Registered number: 06035633 Charity numbers: 1118444 and SC043668 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) TRUSTEES, REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 Armstrongwatson. Accountants, Business & Financial Advisers THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee CONTENTS Page Our Vision, Mission and Values Reference and administrative details of the Company, its Trustees and advSsers President's message Chief Executive Officerfs message Your Board of Directorsrrrustees and Advlsors to the Board 6-10 Directors, Report Trustees, responsibilities statement Independent audltors. report on the financial statements Consolidated statement of flnancial activities 18 19-22 23 Consolidated balance sheet 24-25 Company balance sheet Consolidated statement of cash flows 26-27 28 Notes to the flnancial statements 29-49 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE IA 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 Page 1 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 2025 Trustees R A Collins (President to 1 January 2025), Trustee O D Tierney (President from 1 January 20251, President L Dye, Trustee J Maher, Trustee (resigned 5 August 2024) L H Nealen, Trustee M Page, Trustee J E Spencer, Trustee (resigned 1 January 2025) L E Tierney, Trustee N J Deane, Trustee A C Venn, Trustee W Windsor, Trustee (appointed 1 January 2025) C F Griffiths, Trustee (appointed 1 January 2025) Company registered number 06035833 Charlty reglstered numbers 1118444 and SC043668 Registered office Daisy Ayris House 42 Freemans Way Harrogate North Yorkshire HG3 1DH Chlef executlve offlcer Alex Duke Independent audltors Armstrong Watson Audit Limited Chartered Accounlants Statutory Auditors Third Floor 10 South Parade Leeds West Yorkshir& LS15QS Bankers National Westminster Bank 3 Cambridge Crescent Harrogate HG11PE Solicitors Hempsons Solicitors The Exchange Station Parade Harrogate HG1 1TS Page 2 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company Ilmited by guarantee) PRESIDENT'S MESSAGE FOR THE YEAR ENDED 31 MARCH 2025 l am pleased to report on the developments and achievements of The Association for Perioperative Practice (AfPP) during the past year. Overall, it has been a hugely successful year for AfPP and has seen many regenerative initiatives and projects launched and completed. I would like to thank Ruth Collins (former President) for all her support and encouragement and the hard work of the Board of Trustees and HQ Team. Their efforts have seen great improvements to AfPP and have allowed me to move seamlessly into my presidency. Their continued hard work is much appreciated and should never be underestimated. The board of Trustees and HQ team have also welcomed several new team members and l am confident that their addition will bring fresh ideas and energy for the coming year. Nationally, we continue to have an important and influential role in the development of the perioperative environment across a variety of prestigious groups. AfPP has continued to be a prominent member of The Centre for Perioperative Care (CPOC) and this has allowed us to positively influence not just the perioperative environment but the pathways that safely lead our patients through their perioperative journeys. We have also worked closely with the Health and Safety Investigation Bureau {HSIB} in analysis and development of aclions surrounding perioperative incidents. Internationally, we continue to work alongside the International Federation of Perioperative Nurses IIFPN), ensuring a presence on the world stage. Whilst this will be spoken about in more delail on the CEO'S report, it is importanl we recognise the implementation of the new CRM system {Radius) and website on 16 April 2024. This was a much-needed development and allows us to offer more to our membership in terms of online resources and support. l am also delighted to announce that we have implemented free student membership alongside a new introductory, lower-cost, membership for newly qualified practitioners. This move is designed to grow our membership at the grassroots and allow us to support the next generation of practitioners as they move from student to qualified practitioners. In terms of the Journal and IPP, this has now gone 100 /0 digital. Alongside this, we have been able to fully launch the new Journal Writers SIG to help support our members to publish their own work- I hope this will create a Journal for the membership, written by the membership. This year marked the 60th anniversary of AfPP and this was celebrated at our Annual National Conference in August 2024. The conference, hosted at the University of Warwick, was a huge success and I personally look fotward to building on this success at next year's conference and beyond. The feedback from our membership was very positive and the variety of speakers and content demonstrate that the AfPP National Conference is at the cutting edge of perioperative practice. Alongside the conference, we also ran, for the first lime, a roadshow of regional study days to further celebrate AfPP's 80th anniversary. These events were very well received and provided a diverse programme of education throughout the year. Thank you to all who attended and helped organise these events, this is something we can all be very proud of. Overall, this past year has been very much a year of regeneration forAfPP, and I feel assured that we can, in the year ahead, achieve great things that will further support, develop and empower our perioperative teams. Finally, I would like to say thank you to all our members, volunteers and staff for their continued hard work and dedication. Without you, AfPP is nolhing, we truly are stronger together. Sincerely, Oliver Tiemey President, AfPP Page 3 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company Ilmlted by guarantee) CHIEF EXECUTIVE OFFICER'S MESSAGE FOR THE YEAR ENDED 31 MARCH 2025 l am delighted to highlight here for you some of the exciting improvements that we delivered during what was AfPP'$ 60th Anniver3ary, cclcbratory ycar. After pr8VIOU8ly id8ntifying some of the ways we COLild imprnvp. Ihp. Association, this financial year was one of huge planning and activity. Our new CRM system (Radius) and website went live on 16th April. It has enabled u5 to offer member resources on a more user-friendly platform. We also launched a new improved Job Forum page giving an enhanced user experience. We have continued to make small improvemenls to the platform since go-live, by identifying and developing new features. This improvement work is on-going and will continue to be for the life of the system. To date, 730/0 of members have engaged with their unique member portal. From an internal perspective, Radius has enabled u5 to Streamline membership processes which has in turn freed up time to look more pro-actively at the memberjourney, recruitment and retention activities. Two of the major changes this year have been the move to Free Student Membership and a new membership type, with an introductory level cost of Newly Qualified Member (NQMI, both introduced in September 2024. We have actively promoted the benefits of AfPP membership via our student channels and student members ended the year at 627, up from 186 when membership was paid. We have an active campaign of regular'touch points, which is helping to convert free students to NQM at the end of their study. In April, we had a small membership price increase for registered, non-registered and retired members. Overseas member pricing was reduced lo be in line with register8d members. We offered members a new benefil of free access to live and on demand webinars. Additionally, we moved away from our contract with EBSCOhost. Members told us the offer we had wasn't comprehensive enough and that there were other places where they received the same benefit (such as their employer or university). We re-negotiated the contract with EBSCO and bought library access e-publications from them instead, which are available free to members via the member portal. New SIG forums were added for the Robotics and Human Factors specialities. However, the forums have struggled to gain momentum, and we have been looking at different ways to promote SIG Forum participation from our members through IPP articles, social media and largeted emails. Changes to the way we process the member insurance policy, putting more onus on the professional integrity of the applicants, resulted in a far less onerous task for the membership team. The process was much smoother, simpler and less time Consuming than it had been previously. strengthening our educational output was one of our first goals and a new position of Education Lead was filled in August 2024. Since then, our Education Lead worked on curating the content for the remainder of the AfPP Roadshow events and 2025's Annual conference. During the year we hosted a Ihree-week online Research, Education and Leadership (REL) placement for three ODP students from Hallam University. The output was useful in providing fresh perspectives on what students require and reinforcing our support of learning and developing the future theatre workforce. Our Education Lead has worked on both educational content for the member portal in the new 'Resource Hub, and education modules that we plan to sell commercially under our AfPP Academy brand. Unfortunately, we were unable to find the right candidale for the role of Head of Department - Educalion, Publications and Professional Advice within the financial year, although I'm pleased to report that the appointment is now in place and their efforts will start to have an impact in the financial year 2025126. I mentioned in last yearfs report the ongoing challenges around recruitment and retention of volunteer members and how this impacts our ability to deliver study days. We trailed an initialive as part of our 60th anniversary celebrations whereby the HQ team lake the lead on the events-based education offered. Our events leam. along with some incredibly engaged volunteers (comprising regional leads, SIGS and some board members) masterminded the AfPP Roadshow, visiting eight cities across the UK. Page 4 CHIEF EXECUTIVE OFFICER'S MESSAGE CONTINUED FOR THE YEAR ENDED 31 MARCH 2025 Our Annual National Conference this year took place for the first time at the University of Warwick. The more Central location received great feedback from participating delegates and suppliers alike. There were 332 delegates plus 30 volunleers and board members. giving a total of 362 practitioners. Of the delegates, 52 % were non-members, giving us an opportunity to showcase AfPP to a wider audience. Additionally, there were 31 speakers, 34 supplier stands and 75 company representatives on site. We have been engaging positively wilh our Link Members, providing them with updated notice board content to refresh on a regular basis. The Link members have been highly engaged with this and regularly send in photographs of their AfPP displays. 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. Our commercial work continues to be strong, and we secured Ihe contract to re-accredit the Circle Health Group (49 sites) as each hospital's initial ￿0-year accreditation expires. The press we have achieved around these accreditations appears to have encouraged interest from many other hospitals, particularly in the private sector, and we have a healthy pipeline of new enquiries. We have spent considerable time developing and formalising the reports generdted from the audit and accreditation visits and worked on producing a training programme for consultants which will be launched in the next financial year. This will all strengthen the robust nature of the audit process and the strong reputation that the AfPP Accreditation award carries. With our Journal, after an initial test period {where there was an option to relain paper or switch to digital} the JPP transitioned to be 1000/0 digital. We appointed a new Editor for the JPP, Carolina Britton, and she is working hard to ensure that the journal content is aligned with what membership want to read. Our past Editor, Julie Quick curated celebratory 60th Anniversary collections of articles which were made available to members and non-members in an effort to demonstrate the value of the journal. The IPP also has a new Editor in Nikki Stroud, and we have been delighted with the content and production of both publications. We have undertaken a large project around updating our policies and procedures for members, board, volunteers and the HQ team. This has been a huge undertaking to align eVe￿hIng with current legislation and to ensure we have just one point of truth. This has been months of effort and is nearing completion. The HQ team have been dedicated to improving the visibility and strength of the Association. l am pleased to advise that we achieved all our half and full year strategic objectives, plus some additional items that were nol in the initial plan. I give enormous thanks and praise to the HQ team., l am very proud of all they have achieved, and we will continue working hard to make AfPP relevant to practitioners at all stages in their career. Alex Duke Chief Executive Officer Page 5 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guaranteel YOUR BOARD OF DIRECTORsrrRUSTEES AND ADVISORS TO THE BOARD FOR THE YEAR ENDED 31 MARCH 2025 Oliver Tierney: Presidentifrustee and Dlrector of AfPP Ltd Oliver slarted 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 Alder 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. Ruth Collins: Immedlate Past Presidentrrrustee and Dlrector of AfPP Llmited Ruth is currently a Nurse Development Lead with responsibility for co-ordinating education and training, practice development, clinical workforce and governance. Whilst she is an adult trained nurse, this role is within a paediatric setting, and she is responsible for almost 500 nurses. Her role extends to the perioperative environment. Ruth is a theatre nurse by background with over 20 years, experience within the perioperative environment and continues to undertake a clinical shift each week. Ruth's main areas of interest are education. governance, infection prevention and control, person-eentered care and patient and staff experience. She is an advocate for patienl and staff safety and the development of safe, caring, and confident practitioners within the perioperative environment and is passionate regarding the development of safe cultures and inclusivity regarding all roles within the pefioperative setting. Her areas of expertise include the above and clinically, orthopaedics, general surgery, vascular, plastics, neuro, and ophthalmology. Ruth has been a member of NATN and subsequently AfPP, since 2005 and was originally a member of the Brunel Branch. She was involved in Ihe Northern Ireland branch with responsibility for membership and then became the Regional Lead for Northern Ireland. She now supports the Lead as part of the team in Northern Ireland. Ruth has represented AfPP in relation to OneTogether, HIS and NAP6 and provides consultancy support to the Association. Ruth currently sits on the Governance Committee and considers it a privilege to contribute in this wav. Ruth stepped down from her president role in January 2025. 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 IUKI 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 stepped down as an AfPP Trustee in January 2025. Page 6 YOUR BOARD OF DIRECTORSITRUSTEES AND ADVISORS TO THE BOARD CONTINUED FOR THE YEAR ENDED 31 MARCH 2025 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, wilh 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. Jennifer stepped down as an AfPP Trustee in August 2024. Llsa Tlerney: 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 Matronlmanager 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 creale 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 ICQC) 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 NATNIAfPP 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 Ihe 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 Ltd. She also provides consultancy services for healthcare providers regarding regulatory compliance and registration. Maxlne 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 al 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 alder 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. Page 7 YOUR BOARD OF DIRECTORsrrRUSTEES AND ADVISORS TO THE BOARD CONTINUED FOR THE YEAR ENDED 31 MARCH 2026 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. Wilh a passion for Patient Safety, Nadiene has a keen interest in Human Factors and the relationship be￿een 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 slaff 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. l 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 contribuling 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 IBD}, 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 lo 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. Loulge Dye: Non Elootod Tructoo 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 l 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 a150 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. Page 8 YOUR BOARD OF DIRECTORsrrRUSTEES AND ADVISORS TO THE BOARD CONTINUED FOR THE YEAR ENDED 31 MARCH 2025 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 Leadel and with them has helped others to have courageous convetsations 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 committees.. Surgical smoke coalition and Surgical Burns Action Group. Will Wlndsor: Elected Trustee Will Windsor is currently Se￿ing as the Senior Clinical Lead (ODP) for the Llantrisant Health Park Development at Cwm Taf Morgannwg University Health Board. With a career spanning over decades, Will has built an impressive track record in the field of surgical health care and theatre management. Beginning his journey al Princess Alexandria Hospital in Harlow, Essex, Will started as a Healthcare Assistant in thealres from 1999 to 2006, which sparked his passion for the Operating Department Praclitioner role. He progressed to become a Student Operating Department Practitioner, training across multiple specialities including Orthopaedic, Vascular, and General Surgery, before specialising in Vascular and General Surgery. Throughout his career, Will has held several prominent positions, including Senior Operating Department Practilioner for Major Trauma and Vascular at st Mary's Hospital, Paddington, where he led a team that contributed to significanl research on swab safety that went on to be published in a number of journals including AfPP. His role as Clinical Leader at Poole Hospital NHS Trust saw him establish robotics services, while his tenure as Clinical Lead for General Surgery at Royal Bournemouth Hospital NHS Trust involved managing a large team and overseeing various surgical specialties. In 2018, Will became the first Operating Department Practitioner Malron at University Hospitals Dorset NHS Trust, where he was responsible for quality care and established a well-being team that received recognition and was officially open by the then Prince Charles. Currently, in his role at Llantrisant Health Park, Will is at the forefront of developing a state-of-the-art healthcare facility that will feature 12 theatres, focusing on high-volume, low acuity day surgeries and arthroplasty surgery. He is committed to standardising practices across multiple sites and enhancing the training and well-being of healthcare staff. Will's career is marked by his dedication to improving surgical care, fostering team development, and his commitment to the well-being of his colleagues and patients. Craig Griffiths: Elected Trustee Craig began his career in healthcare while still a university student, taking on a weekend role in sterile seNices. His journey into perioperative practice truly began when he became a theatre assistant at st Michael's Hospital, where he discovered the Operaling Department Practitioner IODP) profession and met his future wife. Inspired, Craig pursued a degree in Operating Department Practice at Cardiff University, completing placements within what is now the Swansea Bay University Health Board. After graduating. Craig returned to Bristol to work as a Paediatric Anaesthetic and Recovery Practitioner at the Bristol Royal Hospital for Children (BCH). It was here that his passion for education and professional development took root. Together with his colleague, Justin Blackett, Craig co-created PIP¢ast, a podcast dedicated to ODPS and the perioperative field, aiming to raise awareness of the profession. Through PIPcast, Craig became actively involved with Ihe AfPP conference, contributing as a co-comperé and delivering insightful round-up talks-a role he has proudly fulfilled for over five years. Page 9 YOUR BOARD OF DIRECTORsrrRUSTEES AND ADVISORS TO THE BOARD CONTINUED FOR THE YEAR ENDED 31 MARCH 2025 In 2018, Craig returned to academia, joining his alma mater as a lecturer. By 2021, he became the course leader for the newly established ODP program at the University o* South Wales. Craig and his colleague, Deborah Ryan, designed the programme with the guiding mantra of 'me and mine," emphasising a personalised and practitioner-focused approach to education. In this role, Craig has championed the integration of simulation-based leaming into anaesthetics and surgery training. He has supported the development of innovative spontaneous simulation models, primarily for anaeslhetics and recovery practice, created by his colleague Ash Davies. Separately, Craig has developed innovative surgical simulation models specifically tailored to enhance teaching and training for surgical first assistant practice. Craig is deeply committed to the mission of the AfPP, advocating for the highest standards of patient care and supporting the professional development of perioperative practitioners. Throughout his career, he has taken great pride in fostering teamwork and collaboration, believing Ihese values are central to achieving excellence in patienl care and professional practice. His dedication to education and partnership continues to drive positive change in the field. Alex Duke: Chlef Executive Officer and Director of AfPP Llmlted 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 herseSf very much as a people person who thrives on colleague and customer interaction. Working in New York for and a half years as President of a US subsidiary to a large UK lingerie manufacturer gave Alex an appreciation and respecl 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 thal a different language brings. Alex's strengths lie in her ana1￿1¢al 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 noseyl) nature. Daniel Donnelly: Advisor to the Board and Non-Executive Director of AfPP Limited Dan obtained a physics degree and then a PhD from Lancaster University before going on to undertake a career in IT and business management spanning 25+ years. During this time, he founded and built a number of businesses with a strong focus on operational process improvement, governance and technology. He brings this experience to AfPP to transform the organisation's operations by increasing efficiency and fostering a collaboralive and inclusive cullure. Dan's ability to identify underperforming business areas and recruit specialist third-party consultants into key roles lo overhaul those aspects has led to significant and tangible improvements to the organisation as a whole. In his role at AfPP, he has worked across all disciplines to help form a cohesive business transformation plan. Page 10 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE IA company limited by guarantee) DIRECTORS. REPORT FOR THE YEAR ENDED 31 MARCH 2026 The Directors present their report and audited financial statements for the year ended 31 March 2025. 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 ofAssociation, and Accounting and Reporting by Charities.. Statement of Recommended Practice applicable to charities preparing their accounts in accordance wilh the Financial Reporting Standard applicable in the UK and republic of Ireland (FRS 102> (effeclive 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 eslablished the objects and powers of the charitable Company and is governed under its Articles ofAssocialion. 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. Rolated company At 31 March 2025, 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 seNices as Trustees. Details of Directors, expenses and related party transactions are disclosed in note 27 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 Ihree times per year and is responsible for business planning, strategy and Ihe 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 DirectorslTrustees come from a background of employment based clinical practice, whilst non-elected Board members bring their business and administrative skills. The elected Directorsifrustees act as ambassadors and are the external face of the Association both at national and international levels. Furthemiore, the elected DirectorslTrustees support various areas of governance activities including standards, membership, regions and education. Page11 DIRECTORS, REPORT CONTINUED FOR THE YEAR ENDED 31 MARCH 2025 Recruitment and appointment of Directorsrrrustees In accordance with the Articles of Association, Directors￿ rustees are elected by the voting members of the Charily for a term determined by the Articles of Associalion. The Board may, by resolution, appoint up to four more non-elected DIrectors￿rustee$. 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 11 to the financial statements. Board induction, training and assessment A structured approach ensures that the skills of new and current DirectorslTrustees are developed in order to contribute to their roles as Board members. New Board members are helped through a menlorship 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￿rustees is reviewed annually by the President as part of an individual development plan which sets out any further trainingldevelopment needs. Reglonal 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 dale wilh 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 al 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 lo the Board meetings. Nominating Committee The funclion 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 Purpogeg AfPP exists to advance health by improving patient care in perioperative practice by.. determining slandards 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. Page 12 DIRECTORS. REPORT CONTINUED FOR THE YEAR ENDED 31 MARCH 2025 The focus of our work The main objectives for the year continued to be the advancement of health by the improvement of patient care n 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 b8n8flt The Trustees have considered the Charity Commissions, guidance on public benefit including ils publication 'Publi¢ 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 beneflted from our servlces? Members of the public in Ihe Uniled Kingdom in need of perioperative care are the ultimate beneficiaries of the Charity's seNices. 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 Oveniiew: The consolidated accounts for last financial year show a deficit of £28,000 versus a budget deficit of c£148,000. Overall, there was £120,000 less deficit than budgeted. The largest of the differences are outlined in this overview. To a greater extent, the reduced deficit is a result of our wages expenditure not being as high as we had anticipated1£80,000 less than budget). due in the most part to difficulty in finding the right candidate, for a new key role, causing a delay in recruitment, and not replacing a leaver from the membership department after efficiencies from the new Radius system kicked in. Membership income was £9,000 below budget. And further information is provided below. The journal income provided a pleasant surprise with a surplus £10,000 above budget, despite earlier suggestions that it could be below forecast. The Job Forum surplus of £6,000 was £19,000 below budget, and this was the greatest disappointment. Open Box, our media sales partner had been through several staff changes, and it appeared they had lost direction somewhat. Despite our interventions lo get them back on track, the jobs element of their sales portfolio still underperformed quite considerably. Unfortunately, the contract that is in place with them has no provision for under performance. We will be addressing this before the nexi contract renewal due in January 2026. Annual National Conference, as I have already alluded to performed well with a surplus £14,000 above budget. The exhibitor sales floor was sold out and provided sales opportunities for the other events in our schedule. This rtainly contributed to the events surplus also being £12,000 above budget. The Corporate Services deficit was £15,000 less than predicted, key contributor here was c£6,500 more bank interesl earned than initially predicted after we moved some cash into a high interest bond. Governance costs were £11,000 less than budgeted. The key impact factors here were below expected overseas travel costs, the lack of trustee election costs (usually c£2,750), board development coming in below expectation and subscription costs to CPOC being postponed. Page 13 DIRECTORS, REPORT CONTINUED FOR THE YEAR ENDED 31 MARCH 2025 Membership: Membership at the end of March 2025 was 6,025, which included 627 free student members (5,398 paying members). Whilst paid membership has continued to fall, and remains a concern, the net loss of members each month has fallen from 76 per month in 23124 to 15 per month in 24125. These figures remove the free student element to show a true comparison. Membership recruitment and retention has continued to be a challenge for the Association and new processes are being implemented to keep in contact more with members during the year, and not just when we need payment from theml On 31$1 March 2025, the Charity's paid membership (excluding free students) was 5,398 (on 3181 March 2024: 5,648, students removed is 5,4621. The membership subscription fee increased by 25p per month (£3 per annum) for registered, non-registered and retired members, the overseas member price came down to match the registered fee. The student subscription price remained the same until il became free in September 2024 and the Newly Qualified Member (NQM} rate was also introduced in September 2024. Annual Conference: The Charity's Annual Conference took place for the first time at the University of Warwick on 2-3rd August 2024. The conference was very successful and generated £14,000 above budgeted surplus (£97,000 surplus in tolall, We received excellent feedback and evaluations from our delegates and suppliers. Total attendees, including the HQ team was 483, which provided for a vibrant buzzing atmosphere. AfPP Roadshow: The AfPP Roadshow visited eight locations across the United Kingdom. A total of 859 delegates purchased tickets which were at special celebratory rates, introduced to encourage non-members to attend and see first- hand, the quality of the education offered and the benefits of AfPP membership. This special rate proved successful in that, of the 659 delegates who registered for the roadshow, 426 were members and 233 were non- members (350/01. We are continuing to markel to this new prospective member data. Weblnars: The ease and convenience of webinars continues to be popular and the 7 live webinars thal we hosted between November 2024 and March 2025 attracted 884 registrants, 6.5 /0 of these were non-members. Non-member incom& from the 7 webinars was £843. Webinars were free lo members during this period and despite that, we achieved a strong attendance conversion rate of 650/0. Average registranls over the 7 webinars was 126 delegates and average attendance was 81 delegates. In addition, our 34 on-demand webinars proved incredibly popular, attracting 1,091 total views. Of these views, 1781160/0) were non-members who paid for the on-demand content. Once paid for webinars become over one month old, providing the content is slill current, they are offered to members fr88 of charg8 in the Resources Hub. Theatre Access Course {TAC): During the year, we re-established our Theatre Access Course as a viable option for medical device company representatives. The course was updated and made into an online module with a test at the end. Over the year, 71 courses were purchased. We are continuing to market this course with new marketing material and a new course booklet for attendees. Marketing: The strength of our marketing has contributed greatly to the awareness of the Association. There were 17 press releases issued betMeen August 2024 and March 2025, with over 35 articles achieving print and digilal press. Additionally, the News area of the members portal was launched. New emails have been written for the membership team to issue through Radius at different points of the memberjourney. Additionally, an onboarding video has been created highlighting benefits for new members. Our active websile users increased over the year by 3,000 and the engagement time has increased from 1 minute 06 seconds to 2 minutes 06 seconds. Page 14 DIRECTORS, REPORT CONTINUED FOR THE YEAR ENDED 31 MARCH 2025 Professional Advlce Servlce (PAS): During the financial year from 1 April 2024 to 31 March 2025, the AfPP Professional Advice Service {PAS) supported 178 members with confidenlial cases, representing approximately 30/0 of members using the service. This reflects a modest increase from the previous financial year, when 145 members (2.6%) accessed the service. PAS has continued to be a vital source of support for members navigating professional challenges. Employment advice remained the most frequently requested topic, with 22 members (12.4% of PAS users) seeking guidance, followed by documentation (16 members, 90/0) and other queries (17 members, 9.60/0). The Journal of Perioperative Practice IJPPI & The Innovation People and Practice Magazine (IPP): The Charity's peer reviewed academic Journal (JPP) retained its impacl factor of 1.2 as indexed in the Web of Science. The Journal is ranked 1861290 in the surgery category. In the last year, the editor. Carolina Britton, has raised the bar for Journal submissions, to ensure only the best, on topic papers, enter the peer review process. In addition to this, the editor continues to independently encourage authors who are involved in new proc8SS8s or 'on topic trends,, such as Al, to submit a paper to the Journal. In August 2024, the Journal, in line with other Sage Journals, moved to Cloud Editing. To maintain consistency throughout Ihe proof process, and ensure the Journal kept its 'voice', rather than blending in with rest of the Sage portfolio, Gina Graydon worked closely with the Production Editor at Sage to update the Journal's style sheet. The new style sheet was successfully introduced last autumn. Following on from the launch of the new Writers Special Interest Group (SIG) in the previous period, a number of new writers have had their first article published in the IPP. What's more, two have already expressed an interest in writing further articles. The IPP magazine continues to be popular with good reviews from practitioners who perceive it to be an easy read, and it's favoured by advertisers. We now have a range of digital advertisements on offer for both potential and existing advertisers. The team continues to explore new and innovative ways of enhancing the digital experience for both members and advertisers. Projects and Collaborations.. We have continued to collaborate on several significant projects, and we sit on many group8 including Centre for Perioperative Care Collaborative (CPOC), Perioperative Care Collaborative IPCC}, Faculty of Perioperative Care IFPC), Royal College of Surgeons England (RCSE) Robotics Ne￿Ork, British Association of Day Surgery IBADS) Specialist 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.. Surglcal Burns Actlon Group (SBAG) Lindsay Keeley acts as chair on behalf of AfPP as part of SBAG. This group was established lo seek and consolidate clinical and patient support, to remove the significant gaps in the reporting of surgical fireslburns, ensuring patients are properly informed of the risk, and clinicians are educatedltrained on the necessary safety requirements. The group is currently lobbying parliament to get recognition of the issue. We are awaiting the NHSE data analysis report on the incidents of surgical fires and burns from the Patient Safety Clinical Lead- Surgical Safety. This is taking longer than expected due to their review processes. BD Joining Hands to Reduce Surgical Site Infection Project Working with the European Expert Working Group (EWG) initiated by Professor Marla Boermaster from UMC Amsterdam to define the optimal universal, evidence-based bundle to reduce Surgical Site Infections {SSII. A Delphi methodology study was undertaken, and the manuscript from the Delphi Study has been submitted to the International Journal of Surgery. To dale it is still awaiting publicalion. NHS England- Peri-operative & Theatres Workforce Programme Expert Stakeholder Engagement Group AfPP continue to work 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 includes co-designing a way forward to address unwanted variation in the workforce, eslablishing a 'unified collective, voice. Page15 DIRECTORS. REPORT CONTINUED FOR THE YEAR ENDED 31 MARCH 2025 The group has reviewed the proposed capability framework and pathways, addressing the needs and expectations of the key stakeholders. Concerns were raised at the meeting on 3 December 2024 around the need for caveats to be put in place and added to the framework, to ensure it is not abused by organisations when staffing theatre lists across specialities. The group is awaiting documentation from NHS England with the caveats added and dates for piloting the capability framework before sharing information. ISO Standard - ISOITC 84 WG8 Providing clinical advice for ISO 23908 technical standards on sharp containers. This is still under review. ISO Standard - ISOITC 84 WG9 N927 Catheters Providing clinical advice for ISO 10555-12023 Intravascular Catheters - sterile and single-use catheters. This is still under review by the group committee. ISO Standard - ISOITC84 WG10 N 213 Needles Providing clinical advice for ISO 9626.'2016 Stainless Steel Needle Tubing for the manufacture of medical d@vic8s. This is 81111 under review by the group committee. Commercial Work This area of work remained strong during the last financial year. Our consultants supported 29 hospital audit visits, comprising a mix of initial and follow-up visits. During these, 22 hospitals reached the end of Ihe process within the reporting period and were successfully accredited. Four of these were reaccreditations, where the hospitals, previous accreditation had expired and they underwent the process again to maintain their accredited status for a further years. Additionally, one policy review, one staffing review and tmo medical device company re-endorsement I re- accreditations were undertaken. The process of audit reporting has continued to be developed and improved during the year, including new report templates for all areas of work undertaken, and work has commenced on developing in-person and online training for consultants. FINANCIAL REVIEW Results of the Group The gross income of the Group amounted to £1,380,831 {2024 - £1,477,965). The Group has reported a deficit for the year of £28,266 (2024 - Surplus £142,007> which is significantly lower than the budgeted deficit of £147,674. Investment pollcy 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 Total funds as at 31 March 2025 amounted to £906.653 (2024 - £934,918) of which £906,653 (2024 - £934,918) was unrestricted. However, the unrestricted funds include functional fixed assets {e.g. goodwill, computer hardware, So￿are and other equipment) of £360,124 {2024 - £399,324} 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 2025 were £546,529 (2024 - £535,594). The Charity's policy is to achieve sufficient reserves to cover three months, expenditure on charitable activilies 1£350,000} plus the estimated costs of meeting all commitments on a winding-up of the organisation (£118,000); a total of £468,000. 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 2025 are above the level required to satisfy our reseNes policy at that date. The trustees consider the reserves policy to be prudent. The reseNes policy is reviewed biannually. Page 16 DIRECTORS, REPORT CONTINUED FOR THE YEAR ENDED 31 MARCH 2025 Fundraising Activities In the directors, opinion the charity does not carry out any fundraising activities of the nature set out in the Charities Act 2026. 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 Charily'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. Princlpal fundlng sources During the year, a total of £1,175,598 {2024 - £1,158,009) was generated from charilable activities. Page 17 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) STATEMENT OF TRUSTEES, RESPONSIBILITIES FOR THE YEAR ENDED 31 MARCH 2025 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 . Under company law, the Trustees must not approve Ihe financial statements unless they are satisfied thal Ihey 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., slate whether applicable UK Accounting Standards (FRS 1021 have been followed, subject to any material departures disclosed and explained in the financial slatemenls. 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 assels 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.. ler (Trustee) Date.. 6 September 2025 Page18 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'l for the year ended 31 March 2025 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 2025 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} IISAS IUKI) 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. Concluslons relatlng 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 perfomied, 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 ￿e1ve 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. Page19 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) INDEPENDENT AUDITORS. REPORT TO THE MEMBERS OF THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (CONTINUED) Other informatlon 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 olher information and, except to the extent otherwise explicitly stated in our report, we do not express any fomi 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 othewise 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 stateinents 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 lo report in this regard. Opinion on other matters prescribed by the Companles Act 2006 In our opinion, based on Ihe 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 statem@nts. the Trustees, report has been prepared in accordance with applicable legal requirements. Matters on which we are requlr6d to report by exceptlon 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 lo report in respect of the following malters in relation to which Companies Act 2006 and the Charities Accounts {Scotlandl Regulations 2006 las amended) require5 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 branchès not visited by us-, or the parent charitable company financial stalements 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 lo prepare the financial statements in accordance with the small companies regime and take advantage of the small companies, exemplions in preparing the Trustees, report and from Ihe requirement to prepare a Strategic report. Responslbllities of trustees As explained more fully in the Trustees, responsibilities statement, the Trustees (who are also the directors of the haritable company for the purposes of company law) arc 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 20 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 oblain 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 misstalement when it exists. Misstatem6nts can arise from fraud or error and are considered malerial if, individually or in the aggregate, they could reasonably be expecled 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 underslanding of how fraud might occur, by.- making enquiries of management as to wh@re 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 analWical 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 r@gulations, we designed procedures which included, but were not limited to: agreeing financial statement disclosures to underlying supporting documentation- and enquiring of management as lo actual and potential litigation and claims. Page 21 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 audil of the financial statements is located on the Financial Reporting Council's website at.. www.frc.or .ukJauditorsres onsibilities. This description forms part of our Auditors, report. Use of our report This report is made solely to the Charitable company's trustees, 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 regulalion 10 of the Charities Accounts (Scotland) Regulations 2006. Our audit work has been undertaken so that we might slate to the charitable company's trustees 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 accepl or assume responsibility lo anyone other than the charitable company and its members, as a body, for our audit work, for this repo or for the opinions we have formed. Ste en Williams (Senlor statutory auditor) for and on behalf of Armstrong Watson Audlt Llmlted Chartered Accountants Stalutory Auditors Leeds Date.. .1112r Page 22 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE IA company limited by guarantee) CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIES (INCORPORATING INCOME AND EXPENDITURE ACCOUNT} FOR THE YEAR ENDED 31 MARCH 2025 Unrestricted funds 2025 Restricted funds 2025 Total funds 2025 Total funds 2024 Note Income from: Donations and legacies Charitable activities Other trading activities Investments 570 1,158,009 305,531 13,855 1,174,337 188,455 16,778 1,261 1,175,598 188,455 16,778 Total Income 1,379,570 1,261 1,380,831 1,477,965 Expenditure on: Raising funds Charitable activities 208,493 1,199,343 208,493 1,200,604 306,123 1,029,835 1,261 Total expenditure 1,407.836 1,261 1,409,097 1,335,958 Net movement In funds (28,266 {28,266 142,007 Reconclliatlon of funds: Total funds brought fO￿ard Net movement in funds 934,918 (28,266) 934,918 128,266> 792,911 142,007 Total funds carrled forward 906,652 906,652 934,918 The Consolidated statement of financial activities includes all gains and losses recognised in the year. The notes on pages 29 to 49 fonn part of these financial statements. Page 23 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guaranteel REGISTERED NUMBER: 06035633 CONSOLIDATED BALANCE SHEET AS AT 31 MARCH 2025 2025 2024 Note Fixed assets Intangible assets Tangible assets 12 13 339,709 20,415 359,198 40,126 360,124 399,324 Current assets Stocks Debtors Cash at bank and in hand 15 14,590 802,625 687,823 17,339 783,404 683,744 16 1,505,038 1,484,487 Creditors.. amounts falling due within one year 17 {958,509) (948,8931 Net current assets 546,529 535,594 Total assets less current Ilabllltles 906,653 934,918 Total net assets 906,653 934,918 Charity funds Restricted funds Unrestricted funds 19 General funds 19 906,653 934,918 Total unrestricted funds 19 906,653 934,918 Total funds 906,653 934,918 Page 24 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE IA company limited by guarantee REGISTERED NUMBER: 06035633 CONSOLIDATED BALANCE SHEET (CONTINUED) AS AT 31 MARCH 2025 The Company was entitled to exemption from audit under section 477 ofthe Companies Act 2006. The members have not required the entity to obtain an audit for the year in question in accordance with section 476 of the Companies Act 2006. However, an audit is required in accordance with section 151 of the Charities Act 2011. 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: Tiemey (Chair of Trustees) Date: 6 September 2025 The notes on pages 29 to 49 form part of these financial statements. Page 25 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) REGISTERED NUMBER: 06035633 COMPANY BALANCE SHEET AS AT 31 MARCH 2025 2025 2024 Note Fixed assets Intangible assets Tangible assets Investments 12 13 339,709 18,415 70,058 356,198 37,626 70.058 14 428,182 463,882 Current assets Stocks Debtors Cash at bank and in hand 15 16 10,213 707,976 474,284 12,960 508,550 679,245 1,192,473 1,200,755 Creditors: amounts falling due within one year 17 (674,6961 (708,441) Net current assets 617,777 492,314 Totsl assets less current liabilities 945,959 956.196 Total net assets 945,959 956,196 Charlty funds Restricted funds Unrestricted funds 19 General funds 19 945,959 956,196 Total unrestricted funds 19 945,959 956,196 Total funds 945,959 956,196 Page 26 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) REGISTERED NUMBER: 06035633 COMPANY BALANCE SHEET {CONTINUEDI AS AT 31 MARCH 2025 The Company's net movement in funds for the year was £(10,237) (2024- £139,865). The Company was entitled to exemption from audit under section 477 of the Companies Act 2006. The members have not required the entity to obtain an audit for the year in question in accordance with section 476 of the Companies Act 2006. However, an audit is required in accordance with section 151 of the Charities Act 2011. 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: erne (Chair of Trustees) Date.. 6 September 2025 The notes on pages 29 to 49 form part of these financial statements. Page 27 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE IA company limited by guarantee) CONSOLIDATED STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 31 MARCH 2025 2025 2024 Cash flows from operating activities Net cash used in operating activities 21,486 190,962 Cash flows from investing actlvltles Purchase of intangible assets Purchase of tangible fixed assets {31,184) 13,001) (98,524) (12,882> Net cash used in investing activitles {34,185) (111,406) Cash flows from financing activttles Investment income 16,778 13,855 Net cash provided by financlng actlvities 16,778 13,855 Change In cash and cash equlvalants In the year Cash and cash equivalents at the beginning ofthe year 4,079 93,411 683,744 590,333 Cash and cash equivalents at the end of the year 687,823 683,744 The notes on pages 29 to 49 form part of these financial statements Page 28 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 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. Aecountlng pollcles 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 ol a public benefit entity under FRS 102. Assets and liabilities are initially recognised at historical cost or transaction value unless othe￿iSe 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 presenled its own Statement of financial activities in these financial statements. 2.2 Golng concern The directors assess whether the use of going concern is appropriate i.e . whether Ihere are any material uncertainties related to events or conditions that may cast significant cloubt on Ihe 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 authorisalion for issue of Ihe 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 membels 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 29 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 Accountlna policies (continued 2.4 Expenditure Expenditure is recognised once there is a legal or constructive obligalion to make a payment to a Ihird 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 osts of an indirect nature necessary lo 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 ils 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 specific producl or project anticipated to produce future benefits, and are amortised on the straight line basis over the anticipated life of Ihe 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 recelvable Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the GfOUP,' this is normally upon notification of the interest paid or payable by the institution with whom the funds are deposited. 2.7 Taxatlon 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 capilal 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 exlent 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 impaimient 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 30 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 Accounting policies Icontinued} 2.8 Intangible assets and amortisation Icontinuedl The estimated useful lives are as follows.. Computer software Goodwill Be￿een 4 and 8 years 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 accumulaled 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 Plant and machinery Motor vehicles Fixtures and fittings Computer equipment 200/0 Straight line 200/0 reducing balance 25 % reducing balanc& 25 % straight line 20 /0 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-tem highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the deposit or similar account. Page 31 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A Company limlted by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 Accounting policies (continuedl 2.14 Liabilities and provisions Liabiltties 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 seNices it must provide. Provisions are measured at the best estimale of the amounts required to settle the obligation. Where the effect of the time value of money is malerial, the provision is based on Ihe 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 Flnanclal Instruments The Group only ha8 financial assets and financial liabilities of 8 kind that qualify as basic financial inslrumenls. 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 Ihe 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. Restricted funds are funds which are to be used in accordance wrth specific restrictions imposed by donors or which have been raised by the Group for particular purposes. The costs of raising and administering such funds are charged against the specific fund. The aim and use of each restricted fund is set out in the notes to the financial slatements. Investment income, gains and losses are allocated to the appropriate fund. Page 32 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE IA company limited by guarantee NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 Income from donations and legacies Unrestricted funds 2025 Total funds 2025 Unrestricted funds 2024 Total funds 2024 Grants 570 570 Income from charitable activltles Unrestricted Restricted Total funds funds 2025 funds 2025 2025 Total funds 2024 Membership Study days and events Residential income Journal subscriptions Journal advertising income Publication sales Other 692,373 79,880 244,800 1,469 127,105 28,210 500 692,373 79,880 244,800 1,469 127,105 28,210 500 740,725 13,790 224,342 1,811 140,740 36,601 Award5 1,261 1,261 1 174 337 1 175 598 1 15800 The amount of membership income deferred at 31 March 2025 is £306,731 (2024 - £315,703) and this is included in accruals and deferred income in note 18. All income from charitable activities in the prior year was unrestricted. Page 33 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 Income from other tradlng activities Income from non charitable trading activities Unrestricted Total funds funds 2025 2025 Total funds 2024 Trading turnover and other income- subsidiary 188,455 188,455 305,531 188,455 188,455 305,531 All income from non charitable trading activities in the prior year was unrestricted. Inveslment Income Unre8trlcted Total funds funds 2025 2025 Total funds 2024 Interest receivable 14,768 2,010 14,768 2,010 11,121 2,734 Interest receivable - subsidiary 16,778 16,778 13,855 All investment income in the prior year was unrestricted. Analysis of èxpèndlture on charltable actlvitie8 Summary by fund type Unrestricted Restricted Total funds funds 2025 funds 2025 2025 Total funds 2024 Charitable activities 1,199,343 1,261 1,200,604 1,029,835 1,199,343 1,261 1,200,604 1,029,835 All expenditure in the prior year was unrestricted. Page 34 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE IA company limlted by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 Analysis of expendSture by actlvlties Dlrect costs Total PAS Events Publications Education Journal Awards Insurance funds 2025 Staff costs Publications, Printing and Postage Conferenc& costs 57,383 85,386 38,796 59,777 49,126 53,203 343,671 59,667 59,667 147,980 147,980 Study day costs Marketing Subscriptions Membership expansion costs 61,665 12,820 530 61,665 32,050 3,705 9,615 529 6,410 529 3,205 529 530 529 529 3,490 3,490 3,490 3,490 3,490 3,490 2,827 3,489 24,429 2,827 Awards 61,403 311,871 112,097 70,206 53,145 10,051 57,221 675,994 Direct costs for the year ended 31 March 2025 lotalled £675,994. Out of this, £674,733 was unrestricted and £1,261 was restricted. All direct costs in the prior year were unrestricted. PAS is an abbreviation of Professional Advice Service. Page 35 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 Analysis of expendlture by activities (continued) Support costs As restated Basis of Charitable Total funds Total funds allocation activities 2025 2024 IT costs Staff costs Rent and rates Usage Staff time Usage Usage Usage Usage Usage Usage Usage Usage Usage Usage Transactions Usage Usage Usage Transactions Usage Usage Usage 44,704 153,079 36,771 4,710 12,134 2,650 675 7,722 60,560 9,124 72,449 11,208 20,220 6,979 3,389 4,777 12,788 9,629 1,847 48,994 44,704 153,079 36,771 4,710 12,134 2,650 675 38,896 133,812 36,493 6,058 11,898 10,198 1,138 5,558 11,747 Light and heat Insurance Telephone Sundries Legal and professional Depreciation and impairment Loss on disposal of fixed asset Irrecoverable VAT Printing and stationery Bank charges Staff recruitment costs Staff travel Staff training Bad debts Office costs Public relations Governance costs 7,722 60,560 9,124 72,449 11,208 20,220 6,979 3,389 4,777 12,788 9,629 1,847 48,994 81,228 15,236 25,134 13,012 1,862 8,558 17,060 10,043 2,593 40,355 fj?4,4n9 524,409 450.879 All support costs in the current year and prior year were unrestricted. Page 36 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 Net incoming resources for the period This is stated after charging: Group 2025 Group 2024 Company 2025 Company 2024 Depreciation Amortisation Operating lease rentals- land and buldings Audit fees Tax compliance seNices Accountancy and other services 13,387 50,673 41,787 14,500 550 15,938 3,000 41,330 13,800 550 3,000 12,887 47,673 41,787 14,600 11,747 41,330 13,800 3,000 2,000 2,000 10. Staff costs Group 2025 Group 2024 Company 2025 Company 2024 Wages and salaries Social security costs Contribution to defined contribution pension schemes 530,672 48,223 493,887 43,887 444,789 40,167 366,418 32,695 11,794 10,542 11,794 10,542 590,689 548,316 496,750 409,655 During the year, the Charity recharged its subsidiary £93,940 (2024 - £138,881) 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: Group 2025 No. Group 2024 No. Company 2025 No. Company 2024 Chief Executive Member services Patient Safety and Quality Editorial Marketing Commercial Finance Management and administration 14 14 14 14 Page 37 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 10. Staff costs Icontlnued) The number of employees whose employee benefits {excluding employer pension costs) exceeded £60,000 was.. Group 2026 No. Group 2024 No. In the band £70,001- £80,000 In the band £80,001- £90,000 During the year pension contributions on behalf of these staff amounted to £1,321 {2024 - £670). During the year key management personnel received remuneration of £157,809 (2024- £107,364). 11. Trustees. remuneratlon and expenses During the year, no Trustees received any remuneration or other benefits (2024 - £NIL) from the charity. During the year the following trustees of the Charity, Maxine Page, Jen Maher, Lisa Tierney, Louise Dye and Ruth Collins {2024- Maxine Page, John Dade, Jen Maher, Lisa Tierney, Louise Dye and Dawn Stottl were paid £12,350. £5,000, £3,155, £500 and £2.35012024 - £8,800, £4,500, £2,500, £2,500, £2,500 and £4001 respectively through the wholly owned subsidiary, AfPP Ltd, for consultancy seNice5 on behalf of the company. During the year, the President of the Charity received payment of £11,400 (2024 - £10,661 } related to other promotional seNices 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 2025, expenses relaling to travel and subsistence costs totalling £1,540 were reimbursed or paid directly to 5 Trustees {2024 £2,081 to 7 Trustees). Expenses amounting to £13,669 (2024 £13,812) were paid directly by the Charity to third parties relating to travel and subsistence costs. Page 38 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE IA company Ilmited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 12. Intangible assets Group Computer software Goodwill Total Cost At 1 April 2024 Additions 356,198 31.184 15,000 371,198 31,184 At 31 March 2025 387,382 15,000 402,382 Amortisation At 1 April 2024 Charge for the year 12,000 3,000 12,000 SO,673 47,673 At 31 March 2025 47,673 15,000 62,673 Net book value At 31 March 2025 339,709 339,709 At 31 March 2024 356,198 3,000 359,198 Page 39 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 12. Intangible assets (continued) Company Computer software Cost At 1 April 2024 Additions 356,198 31,184 At 31 March 2025 387,382 Amortlsatlon Charge for the year 47,673 At 31 March 2025 47,673 Net book value At 31 March 2025 339,709 At 31 March 2024 356,198 Page 40 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 13. Tangible fixed assets Group Long-term leasehold property Plant and machinery Computer equipment Total Cost or valuation At 1 April 2024 Additions Disposals 13,033 14,000 120,279 3,001 (32,320) 147,312 3,001 (32,320) At 31 March 2025 13,033 14,000 90,960 117,993 Depreciation At 1 April 2024 Charge for the year On disposals 13,033 11,500 500 82,653 12,887 122,995) 107,186 13,387 (22,995) At 31 March 2025 13,033 12,000 72,545 97,578 Net book value At 31 March 2025 2,000 18,415 20,415 At 31 March 2024 2,500 37,626 40,126 Page 41 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 13. Tangible fixed assets (continued) Company Long-temi leasehold property Computer equipment Total Cost or valuatlon At 1 April 2024 Additions Disposals 13,033 120,279 3,001 132,320) 133,312 3,001 (32,320) At 31 March 2025 13,033 90,960 103,993 Depreclatlon At 1 April 2024 Charge for the year On disposals 13,033 82,653 12,887 {22,995) 96,686 12,887 (22,9951 At 31 March 2025 13,033 72,545 85,578 Net book value At 31 March 2025 18,415 18,415 At 31 March 2024 37,626 37,626 Page 42 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 14. Fixed asset investments Investments in subsldlary companies Company Cost or valuation At 1 April 2024 70,058 At 31 March 2025 70,058 Net book value At 31 March 2025 70,058 At 31 March 2024 70,058 Principal subsidiaries The following was a subsidiary undertaking of the Company: Name Company number Registered office or prlnclpal Class of place of buslness shares Holding AfPP Ltd. 03102102 Daisy Ayris House, 42 Freemans Ordinary Way, Harrogate, HG3 1 DH 1000/0 The financial results of the subsidiary for the year were.. Name Income Expendlture Loss for the year Net assets AfPP Ltd. 190,465 208,493 (18,028) 29,746 15. Stocks Group 2025 Group 2024 Company 2025 Company 2024 Consumables held by the subsidiary Education literature for resale 4,377 10,213 4,377 12,962 10,213 12,960 14,590 17,339 10,213 12,980 Page 43 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 16. Debtors Group 2025 Group 2024 Company 2025 Company 2024 Due wlthin one year Trade debtors Amounts owed by group undertakings Other debtors Prepayments and accrued income 399,862 403,338 375,763 156,689 369,076 14,051 22,851 379,912 380,066 175,524 125,423 802,625 783,404 707,976 508,550 17. Credltors: Amounts falling due wlthln one year Group 2025 Group 2024 Company 2025 Company 2024 Trade creditors Other taxation and social security Other creditors Accruals and deferred income 44,723 49,706 4,930 859,150 70,974 55,808 9,031 813,080 40,077 49,706 4,930 579,983 67,077 55,476 9,031 576,857 958,509 948,893 674,696 708,441 18. Accruals and deferred Income Membership Other Deferred income at 1 April 2024 Resources deferred during the year Amounls released from previous periods 315,703 306,731 (315,703) 427,268 352,427 1427,268) Deferred income at 31 March 2025 306,731 352,427 Page 44 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2026 19. Statement of funds Statement of funds - current year Balance at 31 March 2025 Balance at 1 April 2024 Income Expenditure Unrestricted funds General Funds - all funds 934,918 1,379,571 (1,407,836) 906,653 Restricted funds Restricted Funds - all funds 1,261 11,261} Total of funds 934,918 1,380,832 {1,409,097} 906,653 Statement of funds - prior year Balance at 31 March 2024 Balance at 1 April 2023 Income Expenditure Unrestricted funds Gener81 Funds- all funds 792,911 1,477,965 (1,335,958) 934,918 Page 45 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 20. Summary of funds Summary of funds - current year Balance at 31 March 2025 Balance at 1 April 2024 Income Expendlture General funds Restricted funds 934,918 1,379,571 1,261 (1,407,836) (1.261 } 906,653 934,918 1,380,832 (1,409,097) 906,653 Summary of funds - prlor year Balance at 31 March 2024 Balance at 1 April 2023 Income Expenditure General funds 792,911 1,477,965 {1,335,958) 934,918 21. Analysis of net assets betweon funds Analysis of net assets between funds - current year Unrestrlcted funds 2025 Total funds 2025 Tangible fixed assets Intangible fixed assets Current assets Creditors due within one year 20,415 339,709 1,505,299 (958,7701 20,415 339,709 1,505,299 1958,770) Total 906,653 906,653 Page 46 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 21. Analysis of net assets between funds (contlnued) Analysis of net assets between funds - prior year Unrestricted funds 2024 Total funds 2024 Tangible fixed assets Intangible fixed assets Current assets Creditors due within one year 40,126 359,198 1,484,487 {948,893) 40,126 359,198 1,484,487 (948,893) Total 934,918 934,918 22. Reconclllatlon of net movement in funds to net cash flow from operating activltles Group 2025 Group 2024 Net incomelexpenditure for the year (as per Stalement of Financial Activities) (28,266) 142,007 Adjustments for: Depreciation charges Amortisation charges Interest income Decreasel(increase) in stocks Increase in debtors Increase in creditors Disposals 13,387 50,673 (16,778) 2,749 {19,4811 9,877 9,325 15,938 3,000 113,855) (3,053) (31,144) 78,069 Net cash provlded by operating activities 21,486 190,962 23. Analysis of cash and cash equivalents Group 2025 Group 2024 Cash in hand 687,823 683,744 Total cash and cash equivalents 687,823 683,744 Page 47 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 Analysls of changes in net debt At 1 Aprll 2024 Cash flows At 31 March 2025 Cash at bank and in hand 683,744 4,079 687,823 683,744 4,079 687,823 25. Pension commltments The group and charity operates a defined contribution pension scherne. 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 £11,79412024 - £10,542) and £2,52712024- £4,031) was payable to the fund at the balance sheet date and are included in creditors. 26. Operating lease commitments Al 31 March 2025 the Group and the Company had commitments to make future minimum lease payments under non-cancellable operating leases as follows.. Group 202S Group 2024 Company 2025 Company 2024 Not later than 1 year Later than 1 year and not later than 5 years 41,425 17,260 41,424 58,684 41,425 17,260 41,424 58,684 58,686 100,108 58,685 100,108 27. Related party transactlons During the year, no Trustees received any remuneration or other benefits {2024 £NIL) from the charily. During the year five {2024 five) of the trustees of the Charity were paid £23,355 (2024 - £21,200} through the wholly owned subsidiary, AfPP Ltd, for consullancy services on behalf of the company. Of these amounts, £Nil (2024 - £1,000) was outstanding at the year end and included in trade creditors. During the year, the President of the Charity received payment of £11,400 (2024 £10,661) related to other promotional services on behalf of the Charity. None of these payments were made in relation to the indiiiidual's rolts>S as trustees of thc Chariti, and the axl icles of ossociatioii do nol prohibit the payments. Of these amounts, £Nil (2024- £Nil) was outstanding at the year end. Donations from the Trustees to the Charity during the yearwere £Nil (2024 - £Nil). Management Charges were paid to the Charity by its subsidiary during the year of £123,806 (2024 £172,230). At 31 March 2025 the subsidiary owed £156,689 (2024- £14,051) to the Charity. Page 48 THE ASSOCIATION FOR PERIOPERATIVE PRACTICE (A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 28. 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 op8rational affairs of the charity has been delegated to the Chief Executive Officer who reports lo the Board. Page 49