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 cc*npany, 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$10n ol the term ol Off￿ lor a Trustee wouk1 normally be limited to a single oxtension ol up to one year. ro stand lor a post, candhYat8s must b& nominated by a designated representabve from an ARMA m8mber organisation. 11 caThdidat8s arg nominat￿1 in excess ol the nurrthr ol vacanaes then th¢re is a postal ballot ol the organisations who arg members ol ARMA. The dected car*JKlates a￿ conhrmed at the Annual General M8eling of the charity. Indu¢tion and Tralnlng of Trustees There is a wrrtien induetion pack for trustees sthting out IM)w the organisat*)n is Tun, key duties of trustees and links lo dowments for trust8es on the Charity Commi%sion website. All members ol the Board have received WFyes ol the new Charty Governance Cfxje and Ihe ACEVO guide to charity finance for non-ftnancial trustees. New trustees are olfered a buddy from amorvJst existing trustees. Rlsk and Corporate Govornance K4gugr8 The Board has wnducted its ￿vIeW of the major risks to wh￿h the chanty is exposed and has established syslgm5 to mf(vJale those risks. The rnajor rid( ¢urrenVy faang the charty is the lutur8 financial suslainaly.lrty ol the charity unless tt de¥eknp5 a larger more diverse lundir¥J base. Other risks Klentified, which would severely impact u￿n the charty. indude Ihe 105s of key personnel, loss ol reputation, linanciaS mismanagetnenvtraud, and u)nfli(ts ol interest. Systems have been put in pla￿ to monitor and aLldress these rtsks. arxl wocedLtres are p8riod¢ixlly rev￿￿ed to ènsure that they still meet the n8eds of the charity. Thè Board will attendto ri%kon a six [￿nth1YtsaS1s arKI has resow to review its iisk 18gisterat alternate meetings. In 2020 the Board dso heid a halt ¢Jay discu&8ion of risk management and subsequenlly set up a finan￿ and risk commthe. There werè no ￿rN)uS incidents which rgquir&J re￿rti￿ to the Charity Commiswn during W20. The Board has a ConfliLt of Interest Policy to manage ry)nfl￿ts ol interest. Trustegs, R8sponsibililie$ in the Preparatton ot F6rnn¢ial Statements The trustees we respo￿lb￿ for preparing the tw*ees' 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 approv*l 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 tt*n aFYy th9m CfmSiStenUy: make judgements ar*J 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 pos*tion 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 AssociatK*n 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 Rheum*r 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- D8c8n*wr 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. Supporte5ures to aThJ cash flow rBk are descrbed in Ihts Tnjsiee DirÈctiJrs' Rekvt. The Charity has swjnilrart reserv85 and surfK*nt (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 recew*48 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. otr*r 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 s*ar 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$r a[￿ sO￿are SuThYTres Sut*cnpt'on8 Wthle rnarwent Conferer￿S InsurarK8 104 13 245 3.287 270 713 1812 660 Inde￿ent Examinw5 Fe8S Semlnars ¥kl ¢anterer￿S char Depwiation 120 214 15 THE ARTHRITIS & mUSCULOSKEL￿AL ALLIANCE NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 December 2020 TRUSTEE AND STAFF COSTS Trust*0 Inlonnation The truslees and company dIre￿Or$ 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