flow rBk are descrbed in Ihts Tnjsiee DirÈctiJrs' Rekvt. The Charity has swjnilrart reserv85 and surfKnt (xsh resrww. ￿ rw) debl. make il Fossible lo fund Ihe Chatity athibe5. Expwws are ￿$0 managed. knep)5sl￿e, in lirE V*ith tonlr&yJtio￿ receNèJ. As aethwwe. the Try￿189 ￿ree1c•S that thè Charity ￿ well ￿8C£d 10 manage ti5 bJsin8ss risks S￿￿eSSIv￿ uiven ** ¢yJtkKsk. After Fnaknng erwiries. Ihe dire￿￿$ have a reasonablE extxctakn Ihat the company has adequate resources ID continue in (4EratKwI ex￿enCe kn the forttepatye flrture. Accordiryty. Ihry coTrtinuB to h) 13

THE ARTHRMS & MUSCULOSKELETAL ALUANCE NOTES TO THE NNANCIAL STATEMEpirs For the ￿ endwj 31 December 2020 INVESTM￿ INCOME Total 2019 Funds FurKI8 Bank Interes1 recew48 on sh term cash dwits I￿o￿E FROM OF BRINGING TrIE commu￿ TOGETHER TO IIIPROVE I]UAUTY OF UFE FOR PEOPLE WITh MUSCULOSKELETAL CONDm(x45 Tot Total 2019 Funds Fur SutEuWlor&s Consultancy Granls. Gov6mmtytt Gwants. otrr Donaiior 0th8r 49.436 49.436 5.321 10,4C 3.637 5,321 17, 1637 452 21. 21,229 COSTS OF BAINGING ThE COMMUNrrY TOGETHER TO IMPROVE QUAufi OF UFE FOR PEOPLE WITH MUSCULOSKELEFAL CONrJnc*4S Unrnstrfei Furyl8 Total Totyl 2019 Fur 18.950 18,950 t8,130 3.918 18,950 ¢0,817 ,9)$ fAI,817 SuFyxl c05ts (see note 51 s0￿manCe c￿s(s6e 51 60.257 14

THE ARThRms & MUSCULOSKELVAL ALLiANCE NOTES TOThE FINAPKIAL STATEIIEpirs Fov the sar endod 31 D8t¢mbw 2020 SUPPORT AAD G0vEFINAP￿E COSTS Sup Total Tolal 2019 Staff eosts Stall de￿￿mtrnt M8eiing cosi$ 51.155 54.414 18 812 1477 1,167 919 13 Comwi$r a[￿ sO￿are SuThYTres Sutcnpt'on8 Wthle rnarwent Conferer￿S InsurarK8 104 13 245 3.287 270 713 1812 660 Inde￿ent Examinw5 Fe8S Semlnars ¥kl ¢anterer￿S char Depwiation 120 214 15

THE ARTHRITIS & mUSCULOSKEL￿AL ALLIANCE NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 December 2020 TRUSTEE AND STAFF COSTS Trust0 Inlonnation The truslees and company dIre￿Or$ wived no remuneration forlheir swvth during tha currènt or previous year, except as noted below During the yew no trustees12019.. five tnjsteesl wère rÈimburs&Y for meets'ng expenses incurred on behatt of the charty ioialllNJ £nil12019.' £T791. bl Stafl informatlon Tot•1 Totsl 2019 The average number of staff employed byth d)arity during the year was as lolk¢ws'. Bringing the communty together lo improve qualty Staff costs lor lh& atove Fersons.. Salaries and wag•$ Soclal security ¢OSIs Pension costs 51.928 49.012 1.613 1,573 $4,414 Durlng tho year no employ￿I2019'. rK)nel receNed emojumgnts OVOf £60.th￿. The charity dir8clor Susan Brovm, 18 not a Trustse. vras pw"d £54.39) lor thg ygar ended 31st December 2020. TANGIBLE FIXED ASSETS Furnltur• & Computèr flttlng¥ •qulpmMt Totsl COST 1 January 2020 Additions Oispo$als 31 D¢¢eml)er 2020 1,119 2.172 3,291 1.530 1226 1,530 1.119 DEPRECIATION 1 January 2020 Disposals Charges lor Iha pèrieA 31 December 2020 1.119 1.958 11.5301 442 870 3.077 11.5301 442 1.989 1.119 NET BOOK VALUE 31 December 2020 1 January 2020 214 214 16

THE ARTHRMS & MUSCULOSKELETAL ALLIANCE NOTES TO THE FINANCIAL STATEMEKrs Forthe year Èndèd 31 D￿ernber 2W20 CREDrroRS Arnounts fallin9 duè wthill year. 2019 Trade creditors Taxation & social securty costs Other creditors Ae£ruals and delerr&J income 2.420 1.911 378 22.139 724 1,764 811 46,899 Total 50,198 THE FUNDS OF THE CHARITY Tran8fers January Ineomlry Be%￿r¢¢9 between 2tr20 Resources •xp•nd8d lund¥ A131 DeCeM￿r 2020 Fkntrlel¢d IrKtsn￿ lundg: L(￿1 Nefvlorks Fund Project5 Sponsorship Furyj 11.9551 15.5451 Unre$trf¢ted Incom• funds: General Fund Designated Future Development Fund 377 92.510 188.32SI 30.202 34.764 24,657 124.6571 too,0 Local Networks Fund The Local Network5 Fund was set up to develop Neiworks wilh the support ol the Departmènt ol Heallh's Sectior$ 64 grant scheme aThJ io receive other grants for use by intJNidual ARMA local grou￿. The balarbce on the hjnd al thè yèar and in¢lud¢8 £66412019.. £6641 lor use by ARMA Dorset. Pro1￿t$ Sponsorshlp Fund A fund lor Spoof￿ proje￿$ urKlertaken by ARMA in partnership vAlh its membgrs. 0g¥lonatgd Future DevèEopMrf Fund The Board agreed ai their meeling on 29 0￿0b9T 2020 Ihat there was r¥J lor4Jer a need to hold a D93ignated Fulure Develcynem Fund and these shwkl ￿ Ifanslèll8d into Ggnèral Funds. 17

THE ARTHR ￿ls & MUSCULOSKELETAL ALLIANCE NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 Decèmber 21J20 10 ANALYSIS OF ASSEfs BEfwEEN FUNDS Tangl1￿@ Ilx8d Current Currnnt liabilities Total Restrlet8d Incomg funds." Local Netr￿rkS Fund Projects Sponso¥ship Fund Unrsstricted income luThls: General Fund Designated Future Dovalopmtrnt Fund 61.156 126.8481 34,764 61020 126,8481 35.428 11. CONTrOL The company is lknll&J by gLwant8e aThl as sutrt has no share caw. The company Is controll8d by its members who are 32 member organisatK)ns whlch subscribe to the Arthrits's 2nd Musculoskewal AIIK4ntx. Every mernber organisabon ol Ihe company unclertakes to contribute such amovnts as may be required not exceeding £1 to the assets ol the company 11 il shouhj be wound up whilst th8 organlsatlon 16 a memb8r or t•Athin on& yoar after tho organisation ¢¢astrs 10 be a member. 18