Trustees. Annual Report for the period Period start date Perlod end date From To Section A Reference and administration details Charlty namo Chlldren's Acute Transport Service Other names charity18 known by CATS Reglstered charlty number (If any) 1124897 Charltys princlpal address Ground Floor. Ormond House 26-27 Boswell Street London P¢>stcodo WC1N 3JZ Names of tho charlty trustees who managè thè charity Name of p•rnon lor body) •ntltl•d lo appolnl tru8t•e Ifan Trust￿ namo Offle• Ilf any) Dales acted If not fof whole year Mark Clement Lynn Shields Daniel Lutman P Ramnarayan Emma Sturgess Treasurer Secretary Names of the trustees for the charlty, If any. (for example, any cu8todlan trustees) Name Dates acted rf not for whole oar Names and addresus of advl8or8 (Opllonal informatlon) of advlser Name Address Charity Accountant Verilas Accountants 49 Peter Street. Manchester, M2 3NG Name of chiof exécutlve or names of senior staff members (Optional information) TAR March 2025 Section B Structure, overnance and mana ement Dèscription of th• charty's trusts Trust Deed Type of governing document How the charity is constituted The Charity is Constituted by trust deed with the declaration signed on 1 April 2008 Trustee selection methods As the main aim of the charity is to improve on the quality of car8 deliv8red 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 Additional governanco issues (Optlonal Inforniatlon) You may choosa lo indude additional information, where relevant, about: policies and procedures adopted for the induction and training of trustees. the charity's organisational structure and any wider n8twork with which th8 charity works; relationship with any related parties; trustees, consideratlon of major risks and the System and procedures to manage Ihem. Section C Ob"ectives and activities To relieve sickness and to promote and protect the good health of critically ill or injured chlldren by- 1)The provision of services to safely transfer the critically ill child to appropriate facilities 2)To promote best practice in the 8tabilisation and emergency transport environment 3) To advance the education of all Staff within the CATS team and at the local hospital involved in their care. 4) Supporting our staffs education training and well being Summary of the objects of the charlty sot out In Its governlng document TAR March 2025 The Children's Acute Transport Service is a specialised service designed to make intensive care rapidly available to critically ill children mainly in Ihe North Thames region although this could be anywhere in the UK depending on their clinical need. 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. Summary ofthe maln activltles undertaken for tho public benefit In relatlon to these objèct8 (Include wlthln thls sectlon the statut¢xy d•claration that trustees have had regard to the guidance Issued by tho Charity Commission on public bonofit) CATS deploy a skilled paedialric intensive care leam lo assist in the treatment of critically ill children t)oth before and during transfer to ICU. We offer telephone consultation. Ilalson wlth 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 familles from the first point of contact to the final unit deslination. The service: Provides easy access and service coordination for referrlng children's units Facilitstes 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 Facililates the delivery of Ihe most appropriate care in the most appropriate place for any infant or child requirlng Intensive Care Addftlonal details of obj•ctlves and actlvities (Optlonal Information) You may choose to include further statemenls, where relevant, about: policy on grantmaking; policy programme related investment. contribution made by volunteers. TAR March 2025 Section D Achievements and performance Summary of the maln achievements of the charity during the year One of our key aims is to ensure continued close collaboration with our referring hospitsls 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 partners. From April 2024 we have been running a hybrid platform for outreach education. We have maintained the more frequent and shorter sessions on-line for case discussions, while reintroducing on-site sessions to support simulated learning. 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 managod to dolivor has beén incredlblo and down to the commitment of our tsam. Internal 140 Twenty Minute 'snapshot" educatlon 8essions focusing on clinical management and logistical challenges of transport. These are consultsnt delivered and open to all paediatric critical care 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-cllnical staff from our service. The focus of these days are clinical and logistical challenges and leadership in critical care transport. These are delivered through immersive Simulation and group discussion. 6 practical ultrasound courses for our team as well as the Intensive care registrars and Advanced Nurse Practitioner teams High consequence infeclious diseases training for all staff - focussing on how to remain safe throughout the whole st8bilisalion and transfer process. 4 extra corporeal membrane oxygenation (ECMO), simulation days. Focusing on safe delivery of this high-risk intervention, whilst in transit 15 minute focused training for all clinical stsff, identified leaming through risk assessment, new equipment and mandatory updates. 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. 2 webinars convened to address topical injuri8s and disease including button battery ingestion, group a streptococcal and bronchiolitis. {200+ attendees) TAR March 2025 Section D Achievements and performance Faculty "One Heart Network" North Thames regional congenital heart disease day. These study days run 4 times per year and CATS consistently reGeives excellent feedback about the positive impact il makes to staff caring for acutely unwell patients in district general hospitals Contribute to the North Thames Paediatric Network, monthly educalion webinars. (500+ participants). Monthly outreach question and answer sessions for families who's baby has an antenatal diagnosis of a cardiac lesion and will need CATS input post delivery. Many of the changes we made during the pandemic to the delivery of our education programme have conlinued to be utilised going forward. with a gradual re•introduction of faCe￿t￿face sessions, and study days. The first face to face multi professional team day was very successful with the teams enjoying Ihe in- person interactions and practical scenarios that are essential to enhanc818adership and communication skills, and also have a positive effect on team building. Presentations at 9th World Congress of the World Federation of Pediatric Intensive & Critical Care Societies (WFPICCS 2024), showcasing innovation in expanding acute paedialric transport capabilities. Section E Financial review Brlef Statement of tho charlty's policy on reserves The charity received a total of £56,270 from donations In 24125. The majority of our spend was on a bespoke incubalor heatlng equipment: £4,045, parent comfort packs: £4.956, and stsff education: £7,640. 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 qutte expensive. The trustees have assessed the major risks to which the charity is exposed and are satisfied that systems are in place to mitigate exposure to major risks Details of any funds materially In deficit TAR March 2025 Further financial rnvlew details (Optional Infomiatlon) You may choose to include additional information, where relevant about: the charity's principal sources of fvnds (including any fundraising); how expenditure has supported the key objectives of the charily., investment policy and objectives including any ethical investment policy adopted. Section F Other optional information Section G Declaration The trustees doclare that they have approved the trustees, report above. Signèd on behalf of the charlty's trustees Slgnaturo(s) Full namels) Posltlon {e.g. Secretary. Chalr, etc.) Mark Clement Treasurer Date 20th October 2025 TAR March 2025 REGisfERED CHARifY NUIWL. 1124897 R•port rfll•TTu•th••¥AKI Un•udli•d Fkn•noW PAal•m•nt•fof lh• Y•w End•d 3*￿ MaKh2021 L¢xlcon MwntStr••l MarKI￿ler M2 5NT forth•Y•ar End•d JIAM¥th2025 Pa R•port altMTrnal 1 t• 3 R•p•rt•fth•TMt• forth•Y••r End•d Ilrt MvJl• T(•nswt Sw*• l• a •p¢d*•d wvK• b) m•k• intw•l¥• fgpklty i¥81￿￿• th Uftlcalty m•1Th￿ ln tIMb Noth Ihwn•• •trwh thi• In the oh th* clnkal no*l. do rnt • P•frtli•trk Int•Mhe C•r• Vrft {PICU) . p•oth•bt Is onty pTh￿j In • small mibor of •p•dulknl unh. molt ¢x#k¥l￿ 11 thfdr•n InML•Uy to INpllals vAthtyJl • PICU. Ih• ¢Xlr•n Trnn4>tsrt Sar¥t* (G4TSI thllli•t•• •d• wdy a￿draTh lo a PICU. CAT8 d•pby a ￿1•0 p••tha1￿C trrt•nth• lo 8•tht In lh• tro•trnert of dth*111 cMth•n both b¢tr• •nd thr lrnwfqf to ICU. Wa tel•pMne I*l￿n PAJbB8paclthlB 8klll•J inl•r4w#81 tr•rwt Iwlhh) ( cfthn* Trnnlport Str¥lc* to the q￿lty pi•dlarfc rt•r4h¥ ¢w• •rKI th•lr fvtrflE¥ fmm IIKI frf81polrt ofcorladto th& fiMI d•8lknalio 2. F•dltstes Imprawm•rA8 in tran4>0rt wo¥l•kn forubknty ￿1 ¢N1th￿. 3. Pro¥th• tho flexNty to m88t flu¢trJath* dem•NI% 4. Pr￿11•$ ad￿￿ IKHKyfor•l rnf•ry 6. Faclltth th• dal￿ty of lh• rn￿1 appffjpthkl w• P*c• wry krf•nt (* thld r•quth9 hil•rtho tr*¥e•r Ehdod JlatM*rdJ Z025 ACHIEVEI•IT8AKI PERFORMANCE On• of ajr kty •rwE ¢)th*J (*A• c￿lat￿nI1)n wlth ¢)w rnIBntrg au0￿ ow h) tydw $w)wJrt tlwn In tho sl•1)￿1￿ artl of the 11 rmd. We do thls ty p￿Id1￿ 8 1)ynprnhortha The sc¥)pe of •*Mion pr¢)grnr(rfne wo%rfd•J ty CATS hw Intt••i•d of ¥*r￿ phtrJnY4 Iw• f8c4ll*d more dDL*oTr aTrJ l)•lng abl• ID att•nd ow 8•54yw. T￿* th•rfty swort•J the pwcha8• 01 •ft p•* Y,.IdD' wd Kl WPPOrt •du(¥tkn Twl*h l• LXI (¥Jniltslty ints •durAtion ryovth. Vrtwt w• hkn* mir48d lo daI￿r h•s b•￿ Incr•dbkn aThJ k• 03mmkn**rfiwr t••m. Int•m . 138 Tan Mlnute •eswK• dlnmyl •rl bGl•¥c•l ol ty•r4PX fM8e aro c¢￿￿1•￿1 d￿l￿red ¥KI op•n to •1 uMk•l ￿re both m•Jk•l Nr•lr4. ¢xr c*M unh, . 3 •nTh￿l 4>Joty 64yl fl Ivs exhl Tt*QO am Inwwrtlr4 dtrl¢•l w•J •l•ff from our Th fw oftrmo dlys Mé dLrdcal k)91gik•l +*&1•￿•$ ￿1 lorthrnhlp In C￿11￿1 carn lrnrMwrL w• d•ll¥￿ed Ihrowdh S￿￿81￿1n and grnup di¢c￿￿￿. . H*h 1n1xl0￿ d*••MI trolnhp for akl *ff . on to rqm•h) ••f• th• wh1• s￿.191ttOn aThJ PfOC¢• . 15 mknLIo tMintr& for dl (**ul Btaff. ider*W IlYty4h rknk aBwwmonL mindjkny updalu. . CATS {1￿ ¥Alh > X(J att•nd••s). prknr lo fv p•*en* fv Fonffi w•• lace •x+ f•c4 wmh • ffl•xbNfft of fj) br(¥K*KJWi. {2LWJ+ attorthm) . Facdty ￿ne Hurt N&￿1[. North Thamm r*ong1 c￿19￿￿81 h•irt dlMo* *. Thom 4 tknoB pw yo•r aTrl CATS oMiit•ty recthl ox¢4lW f•<bp¢k •boul the Inwt I m•k¢• lo •lall cJdrY4 tor patiuts in diJtilc* gernral ￿)IPlI*. . Contr1￿18 k) Ihe North ThDmÉ8 Pa•Jl&trt Nolth, wJwJlbn w•bhw•. (¥JO* ￿tI￿nts), . Nl)nthly g￿.On for IAmli# tsby ha• an •niwthl dogrK8iI of a le•Kffj •rrfl VAII CATS pog1 d•W. . M¥y of the thBThJe$ w• Ihe p*thiii¢ to tho dellbw of •d￿k￿ pffjgrnmnw oy4lw•J to b• uwlwj lCrfw•￿. v*ih8 wwJu•l rtrhtrod￿lKjft ••J•iDrN aThJ . The frfst faco to f•¢x njlll téam day was i￿￿￿1￿11 w*h the to8m8 ￿JOy￿ thè lfv Inknclbx• on teaffl buildlry, FINM4CIAL REVIEW Finmd•l r￿llIOn Thg tharity re(*i¥•d • ￿•1 rf￿270 frwn domtscrf irt 24r2& Th• m•iryty w•• tVDk•. filly %ws•th. criucal ¢•n tr*nwrL' £4,2814rn1 p￿kn.. £5.125 At our ¢*wlty irKA)m• yéw ¢)ft 5*ar 18 h Is 9)m•t￿l to rw•rw of Irwm• dOnth￿ In (rtl•r IQ Oq7Jrrnlaie •JNlsfortt* purthaw of8p•dal*t m•dk•l be quite •ynshn. Th have 0$8esswJ mw lo whlch tho cl•rfty Is expos•J w• s•tirf•J Ih¥t 8yèl•rrn ￿ In pl•c• mW•t••YAxure to mw rfsk•. Gwvming docmtrt Tho dw*y ig (¥xrtffjW ty tts go¥•mlr4 do￿4￿*)1 a de•J of11￿1¥#1 etsr￿ • LmlrMpratsd P•y2 Iqrth¢Y•wEbW•d 31rtMwth2W5 STRiKTURE, GOVEIV4ANCEW4D MAWJEM Th• th•lty Is COM¥lthroJ ty trUStd￿ wlth Ih•il•dw•llcffj*w*d M 1 Aw112008, Th8 tn*•8wIK•s•r4vJ dLYlTrJ the Jw4nd up I) O* d* of$&n•￿r6 ¢1 Ihè Dtsdm L Shl¢kts mtii) •lm of lo knpruw quafty ￿ ¢4r• ¢•*￿•d to th• 17aUty111 ¢hll, •ll ol Ihe tnwlee• htr• the aThJ b• *i¢ •r¢a5 thot benéfft *oM •ddllDrnI InpuL Addlloml Tn*tses ￿11 b• ￿l•lted by P*￿ of Trt*te•s. Th• tru•t•e¥ i•wrtw*• •pm•d by th• Bowd ofTftMt•e• Il•gl•tw•d Chwlty numb•r 1124897 Pth¢lyi •dth• London f1N3JZ 18 OLkFLoI...,..15 •ryl *Jr￿d be￿11 ty,. PYJ lorth•Y•ar Efid4d 1025 J24 Ithr•$trfrt￿ Yotll ndi IMCOAIE AKI ENDOWMEMTS FROM rI)r￿lOr6 aThl lryxip 56270 Irm1￿mInt Ir￿￿1& $6.271 38249 EXPENDITURE ON Ch•rfl•bh xlMtI•• Ge¢ W•N packog NEf INCOklEI(EXPENorruRE) 31,875 (1TJ) IECONCLIATION OF FUKIS Tot•1 thJndg 137,n4 I37￿6? TQTAL FUNDS CARRKD poRW￿D 189MOg 137.734 Thi n￿•510￿1 partof these fiMn¢ièl ststements Pw4 31# M#¢lb2025 .329 31.324 T¢tsl nth Ca8h at t• 169.￿9 137.734 NET CUIIRENT A88Ef8 189,809 137.734 TOTAL AS8Efs LE88 CVR14EMf LI￿lUTES 1￿.809 137,734 189,609 137.n4 Urrt•tyl* •JrAIs 189.e( 137.734 169.609 137,734 Th• fwKa81 stat•m¢nt• w¢re app￿VOd by Board of ar￿ for on .,.,. . . tr￿ *wo on il• b¢h•ll ty. Thè notesfwm ol the* knd•l st•tMwnts P•8e S f•tth• Ywtmd¥d 2025 AccouiinNG p￿lEs The f¥wKlal sl•lWT*nts ol thAdty. wfich 18 a wbk bemfil •nlty ￿￿10r FRS 102. b*1 pr•pvwl kn a(%ordarth *lth Ihè CY*lUos SORP {FRS 102> aNI Ilwrfrvj by ¢>wM•J.' Sialemort Standard aFrAI￿bI? in UK R•pUbl￿ of lrn*rKI (FRS i¢f2) IdlBth 1 January 2019}. fin•ncl•l Repy St•ThI8￿ 102 Tr Fln•rtdal R?￿rth￿ SlaTrJ•rd th• UK R•wtylc of •xl Its Acl 2011. ststemffity boen wep8rnd wthrthe h*torfthl c￿1 co1￿￿111￿)n. l KYJyne Is reo)grJ&•d in lh• Stal¢%Mnl of Flnirn?Jl Ac*wt88 ar￿ the l*• •thm•nt tb th• It tth• bo r•eth￿l arxl th• •lK*Ufit con ￿ n*w•J r•ll8bly. Liabilit•s •ré f•CQgr4Md 08 éxp•rdkn al ¥Jon •• Ihem kn •1•9•1 or ob1haat￿n tr* *at eweNltturo. It * probAble Ilwl * of •¢or#)ft* b•r* be rn9￿red In •otlkntrl aTrl th8 •nount of Ihe oblig8lon can b• meawred r•I1￿y. Exp•nd*Jrn l• aecountal lor on an baoii ¥¥1 hu boon *j9￿Med wxlor hèadlry thal aggrW• al M•1 tr) th• catewy. b• dr•* attn'lxfjfjd hm b•an4lloc•t•d lo a&i¥lll•son a baBIB w8i8t•nl wllh lh• u8• 01rng)urt diarfty li •x•iipt tax on ita thwllabll Fund I￿•￿￿9 R8slrthd lurn18 thy b• for f•thct•d wllhkn th• obJacl• of th• tha￿, 8rtg• Iho doMr¢f r•l*J for p•rth>Aw Mtsl¢l•d F4Jrpxw. Fwther •xpl•Mtkn oflhe WPJ8• ol each *th(l•d hth• n)100 to fvw•id st•l•nwl•. EmiÉNTINCC*IE 31A25 TRU3TEe8' ReMUNatATION AND BE14EFrrs Thwe Iruth••' ty ollv b•r￿ knr ymi •thJ 31•t M*th 2025 for th• y•ar •nd•d 31st N4wch IYJ24, Tfu*•rf•xp•nM• Thorn thw• IArtee•' wan8￿ p•Sd forth8 311t Mwch 2026 n(*l)rthe yo•r•nO•U 31st March 2fA24. COMPARATNES FOR THE 8TATEMEiif QF FINANCIAL ACTMTIES IM#mnt Irwiie G•i Weu FnknrKls p•Ék89• 38,3r2 P•y6 forthe Ythf End•d31st Mllvth2025 COMPARATIVES FOR THE STATEMENT OF FIW4CIAL ACTMnE3. NET INCOMEI(EXPENDITURE) (1231 RECONCILIATION OF FUND8 Total lunds bro￿h1 fowrd 137,857 137.734 MOVEIAENT IN FUND8 Al AI 114IZ4 G¢nero1 fvrnj 137.734 31.87$ 189.& TOT￿ FUND8 137.734 31.875 169.609 mowmert h) tN• •l)ow arn M ￿brn.. Incoml •ymnrf•d Gene￿ fvnd 271 31.875 TOTAL FUND8 S8,271 4.398} 31.875 ¢•mF4rthv forrnmm•nl In fitThl• N•t At A¢ ¥4m 137.857 1123> 137,734 TOTAL FUMOS 137.857 1123) 137,734 forth• Ended5￿￿•￿kn 2015 Crn• Get W•ll Pflend• Pth91• TrJlrthg eWpmgN TiJbTI cixt 6.Ir24 5.125 4,282 1.422 11853 Fkn•ro Gmrq Foe• dd•B 1.523 2.403 AC￿)￿￿arLY4rnl lrygl le mk)t•lr•tS¥e Jup 4,678 4,867 5,577 24.396 38.372 31.875 (123) Th1)w￿l￿*S ￿ Igrrn p•rt of Iheit•iutory flnbrKi•l ￿•t￿l￿nt$ P•p9