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2023-12-31-accounts

CompBny rrylstratkni nurnber. 05623273 Chartty rBgtstratt{￿ numtw. 1113471 Colostomy UK {A eomp8ny Ilmw by 8UQfÉntao) Annu81 Re￿rt And Flnarthl S18t8m8nts for tha Year Ended 31 De(mber 2023 WESTCOTTS HAPTEP<P A¢¢OUIITIIY

Colostomy UK Contents Reference and Administrativa Details Trust09s' Rgport 21016 Independent Examinerfs Report 17 Ststoment of Financial Activitses 18 Balan¢0 Sheet 19 Statement of Cash Flows 20 Notes to the FinanGial Statoments 21tD35

Colostomy UK Reference and Adminlstratlve Details Truslees: Ms S A Affleck Mr AM Bird Ir8slgned 16 Febn￿ry 2024) Ms A Lalng Ms P Johal Ireslgr*d 1 November 20231 Mr M Pollitt Mr S SCoff￿d Mr T Skilbeck Ireslgned 8 September 2023> Gharlty R•glstratlon Number 1113471 Company Reglstratlon Number 05623273 The ¢h8rtty is incorporaled in England and W8fes. Reglstsred Offlce 1IXI Berkshire Place Wharfedale Road Winnersh Woklngham RG415RD Independent Examiner Wtstcotts ISW) LLP 47 Boulport Street Bamst8ple Devon EX31 1SQ Page 1

Colostomy UK Tru8teo8' Roport The trustees. IPA￿ are directors for the purwses of company law, prèsènt the annual report together with the financ￿1 ststements of Ihe tharitabk (￿MpanY for the year ended 31 Decemb8r 2023. WELCOME FROAI OUR CHAIR OF TRUSTEES and CHIEF EXECUTIVE This has be￿ a vory busy, but fruitful yaar for Colostomy UK. The office team. vknibt $mo11 in number, ry)ntinue to do great wDrk supporting 811 our ￿neficIall&S and hel[￿ng lo grow and ralse the profile ol our national chaiity. They could nol do this withoth our arniy of volunt8ets. by vhK)m l am (x)nstanlty Insplred. and thankful to. We embarked upon Lwr nèw organisat￿al strategy, with our inilial foGus on slrengthening our f￿￿JationS so we abk lo resource our ptans for the o)ming yEars. At the same time. as you can read below, our work lo 8UPPOrt ostomate8. rai8a awarén0￿ and engage wlth varK)us seiknrs has conllnued unabated. We havo welcomed several new memb￿5 to ujr Offi￿ and volunteer te8ms. and have saKI goLxlb to somo valuéd friends and c<)1￿09UO8. I Ilk• to tak• Ihls opportunty to thank all past and present memiEF5 of our Colostomy UK c(Knmunlty, for Ihe 9￿al work Ihey th) In supporting the Gharity and our benefiuari88. Mandi Law)g. Chairperson As an organi5ation. wg ar8 fDrtunate arKI grateful to have a workforce, compylslng our amazlng vrtluntAA And fAntatip. Ampk)ypo t8am. who #TA so AEéic4tgd to S8rving p8opF8 living with slomg#. 1 feel privileged to work alor4Jside Such a pas8lonats team, comlng together to en8uro we arn Ihere every step of Its way for people ￿th stom8s. Iheff families and carers. The global environment remalns challenglng. for our L¥)mmunllles. our sector and our bonefi¢tades, wlth conunued economlc dlsnjplon and thè Ong￿ng cost of living crisis. The Inueasingty urgent need to Support th• hlHS through th• work that our ¢h•rfty dt￿ has n•vw b￿Th mor• Importsnt. Agginst th8 backdrop of this landscape. our reach. and Iherefore th& nUM￿r of people we support. has continued to grow. Thls success is entlrety due to thé rnmmitmenL drlve and reslllènce of ¢)ur team. Js to ensure we continue to make a posilj.ve dlfferen(x to anJDne impactsd by any kln(l of stoma or stoma Surygry, al any stsg8 of theiriourn•y. Libby Herbert, Ghief Exeortive Page 2

Colostomy UK Trustses, Report GOVERNANCE, STRUCTURE AND MANAGEMENT Gov•mln9 Documgnt The OfganlsalSon Is a charitable wmpany, lirniled by guar8rrtee, incorporated on 15 November 2005, and regL8lered as a charity in the UK ￿ 29 MBrch 2006. The company w89 established under a memorandum of associats'on (as amended by special resolutions on 23 March 2006, 24 March 2007. 5 July 2014, and 29 October 20201, which established the objectives and powers of thé charitable company and Is 0￿9med under its a￿eb&S of association. Publle Bènèfit The trustees have complled wrth section 17{51 of the Charities Act 2011 regarding thè public benefit requlrement. Equal Opportunlti08 The charity is committed lo the prfncip5e and practice of equal Opp￿in((les and is an equal opportuniti8£ employgr. our ern￿OyMent decisions are based on merit and the le911imate needs of Ihe charity. We do not dlsthmlnale on the basls of colour, race or nauonallty, ethnlc or nallonal tirigins. s8x, gondèr ra3s&ignm8nt. S8xual orièntatit)n. mArflal or civil partner slalus, pregnanry or malemty, di88bilty, religion or belief. agè or any other grounds on whith rt i¥ or beGomes unlavdul to discriminate under the laws of England and Wales. Board of Trust8¢$ The directors of the company are also charity Irustees for th8 purposes of charfty law. Collectively they fonn the charitys board of trustees. The board, which compriseg a mix of oslomates (60°/vl and non-osiomates140*A). meets quarterty. Tru$tee Ro¢rultmenl and Appolntment We continua to 8dopl a proactive approach to maintaining a board of Trusl6es wtth Id6nllfflad sklll sets, in ord8r to ensure we have access to the diverse range of competencFes and expersence needed to effedivdy oversee the Charity's operations and developmenl. This year, h¥0 Trustees stepped down and at the ￿ar ond w8 We￿ actively recruiting for their $u¢¢essors, with axp•rti50 in HR as wo11 as charitsble govemance and administration. N•w trusloes have a six-month ir￿uthn. Thi$ includes belng agsigned an exi$lng trusteè a$ a mentor, and spending time with the management team lo gain a sound understanding of the chadtrfs work and stratsgic prlorfUe8. Employ• OUT team of patd èmpk)ye8s grthv slightty over Ihg year lo 1219 FTEI, based predomin8n￿Y from our offices in Woknngham, wth some remote and h￿)riS￿ working o¢Gurring in some roles, allowiry us to recruit and retain the best indivKluals for each posltion regardless of location or Ilexibility needed. Page 3

Colostomy UK Trustees. Report We b?nefitted frorn the a6aitson of four new role8'. Operations Manager118ter Head of Support and Operations}. Fundraising & Communications Executive, Marketlng & So¢lal Medla ExeculN6 and now A fiill timp FiindrAiqino ManAo&r. strp.nothoninu both Ihp. coro of th• cyganisatlon And our pUbl4￿f￿ei￿g communio81ion9. 89 we work to build our fundrai8ing to provide more finan¢ial stability into the future. FolhJMng the d8parturè of our Volunteers & Community Manager, we made the decision lo splil this important position into ts¥o discrete ro1è5, beginning wlth the recruitment of 8 now Volunt&erE' Manager. We also secured th8 servi￿$ of an exletnal HR Consultancy, WorkNest. Th• charity Ihg ￿#r with #ix fuM-tim• employoè#'. Chl4f Ex•¢utlv•. M•rk•ting and Campgi9n$ Manager, Marketing & Social Media Executive. Fundraising Manager, Fundralslng & Communications Executive and Volunleers & Supwrt Cowordinalor. and six part-timg ernployees.. Operations ManagerlHead of Support and Operations, Voluntgors, Managor, ￿ Support & FinanL C(￿1￿4t9rs (split role), Wrlier & Editor, and Flnance Manager. V•lunto¢rn We feel very proud to consistenuy maintain a team of around 100 volunteers. the vasl maiorfty of whom {98QAI have or have had slomas. Volunteers play a wt81 rola in $upport $grvice¥, where they piovlde peer-to-peer experienced-based advice to people at all siages of thelr stoma joumey. They also assist us In the dellvery of projects and with our campaigning ond 8dvot#cy work. Th8re is a c103e re5#tionshlp volunteèrts ond th¢ olfico loam. which w• ¢ontinu• lo fo•ter through irwaluable regular m8•tings both online and in person. All volunteers are DBS checked and re¢¢lve full training before aGtlvely r¢pro?enting the charity. They also undertake regular refresher training. vawng in content anij design8(I to encompass both skillthased training and knovAedgevb8se(I development- $6s8ions moy focus on comrnunicatlon and li3tening teGhniqu¢s for ¢xample. Govtr 6afe9uardins requiiements. 01 explore slomtrrelated lopl such 8s irrigation, parastomal h8mlas or sex and relalion5hips. Our voluntews sit at the Very heart of all that we offer. $ln¢e our foundation as a peoTrsupport serwice in 1963, and we work hard to ensure they feel valuèd for the substantsal contributs'on they mak8 to Colostomy UK and our beneficiaries, ￿orn they can literally be lif04avers. Vve We￿ thrille¢ tt) be able to show our gratitLtde lo our volunteers at our 8lg Bash evenl in September, organised to recognise and reward all the indlviduals who so gonerously give their tim• to help others. The event took place in our offices in Winnersh, followed by an evening rereption in nearby hotel. and was sponsored by Hollister. allowirvj us to offer a delicious three r￿urSe meal and a small gift of appreciation lo èvery voFunleer (including thos6 who were Unab￿ to join u$ on th¢ night). Managemenl Commlttee Comprising thè Chlof Executive, Chair of Tnjslees, Finance Trustee, HR Trustee and a lonwtsnding volunteer, the committee Meets every 6 weeks lo oversee the smooth running of the charity and act as a link betsve¢n the board of truBtees and employees. VISION. MISSION AND OBJECTIVES Our TrA8ion, mission and objectives were identified in con8ultstion wilh our beneficiaries. volunteers and employees. We ￿ntinue to revisrt these pillars supporting our purpose, to ensu￿ Ihey remain relevant lo th$ pèople wg SUPPQrt. now and in the future, in line Trmth their rteed$ and expectations as Vislon For hi¢Sden ¢oThJSllons to be understood and acceptsd by all so th people can reach their pontial. Page 4

Colostomy UK Trustses. Report Mlsslon To support and empower people liwng 5tom8s, Ihelr famllles. carers and friends. ObloeUvo• . To relieve the needs of those who have a stoma and their famille8. through the provision of support. reassurance. and pracltcal Information. Tg preserve and pfoiecl the heallh of ostomaios by prcmaing and assisting in th8 provision of fatylll8s and support services not normally provided by statutory authorit￿8. . To advance the education of th8 pubfic and heatthcare professlonals In the Subject of CDiostoml$s and 0th8r types of stomas. Oui vbleGtlves, ys sel out In the chaws memorandum of associa1￿, infomi Wn￿ we do and drlv8 us towards the achiévèmènt of our Vi91c￿ and mi$si¢)n. ACTNITIES Support S•bvk•$ The number of people reglstered with Colostomy UK again gr8w by 10%, to 24.608 during 2023. The b6n•ffts of r8glstoring inclL6de the option to rgcglve monthly E-New$￿tter6 ÉrKI free quarterty issuos of our award-winning T￿IngS mawifft. However, Cobostomy UK is not and has never been a mombgrshlp organisation - our support services ar¢ a¥a￿able free of Ghai9t, a￿¥¥ible lo all people wfth all type5 Df abdomlnal stoma (cobsiomy, Ileoslomy. urostomy). as well as their friends. families and carers. regardless of ￿ether they reglst8r with us. Our range of serv￿5 Is designed lo be as inclusive as possible. accommodating th8 M￿ad Way5 in which dtfferent patlent groups seek help, Ihe varied types of help they seek {advlce. reassuranr*, information) and the different lim8s that Ihey sèek tt Iprewop. Post￿0p, Al different life $ta998 etc.). Provision Is made for those who prefer person-lworson wntaGt {e.g., stoma helpline), tnose who wish lo remaln anonyThous le.g.. live chat), and those who are looking solefy for infom)alion le.g., fidings magazine or cmjr Irieraturè library). We also offer onlinelvirtual options for getting SUPPOrt, which continue lo grow in popularity, particularfy wllh younger ostomates. Servlce Dellvory SeryFces are Uellvereu by Ihe offlce ieam anu volunieers. Golosiomy UK'S toun¢Jation a5 er-Io•peer vIS￿ng seNlcé was centred on the belief that •xparfan¢frbased support is of great benefit to patients - namely that interaction with others who have gong through stoma surgery has a significant positive im￿￿ on patlenls. beyond simply medical int8rvenlion - and Ihis belief has sinr been bome out through scientific research (Ta￿Or 2015). Thig principle continues to be the undorf￿ng philosophy of Ihe chartty lo thls day, wilh our vdunleer-led structure. All of the volunleers who help to deliver our servie£s have had. rec£Jvered from. stom# surgery. placing them in a unique position to empathise with and support fellow ostomates. Pog• S

Colostomy UK Trusl••s' Report 2441our Stoma Holplln• Tl?¥ 1wlplil￿ wiiuliu￿ Iv tje a G¥¥itr<il pillai iii ihp diaTIIys 5¥rvI￿ gfferlng, provldlng experfenc&based practical and emotional support lo 4.458 callers in 2023. Afthough ¢onlacts hav8 famen for the se(¥)nd year in a row. this is still Substantial￿ higher than pre-covid levels 13,861 20191. We Continue lo evaluate the helpline servKe as more seNl¢e$ resume in person posl-pand8mic and more people retum lo support groups. open days and stom8 elinics. and an increasing number of indtviduals seek support online. stoma ¢are nurses and other heallhcare professionals also continue to use the helpline. to find the right supwrt for their patients. Available 24 hours a day, 680A Of call8 were answered by our helpline voluntoers. remain invaluable to our almlity lo provide this servFce. The helpllne Is alSD accesslble by emall, wtth f01km￿p phone calls offered. TelèplM)ne Befrlendln9 Support Sfrrvlco Launchod al thg holght of thè cO￿d pand•mlc lo addréss lon•lln•$s and [￿la110n among o$tomatss, we continue to provld8 regular t8lophon8 support throu9h our b8fr18ndlng serylcg. Sioma care nurses refer patients. or indr¥iduals may choose to sign up themselvès. and ¢)ur Befriender volunteets then pr08Ctlvety contact those feeling detathed from society with regular phone rAlls. This year, we provided wtal support for 16 osiomates throuoh Ihis service, wth our helpline volunteers makino calls weekly 156%). 2-3 weekly 119¥a) or monthly {25Yal. Th8 leroth of time these calls were rwded rarKJed from up to month138%1. 2 months16%), &5 months (25%), to over six months131%). Trllng$ Magazlne Colostomy UK'S free support magazlne has been a fealure of the Stoma world for more than two decades. shared wth almost 25.000 subscribers f￿r limes a year. Content comprises a mix of charity news, readers. letteTS and emails, artide5 from healthGare profrs$ionals, and 'Real LNes' stories. The latteT tsvo arè particulaAy valued by subscrFbers. The maga￿￿.$ 'Dear Nurse. feature addresses common {and sometimes less common} stoma and stom*related issues. Ther? 1$ a nolable $ynergy between the needs of C￿llerS to the helpline and members of its private Facebook Support mijp. Although sUp￿rt IS AC￿SsÈd via drfferent rned￿9. 'Real lives, stories offer a form of emotional tsupport - reading about the experiences of others can help to ease the sense of loneliness that many oslomates testify lo feeling. and helps engender sense of belonging to a wider community. The stories also explore o wholg range of difforent themes and issues, including everything from the impact of h8vlng a stoma on mental wellbelng, lo more practical conc8ms. such as rgluming to work after surgèry. or consid8r#tion$ wh8n travelling. Thus, as well as provtding emotional supporL there is an empowering element émbedded in many of thè stories loo. The editorial team Gomprises our Writer and Editor, an aGademiG who ha3 publi8hed wdely in the fiekl of medical humanikn"es. supported by othgr employoes and volunteers contributs'ng articles and eonlent, and proof4gading. In addition lo pmviding valuable support for our benefi¢iari88, the magazine also supports ihe charitys income, generating advertising revenue lotslling £108.948 this year. and promptlng a Ilurry of cheques after eaGh edition is publishod, totalling £14,572 over the ¢￿vr$t of the year. Pagg 6

Colostomy UK Trustees, Report lTrforniatlon and Advie• Llt•r•turo The provlslon of hIgh￿Uallty Iiierature has l)een a ceniral elemeni of our suppon Offenng since the Charit￿s earllest days - all of our ptjblishéd infomation is peer-revlewed by ostomat•$. ond all medical content is either sourced from or reviewod by hèalthcare professionals. Our ¢urrent library covers over 20 loplcs, and all our booklets are avallable free of Charge. both in paper lo￿nal and as downloads from our wobsite. Demand remalns hlgh- we dlstributed almost 23,000 hard copw of our various liues in response lo requests from indivldua15 In 2023, with a furtheT 18,719 requesled by dinirAans in cobJr8clal and stoma departments. unequivocalfy demonStra￿ng Ihalr tr•m&ndou$ value as an important r950urcB for patients. Website and Liv• Ch•t Our website is an ever*rowing important source of frae infottnatiw for people with stomas, family, friends. colleagues and health industry professiona15, where they can access support. download our lilgrature tides and find updates on our campaigning, advocacy and fundraising. 238,336 naw users accessed the webglte in 2023 (12.5% moro than Ihe previous yearl substsntial gmwlh that demonstrates the continuing tr8nd for chang8 in th8 ways people are looking for help. We (x)ntinue tu offer live chat for anyDne wanllng to access help thiough Ihls InstaTrt message facll popular with Ihose wanting to remain anonymous, possibly to diS￿sS more personal issuès. or just those prefer that method of communication. 225 people ￿nIe¢t￿d us this way over the course of the year, almost 20% fewer than Ihe previous year. We will continue to retain this service arKI monitor trends lo gvaluatg whethgr it remains a valuable suppxt channel going into th¢ fulure. Privat• Facebook Support Group This moderated group is open lo ostomates, their families and healthcare professionals. Membership increased again this year, lo 11.304 lup 5% on the prevTrous year). This continued growth supports the trends we have s88n in how pationts ar8 s8&king support and guidanc8 onlin&. The closed group provkles a safe and confldenual space for ostomates and people assodaled wnh them to chat and SUPFrf)rt one another. Al a geneial level. this can help lo reduce the isolation many peopl8 wlth stomas feel, IMn9 hid(Jen and often pcorty understood conditions. More $pecfficallyi members 8haTe hints and tsps for resolvlng practical sloma management issues. Other Support AGtivi¢ie• Opèn Days As the world continued to open up after th8 covld pandemlc, we are d8lh3hted to hav8 attended 52 open days and evènts thls year. to spread aw8reness of Colostomy UK and the support we offer129 events in 20221. These Include opan days organlsed by Intjustry, support gnyjps and stoma care departmènts ai hospitals. Our volunt8ers and employe8 team all rel18rat￿ th8 Importance of our repres8ntation At the$8 events and the benefft it grvBs to someone prfr and post-5urgery as well as those who have had their stomals for a number of years. Page 7

Colostomy UK Trust•es' Report Support Groups The 144 stoma support groups across the UK o)nD"nued to meet èither person or through virtual meellngs. wlth Colostomy UK providing support by 89$isllng tfvjse twknng lo sel up a ngw group and by attending meeting¥ to share our work and knovAedgg. We attended the ft?lknw￿g support group meen.ngs In 2Q23." Wessex Stoma Support Group. Rochdale Community Ostomale Group, Blackpc Stoma Support Group. Mercia Support Group. ShTopshira B.O.T.S (Bums on Turns). WarrirvJlon Patient Support Group, 8tanton Stoma Suppori GrDUP. Trafford Stoma Care Support Group and Lancaster Stoma Support group. EMPOWERMENT Our mission inciudes empowerlng PeO￿e wth stomas to fulfil their potgntial and, as part of this remil, we Tun a programmfr of activities lo help oslomales relurn lo the ¥port5, hobbles and other Intsr8Sts they had previously enjoyed. and give them the confi(knce lo take up fresh challenges. Actlv• Ostomates #AGtlveO$tomatts Many people living with stomas need support and encouragement to lake up or retum to activities. Spo￿ and other pastimes after surgery. People are often. for example, unsure whal sorts of physical exeruso are safo whjgn they hav8 a stoma. WO Sgek lo 8ddr88s these is5U85 through our Active Ostomates pro9r•mTne. In collaboration wth 8loma support groups a¢ross the UK, we put on a ronge of activities, including yDga, PSlates, art. an¢J swimming- and all are accessibl8 free of chaige. These ses$lons also help lo address Ihe soclal IsolatEon that a lol of individuals are 0X￿rienc￿ng. Our virtual ciasses, launched during the Covld lockdown5, remain extremely popular. and thls year 2,531 people attended a total of 112 virtual Active Ostomates classes. in¢knding YoJa. Chair Yoga, Mlndlulne$s an¢J Meditation, art, Zumba and Plates. We algo ¢ontfjnued to ￿l￿trr￿jUCa fa￿lo•faCe clasgeg. and in 2023. we hosted 24 Active OstomBles groups in person, with ¢iasses induding chair yoga. Pllates and arL We aim to ¢onlinue to grow our Galendar of kJGal acts'vities over the coming year In rèsponse to demand. Our Acttvo Ostomat&6 programme also includes the F)rovision of up-to-date, free, eg$rttracGes8 InfD￿natiOn. designed to give ostomales the confidence to exercls6 and g81 invofved in sports and other activlties. In addibon lo supporting our group activities. th8 Aetlv8 Ostomates.. Sport and fftne after stoma $urg8ry booklet in¢lude8 a range of medicalty approvod exercises that can be done alon&. Carlng for a pernon wlth a stoma workshops Our 'Caring for a person wlth a stoma, workshops have ￿8ll running slnce 2015, and this year we delivered 14 wrtual workshops lo 211 attend88s. D8liver8d by 8 stoma care nursg. they provide professional soclal care staff. loGal authority reablemenl teems and oslomates, famity members with practical advice and guldance on how to care for someone with a stoma. By edu¢aUno corers on the practical and @mollonal needs of people with gtomas. thè workshops alm to improve the qualty of life of ostomates who neèd regular support. Thè intensive tW(￿hOur workshop covers topics suth as pra￿e81 stoma m8nag6menL a guide to diffèrent stoma appliances: understanding the common concéms of ostomates; the support available from sloma care nurses.. the psycmogical issues connected vhth havlna a stoma,. and canng for someone wlth a stoma who #Iso has dementi8. Page 6

Colostomy UK Truste•s' Rgport ENGAGEMENT W¥b¥itv Our web pages were wowod a total of $29.712 times w tho course of the year. with users identif￿d as folknys: % or Tolal 18-24 25-34 13.54% 1g.02% 17.88% 15.32% 14.91 Male 41.75 59.25% The Ilve mosi pOW￿r pages remaine(I Ihe Same as the prevlrws ￿r. Rank Pago Page vlews % of lotal page Homepage 64.308 St(Kna blr)ckages 37,448 Rectal dlJGhar9e 30,048 Information 17,404 Information A to Z 17,568 VFèW8 12.14% 7.07. 5.67% 3.29% 3.32% Stsclal M•dl• The tremendous value of soGial medla In reachlng and sUPPOrting ostomates, as well as for raising awareness aboLrt slomA$ 8m￿g th6 ￿der public and fundraising. has ¢ontinued to bg of increasing tmportance to u¥ as a smll charity. e5pecialty in engaging With younger age groups. Once again Ihls year, our reach across all plattorms increased. the biggest growlh again OCCUTring on Linked In a$ we reach mce hoalth industy profeswnals, and continue to ralse awareness of stomas through (￿1 Lviyvial¥ nvlwiitks: . Twitter followors 5.593 (7% increase) . FacebcM)k lollov•WS 10,952 (22% increase) . Ineta9ram follgwerj 4.685 (20% inGr¢&) . Linkedln f￿r5 1210 {33% Increas8) Health￿￿¢ Pfofesslonal$ nur rel8tionsh4PS W41hin the he211he•r• g•etor Continua to ￿ of tremendouw importance lo ua in all that we do. We greatly value the contrFbution8 made by i1￿1VidUal pfactldoners and other 0raanlsat￿ns li upskdling our employees and volunteers. lo assist us in providing Ihe best Support for our bgngficlariè$ and •nabling us to signpo¥t to the rtght servic¢ provision thb8fg relevanL Page 9

Colostomy UK Trustees. R•port Thls year, our poPU￿r series of webinars continued to offer insight on a range of stoma-related topNGs, with Ihe invofvement of many of our healthcare coll6agu85 including our President, lan Daniels FRCS, e.c)n8iill¥nl Cnlorect91 gnd Goneral Surgaon at th• R¢)yal Devon and Exotcr NHS Foundation Tnjat, a stoma care nurse. and th& Alzheimerfs SoGlet￿8 Dementia Frrends inittadve. ToplG8 included skin health. reversals, hemias and the rob of a stoma nurse. as well 8$ slx hours, worth of sharing expenences gtssions covaring I￿lgatIOn, prolgpse, Iwe with an ileostomy, mltrofanoff, double ba9S, w fibre diels, rectal dlscharge, exercise, slenosls, perlneum. Conve￿IY, and rectal pain. Wo Contin￿ to support modl¢al rgsgarch by haring projoct information with ¢ur Gontacts. and relalning our membership of the steering group at Kg018 Unlverslty exploring how youno p8ople can be helped lo manage and reduce stress after stoma surgery. W6 are also supportlng a PhD proja exploring the heallh-relaled stigma for individuals who have a colostomy or ileoslomy. as well as attending relevant conf8r8n¢es to str6ngthen our network of healthcare profgssionals from a widé r8nge of disciplir¢88, including the Assoc4ation of Stoma Care Nurses (ASCNI annual event, Ihe As30Gialion of ColoproGtoiogy of Gi¥iil Britain & Ireland {ACPGBI), Ihe Occupaiion81 Therapy bhow. and the Best Practlce conference lan event to serv• UK hèatthcare prof6s$ionals In goner81 practice and primary ¢aro1. Colostomy UK In the medla Tho Support of TraGey Emin tn launGhing our Stoma Aware Day Illl)" yvai Ii¥lpEd us In a￿levIllg our be* year for publicity to dale. National and local media focused In on our campaignèr Lyn Morgan's efforts to makè Leeds sloma frfendly, wilh BBC TV, Radlo and online, and Yorkshire's daity and weekly papers all wvering acti￿118$ acTOSS the county. and BBC TV and Radio a150 covered our Rugby League team's game5 in Bradford and Bat￿y. CAMPAIONINQ, ADVOCACY AND FUNDRAISINfj Campalgnlng and Advocacy Ostomates still face dlscrtm1nal￿ and prejudirE on a reoulai basis, simply because of ignorance in wider sociaty about hkldèn conditions. and their ngeds being pooty und9rstood. For èxample, publk plare? that lack aGGes8ibl¢ toilels can b8Gomg 'iir) gv. ilreab fDf 0stomale5. Thls carnpaign rel￿eS dirg¢Uy to our vision.. "We wanl hidden conditsons to be understood and acceptèd by all.. Part of our remit is to ralse awarene55 and ￿MPaIgn for thange in how stomas are understood 8nd vlewed among Ihe wider public, with the am of iMpro￿ng how people with stomas are treated and helped in their daily livos. For oxample, fèeling confident in using accejsible tollets without being clialknisJ¥tl, or y&￿i￿g th￿Ugh alrport seGuMty wlrhout Issue. Our Stoma Awarg campaign seeks lo address public igntrance about slom83 in hyo key ways: Fi￿ty. by raising awaren￿ about stomo9 and the needs of ostomales le.g., through s¢xial media>,' and Sgcondly, through working directly buslnesses and organlsations, tourist attra¢tion$, sporting venues. airports etc. to help them to make their facilities 'sloma fri&ndlq. as well as providing Ihair Customer-faeing staff with stoma training. Organlsauons tha adopted S￿rna Pnenuty taulrties in 2023 included Milton K&ynes Dons. Wrexham FC, Preston North End FC. Landsec PLC, FI-REM Propety ManagomenL the Stormont Estate in Northem Ireland, and the Grand Opera House ifi Belfast. Soulheaslem Trains (75 stations), Brltish Lan¢J PLC 150 shopping centres and retail parks). Netr￿rk Rail (Paddington and Leeds have alrèady upgraded their facilities, with a commilmonl to follow suit al tho slations they manage), Boumemouth airport, and Wesl Yorkshire CLTrmbined Authorfty who have upgra¢Jed the accessiblè toilets at all their bjs tamiinals. Our annual 'Stoma Aware Dal is held on thg first Saturday in October. to Colnade with Worfd Ostomy Day. We use this as a raltying call for ostomatas. en¢￿Ur3￿lng th8m and the organisations they ar• Involved with to reath out and raise awarenes¥ of life with a stom8, using social media. Page 10

Colostomy UK Trustees. Report In 2023, nearly 200 people signed up lo suprort our Stoma Aware campaign, tog@thÈr with a numbèr of organlsaligns indudTrng BUPA and Transport For London. Thanks to our supporters, casues. biidge5. T¢Thn Halls an¢J more publlc bulltjlngs an¢J monumenis tumed purple, whlk local councils. devotved govemmenls. hDUS@hold n8mes, and major rfjrpor8t8 and transport bodigs showed Ihgir gupport through their various ￿mmunIcatiOn ￿allormS. Through nation81 and loGal lelevlsiw. radio, onllne and prini media we were able lo reach millions of households. and three of our youngest supporters. Jessica, Jack and Huntèr. whose stories of bravgry in overcoming the challenges lrfe has throbyn at thern, helped to generate the positlve ￿verage that fil￿d TV screens and the m6drd in October. We W that th18 will also ad as a launchpad fur inlTDdudions to more organlsatlons booklng our 'Sloma Aware. tralning. This training aims to ra19e awarèness of the practicalities and amotlonal impad of lifg with a stoma. It 1$ also particularfy useful for people in oustomer-f8cing roles and human resources departments, charged with meeting Ihe ongoing needs of slaff who are ostomates. or managing the retum lo WO￿ of st8ff membors followlng Stoma surgery. This ￿r. wo delivered training to Brfdsh Airwa￿ and John LeY￿s, demonstratlng how Seriously such large comp8ni8s are now tsking thls Important element of care. In order to extend our reach still further, we constantty collaborato with other health organisations, are members of a number of Drofessional forums, and attend Industry events and conferences. In 2023. our invdvement Included: Th6 P'ent5, Industy & Prof8s8lonals forum IPIPS)., the Scottish St¢)ma Forum: the Britlsh Tdl8t Consortium,. The Medical Technologie5 Group, the Carg & Support Alllanc6.' the Buckingharnshire. Oxfordshire. Berkshire Integrated Car8 System Volunl8ry & Community Soci81 Enterprtse Health AJll8rKe; Cardiff Airport accessibility forum., L8v61 Playing Field, English Foolball League DlsabNty Access Offl¢er Conference- IndeperKlent 8cces81bility panel (IGAP) at Gatsvi¢k Alr￿rt. working Mrith thè Department of Heath and Social Car9 on th•ir r•w•w into part LX of thg drug tariff; the Association of Coloproctology of Greet Britain and Ireland annual conference- the Associatson of Stoma Care Nurses annual conference.. the NS Greater Glasgow & Clyde local stoma forum.. 8dvising the Deparlmont for Transport and Ngthrk Rail-, and attending Transport For All's Westminstw launch of the 'Are We There Yel. report. whith highlighted the work that still needs to be done to make traval mor• act&ssible for people with digaliliti8s and hklden ¢fjnditions. We also eontinue to work doaely with Heathrow, Catwick, DoumemoLrth, DiTmin9ham. Edlnburgh, ManGheslei, Luton, Stan5ted. Comwall and Brfstol airports. and our CEO is a member of the Civil Aviation Authoritys Ace8ss to Air CampavJn panel. We were dellghted that ￿Jr Stomas In Parfiamenl campaign from 2022 won Wl $18keholder mmunications at the corporalo engagBmenl awards, and our ork vath gov8mm8nts ￿ntinUed this ar. mem￿￿￿ of Rugby League team headed lo Pafliament in July to talk to MPS abvul the mpact the team has had on thelr Joumeys through life with a stoma. We met the then Health Minist•r Will Quince 81 Weslrninster to talk about the importanoe of more equttable and better care for oslomates, and were proud to bg present al Howd for the firstver debale on sloma$ in the Scottish Parliamènt. In September Klm Leadbeater MP took thè time to meo1 us at Westmin$ter and advi¥e on how we Gan be81 engage whh Govemmenl. We also attended Parllament for Bowel and tJla(Joer rLJniinèncè. ￿￿gbY League, anu Loneliness and Connected Communities Al Party Padiam8ntary group meetings. T•am Colostomy UK Rugby Leagu¢ Our Rugby Leagu8 team conlnued to go from stren9th to strength in 2023. Formed in 2018 10 challenge percepts.ons of %thai can be achieve¢ after sioma surgery. the team is made up ol men and women living with all typès of stomas and bowel ¢x*ndilions. and frionds and famlly membets of oslomates. Desi9n8d lo be entirèty infjlusive, rules a￿ adapted to allow all io partlGipate regardless of ability, expenen¢e. and 98nder. so those ptaying full￿ontaCt rugby league can do so ah)ngside those wishing lo play touch rugby. Pa99 11

Colostomy UK Trustoes. Report Hunsltl were on¢* again Ihe hosts for the l¢am's first game of the ¥ea3on, when they took on Leeds Rhinos Phystcal Disability team as a curtain raiser ID Hltnslèt vs. Nnrth WAIAg CmJ$8derg. Then followed fixturo$ against London Skolars in Wood Green, and the Jo Cox Memorial Matth in BatF8y, before Team Colostomy UK made hlslory in Aberavon ty laklng part In Walès, firsl•ver Ph￿l¢al Disability Rugby League match. As ever. we remain most grateful to the 18am's sponsor5: SeGuriCare mod￿91, Convalec, Amcare, Wè118nd Mèdical. 08tiquÈ. And ColDplagt Fundralslng Voluntsry glving made up 52% of the Charit￿$ incom8 thls yaar. an increase of £71k from 2022, totslling £380,030. In addition to a steady income from our loyal fe9ular donor5, we continue lo enjoy the support of a growing number of individuals commlttino lo pprsnnAI crYAlq in SLJr)pJrt of Cdoglomy UK - from Faceb¢x•k birthday fundraisers and rAke sales, to swimg, walk¥. Nns. and climbs. We are enomL)usly grateful lo all Ihe Individuals and groups ￿ have raised funds and made donations, induding Ben V8rtannes. Jaek DO￿ (aged 81. Adrlan Foster. Jessic? Dowle (aged 10), Sua Lano, Katie Brien, Tom Sandiford-Nam and Ruth Wilkins, who bets¥een them ralsed nearly £25.000. We were ple8sed tn 8dd sj Fundr#ising Mgnagw and FuThYraising EYec4Jtiv¢ lo our loam in 2023, to focus on securbng donatlons from tharitsble trusts and companies, and Supporting our giassroots fundraisers on to 8v8n greater heigms over the coming years. st•p Up For Stom•¥ Our now annual 'Step Up For Stomas, fundraiqino rampAion tonk tho forn Df 0 7k Stop Challonge thi# year. attracting 142 indNiduaL8 who between them raised £21,320. We are delighted with this achievement, whlch very nearly matched Ihe previous years rèsults. as we have a ￿latiVety small oi of actSv¥ supportBrs and hod 8ntlcipatod some donor apathy this year. Plans lor Ihe Futur• In 2022 we i¢Jentffied three strategic goals and th8 work we needed to do lo dellver them over tho follcmiing year5- Support and empower ostomates at every stag• of th•lr stoma Journey Lead. Gampalgn and ?duGats, en5urlng ostomates have whot they need when th¢y naèd It Bulkl meanlnglul partnershlps wSth tho rlght organlsatlons We agreed that 2023 and 2024 would bB aN about layng the foundatsong to enab￿ us io d81iver our future strategy: the first slep being putting our building blocks in place. starting wth our organlsatlonal focus area. A8 a team. we began by identifying our PLtrp088, our vlslon and our values: OUR PURPOSE- WHY WE'RE HERE We exlst to mako a posibve difference for 8nyone impacted by any kind of stoma or sloma surgery. OUR VISION-WHERE WE'RE GOING Wè want to live In a wodd Whe￿ having a stoma presents no obstocles c¢ barrier3 and carries no sttgma. Page 12

Colostomy UK Trustees. R•port A world ￿re people can: Get the right informatK)n and advice, al the right time, at the right stage of thdr stomo ￿￿1[1¥y. Have a¢￿SS to the facilities and rgsources Ihey neeil when and where Ihey negd them. Live their lives to the ￿lIest without fear ol discrlmination or pTpjudiGe. OUR VALUES Al Coloslomy UK the way we behave mattern to us deeply. In everything we do, we are gubded by and strive to meet the fdlovAng Val￿$. SUPPORT AND EMPOWER Two things matter more than an￿bIng else to 119: SUPPOrtlng peo￿? with ¢x about lo have s stoma and empowering thom lo get th¢ most out of life. For us, supporting and enip(w¥iiiTry pwplE 15 a150 aboul finding new ways lo do this. 60 we o￿n't comF4ac8nl. Being Innovauve. ¢￿atIve. courageous, and tenacious is in (￿r DNA. KNOWLEDGE We are stoma exDerts. This is no empty ¢Faim but backed by the coll8cOv8 kncwledge we have accumulated since wo wor• foundgd in 1967. And, because we pr12è leaming. we add to this krwAvledge every day. We know all aboui thp many Ydy5 in which having a sloma can Impact on life. We know the chall8n985, w8 know thè fears. wè know th8 concAms Bnd the worrfes. We know the ups and the downs. We al80 have the know-how to help, reassufe. and support. COMPASSION We ar6 compassionate and caring. W• know what it's like to go through stoma surgery and what a stwggle it can often be to gel lrfe back track afterwards. We understand how even tho Small things can have a effect on someone's wellbelng. We don't judge., instead, we are pa￿"ent, respecfful and undèrstanding listener8. INCLUSIVITY The dise3sè8. Illno$se$ and injuries that mak• stoma surgary n8¢08$8ry don't discriminat8 and nor do People from all walks of life, all Gultural and rel1g1(￿S backgiounds, and 8H ages, even bables. have stomas and we a￿ hare for every single one of them. For us. inclusivity is also about understanding things from different points of view. Dolng thls helps us lo $hape the Support w8 offèr. maklng sur8 Ihai we can respond in posiiive. meaningftjl, and impaciful ways to Ihe many and varted needs of people with stomas. TOGETHERNESS r strength comes frcrfn engaging othèrs. Wa'vo bèèn doing this throughout our history. It's by working oollab)rativety wth healthcar8 professiotbals, people wilh stomas. local gOV8mrnent, businesses. and other organisations, Ih81 we fulfil our purpose. We believe that the way to achieve our vi8wJn is ty Sharing problems and sofving them together. age 13

Colostomy UK Trustees. Report FINANCIAL REVIEW Income Colo$lomy UK has a diverse range of income strtrams, with our work funded by a rnixture of r8gu18r supporters, onewoff donations and fundraisers. charitable trusts. and trading activili88. Our totsl income for Ihe year reached £681,89812022: £648,726) comprising: . Donations and Leoacies £380.030 (2022: £308.6151 . InGome from Charitable AGllvitie¥ £323,35012022: £314,096) . Trading income £22.981 12022.. £24.Bd21 . Investment inwme £6,58712022." £1,173) Expendltur• W8 spent £682,17712022: £569,545) to help imrKove the Ilvos of oslomales. Reservgs Poll¢y and Golng ConGorn The Trustses hold re¥trictsd reserves of £44.785. Unrestr'rAed reseNes include designated funds t¢)tslling £379,889 and free reserves of £214,387. The d￿gnaled funds include £150.000 held in a Risk Reserve Fund. lo protect the charivs beneficiaries from unexpected falls in income, or unexpeded expenditu￿, and £189.071 allocgted to the strategi development of the Ghartty, as we embark on our flve-year plan for gro￿n. Tha TTUStegs revw the reserves policy annually. in the context of exlemal economic factors a8 well as int8rnal dgvolopfflgnl. and have agreed to malntsln rfrserves al a level to meet the organisats"on's charitable responsibilities and operating costs for 34 months in the event of any financial disruption. andlor risk ol dosure. This Mll mitigate d￿r￿Ul￿e¥ Gaused by intemal or extsmal faGlors- such as the funoraising ian¢Jscape, employeè vacanoes. aeiays In payment ot trading Income. or nalional financial Crig89- and allow for thè pursuit of emergency funds should the nèed aiise. The Trustees have reviewed the circum5tanc8s ol the Chanty and consider that adequate resources continue lo be available to fund its activities for tho foreseeabl8 futuré. Thè Trustoes are of the viow that the charfty Is a wlng concem. ImpalM￿nt R•vlèw Pollcy Each year TnFStees phyBlcalty review the assets of the Charity to considef wfielher there are any indicators of pernanenl impaiment. If any impalmient is found. the valu8 of thè impairynent is taken to Ihe Statement of Financ￿1 AGtivi¢ies Wl the ypar. Page 14

Colostomy UK Trust•8s' Report Managern•nt of Rlsk Th8 Trustees liave identsfied that the main risks lo tha ChArity are.. The chaNty has been rellant on legacies to meet part of oui core funning costs. We have contlnued to revlew our income g8nèrallon strategy and embarked on implemontlng the aGtions needed lo achiev8 this. In the meantime, we malntaln reserves to protect the ¢haMty In Ihe 8hort term. while we build our fvndraising actfvity. Loss of key staff. Security of our websit8 and ￿la1 m8dia. Th TrusttrS fnanage the risk to cashflows by PTepahng and re￿Wn9 budgets on a regtHar ba3iS and ensuring sufficient cash deposits are held lo meet turtsnl spending commilm9nts. Statemenl of trustW¥' ￿SponSIbl11t1e$ The trustees Ivh)o are also the dlrectors of Colostomy UK for thè purpo888 of company law} ar& responsible for preparing the trustees. report and the financial ststemenls wi accordanc8 wtth ap￿1¢able law and United Kingdom Accounting Standards (United Kingdom Gon8rally Accepted Ac¢ounbng Praclic¢l. including FRS 102 Yhe Finan￿al Reprybng Standard appllGable in Ihe UK and Republlc of Ireland-. The report ana accounts have been prepared In accordance wth the provisions in the Companies Act 2006 relating to small comp8nies_ Company law requires the trustees to prepare fin8n¢i81 statements for each flnancial ￿aT. Under company lh6 trustees must not approve the finanaal statements unles¥ Ihfjy are salisfied Ihat Ihey give a true and fair view of the state of affairs of the charitable company and of the Inc￿)MIng sources Ind application of regources. including ito inGome and oxpcndttur¢, of the charitable company foi that Period. In preparing these finan(ial slatements, the trustees are requlred to: seted $uitobltr aG¢ounting polici8s and apply them con8Trstent￿. observe the methods and Prin￿pIeS in th8 Charities SORP", make judgements and estirnates that are reasonable and prudent: state whether appllcable acG(yJnting standards. GOrnPriSing FRS 102 have been followed, Subject to any material d8partures disclosed and explainad in the finan￿8￿ statements.. and prepare the financial ststements on the golng concem basis unless tt is inappropriala to presume that the Charitab￿ company continue In busin&88. Th• tru$tses ar• rgsponsiblo for keopin9 proper ace¢)unting record: th￿ ean di¢dox with r¢830nablo acGuracy at any time th8 flnancial position of the charitable company and enable them to ensure thai the financial stal&m8nts comply wth the Companies Act 2006. They are 81$0 résponsible for safeguarding the a33ets of the charTlable company and hencfr for tsking reasonablg steps for the pr8vention and dgtection of fraud and other irregularities. Small comp•nl•s provl$lon $tat•mfrnt This r8POrt ha5 been prepared in accordance with the small companies regime under the Companies Ad 2006. Page 15

Colo¥tomy UK TNsteés' Report The anrMA report wa5 spprov¥d LJY ihe trus￿$ of the tharity and Rigned cffj lis bèham by.. Lalfig Trustee P89e 16

Colostomy UK Indepond•nt Examln•rfs Report to the trust••s of Colostomy UK (%he Compan￿) I report to the charity trustees on my •xAmination of thé a¢tounts of the Company for the year endod 31 D¢Gcmbcr 2023. Responslbllltles and basls of r•port As the chadty's Iru$iees of the Gompany land also its dire¢tors for the purposes of company18wl you are rèsponsiblè for the preparation of the account8 in a￿ordance wlth the Tequifements of tho Companies Act 2006 ('the 20G6 AGt'I. Having satlsfled my8elf that the accounts of the Company are nol required to be audlted und8r Part 16 of the 2006 Aol and are eligible for independent examination. I report in respect of my examination of yOLsr charity's accounts as ¢arTied out und9r section 145 of the Charities Act 2011 {Ihe 2011 Act.). In caThying out my examination I have fotlowed the OireGtions given by the Charlty Commission under section 145(511bl of the 2011 Act. Independent 6xamlnerf6 Stat•m?nt Since the Companls gro$¥ Incorne exceeded £250,000 your examiner must be a member of a body Ilsled in SeCt￿n 145 of th8 2011 Act. I confim that l am qualffied to undertake lh8 ex8mination because l am a momber of ICAEW, whith ig ona of th6118tèd bodies. I have completed my examination. I confirm that no matters have come to my att8nllon in connecll th the examinatlon giving me ¢ause to believe: accounllng records We￿ not kept in respect ol Colostomy UK a3 required by section 386 of the 2. the accounts do not acwrd with th05e records; or 3. the accounts do not compty wilh the accounllng requlrements of section 396 of the 2006 Act other than any requirement that th8 Bcujunts 9lve a 'twe and fair whlch Is not a matter ¢on¥idered as part of an irbdependenl examination; or 4. the accounts have not bsxn prepared in aGcordanG¢ with Ihe metFKrfls and prSiiGipIYb vl Ihe Statement of Re¢ommended Practice for acwunting and reporting by cha￿leS lappluble lo charities pr8parlng their accounts in aceordanca with the Financial Reporting Standard applicatAe in the UK and Rtspubfic of Ireland (FRS 102}1. I have no wncem8 and have come auoss no other matters in ￿nnectiOn with the examlnatth to which attention should ￿ drawn in this report in order to 8nable a proper understsndlng of the accounts lo be reathed. Catherine Williams FCA DChA Westcotts (SW) LLP 47 Boutwrt Street Bamstaple Devon EX31 1SQ Pa￿ 17

Colostomy UK Statsment of Financlal Activltles for the Year Ended 31 December 2023 (Includlng Income and Expendlture Account and Statem•nt of Total Recognised Galns and Losses) Unra8trr¢ted fund¥ Restrfcted funds Totsl 2023 Total 2022 Not• InGom¢ •nd Endowments from: Donations and legaci8S Chadlable aaivmes Other trading activities Investment income 371,050 292,550 22,706 6.587 380,030 323.350 22,981 6,587 308.615 314,096 24.842 1,173 30.800 275 Total Income 892,893 732 948 ExpoTrdlture on: Raising funds Chantable activltles {14,807) 621,698 (14,807) 667.370 (7,204) 562,3411 45,672 Total expgndilure N¢1 inG0m¢l{vAyenditu￿I N8t movement In fttnds 636,$05 4S,672 682,177 569,545 50.368 5,611 50,171 79.181 56.388 (5,617) 50,771 79,181 R•con¢lllatlon of funds Total fvnds brought forward Total funds Cgthed forward 21 537.888 50,402 588.290 509,109 588.290 594.276 44.785 839.061 All of the charity's activities derive from continuing op8ration8 during Ihe above periods. The funds breakdown for 2022 is shown in not8 21 The notes on page5 21 to 35 fonn an integral p8rt of these financial ststements. Page 18

Colostomy UK (Reglstratlon number.. 05623273) Balanee Sheet as at 31 December 2023 2023 2ts22 Not• Flxed assets Itrtangibltr assets T8noitlo assets 14 15 2.901 8,319 3,641 8.789 12,430 11.22U Currenl Imets Debtors Cash al bank in h8nd 17 18 1D3,836 574.651 678.487 71.816 563,175 034,991 CredRorn.' knount8 falllng dut lthln one yur Net CUTrent assets 19 59.131 575,860 588,290 627.841 Net assets 639,C61 Funds Dlthe charlty: Restrlcted Income fund¥ RÈstn'cted fijnds 44,785 50,402 Unrestrlcted Income fund¥ Unr8slricled fLtnds 594,276 e39,C61 537.888 Total funds 21 588.290 For the finonad year ending 31 December 2023 the chanty was Entiued to exemptlon Tfom auuit under sedon 477 01 the Companies Act 2C(16 relating to small companies. Dirèctor$, rg$pon81bllithe6'. The member5 have not reguired Ihe charity to oblain an audit of its acco￿18 lor the year in ¢stioTr in accordance wilh section 476.. and The directoro ¢GknoYAtsdg¢ their respon&lilities lor GoT[i￿yIng the requlrements OT ihe Aci wiu) respect to acccunts'ng records and the preparatlon 01 accorts. These financiBI st8t8ments have bègn p￿pared in accordance with Iho spet4al wovisions reloting to companies suble¢t lo the small companies regimè wiltr#n Part 15 of Ihe Companie5 Act 2C(fj. The finantial statements on pagès 18 to 35 w8re 8rvoved by the trustees. and authorised for Issue and signed on their boholf by.. aing Trusteè The rtotey on pages 21 to 35 form an integral p1 of these finanaal Jtatemenls. P8ge 19

Co105tomy UK Statement of Cash Flows for tho Yoar End•d 31 December 2023 2023 2022 Nole Cash flows from operating a¢tlvltie$ ca8h in￿rn 50,771 79.181 ljustments to cash flows from non 565.696 563.175 574.651 563.1 T5 l of the cash flows are derived from continuing operations during the abov8 ttvo perirAI$. The notes pages 21 to 35 fomi an Integral part of thw finandal statements. Page 20

Colostomy UK Notes to the Financlal Statements for the Year Ended 31 December 2023 1 Charlty status The chartly is Ilmit8d by guar8nt6e. Incorporated wi England and Wales, and consequently does not have Share capital. Each of the tru8te8$ Is Ikqble lo wntribute an amount not exceeding £1 towards Ihe assets of th8 charfty kn the event of Ilquldatlon. The addres5 of Its regl8red office Is.. 100 Borkghir8 Plgco Wharfedale Road Winner5h Wokingham RG415RD 2 AG¢ountlng p￿￿1• Summary ol slgnlficant aGcountlng pollGlos and key aGGountlng ￿tIMate8 Th8 principal accounting polle￿$ 8pplled in the preparation of these finanaal Statements are set out beh)w. Th￿ poJlGle6 have been con8lsttn￿Y applled to dl the years presented, unle& otherwise ststed. statement of Gompltance The financSal statements hav8 been pr8pared in aCt￿rdan￿ with Accounting and Reporting by Charitie3- Statement tsf Ré¢oMM￿ded Practice lapplicable lo charitie3 preparing their account8 Nl accordance wlh the Flnandal Reportlng Stsndard applicable in the UK and Republic of Ireland {FRS 10211 {issued in October 2019) - {Charitièg SORP (FRS 102)}. the Financi81 Reporting Standard applicable in the UK and Republic of Ireland (FRS 102> gnd the Companles Act 2006. Baal¥ of pr#partttlon Colostomy UK meets the definiti¢)n of a publlc benefit entsty under FRS 102. Assets and llats1￿8S are initially r8eNJnlsed at hisloThcal cost ￿ transaction value unless olhemse stated in th8 re18vanl accountlng pollcy notes. Golng COn￿rn The twstees consider that there are no merial unGertaintks abo￿ the charftys ablllty lo Con￿nUe as a going concem nor any signthcanl 8r89s of uncertainty that affect the carrying valuo of AS50ts hèld by Ihe charily. In¢•mo and •ndowmente AJI income is recognised once Ihe charity has enlittement to the Income,11 Is probable that the Income ill be received 8nd the 8mount of the income receiv8bl8 rAn be measured reliably. Page 21

Colostomy UK Notes to th• Flnancial Statements for th• Year Ended 31 December 2023 Donatlons •nd l•gaGI•s Donations 8ra r8cA>oni£8d vJhAn tho charity has boon notified in writing of both tha amount and $ett16menl date. In the ev•nt that a donation is su￿Ct lo cond1t1￿$ that require ¥ level of perfonnance by th8 charity before the chafrty is enlitled to the lunds. th8 Income is deferred and not r8cc¥Jnised untS18ith•r those conditions are fulty met, or thè fulfilmgnl of those Gonditions is wholly within the control of the charity and it Is probable thal these cond4t￿nS ￿11 be fulfilled in the reporting period. Legacy glfts are recognlsed on a case by case ba$15 follow1￿ the grant of probate when the adminislratorlèxeculor for the 8slate has communlcated in writing both lh• amount and settlement date. In the event that the gift is in the fotwn of an asset other than cash or a financial asset Irade¢J on a recognised stock excttange. reccvJnitYJn is subi6cI to the value of tho gnl being reliably measurable with a degre• of r8asonablg accuracy and the title to the asset h8￿n9 been transfe￿8￿ lo the Gharity. Grnnts recolvabl• Grants are recognlsed when the charlty has 8n entitlement to the fvnds and any conditions linkèd to the grants have been m¢t. Where performance condits.ons are attached lo the grant and ar& yet lo be m81, the Incorr* Is recognisèd as a liabllity and included on the balance sheel as deferred income to be re￿a￿d. Deferred income Deferr8d income represents amounts received for future wriods and is released to Incoming sour¢8s in thè period for which. it has been received. Such ineom8 b onty deferred when: . The donor spectfies that the graTrt or donation must onty ￿ used In fututs accounting p8ricxls: or The donor has imposod corHlitions whlch must be met before Ihe charity has unGondlJonal entiliemènt. Expendlturn All expenditure is recognised once there is a legal or consthJdv8 obligation to that expandlture. il ' probabl8 $ettlomenl is required and the amount can be measured reliably. All costs are 811oc8ted to the appliG8ble expenditure headlng that aggregale slmll8r cnsis io Ihai catswry. Where costs cannot bè dir8clty attributed to particular headings they have b•en allocatèd on a basis consislenl with the U8e of r880urce$. with Centr￿ staff costs all¢)cated on the basis of time spent. and depredalSon charoes allo¢aied on Ihe t￿lon of the asset's use. Other support costs are allocated based on the spread of staff costs. Ralsing funds These are costs inCu￿ed in attracting vc4untary Income. the management of inv8stm8nts and those Incuffed in trading aGtivlUes that raSse funds. Charltable •ctfvitles Charitable expendlture ¢ompr¥ses those costs incurred by the charity in th8 d&liv&ry of its aclivilios and services for rts benefiriaries. It inGludes both costs that can ￿ 8lloGated dlreGtly lo suGh acliMtie5 and those costs of an InQlr8Ct nature n8c8ssary io support them. Page 22

Colostomy UK Notes to the Flnancial Statements for the Y•ar Ended 31 Dgcember 2023 Support Msts Support Costs Incluoe central fun¢lMs arNI have been all¢￿￿ed to activity cost catagorle$ on a basis eonsistent wth the u99 of resources, for example, allO￿ting property costs by floor a￿a8, or per capita. staff costs by the time spent and other wsts by thelr usage. Intanglbl• ass•ts In￿ngI￿le assets are ststed in the Balance Sheet al cost less acojmulated amortisation 8nd impaimenl. They are amordsed on a straight lino basis over their estimated useful lives. Tangible fix•d 8$sots Tangible as¥ets are initially re¢ordod at C08t. and subsequ¢nlly ststed al Cost le$s any accumul418d depreclaiion and Impaimeni losses. ortS$ati•n Amortisation is provided on intangible fixed assets so as to wiite off thè cost. Igss any •stimatgd sidual value, over their expected usdul e￿noMiC lrfe as follow5: Asset cla88 Computer software Amorth¥tlon m•thod and rat• 10PA 51raight line Depr¢ciation and amortlsallon Dgprociation 1$ provlded on tangible fixed as%ets oo a¥ k) wriie off the cwt or Yaluati¢n. 1¢56 any estimated residual value, over Ihelr expected useful economi¢ lffe as follows.. Asset class Planl and machinery Computsr equiprnént Equipment D•pr•Glatlon mèthod and rnto 25% straight line 209A 5tt8ight line 20% stralght line Cash and cash •qulval¢nts Cash and cash equlvalents comprise cash on hand and eAII de￿SIts, and other short4erm highly iquid investments that are readily convertible to a known amount of Gg¥h and are subject to an In51gnlflGanl rtsk of change In value. Fund slrudure Unrestn'cted income fund$ are general funds that are available for usè at the truste&8 discrotion In furth8ran¢g of the objactives of the charty. Restricted Income funds arg those donated for use in a particular area or for specific purposes, the use of whlGh is restricted to that area or purpose. Page 23

Colostomy UK Notes to the Financlal Statements for Ihe Year Ended 31 Decombor 2023 Penslons and other post r8tlremènt obllg•tlon$ Contributions lo d¢fined cgntribulioii pl<lllS iiiv iewyr)i¥¥d a5 an expense In ttte pertou In wfilch Ihe related semce Is provided. Prepaid contributions are recognised as an asset lo the exlent that the prepayment will lead to a reduction in future payments or a cash refund. Whèn contributions are not expected tr) be settled wholly within 12 months of the end of the reporting dale in whiGh the employees render the related serviGe, the liability 18 measured c)n a discounleil present value basis. The unwin¢Jing ot the discount is recognised as an exwns8 In the period in which it arises. Financlal instruments Classlfitatlon Financial assets anil financial liabllities arè retognisod vknen the charity becomes a paty to the ontraGlual provisions of the instrument. Firsancial liabilities and equity instruments are classified according to the substsncè of the ￿IntraC￿al arrangements ènlarèd intD. An equity instrument is any contract Ihal eviden¢es a residual iniere3t in the assets of the Gharily afl8r deduthing all of its liabllltles. R•eognltlon and measurement l financial ass6t8 and liabilities are initially measured al tran$aCt￿)n price (in¢luding transaction sls}, except for those flnanclal assets ciassifteii as al fair value through profil or loss. which are initially measured al fair value Iwhlch Is normally the transgelion price exduding transadion ¢0818}, unless th¢ arrangcmenl Gonstitutes a finanGlng transaGtion. If ali arraiweiTi¥iII wnstilknle5 a ftnanGlng transaction, the financi81 asset or financial liability 18 measured at the present value of the future pawnents discount8d al a market rats of Interest for a similar debt inslnjment. Financial assels and liabilities are On￿ offset in the statement of finanryal ￿81*Ofi when. and only when there exists a legally enforceable ￿ght lo set off the rer•ognised amounts and the charity intends ellher io settle on a n81 basis. or io realise the assei and sellle Ihe I￿oi11ty simultaneously. Financial as$¢ls ar¢ derecognised when and only when al the conlTactual rights to the Eash flows trom the financial asset expire or are settled. bl the charity transfers to another party substantially all of the risks and rewar(Is of ownership of the financial asset, or cl the charity. despite hawng re18ined sorne, bul not all. signfficanl rlsks and rewards of ownership, h8S transferred control of the assel to another paty- Financial liabiliti81S are derecognlsed only when Ihe obligation specified in the cDntract is dlscharged. ncelled or expiras. Investments Unlisted equity investments are initially recorded al cost, and subsequendy measured at fair value. V fair vglug ￿nn01 be reliably measured. assets are measured at cost less impaimient Pa9e 24

Colostomy UK Notes to tho Financial Stat•ments for the Year Ended 31 D•c•mb•r 2023 3 Income from donatlon$ •nd IpgaG1¢5 Unrestricted funds Restricted funds Total 2023 Donatior L•gaci•$ Grants 171,946 160,604 38,500 3,680 175,626 160,604 43,800 5.300 371.0 8.980 380,030 Unr•striGted funds Rèstricted funds Total 2022 Donations Legacie$ Grant9 175.377 89,643 34,888 1,082 176.459 89.643 42.513 7,625 20Q,008 8,707 308,615 4 In¢omo from chaTltabl• actlvltS98 Unrestricted funds R¢$trfcted funds Tolal 2023 Other income Sponsored p08ts Website advertising adv•rtlsin9 incomo Corporate sponsorship Mail out income Radar k8y8 11,287 19.050 16.51)0 126.047 1.050 12.337 19.050 16,500 126,047 29,750 117.497 1.269 29.750 117,497 1,269 292.550 30.800 323,350 Unr¢strl¢ted fvnd$ Restrlcted fund$ Total 2022 Other income Sponsored posis Website adv8rtising M8gazlne advertislng Income Cory)oral8 sponsorship Mail out inGom¢ Radgr keys 6C 1.500 21.150 23.100 135,917 17.3(h) 113,492 1,637 21.150 23,100 135,917 17.300 113.492 1.637 296,196 17,900 314,096 Page 25

Colostomy UK Notes to the Flnancial Statements for the Year Ended 31 December 2023 5 Intomo frorn other trndlng artlvlths Unr•$tricted fund3 R•strlcted funds Total 2023 Merehandi$e s8le8 Fundraising Incom8 500 Club income 9.224 12,803 679 125 150 9,349 12,963 679 22,706 275 22.981 Unrostrl¢t•d lunds Restrfcted funds Totsl 2022 MerGhandi¥e sale5 R&ffl8 Fundraising income 500 Club income 5.857 4,700 12.958 732 6,447 4,705 12.958 732 595 24.842 6 Inve5tmont Incom* UnRstrlGt•d funds T•tal 2023 Total 2022 Investment incom& 6.587 6.587 1,173 7 Expondlturn on rnlslng fund• o) Costs ol gener•tlng donatlons and legacl•8 Unrestrl¢t funds Gonernl Total 2023 Costs of ralslng donetions and legaaes 14,807 14.807 UnrostrlGted funds Gonèral Total 2022 Costs of rAising donations and legacies 2.724 2.724 Pago 26

Colostomy UK Notss to the Finan¢lal Statements for the Year Ended 31 December 2023 bl Costs of trndlng 4¢tlvltl•s funds Gvnewal Total 2022 Fundraising trading costs- Costs of other tradlng advltlos 4,480 4,480 4.480 8 Exp•ndlturg on Gharltabl• actlvltlos Unrestrlct•d funds R•strlct•d funds Total 2023 Charilablo activitios localed support costs 507,736 113.962 621.698 33,660 12.012 45,672 $41,396 125974 667.370 Unre8tr1ctod funds R￿tr1Gted funds Total 2022 Charitable actNitI'es AlorAted ¥upport costs 424.100 31.329 8.042 455.429 108.912 522.970 39,371 562,341 Page 27

Colostomy UK Notos to the Flnancial Statements for the Year Ended 31 December 2023 9 Analysls of support costs Support Gosts allocat•d to Gharitable aGtfvlties Totsl 2023 Totsl 2022 DeprgCi8tion staff training Tiavelling Rent General 8xpens8S Repalrs & maintenance Telephone Volunt88r Reward and R8ccKJnition Event Entertalnment Printin9 & slatlonery Bank Charges Trustees fees Voluntaèr expenses Rates L￿ht. heal and power Insuran IT softwar• Trade subscrlptlons Cleanlng Payroll fee8 8ookk8eplng Indep8ndent examlnefs fee 2,823 3.512 14.387 46,313 2,097 11.225 35,253 6,365 1.806 4.852 391 5,299 7,939 1.788 3.892 2.497 326 52 1.180 3.121 4.410 250 3.724 13,461 2,623 5.036 21,741 2.178 151 781 614 8.255 2.122 106,912 2.236 125,974 10 Net inGomlngloutgolng rniourG•s Nei Ingjmlng resources for me year inciurje: 2023 2022 Amortisation of Intangib￿ assets Depreciation of tangible fixed assets 740 2,083 740 1.357 Page 28

Colostomy UK Notes to the Flnanclal Statements for th¢ Year Ended 31 December 2023 11 Trustees remunernllon and expenses No trustees, nor any persons connected wfth them. have reGeived any rem1Jnerat￿n from the chartty durfng Ihè year. Durfng the year expertses wer8 relmbufs6d to TrnstO8s £326 (2022.. £368) h respect of mileago Costs. 12 8taff Gosts The aggregate payroll costs were as follows." 2023 2022 Staff costs during tho year were: Wages and sa5aries Social securily G05ts Penslon Msts 310.994 23,747 8,315 343,056 240,686 17.562 4,296 262.5H The average head counl of 8mpbyees durlng the year was 11 (2022: 9}. The average number of fill￿time 8quiv818nt employees during the yoar is analysed as follows: 2023 2022 No Charitable activitres No em￿oyee received emoluments of MO￿ than £60,000 during tho year. 13 Independent examlner'$ remunerntlon 21)23 2022 Ind¢pendont ¢xamination 2,296 2,122 Page 29

Colostomy UK Notes to tho Financlal Statements for the Year End•d 31 Dgcember 2023 14 Intanglbk fixed ass•ts Computer goftwaro Tolal Cost At I January 2023 7,404 7,404 At 31 Decembor 2023 7,404 Amortlsatlon At 1 January 2023 Charga for the wr Al 31 December 2023 3,763 740 3.763 740 N•t book valu• At 31 December 2023 2,901 2,901 At 31 December 2022 3.641 15 Tanglble flxed assets Cgmputsr equlpm8nt Plant and mxhlnéry Equlprnent Totsl At 1 January 2023 A(Iditions 13.548 11,949 1.613 1,635 27,132 1.613 Al 31 December 2023 13.548 13,562 1,635 28,745 Depreclatlon Al 1 January 2023 Charge for the year 13,548 3.160 ?.083 1,835 18.343 2.083 Al 31 December 2023 13.548 1,635 20.426 Net l)ook valuè At 31 December 2023 8.319 8,319 At 31 December 2022 8.789 8,789 Page 30

Colostomy UK Notes to the Financlal Statements for th• Year Endod 31 Decembor 2023 10 Invostm•nts Inv•stm*nts Shar•B In group un(lertaklny5 Total Colt Al 1 January 2023 Al 31 Dècern￿r 20?3 Provlslon for impqlrment AI 1 JAnuary 2023 At 31 December 2023 Net Doo# value Al 31 Deeembèr 2023 Al 31 DeGefflbei 2022 17 Debtors 2023 2022 Trade debtors P￿pa￿nents Other debtors 77.367 16.657 9.812 61.996 3,506 6.314 103.836 71,816 18 Cash anfl Gash oqulval¢nts 2023 2022 Cash at bank 574.651 563.175 Page 31

Colostomy UK Notes to the Flnancial Statements for the Year Ended 31 Decembér 2023 19 Cr•dltors: amounts f*lllng du• wlthln •no yoar 2023 Z022 Trad8 creditors Other taxation and S￿la1 seujrity VAT (Jher creditors Accruals Deferred inGoine 10,865 9,959 1.338 4.761 6.223 5.892 12.332 2,599 8,255 20.553 50.646 59.131 20 Pen8lon and other s¢h8mas Defined ¢ontrlbutlon penslon schome Thè charfty operates 8 defined contribution penslon scheme. The penston cost charge for th• year represents contribution$ payable by the charity to the stheme and amounted lo £8.315 (2022 £4.2g6}. 21 Funds Balancé at 31 Dgcemb•r 2023 BalanGo at 1 January 2023 Incomlng Rosovrc•$ re8our¢e• •xynded TTan$forn Unrostrlctsd fund¥ Ggn•ral General Funds Vuluiil¢¥i Risk reserve Fixed assets Stratsgy 141,905 JJ,)53 150,000 12,430 687,593 5,300 {613,4981 (9,255) (1,613) 214.387 29.598 150,000 11.220 189.071 594,276 12,8231 10,929 638.5051 1,813 537.888 92.AQ3 Pagg 32

Colostomy UK Notes to th• Flnanclal Ststements for the Year Ended 31 December 2023 Balance at 31 D•¢ember 2023 8alan¢• at 1 January 2023 Inooming Resotsr6¢¥ res¢Mtr¢es •xpend•d Transfern Rgstrlcted funds JOSH Caring ftji Culvbluiii¢il¥¥ I Dementia Adiv8 Ostomales Bob Buckley Newcastte Project 7,942 (2,488) 5,454 8,477 20,998 3,946 9,039 1.350 38.705 (9,618) (33.497) (69) 209 26.206 3.877 50,402 45.672 44,785 Total funda 588,290 732,948 682.177 639,061 Bal•nce at 31 Deeember lanco at 1 January 2022 In¢omlng Resources resources 0X￿nded Transf•rs 2022 Unrestrlcl•d fund$ General General Funds Voluntoers Risk reseTh8 Fixed a￿91¥ Strategy 254,631 34.535 150.000 7.372 621,524 1527.0951 19821 1207,155) 141.905 33,553 150,000 12.430 200,000 537.888 (2.097) 7.155 200,OCI) 446,538 621,524 530 1741 Rèslri¢tsd funds JOSH Caring for Colostomate81 Dem8nla Active Ostomate8 Bob Buckley Newcastte Prlect Grant for phone 8,987 (1,0451 7.942 21,356 19,204 3.985 9.039 600 25.602 (13.479) (23,808) (39) 8,477 20,998 3.946 9.039 1,000 39.371 62,571 27,202 50,402 Total funds 509.109 569,545 588.290 Page 33

Colostomy UK Notes to the Financlal Stataments for the Year Ended 31 December 2023 Desl9nated funds Vduntoors - voluntw training and dev•lopm•nt. Rtsk Reserve - protect the tharivs ￿nefiCiar18$ from unexpected falls in income. or unèxp8Cted experKliture. Ftxed Assets- which Cannot b8 used to fund expenditure wlthoLrt beln9 Sold. Strategy- alkjcated to the strategic development ofthe chartty. as we embark on our fiv&year plan for Reslrided JOSH - to support h6lplln¢ and young people with 8 stoma. Caring For col0stom8tes￿eMenIl￿ workshops for of local authortiy enablement loams, care and Nursing home stsff, community carers, and inlormal Garers (FamSly members or frierKIs). Activ• OBtomates- lo promot¢ a¢tive lifewcs. Bob Buckley- to support people with a Colostomy who irrigate. Newcastle - fund to support people wih a sloma INing in the Newcastlo area 22 Analysls of net ass•ts betwegn funds Total funds at31 Docembor 2023 Unrestrlcl funds G•n•Yal Restrfctsd funds Int8nuible fixed a9sets Tangible fixed assèts Current assets Curr•nt liabllSti0* 2.901 8.319 633.702 SO,646 2,901 .319 678.487 60,646 44,785 Total net assets 594.276 44,785 639.061 Total funds at31 December 2022 Unrèltrlctpd fund• Genornl Restrlcted funds Intangible fixed assets Tanglble r￿ed a55ets Current 888ets Current liamilies 3.641 8,789 584.589 Isg.1311 3.641 8,789 634,991 159 1311 50,402 Total net assets 537,888 50.402 Page 34

Colostomy UK Notes to the Financlal Statemgnts for the Year Ended 31 December 2023 23 Related party transaGUpn5 Th&re were no related party trensactlons In the year. Puy¢ 35