2024-03-31-accounts

Registered number: 06035633 Charity numbers: 1118444 and SCO43668

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

TRUSTEES' REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

CONTENTS

	Page
Our Vision, Mission and Values	1
Reference and administrative details of the Company, its Trustees and advisers	2
President's message	3
Chief Executive Officer's message	4
Your Board of Directors/Trustees and Advisors to the Board	5 - 9
Directors' Report	10 - 15
Trustees' responsibilities statement	16
Independent auditors' report on the financial statements	17 - 20
Consolidated statement of financial activities	21
Consolidated balance sheet	22 - 23
Company balance sheet	24 - 25
Consolidated statement of cash flows	26
Notes to the financial statements	27 - 46

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

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:

• We put public benefit first

• We put our members at the heart of what we do

• We disseminate learning We act with integrity

• We are a business-like organisation

• We are a people-focused organisation

• We are a quality organisation

We achieve our Vision and Values by:

• The excellence of our professional advice to members

• The excellence of our education resources

• The high level of influence we exert

• Determining standards and promoting best practice

• Facilitating education and practice development

• Providing a forum for partnerships with industry

• Shaping healthcare policy

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THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

REFERENCE AND ADMINISTRATIVE DETAILS OF THE COMPANY, ITS TRUSTEES AND ADVISERS FOR THE YEAR ENDED 31 MARCH 2024

Trustees	R A Collins, President
	N J Deane, Trustee
	L Dye, Trustee (appointed 1 January 2024)
	J Maher, Trustee
	L H Nealen, Trustee (appointed 1 January 2024)
	M Page, Trustee
	J E Spencer, Trustee
	L E Tierney, Trustee
	O D Tierney, Trustee
	A C Venn, Trustee
	J D Dade, Trustee (resigned 1 January 2024)
Company registered number 06035633 Charity registered numbers 1118444 and SCO43668 Registered office Daisy Ayris House 42 Freemans Way Harrogate North Yorkshire HG3 1DH Chief executive officer Alex Duke Independent auditors Armstrong Watson Audit Limited Chartered Accountants Statutory Auditors Third Floor 10 South Parade Leeds West Yorkshire LS1 5QS Bankers National Westminster Bank 3 Cambridge Crescent Harrogate HG1 1PE Solicitors Hempsons Solicitors The Exchange Station Parade Harrogate HG1 1TS

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THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

PRESIDENT'S MESSAGE FOR THE YEAR ENDED 31 MARCH 2024

I am pleased to report on the progress and achievements of the Association for Perioperative Practice (AfPP) during the past year. It has been a year of significant developments and successes for our organisation.

One of the key highlights of the year was the formal appointment of our new CEO, Alex Duke. Alex has brought a wealth of experience and expertise to the role, and her leadership has already had a positive impact on AfPP.

We have also made significant strides in strengthening our HQ team, particularly in the areas of finance and marketing. This has allowed us to better serve our members and enhance the services and resources we provide.

In line with our commitment to innovation and improvement, we worked hard to ensure the new digital platform would be ready to go live early in April 2024. It offers a more seamless and user-friendly membership and HQ experience, has been well-received by our members and has helped us to better engage with them. As we celebrate our 60th year, we have organised a roadshow with multiple locations across the UK and hosted a wonderful conference at the University of York. These events have provided valuable networking opportunities for our members and have allowed us to showcase the important work that AfPP does.

Throughout the year, we have remained committed to our strategic vision and have continued to be guided by a board that is representative of our membership. The board members have been voted in based on their dedication and commitment to the mission of AfPP.

I had the privilege of representing AfPP at the AORN conferences in San Antonio in April 2023 and then in Nashville in March 2024 plus the IFPN in Kos. These experiences have allowed me to connect with colleagues from around the world, to share best practices in perioperative care and offer influence at a global level.

As we look to the future, I am excited about the opportunities that lie ahead under our new leadership. I will be passing on the presidential mantle to Oliver Tierney in January 2025, and I am confident that he will lead AfPP with passion and dedication.

I want to thank all of our members, volunteers, and staff for their continued support and hard work. Together, we are making a difference in the field of perioperative practice. Here's to another successful year ahead.

Sincerely,

Ruth Collins

President, AfPP

Page 3

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

CHIEF EXECUTIVE OFFICER'S MESSAGE FOR THE YEAR ENDED 31 MARCH 2024

Following my appointment to Interim CEO in June 2023, I was delighted that the role became substantive in December 2023.

The last financial year was one of consolidation, reviewing our activities, expenses and the returns on investment. As a result, some of our activities were cancelled such as Togetherall membership, surgical skills workshops, the online Standards and Recommendations and the online Audit Tool and some were streamlined such as the members insurance application process.

We have looked carefully at the gaps in our organisation, and we identified in our strategy that we should strengthen our educational output, education being one of the primary reasons for members joining the Association. To this end we restructured the HQ team slightly and started the process of recruiting a new Education Lead and a new Head of Department for Education, Publications and Professional Advice. Unfortunately, we were unable to fill these roles with the right candidates within the financial year although I’m pleased to report that the appointments are now in place and their efforts will start to have an impact in the financial year 2024/2025.

Recruiting and retaining volunteers remains a challenge for the Association and our dependency on the contribution that volunteers make does leave us exposed on occasion, in that we have in the past been unable to deliver a Regional Study Day if there was either no Regional Lead or if the Lead left during the execution of an event.

In an effort to avoid these gaps in our regional education we kickstarted the AfPP Roadshow initiative. The goal with the roadshow was to put on seven educational events spaced evenly and accessibly across the country with the dates and locations published for the whole year in advance. We established a new Educational Team which included the Regional Leads, Trustees and HQ members with the joint purpose of providing an event, regardless of the availability of a lead in the chosen cities. Another goal of the Roadshow is to attract new members by showing them the value of our educational events at a discounted price during our 60[th] Anniversary year (a celebratory ‘taster’). Although much of the planning has fallen within this reported financial year, the first actual event was in May 2024 so part of the current financial year.

Another major area of our efforts this year has been in getting the new Radius CRM system and new website live. It’s noted that this project has had significant delays and I set a very clear live date target that we worked to and achieved, albeit tipping just into the next financial year (the system became live 16[th] April 2024).

Membership of the Association fell during the period as we had anticipated, and the changes put into place to build our education output in addition to the improvements we will gain from our new CRM should start to impact membership numbers positively in the next financial year.

We have put considerable efforts into ensuring all our teams mandatory training is compliant in addition to meeting the requirements for our external consultants.

Our commercial work continues to be strong, and we have spent considerable time developing and formalising the reports generated from the audit and accreditation visits. This work is ongoing and will, in time cover all aspects of our commercial activities.

We are excited that we have been able to put in place some of the key building blocks (across all departments, not just those mentioned) that will enable us to create the AfPP worthy of practitioner’s membership, not just for today, but of the future. We will continue working hard to make AfPP relevant to practitioners at all stages in their career.

Alex Duke

Chief Executive Officer

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THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

YOUR BOARD OF DIRECTORS/TRUSTEES AND ADVISORS TO THE BOARD FOR THE YEAR ENDED 31 MARCH 2024

Ruth Collins: President/Trustee and Director of AfPP Limited

With over 20 years of experience as a theatre nurse, Ruth currently holds the position of Clinical Director at Solasta Healthcare, a provider of premium cataract surgery whose vision is to become the leading light in ophthalmology patient care.

In her previous role as a Nurse Development Lead, Ruth was responsible for coordinating education and training, practice development, clinical workforce, and governance. Although trained as an adult nurse, this role was in a paediatric setting, where she managed nearly 500 nurses and was involved in the perioperative environment.

Ruth’s main areas of interest are education, governance, infection prevention and control, person-centred 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. Ruth is passionate about fostering safe cultures and promoting inclusivity for all roles within the perioperative setting. Additional to this, her areas of clinical expertise include 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, a role she now supports as trustee.

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.

John Dade: Immediate Past 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). John was 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.

John stepped down from his president role in January 2024.

Oliver Tierney: President Elect/Trustee and Director of AfPP Ltd

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 and a director of AfPP Ltd since January 2024.

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YOUR BOARD OF DIRECTORS/TRUSTEES AND ADVISORS TO THE BOARD CONTINUED FOR THE YEAR ENDED 31 MARCH 2024

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.

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 the Professional Lead for Advanced Clinical Practice at York and Scarborough Teaching Hospitals NHS trust, working clinically within the speciality of breast surgery and oncoplastics.

Julia 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.

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 Lisa moved to the Independent sector working for over 5 years as 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 has worked for the Care Quality Commission (CQC) since July 2015 as a Specialist Advisor and has participated in numerous Inspections in the NHS and Independent 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, Bangladesh and the UK.

Lisa is a non-elected Trustee and a Consultant for AfPP. She also provides consultancy services for healthcare providers regarding regulatory compliance and registration.

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YOUR BOARD OF DIRECTORS/TRUSTEES AND ADVISORS TO THE BOARD CONTINUED FOR THE YEAR ENDED 31 MARCH 2024

Maxine Page: 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 was a previous 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.

Nadiene Deane; Elected Trustee

Nadiene qualified as an Operating Department Practitioner in 2014 having built her career in the perioperative setting. After gaining invaluable experience in the NHS, Nadiene moved into the private sector. As a continuous champion for high standards of care, Nadiene progressed through the roles of Team Lead and Clinical Coordinator into her current role of Deputy Theatre Manager. In this latest role, Nadiene assisted in leading the team to achieve full marks in AfPP Accreditation.

Nadiene has also completed training as a Surgical First Assistant and has also completed leadership and management training.

With a passion for Patient Safety, Nadiene has a keen interest in Human Factors and the relationship between perioperative team culture and patient experience. She is also passionate about talent recognition and development, strongly advocating that competent, confident staff create a safe perioperative environment, and believes that effective staff engagement and development can improve both patient safety and experience.

Currently, Nadiene chairs the staff engagement forum within her hospital. She also sits on the resus committee and takes an active role in Radar investigation and learning.

Nadiene says: "I am keen to support the development of AfPP’s long-term strategy by taking a more active role in upholding the vision, mission and values which very much align with my own. It is both a welcomed opportunity and an honour to sit on the Board of Trustees and share and develop my own skills whilst positively contributing to the future of perioperative practice."

Outside of work, Nadiene is a wife and mother of three. She has a passion for love and laughter, believing in enjoying life in all its fullness!

Alison Venn: Non-Elected Trustee

Alison has previously collaborated with AfPP within her current role at Becton Dickinson UK Ltd (BD), working as a Senior Clinical Consultant. More specifically in her role, Alison focuses on Infection Prevention and Biosurgery.

Alison has a strong working knowledge of the NHS, as well as the economic and regulatory environment. She strives to deliver strong engagement and advocacy with customers and external stakeholders, including the NHS at all levels, regulatory bodies, and scientific and clinical associations. Alison also excels at delivering clinical solutions that drive patient safety, experiences and outcomes to high-level clinical and academic thought leaders.

Within her role at Becton Dickinson UK Ltd, Alison also acts as a coach and mentor for national and international clinical leaders to enable effective platforming of value-based care, which includes BD solutions. In addition, she also provides training to sales team and their customers at a tactical level, providing tools and resources enabling them to work effectively.

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YOUR BOARD OF DIRECTORS/TRUSTEES AND ADVISORS TO THE BOARD CONTINUED FOR THE YEAR ENDED 31 MARCH 2024

Louise Dye: Non-Elected Trustee

Louise is a Clinical Education Facilitator for the Orthopaedic Theatres service at the Norfolk & Norwich Hospital. Louise qualified as a Registered General Nurse in April 1993, she has been working within the field of perioperative practice for over 25 years with the majority of her practice being within the field of Orthopaedics and Trauma. Working in both full time and part time roles from Band 5 Nurse to Band 8a Lead Nurse / Theatre Manager across 3 NHS trusts and 2 private sector hospitals.

Louise has been an AfPP member for several years and has held the position as Orthopaedic SIG Lead for 5 years. As part of the Anglia regional team, Louise has been involved with the organization and delivery of regional study days. She is also a member of AO Trauma UK Faculty and has facilitated local and national AO Trauma Operating Room Personnel Courses.

Louise is also involved with the supervision and assessment of students who are on placement in her team these include Nurses, Operating Department Practitioners and Paramedic’s. The trust she works in facilitates Degree students and apprentice students form several local universities’ which brings a wide variety of course programmes for them to facilitate.

Lisa Nealen: Elected Trustee

Lisa gained her ‘Practice Development’ degree in 2017, since then Lisa has used the knowledge and confidence gained to reach a wider audience through webinars and study days. Lisa is passionate about education, with over 29 years of theatre experience, Lisa loves providing the junior staff and students with the knowledge and skills to enable them to become confident, safe practitioners. Lisa represents AfPP as a regional member for the Northest area and is the Link member within her own theatre department. Lisa represents the AfPP through national webinars and at the ‘Safety for All’, conference at the Royal College of Physicians in London.

Lisa has worked alongside Stryker UK LTD as their ‘Key Opinion Leader’ and with them has helped others to have courageous conversations within their own departments in order to create ‘Clean Air Theatres’, which safeguard their colleagues and patients from the potential dangers of surgical smoke plume. Lisa’s work has been acknowledged by us and her webinar has been awarded CPD hours that staff can use towards their revalidation. Lisa has also helped to create guidelines within her departments, ensuring the continued use of smoke evacuation devices.

Lisa is a Freedom to Speak up champion and is part of two committees: Surgical smoke coalition and Surgical Burns Action Group.

Alex Duke: Chief Executive Officer and Director of AfPP Limited

Prior to taking on the role of CEO in June 2023, Alex worked for the Association at HQ in Harrogate for five years as the Commercial Development Lead when she also deputised for the CEO. She has broad ranging experience and has previously worked in a diverse range of sectors from retail, fashion and manufacturing to homeware, lighting, and healthcare IT, predominantly but not exclusively in the SME sector.

Working with SME’s, including start up’s, has provided Alex with very hands-on experience and strong commercial understanding. She enjoys getting involved with the variety of departments in a business, understanding how everything hangs together and the challenges facing each department. She also has the practical experience of setting up several new businesses from scratch and successfully selling a healthy, profitable retail and web-based business of her own.

Her responsibilities have generally been in the management, problem solving, planning, sales and marketing functions and she sees herself very much as a people person who thrives on colleague and customer interaction.

Working in New York for two and a half years as President of a US subsidiary to a large UK lingerie manufacturer gave Alex an appreciation and respect for anyone working in a foreign country. Alex says that, even as an English-speaking country, the United States was a minefield in terms of navigating subtle differences in language. She has huge respect for people working in the UK from abroad, for all the additional challenges that a different language brings.

Alex’s strengths lie in her analytical approach, planning, evaluating, and implementation of commercial opportunities that will support the continued development of the Association. She has a keen attention to detail and naturally curious (some may say nosey!) nature.

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YOUR BOARD OF DIRECTORS/TRUSTEES AND ADVISORS TO THE BOARD CONTINUED FOR THE YEAR ENDED 31 MARCH 2024

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 nonexecutive 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. David stepped down as a trustee in April 2024.

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THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

DIRECTORS' REPORT FOR THE YEAR ENDED 31 MARCH 2024

The Directors present their report and audited financial statements for the year ended 31 March 2024. The financial statements comply with the Charities Act 2011, the Charities and Trustee Investment (Scotland) Act 2005, 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).

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

At 31 March 2024, 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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DIRECTORS' REPORT CONTINUED FOR THE YEAR ENDED 31 MARCH 2024

Recruitment and appointment of Directors/Trustees

In accordance with the Articles of Association, Directors/Trustees are elected by the voting members of the Charity 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. Virtual meetings have taken place to ensure they have been supported and kept up to date with ongoing AfPP business and all regional leads were invited to attend our Annual Conference at no cost. 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.

OUR AIMS AND OBJECTIVES

Purposes

AfPP exists to advance health by improving patient care in perioperative practice by:

• determining standards and promoting best practice

• facilitating education and practice development

• providing professional support services

• providing a forum for partnership with industry

• 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.

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DIRECTORS' REPORT CONTINUED FOR THE YEAR ENDED 31 MARCH 2024

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:

• the provision of education and ongoing professional development courses

• the provision of advice to practitioners in the delivery of perioperative practice

• to act as a consultative body on perioperative care and practice to any government department, public or private institution or other interested groups

• to institute or assist in instituting and providing continuing support for research in furtherance of the objects of the Charity

• to award scholarships, bursaries and prizes

• 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 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.

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

Overview:

I’m pleased to announce that the accounts for last financial year shows a favourable surplus of c£142,000 versus a budget deficit of c£51,000. The largest of the differences are outlined in this overview. To a greater extent, the surplus is a result of our commercial work and some elements of income and expenditure not falling quite as we expected.

Audit income was higher than expected and also included an adjustment in the recognition of income. Depreciation on the Radius system of £55,000 did not fall into this financial year on account of the service not going live until 16th April 2024 and therefore it will commence in next year’s accounts. Wages were £56,000 less than budgeted due to delays in finding the right recruits.

Membership income was greater than budgeted although this was due to the simplistic budgeting method rather than an increase in membership. A more detailed and robust budget has been produced for 2024/2025.

The sales forecast for publications was too high and we were considerably down against budget. Additionally, sales from Open Box (our Journal and IPP media partner) were below expectations and we believe this is a result of a change in their sales team, and the move to digital (where the perception is that digital isn’t as desirable for advertisers). There had also been a historical issue with our Google Analytics account not functioning correctly and therefore we have been unable to give advertisers analytics for their advertisements. This has been corrected with the advent of the new website going live.

Annual Conference produced a greater surplus and the Regional Study Days a lesser deficit than budgeted. The latter was in part due to the cancellation of several events due to the absence or departure of regional volunteers to facilitate the events. As a result of the cancellations, we used our anniversary year (2024) as an opportunity to try something new and we created our 60[th] Anniversary Roadshow.

Membership:

Membership recruitment and retention has continued to be a challenge for the Association. At the close of the year on 31[st] March 2024, the Charity’s membership was 5,648 (2023: 6,330). During the financial year we started work on developing a programme for recruitment and retention, to be implemented when the new CRM system and website were live.

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DIRECTORS' REPORT CONTINUED FOR THE YEAR ENDED 31 MARCH 2024

Membership subscription fees had not been increased for around 10 years and despite the economic climate we took the decision to make an increase. Price increases varied dependant on membership type from 9.09% to 20.00%. The bulk of the membership are Registered members whose increase was 17.14%. Going forward we will plan for smaller incremental increases.

Annual Conference:

The Charity’s Annual Conference took place once again at the University of York on 10-13[th] August 2023. The surge in numbers post covid when people were eager to be at an in-person event again wasn’t sustained and both in-person and virtual numbers returned to more typical numbers. Despite this, the conference was very successful and generated £16,800 above budget surplus (£70,000 surplus in total).

The event attracted 283 on site paying delegates and 86 paying virtual delegates. Of the paying delegates, 36% were non-members. Additionally, there were 123 delegates attending free of charge including 59 supplier funded student places, 10 first time attendee award winners, Regional Leads, SIGs, Trustees, speakers and HQ. The event felt full and busy with 406 delegates on site plus supplier representatives from 39 exhibiting companies. We received excellent feedback and evaluations from our delegates and suppliers.

Regional Study Days and Webinars:

As mentioned in the CEO’s message, the execution of Regional Study Days has been a challenge for some time. Despite that challenge, there were three Regional Study Days during the year, attracting 172 delegates.

The ease and convenience of webinars continued to be popular and the nine live webinars that we hosted attracted 546 delegates. In addition to that, the on-demand webinars attracted 356 delegates. Our library of free of charge webinars for members continues to grow. Once paid for webinars become over a year old, providing the content is still current, they are offered to members free of charge.

Extensive plans were made for the AfPP Roadshow, to visit Birmingham, Exeter, Cardiff, London, Glasgow, Belfast and Leeds, the first event taking place in May 2024.

Professional Advice Service (PAS):

In what continues to be a challenging time for members, our PAS service supported 145 members with confidential cases in the financial year. Although the number of cases was lower than the previous year, it was comparable in terms of the percentage of members that used the service (2.6% versus 2.7% last year). Once again, employment was the most requested advice topic, followed by education, infection control and staffing.

The Journal of Perioperative Practice (JPP) & The Innovation People and Practice Magazine (IPP):

The Charity’s peer reviewed academic Journal the JPP, maintained its impact factor of 1.2 as indexed in the Web of Science. The Journal is now ranked 186/290 in the surgery category.

The editorial team and volunteers are working on initiatives to promote writing for the Journal to ensure that the articles remain relevant to the day-to-day activity of perioperative practitioners. A new Writers Special Interest Group (SIG) has been established and this should start to flourish once Radius is live and the new SIG Forums have a more robust platform for engagement.

We have begun to offer a range of digital advertisements alongside our traditional paper options, including the insertion of video in our PageSuite view of the JPP.

Sales of subscription packages through SAGE publications were as we expected. The cost of the paper copies of the JPP were happily lower than we were led to believe (unfortunately there was nothing historical for Sage base their cost predictions on when we moved to digital first).

The IPP magazine continues to be popular with good reviews from practitioners who perceive it to be an easy read, and favoured by advertisers, as it has a wider distribution than the JPP. It is another way in which we support our membership, whilst advertising the Association to the wider perioperative audience (it’s a free subscription magazine). Each issue of the IPP is mailed to all members and 3,775 non-member digital subscribers.

Page 13

DIRECTORS' REPORT CONTINUED FOR THE YEAR ENDED 31 MARCH 2024

Projects and Collaborations:

We have continued to collaborate on several significant projects, and we sit on many groups including Centre for Perioperative Care Collaborative (CPOC), Perioperative Care Collaborative (PCC), Faculty of Perioperative Care (FPC), Royal College of Surgeons England (RCSE) Robotics Network, British Association of Day Surgery (BADS) Core Competencies Documents, and SAFE OR to name a few. These pieces of work further our mission to improve patient care through constantly developing and promoting the leading standards for perioperative practice and practitioners. Some of the specific projects include:

Surgical Burns Action Group (SBAG)

Lindsay Keeley acts as chair on behalf of AfPP as part of SBAG. This group was established to seek and consolidate clinical and patient support, to remove the significant gaps in the reporting of surgical fires/burns, ensuring patients are properly informed of the risk, and clinicians are educated/trained on the necessary safety requirements. The group is currently lobbying parliament to get recognition of the issue.

GIRFT Elective Surgical Hubs

AfPP was invited and has participated as an observer of the GIRFT accreditation programme for elective surgical hubs and to provide feedback to the GIRFT team. We have been invited to participate further in the future.

BD Joining Hands to Reduce Surgical Site Infection Project

Working with the European Expert Working Group (EWG) initiated by Professor Marja Boermaster from UMC Amsterdam to define the optimal universal, evidence-based bundle to reduce Surgical Site Infections (SSI). A Delphi methodology study was undertaken, and a survey completed. Results have been correlated and research findings are currently being interpreted before being published.

NHS England – Peri-Operative & Theatres Workforce Programme Expert Stakeholder Engagement Group

AfPP are working as part of this EWG. It focuses on clinical roles within the theatre environment, looking at the four practitioner roles: Scrub, Anaesthetics, Recovery and Circulating. The review is of the capabilities frameworks, and elements and roles within the perioperative environment from novice to expert. The aim is to build a collective understanding of current national frameworks and guidance relating to capabilities of the theatre workforce and to co-design a way forward to address unwanted variation in the workforce, establishing a ‘unified collective’ voice.

ISO Standard - ISO/TC 84 WG8

Providing clinical advice for ISO 23908 technical standards on sharp containers.

ISO Standard - ISO/TC 84 WG9 N927 Catheters

Providing clinical advice for ISO 10555-1 2023 Intravascular Catheters – sterile and single-use catheters.

ISO Standard - ISO/TC84 WG10 N 213 Needles

Providing clinical advice for ISO 9626:2016 Stainless Steel Needle Tubing - for the manufacture of medical devices.

Commercial Work

This continued to be strong in the last financial year. Our consultants have between them supported 23 hospital audit visits and have accredited 21 hospitals. Additionally, we have completed whole team training at one hospital and one staffing review.

We have reviewed the process of ensuring all our consultants meet mandatory training requirements and have current DBS checks. We have also re-written our consultant contracts.

IT

We have purchased and installed a new server and implemented multi factor authentication on all our email accounts making our systems more secure. Further cyber security enhancements will be made as soon as Radius, the new CRM system is live.

Page 14

DIRECTORS' REPORT CONTINUED FOR THE YEAR ENDED 31 MARCH 2024

FINANCIAL REVIEW

Results of the Group

The gross income of the Group amounted to £1,477,965 (2023 - £1,628,476). The Group has reported a surplus for the year of £142,007 (2023 - £28,558). The increase in surplus generated for the year is very pleasing.

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 2024 amounted to £934,918 (2023 - £792,911) of which £934,918 (2023 - £792,911) was unrestricted. However, the unrestricted funds include functional fixed assets (e.g. Goodwill, computer hardware, software and other equipment) of £399,324 (2023 - £306,856) 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 2024 were £535,594 (2023 - £486,055).

The Charity’s policy is to achieve sufficient reserves to cover three months’ expenditure on charitable activities (£326,000) plus the estimated costs of meeting all commitments on a winding-up of the organisation (£151,000); a total of £477,000. The trustees note that reserves freely available to spend have increased in the year again. This continues to reverse the significant decreases in the previous years which reflected 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. The trustees note that the Group was in a strong financial position prior to the pandemic and the group has maintained significant cash balances. Reserves freely available to spend at 31 March 2024 are above the level required to satisfy our reserves policy at that date. The trustees consider the reserves policy to be prudent.

The reserves policy is reviewed biannually.

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 £1,158,009 (2023 - £1,305,431) was generated from charitable activities.

Page 15

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

STATEMENT OF TRUSTEES' RESPONSIBILITIES FOR THE YEAR ENDED 31 MARCH 2024

The Trustees (who are also the directors of the Company 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. Under company law, the Trustees must not approve the financial statements unless they are satisfied that they give a true and fair view of the state of affairs of the Group and the Company and of their incoming resources and application of resources, including their income and expenditure, 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 of the Charities SORP (FRS 102);

• make judgements and accounting estimates that are reasonable and prudent;

• state whether applicable UK Accounting Standards (FRS 102) 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 it is inappropriate to presume that the Group will continue in business.

The Trustees are responsible for keeping adequate accounting records that are sufficient to show and explain the Group and the Company's transactions and disclose with reasonable accuracy at any time the financial position of the Group and the 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 Group and the Company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

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

Ruth Collins (Sep 10, 2024 19:38 GMT+1) ................................................ R A Collins (Trustee) Date: 7 September 2024

Page 16

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

INDEPENDENT AUDITORS' REPORT TO THE MEMBERS OF THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

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 2024 which comprise the Consolidated statement of financial activities, the Consolidated balance sheet, the Company balance sheet, the Consolidated statement of cash flows and the related notes, including a summary of 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 Group's and of the parent charitable company's affairs as at 31 March 2024 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, the Charities and Trustee Investment (Scotland) Act 2005 and regulations 6 and 8 of the Charities Accounts (Scotland) Regulations 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 Auditors' responsibilities for the audit of the financial statements section of our report. We are independent of the Group in accordance with the ethical requirements that are relevant to our audit of the financial statements in the United Kingdom, including the Financial Reporting Council'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's 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.

Page 17

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

INDEPENDENT AUDITORS' REPORT TO THE MEMBERS OF THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (CONTINUED)

Other information

The other information comprises the information included in the Annual report other than the financial statements and our Auditors' report thereon. The Trustees are responsible for the other information contained within the Annual report. 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. 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.

Opinion on 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' report for the financial year for which the financial statements are prepared is consistent with the financial statements.

• the Trustees' report has been prepared in accordance with applicable legal requirements.

Matters on which we are required to report by exception

In the light of our knowledge and understanding of the charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the Trustees' report.

We have nothing to report in respect of the following matters in relation to which Companies Act 2006 and the Charities Accounts (Scotland) Regulations 2006 (as amended) requires us to report to you if, in our opinion:

• the parent charitable company has not kept adequate and sufficient accounting records, 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 take advantage of the small companies' exemptions in preparing the Trustees' report and from the requirement to prepare a Strategic report.

Responsibilities of trustees

As explained more fully in the Trustees' responsibilities statement, the Trustees (who are also the directors of the 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 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's 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.

Page 18

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

INDEPENDENT AUDITORS' REPORT TO THE MEMBERS OF THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (CONTINUED)

Auditors' responsibilities for the audit of the financial statements

We have been appointed as auditor under section 44(1)(c) of the Charities and Trustee Investment (Scotland) Act 2005 and under the Companies Act 2006 and report in accordance with the Act and relevant regulations made or having effect thereunder.

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an Auditors' 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 extent to which our procedures are capable of detecting irregularities, including fraud is detailed below:

Our approach to identifying and assessing the risks of material misstatement in respect of irregularities, including fraud and noncompliance with laws and regulations, was as follows:

• we identified laws and regulations applicable to the company through discussions with directors and other management, and from our commercial knowledge and experience of the industry. The key laws and regulations we identified as being applicable to the company were the Charities Act 2011, Companies Act 2006, employment legislation and tax legislation;

• we assessed the extent of compliance with the laws and regulations identified above through making enquiries of management; and

• identified laws and regulations were communicated within the audit team regularly and the team remained alert to instances of non-compliance throughout the audit.

We assessed the susceptibility of the entity’s financial statements to material misstatement, including obtaining an understanding of how fraud might occur, by:

• making enquiries of management as to where they considered there was susceptibility to fraud, their knowledge of actual, suspected and alleged fraud; and

• considering the internal controls in place to mitigate risks of fraud and noncompliance with laws and regulations.

To address the risk of fraud through management bias and override of controls, we:

• performed analytical procedures to identify any unusual or unexpected relationships;

• tested journal entries to identify unusual transactions; and

• assessed whether judgements and assumptions made in determining the accounting estimates were indicative of potential bias.

In response to the risk of irregularities and noncompliance with laws and regulations, we designed procedures which included, but were not limited to:

• agreeing financial statement disclosures to underlying supporting documentation; and

• enquiring of management as to actual and potential litigation and claims.

Page 19

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

INDEPENDENT AUDITORS' REPORT TO THE MEMBERS OF THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (CONTINUED)

Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including those leading to a material misstatement in the financial statements or non-compliance with regulation. This risk increases the more that compliance with a law or regulation is removed from the events and transactions reflected in the financial statements, as we will be less likely to become aware of instances of non-compliance. The risk is also greater regarding irregularities occurring due to fraud rather than error, as fraud involves intentional concealment, forgery, collusion, omission or misrepresentation.

A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council's website at: www.frc.org.uk/auditorsresponsibilities. This description forms part of our Auditors' report.

Use of our report

This report is made solely to the charitable company's members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006, and to the charitable company's trustees, as a body,in accordance with regulation 10 of the Charities Accounts (Scotland) Regulations 2006. Our audit work has been undertaken so that we might state to the charitable company's members those matters we are required to state to them in an Auditors' 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 charitable company and its members, as a body, for our audit work, for this report, or for the opinions we have formed.

Steven Williams (Senior statutory auditor)

for and on behalf of Armstrong Watson Audit Limited

Chartered Accountants Statutory Auditors Leeds

N.B. The date of signing should be entered in 'ACCOUNTS COMPLETION' section

Date: 10/09/2024

Page 20

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIES (INCORPORATING INCOME AND EXPENDITURE ACCOUNT) FOR THE YEAR ENDED 31 MARCH 2024

Note Income from: Donations and legacies 3 Charitable activities 5 Other trading activities 5 Investments 6 Total income Expenditure on: Raising funds Charitable activities 7 Total expenditure Net movement in funds Reconciliation of funds: Total funds brought forward Net movement in funds Total funds carried forward	Unrestricted funds 2024 £ 570 1,158,009 305,531 13,855 1,477,965 306,123 1,029,835 1,335,958 142,007 792,911 142,007 934,918	Total funds 2024 £ 570 1,158,009 305,531 13,855 1,477,965 306,123 1,029,835 1,335,958 142,007 792,911 142,007 934,918	Total funds 2023 £ - 1,305,431 320,619 2,426
			1,628,476
			317,689 1,282,229
			1,599,918
			28,558
			764,353 28,558
			792,911

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

The notes on pages 27 to 46 form part of these financial statements.

Page 21

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) REGISTERED NUMBER: 06035633

CONSOLIDATED BALANCE SHEET AS AT 31 MARCH 2024

Note Fixed assets Intangible assets 12 Tangible assets 13 Current assets Stocks 16 Debtors 17 Cash at bank and in hand Creditors: amounts falling due within one year 18 Net current assets Total assets less current liabilities Total net assets Charity funds Restricted funds 20 Unrestricted funds General funds 20 Total unrestricted funds 20 Total funds	17,339 783,404 683,744 1,484,487 (948,893) 934,918	2024 £ 359,198 40,126 399,324 535,594 934,918 934,918 - 934,918 934,918	14,284 752,262 590,333 1,356,879 (870,824) 792,911	As restated 2023 £ 263,674 43,182
				306,856 486,055
				792,911
				792,911
				- 792,911
				792,911

Page 22

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) REGISTERED NUMBER: 06035633

CONSOLIDATED BALANCE SHEET (CONTINUED) AS AT 31 MARCH 2024

The Trustees acknowledge their responsibilities for complying with the requirements of the Act with respect to accounting records and preparation of financial statements.

The financial statements have been prepared in accordance with the provisions applicable to entities subject to the small companies regime.

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

Ruth Collins (Sep 10, 2024 19:38 GMT+1)

................................................

R A Collins

(Chair of Trustees)

Date: 7 September 2024

The notes on pages 27 to 46 form part of these financial statements.

Page 23

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) REGISTERED NUMBER: 06035633

COMPANY BALANCE SHEET AS AT 31 MARCH 2024

Note Fixed assets Intangible assets 12 Tangible assets 13 Investments 15 Current assets Stocks 16 Debtors 17 Cash at bank and in hand Creditors: amounts falling due within one year 18 Net current assets Total assets less current liabilities Total net assets Charity funds Restricted funds 20 Unrestricted funds General funds 20 Total unrestricted funds 20 Total funds	12,960 508,550 679,245 1,200,755 (708,441) 956,196	2024 £ 356,198 37,626 70,058 463,882 492,314 956,196 956,196 - 956,196 956,196	9,521 543,975 486,589 1,040,085 (587,977) 816,331	As restated 2023 £ 257,674 36,491 70,058
				364,223 452,108
				816,331
				816,331
				- 816,331
				816,331

Page 24

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) REGISTERED NUMBER: 06035633

COMPANY BALANCE SHEET (CONTINUED) AS AT 31 MARCH 2024

The Company's net movement in funds for the year was £139,865 (2023 - £25,292).

The Trustees acknowledge their responsibilities for complying with the requirements of the Act with respect to accounting records and preparation of financial statements.

The financial statements have been prepared in accordance with the provisions applicable to entities subject to the small companies regime.

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

Ruth Collins (Sep 10, 2024 19:38 GMT+1)

................................................

R A Collins

(Chair of Trustees) Date: 7 September 2024

The notes on pages 27 to 46 form part of these financial statements.

Page 25

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

CONSOLIDATED STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 31 MARCH 2024

Cash flows from operating activities Net cash used in operating activities Cash flows from investing activities Proceeds from the sale of tangible fixed assets Purchase of intangible assets Purchase of tangible fixed assets Net cash used in investing activities Cash flows from financing activities Interest income Net cash provided by financing activities Change in cash and cash equivalents in the year Cash and cash equivalents at the beginning of the year Cash and cash equivalents at the end of the year The notes on pages 27 to 46 form part of these financial statements	2024 £ 190,962 - (98,524) (12,882) (111,406) 13,855 13,855 93,411 590,333 683,744	2023 £ 257,593 808 - (53,690) (52,882) 2,426 2,426 207,137 383,196 590,333

Page 26

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

1. General information

The Association for Perioperative Practice is a charitable company limited by guarantee and a registered charity (No. 1118444) incorporated and registered in England and Wales under the Companies Act 2006. The registered office is given on the reference and administrative details of the charity page.

2. Accounting policies

2.1 Basis of preparation of financial statements

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

The Consolidated statement of financial activities (SOFA) and Consolidated balance sheet consolidate the financial statements of the Company and its subsidiary undertaking. The results of the subsidiary are consolidated on a line by line basis.

The Company has taken advantage of the exemption allowed under section 408 of the Companies Act 2006 and has not presented its own Statement of financial activities in these financial statements.

2.2 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 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.

2.3 Income

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.

Page 27

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

2. Accounting policies (continued)

2.4 Expenditure

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 five. Irrecoverable VAT is charged as a separate cost item and allocated in the same way as other costs.

2.5 Research and development

Development costs are capitalised within intangible assets where they can be identified with a specific product or project anticipated to produce future benefits, and are amortised on the straight line basis over the anticipated life of the benefits arising from the completed product or project.

Deferred research and development costs are reviewed annually, and where future benefits are deemed to have ceased or to be in doubt, the balance of any related research and development is written off to the Consolidated statement of financial activities.

2.6 Interest receivable

Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the Group; this is normally upon notification of the interest paid or payable by the institution with whom the funds are deposited.

2.7 Taxation

The Company is considered to pass the tests set out in Paragraph 1 Schedule 6 of the Finance Act 2010 and therefore it meets the definition of a charitable company for UK corporation tax purposes. Accordingly, the Company is potentially exempt from taxation in respect of income or capital gains received within categories covered by Chapter 3 Part 11 of the Corporation Tax Act 2010 or Section 256 of the Taxation of Chargeable Gains Act 1992, to the extent that such income or gains are applied exclusively to charitable purposes.

2.8 Intangible assets and amortisation

Intangible assets are initially recognised at cost. After recognition, under the cost model, intangible assets are measured at cost less any accumulated amortisation and any accumulated impairment losses.

Amortisation is provided on intangible assets at rates calculated to write off the cost of each asset on a straight-line basis over its expected useful life.

Page 28

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

2. Accounting policies (continued)

2.8 Intangible assets and amortisation (continued)

The estimated useful lives are as follows:

On-line education asset	-	5 years
Website	-	4 years
Goodwill	-	5 years

2.9 Tangible fixed assets and depreciation

Tangible fixed assets costing £500 or more are capitalised and recognised when future economic benefits are probable and the cost or value of the asset can be measured reliably.

Tangible fixed assets are initially recognised at cost. After recognition, under the cost model, tangible fixed assets are measured at cost less accumulated depreciation and any accumulated impairment losses. All costs incurred to bring a tangible fixed asset into its intended working condition should be included in the measurement of cost.

Depreciation is charged so as to allocate the cost of tangible fixed assets less their residual value over their estimated useful lives, using the straight-line and reducing balance method.

Depreciation is provided on the following basis:

Building improvements - 20% straight line Plant and machinery - 20% reducing balance Motor vehicles - 25% reducing balance Fixtures and fittings - 25% straight line Computer equipment - 20% straight line

2.10 Investments

Investments in subsidiaries are valued at cost less provision for impairment.

2.11 Stocks and work in progress

Stocks and work in progress are valued at the lower of cost and net realisable value after making due allowance for obsolete and slow-moving stocks. Cost includes all direct costs and an appropriate proportion of fixed and variable overheads.

2.12 Debtors

Trade and other debtors are recognised at the settlement amount after any trade discount offered. Prepayments are valued at the amount prepaid net of any trade discounts due.

2.13 Cash at bank and in hand

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

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THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

2. Accounting policies (continued)

2.14 Liabilities and provisions

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

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

Provisions are measured at the best estimate of the amounts required to settle the obligation. Where the effect of the time value of money is material, the provision is based on the present value of those amounts, discounted at the pre-tax discount rate that reflects the risks specific to the liability. The unwinding of the discount is recognised in the Consolidated statement of financial activities as a finance cost.

2.15 Financial instruments

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

2.16 Pensions

The Group operates a defined contribution pension scheme and the pension charge represents the amounts payable by the Group to the fund in respect of the year.

2.17 Fund accounting

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

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

3. Income from donations and legacies

	Unrestricted	Total	Total
	funds	funds	funds
	2024	2024	2023
	£	£	£
Grants	570	570	-

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THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

4. Income from charitable activities

Unrestricted funds 2024	Unrestricted funds 2024	Total funds 2024	Total funds 2023
	£	£	£
Membership	740,725	740,725	747,811
Study days and events	13,790	13,790	29,835
Residential income	224,342	224,342	248,341
Journal subscriptions	1,811	1,811	1,564
Journal advertising income	140,740	140,740	180,576
Publication sales	36,601	36,601	97,304
	1,158,009	1,158,009	1,305,431

The amount of membership income deferred at 31 March 2024 is £315,703 (2023 - £352,943) and this is included in accruals and deferred income in note 19.

All income from charitable activities in the prior year was unrestricted.

5. Income from other trading activities

Income from non charitable trading activities

	Unrestricted funds 2024	Total funds 2024	Total funds 2023
	£	£	£
Trading turnover and other income-subsidiary	305,531	305,531	320,619
	305,531	305,531	320,619

All income from non charitable trading activities in the prior year was unrestricted.

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THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

6. Investment income

Unrestricted funds 2024	Unrestricted funds 2024	Total funds 2024	Total funds 2023
	£	£	£
Interest receivable	11,121	11,121	2,092
Interest receivable-subsidiary	2,734	2,734	334
	13,855	13,855	2,426

All investment income in the prior year was unrestricted.

7. Analysis of expenditure on charitable activities

Summary by fund type

Unrestricted funds 2024	Unrestricted funds 2024	Total funds 2024	Total funds 2023
	£	£	£
Charitable activities	1,029,835	1,029,835	1,282,299
	1,029,835	1,029,835	1,282,299

All expenditure in the prior year was unrestricted.

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THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

8. Analysis of expenditure by activities

Direct costs

Basis of allocation	Charitable activities	Total funds 2024	As restated Total funds 2023
	£	£	£
Staff costs Staff time	275,843	275,843	259,241
Publications, Printing and Postage Direct	60,484	60,484	119,133
Conference costs Direct	154,487	154,487	185,854
Study day costs Direct	16,018	16,018	16,095
Marketing Direct	30,880	30,880	67,391
Subscriptions Direct	8,455	8,455	8,305
Membership expansion costs Direct	32,039	32,039	41,339
Awards Direct	750	750	750
	578,956	578,956	698,108

All direct costs in the current year and prior year were unrestricted.

During the year, management reviewed the salary costs allocated to direct and support costs and identified that some costs were better classified as relating directly to activities. An adjustment has therefore been made to reclassify £212,018 of staff costs allocated to support costs in 2023 to direct costs.

This has no impact on the total costs or surplus for the prior year.

Page 33

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

8. Analysis of expenditure by activities (continued)

Support costs

Basis of allocation	Charitable activities	Total funds 2024	As restated Total funds 2023
	£	£	£
IT costs Usage	38,896	38,896	36,666
Staff costs Staff time	133,812	133,812	126,781
Rent and rates Usage	36,493	36,493	30,831
Light and heat Usage	6,058	6,058	5,240
Insurance Usage	11,898	11,898	7,127
Telephone Usage	10,198	10,198	8,789
Sundries Usage	1,138	1,138	346
Legal and professional Usage	5,558	5,558	2,279
Depreciation and impairment Usage	11,747	11,747	152,641
Profit on disposal of fixed asset Usage	-	-	(386)
Irrecoverable VAT Usage	61,228	61,228	74,659
Printing and stationery Usage	15,236	15,236	16,270
Bank charges Transactions	25,134	25,134	23,529
Staff recruitment costs Usage	13,012	13,012	7,055
Staff travel Usage	1,862	1,862	5,393
Staff training Usage	8,558	8,558	7,424
Bad debts Transactions	17,060	17,060	15,627
Office costs Usage	10,043	10,043	8,817
Public relations Usage	2,593	2,593	10,146
Governance costs Usage	40,355	40,355	44,887
	450,879	450,879	584,121

All support costs in the current year and prior year were unrestricted.

During the year, management reviewed the salary costs allocated to direct and support costs and identified that some costs were better classified as relating directly to activities. An adjustment has therefore been made to reclassify £212,018 of staff costs allocated to support costs in 2023 to direct costs.

This has no impact on the total costs or surplus for the prior year.

Page 34

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

9. Net incoming resources for the period

This is stated after charging:

	Group	Group	Company	Company
	2024	2023	2024	2023
	£	£	£	£
Depreciation	15,938	15,381	11,747	13,709
Impairment provision	-	138,932	-	138,932
Amortisation	3,000	3,000	-	-
Operating lease rentals - land and buldings	41,330	40,631	41,330	40,631
Audit fees	13,800	13,200	13,800	13,200
Tax compliance services	550	1,250	-	-
Accountancy and other services	3,000	2,000	2,000	-

10. Staff costs

Wages and salaries Social security costs Contribution to defined contribution pension schemes	Group 2024 £ 493,887 43,887 10,542 548,316	Group 2023 £ 507,193 48,908 13,203 569,304	Company 2024 £ 366,418 32,695 10,542 409,655	Company 2023 £ 356,798 34,021 13,203
				404,022

During the year, the Charity recharged its subsidiary £138,661 (2023 - £165,282) for Staff costs. These are included within the management charge expenses in the accounts of the subsidiary.

The average number of persons employed by the Company during the year was as follows:

Chief Executive Member services Patient Safety and Quality Editorial Marketing Commercial Finance Management and administration	Group 2024 No. 1 3 2 1 2 2 1 2 14	Group 2023 No. 1 3 2 1 2 2 1 2 14	Company 2024 No. 1 3 2 1 2 2 1 2 14	Company 2023 No. 1 3 2 1 2 2 1 2
				14

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THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

10. Staff costs (continued)

The number of employees whose employee benefits (excluding employer pension costs) exceeded £60,000 was:

		Group	Group
		2024	2023
		No.	No.
In the band £70,001	- £80,000	1	-
In the band £80,001	- £90,000	-	1

During the year pension contributions on behalf of these staff amounted to £670 (2023 - £3,195).

During the year key management personnel received remuneration of £83,928 (2023 - £85,179).

11. Trustees' remuneration and expenses

During the year, no Trustees received any remuneration or other benefits (2023 - £NIL). During the year five (2023 - three) of the trustees of the Charity were paid £21,200 (2023 - £8,100) through the wholly owned subsidiary, AfPP Ltd, for consultancy services on behalf of the company. During the year, the President of the Charity received payment of £10,661 (2023 - £3,061) related to other promotional services on behalf of the Charity. None of these payments were made in relation to the individual's roles as trustees of the Charity, and the articles of association do not prohibit the payments.

During the year ended 31 March 2024, expenses relating to travel and subsistence costs totalling £2,081 were reimbursed or paid directly to 7 Trustees (2023 - £3,085 to 5 Trustees). Expenses amounting to £13,812 (2023 - £6,611) were paid directly by the Charity to third parties relating to travel and subsistence costs.

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THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

12. Intangible assets

Group

Cost At 1 April 2023 (as previously stated) Prior Year Adjustment At 1 April 2023 Additions At 31 March 2024 Amortisation At 1 April 2023 Charge for the year At 31 March 2024 Net book value At 31 March 2024 At 31 March 2023 (as restated)	Software £ - 257,674 257,674 98,524 356,198 - - - 356,198 257,674	Goodwill £ 15,000 - 15,000 - 15,000 9,000 3,000 12,000 3,000 6,000	Total £ 15,000 257,674
			272,674 98,524
			371,198
			9,000 3,000
			12,000
			359,198
			263,674

Page 37

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

12. Intangible assets (continued)

Company Cost At 1 April 2023 (as previously stated) Prior Year Adjustment At 1 April 2023 (as restated) Additions At 31 March 2024 Net book value At 31 March 2024 At 31 March 2023 (as restated)	Software £ - 257,674
	257,674 98,524
	356,198
	356,198
	257,674

Page 38

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

13. Tangible fixed assets

Group

Cost or valuation At 1 April 2023 (as previously stated) Prior Year Adjustment At 1 April 2023 (as restated) Additions At 31 March 2024 Depreciation At 1 April 2023 Charge for the year At 31 March 2024 Net book value At 31 March 2024 At 31 March 2023 (as restated)	Long-term leasehold property £ 13,033 - 13,033 - 13,033 13,033 - 13,033 - -	Plant and machinery £ 14,000 - 14,000 - 14,000 7,309 4,191 11,500 2,500 6,691	Computer equipment £ 365,071 (257,674) 107,397 12,882 120,279 70,906 11,747 82,653 37,626 36,491	Total £ 392,104 (257,674) 134,430 12,882 147,312 91,248 15,938 107,186 40,126 43,182

Page 39

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

13. Tangible fixed assets (continued)

Company

Cost or valuation At 1 April 2023 (as previously stated) Prior Year Adjustment At 1 April 2023 (as restated) Additions At 31 March 2024 Depreciation At 1 April 2023 Charge for the year At 31 March 2024 Net book value At 31 March 2024 At 31 March 2023 (as restated)	Long-term leasehold property £ 13,033 - 13,033 - 13,033 13,033 - 13,033 - -	Software and Computer equipment £ 365,071 (257,674) 107,397 12,882 120,279 70,906 11,747 82,653 37,626 36,491	Total £ 378,104 (257,674) 120,430 12,882 133,312 83,939 11,747 95,686 37,626 36,491

14. Prior year adjustments

During the year, the Trustees decided that the assets relating to software development should be more appropriately classified as intangible fixed assets rather than tangible fixed assets. Therefore, £257,674 has been transferred out of tangible fixed assets opening position to intangible fixed assets.

This has had no impact on the opening fund balances or surplus for the year.

Page 40

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

15. Fixed asset investments

Company Cost or valuation At 1 April 2023 At 31 March 2024 Impairment At 1 April 2023 At 31 March 2024 Net book value At 31 March 2024 At 31 March 2023	Investments in subsidiary companies £ 121,465
	121,465
	51,407
	51,407
	70,058
	70,058

Principal subsidiaries

The following was a subsidiary undertaking of the Company:

Name	Company	Registered	office or principal		Class of	Holding
	number	place of business			shares
AfPP Ltd.	03102102	Daisy Ayris	House, 42 Freemans		Ordinary	100%
		Way, Harrogate, HG3 1DH
The financial results of the subsidiary for the		year were:
Name		Income	Expenditure	Profit for		Net assets
		£	£		the year	£
					£
AfPP Ltd.		308,265	306,123		2,142	48,774

The financial results of the subsidiary for the year were:

Page 41

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

16. Stocks

Consumables held by the subsidiary Education literature for resale 17. Debtors Due within one year Trade debtors Amounts owed by group undertakings Prepayments and accrued income	Group 2024 £ 4,377 12,962 17,339 Group 2024 £ 403,338 - 380,066 783,404	Group 2023 £ 4,763 9,521 14,284 Group 2023 £ 399,215 - 353,047 752,262	Company 2024 £ - 12,960 12,960 Company 2024 £ 369,076 14,051 125,423 508,550	Company 2023 £ - 9,521
				9,521
				Company 2023 £ 352,101 80,004 111,870
				543,975

18. Creditors: Amounts falling due within one year

Trade creditors Other taxation and social security Other creditors Accruals and deferred income	Group 2024 £ 70,974 55,808 9,031 813,080 948,893	Group 2023 £ 75,649 48,537 11,659 734,979 870,824	Company 2024 £ 67,077 55,476 9,031 576,857 708,441	Company 2023 £ 47,747 48,537 5,414 486,279
				587,977

Page 42

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

19. Accruals and deferred income

Membership £ Deferred income at 1 April 2023 352,943 Resources deferred during the year 315,703 Amounts released from previous periods (352,943) Deferred income at 31 March 2024 315,703	Other £ 104,838 427,268 (104,838)
	427,268

20. Statement of funds

Statement of funds - current year

Unrestricted funds General Funds - all funds Statement of funds - prior year Unrestricted funds General Funds	Balance at 1 April 2023 £ 792,911 Balance at 1 April 2022 £ 764,353	Income £ 1,477,965 Income £ 1,628,476	Expenditure £ (1,335,958) Expenditure £ (1,599,918)	Balance at 31 March 2024 £ 934,918
				Balance at 31 March 2023 £ 792,911

Page 43

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

21. Summary of funds

Summary of funds - current year

General funds Summary of funds - prior year General funds	Balance at 1 April 2023 £ 792,911 Balance at 1 April 2022 £ 764,353	Income £ 1,477,965 Income £ 1,628,476	Expenditure £ (1,335,958) Expenditure £ (1,599,918)	Balance at 31 March 2024 £ 934,918
				Balance at 31 March 2023 £ 792,911

22. Analysis of net assets between funds Analysis of net assets between funds - current period

Unrestricted funds 2024 £ Tangible fixed assets 40,126 Intangible fixed assets 359,198 Current assets 1,484,487 Creditors due within one year (948,893) Total 934,918	Total funds 2024 £ 40,126 359,198 1,484,487 (948,893)
	934,918

Page 44

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

22. Analysis of net assets between funds (continued)

Analysis of net assets between funds - prior period

Tangible fixed assets Intangible fixed assets Current assets Creditors due within one year Total	Unrestricted funds 2023 £ 43,182 263,674 1,356,879 (870,824) 792,911	Total funds 2023 £ 43,182 263,674 1,356,879 (870,824)
		792,911

23. Capital commitments

	Group	Group	Company	Company
	2024	2023	2024	2023
	£	£	£	£
Contracted for but not provided in these
financial statements
Acquisition of intangible assets	-	19,589	-	19,589

24. Pension commitments

The group and charity operates a defined contribution pension scheme. The assets of the scheme are held separately from those of the group and charity in an independently administered fund. The pension cost charge in the year amounted to £10,542 (2023 - £13,203) and £4,031 (2023 - £12,463) was payable to the fund at the balance sheet date and are included in creditors.

25. Operating lease commitments

At 31 March 2024 the Group and the Company had commitments to make future minimum lease payments under non-cancellable operating leases as follows:

Not later than 1 year Later than 1 year and not later than 5 years	Group 2024 £ 41,424 58,684 100,108	Group 2023 £ 41,424 100,108 141,532	Company 2024 £ 41,424 58,684 100,108	Company 2023 £ 41,424 100,108
				141,532

Page 45

THE ASSOCIATION FOR PERIOPERATIVE PRACTICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

26. Related party transactions

During the year, no Trustees received any remuneration or other benefits (2023 - £NIL). During the year five (2023 - three) of the trustees of the Charity were paid £21,200 (2023 - £8,100) through the wholly owned subsidiary, AfPP Ltd, for consultancy services on behalf of the company. Of these amounts, £1,000 (2023 - £Nil) was outstanding at the year end and included in trade creditors.

During the year, the President of the Charity received payment of £10,661 (2023 - £3,061) related to other promotional services on behalf of the Charity. None of these payments were made in relation to the individual's roles as trustees of the Charity, and the articles of association do not prohibit the payments. Of these amounts, £Nil (2023 - £Nil) was outstanding at the year end.

Donations from the Trustees to the Charity during the year were £Nil (2023 - £Nil).

Management charges were paid to the Charity by its subsidiary during the year of £172,230 (2023 - £213,035). At 31 March 2024 the subsidiary owed £14,051 (2023 - £80,004) to the Charity.

27. Controlling party

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 Officer who reports to the Board.

Page 46