Magpas Air Ambulance
Registered Charity Number 1119279
magpas.org.uk
MagpasAirAmbulance magpasairambulance Magpas_Charity
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Critical Care Paramedic Ollie Robinson
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contents
| welcome ................................................................................. | 4 |
|---|---|
| our year in numbers_......................................................._ | 6 |
| our purpose & culture ................................................ | 8 |
| statement of public benefit ......................................... | 8 |
| our vision, mission & values .......................................... | 8 |
| our history ........................................................................ | 9 |
| our strategy & achievements_................................_ | 10 |
| outstanding clinical care .............................................. | 11 |
| quality improvement, innovation & research .......... | 14 |
| clinical training ............................................................. | 16 |
| sustainable, conscientious fundraising ................. | 24 |
| our workforce ................................................................ | 28 |
| financial strategy ......................................................... | 31 |
| new airbase & hq ............................................................ | 32 |
| our ambitions for the future ................................. | 34 |
| reports, accounts & administrative details_..._ | 36 |
| trustees’ responsibilities statement........................... | 37 |
| independent auditors’ report ....................................... | 38 |
| financial review & accounts ......................................... | 42 |
| reference & administrative details ............................. | 63 |
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Welcome from our ceo, chair & medical director
As we reflect on the year 2022-23, we are pleased to share some of the significant steps and milestones that Magpas Air Ambulance has celebrated over past 12 months. In that time, we have made significant progress towards achieving our strategic objectives, as well as laying the groundwork for exciting developments to come.
in any way you can to keep our lifesaving service flying.
In the last year we have continued to operate three clinical services comprising; our primary service, based in Cambridgeshire, where our team responds via helicopter and rapid response vehicles 24/7; our Luton service, which operates two days a week as a doctor/paramedic team serving the Bedfordshire community via a Rapid Response Vehicle (RRV); and our Advanced Paramedic (AP) service, which sees four of our most experienced paramedics responding solo via RRV in Cambridgeshire. Combined, these services ensure we can get to patients quickly and provide the lifesaving care they need when every second matters.
In 2022-23, Magpas Air Ambulance experienced one of its busiest years on record, being dispatched to 1,671 patients in life-threatening emergencies across 13 counties—serving a population of 10 million.
As aways, our patients and their needs remain at the forefront of everything we do as an organisation—but the lifesaving care our medical team provides is only made possible thanks to you, our supporters.
In October 2022, we were thrilled to achieve an Outstanding rating from the Care Quality Commission (CQC), giving us the highest reassurance that the care and support we provide is among the very best in the country. Magpas Air Ambulance was in fact the first air ambulance service in the country to register with the CQC and this, along with our recent result, is testament
Every year, our aim is to raise over £6m to continue to operate 24/7, and it is only with the support of the communities we serve that we can achieve this. We have all felt the challenge of the cost of living crisis this year and we know that many of our supporters are experiencing financial pressures, so we are so very thankful that despite this, you continue to support us
to the dedication of our organisation to always provide the best patient care.
us respond to our patients even faster. Importantly, the building also includes facilities to support our crew who work so incredibly hard to keep our community safe 24/7. Although our work is not complete—and we will continue to raise additional capital funds to advance the facilities even more in the coming year— we are extremely grateful to the many individuals, business and grants that have supported the build project in the last year.
In addition, the past year has seen the majority of the construction work completed for our new combined airbase, headquarters and training centre in Cambridgeshire. We were pleased to host our Royal Patron, Her Royal Highness The Princess Royal, who officially unveiled a commemorative cornerstone to mark the construction in February, and more recently a plaque to open the building.
Finally, we would like to take this opportunity to thank our workforce for their significant contributions to the outstanding performance of this service in the past year.
During the visits, The Princess Royal met our clinicians and patients to hear about the huge difference this facility will bring to our team, as well as to the people of Cambridgeshire, Bedfordshire and surrounding counties.
Magpas Air Ambulance is proud of the dedicated and caring culture we have created over the last 50 years, something many describe as a family— thank you to everyone who makes it such a great family to be a part of.
As of October 2023, Magpas Air Ambulance is now operational from the new site. Positioned in the centre of our region, close to major roads, this will help
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Daryl Brown John Bridge Dr Simon Lewis
MBE DL MA, BA (Hons), DipHE OBE DL FRCEM FIMC
Chief Executive Chair of the Medical
Officer Board of Trustees Director
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Our year in numbers
1,671 activations 101,099 minutes spent saving lives
1,030 patients treated
101,328 £2.5k air & road cost per miles travelled mission
171 general anaesthetics
118 patient sedations
£5.6m raised to deliver our lifesaving service 1 5,000+ outstanding people trained in cpr
1 outstanding in cpr cqc result 19 46 awards & clinical accreditations staff
£5m 56,000 raised toward active our new base supporters
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Our history saving lives since 1971
Our purpose and culture
Statement of public benefit
Magpas Air Ambulance trustees have given careful consideration to the Charity Commission’s guidance on the Public Benefit Requirement under the Charities Act 2011; setting the charity’s objectives, activities and services with this in mind.
As Magpas Air Ambulance benefits the public by providing anybody in the East of England and beyond with potentially lifesaving pre-hospital emergency medicine—whenever they need it, wherever they need it, and at no cost—the trustees consider that the charity meets the important principles of the public benefit requirement.
Our vision
In 1971, two local GPs, Dr Neville Silverston MBE and Dr Derek Cracknell MBE, could see people needlessly dying in road traffic collisions and vowed to do something about it.
What started out as voluntary GPs responding to pagers and attending road traffic collisions in their own cars, is now the most advanced doctors and critical care paramedics providing specialist pre-hospital emergency medical care to patients across the East of England and beyond, 24/7.
Neville explains, “When I set up Magpas 50 years ago, it was at a time when the UK death rate—as a result of road accidents— was over 8,000 people a year, when the ambulance service was not run by the NHS and there was no such thing as an A&E consultant.
Responding via a state-of-the-art air ambulance or one of the charity’s three rapid response vehicles, the medical team now provides treatments and surgical procedures wherever their patients’ lifethreatening incident occurs and attend a huge breadth of medical emergencies.
“I recruited 120 GPs in Cambridgeshire to attend every accident in every location, 24 hours a day. With the support of the population we served, we raised the funds to equip every doctor with medical and radio equipment... But the service we provided was basic, in comparison to what this organisation has become today.”
50 years on from Derek and Neville’s brainchild, Magpas Air Ambulance has treated over 70,000 patients; saving lives and keeping families together for generations.
“Magpas Air Ambulance is now a leading air ambulance charity, staffed by specialist doctors and critical care paramedics, and has saved tens of thousands of lives.”
Deliver the best pre-hospital emergency care to our patients.
Our mission
To save lives and limit disability by taking enhanced emergency care to patients in their moment of need.
Our values
We are caring, pioneering, dedicated and proud.
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Our 2022-23 strategy
Outstanding clinical care
In the past year (2022-23), Magpas Air Ambulance responded to 1,671 emergency calls—a 39.3% activation increase compared to the previous year.
Magpas Air Ambulance produces a comprehensive five-year strategic plan, accompanied by detailed annual objectives. Every year, the achievement of these objectives is reviewed alongside the progress made against the five-year plan.
Read how we’ve performed against these strategic goals in 2022-23, and find out about our new set of strategic goals for the next five years.
Of all the patients our team treated, 33% suffered a cardiac arrest and 22% were injured in road traffic collisions. In addition, as in recent years, Magpas Air Ambulance attended more men than women, and treated two children a week on average.
Magpas Air Ambulance attended incidents in 13 counties—including Greater London—last year; however, Cambridgeshire and Bedfordshire remained our most frequented areas with 75% of all our patients treated in the two counties alone.
enabled them to go on and lead their lives to the full and limited the impact of their serious injuries or conditions.”
Outstanding CQC result
The Care Quality Commission (CQC) rated Magpas Air Ambulance’s service ‘outstanding’, after an inspection carried out at its airbase in September.
Zoe Robinson, CQC head of hospital inspection, explained “[Magpas Air Ambulance] was exceeding the steps we would expect it to take to ensure people receive safe and effective care and treatment. This meant the service was delivering exceptional outcomes for people and saving lives. Being rated outstanding by CQC is the result of considerable hard work, so I congratulate everyone at the service who achieved this high standard for the people they serve.”
Luton service
During the inspection, the CQC found that Magpas Air Ambulance delivered an outstanding service with ‘many examples of outstanding practice’ highlighting that the service created a ‘positive patient focused culture’, used ‘innovation and research to improve patient outcomes’ and achieves the service’s mission of saving lives.
In 2020, Magpas Air Ambulance launched a specialised pilot service for the Luton area: a dedicated rapid response vehicle, based in the heart of the town, manned with a doctor and critical care paramedic team trained in Pre-Hospital Emergency Medicine on every shift.
Lead inspector Quentin Colley-Bontoft said, “The patients we spoke with told us that the support and intervention of staff gave them outstanding care, which
The service is currently available two days a week, on Wednesdays and Thursdays, 12:30 pm-1 am.
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In the first six months of 2023 alone, the medical team providing the Luton service had already conveyed 25 seriously ill and injured patients to hospital, compared to 36 patients in the entirety of 2022, and almost carried out the same number of pre-hospital emergency anaesthetics in the past six months as they did throughout the whole previous year.
At Magpas Air Ambulance, we’re proud to be supporting this area of East Anglia, which has a demonstrated need for level three medical care, and a lack of nearby major trauma centres; supporting people in Luton and the surrounding Bedfordshire communities.
Advanced paramedics
In September, Magpas Air Ambulance became the first air ambulance charity to work collaboratively with the East of England Ambulance Service NHS Trust to deliver a new resource to Peterborough and surrounding areas.
This exciting new development enables Magpas Air Ambulance’s most senior paramedics to not only work as part of a doctor and paramedic team flying on the air ambulance, but also provides critical care to patients, responding solo in a rapid response vehicle.
This vehicle is predominantly based in Peterborough, giving people in the city and surrounding areas across Cambridgeshire dedicated and rapid access to advanced medical care.
Since the inception of this new provision, the four members of the advanced paramedic team have already clocked up over 3,260 hours of service, responding to 274 calls in just 10 months—making a tangible difference to the community.
“People don’t realise how important the service Magpas Air Ambulance provides is until you need them.”
Laura’s story
One of the patients who spoke to the Care Quality Commission was Laura Dixon.
Laura was cross-country training on her horse when they tripped and fell following a jump.
Laura explains, “I instinctively put my arm out to break my fall and remember hearing my bones snap as I hit the ground. I knew how serious it was when I looked down and could see the bones from my forearm sticking out.”
As Laura was in such a remote location, Magpas Air Ambulance was the first emergency service to reach her. Doctor Paddy and Critical Care Paramedic Dan assessed Laura and immediately knew they needed to straighten her arm, something they can only do due to their expertise and ability to carry advanced drugs and equipment. They sedated Laura and realigned the bones, in the middle of a field.
Laura recalls, “Dan and Paddy were incredible. They were so calm and took control of a very stressful situation—I instantly trusted them wholeheartedly.
“They talked me through everything they needed to do… And then the good stuff kicked in!” she laughs. “As they were administering the medicine I needed I remember Dan asking me what my happy place was, and I replied ‘on a horse!’ which had everyone laughing. That was the last thing I remember before being stretchered into the back of the helicopter.”
Laura was airlifted to Peterborough City Hospital where the team there continued her care. After having her open arm cleaned multiple times to avoid infection and two plates inserted, Laura was able to go home... And she was back with her horse in no time.
Laura sums up, “What happened to me was an accident that could happen at any time. I can never thank Magpas Air Ambulance enough for everything they did for me—and all the supporters who allow them to be there for people 24/7.”
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Critical Care Paramedic Andy Smith
& Doctor Rupert Hurry
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increase attendees to the forum once we move to the new airbase—which will have dedicated patient and relative areas, and spaces for the group to meet in person.
Quality improvement, innovation & research
find out more about their own or their relatives’ care.
Patient feedback
We are constantly looking to improve the service we provide and really value the thoughts of our patients and their families. Letters and feedback forms are sent to appropriate patients approximately six weeks after their incident. During 2022-23, 488 patients were contacted in this way to request feedback and provide details about how they can get in touch.
The patient support areas of the website were also updated during the year to ensure patients and their relatives have clear access to aftercare and support— both internally and externally—after their incident. Our hope is that this area will help patients and their loved ones find useful resources and easily contact our team for support and feedback.
SWIFT trial update
The first ‘Patient Voice’ forum was chaired by Magpas Air Ambulance’s patient and staff engagement lead in November, in which we set out our ideas for the forum, including how the group can guide charity decisions on aspects that specifically affect former and future patients. We contacted 59 patients and relatives and had 12 say they would like to be included in the forum. We hope to gain more traction with the project and
Improvement in the quality of services and clinical excellence leads us in supporting collaborative clinical trials.
In this time, anonymous feedback was received from patients and relatives using the feedback form on our website. 95% of patients and family members rated their experience as ‘Very Good’ and 100% said they felt safe during their treatment from our team. Additionally, 12 patients and family members contacted the charity in 2022-23—the majority of which were getting in touch to thank the team or
One such trial is SWIFT (the Study of Whole blood in Frontline Trauma), which will examine if there is a difference in outcome to patients who are given whole blood or blood components—with whole blood not being used before within the NHS.
This trial is run through NHS Blood and Transplant, and we are working with them to go live toward the end of 2023.
Research & publications
Another way Magpas Air Ambulance works to improve medical care and provision both within our service, but also across the wider Pre-Hospital Emergency Medicine field, is by contributing to medical research. A few research projects and publications our clinicians worked on in 2022-23 include:
Intubation success in pre-hospital emergency anaesthesia: A retrospective observational analysis of the InterChangeable Operator Model (ICOM)
An exciting open-access article published by Magpas Air Ambulance doctors James Price and Alistair Steel, in collaboration with East Anglian Air Ambulance, demonstrates the benefits of our training and operational model for our patients. Some of our most critically injured patients need to be placed into an induced coma at the scene of their incident (outside of a hospital), a procedure which our clinicians are trained to the highest level to perform. We’re proud to report that we have one of the highest success rates in the world for this procedure at Magpas Air Ambulance, leading to the best outcomes for our patients. This works because our doctors and critical care paramedics train and operate interchangeably.
Predictors of post-intubation hypotension in trauma patients following prehospital emergency anaesthesia: a multi-centre observational study
The same Magpas Air Ambulance doctors also worked with East Anglian
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Critical Care Paramedic Nick Boydd and
Doctors Dan Ketley & Fiqry Fadhlillah
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intended for short-term use. In the ICU, endotracheal tubes with subglottic secretion drainage ports are used instead, which help prevent ventilatorassociated chest infections in patients who are expected to be on a ventilator for three or more days.
Air Ambulance and Essex and Herts Air Ambulance to build the largest combined dataset of pre-hospital emergency anaesthetic (PHEA) patients in the UK. In some situations, patients can suffer from critically low blood pressure after anaesthesia, and the dataset in the paper identified the key factors associated with this condition and confirmed that our medical teams are extremely accurate at identifying the patients most at risk.
We perform around 200 intubations a year, and after identifying that using these tubes instead could further help our patients after treating them, we upgraded immediately.
Endotracheal tubes
A different study, carried out by Magpas Air Ambulance Doctor Adriana Cordier, followed work with the Trauma Intensive Care Unit at Addenbrooke’s Hospital. These research results meant we became one of the first air ambulances nationally to use a specific intubation tube in our pre-hospital practice to improve patient survival and recovery times.
Magpas Air Ambulance Doctor Adriana explained, “Changing these tubes has been more expensive for the charity. However, when looking at our patients’ overall journey to recovery, we recognise that by upgrading this piece of equipment, we may improve their outcomes in the long run. We do this job to give the sickest patients the best chance of survival, so even if it means we have to raise more money, it’s a small price to pay to ensure we’re giving them the best chance of survival and potentially keeping more families together.”
There are different kinds of endotracheal tubes used for intubation, each with different features. The tubes currently used in the pre-hospital setting are
Clinical training
Training courses
Magpas Air Ambulance has a national reputation for delivering excellent clinical training, something we are always striving to maintain and improve.
We believe strongly in investing in people, training them for these unique and challenging roles. Before our new doctors and paramedics join the clinical team, they must first participate in three weeks of intense national and regional residential Pre-Hospital Emergency Medicine (PHEM) training. The first course ensures clinicians coming to work with us are prepared for the environments they will find themselves in, while the second focuses on clinical knowledge and skills, working in teams with the Magpas Air Ambulance kit, using models for surgical skill practice and participating in around 30 simulations to practice increasingly difficult scenarios. However, even for our most experienced Magpas Air Ambulance clinicians, the learning and training never stops...
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Doctor Ali Hieatt
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this procedure, so they can practice it over and over again—and then if they were ever faced with the awful situation of having
undertake this procedure but have not been exposed to the procedure itself.
“It’s all made from materials from craft shops and haberdashers. We’ve been through lots of iterations of fabric, leatherette, plastic and giant balloons to fill with water. We’ve also tried multiple ways of making the umbilical cord (settling on a knitted one!) to ensure that the surgical steps undertaken when drilling would be as similar as possible to the real thing.”
to deliver a baby whilst its mother was in cardiac arrest, then their actions, the way they use their kit, where they put their kit and which kit they need, should all be second nature.
“This drilling improves performance and allows practitioners to concentrate on other parts of the resuscitation at that point, and means we won’t have a situation where a team may need to
“What this aims to do is provide practitioners with the ability to develop muscle memory for this procedure, so they can practice it over and over again.”
Crafting our own training simulations
Understandably, state-of-the-art training manikins and materials come at a high cost, so our training leads and consultants are regularly coming up with new, innovative ways for our medics to learn and practice skills that will save lives.
Magpas Air Ambulance Doctor Ali Hieatt—who has worked with the charity for almost 13 years, having joined as a volunteer in 2010—has recently developed a new way of practising and performing a procedure that is not easy to replicate in a training environment… By crafting a homemade pregnant uterus!
The surgical procedure this is used for clinicians to practice is known as a resuscitative hysterotomy, or perimortem caesarean section.
Ali explains, “Evidence suggests that, should a pregnant patient suffer a cardiac arrest and not respond to initial treatment
within the first four minutes, then their chances of survival improve if the baby is delivered by caesarean section. This is because the uterus and the baby take so much of the mother’s cardiac output in the later stages of pregnancy.
“As you can imagine, real models to practice this procedure on are not readily available. So, to ensure our clinicians are as prepared as they can be if they’re ever faced with this situation, I’ve designed a homemade pregnant uterus.
“What this mocked-up pregnant uterus is aiming to do is provide practitioners with the ability to develop muscle memory for
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Community CPR
In 2022-23, Magpas Air Ambulance trained over 5,000 people in the vital lifesaving skills of CPR and how to use a defibrillator via our Community CPR programme. From feedback collected after the training, 100% of participants came away feeling confident to use their skills in the event of an emergency.
In this time frame, our Community CPR trainers have taught Freemasons, young footballers (via the Bedfordshire and Huntingdon Football Associations), schools and at the regional NatWest Bank conference, to name a few.
Diversity and inclusivity has been a priority this year as Magpas Air Ambulance delivered sessions to the LGBTQ+ community in Bedfordshire, ESOL students, non-English speaking girls from war-torn countries and children with loss of limbs.
Corporate CPR programme
This year, we also launched our new corporate CPR programme, Donate a Day, offering local businesses and organisations the opportunity to train the next generation of community lifesavers—by taking on a day of CPR and defibrillator training for their staff, and an additional day of training for a school or group in their local community.
A recent collaboration with Anglian Water saw our team deliver CPR taster sessions at their annual health and safety conference, LifeFest, training 3000+ staff, suppliers, associates and contractors over four days. One participant commented, “All employers should provide this training. I feel 100% confident to act in the case of cardiac arrests, and I’m so grateful to Magpas Air Ambulance for providing this lifesaving service.”
Anglian Water will now donate four days of CPR training back into local community settings, helping keeping the residents of Cambridgeshire and beyond safe.
“Priceless knowledge to have with regards to identifying the difference between a heart attacks and cardiac arrest and how to treat both until the emergency services arrive. Thank you, Magpas Air Ambulance.”
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Volunteer and former patient David Walston
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Critical Care Paramedic Dan Read
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Funding for training equipment
Magpas Air Ambulance is grateful to have received a generous donation last summer to fund the purchase of new training equipment for our trainee doctors and critical care paramedics. This included:
A REALTi Plus Simulator
A patient device simulator which is able to mimic monitors, defibrillators and ventilators, enabling our clinicians to practice and understand the use of equipment which they use every day.
Airway management trainers (adult and infant versions)
These enable our clinicians to safely and accurately practice intubation on patients of all ages—a procedure they carry out nearly every day.
A birthing trainer
An anatomically correct pelvic model with full term newborn and placenta to give clinicians realistic practise in multiple techniques and learn the procedure for emergency childbirth.
A thoracostomy trainer
A simulator to deliver training in both surgical and guide-wire assisted thoracostomy and thoracentesis. These procedures are frequently carried out by our clinicians to remove excess fluid, blood, chyle or pus following an injury.
This equipment has been invaluable to our training programme, supporting our clinicians to safely practice complex procedures.
This improves their confidence, which is important for being able to perform these procedures in real-life scenarios.
As well as being used on our training courses, this equipment has been available to use by our clinicians throughout their shifts to ensure they can continue to hone their skills.
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Sustainable, conscientious fundraising
Magpas Air Ambulance can only continue to save lives and keep families together with the help of our supporters, and we want to thank everyone who donated, sponsored, fundraised and shared our activity in 2022-23.
Community & events
Magpas Air Ambulance is proud to serve the communities of Cambridgeshire, Bedfordshire and surrounding counties, and working within the community to raise funds for our service has always been a key aspect of our fundraising strategy.
In 2022-23, we saw the welcome return of mass participation and in-person events, with the number of events we personally attended and hosted in that time growing too.
Magpas Air Ambulance was the beneficiary charity of the Thriplow Daffodil Weekend, which raised £12,000 for our service, and we also launched our own mass participation event—Mission: Obstacle Dash—which attracted 700 participants and generated £22,000.
The family-focused event gave us the opportunity to engage with schools, youth groups, businesses and community groups, and we have continued to nurture those relationships with follow-up CPR sessions.
Mission: Obstacle Dash also helped us grow our ability to attract corporate support, with three businesses already having pledged £10,000 towards the next event in 2024.
The event even caught the eye of our clinicians, with a team of 12 Magpas Air Ambulance doctors and critical care paramedics taking part.
Lottery
The Magpas Air Ambulance Lottery remains a vital part of our fundraising portfolio, generating 64% of total fundraised income. In 2022-23, we were able to return to pre-pandemic levels of recruitment activity via our face-to-face fundraising team, welcoming 15,697 new members.
In total, the Magpas Air Ambulance Lottery raised £3.6m and we were also able to hold our first additional Superdraw, where participating members were in with the chance of winning £5,000 in February. This additional draw raised a further £65,166 for the charity.
Magpas Air Ambulance’s focus throughout 2022-23 has been to continue to grow and develop the ways in which people and organisations can support the charity, whilst improving the systems we use to manage and promote activity.
In this time, the fundraising team successfully implemented a brand-new fundraising database, Donorfy, as well as refreshing and relaunching the Magpas Air Ambulance website. Both were significant projects which laid important foundations to ensure the charity can further develop our relationships with supporters.
Regular Giving
With our focus on sustainable income streams, Magpas Air Ambulance continued to grow our regular giving programme in 2022-23; recruiting 1,623 new regular giving supporters, generating an additional £360k a year.
Since launching the programme in 2019, cumulative income from regular gifts exceeded the £1m milestone this year and it has become an important aspect in our aim to generate long-term and predictable income.
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Ben & Harry’s story
Every year, Ben from Lincolnshire takes on a challenge to raise money for Magpas Air Ambulance, in memory of his son, Harry. This year, he attempted to get a world record too.
Harry sadly passed away suddenly on 22nd December 2019. Magpas Air Ambulance was called to help, and although the team couldn’t save Harry, they did everything they could to care for him in his moment of need and stayed by his side until the end. The care the Magpas Air Ambulance team provided allowed Harry’s family to be with him at the time, which Ben is eternally grateful for.
On Harry’s birthday each year, Ben has taken on a long-distance running challenge. However, this year he’s gone one step further and taken on a world record attempt—running 30 half marathons every day in the month of May (10 more than the current world record!), with all sponsorship going to Magpas Air Ambulance to be there for more people in need. Ben’s strength and determination is incredible and during his challenge, he raised an amazing £1,500 for Magpas Air Ambulance!
Ben explains, “Harry was an amazing big brother to Jenson and Ezra. He had an infectious smile which would light up an entire room and a good sense of humour, and was one of the kindest boys with a massive heart. Magpas Air Ambulance gave me so much that day by helping Harry. The care they gave him was amazing, and that’s why I’ve chosen to raise money for Magpas Air Ambulance ever since.”
Ben continues, “Without Magpas Air Ambulance that day, myself, Jenson, Ezra and all of Harry’s family would not have been able to say our final goodbyes—and for that, I owe them everything. Magpas Air Ambulance is amazing.”
Corporate fundraising
Corporate income is a growing area for Magpas Air Ambulance. We continue to be supported annually by organisations such as Cox Automotive, Thomas Morris, Goldolphin and The One Group—who have collectively raised over £85,000. The team has also re-engaged with past supporters and developed new relationships with businesses such as Toyota, particularly through our Donate a Day initiative. This new corporate product enables organisations to improve the lifesaving skills of their staff through CPR and defibrillator training, whilst being able to positively impact their surrounding communities by supporting local schools or community groups to do the same. In 2022-23, the corporate, community and events team achieved a 13% increase in corporate income compared to the previous financial year.
Grants & trusts
Support from grants and trusts continued to be a key income source for Magpas Air Ambulance, with the charity raising £296,000 through grant and trust income in 2022-23. As well as donations to support our core service, funders have made grants to fund essential medical equipment, such a new monitor for the Avanced Paramedic service. A monitor is one of the team’s most vital pieces of equipment as it informs them of a patient’s baseline observations, including a patient’s heart rate, oxygen saturation, ECG and blood pressure. Obtaining all this information on arrival at scene is fundamental in forming a plan not only for the patient’s treatment but also for their transfer to the hospital best placed to deliver the specific care they need. This vital piece of equipment was
generously funded by the Cambridgeshire Community Foundation on behalf of the Harry Cureton Fund.
Representatives of the Bradbury Foundation visiting our new airbase
Acknowledgements
While we formally acknowledge all our funders’ generous contributions, our special thanks go to the following for making a notable contribution to our work during the last financial year:
The Evelyn Trust Bradbury Foundation Huntingdon Freemen’s Trust Cambridgeshire Community Foundation
Provincial Grand Lodge of Bedfordshire Masonic Charitable Foundation Jude Morris Innovation & Development Fund Wixamtree Trust The Rowney Trust Souter Charitable Trust NFU Mutual Community Fund Share Gift Rugby Group HealthAid Royston Benevolent Fund
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will help the charity continue to save lives in Peterborough and surrounding communities.”
Supporting staff & clinician development
Magpas Air Ambulance is committed to developing our staff as well as the services we provide. One of the new provisions the charity supported clinicians to deliver was the Advanced Paramedic (AP) service.
Accreditations gained
Magpas Air Ambulance works hard to support staff and maintain a positive, safe and secure workforce and workplace. The charity is proud to have been awarded and/or signed the following accreditations and pledges:
When discussing the new initiative, Dan Read, one of the advanced paramedics in critical care providing this service explained, “In our relatively brief time providing this new service, I’ve already treated patients where I know I’ve made a critical difference.
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AFC Gold Award
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Race at Work
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Level 2 Disability Confident
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Living Wage Foundation
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East of England Ambulance Service LGBT+
“This was only made possible by the partnership working of Magpas Air Ambulance and the East of England Ambulance Service. I’m incredibly grateful for the enormous support Magpas Air Ambulance has shown us. The investment in us as advanced paramedics—and this new service we’re able to provide—
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Cyber Essentials
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Cyber Essentials Plus
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NHS Data Security Protection
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The Green Business Bureau
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Menopause at Work Pledge
Our workforce
- The Global Business Collaboration for Better Workplace Mental Health
The Magpas Air Ambulance team has grown by 10 clinical staff members and 5 nonclinical staff members in 2022-23. In the past year, the charity has continued to implement and develop new and existing ways to not only support our workforce, but to attract future employees.
subjects, the charity has also put tangible measures in place to support staff on topics that mean a lot to them, such as providing menopause support in the way of all-staff training and a menopause policy, and including a gym in the new base build.
Wellbeing support
The wellbeing of our staff is incredibly important to us. There are a number of avenues available to Magpas Air Ambulance team members for mental health support; from the Employee Assistance Programme (EAP) and its My Healthy Advantage App, to our group of five mental health first aiders and the wellbeing hub they have created, with information and resources focused on topics of interest raised in an all-staff survey.
The mental health first aiders meet on a regular basis and focus on providing good mental health and wellbeing support for all. Magpas Air Ambulance is now looking to enhance these roles further, by proving the members of this group with RSPH accreditation for Level 3 Awards in Mental Health First Aid too.
As well as providing information on these
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be supported and treated fairly by the charity.
Employer Recognition Scheme— Gold Award
Magpas Air Ambulance Doctor Rupert Hurry (who also works in a Medical Regiment within the Army Reserves and has served as recently as this year, helping to provide Medical Emergency Response Team (MERT) cover to troops in the Middle East), explains “I always feel supported by Magpas Air Ambulance. Not only has the charity signed the Armed Forces Covenant to help demonstrate its support, but there are also a large number of regular, reserve and former military personnel working in the organisation.
We’re delighted to have been awarded the Gold Award in the 2023 Defence Employer Recognition Scheme (ERS), for demonstrating our support and commitment to the Armed Forces community and their families.
It’s a coveted achievement, with only a handful of businesses in the UK receiving the award—which is the highest badge of honour available in the scheme and recognises the positive role that employers play in supporting the Armed Forces community.
“The medical service we provide as a charity also has a lot of synergy with our roles in the forces. For example, the knowledge and training we have is always being developed, we have lots of clinical exposure, we learn how to work well under pressure and communicate effectively when every second counts—all of which is hugely applicable to both my role at Magpas Air Ambulance and in the military, and we can take learnings away from both.”
The Defence Employer Recognition Scheme confirmed the charity was to receive the Gold Award after Magpas Air Ambulance made a series of pledges and worked for accreditations to demonstrate the charity’s support for their colleagues in the forces over the past few years. This included signing the Armed Forces Covenant in 2021, which represents a promise to those who serve or have served—and their families—that they will
Financial strategy
Magpas Air Ambulance raised £7,220,047 (2021-22: £6,507,230) through fundraising activities and income for the new base build in the 12 months ended 30 June 2023, around £11k ahead of our income target for the year and around £713k more income than a comparable period in the previous year.
2022-23 total expenditure is £6,146,691 for the 12-month period ended 30 June 2023, compared to £5,619,426 in the previous 12-month period ended 30 June 2022.
The project was, however, impacted by both the COVID-19 pandemic and Brexit. The costs of construction inflated on the back of the aforementioned due to material supply issues and global inflation, and the total cost for construction at the start of development in 2022 was nearing £7.5m.
At the year-end there were total funds of £3,995,275 (2022-23: £2,882,422). While the charity aims to maintain three months’ worth (£1.1m) of operating capital as unrestricted reserves, it currently has £273,136 after fixed assets which are not able to be easily sold. The charity plans to grow income and help build our reserves in future years to support planned growth in clinical activity.
The trustees and executives of Magpas Air Ambulance spent an extensive amount of time working with the developers, project managers and quantity surveyor to value engineer the project to an affordable sum. Nearly £2m was removed from the project without significantly impacting the functionality of the building. This reduced the total build cost to around £5.5m.
Removing base build income, the charity raised £5,869,758 through its fundraising and other activities for the 12-month period ended 30 June 2023, compared to £4,963,820 in the previous 12-month period ended 30 June 2022.
Although the charity has successfully raised a significant amount of donations, non-repayable grants and donated goods/ services to help fund the project, the trustees were still required to approve a £3.9m loan via Charity Bank and SIB, to guarantee completion of the project in time for Magpas needing to move from its current locations due to sale of land by MoD.
Magpas Air Ambulance continues to work hard to diversify and grow fundraising income—which it must do to continue to provide and grow its clinical, charitable activities— and continues to need support from the public, corporate and grants.
The loans secured are mostly on a variable rate above Bank of England base rate and the substantial rate rises through 2023 have placed additional burden on charity budgets. The executive team and trustees are focusing on securing additional non repayable grants and donations as soon as possible to reduce the level of borrowing and associated interest charges at the earliest opportunity.
Base financing
The new Magpas Air Ambulance airbase, HQ and training centre will boast many operational benefits. The new building is also significantly more energy efficient and helps move the charity towards being a NET zero organisation.
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New airbase & HQ
Our new, purpose-built airbase and headquarters at Alconbury Weald—delivered by Lindum Group—boast a dedicated state-of-the-art training centre to train the next generation of pre-hospital emergency doctors and paramedics; are equipped for 24/7 operations with well-being and rest facilities for crew and clinicians; and provide new community and patient facilities on site.
The charity’s new home is situated closer to the region’s major trunk roads, which will reduce vehicle dispatch times by up to 15 minutes.
patients welcomed HRH The Princess Royal to the site of the charity’s new base, to unveil a cornerstone for the new building which is now nearing completion.
This improved location that allows co-locating the charity’s operations and support staff—who currently work across two sites—will be more efficient; reducing charity overheads and improving environmental impact.
The event, sponsored by Leonardo and supported by Special Aviation Services, had been postponed from September due to the funeral of Her late Majesty The Queen.
HRH The Princess Royal became Magpas Air Ambulance’s royal patron of the capital campaign to build a new airbase after she visited the charity’s current operations base in February 2020, and
Cornerstone unveiling
On Friday, 10th February, Magpas Air Ambulance staff, clinicians and former
heard about the pressing need for the service to find a new home.
In 2021, the charity’s 50th year of operations, she launched the Future 50 Appeal aimed at raising the funding needed to complete the building, with the unveiling of a cornerstone in February marking an important milestone in the development of the project.
Capital campaign
The charity, which is funded by donations, has been careful not to divert income from running the day-to-day lifesaving service.
Magpas Air Ambulance has been fortunate to receive fantastic support from the communities in which we work and, as a charity, our service relies on donations from supporters and the public to raise the £6m needed every year to
operate and save lives 24/7. For this reason, we’ve secured alternative and new sources of funding for the Future 50 Appeal.
In 2022-23, Magpas Air Ambulance received donations of £162,000 from trusts to help towards costs of our new airbase.
This included two significant donations:
£100,000 from the Bradbury Foundation to fund the training centre
£50,000 from Huntingdon Freemen’s Trust to fund the visitor centre
Although the capital campaign is nearing the end of its time, we’re pleased to announce that HRH The Princess Royal has decided to extend her patronage— becoming Magpas Air Ambulance’s royal patron for the next three years.
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Our strategic goals 2023-28
Our ambitions
At this exciting time for the charity—prior to our base move which has been years in the making—Magpas Air Ambulance has reflected on the challenges faced by the organisation, and set our new strategic objectives for the next five years.
Our challenge
We are challenged by access to clinical and patient data and dedicated time for our clinicians away from patient care, to support professional activities that enhance clinical care.
Our goal
We will provide outstanding clinical care to all of our patients by investing in training our clinicians; providing cutting edge equipment; and advancing what is currently possible, with a strong underpinning clinical governance to ensure we improve outcomes for our patients.
Our challenge
We recognise that working collaboratively and through partnerships is more effective, but we need to develop the skills, capacity and confidence of our people to be able to build and nurture strong relationships.
Our goal
We will establish strong relationships and partnerships, and a reputation that makes us the top choice for collaboration, enabling us to accomplish our charitable aims and mission to the highest standard.
Our challenge
We recognise the power of our people and data; however, we are challenged by having the skills, systems and technology to effectively develop performance and knowledge.
Our goal
We will ensure the highest standards of quality and outcomes across the organisation through the continual development and growth of training and knowledge for staff, partners and communities in which we serve.
Our challenge
We are used to reacting to immediate need and capabilities, but we need to take a longer term view; planning investment in sustainable income streams and reducing our carbon emissions.
Our goal
We will create a strong, resilient and caring organisation by investing in diverse and sustainable income streams, minimising our environmental impact and developing the wellbeing and resilience of our people.
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Trustees’ responsibilities statement
Reports, accounts and administrative details
Read on for our trustees’ responsibilities statement; independent auditors’ report; financial review and accounts; and reference and administrative details.
The trustees (who are also directors of Magpas Air Ambulance for the purposes of company law) are responsible for preparing the Trustees’ Annual Report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).
Company law requires the trustees to prepare financial statements for each financial year. Under company law, the trustees must not approve the financial statements unless they are satisfied that they give a true and fair view of the state of affairs of the charitable company and of the incoming resources and application of resources, including the income and expenditure, of the charitable company for that period. In preparing these financial statements, the trustees are required to:
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select suitable accounting policies and then apply them consistently;
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observe the methods and principles in the Charities SORP 2019 (FRS 102)
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make judgements and estimates that are reasonable and prudent;
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state whether applicable UK Accounting Standards have been followed, subject to any material departures disclosed and explained in the financial statements;
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prepare the financial statements on the going concern basis unless it is inappropriate to presume
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that the charitable company will continue in operation
The trustees are responsible for keeping adequate accounting records that disclose with reasonable accuracy at any time the financial position of the charitable company and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. In so far as the trustees are aware:
- there is no relevant audit information of which the charitable company’s auditor is unaware; and • the trustees have taken all steps that they ought to have taken to make themselves aware of any relevant audit information and to establish that the auditor is aware of that information.
The trustees are responsible for the maintenance and integrity of the corporate and financial information included on the charitable company’s website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions. The trustees are responsible for the maintenance and integrity of the corporate and financial information included on the charitable company’s website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.
In preparing this report, the Trustees have taken advantage of the small companies exemptions provided by section 415A of the Companies Act 2006.
Approved by the Board of Trustees and signed on its behalf by:
John Bridge OBE DL Chairman, Board of Trustees Date: 12th October 2023 13th October 2023
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Independent auditors report to the members of Magpas Air Ambulance
Opinion
We have audited the financial statements of Magpas Air Ambulance (the ‘charitable company’) for the year ended 30 June 2023 which comprise the Statement of Financial Activities incorporating the Income and Expenditure Account, the Balance Sheet, the Cash Flow Statement and the notes to the financial statements, including significant accounting estimates. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards including FRS 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:
Other information
The trustees are responsible for the other information. The other information comprises the information included in the trustees’ annual report, other than the financial statements and our auditor’s report thereon. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.
In connection with our audit of the financial statements, 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 audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there is a material misstatement in the financial statements or a material misstatement of the other information. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.
We have nothing to report in this regard.
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give a true and fair view of the state of the charitable company’s affairs as at 30 June 2023, and of its incoming resources and application of resources, including its income and expenditure, for the year then ended;
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have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; and
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have been prepared in accordance with the requirements of the Companies Act 2006.
Basis for opinion
We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the financial statements section of our report. We are independent of the charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.
Conclusions relating to going concern
In auditing the financial statements, we have concluded that the Trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate.
Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the charity’s ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.
Our responsibilities and the responsibilities of the Trustees with respect to going concern are described in the relevant sections of this report.
Opinion on other matters prescribed by the Companies Act 2006
In our opinion based on the work undertaken in the course of the audit:
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the information given in the Trustees’ Annual Report, incorporating the Director’s Report for the financial year for which the financial statements are prepared is consistent with the financial statements; and
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The Directors’ Report has been prepared in accordance with applicable legal requirements.
Matters on which we are required to report by exception
In the light of our knowledge and understanding of the charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the trustees’ report.
We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 requires us to report to you if, in our opinion:
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adequate accounting records have not been kept, or returns adequate for our audit have not been received from branches not visited by us; or
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the financial statements are not in agreement with the accounting records and returns; or
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certain disclosures of trustees’ remuneration specified by law are not made; or
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we have not received all the information and explanations we require for our audit.
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- the trustees were not entitled to prepare the financial statements in accordance with the small companies’ regime and take advantage of the small companies’ exemptions in preparing the directors’ report and from the requirement to prepare a strategic report.
Responsibilities of trustees
As explained more fully in the trustees’ responsibilities statement in the Trustees’ Report, the trustees (who are also the directors of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.
In preparing the financial statements, the trustees are responsible for assessing the 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 charitable company or to cease operations, or have no realistic alternative but to do so.
Auditor’s responsibilities for the audit of the financial statements
Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.
Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below:
We gained an understanding of the legal and regulatory framework applicable to the Charity and how it operates and considered the risk of the Charity not complying with the applicable laws and regulations including fraud in particular those that could have a material impact on the financial statements. This included those regulations directly related to the financial statements. In relation to the Charity this included employment law, financial reporting and health & safety.
The risks were discussed with the audit team and we remained alert to any indications of noncompliance throughout the audit. We carried out specific procedures to address the risks identified these included the following:
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We reviewed systems and procedures to identify potential areas of management override risk. In particular, we agreed the financial statements to underlying records and we carried out testing of journal entries and other adjustments for appropriateness.
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We reviewed minutes of Trustee Board meetings.
• We have enquired of management about any actual or potential litigation claims, and any known instances of non-compliance – none were identified as a result of our enquiries.
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 as to what extent the audit was considered capable of detecting irregularities, including fraud.
A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council’s website at: https://www.frc.org.uk/auditors/audit-assurance/auditor-sThis responsibilities-for-the-audit-of-the-fi/description-of-the-auditor%E2%80%99s-responsibilities-for. description forms part of our auditor’s report.
We communicate with those charged with governance regarding, among other matters, the planned scope and timing of the audit and significant audit findings, including any significant deficiencies in internal control that we identify during our audit.
Use of this Report
This report is made solely to the charitable company’s members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charitable company’s members those matters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and the charitable company’s members as a body, for our audit work, for this report, or for the opinions we have formed.
Suzanne Goldsmith (Senior Statutory Auditor) For and on behalf of
PRICE BAILEY LLP
Chartered Accountants Statutory Auditors
Tennyson House Cambridge Business Park Cambridge CB4 0WZ
Date: 13th October 2023
- We reviewed the application of the legacy accounting policy and the accrued legacy income for evidence of management bias.
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Balance sheet as at 30 June 2023 13/10/2023
Statement of financial activities incorporating income and expenditure for the year ended 30 June 2023
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Statement of cash flows for the year ended 30 June 2023
Notes to the financial statements for the year ended 30 June 2023
1. Accounting policies
1.1 Basis of preparation of financial statements
The financial statements have been prepared in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019) Charities SORP and the Companies Act 2006.
MAGPAS meets the definition of a public benefit entity under FRS 102. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy.
The financial statements are prepared in GBP and rounded to the nearest pound.
1.2 Company status
The charity is a private company limited by guarantee, and incorporated in the UK. The charities registered office is Centenary House, St Marys Street, Huntingdon, and its registered number is 06062176. The members of the charity are the Trustees named on page 1. In the event of the charity being wound up, the liability in respect of the guarantee is limited to £10 per member of the charity.
1.3 Going Concern
The Trustees have considered whether the use of the going concern basis of accounting is appropriate. To do this, they have considered whether there are any material uncertainties as to the charity’s ability to continue as a going concern.
The charity have prepared cash flow forecasts for a period of 12 months from the date of signing these accounts which demonstrate that the cash reserves will continue to meet liabilities as they fall due.
The charity is investing in fundraising to generate income growth and financial performance is continuously monitored by both the Executive Leadership Team and Trustees; cost reduction measures have been identified should income growth be slower than anticipated.
As such, the Trustees agree that it is appropriate to continue to adopt the going concern basis in preparing these financial statements.
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1.4 Fund accounting
economic benefit on the open market; a corresponding amount is then recognised in expenditure in the period of receipt.
General funds are unrestricted funds which are available for use at the discretion of the Trustees in furtherance of the general objectives of the company and which have not been designated for other purposes.
Restricted funds are funds which are to be used in accordance with specific restrictions imposed by donors or which have been raised by the charity for particular purposes. The aim and use of each restricted fund is set out in note 17.
Funds provided in relation to the purchase of the land because unrestricted once the costs were incurred and are included with funds transferred line within the Statement of Financial Activities and included in note 17.
1.5 Income
All income is recognised once the charity has entitlement to the income, it is probable that the income will be received and the amount of income receivable can be measured reliably.
Income received from participants of the lottery is recognised on the date of the draw to which the participant is being entered.
For legacies, entitlement is taken as the earlier of the date on which either: the charitable company is aware that probate has been granted, the estate has been finalised and notification has been made by the executor(s) to the Trust that a distribution will be made, or when a distribution is received from the estate. Receipt of a legacy, in whole or in part, is only considered probable when the amount can be measured reliably and the charitable company has been notified of the executor’s intention to make a distribution. Where legacies have been notified to the charitable company, or the charitable company is aware of the granting of probate, and the criteria for income recognition have not been met, then the legacy is treated as a contingent asset and disclosed if material.
Gifts in kind donated for distribution are included at valuation and recognised as income when they are distributed to the projects. Gifts donated for resale are included as income when they are sold. Donated facilities are included at the value to the charitable company where this can be quantified and a third party is bearing the cost. No amounts are included in the financial statements for services donated by volunteers.
Donated services or facilities are recognised when the charitable company has control over the item, any conditions associated with the donated item have been met, the receipt of economic benefit from the use of the charitable company of the item is probable and that economic benefit can be measured reliably.
On receipt, donated professional services and donated facilities are recognised on the basis of the value of the gift to the company which is the amount the charitable company would have been willing to pay to obtain services or facilities of equivalent
Income tax recoverable in relation to donations received under Gift Aid or deeds of covenant is recognised at the time of the donation.
1.6 Expenditure
Expenditure is recognised once there is a legal or constructive obligation to transfer economic benefit to a third party, it is probable that a transfer of economic benefits will be required in settlement and the amount of the obligation can be measured reliably. Expenditure is classified by activity. The costs of each activity are made up of the total of direct costs and shared costs, including support costs involved in undertaking each activity. Direct costs attributable to a single activity are allocated directly to that activity. Shared costs which contribute to more than one activity and support costs which are not attributable to a single activity are apportioned between those activities on a basis consistent with the use of resources. Central staff costs are allocated on the basis of time spent, and depreciation charges allocated on the portion of the asset’s use.
Fundraising costs are those incurred in seeking voluntary contributions and do not include the costs of disseminating information in support of the charitable activities. Support costs are those costs incurred directly in support of expenditure on the objects of the charitable company and include project management carried out at Headquarters. Governance costs are those incurred in connection with administration of the company and compliance with constitutional and statutory requirements.
Costs of raising funds are costs incurred in attracting voluntary income, and those incurred in trading activities that raise funds.
Charitable activities and Governance costs are costs incurred on the charitable company’s educational operations, including support costs and costs relating to the governance of the charitable company apportioned to charitable activities.
Redundancy and termination costs are recognised as an expense in the Statement of Financial Activities and a liability on the Balance Sheet immediately at the point the charity is demonstrably committed to either:
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Terminate the employment of an employee or group of employees before normal retirement date; or
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Provide termination benefits as a result of an offer made in order to encourage voluntary redundancy.
The charity is considered to be demonstrably committed only when it has a detailed formal plan for the
termination and is without realistic possibility of withdrawal from the plan.
All expenditure is inclusive of irrecoverable VAT.
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1.7 Tangible fixed assets and depreciation
All assets costing more than £5,000 are capitalised.
Tangible fixed assets are carried at cost, net of depreciation and any provision for impairment. Depreciation is provided at rates calculated to write off the cost of fixed assets, less their estimated residual value, over their expected useful lives on the following bases:
Medical equipment 25% straight line Motor vehicles 25% - 33% reducing balance Office equipment 25% straight line Other fixed assets 25% straight line Leasehold improvements 20% straight line Asset Under Construction Not depreciated as asset not yet in use Fuel tank Not depreciated as asset not yet in use Intangible assets - software 10% straight line
1.8 Interest receivable
Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the charitable company; this is normally upon notification of the interest paid or payable by the Bank.
1.9 Leasing and hire purchase
Assets obtained under hire purchase contracts and finance leases are capitalised as tangible fixed assets. Assets acquired by finance lease are depreciated over the shorter of the lease term and their useful lives. Assets acquired by hire purchase are depreciated over their useful lives. Finance leases are those where substantially all of the benefits and risks of ownership are assumed by the charitable company. Obligations under such agreements are included in creditors net of the finance charge allocated to future periods. The finance element of the rental payment is charged to the Statement of Financial Activities Incorporating Income and Expenditure Account so as to produce a constant periodic rate of charge on the net obligation outstanding in each period.
1.10 Operating leases
Rentals under operating leases are charged to the Statement of Financial Activities Incorporating Income and Expenditure Account on a straight line basis over the lease term.
1.11 Investments
Investments are a form of basic financial instrument and are initially recognised at their transaction value and subsequently measured at their fair value as at the balance sheet date using the closing quoted market price. All gains and losses are taken to
the Statement of Financial Activities as they arise. Unrealised gains and losses are calculated as the difference between the fair value at the year end and their carrying value and are included in the Statement of Financial Activities. There were no realised gains during the year.
1.12 Stock
Stock of retail goods are valued at the lower of cost and net realisable value after making due allowance for obsolete and slow moving stocks. The value of these goods is immaterial in respect of these accounts and therefore is not included. Donated items of stock for resale or distribution are not included in the financial statements until they are sold or distributed because the Trustees consider it impractical to be able to assess the amount of donated stocks as there are no systems in place which record these items until they are sold and undertaking a stock take would incur undue cost for the charity which far outweigh the benefits
1.13 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.
1.14 Cash at Bank and in hand
Cash at bank and in hand includes cash and short term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the deposit or similar account.
1.15 Liabilities and provisions
Liabilities are recognised when there is an obligation at the Balance Sheet date as a result of a past event, it is probable that a transfer of economic benefit will be required in settlement, and the amount of the settlement can be estimated reliably. Liabilities are recognised at the amount that the charitable company anticipates it will pay to settle the debt or the amount it has received as advanced payments for the goods or services it must provide. Provisions are measured at the best estimate of the amounts required to settle the obligation.
1.16 Financial instruments
The charitable company only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value with the exception of fixed assets which are valued at amortised cost and investments which are valued at fair value at the balance sheet date using the closing quoted market price which is considered to be the fair value.
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1.17 Taxation
The company is considered to pass the tests set out in Paragraph 1 Schedule 6 of the Finance Act 2010 and therefore it meets the definition of a charitable company for UK corporation tax purposes. Accordingly, the company is potentially exempt from taxation in respect of income or capital gains received within categories covered by Chapter 3 Part 11 of the Corporation Tax Act 2010 or Section 256 of the Taxation of Chargeable Gains Act 1992, to the extent that such income or gains are applied exclusively to charitable purposes.
1.18 Pensions
The charitable company operates a defined contribution pension scheme and the pension charge represents the amounts payable by the charitable company to the fund in respect of the year.
1.19 Significant accounting estimates
In preparing these accounts there are no significant accounting policies or estimates used that would materially affect the results for the year (2022: none).
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Reference and administrative details of the charitable company, its trustees and advisers (for the year ended 30 June 2023)
Trustees
John Bridge OBE DL, Chair Hugh Parnell, Treasurer Lt Col Mary Read, Trustee Tom Bennett, Trustee Mark Broadbent, Trustee Dr Anne Booth, Trustee Geoff Davies, Trustee Dr Peter Holden, Trustee Dr Alec Ostler, Trustee
Mrs Kate Lancaster, Trustee (retired October 2022) William Hughes, Trustee
Company registered number 06062176
Charity registered number 1119279
Registered office
MAGPAS Air Ambulance Headquarters Centenary House St. Mary’s Street Huntingdon PE29 3PE
Chief executive officer
Mr Daryl Brown MBE DL
Executive Leadership Team Mr Daryl Brown MBE DL, Chief Executive Officer Mrs Natalie Church, Director of Operations Mrs Lucy Chapman, Director of Fundraising Dr Simon Lewis, Medical Director
Independent auditors
Price Bailey LLP
Chartered Accountants
20 Central Avenue, St Andrews Business Park Thorpe St Andrew’ Norwich, Norfolk, NR7 0HR
Bankers
Barclays Bank, Cherry Hinton Road, Cambridge, CB2 3PZ CAF Bank Ltd, 25 Kings Hill Avenue, West Malling, ME19 4JQ Metro Bank, One Southampton Row, London WC1B 5HA
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