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2024-10-31-accounts

Registered Charity No: 1124695 (England and Wales)

Company No: 6265957

Trustees’ Annual Report and Unaudited Financial Statements

For the year ended 31[st ] October 2024

Festival Medical Services

Mission: Professional event healthcare supporting charities worldwide

Vision: Best possible medical care at UK events and support for health-related charities making a difference around the world

Core Values:

We care for people: We care for the whole community including festival goers, workers, and performers.

We are innovators: We do this through the provision of specialist event medicine through governance, training, evolution, and continuous development.

We have Big Hearts: We are a family of intrepid souls with a big heart for people, here and abroad.

We care for your welfare: We create a caring and safe place for our festival community.

1 Festival Medical Services Trustees Annual Report and Unaudited Financial Statements 2024

1. Introduction by Chair of Trustees

In May 2024, Annie Maw (one of our Patrons who is a wheelchair user) led a fundraising challenge in climbing Glastonbury Tor. The steep and rocky terrain is not normally considered suitable for wheelchairs. In doing so she raised £16,328 to support the work of Motivation and Humanity and Inclusion who work alongside disabled and vulnerable people in 60 countries affected by poverty, conflict and disaster.

In 2024 FMS granted £222,863 to projects throughout the world with the focus on reducing health inequalities. This is the highest amount that FMS has granted in one year. It is a considerable achievement and demonstrates how well FMS has recovered since the COVID lockdowns when we were unable to make any grants.

The Trustees, with the Senior Leadership Team, have reviewed and updated many policies in 2024 including:

We have upgraded our Somerton HQ with insulated/suspended ceilings, 65-inch flat screen TV, roof fans in the warehouse that direct warm air into the space.

We continue to support those providing medical care in Ukraine with trauma boxes, equipment, and vehicles.

Chris Howes has been co-opted to the Council of National Outdoor Events Association (NOEA). Chris has also been instrumental in setting up the Event Medical Association and its subsequent promotion in the event industry

We have continued to support the NHS in its vaccination programme.

We have given a warm welcome to new trustees Lorrae Allford and Nathan Ware.

During the year Elaine Jewell-Moore left the Board. We are indebted to Elaine for the high level of skills brought to our work.

Nich Woolf BEM Chair of FMS Trustees

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Annies Assisted Ascent 4[th] May 2024

FMS Patron, Annie Maw, had never been to the top of the 158-metre (518 foot) iconic landmark – even before she had her horse-riding accident in 2002 which led to her becoming a wheelchair-user. The steep and rocky terrain is not normally considered suitable for wheelchairs. In doing so she raised £16,328 to support the work of Motivation and Humanity and Inclusion, charities who work alongside disabled and vulnerable people in 60 countries affected by poverty, conflict and disaster.

2. Festival Medical Services ESG Report (Environmental, Social, Corporate Governance)

FMS’ ESG at a Glance

Environmental

We are monitoring our energy use and introduced solar panels. Most of our meetings are now virtual, but Festivals involve travel, and we encourage lift sharing and use of public transport.

Social

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Governance

North Somerset Agricultural Show is an Annual agricultural Show in Wraxall with the very best livestock and horse competitions showcased with rural events, crafts and food. Medical Cover provided by Festival Medical Services

FMS’ ESG in Detail

Environmental

Since purchasing our own premises, we have been able to improve the insulation with the installation of suspended ceilings, separated those areas which require more heating than other areas (e.g. storage has a lower temperature than areas where we train staff/volunteers) and installed solar panels which provide surplus power to the grid.

In 2022, we calculated that the miles travelled by our volunteers attending the Glastonbury and Reading Festivals was a total of 275,000. We are attempting to reduce this by encouraging lift sharing, public transport, and electric vehicles. In 2023 our Carbon Footprint had reduced. However, this was in part, owing to not being so heavily involved in carrying out COVID and flu vaccinations. Our 2023 calculations tell us that FMS needs to plant 1,930 trees this year to offset the carbon that we produce. The Trustees offset this by restoring tree cover in Mali to provide fruit, combat desertification, soil conditioning and providing food.

FMS’ Carbon Footprint for 2024 indicates that FMS needs to plant just under two thousand trees to offset emissions.

Post COVID use of virtual meetings has reduced the need to travel to meetings (including our AGM).

The power for our medical centres at Glastonbury Festival uses biofuel and battery storage.

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Social

Charity Objects

Festival Medical Service charity’s objects are:

(a) the relief of sickness by the provision of medical services and emergency relief particularly at public gatherings.

(b) to advance the education and training of members and volunteers of the Charity, and of members of the public in general, in the subject of medical care; and

(c) any Charitable purpose which the trustees shall from time to time think fit

FMS’ Community

We provide a full range of medical services to minimise the health footprint of events. By providing on-site medical care at events FMS achieves the following:

Our charity is almost exclusively staffed by volunteers, and it is extremely grateful to all those that have given their time, skills, given up holidays and weekends to assist. In 2024 this amounted to a total of 29,000 hours which our volunteers spent on medical care duty at events or duties associated with events . Additionally, there was time spent by our Team Leaders and Managers in managing this effort, and Trustees with steering the charity. The total hours of medical care duty, Team Leaders, and Managers is 32,000 hours.

FMS aims to make a real, practical difference in everything it does. Our grants demonstrate this commitment with the range of grants awarded.

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Our EDB vision is that we will build a culture of inclusivity, encourage diversity and foster good relations between people, including those with protected characteristics, and we will strive to create equity of opportunity.

We do not accept discrimination on the grounds of age, disability, gender, reassignment, marriage and civil partnership, race, religion or belief, sex or sexual orientation, pregnancy and maternity.

Members are protected against discrimination in all aspects of their employment, volunteer status, education, and training relationship, which includes recruitment and selection, employment terms and conditions, promotion, appraisal/annual review, assessment of performance, dismissal, and post-termination (such as providing references).

Priorities and next steps:

  1. Increase awareness of the organisational commitment to EDB.

  2. Improve accessibility in all areas including making reasonable adjustments for volunteers and staff and improving the website and social media content.

  3. Review opportunities for personal development and advancement within FMS including all levels of the organisation.

These aims demonstrate the overall strategy of FMS. A working group of staff, Board members and volunteers will be initiated to build a framework of actions which will ensure they succeed.

We have a comprehensive safeguarding policy which is regularly reviewed. This policy is applied to our patients and volunteers equally.

Supply Chain Partners

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The provision of medical care at events, vaccinations, Ukraine Medical supplies, and grants to worthy causes, are charitable for the purposes of public benefit. We are here to provide a service to the public and support worthy causes. We consider how our planned activities contribute to public benefit.

Human Capital Management

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Glastonbury Festival (formally

the Glastonbury Festival of Contemporary Performing Arts and known colloquially as Glasto) is a fiveday festival of contemporary performing arts held near Pilton, Somerset, England, in most summers. In addition to contemporary music, the festival hosts dance, comedy, theatre, circus, cabaret, and other arts. Leading pop and rock artists have headlined, alongside thousands of others appearing on smaller stages and performance areas. Films and albums have been recorded at the festival, and it receives extensive television and newspaper coverage. It has its own charitable activities.

Medical Cover provided by Festival Medical Services

Governance

Risk Management

Our Risk Register is split into four areas:

At every meeting, our trustees monitor one of these risks in detail on a rotational basis.

The Risk Register helps to ensure that there are sufficient risk management processes in place, and that assurances are provided to the board as well as highlighting any areas for concern and agreeing mitigation measures

Our system includes a rolling five-year cash-flow, and annual budgets approved by trustees. These are reviewed by the Senior Leadership Team and the Board. The Board also considers actual results compared with plans and forecasts. Our Financial Procedures are regularly reviewed by the Finance Officer and Chief Finance Officer. Tests are carried out to ensure the procedures are being adhered to.

Charity Governance Code.

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FMS ensures that its deposits are not being invested in arms manufacture, tobacco, fast food, gambling, alcohol, fossil fuel, slavery, fracking, nuclear energy, pornography, and companies with a dubious human rights record.

At 31 October 2024 the level of reserves held by the charity stood at £838,147 (2023: £778,339) of which £811,752 (2023: £740,166) were unrestricted funds. Of these funds £287,645 (2023: £266,102) was held as fixed assets and £25,334 (2023: £14,823) stock. This leaves £498,773 (2023: £459,241) of free reserves which are readily available. In 2025 FMS plans to make grants and donations of £102,000.

Working closely with FMS staff, I have seen firsthand their drive for continual improvement; always with a patient centered approach.

The professionalism shown both to patients, family members and partners is fantastic. FMS cover some of the biggest and most complex events that we are involved with, and it provides a sense of relief, knowing that such a competent, experienced, and knowledgeable group of people will be at the forefront of patient care. I am confident that those patients treated by FMS will receive the best possible response and that each individual will go above and beyond to deliver great patient care. It is obvious to me that FMS have a long-standing culture of embracing and enhancing safety at events, encouraging, and influencing event organisers to put safety at the forefront of planning and delivery. Emergency Preparedness Resilience and Response Manager South West Ambulance Service Trust

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3. FMS’ Strategy for the future

We have adopted a five-year strategy (starting January 2025):

The right people

Good organisation

Clinical effectiveness

Operational effectiveness

Well-managed charitable activities

Project Harar Providing cleft lip and palates treatment to children across Ethiopia. The charity strives to break social stigma, working with community leaders and local health clinics to provide information and access to treatment for cleft lip and palate.

In 2024 FMS provided urgent, lifechanging treatment for 100 infants and children affected by cleft palate in remote and insecure living in Ethiopia

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4. FMS’ Grants and Donations in 2024

Charity/Project Purpose of Grant/Donation Grant Progress in 2024
Akamba Aid Fund Purchase an Ambulance for a rural clinic in
Kenya
£17,500 The ambulance is fully operational and being well used
(and cared for). The clinic is transferring patients almost
daily to the nearest hospital 60km away. Mainly obstetric
cases needing further investigations and possible
caesarean deliveries as well as sick children needing
more care than the clinic can provide.
~~T~~he maternity unit was opened in October 2024.
The work has gone extremely well, and the unit is looking
very modern. The equipment had all arrived. The number
of pregnant ladies attending the clinic has been rapidly
increasing. The clinic is now able to offer a better
standard of care in a much more pleasant environment
for the pregnant women.
(Please see Photos at foot of this table.)
Updating Maternity Facilities at Tei wa Yesu
clinic, Gai, Northeast Kenya
£14,200
Project Harar Provide urgent, life-changing treatment for 100
infants and children affected by cleft palate in
remote and insecure livingin Ethiopia
£18,415 The original application was to treat 100 patients. The
currency fluctuations in Ethiopia were favorable and
morepatients were treated than originally planned.
Joliba Trust Planting of 2000 trees in South Mali to offset the
carbonproduced byFMS in 2023
£1,760 Both projects were implemented in April 2024
Training of Birth Attendants, and two moped
ambulances, in Mali
£15,832
Bridge2Aid Four Infant Oral Mutilation training workshops for 800
community representatives and teachers in rural
East Africa
£8,764 Workshops were carried out in 2024
Humanity and
Inclusion
Donation to the programme for the
management of diabetes in St Louis, Senegal
£15,000 All donations used
Humanitarian work in Gaza Donation £5,000
Annies Assisted Ascent Donation £8,000

12 Festival Medical Services Trustees Annual Report and Unaudited Financial Statements 2024

Charity/Project Purpose of Grant/Donation Grant Progress in 2024
HIPZ Strengthening the management of cardiovascular
disease in Zanzibar
£13,170
Equa Aqua Toilets, clean water harvesting, and hygiene training
in threeprimaryschools in Uganda
£10,623 Work and training completed in 2024
WHY Part-fund drop-in counselling sessions in Somerset,
Bath and NE Somerset for those affected by cancer
£8,069 Donation used to support the work in 2024
Tulsi Trust Tribal HealthCare, Medical Camps, Mother and Baby
Programme, Referral Outreach Hospital, School
Health Education Visits, and Women and Girls Health
Programme in Rural India

£11,830
Grant used in the manner intended
Ethiopian Medical
Project
Fund items to treat Podoconiosis for one year £15,000 Items purchased in 2024
St Peters Lifeline Emergency funding for the Emergency Bid
Dosh4Nosh Scheme in Kenya
£4,500 Donation used for emergency
Motivation Annies Assisted Ascent Donation £4,000 Donation used
Re-Act Provision of crucial support over the next six months
by sending three further deployments to Ukraine to
deliver life-saving training and medical equipment to
more than 300 people.

£10,000
Donation used
PONT Three Tuk-Tuk Ambulances £19,500 Two of the Tuk Tuk Ambulances have been
completed. Work has begun on the third.
There have been delays with registration and
certification within Uganda, and our UK team has
insisted on getting the design plans made to UK
standards, which has slowed the process further.

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Charity/Project

Purpose of Grant/Donation

Progress in 2024

Grant

Lalibela Ethiopia

  1. Sarsena Community Health Centre furniture and £12,000 equipment

All purchased and installed, and the Centre is fully operational, including the agreed additional 5 staff. 2. Hormone Analyser for Lalibela Hospital To be reviewed on the 17th February 2025 to confirm equipment to be purchased.

  1. Hormone Analyser in £1,700

Lalibela Hospital

  1. Repairs of and equipment for 4 Health Posts in Bugna £8,000 Woreda £21,700

Total £222,863

  1. Bugna Woreda has been a total no-go area until early in 2025. To be reviewed on the 20th February 2025, to reassess the needs of the 4 Health Posts and other projects. We anticipate that the cost will be more than the £8000 grant, but Lalibela will supplement from its unrestricted funds.

Akamba Aid Fund is a small independent UK charity based in South Somerset. It was founded in 2000 with the specific objectives of relieving poverty, sickness and distress, coupled with the advancement of education in the Kyuso Sub-County, Eastern Province, of Kenya.

In 2024 FMS funded the purchase of an ambulance, and updated maternity facilities (electric bed on left was part of this).

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FMS Grant Making Policy

FMS aims to make a real, practical difference in everything we do. Our grants demonstrate this commitment with the range of grants awarded. These are the criteria that we use:

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Reading Festival is the longest-running popular music festival in the UK. Many of the biggest bands in the UK and internationally have played at the festival over five decades. The festival has had various musical phases over the years, but since 1999, rock, alternative, indie, punk and metal have been the main genres featured in the line-up. More recently hip hop has comprised an increasing proportion of the lineup.

Medical Cover provided by Festival Medical Services

5. Clinical Review 2024

We saw 6724 patients during our events season. There were no births but sadly one fatality.

Manchester Arena Inquiry

In 2024 we worked closely with our colleagues from NHS ambulance services and our major events to revise our Emergency Preparedness, Resilience and Response (EPRR) Plan and ensure our response to a major incident was robust and in line with recommendations coming out of the Manchester Arena Inquiry.

Care Quality Commission

We are working to the standards expected by the Care Quality Commission (CQC) and are expecting a CQC inspection soon.

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Achievements of some of our Teams

Our newly introduced Patient Safety team has significantly changed for the better the way incidents are reported and investigated. This in turn generated a high number of reported incidents which demonstrates the success of the new process.

Our Clinical Governance Team is now supporting all our events (small, medium, and large).

Our recently formed Patient Safety Team generated a higher rate of incident reporting which demonstrates the excellence of the service. Those involved in the team found the experience challenging, stimulating, and rewarding. Feedback has been consistently positive across the board.

Changes for our volunteers

We introduced a new staff uniform which added to the professionalism of our volunteers.

With the spread of measles, staff and volunteers were advised to ensure that they were immune (through a previous infection) or were vaccinated.

Our Wellbeing Team provided support to volunteers who had dealt with a traumatic incident.

End of Road Festival is an annual music festival in England which focuses on independent rock and folk music. It is hosted at the Larmer Tree Gardens, on the border of north Dorset and Wiltshire, and usually takes place over the last weekend of August or the first full weekend in September. The first festival took place in 2006, and after selling out for the first time in 2008, it has sold out in advance every year since.

Medical Cover provided by Festival Medical Services

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6. Financial Review 2024

Where our income came from 2023/24

Total income for the year was £661,353 (2023: £799,845). The split of the funding sources can be seen below:

Festival Medical Services Trustees Annual Report and Unaudited Financial Statements 2024

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How the money was spent 2023/24

Total expenditure for the year was £601,545 (2023: £708,892). The split of the funding sources can be seen below:

Vehicles During the year FMS purchased a replacement vehicle @ £21,216 from capital expenditure.

Festival Medical Services Trustees Annual Report and Unaudited Financial Statements 2024

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7. How FMS Trustees carry out their work

Patrons

Heidi Thomas Stephen McGann Annie Maw

Joliba Trust has supported grassroots development projects in Mali for over 30 years. It knows the country and its people well and as a result its work is low cost and effective. It focuses on sustaining and improving livelihoods in particularly poor areas in order to reduce the need for migration; improving the lives of women; and providing opportunities for young people. In 2024 FMS funded planting 2000 trees, training birth attendants, and purchasing two moped ambulances.

Trustees

Our governing document is our Memorandum and Articles of Association.

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Festival Medical Services was incorporated as a company limited by guarantee on 1st June 2007 and registered as a charity on 1st June 2007 with a Memorandum and Articles as its Governing Document. It had previously been registered as an unincorporated charity on 18 February 1998. It operates throughout England and Wales.

FMS has a “Unitary Board” comprising senior leaders and trustees.

It is not unusual for small charities to have trustees that play both a governance and executive role.

There is scope for increasing the diversity of the Board at each annual election. We are introducing equality monitoring to enable the FMS Board to reflect our membership and patients.

Welland Steam and Country Rally

is held every year over 3 days, on the last weekend in July. The Rally first started in 1964 by a handful of Steam Engine enthusiasts in Rosson-Wye and it has grown and developed since then. It is now one of the largest and most respected events of its type in the country. The Rally is a day of nostalgia, sights, sounds and colour for every member of the family as you take a trip down memory lane to the days when steam power reigned on the roads, farm and fairground.

Medical Cover provided by Festival Medical Services

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FMS Trustee Board Meetings

March Board Meeting

January Board Meeting

Occasionally Trustees provide paid cover at events. In doing this the Trustees are satisfied that it is in the interests of the Charity on some occasions, Trustees have the same access to paid roles as the rest of the membership. In reaching this decision the Trustees balanced the advantage of employing a Trustee against the disadvantages of doing so. This decision is reached on the understanding that most of the Trustees in office will receive no such payments.

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Trustees receive no remuneration for their work as Trustees. The role of Chief Operating Officer is currently a part-paid one. The current COO is both a paid employee of the charity and a Trustee. The Board has decided that it is in the interests of the charity for him to continue in both roles. In reaching this decision Trustees balanced the advantage of employing a Trustee against the disadvantages of doing so. Also, this decision was reached on the understanding that most of the Trustees in office will have no such paid positions.

FMS has adopted a Conflict-of-Interest policy, part of which is a requirement for Trustees to declare any potential interest at the beginning of a meeting and absent themselves from the meeting when such items are discussed and not take part in any vote. Additionally, Trustees are required to complete a Conflict-of-Interest Form declaring any potential interest.

Humanity & Inclusion (HI) is an

international charity working in situations of poverty and exclusion, conflict and disaster. They work tirelessly ' Fe Eig al f Ta alongside disabled and vulnerable people to help meet their basic needs, b5a| improve their living conditions and promote respect for their dignity and = fundamental rights.

In 2024 FMS funded:

----- Start of picture text -----
=e
----- End of picture text -----

rust supports grassroots

Management and Administration

We have a headquarters and stores at Somerton, where we train staff, store records, medical equipment and vehicles. Most of our work is done from our homes. Most meetings are now by video call.

Management of the organisation is led by a Senior Leadership Team.

Delivery is organised by Managers and Team Leaders who:

How FMS is run – February 2025

KEY Blue Circles: Board members Dark blue: SLT members Green - Deputy Managers Orange - Team Leaders Light blue -: Teams

----- Start of picture text -----
Green - Deputy Managers
Orange - Team Leaders
FMS Trustees
CEO Light blue -: Teams
Chris
Howes
COO CCO
CFO
Dave Paul
Phil Barker
Parry Hooton
Senior Snr Manager Senior
Senior HR Governance Manager Senior
Manager Ops Manager Ops Elspeth & Compliance Med Centres Manager
Richard Ryan Youle Griffiths Fiona Annabel Responders
Templeman Armstrong Bottrill Matt Collis
Deputy Manager Deputy Deputy Deputy
Stores & Deputy Manager Deputy Manager Manager Manager Med Manager
Procurement Field Operations Fleet & Logistics Governance Centres Responders
Simon Goodman Amber Sheppard Andy Sims tbc tbc Matt Riley
Team Team Team Team Team Team
Leaders Leaders Leaders Leaders Leaders Leaders
Stores Warehouse Clinical Governance Doctors
Clinical Logistics Transport/Couriers Safeguarding Nurses Ambulance
Production Fleet IPC Physios Paramedic
IT H&S Training Information Podiatrists Cycle Response
Employed Staff Event Liaison Accreditation Volunteer Wellbeing Media Governance EPRR Dentists MHT First Responder Stage Medical
Duty Ops Campsite Patient Safety Pharmacy Med Comms
CQC Compliance Imaging Offsite Transport
Porters Make Ready
Administration
Festival Medical Services Trustees Annual
Report and Unaudited Financial Statements
----- End of picture text -----

24 Festival Medical Services Trustees Annual Report and Unaudited Financial Statements 2024

10. Reference and administrative details of the charity, its trustees, and advisers

Festival Medical Services (known as FMS) is a registered Charity and Company limited by guarantee. Our Registered Charity Number is 1124695 (England and Wales) and our Company Registration Number is 6265957.

Independent Examiner:

Registered Office:

A C Mole LLP Festival Medical Services Stafford House Unit 17, Blackbrook Park Avenue Canvin Court, Taunton Somerton Business Park, Somerset TA1 2PX Somerton, Somerset, TA11 6SB

Bankers

The Charity Bank Limited, Triodos Bank Fosse House, Deanery Road 182 High Street, Bristol Tonbridge, BS1 5AS Kent, TN9 1BE The Cooperative Bank plc Nationwide Building Society P O Box 101 Nationwide House 1 Balloon Street Pipers Way Manchester Swindon M60 4EP SN38 1NW Reliance Bank Ltd Charities Aid Foundation Faith House 25 Kings Hill Avenue 23-24 Lovat Lane Kings Hill London West Malling EC3R 8EB Kent ME19 4JQ

11. Declarations

Statement of trustees' responsibilities

The trustees (who are also directors of Festival Medical Services for the purposes of company law) are responsible for preparing the Trustees' Report (incorporating the directors’ report) and the financial statements in accordance with 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).

Company law requires the trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the charitable company and of the income and

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expenditure of the charitable company for that period. In preparing these financial statements, the trustees are required to:

The trustees are responsible for maintaining proper accounting records which 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:

• the trustees have taken all steps that they ought to have taken to make themselves aware of any relevant information and to establish that the independent examiner is aware of that information.

The trustees are responsible for the maintenance and integrity of the corporation 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 company has taken advantage of the small companies’ exemption in preparing the report above.

The trustees declare that they have approved the trustees’ report above.

Signed on behalf of the charity’s trustees

Signature(s) Phil Barker Full name(s)[ Nich Woolf BEM] Position (for example Chair Company Secretary Secretary, Chair, etc) Date

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FESTIVAL MEDICAL SERVICES INDEPENDENT EXAMINER’S REPORT TO THE TRUSTEES OF FESTIVAL MEDICAL SERVICES

I report to the charity trustees on my examination of the accounts of the company for the year ended 31 October 2024, which are set out on pages 28 to 41.

RESPONSIBILTIES AND BASIS OF REPORT

As the charity’s trustees of the company (and also its directors for the purposes of company law) you are responsible for the preparation of the accounts in accordance with the requirements of the Companies Act 2006 (‘the 2006 Act’).

Having satisfied myself that the accounts of the company are not required to be audited under Part 16 of the 2006 Act and are eligible for independent examination, I report in respect of my examination of your charity’s accounts as carried out under section 145 of the Charities Act 2011 (‘the 2011 Act’). In carrying out my examination I have followed the Directions given by the Charity Commission under section 145(5) (b) of the 2011 Act.

INDEPENDENT EXAMINER’S REPORT

Since the company’s gross income exceeded £250,000 your examiner must be a member of a body listed in section 145 of the 2011 Act. I confirm that I am qualified to undertake the examination because I am a member of The Institute of Charted Accountants England & Wales, which is one of the listed bodies.

I have completed my examination. I confirm that no matters have come to my attention in connection with the examination giving me cause to believe:

1. accounting records were not kept in respect of the company as required by section 386 of the 2006 Act; or

2. the accounts do not accord with those accounting records; or

3. the accounts do not comply with the accounting requirements of section 396 of the 2006 Act other than any requirement that the accounts give a ‘true and fair’ view which is not a matter considered as part of an independent examination; or

4. the accounts have not been prepared in accordance with the methods and principles of the Statement of Recommended Practice for accounting and reporting by charities [applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102)].

I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached.

Sarah Twist FCA DChA Chartered Accountant A C Mole LLP Stafford House Blackbrook Park Avenue Taunton Somerset TA1 2PX

2025

Festival Medical Services Trustees’ Annual Report and Unaudited Financial Statements for year ended 31 October 2024 (Company number: 06265957)

27

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

Restricted Restricted Unrestricted Total Total
Funds Funds Funds Funds
Note 2024 2023
£ £ £ £
Income
Donations and Grants 2 169,743 9,880 179,623 309,071
Income from Other Trading Activities 3 - 42,925 42,925 33,332
Income from Charitable Activities 4 - 429,778 429,778 452,390
Other Income - 370 370 801
Investment Income 5 - 8,657 8,657 4,251
______ _ _ _
TOTAL INCOME 169,743 491,610 661,353 799,845
______ _ _ ______
Expenditure
Costs of Raising Funds
Festival tickets - 16,698 16,698 10,024
Expenditure on Charitable Activities 6 181,521 403,326 584,847 698,868
______ _ _ _
TOTAL EXPENDITURE 181,521 420,024 601,545 708,892
______ _ _ _
Net income for the year (11,778)
71,586
59,808 90,953
Transfers - - - -
______ _ _ _
Net movement in funds (11,778)
71,586
59,808 90,953
Reconciliation of Funds:
Total funds brought forward 38,173 740,166 778,339 687,386
______ _ _ _
Total funds carried forward 26,395 811,752 838,147 778,339

The notes on pages 31 to 41 form part of these financial statements.

Festival Medical Services Trustees’ Annual Report and Unaudited Financial Statements for year ended 31 October 2024 (Company number: 06265957)

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BALANCE SHEET AS AT 31 OCTOBER 2024
Note 2024 2023
£ £ £ £
FIXED ASSETS
Tangible Assets 7 287,645 266,102
_____ _____
287,645 266,102
CURRENT ASSETS
Stock 6 25,334 14,823
Debtors & Prepayments 10 7,522 12,792
Cash at Bank and in Hand 523,436 503,068
______ ______
556,292 530,683
CREDITORS: AMOUNTS FALLING DUE
WITHIN ONE YEAR 11 5,790 18,446
_ ______
NET CURRENT ASSETS 550,502 512,237
_ ______
TOTAL NET ASSETS 838,147 778,339
_ _____ _ _____
THE FUNDS OF THE CHARITY
Unrestricted Funds 13 811,752 740,166
Restricted Funds 13 26,395 38,173
______ ______
TOTAL CHARITY FUNDS 838,147 778,339
_ _____ ______

The company is entitled to exemption from audit under Section 477 of the Companies Act 2006 for the year ended 31 October 2024. The members have not required the company to obtain an audit of its financial statements for the year ended 31 October 2024 in accordance with Section 476 of the Companies Act 2006.

The trustees acknowledge their responsibilities for:

These accounts have been prepared in accordance with the provisions of part 15 of the Companies Act 2006 relating to small companies regime.

The accounts were approved by the trustees and signed on their behalf by:

…………………………………………….

N Woolf BEM - Chair of Trustees

…………………… 2025

The notes on pages 31 to 41 form part of these financial statements

Festival Medical Services Trustees’ Annual Report and Unaudited Financial Statements for year ended 31 October 2024 (Company number: 06265957)

29

STATEMENT OF CASHFLOWS FOR THE YEAR ENDED 31 OCTOBER 2024

Note 2024 2023
£ £ £ £
Cashflows from operating activities
Net cash from operating activities 58,640 110,478
Cashflows from investing activities
Interest income 5 8,657 4,251
Purchase of fixed assets (46,929) (39,718)
Proceeds from sale of fixed assets - 6,499
_ ______
Net cash provided by investing activities (38,272) (28,968)
__ ______
Change in cash and cash equivalents in the
reporting period 20,368 81,510
Cash and cash equivalents at the beginning of the
reporting period 503,068 421,558
__ _
Cash and cash equivalents at the end of the
reporting period 523,436
503,068
Reconciliation of net income to net cashflow from operating activities
Net income for the year as per
Statement of Financial Activities 59,808 90,953
Adjustments for:
Depreciation charges 25,386 16,797
Profit on disposal of fixed assets - (5,233)
Investment income (8,657) (4,251)
(Increase) in stock (10,511) (4,223)
Decrease in debtors 5,270 17,980
(Decrease) in creditors (12,656) (1,545)
__ ______
58,640
110,478

Festival Medical Services Trustees’ Annual Report and Unaudited Financial Statements for year ended 31 October 2024 (Company number: 06265957)

30

NOTES TO THE ACCOUNTS FOR THE YEAR ENDED 31 OCTOBER 2024

1 ACCOUNTING POLICIES

(i) Charitable company status

The charity is a company limited by guarantee and does not have any share capital. The liability of the guarantors, who are the members is limited to £10 per guarantor. At 31 October 2024 the charity had 1,485 members. The company is registered in England and Wales. The registered office Unit 17 Canvin Court, Bancombe Road, Somerton, Somerset, TA11 6SB.

(ii) Basis of preparation and assessment of going concern

The financial statements have been prepared under the historical cost convention. 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 (FRS102) (effective 1 January 2019) - (Charities SORP (FRS102) second edition), the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS102), and the Companies Act 2006.

The charity constitutes a public benefit entity as defined by FRS102.

The trustees consider that there are no material uncertainties about the charity’s ability to continue as a going concern.

(iii) Funds Structure

Unrestricted income funds comprise those funds which the trustees are free to use for any purpose in furtherance of the charitable objects. Unrestricted funds include designated funds where the trustees, at their discretion, have created a fund for a specific purpose.

Restricted funds are funds which are to be used in accordance with specific restrictions imposed by the donor. Further details of each fund are disclosed in note 14.

iv) Income Recognition

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.

Donations and grants are recognised when the charity been notified in writing of both the amount and settlement date. Memberships, festival income and service level agreements are recognised in the period to which it relates.

Income in the form of gifts in kind (including festival passes and equipment) are included at fair value in the statement of financial activities. Fair value is determined as the maximum sale proceeds which could be obtained by the charity.

Festival Medical Services Trustees’ Annual Report and Unaudited Financial Statements for year ended 31 October 2024 (Company number: 06265957)

31

NOTES TO THE ACCOUNTS FOR THE YEAR ENDED 31 OCTOBER 2024 – Continued

v) Expenditure Recognition

Liabilities are recognised as expenditure as soon as there is a legal or constructive obligation committing the charity to that expenditure, it is probable that settlement will be required and the amount of the obligation can be measured reliably.

Expenditure on charitable activities comprises those costs incurred by the charity in delivery of its activities and service for its beneficiaries. It includes both costs that can be allocated directly to such activities and those costs of an indirect nature necessary to support them.

Irrecoverable VAT is charged against the expenditure heading for which it was incurred.

All expenditure is accounted for on an accruals basis. All expenses including support costs and governance costs are allocated or apportioned to the applicable expenditure headings.

Governance costs are included within support costs and comprise all costs associated with meeting the constitutional and statutory requirements of the charity and include the professional fees and costs linked to the strategic management of charity.

vi) Fixed Assets

Only items with a value greater than £1,000 are treated as tangible fixed assets. Items below this value are written off in the year they are acquired.

Depreciation on fixed assets has been provided at the following rates

Freehold Property 2% Straight Line Motor Vehicles 25% Reducing balance Equipment 25%, 10% & 5% Straight Line

vii) Fixed Asset Investments

Investments in subsidiary undertakings are included in the Balance Sheet at cost less impairment.

viii) Stock

Stock is valued at the lower of cost and net realisable value.

ix) Cash and Cash Equivalents

Cash and cash equivalents include cash in hand, deposits and other short-term highly liquid investments that are readily convertible to known amounts of cash with insignificant risk of change in value.

x) Financial Instruments

The charity only has financial assets and liabilities that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at settlement value .

xi) Critical Accounting Estimates and Judgements

The preparation of the financial statements requires the trustees to make judgements, estimates and assumptions that affect the application of policies and reported amounts of assets and liabilities, income and expenses. Estimates and judgements are continually evaluated and are based on historical experience and other factors, including expectations of future events that are believed to be reasonable under the circumstances.

Festival Medical Services Trustees’ Annual Report and Unaudited Financial Statements for year ended 31 October 2024 (Company number: 06265957)

32

NOTES TO THE ACCOUNTS FOR THE YEAR ENDED 31 OCTOBER 2024 – Continued

xi) Critical Accounting Estimates and Judgements - continued

The resulting accounting estimates will, by definition seldom equal the related actual results. The trustees are of the opinion that there were no estimates or assumptions that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next financial year.

xii) Volunteer Reimbursements

FMS makes a contribution to volunteers costs which is below actual costs incurred and is therefore a reimbursement. HMRC has confirmed that “If there is no office or employment, it follows that the reimbursement of any expenses incurred by voluntary workers in doing the work of the organisation will not give rise to a tax liability.’

xiii) Donated Services

In accordance with the Charities SORP (FRS102), any unpaid volunteer time is not recognised in the financial statements.

2 DONATIONS AND GRANTS
Restricted
Unrestricted
£
£
Donations
4,000
9,880
Glastonbury Festival
90,000
-
Ukraine Campaign
59,415
-
Annie’s Assisted Ascent
16,328
-
_
_


169,743
9,880
Restricted
Unrestricted
£
£
Donations
9,000
13,479
Glastonbury Festival
90,000
-
Ukraine Campaign
196,592
-
_
_


295,592
13,479
2024
£
13,880
90,000
59,415
16,328
_
179,623
2023
£
22,479
90,000
196,592
_

309,071

Festival Medical Services Trustees’ Annual Report and Unaudited Financial Statements for year ended 31 October 2024 (Company number: 06265957)

33

NOTES TO THE ACCOUNTS FOR THE YEAR ENDED 31 OCTOBER 2024 – Continued

3
INCOME FROM OTHER TRADING ACTIVITIES
Sale of guest passes
Hire Income
Other from trading activities
Electrical hook ups
Merchandise
Food and bar takings
Facilities fees
4
INCOME FROM CHARITABLE ACTIVITIES
Events
Membership*
Training
Covid 19 Vaccination Programme
2024
2023
£
£
16,698
10,024
1,600
900
211
1,543
4,831
4,245
354
-
6,603
4,277
12,628
12,343
_

42,925
33,332

2024
2023
£
£
396,885
383,252
13,395
15,685
12,005
13,158
7,493
40,295
_
______
429,778
452,390
_

Income from Events includes £16,698 (2023: £10,024) of gifts in kind.

*MEMBERSHIP INCOME

All members apply through the FMS website, and team coordinators are responsible for their team selection. Once selected, applicants will be emailed welcoming them to FMS and requested £30 for a three-year membership. Teams are split between patient and non-patient facing teams. All members who are patient facing must have a current enhanced DBS disclosure for Adult and Child Workforce and their membership will not be finalised until a valid DBS certificate has been received. All non patient facing applicants must supply three forms of identification including photo ID as proof of identity and residency before membership is completed. Full details can be found on the FMS - website under ‘Membership’ or by emailing membership@festival medical.org.

5 INVESTMENT INCOME
Bank Interest
2024
2023
£
£
8,657
4,251
_

8,657
4,251
__
_____

Festival Medical Services Trustees’ Annual Report and Unaudited Financial Statements for year ended 31 October 2024 (Company number: 06265957)

34

NOTES TO THE ACCOUNTS FOR THE YEAR ENDED 31 OCTOBER 2024 – Continued

6 EXPENDITURE ON CHARITABLE ACTIVITIES 2024 2023
£ £
Opening Stock 14,823 10,600
Closing Stock (25,334) (14,823)
Merchandise 10,649 -
Medicines and Dressings 31,471 23,935
Small Equipment Purchases 19,975 15,677
Equipment 2,651 5,596
Insurance and Fees 20,618 17,387
Volunteer Expenses and Reimbursements 1,430 1,452
Volunteer Catering and Facilities * 51,861 53,084
Wages 59,076 52,558
Telephone 3,015 1,941
Transport 14,799 11,494
Postage, Stationery, Website, IT and Software 8,463 7,162
Grants 210,863 218,469
Rent - 1,972
Premises Costs 5,912 25,186
Sundries 1,045 4,595
Depreciation 25,386 16,797
Profit on Disposal of Vehicles - (5,233 )
Bank Charges 498 628
Training 7,360 6,889
Payroll Services 559 282
Independent Examiner’s Fees 2,400 2,040
Trustee Meeting Travel Expenses 3,968 4,087
Medical Cover 16,612 15,426
Professional Fees 994 1,146
Bad Debt - 179
Covid 19 Vaccination Programme 4,232 26,263
Ukraine Campaign Expenditure 75,193 194,079
Annie’s Assisted Ascent Expenditure 16,328 -
______ _____
584,847 698,868
______ _____

*Volunteer Catering and Facilities: Festival Medical Services provides food and beverages for those working at events. Charges are made to those volunteers not on duty. This has been found to be the most efficient way of providing good quality food for volunteers at events.

In 2024 there was £181,521 (2023: £284,632) of restricted expenditure of which £Nil (2023: £553) related to depreciation, £75,193 (2023: £194,079) Ukraine campaign expenditure, £90,000 (2023: £90,000) grant expenditure and £16,328 (2023: £Nil) related to Annie’s Assisted Ascent.

Festival Medical Services Trustees’ Annual Report and Unaudited Financial Statements for year ended 31 October 2024 (Company number: 06265957)

35

NOTES TO THE ACCOUNTS FOR THE YEAR ENDED 31 OCTOBER 2024 – Continued

7 TANGIBLE FIXED ASSETS

TANGIBLE FIXED ASSETS
Freehold Motor
Property Equipment Vehicles Total
£ £ £ £
Cost
1 November 2023 201,165 69,256 98,540 368,961
Additions 8,353 17,360 21,216 46,929
Disposals - - - -
______ ______ ______ ______
31 October 2024 209,518 107,832 98,540 415,890
______ ______ ______ ______
Depreciation
1 November 2023 8,046 33,521 61,292 102,859
Charge for the Year 4,199 7,456 13,731 25,386
Eliminated on Disposal - - - -
______ ______ ______ ______
31 October 2024 12,245 40,977 75,023 128,245
______ ______ ______ ______
Net book value
31 October 2024 197,273 45,639 44,733 287,645
______ ______ ______ ______
31 October 2023 193,119 35,735 37,248 266,102
______ ______ ______ ______

8 TRUSTEE EXPENSES AND REMUNERATION

Remuneration of £25,876 (2023: £24,458) was paid to the Trustee D Parry during the year for his role as Chief Operating Officer. The Charity’s Memorandum of Association includes a provision giving legal authority to make the payment. No remuneration has been paid to, or on behalf of any other trustees (2023: Nil).

During the year £3,203 (2023: £3,161) was reimbursed to four (2023: three) Trustees for travel expenses and £4 (2023: £142) to one (2023: one) trustee for other expenses. At the year-end £Nil (2023: £7,404) was owed to a trustee with regards to expenses incurred on behalf of the charity.

9

INDEPENDENT EXAMINER’S FEES 2024 2023
£ £
Independent Examination and Accountancy 2,400 2,040
Payroll Services 559 282
____ ____
2,959
____
2,322
____

Festival Medical Services Trustees’ Annual Report and Unaudited Financial Statements for year ended 31 October 2024 (Company number: 06265957)

36

NOTES TO THE ACCOUNTS FOR THE YEAR ENDED 31 OCTOBER 2024 – Continued

10
DEBTORS
Trade Debtors
Prepayments

Other Debtors


11
CREDITORS
Amounts falling due within one year:-
Trade Creditors

Accountancy
Expense Claim
PAYE/NIC
Deferred Income
Grant Commitments




_
2024
£
2,323
3,585
1,614
_
7,522

2024
£
1,758
2,652
323
1,057
-
-
__

5,790
2023
£
8,364
2,429
1,999
__
12,792

2023
£
9,778
2,250
-
918
500
5,000
____
18,446

12 STAFF NUMBERS AND COSTS

The average number of staff employed during the year was: 5 (2023: 4)

2024 2023
The aggregate payroll costs were as follows: £ £
Wages & salaries 59,076 52,588

There were no employees with emoluments above £60,000 in the period (2023: Nil).

The charity considers its key management personnel to comprise the Trustees and the Senior Leadership Team. The Chief Operating Officer is the only paid Senior Leader with a remuneration of £25,876 (2023: £24,458).

Festival Medical Services Trustees’ Annual Report and Unaudited Financial Statements for year ended 31 October 2024 (Company number: 06265957)

37

NOTES TO THE ACCOUNTS FOR THE YEAR ENDED 31 OCTOBER 2024 – Continued

13 STATEMENT OF FUNDS

STATEMENT OF FUNDS
Balance as at Balance as at
31 October 31 October
2023 Income Expenditure Transfers 2024
£ £ £ £ £
Unrestricted funds 740,166 491,610 (420,024) - 811,752
Restricted funds:
Ukraine Campaign 38 ,173 59,415 (75,193) - 22,395
Ambulances - 4,000 - - 4,000
Glastonbury Festival - 90,000 (90,000) - -
Annie’s Assisted Ascent
-
16,328 (16,328) - -
Total Restricted Funds 38,173 169,743 (181,521) - 26,395

Unrestricted funds are to be applied to the general purposes of the Charity.

The Ukraine Campaign restricted fund represents income and expenditure relating to medical support for Ukraine in the ongoing conflict.

The Ambulances restricted fund represents a contribution from an engineering company to sponsor the replacement of one of the ambulances and the purchase of a pick-up/RRV to tow the heavy trailer. A VW Transporter has been purchased post year end on 27 February 2025.

The Glastonbury Festival restricted fund represents a grant received from Glastonbury Festivals to support the grant making activities of FMS.

The Annies Assisted Ascent restricted fund was donations raised when FMS Patron, Annie Maw (a wheelchair user), who was assisted to climb to the top of the 158-metre Glastonbury Tor. In doing so she raised £16,328 to support the work of Motivation and Humanity and Inclusion who work alongside disabled and vulnerable people in 60 countries affected by poverty, conflict and disaster.

Represented by: Unrestricted Restricted
Funds Funds
£ £
Fixed Assets 287,645 -
Stock 25,334 -
Debtors and Prepayments 7,522 -
Cash at bank and in hand 497,041 26,395
Creditors (5,790) -
_ _____
At 31 October 2024 811,752 26,395

Festival Medical Services Trustees’ Annual Report and Unaudited Financial Statements for year ended 31 October 2024 (Company number: 06265957)

38

NOTES TO THE ACCOUNTS FOR THE YEAR ENDED 31 OCTOBER 2024 – Continued

13 STATEMENT OF FUNDS FOR THE YEAR ENDED 31 OCTOBER 2023

Balance as at Balance as at
31 October 31 October
2022 Income Expenditure Transfers 2023
£ £ £ £ £
Unrestricted funds 649,558 504,253 (424,260) 10,615 740,166
Restricted funds:
Bikes 2,168 - (553) (1,615) -
Glastonbury Festival - 90,000 (90,000) - -
Ukraine Campaign 35,660 106,592 (104,079)
-
38,173
Skoda - 5,000 - (5,000) -
Ukraine Tolkien Trust - 90,000 (90,000) - -
Van - 4,000 - (4,000) -
Total Restricted Funds 37,828 295,592 (284,632) (10,615) 38,173

Unrestricted funds are to be applied to the general purposes of the Charity.

Emico Building Services provided a grant of £4,000 in 2019 for the purchase of bikes used by responders at festivals The funds have been fully spent, fulfilling the conditions of the grant. The transfer to unrestricted funds represents the net book value of the purchased bikes.

The Glastonbury Festival restricted fund represents a grant received from Glastonbury Festivals to support the grant making activities of FMS.

The Ukraine Campaign restricted fund represents income and expenditure relating to medical support for Ukraine in the ongoing conflict.

The Skoda and Van funds represent donations received for specific asset purchases. These assets have been purchased fulfilling the conditions of the grants. The transfer to unrestricted funds represents the portion of the net book value purchased with the restricted donation.

Ukraine, Tolkien Trust made a grant for the purchase of specialist haemostatic trauma dressings. These dressings interact with blood to promote blood clotting and are essential to saving lives in severe trauma, especially in war zones.

Festival Medical Services Trustees’ Annual Report and Unaudited Financial Statements for year ended 31 October 2024 (Company number: 06265957)

39

NOTES TO THE ACCOUNTS FOR THE YEAR ENDED 31 OCTOBER 2024 – Continued

14 STATEMENT OF FUNDS FOR THE YEAR ENDED 31 OCTOBER 2023

Represented by:

Represented by:
Unrestricted Restricted
Funds Funds
£ £
Fixed Assets 266,102 -
Stock 14,823 -
Debtors and Prepayments 12,792 -
Cash at bank and in hand 464,895 38,173
Creditors (18,446) -
_ _____
At 31 October 2023 740,166 38,173

15 RELATED PARTY DISCLOSURES

There were no related party transactions during the year (2023: None).

16 POST BALANCE SHEET EVENT

After the year end but prior to the date of this report, the Trustees passed a resolution to amend the Memorandum of Association removing the requirement for each Member to contribute £10 on dissolution of the Company.

Festival Medical Services Trustees’ Annual Report and Unaudited Financial Statements for year ended 31 October 2024 (Company number: 06265957)

40

NOTES TO THE ACCOUNTS FOR THE YEAR ENDED 31 OCTOBER 2024 – Continued

16 STATEMENT OF FINANCIAL ACTIVITIES (INCORPORATING INCOME AND EXPENDITURE ACCOUNT) FOR THE YEAR ENDED 31 OCTOBER 2023

Restricted Unrestricted
Funds
Funds
£
£
Income
Donations and Grants
295,592
13,479
Income and Other Trading Activities
-
33,332
Income from Charitable Activities
-
452,390
Other Income
-
801
Investment Income
-
4,251
_
__
TOTAL INCOME
295,592
504,253
_
_

Expenditure
Costs of Raising Funds
Festival tickets
-
10,024
Expenditure on Charitable Activities
284,632
414,236
_

TOTAL EXPENDITURE
284,632
424,260
_

Net income for the year
10,960
79,993
Net transfers
(10,615)
10,615
_
_
Net movement in funds
345
90,608
Reconciliation of funds:
Total funds brought forward
37,828
649,558
_

Total funds carried forward
38,173
740,166
_
______
Total
Funds
2023
£
309,071
33,332
452,390
801
4,251
_
799,845
_
10,024
698,868
_
708,892
_
90,953
-
_
90,953
687,386
_
778,339
_

Festival Medical Services Trustees’ Annual Report and Unaudited Financial Statements for year ended 31 October 2024 (Company number: 06265957)

41