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2024-06-30-accounts

Charity number: 1110248

THE ORTHOPAEDICS TRUST

UNAUDITED

TRUSTEES' REPORT AND FINANCIAL STATEMENTS

FOR THE YEAR ENDED 30 JUNE 2024

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 - 14

THE ORTHOPAEDICS TRUST

REFERENCE AND ADMINISTRATIVE DETAILS OF THE CHARITY, ITS TRUSTEES AND ADVISERS FOR THE YEAR ENDED 30 JUNE 2024

Trustees G S Barham
R P Colman
P Nicolai
A Sanghrajka (resigned 1 October 2023)
J K Tucker
A N Wright
S S Kang (appointed 1 October 2023)
Charity registeredThe Orthopaedics Charitable Trust Fund
name
Operating nameThe Orthopaedics Trust
Charity registered
number
1110248
Principal office
21 Branksome Road
Norwich
Norfolk
NR4 6SW
Accountants
Larking Gowen LLP
Chartered Accountants
1st Floor, Prospect House
Rouen Road
Norwich
NR1 1RE
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 2024

The Trustees present their annual report together with the financial statements of the charity for the 1 July 2023 to 30 June 2024.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 operates under the name 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 £89,130 (2023: £66,984) during the year and withdrew grants of £nil (2023: £47,478) as detailed in note 5 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 £1,392,262 at 30 June 2024.

The Trustees would be willing to consider supporting one or more substantial projects in the future. 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 2024

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 2024

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 2024.

This report is made solely to the charity's Trustees, as a body, in accordance with Part 4 of the Charities (Accounts and Reports) Regulations 2008. 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: 29/11/24

Giles Kerkham FCA DChA

Larking Gowen LLP Chartered Accountants 1st Floor, Prospect House Rouen Road Norwich, NR3 1RB NR1 1RE

Page 4

THE ORTHOPAEDICS TRUST

STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 30 JUNE 2024

Note
Income and endowments from:
Donations and legacies
2
Investments
3
Total income and endowments
Expenditure on:
Charitable activities
Total expenditure
Net (expenditure)/income before net
gains on investments
Net gains on investments
Net movement in funds
Reconciliation of funds:
Total funds brought forward
Net movement in funds
Total funds carried forward
Unrestricted
funds
2024
£
14,001
39,031
53,032
91,170
91,170
(38,138)
6,361
(31,777)
91,177
(31,777)
59,400
Endowment
funds
2024
£
-
-
-
877
877
(877)
75,506
74,629
1,258,233
74,629
1,332,862
Total
funds
2024
£
14,001
39,031
53,032
92,047
92,047
(39,015)
81,867
42,852
1,349,410
42,852
1,392,262
Total
funds
2023
£
-
38,345
38,345
22,075
22,075
16,270
31,434
47,704
1,301,706
47,704
1,349,410

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

The notes on pages 7 to 14 form part of these financial statements.

Page 5

THE ORTHOPAEDICS TRUST

BALANCE SHEET AS AT 30 JUNE 2024

2024 2024 2023 2023
Note £ £
Fixed assets
Investments 9 1,469,209 1,364,224
1,469,209 1,364,224
Current assets
Debtors 10 675 306
Cash at bank and in hand 82,398 94,782
83,073 95,088
Creditors: amounts falling due within one
year 11 (71,293) (40,261)
Net current assets 11,780 54,827
Total assets less current liabilities 1,480,989 1,419,051
Creditors: amounts falling due after more
than one year 12 (88,727) (69,641)
Net assets excluding pension asset 1,392,262 1,349,410
Total net assets 1,392,262 1,349,410
Charity funds
Endowment funds 13 1,332,862 1,258,233
Unrestricted funds 13 59,400 91,177
Total funds 1,392,262 1,349,410

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 14 form part of these financial statements.

Page 6

THE ORTHOPAEDICS TRUST

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2024

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.

The recognition of income from legacies is dependent on establishing entitlement, the probability of receipt and the ability to estimate with sufficient accuracy the amount receivable. Evidence of entitlement to a legacy exists when the charity has sufficient evidence that a gift has been left to them (through knowledge of the existence of a valid will and the death of the benefactor) and the executor is satisfied that the property in question will not be required to satisfy claims in the estate. Receipt of a legacy must be recognised when it is probable that it will be received and the fair value of the amount receivable, which will generally be the expected cash amount to be distributed to the charity, can be reliably measured.

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.

Page 7

THE ORTHOPAEDICS TRUST

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2024

1. Accounting policies (continued)

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 Debtors

Trade and other debtors are recognised at the settlement amount after any trade discount offered.

1.7 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.

1.8 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.

1.9 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.

1.10 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.

Page 8

THE ORTHOPAEDICS TRUST

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2024

2. Income from donations and legacies

Unrestricted Total
funds funds
2024 2024
£ £
Legacies 14,001 14,001

3. Investment income

Unrestricted
funds
2024
£
Dividend income
32,894
Bank income
-
Interest bearing securities
6,137
Total 2024
39,031
Total
funds
2024
£
32,894
-
6,137
39,031
Total
funds
2023
£
29,632
3
8,710
38,345

4. Analysis of charitable expenditure

Charitable activities
Charitable activities
Grant
funding of
activities
2024
£
89,130
Grant
funding of
activities
2023
£
19,506
Support
costs
2024
£
2,917
Support
costs
2023
£
2,569
Total
funds
2024
£
92,047
Total
funds
2023
£
22,075

Page 9

THE ORTHOPAEDICS TRUST

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2024

5. Analysis of grants

Femoroacetabular impingement and Hip Osteoarthritis, identifying new
treatment targets
Development of the Core-Kids set of outcome domains for studies of
paediatric knee injuries
Machine Learning to detect or predict the early failure of the NextGen total
knee replacement
Pilot evaluation of anterior cruciate ligament (ACL), biomechanical risk
assessment screening test
Using Machine Learning to detect and predict loosening of the femoral
Modelling and AI using sensor data to personalise pre-habilitation prior to
joint replacement
Development and validation of the Cambridge Knee Injury Assessment
Tool
Using Machine Learning to detect and predict loosening of the femoral
component of an uncemented total hip replacement (VP)
Reduction in chronic post operative pain following total knee replacement
(CM)
UEA - molecular research in bone cancer progression (BCR)
Grants withdrawn
Net incoming resources/ (resources expended)
Independent examiners remuneration
2024
£
17,400
3,730
24,000
25,000
14,000
5,000
-
-
-
-
89,130
2024
£
1,840
2023
£
-
-
-
-
-
-
36,984
15,000
15,000
(47,478)
19,506
2023
£
1,770

6. Net incoming resources/ (resources expended)

Page 10

THE ORTHOPAEDICS TRUST

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2024

7. Support costs

Unrestricted
funds
2024
£
Barratt & Cooke Nominee Fees
-
Accountancy & Independent Exam fees
1,840
Miscellaneous expenses
200
Total 2024
2,040
Unrestricted
funds
2023
£
Barratt & Cooke Nominee Fees
-
Accountancy & Independent Exam fees
1,560
Miscellaneous expenses
329
Total 2023
1,889
Endowment
funds
2024
£
877
-
-
877
Endowment
funds
2023
£
564
-
-
564
Total
funds
2024
£
877
1,840
200
2,917
Total
funds
2023
£
564
1,560
329
2,453

8. Trustees' remuneration and expenses

During the year, no Trustees received any remuneration or other benefits (2023 - £NIL) .

Page 11

THE ORTHOPAEDICS TRUST

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2024

9. Fixed asset investments

Cost or valuation
At 1 July 2023
Additions
Disposals
Revaluations
At 30 June 2024
Net book value
At 30 June 2024
At 30 June 2023
All the fixed asset investments are held in the UK.
Listed
securities
£
1,364,224
212,862
(189,744)
81,867
1,469,209
1,469,209
1,364,224

10. Debtors

2024 2023
£ £
Due within one year
Prepayments and accrued income 675 306

11. Creditors: Amounts falling due within one year

Grant creditors
Accruals and deferred income
2024
£
69,453
1,840
71,293
2023
£
38,491
1,770
40,261

Page 12

THE ORTHOPAEDICS TRUST

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2024

12. Creditors: Amounts falling due after more than one year

2024 2023
£ £
Grant creditors 88,727 69,641

13. Statement of funds

Statement of funds - current year

Balance at 1
July 2023
£
Unrestricted funds
General Funds
91,177
Endowment funds
Endowment Fund
1,258,233
Total of funds
1,349,410
Statement of funds - prior year
Balance at
1 July 2022
£
Unrestricted funds
General Funds
72,758
Endowment funds
Endowment Fund
1,228,948
Total of funds
1,301,706
Income
£
Expenditure
£
53,032
(91,170)
-
(877)
53,032
(92,047)
Income
£
Expenditure
£
38,345
(21,499)
-
(576)
38,345
(22,075)
Gains/
(Losses)
£
6,361
75,506
81,867
Gains/
(Losses)
£
1,573
29,861
31,434
Balance at
30 June
2024
£
59,400
1,332,862
1,392,262
Balance at
30 June
2023
£
91,177
Unrestricted funds
General Funds
Endowment funds
Endowment Fund
Total of funds
1,258,233
1,349,410

Page 13

THE ORTHOPAEDICS TRUST

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2024

14. Analysis of net assets between funds

Analysis of net assets between funds - current period

Unrestricted
funds
2024
£
Fixed asset investments
136,347
Current assets
83,073
Creditors due within one year
(90,381)
Creditors due in more than one year
(69,639)
Total
59,400
Endowment
funds
2024
£
1,332,862
-
-
-
1,332,862
Total
funds
2024
£
1,469,209
83,073
(90,381)
(69,639)
1,392,262

Analysis of net assets between funds - prior period

Fixed asset investments
Current assets
Creditors due within one year
Creditors due in more than one year
Total
Unrestricted
funds
2023
£
105,991
95,088
(40,261)
(69,641)
91,177
Endowment
funds
2023
£
1,258,233
-
-
-
1,258,233
Total
funds
2023
£
1,364,224
95,088
(40,261)
(69,641)
1,349,410

15. Related party transactions

Other than the trustee payments disclosed in Note 8, 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 2024.

Page 14