British Association for Cardiovascular Prevention and Rehabilitation Annual Report: April 2024 - March 2025 

The British Association for Cardiovascular Prevention and Rehabilitation is an affiliated group of the 

|President’s Report|1|
|---|---|
|Treasurer’s Report|4|
|Secretary’s Report|6|
|Education and Training Report|10|
|Conference Report|13|
|British Heart Foundation Clinical Research||
|Collaborative (BHF CRC) Report|17|
|Exercise Professionals Group (EPG) Report|20|
|Exercise Instructor Network (EIN) Report|23|



## President’s Report 

As we look back over the past 12 months (April 2024 to March 2025) there have been many changes, whilst reassuringly our core activities have continued and strengthened year on year. The annual report gives us an opportunity to look back over the past year and reflect on our achievements/interactions with members. 

Our new 3 year BACPR strategy is underway so keep an eye out on our website later this year!  Whilst reviewing the last 3 years strategy it was amazing how much had been achieved over the past 3 years with all elected council members giving up their own time for many of these activities, thank you to all of them for their continuing hard work and dedication! 

## **Promotion and Policy** 

Our affiliate associations continue to grow and this year we are in the process of building closer relationships with both the British Junior Cardiologists’ Association (BJCA) and the Primary Care Cardiovascular Society (PCCS). We hope to have representatives from these organisations as affiliate members on our council later this year. 

We have seen the launch of our new BACPR website earlier this year with the new members discussion area which is growing as more current members register so hunt out the email and register if you haven’t already! MedShr continues to be used as a platform for discussion currently but also for hosting our previous webinars. After development work on our website later this year we will be able to move all webinars over at which time we will close MedShr which will streamline things for members with all discussions in the same place. We continue to maintain a digital presence online through social media so please follow us on X  and LinkedIn. 

The BACPR continues to have a presence on national key working groups with Sally Hinton and Heather Probert, members of our council and affiliates across the 4 nations. After the global forum on Cardiovascular Prevention and Rehabilitation at ESC in 2024, links with the International Council of Cardiovascular Prevention & Rehabilitation (ICCPR) go from strength to strength. If you haven’t seen them already do visit their website and sign up for their newsletters and have a listen to their podcasts from international experts. 

## **Education** 

Following the appointment 2 years ago of Dr Aynsley Cowie, work is underway to increase the offering of courses in both the exercise and psychological field. 

> Annual Report 2024 - 25 1 

**President’s Report** 

The ‘Implementing HIIT training’ and ‘Working with psychological factors in cardiovascular rehabilitation’ both launched this year and were well received so look out for further dates. There is also a short online seminar planned that reviews all the evidence, theory and key concepts of implementing HIIT into clinical practice at very reasonable price of only £25 per BACPR member so why not join one of the upcoming sessions? 

The BACPR Specialist Exercise Instructor training continues to attract large numbers of applicants and revalidations over the year. The range of CPD courses offered continue to be well attended with the online courses also attracting international delegates. 

Aynsley, Vivienne and Penny in the Education team continue to work tirelessly behind the scenes to ensure the smooth running of our education programme to include both CPD courses and webinars which run throughout the year. This year has seen an increase in webinars which are offered free to members to watch live, with recordings being available on the members area of the website post event for members to watch back at their leisure. We are very grateful for all the work done by our education team and tutors throughout the year. 

## **Member Support** 

The most important aspect of our strategy remains supporting our members. We continue to run Member’s hours which have increased this year. These range from general discussions led by the members and facilitated by council members to more themed sessions with NACR joining us for one of the sessions which we hope to repeat annually. 

This year we have been supported by the BCS by Isabella and Val. Many of you will receive Isabella’s weekly email updates which continue to receive positive feedback which allow regular updates at a predictable timeframe to make it easier to keep up to date with BACPR activities. We would like to offer our gratitude to both for their work throughout the year in supporting our membership. 

## **Research** 

Over the course of the year council members have presented at a wide range of conferences including our own BACPR annual conference and Exercise Professional Group (EPG) study day as well as the British Cardiovascular Society (BCS) Congress, British Society of Heart Failure (BSH) annual meeting and Primary Care Cardiovascular Society (PCCS) conference. We have also supported members through dissemination of surveys and research links to our membership. 

2 British Association for Cardiovascular Prevention and Rehabilitation 

**President’s Report** 

The New Researcher Development fund was relaunched highlighting our commitment to supporting research in the field of cardiovascular prevention and rehabilitation. We continue to work closely with BHF Clinical Research Collaborative (BHF CRC) with Dr Sheona McHale leading this work to promote and enable funding of research projects. Current discussions being around support for those new to/early in their research journey with a mentorship scheme planned for later this year. 

We would like to thank Dr Tom Bulter for his work over the past few years on council which included four very successful BACPR conferences and for his work to ensure abstracts accepted for 2024 conference were again published in Heart online. We are currently working hard under the guidance of our new Scientific and Research Lead Dr Eddie Caldow who is working on our 2025 conference up in Glasgow where we look forward to meeting many of you. 

The BACPR remains in a strong financial position year on year and the end of year accounts can be reviewed in detail in the Treasurer report. Thank you to Susan Casnello for her work in the Treasurer’s role. 

We continue to benefit from the inclusion of the patient voice in many aspects of our work, and are indebted to Sarah Brown, our patient representative for her valuable contribution to many aspects of our work throughout the year. 

We would also like to thank all our council members for all their hard work over the past year for the benefit of the membership. Many hours are spent by our council members on BACPR activities, often in their own time and we are grateful to have a wide range of professions represented within our council with many years of experience in Cardiovascular Prevention & Rehabilitation 

Finally, we would like to thank Sally Hinton, our Executive Director who is the lynchpin of our association and without whom none of the above would be possible. 

With very best wishes 

## _Heather Probert_ 

BACPR President (Oct 23-25) 

> Annual Report 2024 - 25 3 

## Treasurer’s Report 

_The BACPR accounts for the year ending 31st March 2025 were prepared and audited by AEL Partners LLP, 201 Haverstock Hill, London NW3 4QG._ 

The audited accounts for 2024-2025 show a total income of £518,748 and total expenditure of £463,622, showing a surplus of £55,126 

The income remains at a robust level due to good financial control and account monitoring. The BACPR Training and Education programme, including both delivery of in-person and online courses, makes a significant contribution to the organisation’s income. Continued engagement with key sponsors of the annual conference has continued in 24/25. The annual conference is now large and will be coordinated by a conference management company in 2025. 

Both the Association’s operational day to day running costs and Council activity costs continue to be well managed. Membership income is monitored across the different membership categories. 

The council is aware that financial holdings are significant and held within one financial institution. A review of running costs has been undertaken and guidance sort about financial holdings. 

4 British Association for Cardiovascular Prevention and Rehabilitation 

**Treasurer’s Report** 


**----- Start of picture text -----**<br>
2022 - 2023 2023 - 2024 2024 - 2025<br>Opening Balance £394,807 £436,509 £495, 553<br>Income<br>Membership £32,421 £36,553 £37,485<br>Conference £69,104  £104,207 £118,223<br>Education £357,512 £347,645 £363,040<br>Total Income £458,947 £488,406 £518,748<br>Expenditure<br>Membership £38,619 £52,149 £52,399<br>Conference £65,670 £101,609 £99,971<br>Education £275,846 £282,860 £311,252<br>Total Expenditure £380,135 £436,619 £463,622<br>Surplus (-Loss) +£78,812 +£51,787 +£55,126<br>Closing Balance £436,509 £495, 553 £553,749<br>**----- End of picture text -----**<br>


_Table 1: BACPR financial position April 2025_ 

The end of year closing balance of £553,749 demonstrates a secure position for the BACPR. The cost of BACPR annual operation is strongly supported with income from the BACPR Education and Training programme and annual conference 

This robust monitoring of financial performance will enable the resilience of BACPR for future years. 

_Summary of financial position_ 

See Charities Commission website for full report 

- www.charity commission.gov.uk 

## _Susan Casnello_ 

Treasurer 

> Annual Report 2024 - 25 5 

## Secretary’s Report 2024-25 

## Membership 

The membership numbers (948 by March 25) continue to show the diversity of professions engaged in cardiovascular prevention and rehabilitation. We are proud that the student membership (available since September 2023) continues to grow at a steady rate. However, targeted work to encourage membership from underrepresented professions is still required. 


**----- Start of picture text -----**<br>
Membership by Profession April 2024  March 2025<br>Advanced Clinical Practitioner 1<br>BACPR Exercise Instructor  313 321<br>Cardiovascular Rehab Assistant 0<br>Counsellor  0<br>Dietitian  12 14<br>Doctor  19 18<br>Clinical Exercise Physiologist  45 60<br>Nurse  306 306<br>Occupational Therapist  15 16<br>Other Exercise Professional  17 18<br>Pharmacist 0<br>Physiotherapist  122 123<br>Psychologist  2 5<br>Research Fellow/Academic  12 14<br>Student 9 17<br>Other*  18 34<br>Not specified  1<br>Overall total  892 948<br>**----- End of picture text -----**<br>


## Council Elections 

During the 2024-25 period, elections were held for Ordinary Officer council members where; 

Amye Goddard, James Whitfield, Marissa Plaza and Julie Hinchcliffe were newly elected, along with Janine O’Rourke, Nikki Gardiner, Maria Glover and Kirsty Hughes being re-elected to council as Ordinary Officers. 

6 British Association for Cardiovascular Prevention and Rehabilitation 

**Secretary’s Report** 

Dr Tom Butler stepped down from Council at the end of his term as Research/ Scientific Lead, with Dr Eddie Caldow taking over from October 2024. 

Elections for the position of President-Elect were also held with Helen Alexander being elected to the role from a Member’s vote. Due to a change in role, Helen Alexander has stepped down from this, and Maria Glover took over from April 25 (as the candidate with the second highest votes), with Helen continuing as an Ordinary officer for the remainder of the term. 

BACPR Council Members and Staff  (as of April 2025) 


**----- Start of picture text -----**<br>
Position Name Profession Country<br>Executive Officers<br>President Heather Probert Physiotherapist England<br>President Elect Maria Glover Nurse England<br>Treasurer Susan Casnello Nurse England<br>Secretary Natalie Graham Exercise Physiologist England<br>Scientific Officer Eddie Caldow Exercise Physiologist England<br>Ordinary Officers (Elected)<br>Amye Goddard Physiotherapist England<br>Helen Alexander Physiotherapist England<br>Kirsty Hughes Physiotherapist Scotland<br>Nikki Gardiner Nurse England<br>Marissa Plaza Physiotherapist England<br>James Whitfield Exercise Physiologist England<br>Janine O’Rourke Nurse England<br>Stephanie Wright Nurse England<br>Julie Hinchliffe Dietitian England<br>Employed Staff<br>BACPR Executive Director Sally Hinton<br>BACPR Education and Training Lead Dr Aynsley Cowie<br>BACPR Education Coordinator Vivienne Stockley<br>BACPR Education Administrator Penny Hudson<br>BCS Affiliates Coordinator Valerie Collins<br>Membership & Education Support Administrator Isabella Salzano<br>IT Support BCS IT Department<br>**----- End of picture text -----**<br>


Communication 

> Annual Report 2024 - 25 7 

**Secretary’s Report** 


**----- Start of picture text -----**<br>
Co-opted officers<br>British Heart Foundation (BHF) Claire Dobson<br>National Audit of Cardiac Rehabilitation (NACR) Prof Patrick Doherty<br>Northern Ireland Representative Lisa Spratt<br>Wales Representative Alison Duckett<br>British Society for Heart Failure (BSH) Poppy Brooks<br>BACPR Education Lead Dr Aynsley Cowie<br>Cardiovascular Care Partnership UK (CCPUK) / Patient  Sarah Brown<br>Representative<br>BHF Clinical Research Collaborative (BHF CRC) Dr Sheona McHale<br>Exercise Professionals Group (EPG) Representative Eddie Caldow<br>Exercise Instructor Network (EIN) Representative Vicky Hatch<br>Scottish National Heart Disease Co-ordinator Leeanne Macklin<br>British Association for Nursing in Cardiovascular Care  Esther Arnold<br>(BANCC) & Feng Ting<br>**----- End of picture text -----**<br>


Co-opted members representing National Audit of Cardiac Rehabilitation (NACR); Northern Ireland; Wales; EPG; Exercise Instructor Network (EIN); BHF CRC and BACPR Education continued to be invited to all four council meetings due to the close working relationship with core BACPR activity. We welcomed Esther Arnold and Feng Ting from BANCC as new co-opted members. 

## Enquiries 

BACPR members and non-members continue to regularly make use of the enquiry facility on the website and through email. Enquires continue to cover various aspects of cardiovascular prevention and rehabilitation and the delivery of services. Priority is given to responding to member requests, with non-members directed to the relevant resources on the website, as well as being encouraged to join as a member. Expert groups and professionals have continued to respond to complex enquiries forwarded on to them, with evidence-based explanations and clarification. Thank you to all who have given such support. 

## Networking sessions 

Monthly online member networking sessions have continued with good attendance and feedback. These continue to provide members the opportunity to connect with colleagues across the speciality. Details of these sessions can be found on the website and through member communications. 

## Social media 

8 British Association for Cardiovascular Prevention and Rehabilitation 

**Secretary’s Report** 

Our social media presence continues with accounts on X and LinkedIn. These accounts remain stable and have had good interaction levels as they continue to support the dissemination of current affairs both within the organisation and the wider cardiovascular specialty. 

X (Twitter):  @bacpr LinkedIn: British Association for Cardiovascular Prevention and Rehabilitation 

## _e-Bulletins and Connect_ 

Thanks to the support of Membership and Education Administrator, Isabella Salzano, for sending out weekly e-bulletin reports. These reports contain news of upcoming events, along with additional information and links to online resources. We have continued with delivering a digital version of Connect to all members, summarising the events of the past year, along with what is to come. This format allows for increased usability with hyperlinks to relevant materials. This format continues to support the organisation in meeting the NHS target of going paperless by 2027. 

## _Website_ 

The BACPR website (www.bacpr.org) continues to be well utilised and is updated regularly with new content. The online members forum was re-opened with a steady increase in usage. We plan to stop the use of the MedShr platform. 

## _Travel Award_ 

The Travel Award winners were Helen Alexander and Elissavet Giannouli. Helen attended the ESC Preventive Cardiology 2024 congress hosted in Athens.  Elissavet attended the first International Conference on Music and Arts Therapies in Medicine in Berlin The 2024. 

Travel Award applications will close on Friday 27th June 2025 at 5pm. 

The rules have been updated that applicants must apply for something that is happening in the future, and completed by the following July. Winners will then be invited to present at the BACPR Annual Conference on their experience and to write a piece for the BACPR CONNECT magazine. 

## _Natalie Graham_ 

BACPR Honorary Secretary 

> Annual Report 2024 - 25 9 

## Education and Training Report 

In 2024-25, we ran 36 CPD courses for 670 delegates.  Of these, 8 were in person, 28 were online.  For exercise instructor training, 11 courses were run for 207 delegates (all online). 

Over recent years, there has been a consistent increase in courses and delegate numbers for CPD courses (pandemic aside) whilst exercise instructor training numbers have remained steady. 

Figure 1:  Annual Delegate and Course Numbers for CPD Courses and Exercise Instructor Training 

These graphs exclude annual modules run at University College London, University of Chester and St Georges Hospital. 

10 British Association for Cardiovascular Prevention and Rehabilitation 

**Education and Training Report** 

## Tutors 

In 2024/25, six new tutors were supported to join the tutor teams delivering our CPD courses and exercise instructor training programme. 

## BACPR Exercise Professionals Group (EPG) Study Day and BACPR Annual Conference 

The Education and Training team leads the planning and organisation of both the EPG study day and the organisation of the BACPR annual conference. 

There were two EPG study days run within the financial year 2024/25 as the 2025 EPG study day was brought forward from its usual May date, and held in March 2025.  Both study days were held at Aston University, Birmingham, with 99 registered delegates for the 2024 event and 111 registered delegates for 2025. The annual conference was delivered at Mercure Manchester Piccadilly hotel with 236 registered delegates.  Both events are CIMSPA accredited, and the annual conference retained its Royal College of Physicians accreditation. 

## Webinars and Online Modules 

Our CPD certified webinars continue to be well received.  In 2024/25 we ran five webinar across a range of topics: 

Title Registrations Medical Therapy in HF: A holistic multidisciplinary approach [2nd May]   127 A case study approach to exercise in people living with type 1 diabetes _pre-recorded_ Managing major risk factors for CVD* [5th November] 192 EPG webinar: Water-based exercise [28th November] 113 Implementing non-medical prescribing in a CVPR setting [11th March] 121 

For the first time ever, we provided our members with a pre-recorded webinar on diabetes, which they could watch at their leisure, as ‘summer learning’.  Our Managing Major Risk Factors for CVD webinar was delivered in collaboration with HEART UK and was available free of charge to all. 

The online learning modules which align with the BACPR Standards and Core Components were updated in line with publication of the fourth edition of the document in 2023, and remain popular. 

> Annual Report 2024 - 25 11 

**Education and Training Report** 

## New and Updated Courses 

In 2024/25, we worked with two new groups of tutors to develop two new courses, both of which were launched in autumn 2024: 

- Working with psychosocial factors in cardiovascular rehabilitation  (online) 

- Implementing low-volume HIIT training into clinical practice (in person) 

Both courses were run twice within the financial year, and received excellent feedback. The tutors will continue to develop these courses going forwards. 

We also worked with our existing tutors to update and refresh our CPD course on resistance training – remodelling its format to provide more of a practical clinical application.  The new format was piloted in February 2025 and was very well received. 

## Team Development 

For 2025/26, we continue to work as a team of four.  Aynsley Cowie continues in her role of Education and Training lead to support Sally Hinton, and we are always very grateful to Vivienne and Penny, who continue to provide invaluable support in running all our education and training opportunities efficiently. 

We are also hugely appreciative of our tutors, who work hard to continue to develop and provide high quality education and training across all the core components of CVPR. 

## _Dr Aynsley Cowie, PhD_ 

BACPR Education and Training Lead 

## _Sally Hinton_ 

BACPR Executive Director 

12 British Association for Cardiovascular Prevention and Rehabilitation 

— i **BACPR Annual** oo 7 « **Conference 2024** _**Cardiovascular Disease Prevention and Rehabilitation: Putting personalised care into practice**_ 

## Conference Report 

The BACPR annual conference took place at the Manchester Mercure Hotel on 3rd and 4th October 2024. The theme for the conference was “Cardiovascular Disease Prevention and Rehabilitation: Putting personalised care into practice”. 

Day one was introduced by Dr Tom Butler, BACPR Scientific Officer, and welcomed by BACPR President, Heather Probert. Dr Joe Mills, Chair of NHS England Cardiac Rehabilitation Expert Advisory Group delivered an insightful keynote presentation on rejuvenation and integration of CVD rehabilitation into pathways of care. Dr Mills reviewed a patient case study and discussed what CR issues may arise, along with reviewing the NHS long term plan and targeted funds, finishing with areas that will need attention in 2025-26 

The first session overview: 

- Prof Alun Roebuck on how to manage and support patients with cardiometabolic disease,  describing the joint working project between endocrinology and cardiology and integrated service with Cardiac Rehab. 

13 

Annual Report 2024 - 25 

**Conference Report** 

- Prof Derek Connolly presenting Lipid lowering therapies: which included a summary of national guidance for lipid management for primary and secondary prevention, and what is to come in the future. 

- Prof Patrick Doherty giving valuable insight in using clinical registry and audit data to support an inclusive and personalised intervention. 

Session two focused on medical risk factor management: 

- Laura McGarrigle - LVADs and transplants, providing education around the LVAD physiology, impact on exercise tolerance and the challenges these patients face. 

- Prof Gregory Y.H. Lip discussing AF detection and management highlights from recent guidelines, advising a simple care pathway improved the management of patients with AF. 

- Dr Freddy Frost ended the session with Dangerous liaisons: cardiovascular outcomes of chronic lung disease. This presentation highlighted that many lung diseases are associated with adverse cardiovascular risk profiles, and that we need to identify and optimise preventative and therapeutic strategies that treat both cardiac and pulmonary risk. 

Session three lifestyle risk factor management: 

- New Research Development Fund (NRDF) 2024 recipient presentation by Sam Jones. Sam’s project is titled: does the use of Nordic walking poles improve breathing control and aerobic economy in people with AF and CHD. As part of this project, Sam will be visiting the Ottawa Heart Institute, further developing existing research collaborations. 

- Jenny Aindow and Andrew Battersby – showcase on approaches focusing on returning to work. Occupational Therapist, Jenny Aindow guided us through the return-to-work conversation, and suggested letter template and plan for employers. Exercise Physiologist, Andrew Battersby, focused on how to assess patients returning to occupations involving heavy lifting. 

- Dr Masoud Isanejad then took us through the role of nutrition in heart failure and how to support the heart by improving muscles and gut health. 

- Panel discussion, chaired by Dr Tom Butler. On the multidisciplinary panel were Dr Joe Mills – Cardiologist, Jenny Aindow – Occupational Therapist, Dr Carolyn Deighan – Health Psychologist, Janine O’Rourke – Cardiac Rehab 

14 British Association for Cardiovascular Prevention and Rehabilitation 

**Conference Report** 

Nurse, Jen Hannay – Exercise Physiologist, and Helena Davies – Dietitian. The panel discussed can cardiovascular rehabilitation be truly personalised 

## Day two: 

Session Four: 

- Nicole Blackburn, Christos Lykidis, and Ella Crawford. With it being later announced that Ella Crawford was this years winner with her abstract: “A cross-sectional study in CVD Prevention in the Emergency Department: Wouldn’t it be NICE to Make Every Contact Count?”. 

- Psychological health. Dr Anna McCulloch gave a fascinating talk on bringing therapy to the great outdoors. Looking at the use of outdoor groups to build peer support and improve wellbeing in people living with congenital heart conditions. 

- Charles Spencer then took us through the psychological aspects of chest pain assessment and ACS diagnosis, and what questions to ask. 

- Dr Anne-Marie Doyle presented psychological aspects of critical care rehabilitation, highlighting the prevalence of psychological conditions following a stay in the ICU. 

Session five focused on Long Term Strategies: 

- Dr Patricia Campbell began the session with a case study approach of the management of HFpEF. 

- Monica Boulton discussing the importance of social prescribing as a key component of personalised care. Monica gave valuable information in how you can become a NASP social prescribing champion. 

- Chris Scordis – Exercise Physiologist and Vicky Hatch – BACPR Exercise Instructor Network Chair on the collaborative working with community long term exercise programmes. 

Session Six focused on Health Behaviour Change: 

- Travel Award Winner 2023, Nunzia Altieri – Specialist Cardiac Dietitian. Nunzia’s described how to apply for the travel award and the purpose of her visit. Nunzia visited a Rehabilitation and Sports Medicine Centre in Mumbai, India to enhance her knowledge of the nutritional management of this population and learn the strategies and skills necessary for better management of this demographic whilst ensuring inclusivity and high-quality care. 

> Annual Report 2024 - 25 15 

**Conference Report** 

- Charles Williams, Head of Health Content at the British Heart Foundation - how to avoid being useless to patients, providing simple steps to improve accessibility. 

- Nigel Pell-Ilderton on his lived experience of attending Cardiac Rehab, some of the problems he faced, and how we can re-think cardiac rehab for the future. 

- Dr Tim Antiss, looking at self-care for practitioners. Tim addressed the issue of burnout amongst health care staff and gave valuable advice on how to overcome this. 

The 2024 annual conference also saw the highest number of abstract entries than ever before, with all 57 abstract entries being published in the journal _Heart_ . 

## Planning for the 34th Annual Conference 2025 

The next annual BACPR conference will be taking place on 9th and 10th October 2025 at the Hilton Hotel, Glasgow. The organisation committee consists of Sally Hinton, Nikki Gardinier, Maria Glover, Heather Probert, Helen Alexander and Eddie Caldow. 

The theme of the event is: Cardiovascular Care: Innovations in prevention and rehabilitation and there is a dedicated webpage for conference and we are being supported by Wheldon Events. 

The programme includes: 

- Shaping the Future: Prevention at the Heart of Cardiovascular Health 

- Beyond the Scales: Holistic Approaches to Obesity and Weight Management in Cardiac Rehab 

- Bridging the Gap: Data, Policy and Practice for Reducing Inequalities in Cardiac Care 

- Navigating Comorbidities in Cardiovascular Health 

- Improving Outcomes: Optimising Lipids and Heart Failure in Practice 

- Spotlight on the Psychosocial Component of Cardiovascular Rehabilitation 

- Digital Directions: Navigating Innovation, Access and Equity in CV Health 

- Sex, Gender and the Heart: Addressing Risk & Representation in Cardiovascular Health 

- Oral abstract session and Poster presentations 

_Dr Eddie Caldow BACPR Research Lead/Scientific Officer_ 

16 British Association for Cardiovascular Prevention and Rehabilitation 

## BACPR British Heart Foundation Clinical Research Collaborative (BHF CRC) Report 

## (April 2024 - March 2025) 

The BACPR BHF CRC operates as part of the broader BHF CRC and encompasses a Clinical Study Group (CSG) focused on progressing the cardiovascular prevention and rehabilitation (CVPR) research agenda while supporting BACPR members. 

During 2024–2025, we continued our collaboration with the BHF CRC, contributing to ongoing research efforts and helping to define the future direction of BACPR’s research priorities for the benefit of our members. Below is a summary of the key activities undertaken over this twelve-month period. 

## Clinical Study Group Membership: 

The CSG group consists of 13 members with diverse research and clinical expertise, representing both the BACPR council and the wider membership. As of December 2024, 54% of this group also serve on the BACPR council and all have confirmed their continued commitment to remain part of the group. 

## BHF CRC Research Development Fund (RDF): 

Following a period of evaluation by the BHF CRC to assess the impact of previous projects, the BHF relaunched the RDF in May 2024 with revised scoring criteria. These updates aimed to promote equitable access, particularly encouraging applications from Nursing and Allied Health Professionals. The scheme offered successful applicants funding of up to £10,000. 

In response to BACPR’s promotional efforts during Spring 2024, three applications were received, with BACPR issuing two letters of support ahead of the 15th of July deadline. On 28th September, the BHF CRC announced that one of the two BACPRsupported applications had been successful. Dr Carolyn Deighan and Kaitlyn Young were awarded £10,000 for their project, Mapping the Cardio-Oncology Landscape: A Multi-Stakeholder Exploration of Self-Management Support Pathway. The project also secured a strong letter of support from the British Cardio-Oncology Society (BCOS), further endorsed by the BHF CRC. Currently the authors have completed a scoping review and are drafting a paper for dissemination through various formats, including journal & conference papers. 

In contrast, during the February 2025 funding round, no applications were received from BACPR members by the submission deadline of Monday, 24th March. 

> Annual Report 2024 - 25 17 

**BACPR British Heart Foundation Clinical Research Collaborative (BHF CRC) Report** 

The two successful BACPR RDF projects from previous years have made significant progress this year. 

The first, titled “Determinants of Progression from Phase III to IV Cardiac Rehabilitation: A Multi-centred Exploratory Study” authored by S. Birkett, has now concluded. Although participant recruitment posed challenges, limiting the findings, it is proposed that key themes derived from the available data may be shared at a later date. 

The second project, authored by A. Cowie, S. Brown, S. Nichols, H. Humphreys, S. Dawkes, and others, focused on individuals with ischaemia and no obstructive coronary arteries (INOCA). It comprises three workstreams: 

Workstream 1 is currently focused on a systematic review paper of INOCA, along with an analysis of INOCA admissions within routinely collected data from one regional NHS Health Board in Scotland. 

Workstream 2, which involves a survey of CR teams’ perceptions of INOCA has a publication pending. 

Workstream 3, which explores the impact of exercise-based CVPR on Quality-of-Life individuals with angina and ANOCA, has produced two completed publications: 

Humphreys H, Paddock D, Brown S, et al. Exploring patients’ views regarding the support and rehabilitation needs of people living with myocardial ischaemia and no obstructive coronary arteries: a qualitative interview study. _BMJ Open 2024_ ;14; e086770. 10.1136/bmjopen-2024-086770 

Humphreys H, Paddock D, Brown S, et al. Living with myocardial ischaemia and no obstructive coronary arteries: a qualitative study. _Open Heart 2024; 11_ : e002569. 10.1136/openhrt-2023-002569 

## New Researcher Development Fund (NRDF) Projects: 

The NRDF was relaunched on 12th April 2024, with a submission deadline of 3rd June. A one-hour information session on 13th May, led by two Clinical Study Group (CSG) members, provided guidance for applicants. Two BACPR members attended. 

One application was received and reviewed by two CSG researchers. The successful applicant, S Jones (Keele University), presented his project related to an international research collaboration with the Ottawa Heart Institute at BACPR 2024, receiving a complimentary one-day registration. 

The research team is currently seeking ethics approval in Canada, with travel arrangements pending approval. 

18 British Association for Cardiovascular Prevention and Rehabilitation 

**BACPR British Heart Foundation Clinical Research Collaborative (BHF CRC) Report** 

## Research Mentoring activities: 

The mentoring scheme has been developed to support BACPR members new to research or seeking research guidance. Following initial discussions, feedback from the Clinical Study Group (CSG), and a review of mentorship models shared from other CV societies, the process has undergone several revisions. The current version was reviewed by the BACPR Council towards the end of 2024. 

In January 2025, the scheme entered a pilot phase. Fourteen potential mentors from the CSG members were invited, resulting in three completed mentor applications. After review, all three were approved. Two BACPR members, previously unsuccessful in funding applications, were invited to join as mentees. One mentee application was received, and an initial online call is scheduled for May 2025 to finalise the mentoring match. 

## Cochrane Review - Interventions for Alcohol Abstinence: 

In response to an invitation issued in 2020 for members interested in authoring a Cochrane review on a specified title, six BACPR members received support from experienced Cochrane researchers to conduct a systematic review examining interventions for alcohol abstinence in individuals with atrial fibrillation. The team are currently finalising data extractions and aim to complete the study write-up in 2025. 

## BACPR Website Research: 

The website’s research section provides information on the NRDF and the BHF CRC Researcher Development Fund. To further support member research, the BACPR news section includes links to BHF CRC newsletters and research podcasts, offering valuable insights and guidance on research methods. 

## _Dr Sheona McHale_ 

BACPR CSG Chair 

> Annual Report 2024 - 25 19 

## Exercise Professionals Group (EPG) Report 

BACPR EPG is a dedicated BACPR steering group focusing on matters relating to the role of physical activity and exercise in the prevention and management of cardiovascular disease. 

## BACPR EPG Committee: 

Dr Eddie Caldow Chair CASES representative Susan Young Past Chair and ACPICR representative Vicky Hatch BACPR EIN representative Helen Alexander ACPICR representative Dr Sheona McHale BACPR EIN representative Chris Scordis CASES representative Sam Jones CASES representative Iain Waite ACPICR representative Karen Deery BACPR EIN representative Professor John Buckley Founder Member 

## Overall Aim of Group 

- Maintain an up-to-date set of standards, knowledge and competences to which any individual (independent of their professional qualification) will be expected to work in relation to the physical activity and exercise component of rehabilitation and disease prevention for individuals with cardiovascular disease 

- Develop practice standards, offer training and continuing professional development, and advise any professional group, charity or association on matters pertaining to individualised guidance, professional practice and research regarding physical activity and exercise in relation to cardiovascular disease 

- Further seek and develop research that will strengthen the value and efficacy of physical activity and exercise as a key modality in the rehabilitation and disease prevention of individuals with cardiovascular disease 

## Activities in the last 12 months include: 

- Ongoing response to BACPR members for physical activity and exercise related questions 

- Screening of applications and provision of assessors for the BACPR Advanced Exercise Professional Award, and ongoing development of the Award pathway and process 

20 British Association for Cardiovascular Prevention and Rehabilitation 

**EPG Report** 

- Organisation and delivery of the BACPR Webinar ‘ _Water-based Exercise_ ’ (November 2024) 

- Renewal of the BACPR EPG Memorandum of Collaboration 2024 (May 2024) 

- Organisation of the 2025 Annual BACPR EPG Study Day ‘ _Reimagining personalised exercise and activity prescription_ (March 2025) 

- Maintained strong links with BACPR Council. 

## BACPR EPG Study Day 2025 

## _“Reimagining personalised exercise and activity prescription”_ 

This year’s annual BACPR EPG Study Day was on 28th March 2025 at Aston University, Birmingham with the “Reimagining personalised exercise and activity prescription”. There were approximately 100 delegates in attendance including physiotherapists, specialist exercise instructors, exercise physiologists, and nurses working across the entire pathway of cardiovascular rehabilitation including core/early rehabilitation, long-term maintenance and research settings. 

Session 1 started with a Keynote from Professor Paul Comfort, University of Salford, who presented on “Progressive Overload of Resistance Training during Rehabilitation”. This was followed by Chris Monkhouse, Clinical Lead for Cardiac Devices at the Barts Heart Centre presenting “An update on Cardiac Device Technology, and how you can help our outcomes!” Both speakers were very engaging and provided some useful take home points for delegates. 

After the break and poster judging, Session 2 began with a joint talk from Hannah Roberts, Specialist Physiotherapist at Manchester University Foundation Trust, and Craig Jones, MCR Active, Physical Activity Referral Scheme Manager on their collaborative work entitled: “ _Core/PIII to Long-Term/IV pathway: Improving referral, uptake and engagement!_ ”. This was followed by Lauren Walker, BACPR Exercise Specialist talking about her experience’s delivery long-term rehabilitation: “ _Linking with Core/Phase III: Experience from an independent practitioner!_ ”. The session was completed by a novel session working through a patient case study that was facilitated by the EPG Committee. This was new to EPG, and after detailed planning, the session went well and received positive feedback. A similar session, more complex (as requested by delegates) will be included in next year’s programme. 

> Annual Report 2024 - 25 21 

**EPG Report** 

Session 2 started with Oral abstracts: 

1.  Brian Begg - Acute physiological response to high intensity interval training and moderate intensity continuous training in patients attending early cardiac rehabilitation 

2.  Oshin Fernandes - Ascertaining the potential for hypoglycaemia during exercise in cardiac patients on SGLT-2 inhibitors 

This was followed by updated from the 3 groups within the EPG network – ACPICR, BASES and EIN. 

The last talks of the day were Dr Jamie Driscoll, Associate Professor in Lifestyle Medicine, delivering an insightful presentation on “ _Isometric exercise training for hypertension and HFpEF_ ”. This challenged the previous view of isometric exercise being contraindicated for people with hypertension and HF and received very good feedback. The final talk, that again received really positive feedback, was from Janet Thomas, Team Lead Physiotherapist and Lecturer NHS Fife and Queen Margaret University, with her talk entitled: “ _Falls and Frailty: assessment and practical tips for prescription_ ”. 

The day was finished with the Abstract Awards with best poster going to Laura Correia for her poster entitled “ _Enhancing Cardiac Rehabilitation: A Focus on Education for Healthcare Professionals_ “. Laura received a voucher for a BACPR Education event. The best oral going to Brian Begg who won a free place at BACPR Annual Conference. 

The feedback following the event was extremely positive showing that the BACPR EPG Study Day remains a popular event in the exercise professional’s calendar for thought-provoking CPD and networking. 

## _Dr Eddie Caldow_ 

BACPR Exercise Professional Group Chair 

22 British Association for Cardiovascular Prevention and Rehabilitation 

## Exercise Instructor Network (EIN) Report 

The EIN is an informal subgroup of the BACPR, formed to support graduates from the BACPR Specialist Cardiac Exercise Instructor Qualification. The EIN group is led by a committee of dedicated BACPR Exercise Instructors. Members of the EIN committee contribute to the BACPR Exercise Instructor training steering committee and the BACPR Exercise Professional Group. 

## The EIN Committee currently consists of: 

Vicky Hatch Karen Deery Dr Sheona McHale Lorraine Richardson Emma Spalding Toby Whitehead Shane Purcell 

The committee meets regularly online to promote the interests, knowledge, and professional profile of BACPR Specialist Cardiac Exercise instructors. 

## BACPR EIN activity over the last 12 months includes: 

- Ongoing advice, information and signposting to any physical activity and exercise related questions from graduates of the BACPR Specialist Cardiac Exercise qualification or BACPR member. 

- Free online network hours offering the opportunity for advice and discussion around any current issues, challenges or general cardiovascular topics impacting upon long term (Phase IV) exercise programme delivery and referral. 

- Based on information from the instructor network hours, work is ongoing to develop a ‘starter tool kit’ for newly qualified instructors, giving details of credible resources such as physical activity/exercise guidelines, insurance provision, CPD and a roadmap for how to set up a new long term cardiovascular rehabilitation programme as an independent operator. 

- Sheona McHale has completed the new Instructor survey which was disseminated in early 2025 and has started to inform further training and network opportunities for member instructors. 

- As of June 2025, EIN has launched a new 2.5 hr CPD module focussing on considerations for Yoga and Pilates in a cardiovascular population. The first date was fully booked (30 places) and the second date in July is also 

> Annual Report 2024 - 25 23 

**EIN Report** 

filling up. It is hoped that a more in-depth full study day may be developed on this theme. An information leaflet has also been produced with a summary of key information for Yoga and Pilates instructors involved with individuals with cardiovascular disease. 

- Plans are still in progress to create a more visible and supportive platform for specialist cardiac exercise instructors on social media where information and ideas can be shared. This is also to include a specific area within the BACPR website members area. 

## _Vicky Hatch_ 

BACPR Exercise Instructor Network Chair 

24 British Association for Cardiovascular Prevention and Rehabilitation 

_“Promoting excellence in cardiovascular disease prevention and rehabilitation”_ 

The British Association for Cardiovascular Prevention and Rehabilitation 

9 Fitzroy Square London W1T 5HW 

+44 (0) 20 7380 1907 bacpr@bcs.com www.bacpr.org 

Registered Charity Number 1135639 Company limited by guarantee. Registered in England 5086964 

## BRITISH ASSOCIATION FOR CARDIOVASCULAR PREVENTION AND REHABILITATION 

## BALANCE SHEET 

||31 MARCH 2025||||||
|---|---|---|---|---|---|---|
|||Notes||2025||2024|
|||||£||£|
|Fixed assets|||||||
|Tangible assets||2||2||1|
|Current assets|||||||
|Cash at bankand in hand||||553,750||495,553|
|Prepayments||||33,012||36,083|
|||||586,762||531,636|
|Creditors - amounts fallingdue|||||||
|withinoneyear||3||6,232||6,232|
|Netcurrent assets||||580,530||525,404|
|Total netassets|||£|580,531|£|525,405|
|Funds|||||||
|Restricted funds||||448,692||396,904|
|Unrestricted funds||||131,839||128,501|
||||£|580,531|£525,405|525,405|



For the financial year in question the company was entitled to exemption under section 477 of the Companies Act 2006 relating to small companies. 

No members have required the company to obtain an audit of its accounts for the year in question in accordance with section 476 of the Companies Act 2006. 

The directors acknowledge their responsibilities 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 companies subject to the small companies regime. 

These financial staternents were approved by the Board of Trustees and authorised for issue on 3rd July 2025 and signed on their behalf by:- 

Susan Casnello 

Treasurer and Trustee 

The notes on page & form part of the financial statements 

7 

BRITISH ASSOCIATION FOR CARDIOVASCULAR PREVENTION AND REHABILITATION 

## Report of the Trustees for the year ended 31st March 2025 continued 

## Statement as to disclosure of information to auditors 

So far as the trustees are aware, there is no relevant information (as defined by Section 2342A of the Companies Act 1985) of which the charitable company's auditors are unaware and each trustee has taken all the steps they ought to have taken as a trustee in order to make them aware of any audit information and to establish that the charitable company's auditors are aware of that information. 

## Auditors 

The auditors, AEL Markhams Ltd, will be proposed for re-appointment in accordance with Section 385 of the Companies Act 1985. 

Approved by the Board of Trustees on 3rd July 

2025 and signed on their behalf by:- 

Susan Casnello Treasurer and Trustee 

3 

## BRITISH BRITISH ASSOCIATION ASSOCIATION FOR FOR CARDIOVASCULAR CARDIOVASCULAR PREVENTION PREVENTION AND AND REHABILITATION REHABILITATION 

> REPORT AND REPORT AND FINANCIAL FINANCIAL STATEMENTS STATEMENTS 

FOR FOR THE THE YEAR YEAR ENDED ENDED 31 31 MARCH MARCH 2025 2025 

> Company Company no no 5086964 5086964 

## BRITISH BRITISH ASSOCIATION ASSOCIATION[FOR] FOR CARDIOVASCULAR CARDIOVASCULAR PREVENTION PREVENTION AND AND REHABILITATION REHABILITATION 

|CONTENTS<br>CONTENTS|PAGE<br>PAGE|
|---|---|
|Legal and administrative information<br>Legal and administrative information|1<br>1|
|Report ofthe trustees<br>Report ofthe trustees|2-3<br>2-3|
|Report of the independent examiner<br>Report ofthe independent examiner|4-5<br>4-5|
|Statement offinancial activities<br>Statement of financial activities|6<br>6|
|Balance sheet<br>Balance sheet|7<br>7|
|Notes to the financial statements<br>Notestothefinancialstatements|8<br>8|



> BRITISH BRITISH ASSOCIATION ASSOCIATION FOR[FOR] CARDIOVASCULAR PREVENTION CARDIOVASCULAR PREVENTION AND AND REHABILITATION REHABILITATION 

## TRUSTEES TRUSTEES 

Heather Heather Dawn Dawn Probert Probert - - President President - Natalie Natalie[Joy] Joy Graham Graham - Secretary Secretary Susan Susan Casnello Casnello - - Treasurer Treasurer 

## PRINCIPAL PRINCIPAL OFFICE OFFICE 

9 9 Fitzroy Fitzroy Square Square London London WIT W1T 5HW SHW 

## INDEPENDENT INDEPENDENT EXAMINER EXAMINER 

AEL AEL Markhams Markhams[Ltd] Ltd 201 201 Haverstock Haverstock Hill Hill London London NW3 NW3[4QG] 4QG 

Charity Charity number number 1135639 1135639 

> 1 1 

BRITISH BRITISH ASSOCIATION ASSOCIATION FOR[FOR] CARDIOVASCULAR CARDIOVASCULAR PREVENTION AND PREVENTION AND REHABILITATION REHABILITATION 

## Report Report of of the the Trustees Trustees[for] for the the year year ended ended 31st 31st March March 2025 2025 

> The The Trustees Trustees present present their their report report along along with with the the financial financial statements statements for for the the year year ended ended 31st 31st March March 2025 2025 

Constitution Constitution and and objects objects British British Association Association for for Cardiovascular Cardiovascular Prevention Prevention and and Rehabilitation Rehabilitation[is] is a a company company limited[limited] by[by] guarantee[guarantee][without] without share share capital,[capital,] incorporated incorporated on on 29th 29th March March 2004. 2004. BACPR BACPR was was constituted constituted on on 11th 11th September September 1993 1993 and and is is a a registered registered charity charity no no 1031354. 1031354. 

- The The objects objects of of the the charity charity are:are:(i) (i) The The relief relief of of sickness sickness of of persons persons suffering suffering from from diseases diseases of of the the heart heart and and circulation. circulation. (ii) (ii) To To undertake undertake and and promote, promote, in in relation relation to to diseases diseases of of the the heart heart and and circulation, circulation, prevention, prevention, rehabilitation, rehabilitation, education education and and medical medical and and scientific scientific[research.] research. 

## Financial Financial review review 

> Total Total income income for for the the year year ended ended 31st 31st March March 2025 2025 was was f518,748 £518,748 (2024 (2024 = = E488,406) £488,406) Total Total expenditure expenditure for for the the year year ended ended 31st 31st March March 2025 2025 was was E463,623 £463,623 (2024 (2024 = = €436,619) £436,619) Income Income exceeded exceeded expenditure expenditure by[by] £55,125 f55,125 (2024 (2024[=] = Surplus Surplus £51,787)[E51,787)] 

> Funds Funds held held on on deposit deposit increased from increased from f553,749 £553,749 to to £495,553 f495,553 

> Investment Investment powers powers and and[policy] policy Under Under its[its] memorandum memorandum of of Association Association the the charity charity has has the the power power to to invest invest in in any any way way the the trustees trustees[wish.] wish. 

> The The trustees, trustees, having having regard regard to to the the liquidity liquidity requirements requirements of of operating operating the the charity charity have have maintained maintained a a policy policy of of 

> keeping keeping[available] available funds funds in in[interest] interest bearing bearing deposit deposit accounts. accounts. 

## Reserves[[policy]] 

## Reserves Reserves policy[[policy]] 

It It is is the the policy policy of of the the charity charity to to maintain maintain unrestricted unrestricted funds, funds, which which are are free free reserves reserves of of the the charity charity at at a a level level which which provides provides sufficient sufficient funds funds to to cover cover management management and and administration administration and and support support costs. costs. 

Risk Risk management management The The trustees trustees have have examined examined the the major major strategic, strategic, business business and and operational operational risks risks which which the the charity charity faces faces and and confirm confirm[that] that systems systems have have been been established established to to enable enable regular[regular] reports reports to to be be produced produced so so that that the the necessary necessary steps steps can can be be taken taken to to lessen lessen these these risks. risks. 

- Trustees' Trustees’ responsibilities responsibilities[in] in[relation] relation to to financial financial statements statements Law Law applicable applicable to to charities charities in in England England and and Wales Wales requires requires the the Trustees Trustees to to prepare prepare financial financial statements statements for for each each financial financial year year which which[give] give a a true true and and fair fair view view of of the the state state of of affairs affairs of of the the charity charity at[at] the the end end of of the the financial financial year year and and of of[its] its[surplus ] surplus or or deficit deficit[for] for that[that][period.] period.[In] In preparing preparing those[those] accounts, accounts, the the Trustees Trustees are are required required[to:] to: * * select select suitable suitable accounting accounting policies policies and and apply apply them them consistently, consistently, * * make make judgements judgements and and estimates estimates that that are are reasonable reasonable and and prudent, prudent, * * state state whether whether applicable applicable accounting accounting standards standards and and statements statements of of recommended recommended practice practice have have been been followed followed subject subject to to any any departures departures[disclosed] disclosed and and explained explained in in the the financial financial statements; statements; and and 

- * * prepare prepare the the accounts accounts on on the the going going concern concern basis basis unless unless it it is is inappropriate inappropriate to to presume presume that that the the charity charity will will continue continue[to] to operate. operate. 

> The The trustees trustees are are responsible responsible for for keeping keeping proper proper accounting accounting records records which which disclose disclose with with reasonable reasonable accuracy accuracy at at 

> any any time[time] the the financial financial[position] position of of the the charity charity and and which which enable enable them them to to ensure ensure that that the the accounts accounts comply comply with with the the[Charities] Charities Acts. Acts. They They are are[also] also responsible responsible for for safeguarding safeguarding the the assets assets of of the the Charity Charity and and hence hence[for] for taking taking reasonable reasonable[steps] steps for for the the prevention prevention and and detection detection[of] of fraud fraud and and other other[irregularities.] irregularities. 

2 2 

BRITISH BRITISH ASSOCIATION ASSOCIATION[FOR] FOR CARDIOVASCULAR CARDIOVASCULAR PREVENTION PREVENTION AND AND REHABILITATION REHABILITATION 

# Report Report of[of] the the Trustees Trustees[for] for the the year year ended ended 31st 31st March March 2025 2025 continued continued 

Statement Statement as as to to disclosure disclosure of of information information to to auditors auditors So So far far as as the the trustees trustees are are aware, aware, there there is is no no relevant relevant information information[(as] (as defined defined by by Section Section 234ZA 234ZA of of the the Companies Companies Act Act[1985)] 1985) of[of] which which the the[charitable] charitable company's auditors company's auditors are are unaware unaware and[and] each[each][trustee] trustee[has] has taken[taken][all] all the the steps steps they they ought ought to to have have taken taken as as a a trustee trustee in in order order to to make make them them aware aware of of any any[audit] audit information information and and to to establish establish that that the the charitable charitable company's company's auditors auditors are are aware aware of of that that information. information. 

Auditors Auditors The The auditors, auditors, AEL AEL Markhams Markhams Ltd, Ltd, will will be[be] proposed proposed for for re-appointment re-appointment in in accordance accordance with with Section Section 385 385 of[of] the the Companies Companies Act Act 1985. 1985. 

> Approved Approved[by] by the the Board Board of of Trustees Trustees on on 

> 2025 2025 and and signed signed on on their their behalf behalf[by:-] by:- 

Susan Susan Casnello Casnello Treasurer Treasurer and and Trustee Trustee 

> 3 3 

## REPORT REPORT OF THE OF THE INDEPENDENT[INDEPENDENT] EXAMINER EXAMINER TO[TO] THE THE MEMBERS[MEMBERS] OF OF 

## BRITISH BRITISH ASSOCIATION ASSOCIATION[FOR] FOR CARDIOVASCULAR CARDIOVASCULAR PREVENTION PREVENTION AND AND REHABILITATION[REHABILITATION] 

> (A (A COMPANY COMPANY LIMITED LIMITED BY BY GUARANTEE) GUARANTEE) 

## Independent Independent examiner's examiner's report report to to the the trustees trustees of of British British Association Association of of Cardiovascular Cardiovascular[Prevention] Prevention and and Rehabilitation Rehabilitation 

> We We report report on on the the accounts accounts of of the the company company for for the the year year ended ended 31st 31st March March 2025,[2025,] which[which] are are[set] set[out] out on on pages pages 6[6][to] to[9.] 9. 

## Respective Respective responsibilities responsibilities of of trustees trustees and and examiner examiner 

> The The trustees trustees (who (who are are also also directors directors of of the the company company for for the the purposes purposes of of company company law)[law)] are are responsible responsible for for the the preparation preparation of of the the accounts. accounts.[The] The trustees trustees consider that consider that an an[audit] audit[is] is not not required required for for this this year year under under[section] section[144(2)] 144(2) of of the[the][Charities] Charities Act Act[1993] 1993[(the] (the 2011 2011[Act)] Act) and and[that] that an an independent independent examination examination is[is] needed.[needed.] The The[charity's] charity's gross gross 

> income income exceeded exceeded €250,000 £250,000 and and we we are are qualified qualified to to undertake undertake the the examination examination by by being being a a qualified qualified members members of of the the Institute Institute of of Chartered Chartered Accountants Accountants in in England England and and Wales. Wales. 

Having Having satisfied satisfied ourselves that ourselves that the the charity charity[is] is not not subject subject[to] to[audit] audit under company under company law[law] and and[is] is eligible eligible for for independent independent examination, examination, it it is is our our responsibility responsibility[to:] to: 

- - examine examine the the accounts accounts under section under section 145 145 of of the the 2011 2011 Act; Act; 

- to to follow follow the the procedures procedures laid laid down down in in the the general general Directions Directions given given by by the the Charity Charity Commission Commission under under section section 145(5)(b) 145(5)(b) of of the the 2011 2011 Act; Act; and and 

> - - to to state state whether whether particular particular matters matters have have come come to to my my attention. attention. 

## Basis Basis of of independent independent examiners examiners report report 

> Our Our examination examination was was carried carried out out in in accordance accordance with with the the general general Directions[Directions] given given by by the the[Charity] Charity Commission. Commission. An An 

> examination examination includes[includes] a a review review of of the the accounting accounting records records kept kept by by the the charity charity and and a a comparison comparison of of the the accounts accounts presented presented by by those those records. records. It It also also includes includes consideration consideration of of any any unusual unusual items items or or disclosures disclosures in in the the accounts, accounts, 

> and and seeking seeking explanations explanations from from you you as as trustees trustees concerning concerning any any such such matters. matters. The The procedures procedures undertaken undertaken do do not not provide provide[all] all the the evidence evidence that that would would be be required required in in an an audit[audit] and and consequently consequently no no opinion opinion is is given given as as to to whether whether the the accounts accounts present present a a["true] "true and and fair fair view" view" and and the the report report is is limited limited to to those those matters matters set set out out in in the the statement statement below. below. 

> 4 4 

> REPORT REPORT OF THE OF THE[INDEPENDENT] INDEPENDENT EXAMINER EXAMINER TO TO THE THE MEMBERS[MEMBERS] OF OF 

## BRITISH BRITISH ASSOCIATION ASSOCIATION[FOR] FOR CARDIOVASCULAR CARDIOVASCULAR PREVENTION AND PREVENTION AND REHABILITATION REHABILITATION 

(A (A COMPANY COMPANY LIMITED LIMITED BY BY GUARANTEE) GUARANTEE) 

continued continued 

## Independent Independent examiners examiners statement statement 

In In connection connection with with our our examination, examination, no no matter matter has has come come to to our our attention; attention; 

(1) (1) which which gives gives us us reasonable reasonable cause cause to to believe believe that that in in any any material material respect respect the the requirements; requirements; 

> - - to to keep keep accounting accounting records records in in accordance accordance with with section section 386 386 of of the the Companies Companies Act Act 2006; 2006; and and 

- - to to prepare prepare accounts accounts which which accord accord with with the the accounting accounting records, records, comply comply with with the the accounting accounting requirements requirements of of section section 396 396 of of the the Companies Companies Act Act 2006 2006 and and with with the the methods methods and and principles principles of of the the Statement Statement of of Recommended Recommended Practice Practice Accounting Accounting and and Reporting Reporting by by Charities[Charities] 

have have not not been been met; met; or or 

(2) (2) to to which, which, in in our our opinion, opinion, attention attention should should be be drawn drawn in in order order to to enable enable a a proper proper understanding understanding of of the the accounts accounts to to[be] be reached. reached. 

AEL AEL Markhams Markhams[Ltd] Ltd Chartered Chartered Accountants Accountants and and Registered Registered Auditors Auditors 201 201 Haverstock Haverstock Hill Hill London London NW3 NW3 4QG 4QG 

Date: Date: 

> 5 5 

BRITISH BRITISH ASSOCIATION ASSOCIATION[FOR] FOR CARDIOVASCULAR CARDIOVASCULAR PREVENTION AND PREVENTION AND REHABILITATION REHABILITATION 

STATEMENT STATEMENT OF OF FINANCIAL FINANCIAL[ ACTIVITIES] ACTIVITIES FOR FOR THE THE YEAR YEAR ENDED ENDED 31 31 MARCH MARCH 2025 2025 

||Notes<br>Notes|Unrestricted<br>Unrestricted|Restricted<br>Restricted|Total<br>Total|Total<br>Total|
|---|---|---|---|---|---|
||Page<br>Page|Funds<br>Funds|Funds<br>Funds|2025<br>2025|2024<br>2024|
|||£|£|£|£|
|Incoming resources<br>Incoming resources|9<br>9|||||
|Education fund<br>Education fund|||363,040<br>363,040|363,040<br>363,040|347,645<br> 347,645|
|Conference fund<br>Conference fund||118,223<br>118,223||118,223<br>118,223|104,207<br>104,207|
|Members fund<br>Members fund||37,485<br>37,485||37,485<br>37,485|36,553<br>36,553|
|Total incoming resources<br>Total incoming resources||155,708<br>155,708|363,040<br>363,040|518,748<br>518,748|488,405<br> 488,405|
|Resources expended<br>Resources expended|10<br>10|||||
|Education fund<br>Education fund|||311,252<br>311,252|311,252<br>311,252|282,860<br> 282,860|
|Conference fund<br>Conference fund||99,971<br>99,971||99,971<br>99,971|101,609<br> 101,609|
|Members fund<br>Members fund||52,399<br>52,399||52,399<br>52,399|52,149<br>52,149|
|Total resources expended<br>Total resources expended||152,370<br>152,370|311,252<br>311,252|463,623<br>463,623|436,618<br> 436,618|
|Net incoming resources for the year<br>Net incoming resources forthe year||3,337<br>3,337|51,787<br>51,787|55,125<br>55,125|51,787<br>51,787|
|Total funds brought forward<br>Total funds brought forward||128,501<br>128,501|396,904<br>396,904|525,405<br>525,405|473,618<br> 473,618|
|Total funds carried forward<br>Totalfundscarriedforward||131,838<br>131,838|448,691<br>448,691|580,530<br>580,530|525,405<br>525,405|



The The Statement Statement of of Financial Financial Activities Activities include include all all the the gains gains and and losses losses in in the the year year and and therefore therefore a a statement statement of of total total recognised recognised gains gains and and losses losses has has not not been been prepared prepared 

All All the the above above amounts amounts relate relate to to continuing continuing services services 

> The The notes notes on on page page[8] 8 form form part part of of the the financial financial statements statements 

6 6 

## BRITISH BRITISH ASSOCIATION ASSOCIATION[FOR] FOR CARDIOVASCULAR CARDIOVASCULAR PREVENTION PREVENTION AND AND REHABILITATION REHABILITATION 

## BALANCE BALANCE SHEET SHEET 

## 31 31 MARCH MARCH 2025 2025 

||Notes<br>Notes||2025<br>2025||2024<br>2024|
|---|---|---|---|---|---|
||||£||£|
|Fixed assets<br>Fixed assets||||||
|Tangible assets<br>Tangible assets|2<br>2||1<br>re||1<br> 2|
|Current assets<br>Current assets||||||
|Cash at bank and in hand<br>Cash at bank and in hand|||553,749<br>553,749||495,553<br>495,553|
|Prepayments<br>Prepayments|||33,012<br>586,761<br>33,012<br>586,761||36,083<br>531,636<br>36,083<br>__531,636|
|Creditors<br>- amountsfalling due<br>Creditors - amounts falling due||||||
|within one year<br>within one year|3<br>3||6,232<br>6,232||6,232<br>6,232|
|Net current assets<br>Net current assets|||580,529<br>580,529||525,404<br>525,404|
|Total net assets<br>Total net assets||£|580,530<br>580,530|E<br>£|525,405<br>525,405|
|Funds<br>Funds||||||
|Restricted funds<br>Restricted funds|||448,691<br>448,691||396,904<br>396,904|
|Unrestricted funds<br>Unrestricted funds|||131,838<br>131,838||128,501<br>128,501|
|||£|580,530<br>580,530|f<br>£|525,405<br>525,405|



> For For the the financial financial year year in in question question the the company company was was entitled entitled to to exemption exemption under under section section 477 477 of of the the 

> Companies Act Companies Act 2006 2006 relating relating to to[small] small companies. companies. 

> No No members members have have required required the the company company to to obtain obtain an an audit audit of of its its accounts accounts for for the the year year in in question question in in 

> accordance accordance with with[section] section 476 476 of[of] the the Companies Companies Act Act 2006. 2006. 

> The The directors[directors] acknowledge acknowledge their their responsibilities responsibilities[for] for complying complying with with the the requirements requirements of[of] the the Act Act with with respect respect[to] to accounting accounting records records and and the the preparation preparation of of accounts. accounts. 

> These These accounts accounts have have been been prepared prepared in in accordance accordance with with the the provisions provisions applicable applicable to to companies companies subject subject 

> to to the the small small companies companies regime. regime. 

> These These financial financial statements statements were were approved approved by by the the Board Board of of Trustees Trustees and and authorised authorised for for issue issue on on 

> 2025 2025 and and signed signed on on their their behalf behalf by:by:- 

Susan Susan Casnello Casnello Treasurer Treasurer and and Trustee Trustee 

> The The notes notes on on page page 8 8 form form part part of of the the financial financial statements statements 

> 7 7 

BRITISH BRITISH ASSOCIATION ASSOCIATION FOR[FOR] CARDIOVASCULAR CARDIOVASCULAR PREVENTION PREVENTION AND AND REHABILITATION REHABILITATION 

NOTES NOTES TO TO THE THE FINANCIAL FINANCIAL STATEMENTS STATEMENTS 

> FOR FOR THE THE YEAR YEAR ENDED ENDED 31 31 MARCH MARCH 2025 2025 

> 1 1 Principle Principle accounting accounting policies policies Accounting Accounting convention convention 

> The The financial financial statements statements are are prepared prepared under the under the historical historical cost cost convention convention and[and] in in accordance accordance with with the the 

> Financial Financial Reporting Reporting Standard Standard for for Smaller Smaller Entities. Entities. In In preparing preparing the the financial financial statements statements the the charity charity 

> follows follows best best practice practice laid laid down down in in the the Statement Statement of of Recommended Recommended Practice Practice - - Accounting Accounting and and Reporting. Reporting. 

Incoming Incoming resources resources Income Income[is] is accounted accounted for for[in] in the the period period[in] in which which[it] it[is] is received. received. 

> Resources Resources expended expended Expenditure Expenditure[is] is included included on on an an[accruals] accruals[basis.] basis. 

> Tangible Tangible fixed fixed assets assets Depreciation Depreciation is[is] provided provided for for as as follows:follows:Fixtures Fixtures and and fittings fittings - 15% 15% on on cost cost 

> 2 2 Tangible Tangible fixed fixed assets assets 

|2 <br>2|Tangible fixed assets<br> Tangible fixed assets||||
|---|---|---|---|---|
|||||£|
||Cost<br>Cost||||
||At 1st April 2024and 31st March 2025<br>At 1st April 2024 and 31st March 2025|||9,670<br>9,670|
||Depreciation<br>Depreciation||||
||At 1st April 2024<br>At 1st April 2024|||9,669<br>9,669|
||Charge for the year<br>Charge for the year|||:|
||At 31st March 2025<br>At 31st March 2025||f<br>£|9,669<br>9,669|
||Net book value<br>Net book value||||
||31st March 2025<br>31st March 2025||£|1<br>1|
||31st March 2024<br>31st March 2024||£|1<br>1|
|3 <br>3|Creditors<br> Creditors||2025<br>2025|2024<br>2024|
||Amounts falling due within one year<br>Amounts falling due within one year||||
||Trade creditors<br>Trade creditors||4,200<br>4,200|4,200<br>4,200|
||Other creditors<br>Other creditors||2,032<br>2,032|2,032<br>2,032|
|||£|6,232 f<br>6232£|6,232<br>6,232|



- 4 4 Funds Funds 

- Unrestricted Unrestricted funds funds 

> Comprise Comprise[those] those funds funds which which the the trustees trustees are are[free] free to to use use in in accordance accordance with with the the[charitable] charitable objects. objects. 

Restricted Restricted funds funds Comprise Comprise those those funds funds which which have have been been given given[for] for a a particular particular purpose purpose and and that that restricted restricted fund fund must must be be used used wholly wholly[for] for that that charitable charitable object. object. The The restricted restricted funds funds in in operation operation at at 31st 31st March March 2024 2024 were:were:(i) (i) Education Education account account 

These These notes notes form form part part of of the the financial financial statements statements 

> 8 8 

= 

## BRITISH BRITISH ASSOCIATION ASSOCIATION[FOR] FOR CARDIOVASCULAR CARDIOVASCULAR PREVENTION AND PREVENTION AND REHABILITATION REHABILITATION 

## STATEMENT STATEMENT OF OF[FINANCIAL] FINANCIAL[ ACTIVITIES] ACTIVITIES FOR FOR THE THE YEAR YEAR ENDED ENDED 31 31 MARCH MARCH 2025 2025 


**----- Start of picture text -----**<br>
|||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|2025|2025|2024|2024|
|£|£|£|£|
|INCOME|INCOME|
|BACPR|BACPR|EDUCATION|EDUCATION|FUND|FUND|
|Course|Course|income|income|363,040|363,040|343,645|343,645|
|EPG|EPG|sponsorship|sponsorship|-|4,000|4,000|
|363,040|363,040|347,645|347,645|
|CONFERENCE FUND|CONFERENCE|FUND|
|Registration|Registration|65,373|65,373|65,057|65,057|
|Sponsorship|Sponsorship|and|and|[exhibitors]|exhibitors|52,850|52,850|39,150|39,150|
|118,223|118,223|104,207|104,207|
|MEMBERS|MEMBERS|FUND|FUND|
|Membership|Membership|fees|fees|36,266|36,266|35,096|35,096|
|Miscellanous|Miscellanous|income|income|1,219|1,219|1,458|1,458|
|37,485|37,485|36,554|36,554|
|518,748|518,748|488,406|488,406|
|EXPENSES|EXPENSES|
|Resources|Resources|expended|expended|[(page]|(page|[10)]|10)|463,623|463,623|436,619|436,619|
|Net|Net outgoing|outgoing|resources|resources|[for]|for the|the|year|year|E|£|55,125|55,125|£|f|51,787|51,787|

**----- End of picture text -----**<br>


> These These notes notes form form part part of of the the financial financial statements statements 

> 9 9 

BRITISH BRITISH ASSOCIATION ASSOCIATION FOR FOR CARDIOVASCULAR CARDIOVASCULAR PREVENTION PREVENTION AND AND REHABILITATION REHABILITATION 

## RESOURCES RESOURCES EXPENDED EXPENDED 

## FOR FOR THE THE YEAR YEAR ENDED ENDED 31 31 MARCH MARCH 2025 2025 

|||2025<br>2025|2025<br>2025||2024<br>2024|2024<br>2024||
|---|---|---|---|---|---|---|---|
|||£||£|£||£|
|EXPENDITURE<br>EXPENDITURE||||||||
|BACPR EDUCATION FUND<br>BACPR EDUCATION FUND||||||||
|General costs<br>General costs||||||||
|ACPICR fees<br>ACPICR fees||3,830<br>3,830|||4,340<br>4,340|||
|Professional fees<br>Professional fees||4,500|||4,200<br>4,200|||
|Course expenses<br>Course expenses||49,836<br>49,836|||48,585<br>48,585|||
|Online and IT costs<br>Online and ITcosts||21,001<br>21,001|||19,444<br>19,444|||
|Traveland subsistence<br>Travel and subsistence||5,776<br>5,776|||8,274<br>8,274|||
|Tutorfees<br>Tutorfees||110,520<br>110,520|||98,543<br>98,543|||
|||||195,463<br>195,463|||183,386<br>183,386|
|Project costs<br>Project costs||||||||
|Course development fees<br>“Course development fees||6,544<br>6,544|||4,948<br>4,948|||
|||||6,544<br>6,544|||4,948<br>4,948|
|EDUCATION ADMINISTRATION <br>EDUCATION ADMINISTRATION|COSTS<br> COSTS|||||||
|Office rental<br>Office rental||8,643<br>8,643|||10,564<br>10,564|||
|Office expenses<br>Office expenses||4,414<br>4,414|||3,753<br>3,753|||
|General postage costs<br>General postage costs||8,311<br>8,311|||6,813<br>6,813|||
|Salaries<br>Salaries||87,876<br>87,876|||73,396<br>73,396|||
||||109,245<br>109,245||||94,526<br>94,526|
|CONFERENCE FUND<br>CONFERENCE FUND||||||||
|Administration and speakers expenses<br>Administration and speakers expenses||43,197<br>43,197|||44,136<br>44,136|||
|IT||7,350<br>7,350|||6,772<br>6,772|||
|Venue<br>Venue||49,424<br>49,424|||50,701<br>50,701|||
|||||99,971<br>99,971||101,609<br>101,609||
|MEMBERS FUND<br>MEMBERS FUND||||||||
|Administration<br>:ouncil activityand projects<br>_ Administration<br>“Council activityand projects||39,864<br>7,127<br>39,864<br>7,127|||40,128<br>6,168<br>40,128<br>6,168|||
|CardiovascularHealth Campaign<br>Cardiovascular Health Campaign|- The Guardian<br> -The Guardian|2,220<br>2,220|||3,700<br>3,700|||
|Travel Awards<br>Travel Awards||2,613<br>2,613|||1,489<br>1,489|||
|Connect newsletter<br>Connect newsletter||575<br>575|||665<br>665|||
|||||52,399<br>52,399|||52,150<br>52,150|
|||£|463,623<br>463,623||£|436,619<br>436,619||



> 10 10 

