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2021-06-30-accounts

Charity number: 1110248

THE ORTHOPAEDICS TRUST

UNAUDITED

TRUSTEES' REPORT AND FINANCIAL STATEMENTS

FOR THE YEAR ENDED 30 JUNE 2021

THE ORTHOPAEDICS TRUST

CONTENTS

Page
Reference and administrative details of the charity, its Trustees and advisers 1
Trustees' report 2 - 3
Independent examiner's report 4
Statement of financial activities 5
Balance sheet 6
Notes to the financial statements 7 - 16

THE ORTHOPAEDICS TRUST

REFERENCE AND ADMINISTRATIVE DETAILS OF THE CHARITY, ITS TRUSTEES AND ADVISERS FOR THE YEAR ENDED 30 JUNE 2021

Trustees G S Barham
R P Colman (appointed 25 May 2021)
Paul Nicolai (appointed 26 October 2020)
Anish Sanghrajka (appointed 26 October 2020)
J K Tucker
A N Wright (appointed 25 May 2021)
O Frankl (resigned 25 April 2021)
P Johnson (resigned 26 October 2020)
J C M Starling (resigned 25 May 2021)
J Wimhurst (resigned 26 October 2020)
Charity registeredThe Orthopaedics Charitable Trust Fund
name
Operating nameThe Orthopaedics Trust
Charity registered
number
1110248
Principal office
5 Church Farm
Watton Road
Norwich
Norfolk
NR4 7TX
Accountants
Larking Gowen LLP
Chartered Accountants
King Street House
15 Upper King Street
Norwich
NR3 1RB
Bankers
Lloyds TSB
Surrey Street
Norwich
NR1 3NF
Stockbrokers
Barratt & Cooke
5 Opie Street
Norwich
NR1 3DW

Page 1

THE ORTHOPAEDICS TRUST

TRUSTEES' REPORT FOR THE YEAR ENDED 30 JUNE 2021

The Trustees present their annual report together with the financial statements of the charity for the 1 July 2020 to 30 June 2021.The Trustees confirm that the Annual report and financial statements of the charitable company comply with the current statutory requirements, the requirements of the charitable company's governing document and the provisions of the Statement of Recommended Practice (SORP) applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS102).

The charity also trades under the names The Orthopaedics Trust.

Objectives and Activities for provision of Public Benefit

a. Policies and objectives

The objects of the charity are for the relief of the sick whether by:

Achievements and performance

The charity awarded grants of £163,189 (2020: £61,137) during the year, as detailed in note 4 to the accounts.

The trustees confirm that they have referred to the guidance contained in the Charity Commission's general guidance on public benefit when reviewing the charity's aims and objectives and in planning future activities and setting the grant making policy for the year.

Reserves

The charity was established with an initial endowment from Miss Fish’s Will. The trustees have the power to expend both unrestricted and endowment funds. They also have the power, for 21 years after 2 January 2005, to accumulate all or part of the charity's income in any year. Thus the charity’s reserves free for application towards the objects at any time consist of its total funds, amounting to £1,263,231 at 30 June 2021.

The Trustees would be willing to consider supporting one or more substantial projects in the future which would probably involve development at the Norfolk & Norwich University Hospital Orthopaedics Department. In the absence of any firm proposals for such development the Trustees will consider grant applications for research projects or other matters within their remit as and when they receive them.

Page 2

THE ORTHOPAEDICS TRUST

TRUSTEES' REPORT (CONTINUED) FOR THE YEAR ENDED 30 JUNE 2021

Structure, governance and management

The charity is governed under the terms of the Will of Miss Ellen Gwendoline Fish (deceased 2 January 2005), which was proved at the District Probate Registry at Brighton on 8 March 2005.

Keith Tucker and Chris Starling were appointed as trustees under the terms of the Will which also provided that on the death or retirement of one of the Trustees the remaining Trustee would appoint a new Trustee and also expressed the wish that "when a new Trustee replaces Mr. Tucker the new Trustee be chosen from those practising in East Anglia in orthopaedics who carry on the traditions of Mr. Tucker". In the meantime the Trustees have exercised their powers under the Trustee Act 1925 as amended to appoint additional Trustees.

Statement of Trustees' responsibilities

The Trustees are responsible for preparing the Trustees' report 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 & Wales requires the Trustees to prepare financial statements for each financial which give a true and fair view of the state of affairs of the charity and of its incoming resources and application of resources, including its income and expenditure, for that period. In preparing these financial statements, the Trustees are required to:

The Trustees are responsible for keeping adequate accounting records that are sufficient to show and explain the charity's transactions and disclose with reasonable accuracy at any time the financial position of the charity and 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.

Approved by order of the members of the board of Trustees and signed on their behalf by:

................................................ J K Tucker (Trustee) Date:

Page 3

THE ORTHOPAEDICS TRUST

INDEPENDENT EXAMINER'S REPORT FOR THE YEAR ENDED 30 JUNE 2021

Independent examiner's report to the Trustees of The Orthopaedics Trust ('the charity')

I report to the charity Trustees on my examination of the accounts of the charity for the year ended 30 June 2021.

This report is amde soley to the charity's Trustees, as a body, in accordance with Part 4 of the Charities (Accounts and Reports) Regulations 2008. My work has been undertaken so that I might state to the charity's Trustees those matters I am required to state to them in an Independent examiner's report and for no other purpose. To the fullest extent permitted by law, I do not accept or assume responsibility to anyone other than the charity and the charity's Trustees as a body, for my work or for this report

Responsibilities and basis of report

As the Trustees of the charity you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 ('the 2011 Act').

I report in respect of my examination of the charity's accounts carried out under section 145 of the 2011 Act and in carrying out my examination I have followed the applicable Directions given by the Charity Commission under section 145(5)(b) of the 2011 Act.

Independent examiner's statement

I have completed my examination. I confirm that no matters have come to my attention in connection with the examination giving me cause to believe that in any material respect:

  1. accounting records were not kept in respect of the charity as required by section 130 of the 2011 Act; or

  2. the accounts do not accord with those records; or

  3. the accounts do not comply with the applicable requirements concerning the form and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a 'true and fair' view which is not a matter considered as part of an independent examination.

I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached.

Signed:

Dated:

Giles Kerkham FCA DChA

Larking Gowen LLP Chartered Accountants King Street House 15 Upper King Street Norwich, NR3 1RB NR3 1RB

Page 4

THE ORTHOPAEDICS TRUST

STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 30 JUNE 2021

Note
Income and endowments from:
Investments
2
Other income
Total income and endowments
Expenditure on:
Charitable activities
3
Total expenditure
Net expenditure before net
gains/(losses) on investments
Net gains/(losses) on investments
7
Net (expenditure)/income
Transfers between funds
10
Net movement in funds
Reconciliation of funds:
Total funds brought forward
Net movement in funds
Total funds carried forward
Unrestricted
funds
2021
£
33,946
-
33,946
164,811
164,811
(130,865)
5,213
(125,652)
125,652
-
-
-
-
Endowment
funds
2021
£
-
-
-
528
528
(528)
96,371
95,843
(125,652)
(29,809)
1,293,040
(29,809)
1,263,231
Total
funds
2021
£
33,946
-
33,946
165,339
165,339
(131,393)
101,584
(29,809)
-
(29,809)
1,293,040
(29,809)
1,263,231
Total
funds
2020
£
39,097
723
39,820
63,221
63,221
(23,401)
(28,763)
(52,164)
-
(52,164)
1,345,204
(52,164)
1,293,040

The Statement of financial activities includes all gains and losses recognised in the year.

The notes on pages 7 to 16 form part of these financial statements.

Page 5

THE ORTHOPAEDICS TRUST

BALANCE SHEET AS AT 30 JUNE 2021

Note
Fixed assets
Investments
7
Current assets
Cash at bank and in hand
Creditors: amounts falling due within one
year
8
Net current liabilities
Total assets less current liabilities
Creditors: amounts falling due after more
than one year
9
Net assets excluding pension asset
Total net assets
Charity funds
Endowment funds
10
Total funds
83,000
83,000
(236,623)
2021
£
1,434,509
1,434,509
(153,623)
1,280,886
(17,655)
1,263,231
1,263,231
1,263,231
1,263,231
92,572
92,572
(157,978)
2020
£
1,362,979
1,362,979
(65,406)
1,297,573
(4,533)
1,293,040
1,293,040
1,293,040
1,293,040

The financial statements were approved and authorised for issue by the Trustees and signed on their behalf by:

................................................ J K Tucker (Trustee) Date:

The notes on pages 7 to 16 form part of these financial statements.

Page 6

THE ORTHOPAEDICS TRUST

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2021

1. Accounting policies

1.1 Basis of preparation of financial statements

The financial statements have been prepared in accordance with the Charities SORP (FRS 102) - Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019), the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) and the Charities Act 2011.

The Orthopaedics Trust meets the definition of a public benefit entity under FRS 102.

1.2 Going concern

After making appropriate enquiries, the Trustees have a reasonable expectation that the charity has adequate resources to continue in operational existence for the foreseeable future. For this reason, they continue to adopt the going concern basis in preparing the financial statements. Further details regarding the adoption of the going concern basis can be found in the accounting policies.

1.3 Income

All income is recognised once the charity has entitlement to the income, it is probable that the income will be received and the amount of income receivable can be measured reliably.

Other income is recognised in the period in which it is receivable and to the extent the goods have been provided or on completion of the service.

1.4 Expenditure

Expenditure is recognised once there is a legal or constructive obligation to transfer economic benefit to a third party, 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 on charitable activities is incurred on directly undertaking the activities which further the charity's objectives, as well as any associated support costs.

Grants payable are charged in the year when the offer is made except in those cases where the offer is conditional on further approval from the Charity, such grants being recognised as expenditure when the conditions attaching are fulfilled.

1.5 Investments

Fixed asset investments are a form of financial instrument and are initially recognised at their transaction cost and subsequently measured at fair value at the Balance sheet date, unless the value cannot be measured reliably in which case it is measured at cost less impairment. Investment gains and losses, whether realised or unrealised, are combined and presented as ‘Gains/(Losses) on investments’ in the Statement of financial activities.

1.6 Cash at bank and in hand

Cash at bank and in hand includes cash and short-term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the deposit or similar account.

Page 7

THE ORTHOPAEDICS TRUST

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2021

1. Accounting policies (continued)

1.7 Liabilities and provisions

Liabilities are recognised when there is an obligation at the Balance sheet date as a result of a past event, it is probable that a transfer of economic benefit will be required in settlement, and the amount of the settlement can be estimated reliably.

Liabilities are recognised at the amount that the charity anticipates it will pay to settle the debt or the amount it has received as advanced payments for the goods or services it must provide.

1.8 Financial instruments

The charity only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value with the exception of bank loans which are subsequently measured at amortised cost using the effective interest method.

1.9 Fund accounting

General funds are unrestricted funds which are available for use at the discretion of the Trustees in furtherance of the general objectives of the charity and which have not been designated for other purposes.

Investment income, gains and losses are allocated to the appropriate fund.

The Endowment fund is expendable endowment which represents the capital of the Charity. As described in the Trustees' report, the Trustees have the power both to expend capital and to accumulate income as capital.

2. Investment income

Unrestricted
funds
2021
£
Dividend income
27,341
Bank income
1
Interest bearing securities
6,604
Total 2021
33,946
Total
funds
2021
£
27,341
1
6,604
33,946

Of investment income received in 2020, £39,097 was unrestricted and Nil was restricted.

Page 8

THE ORTHOPAEDICS TRUST

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2021

2. Investment income (continued)

Dividend income
Bank income
Interest bearing securities
Unrestricted
funds
2020
£
33,767
8
5,322
39,097
Total
funds
2020
£
33,767
8
5,322
39,097

Page 9

THE ORTHOPAEDICS TRUST

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2021

3. Analysis of charitable expenditure

Charitable activities
Charitable activities
Grant
funding of
activities
2021
£
163,189
Grant
funding of
activities
2020
£
61,137
Support
costs
2021
£
2,150
Support
costs
2020
£
2,084
Total
funds
2021
£
165,339
Total
funds
2020
£
63,221

Page 10

THE ORTHOPAEDICS TRUST

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2021

4. Analysis of grants

Cambridge University Hospital - research into 3D Motion Capture
Technology in the assessment of the shoulder (NK)
NNUH - research into the CAPability study to evaluate patient outcomes
(IM)
Oxford University Nuffield Department of Orthopaedics, Rheumatology
and Musculoskeletal Sciences - research into the use of mapping existing
ankle replacement data using worldwide national joint registries (TP)
Cambridge University Department of Surgery - research into the reparative
potential of skeletal stem/progenitor cells from anatomically distinct sites
(EA)
UCL - research into the retrieval analysis of newly introduced implants
(HH)
Cambridge University Department of Surgery - research of dendritic cells
in the repair of cartilege damage (AH)
Manchester University - research into tissue retrieval and analysis to
understand mechanisms of failure to cartilege repair surgeries (LB)
Cambridge University Teaching Hospitals NHS Foundation Trust -
research into the use of augmented shoulder arthroplasty, revealing the
camouflaged data (MD)
UEA Department of Biological Science for research into establishing
inhibition of MMP-14 as a viable therapeutic in Dupuytren's disease (MP)
NNUH/UEA - research into joint space mapping of the standing knee joint
for imaging assessment of Osteoarthritis (TT)
University of Nottingham Department of Orthopaedics and Trauma -
research into the outcomes following total hip replacement for trauma
using NJR data (BM)
Royal Devon and Exeter Hospital - 5 year survivorship of total ankle
replacements (TJ)
Grants withdrawn
2021
£
-
64,596
3,230
12,420
26,650
-
32,398
1,740
17,655
-
1,740
2,760
-
163,189
2020
£
25,000
-
-
-
-
29,605
-
-
-
9,674
-
-
(3,142)
61,137

Page 11

THE ORTHOPAEDICS TRUST

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2021

5. Support costs

Unrestricted
funds
2021
£
Barratt & Cooke Nominee Fees
-
Accountancy & Independent Exam fees
1,422
Clerks honorarium
200
Total 2021
1,622
Unrestricted
funds
2020
£
Barratt & Cooke Nominee Fees
-
Accountancy & Independent Exam fees
1,380
Clerks honorarium
200
Total 2020
1,580
Endowment
funds
2021
£
528
-
-
528
Endowment
funds
2020
£
504
-
-
504
Total
funds
2021
£
528
1,422
200
2,150
Total
funds
2020
£
504
1,380
200
2,084

6. Net incoming resources/ (resources expended)

2021 2020
£ £
Independent examiners remuneration 1,422 1,380

During the year, no Trustees received any remuneration (2020 - £NIL). During the year, no Trustees received any benefits in kind (2020 - £NIL).

Page 12

THE ORTHOPAEDICS TRUST

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2021

7. Fixed asset investments

Cost or valuation
At 1 July 2020
Additions
Disposals
Revaluations
At 30 June 2021
Net book value
At 30 June 2021
At 30 June 2020
All the fixed asset investments are held in the UK.
Listed
securities
£
1,362,979
142,949
(173,003)
101,584
1,434,509
1,434,509
1,362,979

8. Creditors: Amounts falling due within one year

Grant creditors
Accruals and deferred income
9.
Creditors: Amounts falling due after more than one year
Grant creditors
2021
£
235,201
1,422
236,623
2021
£
17,655
2020
£
156,598
1,380
157,978
2020
£
4,533

Page 13

THE ORTHOPAEDICS TRUST

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2021

10. Statement of funds

Statement of funds - current year

Balance at 1
July 2020
£
Unrestricted
funds
General Funds
-
Endowment
funds
Endowment
Fund
1,293,040
Total of funds
1,293,040
Income
£
Expenditure
£
33,946
(164,811)
-
(528)
33,946
(165,339)
Transfers
in/out
£
125,652
(125,652)
-
Gains/
(Losses)
£
5,213
96,371
101,584
Balance at
30 June
2021
£
-
1,263,231
1,263,231

In accordance with the conditions stated within Miss Fish's Will, the transfer of £125,652 (2020: £24,825) from the endowment fund to the income fund reflects an application of the charity's capital towards the charity's objects.

Page 14

THE ORTHOPAEDICS TRUST

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2021

10. Statement of funds (continued)

Statement of funds - prior year

Unrestricted
funds
General Funds
Endowment
funds
Endowment
Fund
Total of funds
Balance at
1 July 2019
£
-
1,345,204
1,345,204
Income
£
39,820
-
39,820
Expenditure
£
(62,717)
(504)
(63,221)
Transfers
in/out
£
24,825
(24,825)
-
Gains/
(Losses)
£
(1,928)
(26,835)
(28,763)
Balance at
30 June
2020
£
-
1,293,040
1,293,040

Page 15

THE ORTHOPAEDICS TRUST

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2021

11. Analysis of net assets between funds

Analysis of net assets between funds - current year

Unrestricted
funds
2021
£
Fixed asset investments
171,278
Current assets
83,000
Creditors due within one year
(236,623)
Creditors due in more than one year
(17,655)
Total
-
Analysis of net assets between funds - prior year
Unrestricted
funds
2020
£
Fixed asset investments
69,939
Current assets
92,572
Creditors due within one year
(157,978)
Creditors due in more than one year
(4,533)
Total
-
Endowment
funds
2021
£
1,263,231
-
-
-
1,263,231
Endowment
funds
2020
£
1,293,040
-
-
-
1,293,040
Total
funds
2021
£
1,434,509
83,000
(236,623)
(17,655)
1,263,231
Total
funds
2020
£
1,362,979
92,572
(157,978)
(4,533)
1,293,040

12. Related party transactions

During the year a sum of £200 was paid to O Frankl as honorarium for clerking services, as approved by the Trustees.

The charity has not entered into any related party transaction during the year, nor are there any outstanding balances owing between related parties and the charity at 30 June 2021.

Page 16