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2022-12-31-accounts

Reglstared Charlty Number 1108851 Reglster¢d Company Numbor 5380237 THE ARTHRITIS & MUSCULOSKELETAL ALLIANCE Report and Accounts 31 D8cember 2022

THE ARTHRMS AND MUSCULOSKELEfAL ALUANCE LEGAL AND ADMINisfRAnVE INFORMATION For the year ended 31 De¢emb¥ 2022 The Trustees are also Drecto￿ for the PUrF￿ of compary l•w) present their r9FQrt and the financrtl staltments ofthe Pffjthribs and MuSc¥Jk￿￿0tal Al￿ts for the ygarended 31 December 2021. REFERENCE AND ADPthNISTRATIVE (￿TAILs Registered charity Thum￿. Reglstered company numbr. Prlnclpal addreB8 and rgglst•red oflka Intamational House 24 Holbom Ifoduc Lond EC1A 2BN Senlor staff mwnber Suè Brun. Chlef Executsve Ind•p•nd•nt examlnor 1 Park Road Hampton WKk Kingston.upoTrThames Kf14AS Prlnclpal bank•rs National Westminster Bank p P O Box 2021 10 Marylebone High Street London WC1A 1FH Matlhew Bennètt (urrtl JU￿ 21)22) Stephen Chew Shantel Irwrn (until Juty 2022) Chris Martey Chair) Sarah North Sally Pembery Ruth Sephlon (from Juty 2022) John Skinner Jane Taylor Olrk venn￿ (Chakl Zak Vora Dale Webb {frorn Juty 2022) Debbie Wilson {from July 2022) Tony W¢)off {un¢l July 2022) Rob Yoklham (unlil 2022)

THE ARTHRITIS AND MUSCULOSKELETAL ALUANCE TRUSTEES REPORT For thè year ènded 31 Doc•mber 2022 STRUCTURE, GOVERNANCE AND MANAGEMENT status and Hl8tory The Arthrltls 8nd Musculoskeletal Alliance (ARMAI Is a regi8tered charity, and a cg)mpany Ilmited by guar8ntse, not having share capSts1. ARMA w8s establfshed in 1972 under the name of the Brlllsh League Against Rheumalism. It frst registered as a chority on 22 Aprfl 1986. ARMA incorporated on 2 March 2005 and the Annual G8neral Meeting of ARMA on 25 May 2005 resolved lo wind-up the unincorporated charity. ARMA reregistered wlth the Charity Commission on 5 Apitl 2005. ARMA is govemed by the rules and regulatlons ¥el (lown In Its company Memorandum and Artktes of Associalton dated 1 A￿￿$t 2005. 0ry8nlsatlonal Stru¢tury> ARMA'S principal deasion-making Is the Boar¢1 of Trustees, who are elected from Its membershlp. The Board maats thrgfrmonthly. There is al80 a R8pr8sentatlves' Forum lo which 811 of Its memborshlp cryanisations are able to nominate a rapres8ntstNg. The Board Is also able lo establish ad-hoc worklng grTh1￿ that ar8 accountable to the Board. The Board has a FITrar￿e and Rlsk Commtttee e5tabllsh8d during 2021 and an iftcome generation working group. The Board takes account of the vlews of member fxganlsations through three-monthly members maelings. M•thod of ReGTultmenL Appolntment, El•cth)n. Induction and Trainlng of Trn8t•o8 The recrutts Its trustèe$ from its member organisaUon8 through 8 process of election. An elected tnjstse will retire at the clog0 of the AGM at the er#1 of the last year of the trustee's tem) of The Board from time tollmg will co-opttrustees tofill gaps in ew￿rt￿ orexperience that it has identifled wlthin its Trmbership. Appolntmont and Election Trustees are elected for a period of three years and may stand for a second of three years. If selected by the Board to be its Chalr. a trustee's tem of office can be extended by a furtharthree years. The appointment of a Trustee may b6 éxtend￿ by a unanimous d8GBion of the Board to ensure adequate Board continuity and trustee rotslion. Thg extenshM of tho tfj￿ of offKe for a Trustee would ncmally be limlted to a single extension of up to one year. To stand for a post, candidatos must be nominated by a doslgnated rewgsentath from an ARMA member (wganisation. Wcandidates are nomlnated In excess of the number of vacancles then there is a t of tha organisath7ns who are member8 of ARMA Th& elected candidatss are c0nfirn￿d at lh8 Annual Gener81 Meetlng of the (tharhy. Inducllon and Trnlnlng of Trustw• There is a written induGtion pack for trustees Set￿n9 out how the ¢yg8nisatlon is run, koy duties of trustees and link$ lo docurnents for trustees on the Charity Commi8Ston website. AJI membors of tha Board have recelvad coples of the naw Charity Govemanc8 Code and the ACEVO gulde to charlty flnance for non-financlal trustees. New trustees are offered a buddy from amongst exlstlng trusle8s. Rlsk and Corporate Govem•n¢e Matt&rn The Board has conduGted its revi8w of the Major risks to whith the Charity 18 exp08ed and ha$ estab118hed systems lo mitigate those risks. The mojor risk during 2022 was the future financial SU5tainabilty of the Gharlty, and new op8ratlng model for the charty was Implemented which reduced thi$ risk. The Boord has undertaken work on increasing cybersecurity dudng 2022, whi(* will continue during 2023. Other risk8 1den1rf￿, which would sev8rely imp8Ct uron the charity, Include the loss of key pers¢)nnel. 1088 of repulatlon, finanaal mismanagementlfraud. and confllcts of Interest. Syslems have been ptrt In place to monitorand addr0s8 th88e risk3, and prac￿ur&S ar8 periodically reviowed to ensure that they stlll meet the noeds of the charfty.

TRUSTEES REPORT For tho year ended 31 DKorn￿ 2022 The Board WIN attend to risk on a six ￿¥)nthty basisand has resofvedto rnvi8w tls rpgisterat altemate meetiry. The FinarKe and Ri8k Cornmittee g)nsider the regk8ter quarterty and make There ￿￿e rwj seticws knudents wh1( rep￿t￿￿ to the Charity ComrnissK)n durkng 2021. The Board has 8 Conllici of Interest Polw to manage of interesL TnMtè•ts' R•sponslbUllte• In the Preparallon of Flnbelal Stal•monts The trustees are respOr￿b￿ preparir#J the Ij￿￿e5. ￿nUal rewt wld th8 finandal st8teff￿nts acojrdance with applKabte Lqw and rgjulati Undwth8t18w, tr￿SleeS have elected to prepare the financial ststements ￿ aCCx￿dance wilh FRS102 ond the charity SORP IFRS102). The financial 81alem￿ are requir&J by law to givo a true and fgFr view of the slale of affalts of the tharity as al balwK sheet dats, and of tha incoming resources and applicallon of reS￿r￿ for that perKyJ. and must rnt te approved by Ihe trustees unless they satisfied that this is the case. In preparirKJ trhryse financial statements. the trustees are Tequire(I to.. set Sur￿1￿ artsunthw arKI ltrw apply trm (x)nstenty. preparg the fina￿￿81 s181emenis on g(xry wn(xn bos￿ unl8ss l is inapprDpriate to presume that the charity wll tt￿inUe on that basis. The trustees are responsble for keeping proper acxxxmting r8ryJrds, dlsdose vAth raasonable accuracy at any tlme tr£ financkil FJsrfion of the charity. and to enatle them to ensure that the fina￿81 Slatements compty with the reqUiren￿nts of the Charitias Act 2011. They are also reSpor￿Ible for safeguarding the assets of the tharity. aTrJ hence for reasonth sleps for the preventsn The thjstees arE resp￿￿￿8 forth8 w￿l[￿enanCe and irity oftha oxpryate and finanual infomation on the charity's webslle. Legislation in Unrted lfjngdom governing preparation aThJ dIsseminat￿)n offinanclal statements drffer from legdatlon kn otherJutlsdkthn8. Ind•p•nd•nt Examlner The charity's trustees con&der that an a￿lt b Th)t rewked ts llis year lurmjer sectkn 144(2) of the Chwitie5 Act 2011) and that an iThJererKl8nt examinatton is needed. kntydingly. DavKI Howard Chartered A(X￿n1ants. has been appointed as IndepeThJent Examtn8r. OBJECTIVES AND ACTMnES Charltabh ObJ•cllve8 The w￿r￿1paI oty¥bve ofts charty is to educatkjn In the (auses. pre¥wlk)n and treatrnent of rheum8tk complaints ty bringiry tryJeth8r ￿ganISatI)nS representing ￿ofe￿n￿ and pall8nt groups, which promotes Ihe develoFth8nt of 8warEness. kr￿e arKI the means of weveniion. treatrn6nt. rehabllllatknn and relief of rtr￿uma1l¢ r￿in Publlc Benofft In setting ouroblecuves and plannirKJ Cxff adréibes the Tntstaes have grven oreffijl LX)nStderatlon to the Charity Commlssicm's gener81 guidance on pub[￿ be￿fiL The Trustse5 (>Jnsider that the charlty (a)rnplies wlh ihe duty to have dug regard lo ￿ wtliG ben8fft published lry the C(xnmisston. In 2021 the Board a revised ststogy in allxali￿ ryth membership. Th8 8tratsgy alms to fo￿5 activilles on those issues wh￿6 cOlk3L￿al1[￿ is essential to impaL* in order to make best use of rescucas. In the prevKIus Strategy was felt to (yjnlinue to be fil for purp)se wtth some small am8ndm8nts. The most signfficant dlange was the ￿d￿lOn of a limiled rc4e for ARMA ￿ workf

THE ARTHRMS AND MUSCULOSKELEfALALUANCE TrUSTEES REPORT For th• y•ar •nd•d 31 0¢￿￿ber 2022 Ourvwon for musculoskeletsl IMSK) health: The MSK heatth of thé populaiion i¥ promted thr￿ lite: health and wem-being in a timy manrnr. We ongap 7•41th: D885r6d impact.. Intsgralod approaches to MSK are Inc￿￿ kn all pcthy. Doslrod Impact.. Evldenco4nfomd MSK p8ttways we In p MSK heath Is rewJnlsed 8rKI fvltsed. De8lrod Impact.. Pernon4entred. Integrated MSK car• Is bgirvJ do1￿•d. Th•re Is an irnprovem8nl frKus. m¥atbn. ¥nad of good practk• and quallty trnpffjvemert al Ihe heart of D881rod Impact.. Approprlate lavel of•uhably (a)mWont ThKlkll8dplkn￿ moot rw•d$ ARMA M•mb•rn Arthrfl￿ Actk Back Care Brlli¥h Assoclatlon of Sport and Exerclse Medldn618ASEMI Brliish As8odatlon of Sport Rehabllltatorn and Theraplsts I&ASRAn BrlU8h Dletsuc A860ciath)n Brlllsh Chlropractlc A8sctht6on Brlllsh Orthopaedlc As8ocSatlon Brlllsh So¢lety of Rohabdit8tion M8dkln& CCAA Kld8 wlth Arthrits Chartorod Soc40ty of Phy81otherapy Comwo11 Arthrit18 Trust EhlotsthDanlos Supm UK Faculty of Sports and Exerciaa med￿ne Flbromyalg￿ Acih3n UK Gloucester8hire AJthrits Trust Hypemobility Syndrome Assod The I￿lItUte of 08toopathy M¢Tlmoney Chlroprad Assodatton uscubxkelelal knoclats)n Chartered Phyzknther National A%￿1 Sp￿￿o0rth1Its S(K National Rheumatotd Arthritis S Orthopaedic Research UK Pain Con￿rn Physto Flrnt Physiotharapy Pain hs￿la110n Podisty Rh8umatto Care A880¢i8llon 1>80Ttasb A%socla RCN- Rheumatclogy Fcff

THE ARTHRITIS AND MUSCULOSKELETAL ALLIANCE TRUSTEES REPORT For the year ended 31 Decèmber 2012 Rheumatology phaM￿cY Royal College of ChiropraGto Royal College of Podlalry Royal Osteoporosis So¢i8ty Scleroderma & Fiaynoud's UK Sortety of Musouloskelelal Medlcln8 SoGt8ty of Sports Th8rapi8ts UK Gout Soctety Versus Arthrfti% ABsoclat• m•mb8rs bbVIo Freehab Ga18pagos UK getU8etter Good Boost Gnlnenth81 Natlonal Orthopaedic Alllance PhysioFast Online ACHIEVEMENTS AND PERFORMANCE In 2022 our focus ha8 been on delivering work to improve MSK seryices, in line wth members, prtorflles. The priorities set by our members were Improvtng seNlces for people with MSK condlUon8 through the Best MSK Health wogramme and tackling health inequalities. NHS England and Improvement's MSK Improvem￿1 programme. Best MSK Heath, has rtow ended havlng created a numberof rasourcas Indicating whal local system8 need to do to wovlde excellent MSK services. We now move from ensuring thgS8 rnsources refiecl our polldes to ensurfng they are Smplemented locally. The pandemlc has continued to impaci ¢Jur members and people wth MSK conditions. ReducirvJ the baGklog of NHS treatsnenl remalns a chalbnge. PaoF46 who are Immunosuppressed conllnue to be more impacted by COVID-19 than olheTS afthough communty treatments are now available. We have cOn￿nUed to support our patient member organ18ation8 to respond to the needs of their members by keeping thèm updated on national policy in relauon lo COVID va¢xlnatlorts and treatrngnts, and relaying thetr M￿tserS. experfences to NHS England and D8partment of Health. Below we 88t out some of our key actNities arvj achievements throughout the year. In Actlve engagement wth Best MSK He81th thmughout year, particl￿81￿ the Programme Board. supported soff-man8gement workstream and prtmary and community sgrvi We hav8 also engaged wlth a range of other NHS England tsams InclL¢dlng ongoing work on gupport for p80ple with chronlc paln and c(MmmunMy seNIc8s restoraUon. Now that Best MSK Health has Geased to b8 part ofthe pathway improvement programm8 we continuè to engage with work as tt progresses. We have secured Some fvnding to support ARMA memter8 Icral engagement with Best MSK Health work and begun to dellver. Engagem8nt wSth the ts¥o MSK dlnlcal leads In Wal8s and lolned the MSK Netsw)rk they have establtsha(i. Health e Set up and c￿ttinu*11Y upd81è our MSK Héalth Equalities resourc8 page, whlch 18 engbllrvJ people lo find resources lo deliver work on equaliues. Awell received prgsentation to thg NHS England He8llh Inequ8Dtss Improvement Board on the Importance of MSK health whith has opened to doorforfvrther discussicms in 2023.

THE ARTHRrris AND MU8CULOSKELEfAL ALUANCE TRUSTEES REPORT For the ￿or gnded 31 Decombgr 2022 Held our annual lecture fac￿ to face for the flrnt tlme 81nce 2019 on the subjed of health Inèqualives. Convenad meetings of ARMA members with an inler88t Sn health equalities issues for paliant organisa￿On$ and for the profèssional mèmbèrs enabllng Ihem to shere Ideas and Intelltgence. Th18 Is enabllng mutual support where mgrnbgrs are grappllng wrth 81mllar198ues. Publl8hgd a gulde for 80cial pr88crfblNJ 88rvlc88 on supp)rtlng poople wllh MSK ¢ondllloro. Thls has been well recelved by the MSK and 8odal prescthlng communilles. Published a resource for pb)plo wlth Ilved eyperienc4 getting Involved In MSK 80ryiCO8 coprodutxbn on how to be effeclfve In thls woth. Wo arn dellghted to welcom8 GIouc*8ter8hlr8 Arthrltls Tn￿1. orthopaedlc Rttearch UK and Paln concem 88 members and g8tUbetter and Freehab a8 as8oclat8 mémbers. FINANCIAL REVIEW Flnanclal R••ult• of Acthiltl•• and Ev•nts The dèlalled financlal reBult8 of Ihe ch8rfty'8 actlvlUe8 and evant8 ar8 88t out In the Ststement of Fln8ndal Athtles on page 10. Totsl Incomlng resources for tho year were £133,79812021.. £107,430), and total rgsourc88 expended were £93.193 {2021: £95,500), rngulltrvJ In po8lllv6 nel movement of lund8 of £40,805 p08111v• {£11.930 POBltlve In 20211. £23,000 of th18 Incom818 r88tdGted lo prolgGt8 whlch wlll be d•lfv•rod In 2023. R•MTh•• Poll¢y Tho tru•to08 have 1den￿fle￿ a rf8k relating to thè charlll88 fln8n¢lo16ustsknablllty and Seek to rn￿19ate that rf8k through the appll¢atlon of a roseNe8 ￿lICY. At the year end the free reserve8 wern at £ 57,29912021: 39.894) 8llghlly above the Board res8Nes larg8L The Boord plan8 to r8vl8w th8 pollcy In 2023 t8klng Into account the lev81 of Infiallon and our new operatlng rnodel to en8ure thatwo contlnuo to hav• r080rv88 8uffl¢lent to addro88 any 8udden reducllon In Income. We a180 hold r88tr1ctod r080n188 to dellver prolects In 2023. Inv••tm•nt• Poll¢y The trust•e8 are wnpowered to knvest the monles of ARMA In 8Gwrdan¢a wlth Its m•nNYandum of a880clallon Icl8use 4.111. Durlng 2022 the economtc 811uatlon made It dlfficull to Identlfy an approprEate v8hkle to detiver relums on reserve8 wilhoul putting c4pilal al r15k. Thls will be revlewed tn 2023 deponding on the economlc situatlon. PLANS FOR FirruRE PERIOD8 The Board developed an operatlonal ptan ftjr 2023 [denu￿ng pdorfty acUvltle$ to del￿er Ihè slr8tegy. All aspects of thls plan were tjeveloped In collaboratlon wlth the member8hlp and are In fjne wtth the d)aritable objectlves of AR￿ The Board agreed a focused plan for 2023 conllnuiw the two prk)rlty areas of acuvlty for 2022.. MSK h&alth serllce Impn)vement- U8lng the ongolng work In England and thè work in Wal98 to promote our key messages and press for MSK se1￿ceS In Ilne vAth our vlslon. Thls VAII Include delivgry of the work to support local engagement we have ra¢elved fundlng for. Hèatth Inequalities- we have a numbor of adNilie¥ planned to support reducth)ns In MSK h8atth Inequalltt88, Includlng the de16very of a nwlor inqulry.

THE ARTHRITIS AND MUSCULOSKELETAL ALLIANCE TRUSTEES REPORT For the year ended 31 D•c•m￿r 2022 We will also dèliver Bone and J¢int Week, the annual leciure and. where resources allow. any webinars, events or publications whl¢h will SUPPDrt Ihese iwo prk)nlies. We wijl Continue our role of nblwotkirvJ, signposting. connecting and co-0ft11natwig lo link ARMA. our m8mbers and olh8r key stakeholders and provldlng svpport for our membern. Impact of Future Activltl8s and Events Th& trustses will c¥)ntinue to measure the charitrfs $L￿e$s by a$S￿n9 thè outcom98 of our actmtses in lina with our dosired outcomeg in the strategy. FUNDS HELD AS CUSTQDIAN Although the ch8dty ma5ntsln5 reslricled fund8 to deal wllh Inu)mlNJ re80urcea th8t arn eaTmaTked for a partfcular PL*fp05e by donors. spC￿s0rs and other fundery, th8 chadty does not hold. and the tnJ8l8es do not anliGipale Ihat il will in futuie hold. any fijnds as custodian for any third party. Small company prDvlslon8 Thls rèport has been prgpar8d In aC4ydar￿ wilh thesp8dal provlslon8 for small Gompanies und8r P8rt 15 of the Compank89 Act 2008. Thls report was approved by the Irustees on 28 Aprll 2023 and was 8lgn8d forand on behallof th? boBrd by Chair Dirk Vennlx ..2023

THE ARTHRrnS & MUSCULOSKELEfAL ALUANCE Independent Examin•V3 R? rt to the tn￿te￿ of the dwrity I report lo the charfty trustees on my ekwninatlon ofthe ao>wnts ofthe (xynpany forth8 year ended 31 December 2022. whlth are set out on pages 09 to 18. R•sponslbllHles and bas18 of Yeport The charity5 trustees are resFrt)nst4e forthe Pwfdlkin ofthè aca>xu)ts in acoydm Thith the rwuyements of the Companles 2006 (the kri. HavlrKJ Sa18f￿ mysew that the accounls of the ￿np8ryare Mt Nuked to bè aui&l&J under Part 16 of the 2W6 Act and are d(gib]e ￿ iendent tsxam￿atsn. I reFrfXt in resp&X of my exaMkna￿n of wur charivs acu)unts as carded out under secti(Jn 145 of the Charilies Act 2011 (tr￿ W11 Att). In ￿rryIng out myexamThiaflon I hav8 follod tho Directsons given byts Charlty Commissirn Secti￿ 1445Xb) ￿ the 2011A Independent examlns slatfjm I have compteted my examinatlon. l thinfimi that no mattw5 have to my In wilh Ihe examlnatlon gi￿ng me ￿ts$¢ to beli￿.. (118¢coun￿ftg records were rK)t kert in resped dthè (xryany as requlred ty se(aiM 386 ofthe 2(K>6 ￿ or (31 the accounts do not Com￿Y Ihe 8(x￿n￿1g rwjulrernents ofseclon 396 oflhe 2006 AL# other ar requirement that ￿ acxounts glve a arKI fairf y￿￿1￿Ch Is not 8 matter cThsldergd as part ofan indgpoThJent exomlnatlon: or 141 the acounts have not been prepared In accordance wilh the r￿th¢￿15 arKI winaples of the Statement of Recommended wactice for accoLM￿n9 aNI repc#11rrfJ by thariuts [apWThble to th8ritles Fryaring thelrac(x)unts In ac£ordofbce wlth the FlnaN?al Reporting Standard applscgblg in tho UK aThJ R8wbl¢ of IrdarKI IFRS 10211. should be drawn In thls report in ¢￿r to a propgr U1Klgrs￿lVj oftho alx￿Unts lo bg reachad. Oavid Hcyward Chartered *ox•Juntsnts 1 Park Road Hampton Wlck KIngStC￿ UFon Th￿05 Surrey lff14A8 26th May 2tr23

THE ARTHRMS & MUSCULOSKELEfAL ALUANCE STATEMENT OF FINANCIAL ACTMTIES (INCLUDING INCOME & EXPENDilliRE ACCOUNT) For the year ended 31 December 2022 Total 2021 Fund• 2022 INCOME In¢om• from g•nernt•d fvndl Inujme from hwestment Incom• from charltsbl• JctMtle• Brlnglng the communtty togèther to Improve quallty of Ife for people mus￿10$k￿¢￿l (a)nditMs 1￿1.848 32.950 133.PJ8 107.427 TOTAL INCOME 100848 ￿950 133798 107430 EXPENOITURE Exp•ndlturn on Charflab￿ •ctlvltl Brtnglng th6 c¢ynmunlty together lo Improve qualtty of Ille for p8opl8 wllh muNwloskel•W coThlS 6.103 93.193 TOTAL RESOURCES EXPENDED Trnnslers b6tsfftn funds 3,847 (3.84n NEf INCOMEI(EXPENDrruREI NEf MOVEMENT IN FUND8 FOR T 17.105 23mO 40.805 11,930 RECONCIUATION OF FUND8 Fund balancos at 1 Jarojary 2022 47,358 35,428 Fufftd b•lan￿ at 31 D•c•mbtt 2022 87,9 47.358 Th• nat In fund8 for at10￿ perkl8 ¥1ft88 frrAn th• tharW$ ccffltlThJlro opgrnllon8. No stPJTate Ststement ol Total Rec%yt&*d G8ln8 and Losses has bggn wo8onknJ 88 galn8 and 108888 are dealt with in the Ststement ol Flnaniial Ad¥lle8. 10

THE ARTHRMS & MUSCULOSKELEfAL ALUANCE BALANCE SHEEr 31 December 2022 F￿lI￿re & fit CompLrter equlpm8nl 772 772 228 CURREpif ASSErs Trade debtorn othgr d9b1￿$ Ca8h at bBnk and In hand 1,716 1.014 99.447 15,9)7 825 102.177 79.6 UABILrnE8 Credltors.. Arnounts folllng du8 wllNn ono 14.988 32.470 NET CURRENT ASSET8 87.191 47.130 TOTAL ASSETS LE88 CURRENT u￿luTIES & NET A88ETS THE FUND8 OF THE CHARThY R••trl¢¢ed Income fvnd• Local Netr￿rkS Fund Pn4ect8 Spon8or8hlp Fund Gonor81 Fund 39,894 TOTAL CHARrrY FUND8 10 The dlroclors qrg sa￿fi8d the company Is onllll8d to axompkn ftom th8 roqulrwn8nt to oblaln an audll under Secu(￿ 4T1(2> d the Compantes Act 2￿ and Ihal memb8r8 have not requlred tho compary to obtsln an 8udtt In accord8nca lth 8eclkn 476 of ACL The dlrectors aCkn￿￿edge thelr resp￿lt￿l￿￿$ for ￿)mp￿Ing Ihe requlrements of th& Compankn Act 2006 wlth respect to aco)untsng records 8rMI th• prepwatkin ofactounts: (l) lo keep aecA)untlng records In accordance with sectkn 386; {11} to prepa￿ a¢ccwnts ¥hkh gfve a true and f vlew al the state crf affalrs of thg c<ryany In a(xordanca vlth 393, and olh8rwMe (x)mply vllh th8 requIreM￿ of Iho Act relatlng to accounts, 80 far as applicabbg to the compgny. The accounts have been &Yepafed In accxJrdanc• th8 provbths kn Part 15 of th• Companles At# 2006 aprAi¢8ble to companley SU￿.e￿ to the small ojmpanles regime. Th• finan￿￿ statem•nt8 are wepared In ￿nce wllh the 8p8dal p￿￿$10n¥ of thè Companl&s 2006 8nd sedion 138 of Charrtiès Act 2011. These aceounts are prnpared In eecordanea vlth thé Flnancl81 Repyty St8nd8Td In tho UK and RepL*tt of Irdond {FRS 102) (effecllve 1 January 2019)- {Charltièts SORP (FRS 102)). 11

THE ARTHRITIS & PlIUSCULOSY.ELETAL ALLiAkklCE BALANCE SHEET l Decomb¥r2022 Th8 ftnan¢t81 $18tements on pages 9 to 18 approved by lh8 808rd ol Dlr•dors 8nd aulhodsed foi issue on . . 2023 and sign8d on thelr behalf by Chalr . Trnasuror Olrk Vonnlx .JJddin Vora

THE ARTHRITIS & MUSCULOSKELETAL ALUANCE NOTES TO THE FINANCIAL STATEMENTS For tho yoar endod 31 De¢¢mbor 2022 AccouKfiNG POUCIES Basls of accountlng Tha financial Statements hav8 b8en prap8red in accordance with Accounttng and Rewting by Charbties. stalemgnl of Recommended Practice applicable to charities preparlng thelr accounts In accordance wllh the Flnancial Reporting Standard applicable In Ihe UK and Republlc of Ireland IFRS 102) (affecti￿ 1 January 2019) - Charities SORP {FRS 102)), tho Flnancial Reporting Slandard applicabl8 In the UK and Republic ireland IFRS 10218nd the Companies Act 2008. Assets and Ilabilltks are inltially reGognlsed al h181odcal o)$t or transaction value unless 0th8rw188 Stated In the relevant accountlng pownotelsl. The Ch8rfty has taken advantage of thg provisions in the SORP for ch8ritle8 applylng FRS 102 Updat& Bulletin 1 not to prepare a Statement of Cash Flows. Tha prlndpal accounung poll¢1￿ adoptsd In the preparatlon of the Its￿ncle1 slatemenls are set out below. b) Income Grants, donafjons and olh8r slmllar typ88 of voluntary Income ar6 brought Into account when recelved, except that donated in¢om8 IB I￿￿￿ed gross of any attdbulable lax recoverable, where relevant. Donatlon$ glven for speclfic purp08è8 are tregted 08 rèstdctsd In￿Me. Inve6tmen InD)me IB accounted on a recefvable ba818 once the dmdend has b89n dgclared. or the Inter881 eamed. Credf( Is taken In the aceounl8 for the proportion of sub8crfpllons. whlch ar• rae•lv8bl8 In tha flnanclal perlod. AJI ot￿r types of In￿me are a180 a¢¢ountod for on 8n accrua15 bas18. Expendltur• Eyndlture18 allocalod to Iho chadVB pdndp&l act1￿ wh8re the cos18 can be Iden￿fl8d aB belng dlr8GtIy r81oted lo that aottvlty. All c08ts that cannot bo Idon￿fl•d 88 r•lalkng dlrecuy to charity8 pdnclp81 acllvlty ara CAtegorf8ed 88 eliher 8UPPOrt C08ts lx g¢)veman¢e osts. Any o>8ts that cannot be 8peclficalty categorf88d are allo¢8ted h proprtlon8 ba8ed upon 8 8uttabl8 rallo 8ppllcablè to th• nalurn ol th• c08t Irwofved. d) Tanlllble fix•d ou•t• and d•prncl•tl( Tanglblg Ilxed 8868ts are 8tsted at hlslodc41 c08L DeprnGlaUon IB Pry)vlded on all tanolbl8 8s$oty 01 rai88 c4l¢ul8W to vKtto 88ch a88et down to Its 98tlmaled r881dual v4lug gventyovor Its ueeful Ilfe, as follovm: Fumlture & flttlng8- 15% per annum Computer aqulpmant. over 3 year8 Fund accountlng The general fund compd8e8 the a¢¢umulated 8urplu80$ of unMtrf¢tsd Inojmlng re80urco8 over resour￿ •xpond•d. They8re avallable for u88 In fvrther8nc8 of tho g8n8ral obl8ctfve8 of the charfty. D881gnat8d fundB aTa a partlcular fonn of unre8lrtcted hjnds conslsilng of 8moun18, whlch have bggn allocaled or d881gnaled for Sp￿1ft¢ purp(18eB by Ihg tru8toe8. Tho use of d88lgngled fund¥ romaln8 at the dlscrellon of th• Irustg98. Restrlctgd fund8 are fund$ $ublo¢t to $po¢fflc ¢ondlllon8 Impos￿ by donorn. The purp068 and u88 of the re8lrfcl8d fvnds are Set In the nole8 to the accounts. Amount8 un8p8nt 81 the ￿er ond aro ¢arrlod forward In the balance sheet. Logal stalu8 of the charlty The charlty18 a companyllmtted bygu8r8ntse and has no sh8re caplt81. The d￿￿tyWa8 Incorporated In England arKI Wal88 on 2 March 2005, Company no. 5380237, and UK Charltyno. 1108851. gistersd on 5 ￿1 2￿5. The reglBter8d offlce18 24 Holbm VladucL London. EC1A 2BN. Dobtor• Trade and oth•r debtm are recognl8ed 8tts 8ettEement amount due. Golng Gon¢gm Tho Chartys actlvltles, together wlih the factors nk•lyto affecl118 futura development, Its financlal positknn, financlol risk m8nagemenl obSecttvo8 and derfvatfve actMtle8, and Its exposures lo Ilquidty and cash flow rlsk are descrfbed In thls Trnsté6 Dirèctors, Rèport. The chadty has slgnmcant reserves and 8uff*lenl c88h re8ourc88. w￿h no debt. ￿11 make tt P088lbh to fund tho Charityactlvltl88. Expen8es ar8 8180 managed. ￿ere POSBtble. in line I￿1h oontrfbutlon8 rgcelved. As a c￿Sequence, the Trustee Dlrectors belleve that the Chadty Is well placed to manage fts businoss ￿SkS 5uccessfullyglven th8 Current economic outlook. After maklng enquirie8, the director5 have a rgasonabte expectation that the comp8nyhas odgqu8t• resources to x¢ntlnue In operatbnal exlstenc8 for the foreseeable future. AGo)rdlngty, theyconllnue to adopt th8 going concem ba818 In prepadng the annual report and accounts. h) 13

THE ARThRITIS & MUSCULOSKELETAL ALUANCE NOTES TOTHE FINANCIAL STATEMEP4TS For th• ytsr•nd•d 31 D•¢•mbqr 2022 INVESTMÉNT INCt)ME Fund• Funth IMCI)ME FROM OF BRINGIMG ThE COMMUNrrYTOGEfHER TO IMPROVE QUALrrY OF UFE Funds Funds 2022 61208 5.321 19.720 GT8nts. other thJ)8tkns or 37,950 3.4 1.324 15.302 COSTS OF BRIIIGING THE COMIIJUNrrY TOGEfHSt TO IWIPROVE QiIPLtTY OF UFE FOR PEOPLE WITh MUSCULOSIQEfAL C¢YIDrnONS Fund Fund# 18.IX 18,OC#) 4,314 22,314 19 4.314 4.314 18.(KlO Deson Equalty prol•ct stafflftg Supp¢Xt rx6ts (see ￿>t8 51 GovomarKe cc6ts (8ee rnte 5) 924 .437 .437 8,653 9.091 14

THE ARTHRITIS & MUSCULOSKELETAL ALLIANCE NOTES TO THE FINANCL4L STATEMENTS Forthe Y¢ar0nd￿ 31 DK¢mbw 2022 2022 58.516 Recruitment Staff dwebpm•nt Ileellng ￿sts Statlcffiery. ¢ekphone FKI48 Computor and soffvA Sundries Subscrlptky Wabsfte m8nagomw 518 576 878 118 105 1.175 781 1.162 12 217 4.170 276 2.762 235 Insur8nc& Accountan Independ￿t Ex•mvvs Fee5 L8gal arKI yofeswnJ fees 110 1.103 754 1741 531 531 103 614 Bank ¢haryes 10 61 103 228 15

THE ARThRITIS & MUSCULOSI(ELEfAL ALUANCE NOTES TO THE FINANCIAL STATEMENTS For Iho year onded 31 December 2022 TRUSTEE AND STAFF COSTS a) Trusto8 Inform￿On During the 3 trustees (2021: trustees) tre re1m1￿￿d for rn8￿ expen i[K￿rred ￿ bthglfof fv cP4rity totaliThJ fAM (2021: £rl). b) Slaff Infom Tolal 2021 The avernge rKmber cl staff emFtyd by ts tharity duTWU the wr was as fdlchvs: Bringlng communty tC43ettwto bnprove qualtty Salaries and wage5 Social securlty &)sts P6n$￿)n ¢>)sts 53.341 3.543 1,632 2.175 Durirvj the swr emknes (2021: nong) rgc•vwl om0￿m•￿ £60.1)￿1 Tha charity director sL￿n Brovm. l)o Is n( a Tn￿. was pahl £50,959 ￿ Iho year ended 31st Dewnber 2022. Fumllurn & Comiwtsr •qiilpmont 1 January 2022 Addibons Dlsposals 310ecember 2022 1.119 2,445 1,158 1.158 1.119 DEPRECIATION 1 January 2022 Disposals Charges for thg peri￿￿ 31 December 2022 1.119 2217 614 1.712 614 2.831 1.119 NEf BOOKVALue 31 Decmber 2022 1 Jawary2022 16

THE ARThRITIS & MUSCULOSKELEfAL ALUANCE NOTES TO THE FINANCIAL STATEMENTS For t￿ year ended 31 December 2022 CREDITORS Amounts falling due ￿1n 2022 2021 Trade creditors Taxation & so(181 Se(￿rity rnsts Olh8r crgJitors 1.122 972 1003 319 29,602 12,662 Total THE FUNDS OF THE CHARITY Transf• At31 Decamb8r 2022 funds Lcxxl Nelths FuThJ Prole(ts SprffMrshlp Furnl 7.cm 32.950 (6.103) (3.847) Unr•8trICt￿ Incom? fvnds: Gerwal Fund 39.W 100.848 (87.090) 3,847 57299 Local Networks Fund The L￿1 NetsDrks Fund vras set up to L￿91 Nthrks Mfjth lh8 SUPFJt of Depathwrt of Health's Se(thn 64 grant sca)eme and to r￿l￿e othw graiits for use ty Indmdual ARMA loca groups. Th balance on Ihe atthe sear eThl £66412021: £664) ts use byARMA D(wseL ProJ•cts Sponsorshlp Fund A fund for propcts ur¥Jertaken byARMA in rArtnerslup ilh its M￿b￿S. 17

THE ARTHRITIS & MUSCULOSKELETAL ALUANCE NOTES TO THE FINANCIAL STATEMENTS For Ihe year ènded 31 December 2022 10 ANALYS18 OF NET A8SEfs BETWEEN FUN1>8 Tanglble Ilx•d assets Currgnt Currnnt llablllt1￿ Total Restrlcted In￿me fund•: Local Nel%￿rkS Fund Projects Sponsorshlp Fund 30,C Unrn•trlctsd Incomo fund•: G￿ra1 Fund n2 71,513 114,9861 57.299 772 102.177 {14986) 87.963 11. CONTrOL Th8 ￿MpanY Is Ilmlted by guarantee and as such has no share cap6ts1. The compgny 1$ controlled by Its mombers who are the 38 membar organ188tlons whlch 8ub8crlbe to the Arthrfls and Musculoskeletsl All8r￿8. Every member organlsotton of the ￿mPanY urKlertako8 to ¢ontrfbute such amounts a8 may bé rgqulred nol oxceedlng £1 to the a88ets of th6 ¢ompany If It Should be wound up %th518t the organlsatlon Is 8 mambor or wthlft ono ￿8raft•r th• organls8lon ¢W88 to bo 8 member. 11 RELATED PARTY TRAN8ACTION8 There were no dls¢lo8abla related paty tran8actlon8 durfng Ihe ye8r12021- none). 13. TAXATION The charfty18 èxempl from tsx on Ineorne and galns falllng wllhln seGrfon $05 of the Tax88 Act 1988 or 88Ctlon 252 of the T8xatlon of Chargeable Galns Act 1992 to the oxtent that th888 are a￿led to It8 charftsble object8. 18