The Association
for
Perioperative Practice
Trustees’ Annual Report and Consolidated Financial Statements (Directors’ Report and Financial Statements)
Year ended 31 March 2022
Company Registration No. 6035633 Charity Registration No. 1118444
The Association for Perioperative Practice (Company limited by guarantee and a registered charity)
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Our Vision, Mission and Values
Our Vision outlines the scale of our ambition and sets out what we want to be:
Leading Perioperative Excellence
Our Mission is:
To improve patient care through constantly developing and promoting the leading standards for perioperative practice and practitioners.
Our Values and principles are the guiding light of our organisation. They are:
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We put public benefit first
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We put our members at the heart of what we do
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We disseminate learning
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We act with integrity
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We are a business-like organisation
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We are a people-focused organisation
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We are a quality organisation
We achieve our Vision and Values by:
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The excellence of our professional advice to members
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The excellence of our education resources
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The high level of influence we exert
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Determining standards and promoting best practice
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Facilitating education and practice development
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Providing a forum for partnerships with industry
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Shaping healthcare policy
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Contents
| PAGE | |
|---|---|
| President’s message | 4 |
| Chief Executive Officer’s Message | 6 |
| Your Board of Directors/Trustees and Advisors to the Board | 8 |
| Directors’ report | 12 |
| Auditors’ report to members | 21 |
| Consolidated statement of financial activities | 25 |
| Consolidated and charity balance sheet | 26 |
| Consolidated statement of Cash Flows | 27 |
| Notes to the consolidated financial statements | 28 |
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
PRESIDENT’S MESSAGE JOHN DADE
AfPP is a membership organisation and ‘exists to advance health by improving patient care in perioperative practice’. Our vision is to lead perioperative excellence. We endeavour to achieve this, by determining standards and promoting best practice, facilitating education and practice development, providing professional support services, providing a forum for partnership with industry and shaping healthcare policy.
As an organisation, we represent a diverse range of perioperative personnel, including students, registered and unregistered staff in the National Health Services, across the four nations and within the independent sector. The range of roles within the perioperative environment is ever evolving and all are representative within AfPP. To all of these, we offer professional advice, clinical education, and management support through our membership services.
The board of trustees represent the members and sets the strategic direction and objectives of the organisation, to reflect the needs of members and to promote safe high-quality patient care. Some progress has been made against those strategic objectives, which continue to be reviewed as part of our Board meetings. Our high-level objectives are:
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Improve visibility
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Strengthen financial resource
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Enhance/develop our educational offering
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Develop new services and benefits
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Grow membership (increase market share)
The board is a dynamic entity and evolves as trustees complete their tenure. When at full capacity, the board consists of six elected trustees (elected from the membership by the membership) and four non–elected trustees (who are invited to join the board to contribute their expertise). The board is led by the President who holds a two-year tenure. At the end of this tenure the President-elect takes on the role of President for the next two years.
I took on the role of President in January 2021 and from 2022 I have been supported by a President-elect, Ruth Collins. Ruth will take up the Presidency in January 2023. The current board is represented by Registered Operating Department Practitioners (ODPs) and nurses from academia and clinical practice. We also have representation from experts in the field of finance, infection control, medical devices, and clinical management.
‘In person’ events resumed in the Autumn and Winter of 2021. I, other AfPP Trustees and Staff were involved in ‘The Operating Theatre Show, Future Surgery’ and of course, our own Annual Meeting and Vision Day. How good it was to engage with one another in person and offered up hope for further events.
AfPP continues to be involved with the Perioperative Care Collaborative, and as of December, now as joint chair with CODP. Lisa Tierney is our representative.
Last year I referred to the forthcoming updated Standards and Recommendations of Safe Perioperative Practice. I’m delighted to say these are now available in both hard copy and digital formats.
We have continued to engage and participate with advisory panels such as, Anaesthesia Related Professional Committee and the Decontamination Professional Expert Communication Forum.
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Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Over the last year, we have become a partner organisation of the Centre for Perioperative Care (CPOC) with me sitting on the board. This is a group which includes amongst others, five royal colleges and who’s significance and influence will grow.
Since the closure of the English National Board (ENB) and its other UK equivalents twenty years ago, there has been no nationally recognised Theatre Course for Nurses. One of my aims when I became president was to explore how this can be addressed. After a Zoom call with Health Education England Chief Nurse Mark Radford in January, it was agreed that further discussions regarding HEE commissioned courses in Perioperative Nursing could take place. These courses would be based on the Perioperative Care Collaborative Curriculum.
Alongside this, I have also been working closely with HEE AHP Chief Officer, Beverley Harden and members of CODP. This specialist group known as ‘Operation ODP’ has been examining the lessons learnt from the last two years and shaping the ODP profession into the future. ‘Operation ODP’ continues into the 2022-23 year.
Our global links remain strong, with me representing AfPP on the board of the International Federation of Perioperative Nurses (IFPN). Over the past few months, IFPN has held several virtual meetings. I have also had one to one Zoom conversations with board members from Australia, New Zealand and Canada, which have been helpful.
During 2021-22, thankfully we have seen fewer changes amongst our headquarters staff. As I did last year, I would like to acknowledge all their adaptability and hard work under the direction of our CEO, Dawn Stott. This was demonstrated by further development of webinars and in particular our 2021 virtual conference. All of which has kept our HQ team super busy. We may be coming out of the pandemic, but many other challenges are still there. A nice challenge to have of course, at the end of this financial year is, the early planning of our first in-person conference since 2019, to be held in September 2022.
As always, it is also important to remember the contribution made by our volunteers, including Regional and SIG Leads, Link Members, and the Board. Many have juggled their demanding clinical commitments with their AfPP roles.
Lastly, but by no means least, to our membership. You continue to engage with AfPP in areas such as our Professional Advisory Service, Webinars, social media platforms and the few study days we have held. AfPP is all about you and without you we could not exist.
See you in York.
Thank you.
John Dade President
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Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
CHIEF EXECUTIVE OFFICER’S MESSAGE DAWN STOTT
Last year I started by saying what a difficult year it had been, and I am pleased to say that this year, for the Association we have seen several transitions back to normal. As an HQ team we have developed a hybrid approach to managing the office, which seems to be working well. We have also seen our commercial work begin to grow again, particularly as Trusts and the private sector are allowing us to visit and support them with audit and accreditation. Our year-end results reflect this growth in our commercial income. I am very pleased with the results and the hard work undertaken to get us back to where we were before Covid hit.
I am very much aware that it isn’t business as usual for the front line and know that it won’t be for a while. I am pleased that we been able to support you in different ways, educationally and emotionally and the feedback from members has been very positive.
It was unfortunate that following the purchase of our simulated learning kit we were unable to use it straight away due to Covid, however, as restrictions have lifted, we have been able to get out and run a few surgical skills workshops (SSWs). The workshops are designed to support junior doctors, and we are continuing to develop educational opportunities for the wider surgical team. We are running a separate stream at the 2022 AfPP Conference in York to support these workshops for delegates with an interest in advanced care. We are delighted that we will be back at York this year (September 2022), in person, but also with the opportunity for remote delegates to join the education from the comfort of their own homes.
We have continued to work hard with student engagement and have supported the universities by attending their fresher week, some virtually and some face to face. It is always a pleasure to tell up and coming new students about our amazing organisation and provide them with a membership package that can support them through their studies and beyond. Our Instagram page is a great way to engage with our younger colleagues and we currently have 1,232 followers, forming a small community of their own.
The Zoom and Teams platforms are still very useful and as an organisation we have cut down our carbon footprint by holding meetings online rather than in person. It has also helped us to reduce our travel and accommodation costs.
We held a number of webinars during the financial year which included topics such as Human Factors, unleashing the power of your emotional intelligence; The history of neuroscience, and an introduction to head injury; Developing a compassionate workforce; Transgender health; and Developing a workforce for the future. The webinars continue to be very popular. We have also released, for members only, several webinars that can be watched free of charge to support your ongoing professional development. We were able to hold one in person study day throughout the financial year, which was supported by Ansell and the topic discussed was a team response to Latex. I am pleased to say that as the appetite grows for in person events, our regions are starting to develop topics for future study days which will be rolled out to the perioperative audience.
Our Journal continues to be very popular, and I am pleased to let you know that we received notification that the JPP is currently being evaluated by Clarivate Analytics. This means that we are working through the different stages of accreditation, with a view to receiving an impact factor and Science Citation. This is great news for the journal and our standing within industry.
Our Innovation People and Practice (IPP) magazine is proving very popular with members and offers an holistic approach for our members. This standalone supplement continues to deliver on product
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Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
innovation, articles on best practice and spotlights on many different elements of the perioperative environment.
A collaborative approach to our work has continued throughout the year and, with the help of industry partners we have developed several educational posters to support evidence-based practice. Our work on the prevention and management of surgical fires is ongoing. Our partnership with the RCS Edinburgh, Faculty of Perioperative Care continues. I am delighted to announce that we have formed an alliance with the International Council for Surgical Plume (ICSP) and other industry partners to encourage the adoption of clinically driven standards and guidance to reduce the harm to patients and practitioners from surgical smoke plume.
Following the decision in 2021 to move our flagship event onto a virtual platform, I am pleased to confirm that the event was very successful with industry and membership engagement across the virtual platform. It was a very different experience, but we had some great speakers, and the educational content did not falter, and the feedback was excellent.
Following a full content review, we launched our 2022 Standards and Recommendations for Safe Perioperative Practice. This is now in a paper and digital format and providing up to date, evidence-based standards for all perioperative environments.
Our virtual engagement with our volunteer networks has proved to be very useful and whilst we have seen some changes with our regional and SiG leads, we have managed to have regular update meetings with them, and their feedback suggests that they have kept them focussed.
As CEO, my role is to support the Trustees in improving the standards of care and patient safety within the perioperative arena. We manage to do this in different ways, for example supporting members who are campaigning for change, supporting the relevant professional bodies with developing new ways of working, supporting the NHS with ongoing development and innovations etc.
I cannot finish without mentioning and thanking all healthcare practitioners for their hard work and dedication in keeping us safe. Every set back that is sent to try us only makes us stronger and as an organisation I believe we have implemented some great things as a result of Covid 19. My determination in my approach to the operational leadership of our organisation and supporting the Trustees with the strategic vision and aims of AfPP does not falter and it gives me great pleasure to see our organisation support our members and flourish as an organisation.
I could not achieve any of this without the backing and encouragement of the dedicated and skilled HQ team, for which I thank them. They have dealt extremely well with remote working, uncertainty and change. We have worked hard to settle into the ‘new normal’ and I believe we are doing it very well.
Dawn Stott AfPP CEO
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Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
YOUR BOARD OF DIRECTORS/TRUSTEES AND ADVISORS TO THE BOARD
John Dade: President/Trustee and Director of AfPP Limited
John qualified as an Operating Department Assistant in 1983 based then in Norwich and worked at a few hospitals around the UK before taking up a role in 2004 as lecturer in Operating Department Practice at the University of Leicester.
John retired in November 2021 but remains as a visiting lecturer and Perioperative Consultant. He regularly spends time in theatres to keep up to date with current practice and developments. He feels it imperative in his role to maintain one’s clinical credibility.
John joined the then NATN in 1998 and has been a member of the AfPP Governance Committee since 2014 and was elected as a Trustee in November 2017 and President in January 2021.
John currently represents AfPP on the Board of the Centre for Perioperative Care (CPOC) and the International Federation of Perioperative Nurses (IFPN). John is also very involved in updating the HCPC ODP Standards of Proficiency and in projects with Health Education England which will chart the future of Perioperative practice.
Ruth Collins: President Elect/Trustee and Director of AfPP Limited
Ruth is currently a Nurse Development Lead with responsibility for co-ordinating education and training, practice development, clinical workforce and governance. Whilst she is an adult trained nurse, this role is within a paediatric setting and therefore she is responsible for almost 500 nurses. Her role extends to the perioperative environment. Ruth is a theatre nurse by background with over 20 years’ experience within the perioperative environment and continues to undertake a clinical shift each week.
Ruth’s main areas of interest are education, governance, infection prevention and control, person-centered care and patient and staff experience. She is an advocate for patient and staff safety and the development of safe, caring and confident practitioners within the perioperative environment and is passionate regarding the development of safe cultures and inclusivity regarding all roles within the perioperative setting. Her areas of expertise include the above and clinically, orthopaedics, general surgery, vascular, plastics, neuro and ophthalmology.
Ruth has been a member of NATN and subsequently AfPP, since 2005 and was originally a member of the Brunel Branch. She was involved in the Northern Ireland branch with responsibility for membership and then became the Regional Lead for Northern Ireland. She now supports the Lead as part of the team in Northern Ireland.
Ruth has represented AfPP in relation to OneTogether, HIS and NAP6 and provides consultancy support to the Association. Ruth currently sits on the Governance Committee and considers it a privilege to contribute in this way.
Julia Spencer: Trustee
Julia qualified as an Operating Department Practitioner (ODP) in 2001 with an NVQ3 in ODP. Since qualifying, Julia has gained invaluable experience across almost all ODP specialities, working in both permanent and agency roles within the NHS and private sector. Julia has completed various Royal College of Surgeons courses including a PG Cert in Surgery, Basic Surgical Skills and Non-Technical Skills for Surgeons.
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Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
In 2015, Julia began working within resuscitation. She held positions as a Resuscitation Lead and Resuscitation Officer in the NHS and private sector, and as a Resuscitation Council (UK) instructor for both adult and paediatric courses.
Julia is currently an Advanced Clinical Practitioner at York Hospital within the speciality of breast surgery and oncoplastics. Alongside this role she also teaches for the University of Huddersfield and leads the Surgical First Assistant course for the University.
Julia’s most important role is being mum to her four children, Molly (14), Alfie (13), Meggy (11) and Joe (10). Julia is a keen runner and is taking part in a ten-mile race later this year and the London Landmarks Half Marathon in April 2023.
Julia has been an AfPP Trustee since 2021.
Oliver Tierney: Trustee
Oliver started with the NHS in 1999 at the Liverpool Royal Hospital, qualifying as an Operating Department Practitioner in 2008. Post qualification, he worked at the Liverpool Heart and Chest before moving to The Walton Centre in 2013. Oliver became a Band 6 Clinical Skills Facilitator in 2015 and then a Band 7 Practice Education Facilitator in 2017. Since May 2022, Oliver’s role has further expanded, and he is now the Lead for Education, Risk and Governance at Walton Operating Theatre.
Throughout his career Oliver has always had a passion for education and he won The Walton Centre “Best Contribution to Education” Award in 2016. Recently, Oliver has become an accredited Applied Human Factors Trainer and qualified Workplace Mediator.
In 2019, Oliver became an accredited Mental Health First Aider and from this, set-up the Walton Theatre Health & Wellbeing team, which would prove invaluable during the COVID pandemic.
He has been an AfPP Trustee since 2021.
Jennifer Maher: Trustee
Jennifer is an ODP Team Leader and a Clinical Skills Facilitator. She has over 23 years' experience in and around theatres. Most of these years were spent in large adult trusts in Liverpool, with the last 5 years in Paediatrics in Alder Hey Hospital. Jennifer has an ILM level 3 in Leadership & Management and is currently studying a level 5 Coaching qualification. She is also a trained Human Factors trainer.
Jennifer has a keen interest in Human Factors and the impact on patient safety. Recently, she has been part of a core team developing a new programme to create a safer way of working in teams, using Human Factors, Simulation and Coaching as the core of the programme. She feels her vast experience and skills across the many specialities help her to understand the needs, and the many challenges theatre staff can face day to day. Jennifer believes that we can coach our teams into overcoming, and maybe preventing some of these challenges.
Kat Topley: Non-elected Trustee
Kat Topley, MSc, Advanced Health Care Practice, Dip (Infection Control), Cert Ed, RGN, has many years’ experience in healthcare. Specialising in infection prevention and control since 1995, Kat has held a range of clinical and senior positions within the NHS (Oxford University Trust) and independent sector (BUPA, Spire, BMI), also as a regional co-ordinator for the 2006-point prevalence survey in England.
Kat is a qualified lecturer with experience in curriculum development and teaching on undergraduate and postgraduate courses.
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Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Kat has a special interest in surgical site infection and this has been a focus of her activity and current role within UK 3M PLC, Infection Prevention division. Kat is an active member of the Infection Prevention Society (IPS) and has a role on their scientific planning committee.
Lisa Tierney: Non-Elected Trustee
Lisa has worked in theatres throughout the UK since 1980, predominately in the role of scrub practitioner. Previous roles include Theatre Matron at The Royal Liverpool and Broadgreen University Hospitals Trust and Theatre Matron/Manager at Liverpool Heart & Chest Hospital. Following 38 years in the NHS she is currently Head of Nursing for The Private Clinic of Harley Street.
Lisa is passionate about patient care and strives to create an environment of continuous quality improvement with a focus on safety, quality and improving the patient experience. She served as a Major in the Army Reserves for 18 years and completed three operational tours to Iraq and Afghanistan.
Lisa was seconded from Liverpool Heart & Chest Hospital to the Care Quality Commission (CQC) in July 2015 on a part time basis and continues to work for the CQC as a Specialist Advisor, having undertaken in excess of 100 Inspections in the NHS and Private Sector.
Lisa has been a member of NATN/AfPP for a number of years and represents AfPP on the steering group of the SAFE OR program, which supports and promotes safe standards in low income countries. She has contributed to developing the program and has delivered multi-disciplinary teaching on courses in Africa, India and the UK.
Maxine Page: Non-Elected Trustee
Maxine began her theatre career in 1992 as a newly qualified nurse. Over the last 30 years she has worked primarily as a scrub practitioner within general, urology, colorectal and vascular surgery and rotationally in PACU. She was the Theatre Education Co-ordinator at the Princess Alexandra Hospital, Harlow. In January 2009 she became the Matron for theatres, post anaesthetic care unit, day surgery theatres, pre assessment and the acute pain service. Maxine is also an associate lecturer at Anglia Ruskin University on the ODP degree programme.
Maxine is passionate about education and the development of staff. She has devised roles, training programmes and competencies within theatres and PACU at Princess Alexandra Hospital to foster staff development and growth. She has shared her educational experiences at several conferences, including AfPP’s Annual conference, to inform, support and energise theatre practitioners around education and its importance.
Maxine is equally passionate about patients’ safety, quality and providing a positive patient experience. She works collaboratively with patients and relatives to improve care and service delivery.
Maxine is a mental health first aider and is committed to staff health and wellbeing.
Maxine has been a member of NATN latterly AfPP since 1992. During this time, she has been a link member, Educators SIG Lead and an AfPP Consultant for theatre accreditations.
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Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Dawn Stott: Chief Executive Officer and Director of AfPP Limited
Dawn has worked in healthcare for around 27 years in many different roles. During that time, she undertook an Open University Certificate in Management which provided the learning to underpin her knowledge and experience.
Dawn worked for a private hospital group in various roles and has managed a 9,000 patient GP practice in Headingley, Leeds. This provided her with an all-round understanding of healthcare from primary care commissioning through to secondary care intervention.
Her previous roles have included commissioning new hospital builds, commissioning new GP surgery builds, IT implementation programs, customer care training strategies and quality improvement initiatives. She has a strong interest in writing and is an active volunteer with the Prince’s Trust mentoring young people starting out in their own new businesses.
Dawn joined AfPP in June 2009 as Director of Operations and moved into the role of CEO in October 2009.
David Robinson: Professional Advisor and Director of AfPP Limited
David is a Chartered Accountant and joined the Board in January 2018. After many years as a Partner in private practice David set up his own business advisory company in April 2016. He now holds a number of non-executive roles and provides advisory services to a broad range of businesses. His work principally relates to financial matters and business development. He was, for over 12 years, a trustee and treasurer of a leading local Charity and is now a trustee of a charity that provides access to the countryside for people with disabilities. David has extensive third sector and business experience.
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Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
DIRECTORS’ REPORT
The Directors present their report and audited financial statements for the year ended 31 March 2022 The financial statements comply with the Charities Act 2011, the Companies Act 2006, the Memorandum and Articles of Association, and 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).
| Reference and administrative information | |
|---|---|
| Charity name: | The Association for Perioperative Practice |
| Charity registration number: | 1118444 |
| Company registration number: | 6035633 |
| Country of incorporation: | England |
| Registered office and | |
| Operational address | Daisy Ayris House, 42 Freemans Way, Harrogate HG3 1DH |
| Telephone: | 01423 881300 |
| Facsimile number | 01423 880997 |
| Website: | www.afpp.org.uk |
| Directors and Trustees: | John Dade (President, appointed Dec 2020) |
| Ruth Collins (President Elect appointed 4 January 2021) | |
| Kathryn Topley (appointed 9 September 2019) | |
| Lisa Tierney (appointed 15 October 2019) | |
| Oliver Tierney (appointed 4 January 2021) | |
| Julia Spencer (appointed 4 January 2021) | |
| Jenny Maher (appointed 11 November 2021) | |
| Maxine Page (appointed 23 February 2022) | |
| Nicholas Baker (resigned 28 March 2022) | |
| Roslyn Moore (resigned 17 March 2022) | |
| Key Management personnel | |
| Chief Executive | Dawn Stott |
| Subsidiary Name | AfPP Limited |
| Company registration number: | 3102102 |
| Subsidiary’s Directors | John Dade |
| Dawn Stott | |
| David Robinson | |
| Ruth Collins | |
| Bankers | National Westminster Bank |
| 3 Cambridge Crescent, Harrogate HG1 1PE | |
| Solicitors | Hempsons Solicitors |
| The Exchange, Station Parade, Harrogate HG1 1TS | |
| Auditors | Saffery Champness LLP |
| Mitre House, North Park Road, Harrogate HG1 5RX |
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Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
STRUCTURE, GOVERNANCE AND MANAGEMENT
Structure
The organisation is a charitable company, limited by guarantee, registered in England and Wales, incorporated on 21 December 2006 and registered as a charity on 20 March 2007. The Company was established under a Memorandum of Association which established the objects and powers of the charitable Company and is governed under its Articles of Association. The Directors review these governing documents annually.
The business and assets of the unincorporated body, also known as The Association for Perioperative Practice, were donated to the Charity on 1 April 2007 and its liabilities were discharged by the Charity. In the event of the Company being wound up members are required to contribute an amount not exceeding £1.
The Association has grown and thrived since it was founded in 1964 by Doreen ‘Daisy’ Ayris MBE. From a membership of only 250, AfPP has developed into a nationally respected organisation which promotes the highest level of clinical care in perioperative practice.
Related company
As of 31 March 2022, the charity has one wholly owned subsidiary company being AfPP Limited (No. 3102102).
The principal activity of the Company is the provision of training and consultancy to healthcare institutions and organisations working in or visiting the perioperative environment. Other activities include the publishing of journals and publications for the medical profession.
Further information is provided within the financial statements.
Pay policy for senior staff
The Directors, who are the Association’s Trustees, consider that the key management personnel are the senior management team which is responsible for directing and controlling, running and operating the Association on a day-to-day basis. All Directors give their time freely and no Director received remuneration in the year for these services as Trustees. Details of Directors’ expenses and related party transactions are disclosed in note 23 to the accounts.
Governance and Management
The Directors of the Company are also charity trustees for the purposes of charity law and under the Company’s Articles of Association, are known as the Board of Directors and Trustees (‘Board’).
The Board meets at least three times per year and is responsible for business planning, strategy and the management of the charity. The day-to-day management of the charity has been delegated to the Chief Executive who is accountable to the Board.
The Board may delegate any powers or discretions to committees consisting of such persons as it may think fit. Any such committees report fully their acts and proceedings to the Board.
The Board of elected Directors/Trustees come from a background of employment based clinical practice, whilst non-elected Board members bring their business and administrative skills.
The elected Directors/Trustees act as ambassadors and are the external face of the Association both at national and international levels. Furthermore, the elected Directors/Trustees support various areas of governance activities including standards, membership, regions and education.
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Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Recruitment and appointment of Directors/Trustees
In accordance with the Articles of Association, Directors/Trustees are elected by the voting members of the Company for a term determined by the Articles of Association. The Board may, by resolution, appoint up to four more non-elected Directors/Trustees.
All members of the Board are familiar with the practical work of the Charity. Any new Director is fully briefed by the Board on all aspects of the Charity, including its operational framework, future plans and current financial position. New Board members are provided with guidance from the Charities Commission on trusteeship.
All members of the Board give their time voluntarily and receive no benefits from the Charity. Any expenses reclaimed from the Charity are set out in note 20 to the financial statements.
Board induction, training and assessment
A structured approach ensures that the skills of new and current Directors/Trustees are developed in order to contribute to their roles as Board members.
New Board members are helped through a mentorship scheme involving an experienced Trustee who, in providing support, assists the new Board member to quickly become aware of the work and practices of the charity and is thereby equipped to contribute to the Board.
The performance of Directors/Trustees is reviewed annually by the President as part of an individual development plan which sets out any further training/development needs.
Regional Teams
HQ continues to work closely with our regional teams; however, the pandemic has meant face to face meetings have not been achievable. Virtual meetings have taken place to ensure our regional teams have been supported and kept up to date with ongoing AfPP business. Our regional teams continue to support all regional accomplishments and have worked hard to maintain and enhance the profile of the Association at local level.
Sub-committees
There are various sub-committees and groups which have delegated authority from the Board:
Governance Committee – The aim of the Governance Committee is to ensure and evidence that systems are in place that deliver a sound and robust approach to integrated governance. The Governance Committee reports to the Board and meetings are aligned to the board meetings.
Nominating Committee – The function of the Nominating Committee is to encourage and assist in the maintenance of the succession of Board roles. The committee meets as required to support the Trustee election process and reports to the Board.
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Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
OUR AIMS AND OBJECTIVES
Purposes
AfPP exists to advance health by improving patient care in perioperative practice by:
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determining standards and promoting best practice
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facilitating education and practice development
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providing professional support services
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providing a forum for partnership with industry
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shaping healthcare policy
Our vision
To lead perioperative excellence.
Ensuring our work delivers our aims
The achievements and the results of the Charity’s activities are reviewed monthly by the Board. The Board also reviews the aims and objectives in the context of achievements and results.
The focus of our work
The main objectives for the year continued to be the advancement of health by the improvement of patient care in perioperative practice. The strategies and activities we employed to meet these objectives included:
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the provision of education and ongoing professional development courses
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the provision of advice to practitioners in the delivery of perioperative practice
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to act as a consultative body on perioperative care and practice to any government department, public or private institution or other interested groups
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to institute or assist in instituting and providing continuing support for research in furtherance of the objects of the Charity
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to award scholarships, bursaries and prizes
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to facilitate the publication of periodicals, journals, books and other forms of media and the provision of library and reference services consistent with the Charity’s objects
How our activities deliver public benefit
The Trustees have considered the Charity Commissions’ guidance on public benefit including its publication ‘Public Benefit: running a Charity’ (PB2) in setting its objectives and planning activities for the year.
Whilst our activities are focused upon perioperative professionals within all health settings, the nature and scope of our work results in a much wider audience than the members and students who subscribe to the Charity.
By the promotion of best practice in perioperative care through the delivery of our activities, the clinical journey of anyone in the United Kingdom having surgical treatment will be enhanced.
The Charity’s Annual Conference is an opportunity for perioperative professionals delivering healthcare needs, regardless of the income of beneficiaries, to attend a forum of like-minded individuals. Due to the pandemic this was moved onto a virtual platform which will provide similar opportunities to network both for practitioners and industry partners. The feedback from the event was good.
The Charity’s journal provides widespread information to those in perioperative practice and an academic technical journal is available to members and non-members on subscription.
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Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
The Innovation People and Practice (IPP) Magazine is a stand-alone supplement which is published and despatched with the Journal of Perioperative Practice ten times per year. The IPP includes wellbeing features, interviews with practitioners and suppliers, articles on best practice and product innovation. It is an holistic approach to supporting our core membership. There are great opportunities for our core audience to be involved and provide information for inclusion in the magazine.
Who used and benefited from our services?
Members of the public in the United Kingdom in need of perioperative care are the ultimate beneficiaries of the Charity’s services. The Charity supports skilled perioperative staff through direct membership and the provision of website information to non-members.
ACTIVITIES, ACHIEVEMENTS AND PERFORMANCE IN THE YEAR
Annual Conference
The annual conference took the format this year of a virtual conference. We had in excess of 300 delegates booked onto conference across the weekend with high profile speakers delivering sessions including topics such as:
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Difficult Airways
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Perioperative Hypothermia
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Embedding a Learning Culture
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Healing the Healer
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Finding our Leadership Qualities
We were pleased with the feedback and evaluations from our delegates.
Regional study days
Due to the lifting of restrictions following the pandemic we were only able to hold one in person regional study day. This was held in London and was support by Ansell.
Webinars
After initially offering our webinars free of charge to support our members a pricing structure has been put in place and we have also bought our own online platform to be able to run them independently and manage the process from start to finish. We held a number of webinars during the financial year which included topics such as:
-
Human factors, unleashing the power of your emotional intelligence
-
The history of neuroscience and an introduction to head injury
-
Developing a compassionate workforce
-
Transgender health
-
Developing and workforce for the future.
Feedback on all the sessions has been very good with some great ideas put forward for future events.
16
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Newsletter and publications
The Charity publishes a range of technical and professional journals, newsletters and books including The Journal of Perioperative Practice, the official journal of the AfPP. It promotes perioperative practice through publishing literature reviews, research-based articles, topical discussions, advice on clinical issues, current news items and product information. The Journal also encourages a sense of community among perioperative practitioners by providing a forum for debate.
The Commercial Division
The business derived through our commercial arm has proved to be a very important income stream for the Association. However due to the pandemic and the restrictions on surgical intervention our ability to undertake this work was reduced. However, as restrictions were lifted we have been able to continue with our audit and accreditation work along with our Surgical Skills Workshops.
Membership of AfPP
The Charity is a membership organisation. Different classes of membership ensure that membership is open to all who have an interest or vocation in perioperative care. Registered and non-registered clinical staff have access to membership as do students.
Corporate members have no voting rights at General Meetings of the Company.
The membership is organised into Regional Teams which facilitate professional education, networking and communications.
At 1 April 2022 the Charity’s membership was 6,696 ( 2021: 6,789 ).
Student development
All students are eligible for online membership. This category of membership allows access to all online resources including the archive of the Journal of Perioperative Practice articles, the CPD modules and our education offering.
Indemnity Insurance
We saw 942 members renew their insurance in 2021/22; this does not include new business which is being written daily.
Professional Advisory Service
The Professional Advisory Service (PAS) is a confidential service which aims to provide clinical, ethical and professional advice to all members. The aim of PAS is to provide clear, helpful, accurate and confidential advice to:
-
facilitate the assurance of standards and best practice within perioperative practice
-
promote the safety of patients in the perioperative environment by the provision of quality patient care
-
promote professional conduct and practice across all perioperative disciplines.
17
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
LOOKING TO THE FUTURE
Year on year we continue to review our efforts and what has brought the best outcomes for the Association and its members. We continually review practice and bring ideas and feedback to the table to ensure our members are getting the most out of the benefits we offer.
Our strategic objectives are reviewed quarterly through our Board meetings to ensure we are supporting members in the best way possible and, of course, meeting our charitable requirements.
Our work to raise the profile of the Association will continue and opportunities to work collaboratively with similar organisations will be strongly pursued to ensure a greater voice in our professional arena.
Our trading arm will continue to be developed to facilitate learning for Trusts around whole teams, human factors, communication, leadership etc.
As an organisation we continue to monitor and updated controls and procedures in accordance with relevant UK government, Public Health England and Charity Commission guidance with the safety of staff and maintaining services to members the key priorities. Whilst the impact of Covid-19 continues to pose challenges, we are satisfied that we are taking all appropriate measures to mitigate any risks to the continuing operations of the charity.
FINANCIAL REVIEW
Results of the Group
The gross income of the Group amounted to £1,150,723 (2021: £939,132) . The Group has reported a deficit for the year of £ (12,361) 2021 deficit £(69,796). The increase in income, and the reduced deficit for the year, principally reflect the growth in commercial income following the easing of Covid restrictions.
Investment policy
The Charity holds money not required for immediate use on deposit with UK commercial banks and seeks to maximise the interest earned by active cash management.
Reserves policy
Reserves are required to bridge the gap between expenditure and income to cover unplanned emergency expenditure and to develop new services.
Total funds as at 31 March 2022 amounted to £764,353 (2021: £776,714) of which £764,353 (2021: £776,714) was unrestricted. However, the unrestricted funds include functional fixed assets (eg Goodwill, computer hardware, software and other equipment) of £410,901 (2021: £391,762) that are essential for the Charity’s activities and are therefore excluded from free reserves. Therefore, the Charity’s reserves freely available to spend at 31 March 2022 were £353,452 (2021: £384,952) .
The Charity’s policy is to achieve sufficient reserves to cover six months’ expenditure on charitable activities (£475,000) plus the estimated costs of meeting all commitments on a winding-up of the organisation (£70,000); a total of £545,000. The trustees note that reserves freely available to spend have decreased significantly over recent years. This reflects deficits incurred as a direct result of the pandemic which was out of our control together with the impact of a positive decision to invest in our IT infrastructure. This is not a cause for concern because we were in such a strong financial position prior to the pandemic and the group has maintained significant cash balances. Reserves freely available to spend at 31 March 2022 fell below the level required to satisfy our reserves policy at that date. The trustees consider the reserves policy to be prudent and the shortfall against that policy at 31 March 2022 not to be a cause for concern.
The reserves policy is reviewed annually.
18
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Fundraising Activities
In the directors’ opinion the charity does not carry out any fundraising activities of the nature set out in the Charities Act 2016
Risk Management
The Board has a risk management strategy which comprises:
-
Compilation of a risk register for the Group which is underpinned by detailed risk assessments and supported through standard methodologies. The risk assessments are reviewed quarterly by the Governance Committee and annually by the Board as part of the Charity’s strategic and operations plans.
-
Establishment of policies, systems and procedures to mitigate the risks identified in the risk register
-
Implementation of procedures to minimise the potential impact of any risks that do materialise.
Key risks currently are:
-
Organisational support systems fail to enable effective communication with members
-
Achieving delegate numbers at AfPP events
-
Loss of key operational staff from HQ leading to loss of knowledge
Principal funding sources
During the year, a total of £915,046 (2021: £831,940) was generated from charitable activities.
19
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
STATEMENT OF DIRECTORS RESPONSIBILITIES
The Trustees (who are also directors of the charity for the purposes of company law) 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).
Company law requires the Trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the charitable company and the group and of the incoming resources and application of resources, including the income and expenditure of the charitable group for that period.
In preparing these financial statements, the Trustees are required to:
-
select suitable accounting policies and then apply them consistently;
-
observe the methods and principles in the Charity’s SORP;
-
make judgements and estimates that are reasonable and prudent;
-
state whether applicable accounting standards have been followed, subject to any material departures disclosed and explained in the financial statements;
-
prepare the financial statements on the going concern basis unless the charity will continue in business.
The Trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financial position of their charitable company and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and the group and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.
STATEMENT OF DISCLOSURE TO AUDITORS
In so far as the Trustees are aware:
-
there is no relevant audit information of which the charitable company’s auditor is unaware, and
-
the Trustees have taken all steps that they ought to have taken to make themselves aware of any relevant audit information and to establish that
-
the auditor is aware of that information
Approved by the Directors on 4 August 2022
and signed on their behalf by:-
John Dade, President
20
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Independent auditor’s report to the members
Opinion
We have audited the financial statements of The Association for Perioperative Practice (the ‘parent charitable company’) and its subsidiaries (the ‘group’) for the year ended 31 March 2022 which comprise the Consolidated Statement of Financial Activities, the Consolidated and Charity Balance Sheets, the Consolidated Statement of Cash Flows and notes to the financial statements, including significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102, the Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).
In our opinion the financial statements:
-
give a true and fair view of the state of the affairs of the group and the parent charitable company as at 31 March 2022 and of the group’s incoming resources and application of resources, including its income and expenditure, for the year then ended;
-
have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; and
-
have been prepared in accordance with the requirements of the Companies Act 2006.
Basis for opinion
We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the financial statements section of our report. We are independent of the group and parent charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.
Conclusions relating to going concern
In auditing the financial statements, we have concluded that the trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate.
Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the group or the parent charitable company's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.
Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.
Other information
The trustees are responsible for the other information. The other information comprises the information included in the annual report, other than the financial statements and our auditor’s report thereon. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.
21
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information; we are required to report that fact.
We have nothing to report in this regard.
Other matters prescribed by the Companies Act 2006
In our opinion, based on the work undertaken in the course of the audit:
-
the information given in the Trustees’ Annual Report which includes the Directors’ Report for the financial year for which the financial statements are prepared is consistent with the financial statements; and
-
the Trustees’ Annual Report which includes the Directors’ Report has been prepared in accordance with applicable legal requirements.
Matters on which we are required to report by exception
In the light of the knowledge and understanding of the group and the parent charitable company and their environment obtained in the course of the audit, we have not identified material misstatements in the Trustees’ Annual Report.
We have nothing to report in respect of the following matters where the Companies Act 2006 require us to report to you if, in our opinion:
-
adequate accounting records have not been kept by the parent charitable company, or returns adequate for our audit have not been received from branches not visited by us; or
-
the parent charitable company financial statements are not in agreement with the accounting records and returns; or
-
certain disclosures of trustees’ remuneration specified by law are not made; or
-
we have not received all the information and explanations we require for our audit; or
-
the trustees were not entitled to prepare the financial statements in accordance with the small companies regime and to take advantage of the small companies exemption in preparing the Trustees’ Annual Report and the Strategic Report.
22
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Responsibilities of trustees
As explained more fully in the Statement of Directors Responsibilities set out on page 20, the trustees (who are also the directors of the parent charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of the financial statements that are free from material misstatement, whether due to fraud or error.
In preparing the financial statements, the trustees are responsible for assessing the group and the parent charitable company’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the group or the parent charitable company or to cease operations, or have no realistic alternative but to do so.
Auditor’s responsibilities for the audit of the financial statements
We have been appointed as auditors under the Companies Act 2006 and report in accordance with regulations made under that Act.
Our objectives are to obtain reasonable assurance about whether the group and parent financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.
Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The specific procedures for this engagement and the extent to which these are capable of detecting irregularities, including fraud are detailed below.
Identifying and assessing risks related to irregularities:
We assessed the susceptibility of the group and parent charitable company’s financial statements to material misstatement and how fraud might occur, including through discussions with the trustees, discussions within our audit team planning meeting, updating our record of internal controls and ensuring these controls operated as intended. We evaluated possible incentives and opportunities for fraudulent manipulation of the financial statements. We identified laws and regulations that are of significance in the context of the group and parent charitable company by discussions with trustees and updating our understanding of the sectors in which the group and parent charitable company operate.
Laws and regulations of direct significance in the context of the group and parent charitable company include The Companies Act 2006 and guidance issued by the Charity Commission for England and Wales.
Audit response to risks identified:
We considered the extent of compliance with these laws and regulations as part of our audit procedures on the related financial statement items including a review of financial statement disclosures. We reviewed the parent charitable company’s records of breaches of laws and regulations, minutes of meetings and correspondence with relevant authorities to identify potential material misstatements arising. We discussed the parent charitable company’s policies and procedures for compliance with laws and regulations with members of management responsible for compliance.
23
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
During the planning meeting with the audit team, the engagement partner drew attention to the key areas which might involve non-compliance with laws and regulations or fraud. We enquired of management whether they were aware of any instances of non-compliance with laws and regulations or knowledge of any actual, suspected or alleged fraud. We addressed the risk of fraud through management override of controls by testing the appropriateness of journal entries and identifying any significant transactions that were unusual or outside the normal course of business. We assessed whether judgements made in making accounting estimates gave rise to a possible indication of management bias. At the completion stage of the audit, the engagement partner’s review included ensuring that the team had approached their work with appropriate professional scepticism and thus the capacity to identify non-compliance with laws and regulations and fraud.
There are inherent limitations in the audit procedures described above and the further removed noncompliance with laws and regulations is from the events and transactions reflected in the financial statements, the less likely we would become aware of it. Also, the risk of not detecting a material misstatement due to fraud is higher than the risk of not detecting one resulting from error, as fraud may involve deliberate concealment by, for example, forgery or intentional misrepresentations, or through collusion.
A further description of our responsibilities is available on the Financial Reporting Council’s website at: www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report.
Use of our report
This report is made solely to the parent charitable company’s members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the parent charitable company’s members those matters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the parent charitable company and the parent charitable company’s members as a body, for our audit work, for this report, or for the opinions we have formed.
Saffery Champness LLP is eligible to act as an auditor in terms of section 1212 of the Companies Act 2006
Sally Appleton (Senior Statutory Auditor)
For and on behalf of Saffery Champness LLP Chartered Accountants/Statutory Auditors Mitre House North Park Road Harrogate HG1 5RX
- 11 August 2022
24
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Consolidated Statement of Financial Activities (including Income and Expenditure Account)
| Notes Income: Voluntary income: Donations and grants 1 Income from charitable activities 2 Investment income 3 Income from trading activities: Subsidiary - trading turnover and other income Subsidiary - interest receivable Total income Expenditure Charitable activities 5 Raising funds Total expenditure Net expenditure resources before other recognised gains or losses Transfer between funds 17 Net movement in funds Reconciliation of funds: Total funds brought forward Total funds carried forward |
Unrestricted Funds £ 200 915,046 416 235,054 7 1,150,723 945,419 217,665 1,163,084 (12,361) - (12,361) 776,714 764,353 |
Restricted Funds £ - - - - - - - - - - - - - - |
2022 Total £ 200 915,046 416 235,054 7 1,150,723 945,419 217,665 1,163,084 (12,361) - (12,361) 776,714 764,353 |
2021 Total (note 7) £ 131 831,940 1,713 105,322 26 |
|---|---|---|---|---|
| 939,132 | ||||
| 894,590 114,338 |
||||
| 1,008,928 | ||||
| (69,796) - |
||||
| (69,796) 846,510 |
||||
| 776,714 |
The statement of financial activities includes all gains and recognised in the year. All income and expenditure derive from continuing activities.
25
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Balance Sheets Consolidated and Charity
| Notes Fixed assets Intangible fixed assets 8 Tangible fixed assets 9 Investments 11 Current assets Stock 10 Debtors 12 Cash at bank in hand Creditors: amounts falling due within one year 13 Net current assets Net assets The funds of the charity: Unrestricted funds 18 Restricted funds Total charity funds |
Group 2022 2021 £ £ 9,000 12,000 401,901 379,762 - - 410,901 391,762 29,965 30,247 683,465 600,767 383,196 394,156 1,096,626 1,025,170 (743,174) (640,218) 353,452 384,952 764,353 776,714 764,353 776,714 - - 764,353 776,714 |
Group 2022 2021 £ £ 9,000 12,000 401,901 379,762 - - 410,901 391,762 29,965 30,247 683,465 600,767 383,196 394,156 1,096,626 1,025,170 (743,174) (640,218) 353,452 384,952 764,353 776,714 764,353 776,714 - - 764,353 776,714 |
Charity 2022 2021 £ £ - - 393,538 367,933 70,058 70,058 463,596 437,991 28,468 28,604 496,737 418,856 372,144 377,498 897,349 824,958 (569,902) (442,150) 327,447 382,808 791,043 820,799 791,043 820,799 - - 791,043 820,799 |
Charity 2022 2021 £ £ - - 393,538 367,933 70,058 70,058 463,596 437,991 28,468 28,604 496,737 418,856 372,144 377,498 897,349 824,958 (569,902) (442,150) 327,447 382,808 791,043 820,799 791,043 820,799 - - 791,043 820,799 |
|---|---|---|---|---|
| 437,991 28,604 418,856 377,498 |
||||
| 824,958 (442,150) |
||||
| 382,808 | ||||
| 820,799 | ||||
| 820,799 - |
||||
| 776,714 | 820,799 |
The trustees have prepared group accounts in accordance with section 398 of the Companies Act 2006 and section 138 of the Charities Act 2011. These accounts are prepared in accordance with the special provisions of Part 15 of the Companies Act relating to small companies and constitute the annual accounts required by the Companies Act 2006 and are for circulation to members of the company.
The notes on pages 28 – 43 form part of these financial statements. Approved by the board on 4 August 2022 and signed on behalf by:
John Dade, Director/Trustee Company Registration No. 6035633
26
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Consolidated Statement of Cash Flows
| Notes Cash generated by /(used in) operating activities 24 Cash flows from investing activities Interest income Purchase of tangible fixed assets Disposal of tangible fixed assets Net cash used in investing activities Change in cash and cash equivalents in the reporting period Cash and cash equivalents at the beginning of the year Cash and cash equivalents at the end of the year |
2022 £ 24,369 423 (36,402) 650 (35,329) (10,960) 394,156 383,196 |
2021 £ (69,902) 1,739 (52,829) - |
|---|---|---|
| (51,090) | ||
| (120,992) | ||
| 515,148 | ||
| 394,156 |
27
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Notes to the Consolidated Financial Statements
ACCOUNTING POLICIES
The principal accounting policies are summarised below. The accounting policies have been applied consistently throughout the period.
a) Basis of accounting
The financial statements have been prepared in accordance with 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) – (Charities SORP (FRS102)), the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) and the Companies Act 2006.
The Association for Perioperative Practice meets the definition of a public benefit entity under FRS 102. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy note(s).
b) Fund accounting
Unrestricted funds are available for use at the discretion of the Directors in furtherance of the general objectives of the charity
Restricted funds are subjected to restrictions on their expenditure imposed by the donor or through the terms of an appeal.
c) Going Concern
The directors assess whether the use of going concern is appropriate i.e. whether there are any material uncertainties related to events or conditions that may cast significant doubt on the ability of the Charity to continue as a going concern. The directors make this assessment in respect of a period of at least one year from the date of authorisation for issue of the financial statements and have concluded that the Charity has adequate resources to continue in operational existence for the foreseeable future and there are no material uncertainties about the Charity’s ability to continue as a going concern. The assessment has included consideration of the impact of Covid-19 in the Charity’s operations and further information is provided in the Directors Report. The directors continue to adopt the going concern basis of accounting in preparing the financial statements. Having carried out a review of the Charity’s cash flow and resources, the directors are confident that the Charity is able to meet its liabilities as they fall due for at least one year from the date of approval of the financial statements.
d) Incoming resources
All incoming resources are included in the SOFA when the Charity is entitled to the income it is probable that the income will be received and the amount can be quantified with reasonable accuracy. The following specific policies are applied to particular categories of income:
-
investment income is included on a received basis;
-
donations and grants are credited to the SOFA on a receivable basis;
-
membership income is recognised on a receivable basis subject to deferral based upon a member’s date of renewal;
-
income from study days is recognised on an accruals basis;
-
grants are recognised when received;
-
all incoming resources are stated gross and are not netted down for expenditure.
28
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Notes to the Consolidated Financial Statements
e) Expenditure and Irrecoverable VAT
Expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party. It is probable that settlement will be required and the amount of the obligation can be measured reliably.
Expenditure is classified under the following activity headings:
-
Charitable activities comprise those costs incurred by the Charity in the delivery of its activities and services. It includes both costs that can be allocated directly to such activities and those costs of an indirect nature necessary to support them. It also includes Governance Costs which are those costs associated with meeting the constitutional and statutory requirements of the Charity and include costs linked to the strategic management of the Charity
-
Raising funds. This comprises both the direct costs and overheads incurred by the subsidiary, AfPP Limited, in the conduct of its trading activities.
-
All overhead and support costs are allocated between the expenditure categories of the SOFA on a basis designed to reflect the use of the resource. Costs relating to a particular activity are allocated directly; others are apportioned on an appropriate basis as set out in note 5. Irrecoverable VAT is charged as a separate cost item and allocated in the same way as other costs.
f) Intangible fixed assets – Goodwill
Goodwill arising on the acquisition of subsidiary undertakings/trade and assets etc represents the excess of the fair value of the consideration over the fair value of the identifiable assets and liabilities acquired. It is initially recognised as an asset at cost and is subsequently measured at cost less accumulated amortisation and accumulated impairment losses. Goodwill is considered to have a finite useful life and is amortised on a systematic basis over its expected life, which is five years.
For the purposes of impairment testing, goodwill is allocated to the cash-generating units expected to benefit from the acquisition. Cash-generating units to which goodwill has been allocated are tested for impairment at least annually, or more frequently when there is an indication that the unit may be impaired. If the recoverable amount of the cash-generating unit is less than the carrying amount of the unit, the impairment loss is allocated first to reduce the carrying amount of each asset in the unit.
g) Tangible fixed assets and depreciation
| g) Tangible fixed assets and depreciation |
g) Tangible fixed assets and depreciation |
|---|---|
| Tangible fixed assets are capitalised and depreciated over their expected useful lives at the following rates: | |
| Building improvement | 20% of cost per annum |
| Plant and machinery | 20% reducing balance |
| On-line education asset | 20% of cost per annum |
| Fixtures, fittings and equipment | 25% of cost per annum |
| Website | 25% of cost per annum |
| Computer equipment | 20% of cost per annum |
| Motor vehicle | 25% reducing balance |
Capital expenditure items, excluding software with a cost £500 and above are treated as fixed assets. Depreciation commences once an asset is available for use.
The gain or loss arising on the disposal of an asset is determined as the difference between the sale proceeds and the carrying value of the asset, and is credited or charged to the SOFA.
h) Investments and investment income
Investments are included at historical cost less provision for diminution in value. Any realised/unrealised gains/losses for the period are dealt with through the SOFA. Investment income is accounted for in the period in which the Charity is entitled to receipt.
29
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Notes to the Consolidated Financial Statements
i) Pension costs
The Charity operates two defined contribution pension schemes. Contributions are transferred to the SOFA in the period in which they become payable in accordance with the rules of the schemes.
j) Stock
Stock is valued at the lower of cost and net realisable value.
k) Consolidated financial statements
The financial statements consolidate the results of the Charity and its wholly owned subsidiary, AfPP Limited, on a line-by-line basis. A separate Statement of Financial Activities and Income and Expenditure Account for the Charity has not been presented because the Charity has taken advantage of the exemption afforded by section 408 of the Companies Act 2006.
l) 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.
30
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Notes to the Consolidated Financial Statements
1. Donations and Grants
| Donations from individuals | 2022 Restricted £ - - |
2022 2022 2021 Unrestricted Total Total £ £ £ 200 200 131 200 200 131 |
|---|---|---|
2. Income from Charitable Activities
| Membership Study days and collaborative events Residential income Journal subscriptions Journal advertising income Publication sales |
2022 Unrestricted £ 690,292 17,730 40,674 1,292 137,575 27,483 915,046 |
2022 Total £ 690,292 17,730 40,674 1,292 137,575 27,483 915,046 |
2021 £ 705,785 8,430 700 2,250 92,710 22,065 |
|---|---|---|---|
| 831,940 |
The amount of membership income deferred at 31 March 2022 is £317,373 (2021: £304,954) and this is included in accruals and deferred income at note 13 to these accounts.
3. Investment Income – unrestricted
| Investment income comprises the following:- Bank interest received |
Group 2022 £ 423 423 |
Group 2021 £ 1,739 1,739 |
Charity 2022 £ 416 416 |
Charity 2021 £ 1,713 |
|---|---|---|---|---|
| 1,713 |
31
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Notes to the Consolidated Financial Statements
4. Subsidiary’s results and financial position
The trading results for the year of the wholly owned subsidiary - AfPP Limited as extracted from the annual accounts are set out below.
| Turnover and other income Expenditure Profit/(Loss) for the Financial Year Other interest receivable and similar income Net Profit/(Loss) for the year Gift Aid donation to Charity Retained in subsidiary The assets and liabilities of the subsidiary were: Fixed assets Current assets Current liabilities Total net assets Aggregate share capital and reserves |
2022 £ 250,054 (217,665) 32,389 7 32,396 - 32,396 17,363 196,399 (170,394) 43,368 43,368 |
2021 £ 90,322 (114,338) |
|---|---|---|
| (24,016) 26 |
||
| (23,990) | ||
| - | ||
| (23,990) | ||
| 23,829 215,251 (228,108) |
||
| 10,972 | ||
| 10,972 |
The subsidiary undertaking is controlled by the Board of the Charity's Trustees.
32
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Notes to the Consolidated Financial Statements
5. Total resources expended
| Basis of allocation Costs directly allocated to activities Staff costs Staff time Publications, Printing and postage Direct Conference costs Direct Study day costs Direct Marketing Direct Online education depreciation Direct Subscriptions Direct Membership expansion costs Direct Awards Direct Grants Direct Support costs allocated to activities IT costs Usage Board related costs Usage Staff costs Staff time Rent and rates Usage Light and heat Usage Insurances Usage Telephone Usage Sundries Usage Legal and professional Usage Depreciation Usage Loss on disposal of fixed asset Usage Irrecoverable VAT Usage Printing and stationery Usage Bank charges Transactions Staff recruitment costs Usage Staff travel Transactions Staff training Transactions Audit fees Usage Accountancy fees Usage Bad debts Transactions Office costs Usage Public relations Usage Total resources expended |
Charitable activities £ 51,646 130,325 35,674 3,608 37,723 2 8,252 42,898 750 - 310,879 41,338 - 336,699 34,288 6,785 6,841 9,342 472 5,100 10,795 - 52,263 14,825 21,741 11,405 2,242 6,860 - - 9,053 8,319 21,353 599,721 910,600 |
Governance £ - - - - - - - - - - - - 7,528 18,000 - - - - - - - - - - - - - - 9,291 - - - - 34,819 34,819 |
2022 Total £ 51,647 130,325 35,674 3,608 37,723 2 8,252 42,898 750 - 310,879 41,338 7,528 354,699 34,288 6,785 6,841 9,342 472 5,100 10,795 - 52,263 14,825 21,741 11,405 2,242 6,860 9,291 - 9,053 8,319 21,353 634,540 945,419 |
2021 Total £ 51,647 123,912 3,169 4,939 28,540 1,467 8,148 67,597 3,410 645 |
|---|---|---|---|---|
| 292,823 | ||||
| 39,370 7,310 379,555 36,312 3,460 7,905 9,733 471 6,583 6,997 - 34,261 14,530 21,291 - (38) 4,021 6,215 1,150 6,807 11,035 4,799 |
||||
| 601,767 | ||||
| 894,590 |
33
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Notes to the Consolidated Financial Statements
6. Net incoming resources for the period
| Depreciation Amortisation Operating lease rentals: Plant and machinery Land and buildings Auditor's remuneration: Audit fees Tax compliance services Accountancy and other services |
Group 2022 2021 £ £ 13,146 11,535 3,000 3,000 - - 39,300 38,000 9,291 8,430 1,000 1,000 1,500 1,050 |
Charity 2022 2021 £ £ 10,797 8,464 - - - - 39,300 38,000 9,291 6,215 - - - 150 |
|---|---|---|
34
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Notes to the Consolidated Financial Statements
7. Analysis of prior year Statement of Funds/Financial Activities by:
| Notes Income: Voluntary income: Donations and grants 1 Income from charitable activities 2 Investment income 3 Income from trading activities: Subsidiary - trading turnover Subsidiary - interest receivable Total income Expenditure Charitable activities 5 Raising funds Total expenditure Net income/(expenditure) resources before other recognised gains or losses Transfer between funds 17 Net movement in funds Reconciliation of funds: Total funds brought forward Total funds carried forward |
Unrestricted Restricted 2021 Funds Funds Total £ £ £ 131 - 131 831,940 - 831,940 1,713 - 1,713 - - 105,322 - 105,322 26 - 26 |
|---|---|
| 939,132 - 939,132 |
|
| 894,590 - 894,590 114,338 - 114,338 |
|
| 1,008,928 - 1,008,928 |
|
| (69,796) - (69,796) - - - |
|
| (69,796) - (69,796) 846,510 - 846,510 |
|
| 776,714 - 776,714 |
35
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Notes to the Consolidated Financial Statements
8. Intangible fixed assets
| GROUP At cost Balance brought forward Additions Balance carried forward Amortisation and impairment Balance brought forward Charge for the period Balance carried forward Net book values As at 31 March 2022 As at 31 March 2021 CHARITY At cost Balance brought forward Additions Disposals Balance carried forward Amortisation and impairment Balance brought forward Charge for the period On Disposal Balance carried forward Net book values As at 31 March 2022 As at 31 March 2021 |
Goodwill £ 15,000 - |
|---|---|
| 15,000 | |
| 3,000 3,000 |
|
| 6,000 | |
| 9,000 12,000 - - - |
|
| - | |
| - - - |
|
| - | |
| - - |
36
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Notes to the Consolidated Financial Statements
9. Tangible fixed assets
| GROUP At cost Balance brought forward Additions Disposals Balance carried forward Accumulated depreciation Balance brought forward Charge for the period On Disposal Balance carried forward Net book values As as 31 March 2022 As as 31 March 2021 Website, computer CHARITY At cost or valuation Balance brought forward Additions Disposals Balance carried forward Accumulated depreciation Balance brought forward Charge for the period On Disposal Balance carried forward Net book values As at 31 March 2022* As at 31 March 2021 |
*Software & Building computer Plant & Motor 2022 Improvements equipment Machinery vehicle Total £ £ £ £ £ 13,033 565,908 14,000 2,000 594,941 - 36,402 - - 36,402 - (151,434) - (2,000) (153,434) |
|---|---|
| 13,033 450,876 14,000 - 477,909 |
|
| 13,032 197,976 3,546 625 215,179 1 10,796 2,091 258 13,146 - (151,434) - (883) (152,317) |
|
| 13,033 57,338 5,637 - 76,008 |
|
| - 393,538 8,363 - 401,901 1 367,932 10,454 1,375 379,762 equipment and online educational assets 13,033 565,908 - - 578,941 - 36,402 - - 36,402 - (151,434) - - (151,434) |
|
| 13,033 450,876 - - 463,909 |
|
| 13,032 197,976 - - 211,008 1 10,796 - - 10,797 - (151,434) - - (151,434) |
|
| 13,033 57,338 - - 70,371 |
|
| - 393,538 - - 393,538 1 367,932 - - 367,933 |
37
Trustees’ Annual Report and Consolidated Financial Statements
for the year ended 31 March 2022
Notes to the Consolidated Financial Statements
10. Stock
| Educational literature for resale Consumables held by subsidiary Costs incurred for future publications Promotional goods - not for resale 11. Fixed asset investment 12. Debtors Amount due from the subsidiary Trade debtors Prepayments and accrued income Cost Investment in the subsidiary - AfPP Limited Balance carried forward Provision for diminution in value Balance brought forward Charge for the year Balance carried forward Balance carried forward |
Group Charity 2022 2021 2022 2021 £ £ £ £ 25,006 13,185 25,006 13,185 1,497 1,643 - - 225 11,709 225 11,709 3,237 3,710 3,237 3,710 29,965 30,247 28,468 28,604 Group Charity 2022 2021 2022 2021 £ £ £ £ - - 15,192 15,041 327,435 301,205 309,115 285,724 356,030 299,562 172,430 118,091 683,465 600,767 496,737 418,856 Group Charity 2022 2021 2022 2021 £ £ £ £ - - 121,465 121,465 - - 121,465 121,465 - - 51,407 51,407 - - - - - - 51,407 51,407 - - 70,058 70,058 |
|---|---|
38
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Notes to the Consolidated Financial Statements
13. Creditors
| amounts falling due within one year Accruals and deferred income Amount due to the subsidiary Trade creditors Other creditors Other taxes and social security costs |
Group 2022 2021 £ £ 619,701 576,514 - - 85,501 40,348 7,464 12,274 30,508 11,082 743,174 640,218 |
Charity 2022 2021 £ £ 448,876 378,961 - - 83,053 39,833 7,465 12,274 30,508 11,082 569,902 442,150 |
Charity 2022 2021 £ £ 448,876 378,961 - - 83,053 39,833 7,465 12,274 30,508 11,082 569,902 442,150 |
|---|---|---|---|
| 442,150 |
Membership deferred income relates to membership subscriptions invoiced annually. Other deferred income relates to future events invoiced in advance.
| Deferred income Balance at 1 April 2021 Amount deferred in the year Amount released to SOFA Balance at 31 March 2022 |
Membership £ 304,954 317,373 (304,954) 317,373 |
Other £ 60,570 111,263 (60,570) |
|---|---|---|
| 111,263 |
14. Financial Commitments
| Land and buildings Operating leases which will expire: Within one year Between two and five years |
Group 2022 2021 £ £ - 15,000 39,225 - 39,225 15,000 |
Charity 2022 2021 £ £ - 15,000 39,225 - 39,225 15,000 |
Charity 2022 2021 £ £ - 15,000 39,225 - 39,225 15,000 |
|---|---|---|---|
| 15,000 |
15. Pension costs
The Charity operates two defined contribution schemes where the rates of contribution is specified in the rules, although additional contributions can be made to the schemes. The pension cost charged in the year was £12,463 for the Group and £12,463 for the Charity (2021: Group £12,025; Charity £12,025).
39
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Notes to the Consolidated Financial Statements
16. Staff costs
| Salaries and wages Social security costs Pension costs |
Group Charity 2022 2021 2022 2021 £ £ £ £ 450,616 441,954 350,828 385,934 40,129 38,457 31,695 33,582 11,857 13,564 11,857 13,564 502,602 493,975 394,380 433,080 |
Group Charity 2022 2021 2022 2021 £ £ £ £ 450,616 441,954 350,828 385,934 40,129 38,457 31,695 33,582 11,857 13,564 11,857 13,564 502,602 493,975 394,380 433,080 |
|---|---|---|
| 493,975 394,380 433,080 |
During the year the Charity recharged its subsidiary £96,257 (2021: £60,985) for Staff costs. These are included within the management charge expenses in the accounts of the subsidiary.
During the year key management personnel received remuneration of £81,820 (2021: £79,426). The number of employees whose emoluments (salaries, wages and benefits in kind) fell within the following bands are as follows:
| 2022 | 2021 | ||
|---|---|---|---|
| £'000 | £'000 | ||
| £70,000 | - £79,999 | - | 1 |
| £80,000 | - £89,999 | 1 | - |
During the year pension contributions on behalf of these staff amounted to £5,185 ( 2021: £5,177). The average monthly head count was 14 staff (2021: 14 staff) and the average monthly numbers of Full time equivalent employees (including casual and part-time staff) during the year were as follows:
| Staff numbers Chief Executive Member services Events Editorial Marketing Commercial Finance Management and administration |
Group 2022 2021 £ £ 1 1 3 3 1 1 1 1 2 2 2 1 2 2 2 3 14 14 |
Charity 2022 2021 £ £ 1 1 3 3 1 1 1 1 2 2 2 1 2 2 2 3 14 14 |
Charity 2022 2021 £ £ 1 1 3 3 1 1 1 1 2 2 2 1 2 2 2 3 14 14 |
|---|---|---|---|
| 14 |
40
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
Notes to the Consolidated Financial Statements
17. Analysis of movements in unrestricted funds
| General fund Total |
Balance 1 April 2021 £ 776,714 776,714 |
Incoming resources £ 1,150,723 1,150,723 |
Resources expended £ (1,163,083) (1,163,083) |
Transfers £ - - |
Funds 31 March 2022 £ 764,353 |
|---|---|---|---|---|---|
| 764,353 |
Name of unrestricted fund Description, nature and purposes of the fund
General fund
These are unrestricted reserves available for the charity's activities.
18. Analysis of net assets between funds
| Fund balances at 31 March 2022 are represented by: - Unrestricted - Restricted Group reserves Fund balances at 31 March 2021 are represented by: - Unrestricted - Restricted Group reserves |
Fixed assets £ 410,901 - 410,901 Tangible Fixed assets £ 391,762 - 391,762 |
Net Current assets £ 353,452 - 353,452 Net Current assets £ 384,952 - 384,952 |
2022 Total £ 764,353 - 764,353 2021 Total £ 776,714 - 776,714 |
|---|---|---|---|
41
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
19. Capital and other commitments
| Group | Group | Charity | Charity | |
|---|---|---|---|---|
| 2022 | 2021 | 2022 | 2021 | |
| £ | £ | £ | £ | |
| Contracted for but not provided in | ||||
| the financial statements | - | - | - | - |
20. Trustees’ expenses
Expenses relating to travel and subsistence costs amounting to £1,335 (2021: £nil) were reimbursed to four (2021: nil) Trustees who served during the year. Trustee expenses amounting to £6,192 (2021: £7,310) were paid directly by the Charity to third parties relating to travel and subsistence costs.
21. Taxation
The Charity is exempt from tax on income and gains falling within section 505 of the Taxes Act 1988 or section 256 of the Taxation of Chargeable Gains Act 1992 to the extent that these are applied to its charitable objects. No tax charges have arisen in the Charity.
22. Control
In accordance with the Articles of Association of the Charity, overall control is held by the Trustees and Directors who form the Board. Day to day management of the operational affairs of the charity has been delegated to the Chief Executive who reports to the Board.
23. Related Party Transactions
During the year three (2021: one ) of the trustees of the Charity, were paid £6,596 (2021: £1,109) through the wholly owned subsidiary, AfPP Ltd for consultancy services on behalf of the company. Of these amounts, £Nil (2021: £nil) was outstanding at the year end and included in trade creditors.
Donations from the Trustees to the Charity during the year were £Nil (2021: £Nil).
Management charges were paid to the Charity by its subsidiary during the year of £129,259 ( 2021: £78,000 ). At 31 March 2022 the subsidiary owed £15,192 ( 2021: £15,041) to the Charity.
42
Trustees’ Annual Report and Consolidated Financial Statements for the year ended 31 March 2022
24. Reconciliation of movement in funds to net cash used in operating activities
| Net income/(expenditure) for the reporting period Adjustment for: Depreciation charges Amortisation charges Loss on disposal of Fixed Assets Interest income Decrease/(increase) in stocks (Increase)/decrease in debtors Increase/(decrease) in creditors Net cash provided by operating activities |
2022 £ (12,361) 13,146 3,000 466 (423) 282 (82,697) 102,956 24,369 |
2021 £ (69,797) 11,534 3,000 - (1,739) (6,417) 69,740 (76,223) |
|---|---|---|
| (69,902) |
43