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2021-03-31-accounts

HOXTON HEALTH (A charitable company limited by guarantee) REPORT AND FINANCIAL STATEMENTS YEAR ENDED 31 MARCH 2021

Company Number: 06766670 Registered Charity Number: 1127769

HOXTON HEALTH (A company limited by guarantee)

CONTENTS rn

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||||| |---|---|---|---| |Page| |Reference and Administrative|Information|1| |Report of the Management|Committee|2| |Independent|Examiner’s Report|7| |Statement|of Financial|Activities|8| |Balance|Sheet| |9| |Notes to the Accounts|10|

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HOXTON HEALTH (A company limited by guarantee) REFERENCE AND ADMINISTRATIVE INFORMATION

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Directors / Trustees Susan Chambers Chair Dr Laura Lyttleton Treasurer (resigned December 2020) Gerry Harris Carolyn Clark Alevizos Alevizakos Treasurer (appointed March 2021) Alison Apthorp Appointed March 2021 Beverley Morris Appointed October 2021 Anna Sizer Appointed August 2021

Company Secretary Janet Cobill Until 34st January 2021 Jackie Brett From 1st February 2021

Registered Office and Operation Address 2nd Floor St Leonards Hospital, Nuttall Street, London N1 5LZ

independent Examiner Timothy Geddes FCA DchA 147 Glenarm Road London E5 ONB

Bankers CAFBank 25 King’s Hill Avenue King’s Hill West Malling ME19 4JQ

Company Registration number 6766670 Charity Registration number 1127769

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HOXTON HEALTH {A company limited by guarantee) REPORT OF THE MANAGEMENT COMMITTEE FOR THE YEAR ENDED 31 MARCH 2021 i The Trustees are pleased to present their report along with the financial statements of the charity for the year ended 31 March 2021, The accounts are prepared under the Statement of Recommended Practice, the Financial Reporting system applicable in the UK and Republic of Ireland and the Companies Act 2006.

Public Benefit

Hoxton Health trustees have regard of the Charity Commission's public benefit guidance when reviewing the aims, objectives and activities of the charity. Hoxton Health offers a range of one to one and group activities designed to support older people to maintain or improve their health and wellbeing. Summary of the year WeGuidance. were not able to offer the full range of our activities for much of the year due to Covid 19 and Government We were closed between March 2020 and November 2020 and closed again in January 2021 until March 2021. However when we could not provide face to face treatments in Clinic we did provide: . home visits in foot health and other therapies, . welfare calls to check how people were coping in lock down . Zoom coffee mornings

We commissioned an independent user survey to see what the people who use Hoxton Health think could be improved about our services. In the year we provided 235 face to face treatments either in clinic or as home visits. Our client group are older people with one or more long term health conditions. We operate in an inner city borough with high levels of deprivation. Many of the people who use our services are from Black and Ethnic Minority communities. Between ist March and 30th April 2020, 33,841 people died in the UK due to Covid. It was widely recognised and reported at the time that older people, people from minority communities and people from lower socio — economic groups were most at risk of developing serious illness and dying. This reflects our service user base so we were very concerned for their physical and mental health. We reopened our clinic cautiously in November 2020, with 15 minute breaks between appointments to air and cleanse the rooms, limits to the amount of people in the waiting room but we did not reopen after the Christmas break as January 2021 saw the worst phase of the pandemic with 32,049 people dying in the UK due to Covid in one month. We reopened in March with the same precautions. We were able, thanks to the Awards for All grant, to commission therapists to call their clients and ex-clients to assess how they were and, where necessary, to provide home visits. We set up a zoom coffee morning for those on zoom. In November 2021, we commissioned a survey both to look at how our services could be improved when they reopened and to see how people were coping in lock down. ° 10% of participants had not left their home since March 2020. ° 60% of participants reported feeling lonely, isolated, or scared of going outside. ° Those people living with someone or having family members living close by were coping only slightly better than those living alone.

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HOXTON HEALTH (A company limited by guarantee)

REPORT OF THE MANAGEMENT COMMITTEE

FOR THE YEAR ENDED 31 MARCH 2021

ee Fundraising City Bridge Trust had previously extended our grant to January 2021 and they allowed us to convert an element of this into core funding. This was extremely helpful and enabled us to reopen in November.

We also received a Covid Response grant and Big Lottery Awards for All grant that enabled us to keep phoning people and offer home visits to people most in need. In October 2020 we were awarded a contract from City & Hackney CCG which enabled us to restart our toe nail cutting service, and provide home visits to older people, people with poor mobility and carers.

We are especially grateful to the City & Hackney Clinical Commissioning Group for paying our premises costs.

Financial Review The grants and contract were essential but we would not have retained our staff through this year without the Government furlough scheme. Hoxton Health offers subsidised therapies and the fees make up about 50% of our income. In the financial year 2019/20 we earned £58,858 in fees, but in 2020/21 we only earned £4,298 in fees. We incurred additional costs when open as we were paying therapists to cleanse and ventilate between appointments and we invested in PPE and sanitisers.

We anticipate rebuilding our services incrementally in 2021 as we are not sure how older people will feel about one to one therapies. We anticipate having higher costs as a result of late cancellations due to Covid and the need to take Covid precautions as outlined above.

Reserves policy

The trustees review their reserve policy periodically and aim to retain an adequate sum in a designated fund to ensure the continuity of activities; between 3 - 6 months costs. This is so that, in the event of a significant drop in funding, the charity can continue its current activities while consideration is given to ways in which additional funds can be raised. Because of the shortfall in unrestricted income in the year, only £5,000 of unrestricted reserves has been retained in a designated fund. This leaves a balance of unrestricted reserves of £3,019 in a general fund. In addition, restricted funds of £67,032 (2020: £38,320) are carried forward. For more details, see note 12(a) to the accounts.

Investment Policy The charities policy is to invest any surplus money in bank accounts earning interest.

Going Concern

The Trustees at the date of signing the report and accounts consider the charity a going concern based on their assessment of existing funds and secured income for the next year.

Risk Management Hoxton Health has a formal risk management process where risks are identified and are ranked by likelihood and impact. The board then considers mitigations. This leads to a risk control document that is reviewed at every board meeting.

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HOXTON HEALTH (A company limited by guarantee)

REPORT OF THE MANAGEMENT COMMITTEE (continued) FOR THE YEAR ENDED 31 MARCH 2021

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||||||||||| |---|---|---|---|---|---|---|---|---|---| |Risk areas| |Risk|Action taken to mitigate risk| |Ensuring adequate|Staffing|in event of|Identifying|local cover who can run the clinic|if| |staff sickness|both|staff members are off sick| |Too much reliance;|on one funder|withidentifying other agencies new funders and new partnerships| |Inappropriate;|Financial.|.|Procedures|Work|with|self-employed|book|keeper.|Board| |oversees|financial|procedures.| |That|Ensure|regular meetings with CCG|re|rent so can| |premises are no longer available|||get early warning|if St Leonards|is going to be re| |Failure|developed| |funded|to deliver contract / grant|Ensure|all systems|in place and staff capacity to| |programmes|deliver| |Minimisingae|health and eafaty risks.|HealthRegular and risk Safety assessments policy.|Lonein|compliance working|policywith|our| |and|contract with|lone worker alarm|oraanisation| |Impact|Alongside our health|and safety procedures we| |of Covid|19 or other|viral|have comprehensive|Covid procedures.|We| |outbreaks s|ensure adequate ventilation and PPE for all| |people|using|our|premises| |esr‘|funds to continue.|as a going:|thereThe Board are sufficient regularly funds reviews to meet forecasts liabilities to ensure as| |they|fali|due| |Future Plans| |The Trustees’|main priority|is to build|up the|clinic activity so the resources we have, the two treatment rooms, are| |permitting).used to their full capacity again.|Once this|is achieved,|we|will look at developing new projects and groups (Covid| |In addition|Trustees used the year of lock down|to employ consultants to assess our strengths and weaknesses as an| |organisation.|The Consultants made a number of recommendations that we aim to implement over the next year:|

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HOXTON HEALTH (A company limited by guarantee)

REPORT OF THE MANAGEMENT COMMITTEE (continued)

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FOR THE YEAR ENDED 31 MARCH 2021

Structure Governance and Management

Legal Status

Hoxton Health is a company limited by guarantee incorporated on 5th December 2008. It was also registered as a Charity with the Charity Commission on 29th January 2009. The company is governed by its Memorandum and Articles of Association. Membership of the company at 30th March 2021 consisted of the board. Each member has agreed, if necessary, to pay £10 in the event of the charity winding up.

Trustees The Trustees at the date of this report are shown on the reference and administrative page (page 1). The directors of the charitable company (the charity) are the trustees for the purposes of charity law and throughout this report are referred to as Trustees. They make up the Board of Trustees or Management Committee.

Recruitment and Appointment of Trustees Trustees with relevant experience are recruited via agencies such as East London Business Alliance and from our membership. These are then co-opted onto the Board, by agreement of the board.

Trustee Induction and Training New Trustees are given the Memorandum and Articles of Association and other literature relating to the organisations and its work. They are briefed on their legal obligations under Charity and Company Law and the recent financial performance of the Charity. Trustees have been inducted via virtual meetings this year, meeting with other trustees and the manager. They have also been given a role description of their roles and responsibilities. Trustees are encouraged to attend external learning events and/ or join networks such as the Honorary Treasurers Forum.

Organisation and Management

Ultimate responsibility for the organisation sits with the Trustees who, as the Trustee Board, meet every two months, virtually or in person. The Trustee Board is responsible for the strategic direction and policy of the charity. The Charity employs a General Manager to oversee the day to day running of the organisation and has overall responsibility for delivering any projects, contracts or grants we may have. The following other than Trustees worked at the Charity in 2020/21:

General Manager Janet Cobill (until 31st January 2021) Jackie Brett (from 1st February 2021)

Volunteer Coordinator Marie Poli

Volunteer Olivia Lewis

Practitioners (Self Employed) Fatima Bailey Acupuncture Cherene Bennett Foot health Paula Branch Foot health Jo Christophe Osteopathy Esperanza Fernandez Acupuncture Jennifer Irving Foot health Tina Neuman Homeopathy (virtual clinic)

Remuneration Policy

The Trustees regard the Trustees and the General Manager as the key management personnel responsible for operating of the Charity. The Trustees volunteer their time and receive no remuneration. The Board reviews the remuneration of staff and those under contract to Hoxton Health annually.

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HOXTON HEALTH (A company limited by guarantee) REPORT OF THE MANAGEMENT COMMITTEE (continued) FOR THE YEAR ENDED 31 MARCH 2021 —err————— Trustees’ responsibilities in relation to the accounts The trustees are responsible for preparing the Report of the Management Committee and the financial statements in accordance with applicable law and regulations. Company law requires the trustees to prepare financial statements for each financial year. Under that law the trustees have elected to prepare the financial statements in accordance with United Kingdom Generally Accepted Accounting Practice (United Kingdom Accounting Standards and applicable law). The financial statements are required by law to give a true and fair view of the state of the affairs of the charitable company and of the surplus or deficit of the charitable company for that period. In preparing these financial statements the trustees are required to:

independent examiner

Treasurer

i |

Alevizos Alevizakos

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HOXTON HEALTH (A company limited by guarantee) INDEPENDENT EXAMINER’S REPORT TO THE MEMBERS OF HOXTON HEALTH FOR THE YEAR ENDED 31 MARCH 2021

I |report on the accounts of Hoxton Health for the year ended 31 March 2021 set out on pages 8 to 14. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice), including Financial Reporting Standard 102.

Respective responsibilities of trustees and independent examiner As explained more fully in the Statement of Trustees’ Responsibilities set out on page 6, the trustees, who are also the directors of the charity for the purposes of company law, are responsible for the preparation of the Annual Report and the financial statements in accordance with the requirements of the Companies Act 2006 (the 2006 Act). The Charity’s trustees consider that an audit is not required for this year under Part 16 of the 2006 Act and that an independent examination is needed.

Basis of independent examiner’s report My examination was carried out in accordance with the general Directions given by the Charity Commission. An examination includes a review of the accounting records kept by the charity and a comparison of the accounts presented with those records. It also includes consideration of any unusual items or disclosures in the accounts and seeking explanations from you as trustees concerning any such matters. The procedures undertaken do not provide all the evidence that would be required in an audit and consequently no opinion is given as to whether the accounts present a “true and fair view” and the report is limited to those matters set out in the statement below.

Independent examiner's statement In connection with my examination, no material matters came to my attention which gave me cause to believe that, in

| 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.

Timothy Geddes, FCA, DchA

147 Glenarm Road London E5 ONB

Date

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HOXTON HEALTH (A company limited by guarantee)

STATEMENT OF FINANCIAL ACTIVITIES (Incorporating the Income and Expenditure Account)

FOR THE YEAR ENDED 31 MARCH 2021

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||||||||| |---|---|---|---|---|---|---|---| |2020-21|2019-20| |Unrestricted|Restricted|Total|Unrestricted|Restricted|Total| |Funds|Funds|Funds|Funds|Funds|Funds| |Income|Notes|£|£|£|£|£|£| |Grants receivable|3|37,661|64,657|102,318|-|74,830|74,830| |Donations|4|643|~|643|913|-|913| |Charitable Activities| |Fees|4,298|-|4,298|58,858|-|58,858| |Other income|2,339|-|2,339|648|3,307|3,955| |Investment income|5|:|fs|-|21|-|21| |Total income|44,941|64,657|109,598|60,440|78,137|138,577| |Expenditure| |Expenditure|on|Charitable| |Activities| |Staff costs|6|34,634|19,016|53,650|27,618|12,193|39,811| |Management and Finance Costs|7|7,106|1,920|9,026|14,943|21,631|36,574| |Sessional fees|1,361|13,580|14,941|26,051|25,431|51,482| |Operational costs|-|1,429|1,429|6,124|2,895|9,019| |Total Expenditure|43,101|35,945|79,046|74,736|62,150|136,866| |Net surplus / (deficit)|1,840|28,712|30,552|(14,296)|15,987|1,691| |Funds brought forward|6,179|38,320|44,499|20,475|22,333|42,808| |Total funds carried forward|8,019|67,032|75,051||6179|38,320 44,499 |

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The Statement of Financial Activities includes all gains and losses in the year. All income and expenditure derives from continuing activities.

The notes on pages 10 to 14 form part of these accounts.

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HOXTON HEALTH (A company limited by guarantee) BALANCE SHEET

AT 31 MARCH 2021

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2021 2020
Notes £ £ £ £
FIXED ASSETS
Tangible 9 1,048 219
CURRENT ASSETS
Debtorsand prepayments
Cash atbankand in hand
10 7,532
68,206
662
44,067
75,738 44,729
CREDITORS: amounts falling due
withinone year
11 (1,735) (449)
NetCurrentAssets 74,003 44,280
NETASSETS 75,051 44,499
Thefunds ofthe charity
Restricted funds
67,032 38,320
Unrestricted funds
-
Designated
-
General
5,000
3,019
15,000
1,179
TOTALCHARITYFUNDS 12 75,051 44,499
Fortheyearended 31 March 2021, the charitablecompany was entitled toexemption from auditundersection477 of
theCompaniesAct2006 (the Act).
The members have not required the charitable company to obtain an audit of its accounts fortheyear in question in
accordance with section 476 ofthe Act.
Thetrustees acknowledge their responsibility forcomplying with the requirements oftheActwith with respecttoaccounting
recordsand the preparation of accounts.
These accounts have been prepared in accordance with the provisions applicable to charitable companies subject to
the small companies regime.
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For the year ended 31 March 2021, the charitable company was entitled to exemption from audit under section 477 of the Companies Act 2006 (the Act).

The members have not required the charitable company to obtain an audit of its accounts for the year in question in accordance with section 476 of the Act.

The trustees acknowledge their responsibility for complying with the requirements of the Act with respect to accounting records and the preparation of accounts.

These accounts have been prepared in accordance with the provisions applicable to charitable companies subject to the small companies regime.

Company Registration No. 06766670

Registered Charity No. 1127769

The notes on pages 10 to 14 form part of these accounts.

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HOXTON HEALTH (A company limited by guarantee) NOTES TO THE ACCOUNTS

FOR THE YEAR ENDED 31 MARCH 2021

1. Accounting policies

The financial statements are prepared under the historical cost convention and in accordance with the Statement of Recommended Practice for Charities, effective January 2019, the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) and the Companies Act 2006.

Hoxton Health meets the definition of a public benefit entity under FRS 102. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy notes.

The principal accounting policies adopted in the preparation of the financial statements are as follows:

Computers, office equipment and furniture 4 years

f) Cash at bank and in hand Cash at bank and cash in hand includes cash and bank current account balances. g) Financial instruments The charity only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments, including trade and other debtors and creditors, are initially recognised at transaction value and subsequently measured at their settlement value.

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HOXTON HEALTH (A company limited by guarantee)

NOTES TO THE ACCOUNTS (continued)

FOR THE YEAR ENDED 31 MARCH 2021 jhesa a 1. Accounting policies (continued)

i) Fund accounting

Funds held by the charity are categorised as follows:

Unrestricted — funds which can be used in accordance with the charitable objects at the discretion of the trustees.

Designated — unrestricted funds which have been earmarked by the trustees for specific purposes.

Restricted — funds on which specific restrictions have been placed by the donors.

k) Pensions

The charity operates a stakeholder defined contribution pension scheme for the benefit of the employees. The assets of the scheme are administered by an independent pensions provider. The pension costs charged in the financial statements represent the contributions payable during the year.

2. Legal status

The charity is a registered charitable company limited by guarantee. The members’ liability is limited. Every member of the company undertakes to contribute up to £10 to the assets of the company in the event of it being wound up. Members comprise the board as constituted from time to time.

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HOXTON HEALTH (A company limited by guarantee)

NOTES TO THE ACCOUNTS (continued)

FOR THE YEAR ENDED 31 MARCH 2021

a 3. Grants receivable

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|||||||| |---|---|---|---|---|---|---| |Grants received|during the|period|included the|following:|2021|2020| |Restricted|grants|£|£| |Big|Lottery - Reaching|Communities|-|42,630| |City Bridge Trust|38,800|29,700| |South Hackney Parochial|Charity|-|2,500| |CCG|Foot Health|16,497|-| |Big|Lottery Fund|9,360|-| |Unrestricted grants| |Covid Response|10,000|-| |City Bridge|Trust|9,700|-| |HMRC|Furlough|Grants|17,961|~| |102,318|74,830| |4.|Donations| |2021|2020| |£|£| |Other donations|643|913| |643|913| |5.|Investment|Income| |All investment income|arises|from|interest|bearing|deposit accounts.| |6.|Staff costs|

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||||| |---|---|---|---| |2021|2020| |£|£| |Salaries|53,578|38,330| |Pension|costs|72|1,481| |53,650|39,811|

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The key management personnel of the charity was the General Manager who became a member of staff during 2020. Previously, she was engaged on a contract basis. During the year, the General Manager received £28,446 (2020: £24,958).

During the financial year, all staff were part-time employees and, except when furloughed, worked 3 days a week (2020: Clinic Administrator and Volunteer Co-ordinator for 3 days a week).

Volunteers’ expenses, including training, of £252 (2020: £1,678) relate to volunteers who assisted in the administration of the charity. The charity worked with 1 volunteer (2020: 10) over the year. It has not been possible to estimate the value of these services.

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HOXTON HEALTH (A company limited by guarantee) NOTES TO THE ACCOUNTS (continued) FOR THE YEAR ENDED 31 MARCH 2021 Deeee ee eee eee es eeeEeyeEEEE—E———EEEe 7. Management and finance costs

Included in management and finance costs are the following:

2021 2020
£ £
Professional fees 1,928 1,730
Bankcharges
Depreciation
81
350
65
242
2,359 2,037

8. Transactions with trustees

No trustee receives any remuneration or benefits from their trusteeship. During the year no trustees were reimbursed for expenses (2020: no trustees were reimbursed for expenses).

9. Fixed assets—officeequipmentand furniture £
Cost
At 1 April 2020
Additions
1,464
1,179
At 31 March 2021 2,643
Depreciation
At 1 April2020
Chargeforthe year
1,245
350
At 31 March 2021 1,595
Net book value
At31 March 2021 1,048
At 31 March2020 219
10. Debtors
2021 2020
£ £
Otherdebtors 7,532 662
7,532 662
11. Creditors 2021
£
2020
£
Other creditors and accruals 378 82
Taxand social security 1,357 367
1,735 449

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HOXTON HEALTH (A company limited by guarantee)

NOTES TO THE ACCOUNTS (continued)

FOR THE YEAR ENDED 31 MARCH 2021

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|||||||||| |---|---|---|---|---|---|---|---|---| |12.|Analysis|of charitable|funds| |1|At|At| |April|Total|Total|31|March| |2020|income|expenditure|Transfers|2021| |a)|Analysis|of|fund|£|£|£|£|£| |movements| |Restricted funds| |City Bridge Trust|-|38,800|(20,085)|-|18,715| |CCG|Foot|Health|16,497|(1,058)|-|15,439| |Big|Lottery|—|Reaching| |Communities|grant|35,955|9,360|(13,000)|-|32,315| |South Hackney|Parochial|2,365|-|(1,802)|-|563| |Charity| |38,320|64,657|(35,945)|-|67,032| |Unrestricted|funds| |Contingency fund|5,000|-|-|-|5,000| |General fund|1,179|44,941|(43,101)|-|3,019| |Total funds|44,499|109,598|(79,046)|-|75,051|

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The restricted funds represent those funds received from donors for specific purposes. The designated contingency fund has been set up to protect the charity in the event of a significant drop in funding.

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||||||||| |---|---|---|---|---|---|---|---| |Fixed|Current|Current| |assets|assets|liabilities|Total| |b)|Analysis|of|net assets by fund|£|£|£|£| |Restricted|funds|-|67,032|-|67,032| |Unrestricted funds|1,048|8,706|(1,735)|8,019| |Total|1,048|75,738|(1,735)|75,051|

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  1. Related party transactions

There were no related party transactions during the year.

Se

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