Trustees. Annual Report for the perlod Period St￿ dale Period end dale YEar From Section A Reference and administration details Charity name Chiklren's AGule Tran5POrt Service Othèr names charity is known by CATS Règist•r¢d charlty number (If any) 1124897 Charitys prlnclpal address Ground Floor. Orniond House 26-27 Boswell Stre8t London Postcode WC1N 3JZ Names of the charlty trustees who manage the charlty Nam• ol pèrson lor body) entlued to oppolnt tyu•t•• Ifan T￿￿tee name Offic• Of￿) Dates act￿ If not for wh¢J year Mark Clement Treasurer Lynn Shields Daniel Lutman P Ramnarayan Emma St￿geSs Secretary Names of the trustees for the charity. rf any, (for enmple. any custodian trustees) Name Dates aded rf not for whole ear Names and addresses of advisers {Opfjonal Inforn￿tIon) e of adviser Name Address Charity Accountant Veritas Accountants 49 Peter Street, Manchester. M2 3NG Name of chlef executive or names of senlor slaff members (Optional 5nforniation} TAR 2023 Section B Structure, overnance and management Descrlptlon of the ¢haTity's Irusts Trust Deed Type of goveming docurnent How the charity is constituted The Charity is constituted by twst deed with the declaration signed on 1$1 April 2008 Trustee selection methods As the main aim of the tharity is to improve on the quality of care delivered to Ihe cxilically ill thild all of the trustees have the skills. knowledge and experbence to be able to identify areas that would ￿nefit frc¥n additional charity inpul Additional trustees ￿11 be selected by the existiro panel of trusle8S Addltlonal governance issues (Optional information) You rnay choose to in¢￿de additional infomiation, where relevant, about: policies and procedwes adopted for the iTrJuction and Iraining of trustees: the charity's organisalional slruclure and any wider network wlth which the charity • relationship wilh any related parties: trustees, consideration of major risks and the system and procedures to manage thern. Section C Ob'ectives and activities To relieve sickness and to promote and protect the good health of criticalty ill or injured diiklren by- 1)The provision of services lo safely transfef the criticalty ill child to appropriate faalities 2)To promote besl practice in Ihe stabili5ation arKI emergency transport environmenl 3) To advance the education of all staff vrilhin the CATS team arKI at the cal hospital involved in their care. 4) Supporting our staffs education training and well being Summary of the obiects of the charlty set out in its governing document TAR March 2023 The Chihjren's Acute Transport servi￿ is a specialised service dasigned to make intensive care rapidly available to critically ill children mainly in the North Thames region allhough Ihis could be anywhere in the UK depending on their clinical need. Most hospitals do not have a Paediatrlc Intensive Cara Unit (picu}- paediatric intensive care is onty provided in a Small number of specialist units. However. most crilically ill chiklren initially present lo hospltals without a PICU. Th& Children's Acute Transport servi￿ {CATS) facilttates the safe and speedy transfer of these thildren to a PICU. Summary ofthe main actlvltles undertakon for the publi¢ benefit In relatlon to these objects (include wlthln this section the statutory declaration that trustees hav¢ had regard to the guidance Issued by the Charlty Commisslon on publlc benefft) CATS deploy a skilled paediatric intensive care team to assisl in the trealment of critically ill children both before and during transfer to ICU. We offer te18phone consultaiion. liaison with SU￿specialls¢s and skilled inter-hospital transport within one service. The Children's Acute Transport Service aims to prov¥Je the highest quality paediatric intensive care for children and their families from the first point of contact to the final unit destinaiK)n. . Provides easy acc8ss ar￿ Servi￿ coordination for referring children's units . Facli itates improvements in transport provision for critically ill children . Prowdes the fiexibility to meet fluthiating demands . Prowdes telephone advtce and a triaging facility for all referrals . Facilitates the delivery of the most appropriate care in the most appropriate pla￿ for any infant or Child requiring Intensive Care Additional detalls of objectives and a¢livitles (Optlonal InfomMtion) You may choose to ind￿8 further statements, where relevant, about: policy on grantmaking: policy programme related investmen(. contribution made by volunteers. TAR March 2023 Section D Achievements and performance Summary ofthe main achievements of the charity durlng the year One of our key aims is to ensure u)ntinued dose collaboration with our referring hospitak auoss our regicm in order lo support them in the initial stabilisalion arKI management of the criliGally ill thikj. We do this by providing a comprehensive outreach education programme in conjunction with our NHS partners. Since Apn'l 2020 all our outreach sessions have b88n delivered virtually offering shorter more frequent sessions, which has been well received by our district general hospitals. The scope of the education programme provided by CATS has increased dramatically use of virtual plattonns which has facilitsted many more doctofs and nurses beirKJ able to atterKI our sessions. The tharity supyted the purchase of an onfine package "Slido. used to supporl our educatrjn prograrnme whith is used consistently in the education we provide. What we have managed to deliver has been Incredlblè and down to the commltment of our t•am. Internal 138 Ten Minute "snapshof education sessions focusing on clinical management and logistical challenges of transP)rt. These are consultant delivered and open lo all paediatric critical care trainees. both medical and nur5irvJ. across our intensive care units. 3 annual update days (7 hr5 each). These are rnuttidisciplinary Sessions incorporating Glinical and nc￿￿clInlCal staff from our servi￿. The foojs of these days are clinical and logistical challenges and leadership in crilical Ca￿ transport. These are delivered through immersive simulation and group discussion. 6 practical ultrdsound courses for our team as well as the intensive care registrars and Advanced Nurse Practitioner teams High Consequen￿ infectious diseases training for all staff - focussing on how to remain safe throughout the whole stabilisa￿n arKI transfer process. 15 minute focus8d training for all dinir21 slaff, identtfied leaming through risk a5ses5ment. new equipment and mandatory updales. Extemal CATS Forum (wn twice with > 200 attendees). prior to the pandemic the Forum was face to face with a maximum of 60 people per session. 4 webinars convened to address topical injuries and disease including button battery ing8siion, group a strepto¢o¢cal and bronchioliti's. {2(K)+ atiendees) TAR March 2023 Section D Achievements and performance FaGulty "One Heart Ne￿ork. North Thames regional congenilal heart disease day. These study days run 4 times per year and CATS consistenuy receives excellenl feedback about the positive impact it makes lo staff cafing for acutely unwell palients In district general hospitals Contribule to Ihe North Thames Paedialric Nelworl monthly education webinars. (500+ participants). Monthly outrearh que51ion and answer sessions for families who's baby has an antenatsl diagnosi5 of a cardiac lesion and WHI need CATS input post delivery. Many of the changes we made during Ihe pandemic to the delivery of our education programme have continued to be utrfised goirKJ forward. wilh a gradual r&introduction of face-tfrface session5, and study days. The first face to face multi professional team day was very successful with the teams enjoying the in- person interaclions and practical scenarios that are essential to enhance leadership and communication skills. and also have a posilive effect on team building. Section E Financial review Brief ststement of the charity's policy on resewves The charity received a tolal of £83.954 (2022: £30,040) from donations In 2W23. The majority of our sperKI was on an Application Build £24,505 BabyPods £11.388 (2022: BabyPods £11.388) As our charity income year on year is quite small it is sometimes I necessary lo reserve much of the income donations in order to accumulate enough funds for the purchase of specialist medical equipment which can be quile 8xp8nsive. The trustees have assessed the major risks lo which the tharity is exposed arKI are satisfied that systems ar8 in place to Mit￿al& exposure lo major risks Details of any funds materially In deficit Further flnancial review delails (Optional infom&￿> TAR March 2023 You may choose to indude additional infomialion. where relevant about: the charity's principal sourc8s of funds {induding any fundraising)., how expenditure has supported the key objectives of the charity" investment policy and objectives including any ethical investment policy adopted. Section F Other optional information Section G Declaration The trustees declare that they have approved the trustees, report above. Signed on behall of the ¢haiity's t￿￿tee5 Slgnaturo(s) Full name{s) Position (e.g. Secretary. Chair, etc.) Mark Clemenl Treasurer Date 1" March 2023 TAR March 2023 Draft Financlal Stsiements at 25 J￿Y 21J23 at 10:19:32 Charity Reglstratlon No. 1124897 CHILDRENS ACUTE TRANSPORT SERVICE TIA CATS RECEIPTS AND PAYMENTS ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 Draft Flnanclal Stal•m•nts at 25 July 2023 at 16:19:32 CHILDRENS ACUTE TRANSPORT SERVICE TIA CATS LEGAL AND ADMINISTRATIVE INFORMATION Trnstees L Shrgkts DL P Ramnarwrfan M Clernenl E Sturgess Charity number 1124897 Prlnclpal address Ground Fb)Jr Ormond House 2&27 B05wel Street VICIN AGGountsnts verrfaSAcco￿lanlS Athrisw Lwniled 1st Floor 49 Peter Street Manchesler M2 3NG Draft FlThanclal Statements at 25 Juty 2023 at 16:19:32 CHILDRENS ACUTE TRANSPORT SERVICE TIA CATS CONTENTS Tfuslees. report Accountsnls. report Statement ol finan(ial ackn Balance she81 Notes to the ffinan￿￿ st*n*Ns Draft Flnanclal Stslem•nts at 25 July 2023 at 16:19:32 CHILDRENS ACUTE TRANSPORT SERVICE TIA CATS TRUSTEES, REPORT FOR THE YEAR ENDED 31 MARCH 2023 The tr￿tee$ present their reF*Jt and fnancial SIatwn￿ls lorthe yearerthd 31 2023. The accounts have been prepared on a recei)ts and pay1T￿tS ba&4 a5 confetted by s•cknn 133 of The ChaiiliesAct 2011 (Tr Charitiès Adl. comF4es Ihe Charills Trust L)eed. Objectives and actlvltles The tharily's objects are to T8le¥e sKkness to w*d yoleci the p)d health of crit**ly 11 or injured thildren by: . The wwsh)n of seThi¢es lo safdy tsansfeT Ihe uthaly 11 dthj lo apwopriale fxillies.. . To prO￿￿te best pract￿ in the emeryew trawort emfjronM￿l: . To adv￿Ce Ihe educètton of al staff Ththin CATS t&im and al the local hoswtal invol¥ed in their care. . supporti￿ our staffs, aducall￿. trainry wethekng. The policies adDpled in further￿Ce ofthese (W are from we¥ioLts yea￿. The trustees hav¢ p* due reg¥d lo giid•Ke Issued by the Chkn con￿l￿n in deciding ￿ aclivilies the charity should undgrtake. The Children's Acute TranspNI Ser￿e is a spoaased ser¥Ke deygned to m*e intensi¥e care raphjty available 10 Critic￿ty il chdthen mainly ￿ the North Thames and EaslAn* rewi5. Most hospitals do not have a Paediatric Intensive Cwe Unit (PICU) - paedi3tri¢ intertsivE care 15 orly wovided in small Mrt*er of speu81isl ur￿1$. However, m05t children in￿alY present ID hD5PTtas ￿lhOUl a PICU. Children's Acule Tr￿spOr1 Sep4ir* {CATS) fac￿lateS Ihe safe and Spe￿ tsan5fer d these children lo a picu. CATS deploy a sklled paediatric inlen5Ne care team lo a5Si51 in Ih8 treatmenl of Critically ill dmldren bolh before anil during IransfeT lo ICU. We offer teleFthone cMsultaiiM. liaison with sU￿sp￿1311$ts and skilled inlerthospilal tr￿spOrt wilhn one seNice. The Chil(ken's Acute Trnnsport Servtt aims to pyo￿de the h￿3he5{ (V￿[￿Y paediatr intensive care lor ¢hddren and their famlies from the fvsl point of contact to the fThl ￿11 desI1nat￿￿. The 5eiwce." . Pr0¥id8s easy ac¢es$ ¥wJ serite c¢>ythnalion for dkn's uimts . Faalllales Imwo¥emen15 in I￿sp￿1 provisK￿ for im c￿ren . Provides the flexibilty to meel rrtKaualuig domwyts . Provid•5 telaphcm advice and a tsiaging faclrty lor all referrals Facililaie5 the delvwy of the most apwopiiate care n the most appr4Ykle place for any tnfanl or child rBquirwwJ Inlensvn Care Draft Rnancial Statefflents at 25 J￿Y 2023 al 16:19:32 CHILDRENS ACUTE TRANSPORT SERVICE TIA CATS TRUSTEES. REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2023 Achitv•ments and perf¢nnanc• One of our key aims is to ensure thse Colab(￿lDn T*ilh w rpknwYJ Iws￿a￿ auoss our region in order lo support them In the ￿llIa1 stabilisation and management of the eJrtKaly ill ￿￿1. We do thi5 by pmmdiiy a comprehensive outreath educalion programmo in coryunction wrfh our NHS partner. Since April 2020 all ol the outreach 5essi¢ffjs ha￿ bew delvwed offeriw short¥ mole frequent se$5wJn5, whi¢h has been well recer¥ed by our thstrKI general ho$￿*1s. The scope of Ihe ed￿11￿ t￿O￿a￿l￿ womded by CATS has wfftasEd drnmaticalty w4h use of virtua5 plalfofms vthich ha5 fac*laled nvxe docltys and nurses b8wvJ aNe lo atteryj our 5essThs. The chaiity supporied the purchase of an online pathage "Sh*)" used to Supp￿ our edwa11c￿ pmgiamme which is used 0)nsist￿llY in the ethcation we prowde. What w• have maTh•ged to defver has bvon Incv•dlbl• and down to the comnth•trbt of our t•am. Int•rnal . 144 Ten Minute "snapshof gduraion sessKfflS with many dethcaled to co¥ering thg safoty aspects of Personal Prolective Eqwjmenl IPPE) with &10 attendees al eath session Wo also managed lo run 6 Ultrasound et￿rSeS for twr team as wel as Ihe inlen5ive care registrars and the Advanced Nurse Praclilioner team5 A sludy day ¢dled"l SLNve"_ Ihe tricks you need krthi lo survi¥e at CATS Pandemic trairnng for all slaff - lo(xtssing on to remain safe Ihroughwt the whole stabltsat•Dn aNI transfer pro(*ss Ext•rnal . CATS Forwn (a￿ vlith >2LKI alten￿Tr. lo the pandern￿ Ihe Fcffum was face lo face with a maximurn of 60 people per session. 6 webinar5 covering vaih)us lopKs induthg COVID 19 in chldren Ibelween 19>2crfJ+ attgndeesl Faculty'one Heart Nets¥oth" North ThamÈs regional con9enital heart di5ea5e day. These study days run 4 Ilmes per year and CATS consislenlty recei￿5 ex¢elenl fee￿a¢k aboul Ihe p05thve inwact it m*e$ lo staff caring for acutely unwell palients in district genera hosprtals In conjunction ￿1h the North Thames Paediatric Neiwoth. we dEswJned and hosled a 2 hour webinar which focused on idenlificatiw and M￿gement of presenting chldhood ilnesses. There is an appelile from hxal hospilals fvr weiwws lo en*4e ContW￿d e¢kKation delNered in bhte sile pieces. >100 participanl5. . Many of the ¢han995 we made dLWW the pandemic lo the delivery of OLf 8ducat*)n Wogra￿￿￿e have continued lo be ulllised go*vJ forward. wilh a ￿l￿odUC1VYI of faGe4trfacg $9sS￿nS and study days. The first faCe-t￿raCe muth. professional le￿ day was b*ry successful wlh Ihe leams enjoyin9 the I person Internctions and wadiral scerb¥rnS Ihat are e55ento1 to enharK9 kadership and communicatkjn skills, and also have a posrtNe effect on team IM￿dI￿j. Fln4n¢lal revlew Drdft FSnanclal Statyments * 25 J￿Y 2023 at 16:19:32 CHILDRENS ACUTE TRANSPORT SERVICE TIA CATS TRUSTEES. REPORT (CONTINUED) FOR THE YEAR ENDED 31 IAARCH 2023 The ¢haiily received a tolal of £83.95412￿.. £30.0101 from donations in 22r23. The majority of our spend was onAPP Biilds £24.50512022'. P￿lS £11,388). As ow charity incom• year on year is quite sfflal il is nac•ssary to r•ser¥e much of the incfjme dc4781ion5 in order to a¢oJmulate enwh funds ly tr* pAthase ol speoalist meth'cal equipment which can be q￿le expensive. Th¢ tTusle¢s has assossed Ihe rnaiw risks lo wl4ch ts ¢*arity 1$ exp059d. wvj are s*isf*d that syslems are place lo M￿gate exposure lo the malc* It%ks. Structure. governance and rnanagemeTht The tharity is constituled by tvusl deed ￿1h the ded8raI￿￿ on 1 Awil 21M)8 The Iwstees whts served during the year aKI to the date of styluo of the financial slalemen15 were.. L Shields O Lutman P Ramnarayan M Clement E SIuTgess AS the fflain aim oflhe charity is to imwove on the qu* of carg dekwed to ts uilicaly ill rtmld, al oftr Iruslees have M)e skills. knowledge and experiertt lo be abre to a￿a5 that woukl benefrt frum athJrtiDnal charTty input. Adthtional Twslees will be selected by Ihe extslin9 panel of Tru51ee5. The trustees. report was approved ty the Board 0fTn￿lee* ,fr- fvdJ elds Truste8 Daled_ Draft Financial Statements at 25 July 2023 at 1fj:19:3Z CHILDRENS ACUTE TRANSPORT SERVICE TIA CATS CHARTERED ACCOUNTANTS. REPORT TO THE TRUSTEES ON THE PREPARATION OF THE UNAUDITED STATUTORY FINANCIAL STATEMENTS OF CHILDRENS ACUTE TRANSPORT SERVICE FOR THE YEAR ENDED 31 MARCH 2023 In order lo assist you lo fulffl your duties under the Chwiiies ALt 2011. y￿ have Prepared for your approval the finanual slalemenls of Childfens A￿le Transport Ser¥ice Ihe year ended 31 March 2023. set out on pages lo 9 from the charity's ¥Aunt•ig records and from inform￿ and ey•kn*kins you ha¥8 gv•n As a Prac￿Sing member ol ihe A5$￿Yat￿)n of Chartered certif￿ Acco￿tants. we are subiect lo its etl)i¢al and other professiona requirement$ which ¥e detaded at htty.'Ifvnvw.￿a￿￿JbaI.CornlenImeMberlproless10na 5tandaTd5fvule5v5tarVJard￿aC¢aVr￿lelx$0k.htr This repNI 15 made to the tharty'5 truslees, as a body, in acc￿￿anCe with ￿ tomis of ow engagement kller dated 9 June 2019. woth has been underlaken solety to prepare I￿ your approval ffinan¢Sal sialements of Childrens A￿¢ Transport Ser¥ice and State those mallets that we have agreed lo stsle io the ch￿ty,5 trustees. as a body, in this report in a¢￿Idance Vlith the requirements ol ihe A5soc4ation of Chartered Certified A¢countsnlS as detailed al htlpjfvh￿.ac¢a￿ob￿.cOMIc(￿IenVdOmIACCA_GI0ba￿ech1mcavracIftechnThl.fa￿Sheel-l63.pdr. To the fullest exienl permitled by law. we do not a¢cept or assume ￿SpOns*1111ty to anyone other than Chilthens Acute Transport ServKe and the chwW$ trustees as a t￿dy. for or tl¥s iewL 11 is your duty lo ensure Ihat Chli drèns A¢￿ Transptyi has kep¢ a(kquate accounting records and lo propare slalulory finanual statements that a Irue armj fair of Ihe assets, liabrfities. fmancial posHlon and surplus of Childrens Acule Transporl seTh￿￿. You ccrfNder that chi￿￿en5 Acvle Trarwrt Swwce is exempt from Ihe stsluw autht requirgrnent lor ts yw. aTrl is nol requwed to obtain an w¥JepeThJent examinets rep¥M. We have not been instructed to ca￿Y out ￿ audit ￿ a review of the finanL?al s131emenls of Childrens Acute Transport SeNce. For Ihis reasw. we have not Verified the or eompleteness of the act￿lI1n9 records or Mifomialion and explanati￿$ you have gNen to us and we do not. therelore. express opirmon on the slalulory fin￿¢181 slalements. Veritas Accountsrbts and Ad¥lsory Lknlted 1st Fh)or 49 Peter Street Manchester M2 3NG Draft Flnancial Ststements al 25 2023 al 16:19:32 CHILDRENS ACUTE TRANSPORT SERVICE TIA CATS STATEMENT OF FINANCIALACTMTIES INCLUDING INCOME AND EXPENDtruREACCOUNT FOR THE YEAR ENDED 31 MARCH 2023 2023 2022 Not•s Oonalions and189a￿S Investmenls 83,954 Toial In¢4)m• 83,gSS 30.041 Ex endI￿rn on: Charitabk ac¢ivitws 39.491 29,142 Net Income for the yearl Net movement In funds 899 Fund baL4nces al 1 2022 93.393 92,494 Fund balanees at 31 March 2023 137.857 93.393 DThft Flnanclal Stsl8m•nts al 25 July 2023 at 16:19:32 CHILDRENSACUTE TRANSPORT SERVICE TIA CATS BALANCE SHEET AS Af31 MARCH 2023 2023 2022 Current assets Cash at bank and in hand 137,B57 93.393 Nel currenl assets 137.857 93.393 Income funds Unrestricted fund5 137.857 93.393 137.857 93.393 The financial stsiements were apptoved by the Twslees on......................... L Shield$ Trust•• Dnft Flnan¢lal Ststrmvnts at 25 Jufy 2023 at 16:19:32 CHILDRENS ACUTE TRANSPORT SERVICE TIA CATS BALANCE SHEET {CONTINUEDI AS AT31 MARCH 2023 Crftlcal accountSng estknat•s and ludgornnts In the application of the ehaiilys attounlwig pok*s, thè Intslees are required lo makejudgeff*nts. estimales d assumptions about Ihe Ca￿yIng amount ol assets and li4b*lies Ihat are not readly apwent from other Sources. The eslwnates and associated aSSumpti￿S we based on hisiorical eXperie￿e other fact￿ that e consid&r8d lo be relevant Actual results may d￿er from thèse estyhates. The e51imales underfying assumptK)ns are reyiewed on an ongoing basi5. Revision5 to accounting e51irnate5 are recognised in the peiiod in which the estimate is revised vthore tho rgvision affects only that period. or in Ihe perxjd of Ihe re¥isfr)n future tthre fv re4ision affgcts bolh current and future periods. D¢>n*ilon$ and legacies 2023 2022 Donations and gifts 83.954 30.040 Inveslmènls 2023 2022 Interest receNa￿e Draft Flnanclal Stalements at 2S July 2023 at 16:19:32 CHILDRENS ACUTE TRANSPORT SERVICE TIA CATS BALANCE SHEET (CONTINUED) ASAT31 MARCH 2023 ChaiTtable actfvhle 2023 2022 Courses Get Well Fiiends pa¢kages Trairing equ¥wnenl Travel Sundrtes Charitable eXp￿diture head¥q 8 2,236 8,950 24.505 1.194 1.731 1.624 11.388 27.430 24.198 Share of supwt cosls {see n(%e 5) Share ol govwnan¢e cos15 (seo nole 5) 216 4.728 I2.￿1 39.491 29.142 AThatys15 by lund Unrestricted f￿￿5 39.491 39.491 For the y•ar ended 31 March 2022 unre51T￿ted l￿d$ 29.142 29.142 Support costs 2023 1022 Ba¥1$ ol allo¢atlon costs costs Just Giving fee 417 417 216 Supp￿1 Accountr￿Y Administrative SUpp￿i 720 10.924 720 Govemanee 4.1Th Govemance 10,924 417 11.644 12,061 atysed beiween Ch*itabl& activities 12,061 12.061 WAR14WG- DOES NOT AGREE 141TI 417 Oraft Financial Statements at 25 July 21123 at 16:19:32 CHILDRENS ACUTE TRANSPORT SERVICE TIA CATS BALANCE SHEET (CONTINUED) AS AT31 MARCH 2023 Trust•os None of ihe Iruslee5 lo￿ ￿ petsons connecled wilh them) recei%ed any re￿￿jnerat1tsn or benèfls from the tharity during Ihe year. Employ•Ès T￿re no wry4oyees durng Ihe year. R•lated party tsansactions There wer& disdosable related party tr￿dK￿$ dwv¥J Ihg year (2022. n(Th). **Charity Registration No. 1124897** ## **CHILDRENS ACUTE TRANSPORT SERVICE** ## **T/A CATS** **RECEIPTS AND PAYMENTS ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023** ## **CHILDRENS ACUTE TRANSPORT SERVICE T/A CATS LEGAL AND ADMINISTRATIVE INFORMATION** |**Trustees**|L Shields| |---|---| ||D Lutman| ||P Ramnarayan| ||M Clement| ||E Sturgess| |**Charity number**|1124897| |**Principal address**|Ground Floor| ||Ormond House| ||26-27 Boswell Street| ||London| ||WC1N 3JZ| |**Accountants**|Veritas Accountants and Advisory Limited| ||1st Floor| ||49 Peter Street| ||Manchester| ||M2 3NG| ## **CHILDRENS ACUTE TRANSPORT SERVICE T/A CATS CONTENTS** ||**Page**| |---|---| |Trustees' report|1 - 3| |Accountants' report|4| |Statement of financial activities|5| |Balance sheet|6| |Notes to the financial statements|7 - 10| ## **CHILDRENS ACUTE TRANSPORT SERVICE T/A CATS TRUSTEES' REPORT** ## _**FOR THE YEAR ENDED 31 MARCH 2023**_ The trustees present their report and financial statements for the year ended 31 March 2023. The accounts have been prepared on a receipts and payments basis, as conferred by section 133 of The Charities Act 2011 ("The Charities Act"), and complies with the Charity's Trust Deed. ## **Objectives and activities** The charity's objects are to relieve sickness and to promote and protect the good health of critically ill or injured children by; - The provision of services to safely transfer the critically ill child to appropriate facilities; - To promote best practice in the stabilisation and emergency transport environment; - To advance the education of all staff within CATS team and at the local hospital involved in their care. - Supporting our staffs’ education, training and wellbeing. The policies adopted in furtherance of these objects are unchanged from previous years. The trustees have paid due regard to guidance issued by the Charity Commission in deciding what activities the charity should undertake. The Children’s Acute Transport Service is a specialised service designed to make intensive care rapidly available to critically ill children mainly in the North Thames and East Anglia regions. Most hospitals do not have a Paediatric Intensive Care Unit (PICU) - paediatric intensive care is only provided in a small number of specialist units. However, most critically ill children initially present to hospitals without a PICU. The Children’s Acute Transport Service (CATS) facilitates the safe and speedy transfer of these children to a PICU. CATS deploy a skilled paediatric intensive care team to assist in the treatment of critically ill children both before and during transfer to ICU. We offer telephone consultation, liaison with sub-specialists and skilled inter-hospital transport within one service. The Children’s Acute Transport Service aims to provide the highest quality paediatric intensive care for children and their families from the first point of contact to the final unit destination. The service: - Provides easy access and service coordination for referring children’s units - Facilitates improvements in transport provision for critically ill children - Provides the flexibility to meet fluctuating demands - Provides telephone advice and a triaging facility for all referrals - Facilitates the delivery of the most appropriate care in the most appropriate place for any infant or child requiring Intensive Care - 1 - ## **CHILDRENS ACUTE TRANSPORT SERVICE T/A CATS** ## **TRUSTEES' REPORT (CONTINUED)** ## _**FOR THE YEAR ENDED 31 MARCH 2023**_ ## **Achievements and performance** One of our key aims is to ensure close collaboration with our referring hospitals across our region in order to support them in the initial stabilisation and management of the critically ill child. We do this by providing a comprehensive outreach education programme in conjunction with our NHS partner. Since April 2020 all of the outreach sessions have been delivered virtually offering shorter more frequent sessions, which has been well received by our district general hospitals. The scope of the education programme provided by CATS has increased dramatically with use of virtual platforms which has facilitated many more doctors and nurses being able to attend our sessions. The charity supported the purchase of an online package “Slido” used to support our education programme which is used consistently in the education we provide. ## **What we have managed to deliver has been incredible and down to the commitment of our team.** ## **Internal** - 144 Ten Minute “snapshot” education sessions with many dedicated to covering the safety aspects of Personal Protective Equipment (PPE) with 6-10 attendees at each session - We also managed to run 6 Ultrasound courses for our team as well as the intensive care registrars and the Advanced Nurse Practitioner teams - A study day titled “I will survive” – the tricks you need know to survive at CATS - Pandemic training for all staff – focussing on how to remain safe throughout the whole stabilisation and transfer process ## **External** - CATS Forum (run twice with >200 attendees), prior to the pandemic the Forum was face to face with a maximum of 60 people per session. - 6 webinars covering various topics including COVID 19 in children (between 190-200+ attendees) - Faculty “One Heart Network” North Thames regional congenital heart disease day. These study days run 4 times per year and CATS consistently receives excellent feedback about the positive impact it makes to staff caring for acutely unwell patients in district general hospitals - In conjunction with the North Thames Paediatric Network, we designed and hosted a 2 hour webinar which focused on identification and management of common presenting childhood illnesses. There is an appetite from local hospitals for such webinars to enable continued education delivered in bite size pieces. >100 participants. - Many of the changes we made during the pandemic to the delivery of our education programme have continued to be utilised going forward, with a gradual re-introduction of face-to-face sessions and study days. - The first face-to-face multi professional team day was very successful with the teams enjoying the inperson interactions and practical scenarios that are essential to enhance leadership and communication skills, and also have a positive effect on team building. **Financial review** - 2 - ## **CHILDRENS ACUTE TRANSPORT SERVICE T/A CATS TRUSTEES' REPORT (CONTINUED)** ## _**FOR THE YEAR ENDED 31 MARCH 2023**_ The charity received a total of £83,954 (2022: £30,040) from donations in 22/23. The majority of our spend was on APP Builds £24,505 (2022: Baby Pods £11,388). As our charity income year on year is quite small it is sometimes necessary to reserve much of the income donations in order to accumulate enough funds for the purchase of specialist medical equipment which can be quite expensive. The trustees has assessed the major risks to which the charity is exposed, and are satisfied that systems are in place to mitigate exposure to the major risks. ## **Structure, governance and management** The charity is constituted by trust deed with the declaration signed on 1 April 2008 The trustees who served during the year and up to the date of signature of the financial statements were: L Shields D Lutman P Ramnarayan M Clement E Sturgess As the main aim of the charity is to improve on the quality of care delivered to the critically ill child, all of the trustees have the skills, knowledge and experience to be able to identify areas that would benefit from additional charity input. Additional Trustees will be selected by the existing panel of Trustees. The trustees' report was approved by the Board of Trustees. .............................. ## **L Shields** Trustee Dated: ......................... - 3 - ## **CHILDRENS ACUTE TRANSPORT SERVICE T/A CATS** ## **CHARTERED ACCOUNTANTS' REPORT TO THE TRUSTEES ON THE PREPARATION OF THE UNAUDITED STATUTORY FINANCIAL STATEMENTS OF CHILDRENS ACUTE TRANSPORT SERVICE FOR THE YEAR ENDED 31 MARCH 2023** In order to assist you to fulfil your duties under the Charities Act 2011, we have prepared for your approval the financial statements of Childrens Acute Transport Service for the year ended 31 March 2023, set out on pages to 10 from the charity’s accounting records and from information and explanations you have given us. As a practising member firm of the Association of Chartered Certified Accountants, we are subject to its ethical and other professional requirements which are detailed at http://www.accaglobal.com/en/member/professionalstandards/rules-standards/acca-rulebook.html. This report is made to the charity's trustees, as a body, in accordance with the terms of our engagement letter dated 9 June 2019. Our work has been undertaken solely to prepare for your approval the financial statements of Childrens Acute Transport Service and state those matters that we have agreed to state to the charity's trustees, as a body, in this report in accordance with the requirements of the Association of Chartered Certified Accountants as detailed at http://www.accaglobal.com/content/dam/ACCA_Global/Technical/fact/technical-factsheet-163.pdf. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than Childrens Acute Transport Service and the charity's trustees as a body, for our work or for this report. It is your duty to ensure that Childrens Acute Transport Service has kept adequate accounting records and to prepare statutory financial statements that give a true and fair view of the assets, liabilities, financial position and surplus of Childrens Acute Transport Service. You consider that Childrens Acute Transport Service is exempt from the statutory audit requirement for the year, and is not required to obtain an independent examiner's report. We have not been instructed to carry out an audit or a review of the financial statements of Childrens Acute Transport Service. For this reason, we have not verified the accuracy or completeness of the accounting records or information and explanations you have given to us and we do not, therefore, express any opinion on the statutory financial statements. ## **Veritas Accountants and Advisory Limited** ......................... 1st Floor 49 Peter Street Manchester M2 3NG - 4 - ## **CHILDRENS ACUTE TRANSPORT SERVICE T/A CATS** ## **STATEMENT OF FINANCIAL ACTIVITIES INCLUDING INCOME AND EXPENDITURE ACCOUNT** ## _**FOR THE YEAR ENDED 31 MARCH 2023**_ |**Notes**
**Income from:**
Donations and legacies
**3**
Investments
**4**
**Total income**
**Expenditure on:**
Charitable activities
**5**
**Net income for the year/**
**Net movement in funds**
Fund balances at 1 April 2022
**Fund balances at 31 March 2023**|**2023**
**£**
83,954
1
83,955
39,491
44,464
93,393
137,857|**2022**
**£**
30,040
1| |---|---|---| |||30,041| |||29,142| |||899
92,494| |||93,393| - 5 - ## **CHILDRENS ACUTE TRANSPORT SERVICE T/A CATS BALANCE SHEET** ## _**AS AT 31 MARCH 2023**_ |**Notes**
**Current assets**
Cash at bank and in hand
Net current assets
**Income funds**
Unrestricted funds
The financial statements were approved by the Trustees on|**2023**
**£**
137,857
.........................|**£**
137,857
137,857
137,857|**2022**
**£**
93,393|**£**
93,393| |---|---|---|---|---| |||||93,393| |||||93,393| |||||| .............................. L Shields **Trustee** - 6 - **CHILDRENS ACUTE TRANSPORT SERVICE T/A CATS NOTES TO THE FINANCIAL STATEMENTS** _**FOR THE YEAR ENDED 31 MARCH 2023**_ ## **1 Accounting policies** ## **Charity information** Childrens Acute Transport Service is a INSERT CONSTITUTIONAL DETAIL. ## **1.1 Accounting convention** The financial statements have been prepared under the receipts and payments method. Receipts and payments accounts contain a summary of money received and spent during the period and a list of assets and liabilities at the end of the period. Cash received and spent includes assets and liabilities at the end of the period. Cash received and spent includes transactions made through bank accounts and cash transactions. The financial statements are prepared in sterling, which is the functional currency of the charity. Monetary amounts in these financial statements are rounded to the nearest £. The financial statements have been prepared under the historical cost convention. ## **1.2 Going concern** At the time of approving the financial statements, the trustees have a reasonable expectation that the charity has adequate resources to continue in operational existence for the foreseeable future. Thus the trustees continue to adopt the going concern basis of accounting in preparing the financial statements. ## **1.3 Charitable funds** Unrestricted funds are available for use at the discretion of the trustees in furtherance of their charitable objectives unless the funds have been designated for other purposes. Restricted funds are subject to specific conditions by donors as to how they may be used. The purposes and uses of the restricted funds are set out in the notes to the financial statements. Endowment funds are subject to specific conditions by donors that the capital must be maintained by the charity. ## **1.4 Incoming resources** Income is recognised when it is received. Legacies are recognised on receipt. ## **1.5 Resources expended** ## **1.6 Cash and cash equivalents** Cash and cash equivalents include cash in hand, deposits held at call with banks, other short-term liquid investments with original maturities of three months or less, and bank overdrafts. Bank overdrafts are shown within borrowings in current liabilities. ## _**Basic financial assets**_ Basic financial assets, which include debtors and cash and bank balances, are initially measured at transaction price including transaction costs and are subsequently carried at amortised cost using the effective interest method unless the arrangement constitutes a financing transaction, where the transaction is measured at the present value of the future receipts discounted at a market rate of interest. Financial assets classified as receivable within one year are not amortised. - 7 - **CHILDRENS ACUTE TRANSPORT SERVICE T/A CATS NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)** _**FOR THE YEAR ENDED 31 MARCH 2023**_ ## **1 Accounting policies** **(Continued)** ## _**Basic financial liabilities**_ Basic financial liabilities, including creditors and bank loans are initially recognised at transaction price unless the arrangement constitutes a financing transaction, where the debt instrument is measured at the present value of the future payments discounted at a market rate of interest. Financial liabilities classified as payable within one year are not amortised. Debt instruments are subsequently carried at amortised cost, using the effective interest rate method. Trade creditors are obligations to pay for goods or services that have been acquired in the ordinary course of operations from suppliers. Amounts payable are classified as current liabilities if payment is due within one year or less. If not, they are presented as non-current liabilities. Trade creditors are recognised initially at transaction price and subsequently measured at amortised cost using the effective interest method. ## _**Derecognition of financial liabilities**_ Financial liabilities are derecognised when the charity’s contractual obligations expire or are discharged or cancelled. ## **2 Critical accounting estimates and judgements** In the application of the charity’s accounting policies, the trustees are required to make judgements, estimates and assumptions about the carrying amount of assets and liabilities that are not readily apparent from other sources. The estimates and associated assumptions are based on historical experience and other factors that are considered to be relevant. Actual results may differ from these estimates. The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised where the revision affects only that period, or in the period of the revision and future periods where the revision affects both current and future periods. ## **3 Donations and legacies** |Donations and gifts
**4**
**Investments**
Interest receivable|**2023**
**£**
83,954
**2023**
**£**
1|**2022**
**£**
30,040| |---|---|---| |||**2022**
**£**
1| - 8 - ## **CHILDRENS ACUTE TRANSPORT SERVICE T/A CATS NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)** ## _**FOR THE YEAR ENDED 31 MARCH 2023**_ ## **5 Charitable activities** |Courses
Get Well Friends packages
Training equipment
Sundries
Share of support costs (see note 6)
Share of governance costs (see note 6)
**Analysis by fund**
Unrestricted funds
**For the year ended 31 March 2022**
Unrestricted funds
**Support costs**
**Support**
**costs**
**Governance**
**costs**
**£**
**£**
Just Giving fee
417
-
Accountancy
-
720
Administrative Support
-
4,678
417
5,398
Analysed between
Charitable activities
417
5,398|**2023**
**£**
417
720
4,678
5,815
5,815|**2023**
**2022**
**£**
**£**
3,788
2,236
5,183
8,950
24,505
11,388
200
1,624
33,676
24,198
417
216
5,398
4,728
39,491
29,142
39,491
39,491
29,142
29,142
**2022 Basis of allocation**
**£**
216 Support
720 Governance
4,008 Governance
4,944
4,944|**2022**
**£**
2,236
8,950
11,388
1,624| |---|---|---|---| ||||24,198
216
4,728| ||||29,142| ||||29,142| ||||29,142| ## **6 Support costs** ## **7 Trustees** None of the trustees (or any persons connected with them) received any remuneration or benefits from the charity during the year. - 9 - ## **CHILDRENS ACUTE TRANSPORT SERVICE T/A CATS NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)** ## _**FOR THE YEAR ENDED 31 MARCH 2023**_ ## **8 Employees** There were no employees during the year. ## **9 Related party transactions** There were no disclosable related party transactions during the year (2022 - none). - 10 -