(HARIIY Trustees. Annual Report for the period j Period start date | Monlli I Perlod end date Year From 2023 March 2024 Section A Reference and administration details Charity name Children's Acute Transport Service Other names charity is known by CATS Registered charity number (If any) 1124897 Charity's prlnclpal address Ground Floor, Omond House 26-27 Boswell Str88l London Postcode WC1N 3JZ Names of the charlty trustees who manage the charlty Name of p•rson lor body) anlltlad lo appolnt truslee Ifan Truste• name Offlce (If any) Dates actad If not for whole year Mark Clement Lynn Shields Danlel Lutman P Ramnarayan Emma Sturgess Treasurer Secretary Names of the trustees for the charlty, If any, (for example, any custodian trustees) Nam• Dates acted If not for whole ear Names and addresses of advisers (Optlonal Infonnation) e of adviser Name Address Charity Accountant Veritas Accountants 49 Peter Street. Manchester, M2 3NG Narn• of chlef executlve or names of senior staff members {Optlonal Information) TAR March 2024
Section B Structure, governance and management Description of the charity's trusts Trusl Deed Type of governlng document How the charity is constituted Ip.r,. IrLlSt ¢lS< The Charity is constituted by Irusl deed with the declaration signed on 1s1 Apiil 2008 ' pn Lom')a Trustee selection methods As the maln aim of the charity is to improve on the quality of care delivered lo the critically ill child all of the trustees have the skllls, knowledge and experlence lo be able to identify areas that would benefrt from additional charity inpul Additional trustees will be selected by Ihe existing panel of trustees Additional governance Issues (Optlonal Informatlon) You may choose to include additional information, where relevant, about: poIiGies and procedures adopted for the induction and Iraining of trustees: Ihe charity's organisational structure and any wider network wlth which the charity works; • relationshlp wlth any related parties; trustees, consideration of major risks and the system and procedures to manage them. Section C Ob"ectives and activities To relieve sickness and to promote and protect the good health of crilically ill or injured children by- 1)The piovision of setvices to safely transfer the critically ill child lo appropriate facilities 2)To promote best practice in the stabilisation and emergency transport environment 3) To advance the education of all slaff within the CATS leam and at the local hospital involved in their care. 4) Supporting our slaffs education training and well being Summary ofthe objects ofthe charity set out in its governlng document TAR March 2024
The Children's Acute Transport servi Is a specialised ser4ice designed to make intensive care rapidly available to critically ill children mainly in the North Thames region although this could be anywhere in Ihe UK depending on thelr clinical need. Most hospitals do not have a Paediatric Intensive Care Unit {picu)- paedlalric intensive care is only provided in a small number of specialist unlts. 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 thase children to a PICU. Summary of the maln actlvltias undertaken for the publlG benefrt In relation to these objects (include wlthin this sectlon the statutory declaratlon that trustees have had regard to the guidance issued by the Charity Commisslon on public benoflt) CATS deploy a skilled paediatric intensive care team to assist in the Ireatment of critically ill children bolh before and during transfer to ICU. We offer telephone consultation. liaison with sub-specialists and skilled inter-hospital transport wilhin one service. The Children's Acute Transport Service aims to provlde the hlghest quality paediatric intensive care for children and their families frorn the first point of contact to the final unlt destination. The service: Provides easy access and service coordination for referring children's units Facililates improvements in transport provislon for critically ill children Provides th8 flexibility to meet fluctuating demands Provides telephone advice and a triaging facility for all referrals FaGilltates the delivery of the most appropriate care in the most appropriate place for any infant or child requirlng Intensive Care Additlonal detalls of objectlves and activities (Optlonal information) TAR March 2024
You may choosè to include further statements, where relevant, about: policy on grantmaking; policy programme related investmenl: contribution made by volunteers. Section D Achievements and performance Summary ofthe maln achièvements of the charlty durlng the year One of our key aims is to ensure continued close collaboratlon with our referring hospitals across our gIOn in order to support them in the initial slabilisation and management of Ihe critically ill child. We do thls by providing a comprehensive outreach educatlon programme in conjunclion with our NHS partners. Since April 2020 all our oulreach sessions have been deliVed virtually offering shorter more frequent sessions, which has been well received by our district gen8ral hospitals. Th8 scope of the education programme provided by CATS has increased dramalically with use of virtual platforms which has facllitated 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 dellver has been incredible and down to the commltment of our team. Internal 138 Ten Minute 'snapshot' education sessions focusing on clinical Managernent and logisliGal challenges of transport. These are consultant delivered and open lo all paediatric criti&ql Gare trainees, both medical and nursing, across our intensive care units. 3 annual update days (7 hrs each). These are multidisciplinary sessions incorporating clinical and non-clinical staff from our service. The focus of these days are cllnical and logistiGal challenges and leadership critical car8 transport. These are delivered through immersive simulation and group discussion. 6 practical ultrasound courses for our team as well as Ihe intensive care registrars and Advanced Nurse Practitioner teams High consequence infectious diseases training for all staff - focussing on how to remain safe throughout the whole stabilisation and transfer process. TAR Mah 2024
Section D Achievements and performance 15 minule focused training for all clinical staff, identified learning Ihrough risk assessment, new equipment and mandatory updates. External CATS Forum (run Iwic8 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 dlsease Including button battery ingestion, group a streptococcal and bronchiolitis. (200+ attendees) Faculty "One Heart Network" North Thames regional congenital heart disease day. These study days run 4 times per year and CATS consistently r8C8ives excellenl feedback about the posilive impact it makes to staff caring for acutely unwell patlents In district general hospitals Contrlbute to the North Thames Paedialric Nelwork, monthly education webinars. (500+ particlpants). Monthly outreach question and answer sessions for famllles who's baby has an antenatal diagnosis of a cardlac lesion and will need CATS input post delivery. Many of the changes we made during the pandemic to Ihe delivery of our education programme have continued to be utillsed 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 in- person interactions and practlcal scenarios that are essential to enhance leadership and communicalion skills, and also have a positive effect on team building. Section E Financial review Brief statement of the charity's pollcy on reserves The charity received a total of £38,247 from donatlons in 23124. The majority of our spend was on a bespoke, fully versatlle, critlcal care transport: £22,400, and parent comfort packs: £5,959. 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 have assessed the major risks to which the charity is exposed and are satisfied that systems are in place lo mitigate exposure to major risks TAR March 2024
Detalls of any funds materially In deficit Further financlal revlew detalls (Optional infomiation) You may chooso to Indude additional information, where relevant about: the charity's principal sources of funds (including any fundraising); how expenditure has supported the key objective5 of the charity; investment poliGy and objectives including any ethlcal Investment pollcy adopted. Section F Other optional information Section G Declaration The trustees deGlare that they have approved the trustees, report above. Slgned on behalf of the charlty's trustees Signature(s) Full name(s) Position (e.g. Secretary Chalr. etc.) Mark Clement Treasurer Date 1S1 December 2024 TAR March 2024
REGISTERED CHARrrY NUMBER; Report of th• Trusto•s and Unaudltod Amnclal Stalom•nt8 fortho Year endod 31st March 2024 for Chlldren8 Ac9 Trnniport SèThl¢• Verilas Accounlants & Advisory Umlled The Lexlcon Mounl Street Manchester M2 5NT
Ildiens Acule Trarnsport Ser¥k• Contants of the Nnandal Statements lor the Year Ended 3tst Mar£h 2024 Page Roport of tho Trusts•1 I to 3 Statem•nt of Flnanclal Actlvttl•s Balanco Sho•1 Notes to the Flnanclal Stat•m•nts 6 10 9 Dotallod Slatomftnt of Flnanclal Actlv111•8 10
chllthen5Ace Transport Servke Report olihe Trnstees forthe Year Ended 31st March 2024 twslees present their report wth th8 fifianclal slatements ol Ihe tharity for the year anded 31st Mah 2024. Tho tIU51ees have adopted th8 provislons of ACuntIng and Reporflng by Charitie5: Stalemenl ol Recomrnended Practice applicable to charities preping their accounts In aco)rdance wilh tha Financial Reporting Standard appllcable In lh8 UK and Repthllc of Ireland {FRS 1021 (effectlve 1 January 20191. OBJECTIVES AND ACTivrriES ObJq¢tlv•$ and alms To relieve sickness ar#J to Fyomle and protect the good healih of critically ill or injured chlldren by• 1)The provision of seThlce$ to safely transfer the uiknc211y ill child lo approprfale faci16tle3 2)To promote best pradce in Ihe stsbilisalion aryj emergenw Iransport environment 3) To advance the education ol all slaff within the CATS team and al the Ioc41 hospit81 involv8d in their care. 41 Supportir#J our slaffs 8ducallon tralnlng and well being. Slgnthcant aGtlvltl?s The Children's AcJJi8 Transport Sefyice is a spedallsed sep4lc8 deslgned to make Intensive cAr8 rapidty available lo critically 111 ¢hlldren malnly In th8 North Thames region althoh Ihls tt+uld be anywhefe in the UK dependiTrJ on Ihelr clinlcal negd. Mosl hospllals do not hava a Paedlatrlc Inlenslve Care Urlt {PICU} paediatric inlensive care 16 onty provlded Sn a small number ol spacbalisl unils, However, K)st crlucally ill chlldren knilialty psent lo ho$ vthhout a PICU. The Chlldren's Acute Trarsport Sepiice {CATS) facililale5 Ihe safe and speedy transfer of Ihese chlklren to a PICU. CATS deploy a skllled paedialric Intensbve care team lo assisl In the Irealmenl ol ciitically ill children both before and durfng transfer to ICU. We offer telephone consullalion. Ilalson wlth su&specialists and skilled inter-hospltal transport w6thln Dne servlce. The Chlldren's Acule Transport SeNlce alms to PThKle the highest quality paedialrfc inter*lve car• for chmdren ard Ihelr famllles Irom the fir51 poinl of o)nlaci io Ihe flnal unil destinalion. The serylce: 1. Provides easy access and seDAc• coordlnallon for referring Children's units. 2. FlIlIateS Improvements In transport provi5¥Jn lor crSlKally111 thlldrnn. 3. Provldos Ihe llexiblllty lo meet fluctualing demand5. 4. Provides telephone advlce and a lrfaglng facility all relerrals. 5, Facilllate$ Ihe delfvery of the most appropriale car• In Ihe m05t appffjprfale ce for any lrfant or thild requiring Intenglve Care.
Chlldren5 Acute Transport 5eryke Report oftheTrustees lor Year Ended 31s1 Marth 2024 ACHIEVEMENT AND PERFORMANCE Charltabl? a¢tlvllle8 One of our aims 15 lo eUle nts'nUed close collaboratlon with our réferring h)spllals across our region in order 10 5UPPOrt Ihem in the initial stabllisatSon and management of the critically 111 chlld. We do this by provldlThJ a comprehensive oulreach educallon Pfografflme in conjunction I1h our NHS partners. Since April 2020 all our outreach sesslons have been delivered virtually offeTlr#J Shorter more Irequent sess10. which has been wel recelved by our di5tricl general hospltals. The scopa of the educallon programme pffjvided by CATS has Inuea5ed drdmallcally wilh use of vlrtual pla1105 whlc* hgs laclNtaled many more doctor5 and nurses being able to attend otsr s8sslons. The charity supported the pwthasa ol an online package 'Slido' used Io SUPFQrt our education wjgramme wlmch Is used cornlslentiy In the educadon we provide. What we have managed lo dellver has boen Incrndibl8 and down to Ihe commllmgnl ol our188m. Internal 138 Ten Minule 'snap5hDI' educallDn 393sions focusing on cllnical management and loglslieAI challenges ol transport. These are consulianl dellvered open lo all paedialric crilical care tratnees, both medlcal and nursing. ac53 our Inlenslve care unils. 3 amual update days17 hrn each). These are MtidI$¢t1nary sesslDns Inc4)rporallng clinical afKI non-dlnical skff from our sarvlce. The I0S of Ihese days are clirAcal and Ioglsllcal challenges and leadefBhlp In crltlcal care lrnnsport. Thgse are dellvered through immerslve slmulallon and group discussion. . 6 praclical ullra¥ound COue5 for our188m as well as the inlenslve care fegL81rarn and Advanced Nurse Pracillloner leams. - Hlgh consequance wrf•Ciio dlseases tralnlng for 911 staff . focus6ire on how to femaln sale throughoul the wt#)le stabllisalion and transfer process. . 15 mlnule locused tralning lor all cllnical staff. Ideniified leaminp Ihrough rigk 8sses%nenl. new equipmenl and mandatory updales. Extemal - CATS Fonjm Inm iwice with > 200 attendee51, prlor lo Ihe pandemlc tho Forum was fac? to wlth a maxlmum 0160 peoph per sesslon. 4 webinars o)nvened lo addre55 loplcal Injurfes and dlsease IndudlThJ button battery Ingesuon. grow a slreptococcal and IKDnchkilllis.1200+ attendees) Faculty "One Heart Nelwork- North Thame5 regional congenltal heart diseaso day. These study day5 run 4 limes per year and CATS conslslenlly receives excellenl leedback about the positive llnpacl it makes lo staff carfThJ lor aGu¢ely Thell pallents In distrlct general hospltals. - Contribule lo the North Tharnes Paeilialric Neh¥ork, monlNy education weblnarn.1S00+ participanls). Monlhly outreach queslion and answer sesslons lor families who's baby ha5 an anten3lal diagnosis of a cardlac leslon and will need CATS input post delivery. Many of the charyes we made during Ihg paleI¢ lo Ihe dellvery ol our educallon pmgmmme have conllnued lo be ulili6ed going foA¥ard. wlth a gradual r&introdtion of lace-104ace $8551ons. arKI StY days. - The fIt face lo face mullfj professional team day was very successfijl wilh the ttarns enjoywy the In- person inteoaions and wactical SC8naiios Ihat ale e55enlial to enhanGe leadership and o)mmunkallon 5k1115. and a150 heve a p06i¢ive effect on leam buildiNJ. FINANCIAL REVIEW Flnanclal posltlon The Charity received a lotsl of £38,247 from donat6ons in 23r24. The malority of ow spend was on a bvspoke, fulty veT5alile, Critical carg lrnnsport.. £22,400, arKI parent comfijrt pad(s £5,959 A5 our tharity irKrne year on year Is quite small il is sometimes nec8S5ary lo reseNe much of the income donations In ortler lo accumulate enowJh funds for the purchase of 5peclallsl medlcal equrpmenl which can be qulle expensiv8. The trusiee5 have assessed the major risks lo whith the Is exposed aryj are satisfd that systems a in place lo mlllgal8 exposwe to major fisks. STRUCTURE, GOVERNANCE AND MANAGEMENT Governlng d(Kum8nt The charlty Is o)nlrolled by ils govemSng docurnent. a deed of iru5t and constilule5 an uninCorat8d Gharity. REFERENCE AND ADMINISTRATIVE DETAILS Roglstornd Charfty numbof
Chlklren5 A(ute Transyt SeNlce ReportoftheTrnsoees lor the Year End 31st Marth 2024 PrfnGlp•l •ddress Gry)und FIc*)r Omion House 2&27 Bosweli Street London WC1N 3JZ Trust•e$ Ib l. I ..L£oi5... AppTvved by order of lh• board of tru5taes on ,..... ...... and slgnBd on its behalf by.. Pw3
ChlklTens A(ute Tramport Servlce St•t¢ment Ol Fln•Klal A¢tlvltle5 lor the Year ended 31st March 2024 31.3.24 Unrestrlcted nds 31.3.23 Tgtsl lunds Noles INCOME AND ENDOWME15 FROM Donallons end kgacies 38.248 83,955 Inveslmenl income Total 38,249 83.956 EXPENorruRE ON Raising lunds 5.598 Charltablo actlvftl&s Gel Well Friends packages 38,372 33,894 Total 38,372 39.492 NET INCOMEI(EXPENDrruRE) 11231 44.464 RECONCILIATION OF FUNDS Total lunds braughl foThvard 137,857 93.393 TOTAL FUNDS CARRIED FORWARD 137,734 137.857 The note5 fomi part ofthese financlal 5tstemen15 Page 4
Chlldrens kute Tnnspurt5eryke BalancÈ Sheet 31st Marth 2024 31.3.24 Unrestrlcted funds 31a.23 Totsl fvnds Not•$ CURREKf ASSErs Cash al bank 137,734 137,857 NET CURRENT ASSErs 137.734 137,857 TOTAL ASSEfs LESS CURRENT LIABILITIES 137.734 137.857 NEf ASSETS 137,734 137.857 FUNDS Unrestrrcted fund6 137,734 137,857 TOTAL FUNDS 137.734 137.857 The financial stalements were appffjved by Iho Board of Trustee5 and aUt58d for issuè ¢Jn signed on its behall by: l.b.l..i_.l. and werè ee The nole5 form part of these financial 5tstements Page 5
Chlldren5AculeTTrnsPDrt SeThl¢¢ Notes to th• An•nclal Stalements lor the Year Ended 31st Mah 2024 ACCOUNTING POLICIES Bas1$ of pmpawlng tho Ilnanclal statem•nts The financ¥al statements of the charity, which is a public benefit entity under FRS 102, have been prepared In accordance with the Chariliès SORP IFRS 102} 'AccounUng and Reportlng by Charitie5: Stalemenl of Recommend&J Pr4ct6ce applicable to charilles preparing Iheif accounts In accortlarKe wlth the Financial Reporting Stsndard appllcable In the UK and Repubtic of IrelaTrJ IFRS 1021 {effective 1 January 20191,, Flnancial Reporting Slandard 102 'The Fingncial Reporting Slandard appltcabla In th8 UK and Republic of lrnland, and Ihe Charbtles Act 2011. The finandal statements have been prepared under thg hislorical cost convenllon, Incom• All Incorne Is reoognised in the Slatemenl of Flnancial Actfvltles oncè th8 tharity hag entlllernenl to the furnls, it is Fyobable that Income w511 be re¢elved and the amount can be rnea5ured rellably. Expgndlture Llabilltie5 a recognlsed as expenditure as soon as Iher8 Is a legal or conslructive oblig8tlon commltllThJ the charity lo that exporltUre. 11 Is probable Ihal a transfer al economlc benefits wdl be required In 5ettlemenl and the amount ol the obllgatlon Can b8 measured rellabty. Exp8ndilure is accounted for on an accruafs basis and has been classillgd under headings that aggregate afi cost ielaled lo the category. Where costs cannot be dlrectly attrfbuled to particular headings they hav8 been allocated lo activities on a b8515 corfaSslent wllh the uso ol resources. Tax•tkni The charity Is exempl from tax on Its charllable actlvities. Fund accountlng Unreslrlcted funds can be ed in accNdance wilh the charltable ob18cli5 at Ihe dlgcrellon of th8 Iruslees, Restricted funds can only be used for partlcular reslricted purposeg wllhln objects of th? tharity. Restrklions arfise when sp•dfled by the donor orwhen funds are ralsed lor partlcular rnstri¢led pwp0s. Furiher explanallon of the nature and Puls8 ol each lund 18 Included In th• noles lo tho financial 5tstemenls. INVESTMENT INCOME 31.3.24 31.3.23 Deposit account Interest RA151NG FUNDS Rahlng donatlons and l•gacles 31.3.24 31.3.23 Support (x)sls TRUSTEES. REMUNERATION AND BENEFITS There were r tswslees, rUneral1)n ar othBr beneffts for the year eThJed 3191 Mafch 2024 nor for the year ended 3151 March 2023. Trustees, expenses There were no trustees. expenses pald for Ihe year ended 31 st March 2024 nor for tha year ended 31st March 2023. Pay6 contlnued...
Chlldren5 A(ute Transport 5enAce Motes lo the Fln•KSal Ststements- conllnued for ihe Year Ended 31st Marth 2014 COMPARATIVES FOR THE STATEMENT OF FINANCIAL ACTIVITIES UnrKtrlrted funds INCOME AND ENDOWMEKfs FROM Donation5 and legacies 83,955 Inve5tmenl income Total 83,956 EXPENDrruRÉ ON Raising funds 5,598 Ch•rltable actfvhles Gel Well Frfends pathages 33.894 39.492 NEf INCOME 44,484 RECONCILIATION OF FUND8 Total funds browht forward 93,393 TOTAL FUNOS CARRIED FORWARD 137,857 MOVEMENT IN FUND8 Nel movement fund5 At JV3124 At 114123 Unrn8trlct funds General fund 137,857 11231 137.734 TOTAL FUNDS 137,887 1123> 137.734 Net movement In lunds. Induded In the above bre as follows.. comlnl rnsources Movemenl In IndS expended Unrnslrktsd funds General tund 38,249 138,372} (1231 TOTAL FUNOS 38,249 {38,3721 11231 Palt 7 iontinued...
Chlldrens A(ule Transport Seryke Motes to th¢ FSnanclal St•temehts. ¢onl1red for Ihe Ye•r Ended 31st Marth 2024 MOVEMENT IN FUNDS- conllnu•d Comparntlves for mowament In funds Net ement In fund5 At 3113123 At 114122 Vnrnslrf¢lod funds General fund 93.393 44.464 137,857 TOTAL FUNDS 93.393 44,464 137.857 Cornparallve n81 movemenl In fuThJs. Included in the above are as follows.. Ineomlni i•sources Respr¢e$ expended Movement In lund5 Unrnstrlcted funds Genefal lund 81956 139.4921 44.464 TOTAL FUND5 83,956 139.4921 44,464 A ojrrenl year 12 rnonlhs prior year 12 monlh5 comblned p05ition15 25 follDW5.' Net mo¥em•ni h) lunds Al 3y3114 At 114122 Unrnstrlcted funds General fund 93,393 44,341 137,734 TOTAL FUNDS 93,393 44,341 137,734 A currenl year 12 monlhs and prior year 12 monlhs combined nel movemenl In funds, Included In the above are as follDWS.' Incoffil Re50urces e¥wnded Mo¥ement In UnrwJtrlcted fundg General fund 122,205 177,864) 44,341 TOTAL FUNDS 122,20S (77.864) 44.341 contlnued...
Chlktrens kute Transp(xtSendce Notes io the nnanclal Staiements- contlnued lor Ihe Year Ended 31rt M•r£h 2024 RELATED PARTY DISCLOSURES There were no related party transactlons for the year ended 31sl Marrh 2024. P•y9
Chlldwens AcyteTTan5POrtSeThl(e Oethlkd Ststem¢n¢of FIn¥Ill AEllvltles forthe Yeai Ended 31stM4r(h 2014 31.3.24 31a.23 INCOME AND ENDOWMENTS Donjtlons and Iqgaclos Gift5 Donations 38,247 B3.954 38.248 83.955 Investment Incom• Deposil account Interest Tolal Incomlng rnsourc•i 38,249 83,956 EXPENDrruRE Chafllable acllvll TralnlThJ cowses Gel Well Friends packages TralnirwJ eouipmenl 828 6.562 22,440 3.788 5.183 24,505 29.830 33.476 Supp¢ costs Anlnce Just GlvSvvJ Fea$ 562 418 othor Sundrieg 2,403 200 Govemanc• cosls Acc£Junlancy and legal lees Admlnislrailve support 720 4,857 720 4.678 5.577 5,398 Total resotrtes expended 38,372 39,492 N•t {oxpendltureyln¢ome 11231 44,464 Thi5 pa8E doe5 not lorm part of the 5totutory financSal stsiemen P38e 10