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← C3 Collaborating For Health

2024-12-31-accounts

C3 Collaborating for Health

Annual Report and Financial Statements

31 December 2024

Company Limited by Guarantee Registration Number 06941278 (England and Wales) Charity Registration Number 1135930

Contents

Reports

Reports
Reference and administrative information 1
Trustees’ report 2
Independent examiner's report 10
Financial statements
Statement offinancial activities 12
Balance sheet 14
Principal accounting policies 15
Notestothefinancialstaternents 17

C3 Collaborating for Health

Reference and administrative information

Trustees DrMargaretAtkinson (Appointed 9 DrMargaretAtkinson (Appointed 9
September 2024)
MsZoe Bedford (Resigned 9 September
2024)
Ms Claire Burroughs (Appointed 29 January
2024)
Dr Nina Desai (Appointed 29 January
2024)
Mr John Grumitt(Resigned 9 September
2024)
MrOwen Marks (Appointed 9 September
2024)
Mrs Caroline Stanger (Resigned 9
September2024)
MrMark Wakefield
ChiefExecutiveandCompanySecretary Ms Christine Hancock
Registered office SBCHouse
RestmorWay
Surrey
SM6 7AH
Website www.c3health.org
Twitter Twitter: @c3health
Company registrationnumber 06941278 (England andWales)
Charity registration number 1135930
Bankers HSBC Bank pic
Oxford Circus Commercial Centre
196 Oxford Street
London
W1DINT

C3 Collaborating for Health 1

Trustees' report 31 December 2024

The trustees present their report together with the financial statements of C3 Collaborating for Health for the year to 31 December 2024.

This report serves as the report of the directors for the purposes of company legislation.

The financial statements have been prepared in accordance with the accounting policies set out on pages 15 and 16 of the attached financial statements and comply with the charitable company's memorandum and articles of association, applicable laws and the requirements of the Statement of Recommended Practice applicable to charities preparing their financial statements in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102).

GOVERNANCE, STRUCTURE AND MANAGEMENT

Constitution

C3 Collaborating for Health ('C3') is a company limited by guarantee not having share capital (Company Registration No. 06941278). The company registered as a charity on 13 May 2010 (Charity Registration No. 1135930). The charitable company's memorandum and articles of association are its primary governing documents.

Members' lability

The liability of members in the event of winding up is limited to £10 per member.

Trustees

The following trustees were in office at 31 December 2024 and served throughout the year, except where shown:

Trustee

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Dr Margaret Atkinson (Appointed 9 September 2024) Ms Zoe Bedford (Resigned 9 September 2024) Ms Claire Burroughs (Appointed 28 January 2024) Dr Nina Desai (Appointed 29 January 2024) Mr John Grumitt (Resigned 9 September 2024) Mr Owen Marks (Appointed 9 September 2024) Mrs Caroline Stanger (Resigned 9 September 2024) Mr Mark Wakefield

The irustees of the charity are also directors for the purposes of company legislation.

Membership of the board is kept continually under review. Any new trustees are appointed to contribute particular knowledge, experience, expertise or perspective to that which is already available to the board. The trustees may attend any courses which they feel are relevant to the development of their role and to keep up to date on any changes in legislation.

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C3 Collaborating for Health 2

Trustees’ report 31 December 2024

GOVERNANCE, STRUCTURE AND MANAGEMENT (continued)

Statement of trustees’ responsibilities

The trustees (who are also directors of C3 Collaborating for Health for the purposes of company law) are responsible for preparing the trustees' report and financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).

Company law requires the trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the charitable company and of the income and expenditure of the charitable company for that period.

In preparing these financial statements, the trustees are required to:

The trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financial position of the charitable company and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safequarding the assets of the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

The trustees are responsible for the maintenance and integrity of financial information included on the charity's website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in otherjurisdictions.

Organisation

The trustees meet to discuss and review the organisation and structure of the charitable company. The day-to-day organisation of the charity is the responsibility of the Chief Executive, and this is supported by three meetings per annum, with at least one trustee in attendance. In addition, information about the activities and research undertaken by the charity is disseminated in newsletters and on the charity's website.

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C3 Collaborating for Health 3

Trustees’ report 31 December 2024

GOVERNANCE, STRUCTURE AND MANAGEMENT (continued)

Key management personnel

The trustees consider that the board of trustees and Chief Executive comprise the key management personnel in charge of directing and controlling, running and operating the charity on a day-to-day basis. The trustees give their time freely and no trustee received remuneration inthe year. The pay of the Chief Executive is reviewed annually by the trustees.

Risk management

The trustees have assessed the major risks to which the charity is exposed, in particular those relating to the specific operational areas of the charity, and its finances. The trustees believe that by monitoring reserves levels, by ensuring controls exist over key financial systems, and by examining the operational and business risks faced by the charitable company, they have established effective systems to mitigate those risks. Major risks are formally considered by the trustees during Board meetings and preventative action is undertaken when required.

OBJECTIVES AND ACTIVITIES

Principal aims and objectives

C3's vision is for a world in which the four major chronic non-communicable diseases (NCDs) - cardiovascular disease, diabetes, many cancers and chronic lung disease - are prevented or delayed through healthier living.

C3's mission is to foster partnerships and build collaboration between different people and organisations that, between them, can overcome the many barriers to stopping smoking, eating well (including tackling the harmful use of alcohol), and being physically active.

To this end:

C3 Collaborating for Health 4

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Trustees’ report 31 December 2024

OBJECTIVES AND ACTIVITIES (continued)

Principal aims and objectives (continued)

Events are a central means by which C3 builds partnerships. These meetings bring together policymakers, businesses, government, teachers, health experts, young professionals, academics and others to share ideas, assess the evidence, develop policies and catalyse action to improve public health. C3 believes that only by working together can we make it easier for people to be healthy. G3's web presence is also important in spreading messages about health. The website (www.c3health.org) is a repository for information about C3 as an organisation and updates about C3's activities. It includes regular 'news alerts'- short summaries (two to three a week) of major news stories from around the world about NCO prevention. This provides information that can be used by professionals and others.

C3 is on Twitter (@c3health) and regularly posts relevant and interesting information about NCDs; C3's Twitter following has grown substantially over the last few years.

ACHIEVEMENTS AND PERFORMANCE

A year of consolidation

2024 brought to C3 the energy and enthusiasm of a new chair and trustees but it was also a challenging year with bereavement and illness affecting key staff. Despite that, key projects have been finalised, and new projects started, all addressing the opportunities to prevent the unhealthy lifestyles that lead to distressing and serious diseases affecting the most vulnerable people.

Most of our work has built on our extensive network and experience of working with nurses and the work has broadened into social care and globally into oral health. C3, and those we work with to prevent iliness and premature death, are grateful to our main funders, Colgate Palmolive and the Burdett Trust for Nursing.

Working with professionals

This year we completed a three-year project working with nurses from a minority heritage, supporting them to reach into their communities. The aim of this three-year programme working with nurses has been to connect nurses from ethnic minority heritage with each other and their communities, to help community members better understand their health risks, and to promote health and wellbeing. In May 2023 the work moved into its third and final year, concluding in April 2024. Empowering nurses has featured prominentlyin year three, enabling nurses to develop leadership skills through delivering wellbeing initiatives within their communities, that they themselves are passionate about,

Engaging nurses has been extremely challenging throughout this project. The global recovery from Covid-19, the well-documented NHS challenges and industrial action were all barriers to nurse engagement. In this shifting landscape, which fed to unprecedented challenges for everyone but particularly nurses, we had to adopt a flexible approach to our activities and how we worked with nurses, to ensure the successful delivery of this programme. Therefore, we incorporated this reality into the work. We explored the barriers and enablers to engaging nurses in the three boroughs of Brent, Harrow and Ealing by conducting semi-structured interviews with individual nurses, as well as trying to understand the complexity of health

C3 Collaborating for Health

5

Trustees’ report 31 December 2024

ACHIEVEMENTS AND PERFORMANCE (continued)

Working with professionals (continued)

inequalities affecting these boroughs. We recruited two participating nurses from year 2 of the programme, one in Harrow and one in Brent, where they have become nurse leaders within their communities and have delivered workshops for community members on health and prevention.

C3's work needs to address long-term change and multi-year projects are important in enabling us to secure change in the lives of the people we work with.

As one 3-year project was finalised, we were successful in securing funding for a new 3-year project working with the staff in care homes in five north London boroughs. Adult social care (ASC) in England is a large diverse industry employing 1.3 m staff. They are responsible for the care of very vulnerable people in care homes and in people's own homes. The staff in this sector are low paid and often have insecure employment, vacancy levels are high and there is an increasing reliance on international recruitment. It is known that COVID-19 had a terrible effect on these staff, but little is known about their health overall. It is known, however, that being low paid and from a minority group increases the risk of poor health. C3 has worked to address the health of those who work in healthcare, especially nurses, and seen the impact this has had on the health and wellbeing of their patients. This project takes this expertise to address the heaith of social care staff.

In addition to these important multi-year projects, C3 has competed for a series of 12-month grants advertised by the Burdett Trust and been successful in two competitive grants to address NCDs; the first to prevent or treat diabetes; the second to address chronic respiratory disease.

To address chronic respiratory diseases, C3's has looked at the prevalence of smoking in nurses, explored the barriers to smoking cessation for nurses who smoke, and provided them with smoking cessation support so that ultimately, they may more effectively support their patients and subsequently lower their risk of chronic respiratory disease. C3 has enjoyed working with Edinburgh Napier University to understand the data around nurses and smoking. A co-production element targeted nurses who smoke, exploring the barriers and facilitators to smoking cessation in nurses via semi-structured interviews. This informed the co-production of a digital toolkit. The toolkit will enable nurses to support themselves and their patients to reduce the risk of chronic respiratory disease. In addition, C3 worked in partnership with Smoke Free, who offered free codes for the Smoke Free App, joint branded with C3.

In responding to a Burdett funding call to address Diabetes, C3's aim was to reduce the prevalence of type 2 Diabetes (T2DM) and its associated complications and co-morbidities, by engaging and training nurses on the bi-directional relationship between T2DM and oral health. This built on the work C3 has been engaged in globally to address the importance of oral health. The project explored barriers and facilitators to nurses addressing T2DM and oral health and co-produced recommendations for nurses addressing oral health to prevent T2DM.

During this ten-month project, activity included: convening an expert advisory group; collaborating with the organisations Leam with Nurses and the Commonwealth Nurses and Midwives Federation to design and deliver a series of online webinars; conduct a literature review; convene an expert roundtable and produce recommendations for integrating oral health into nurse practice. In addition to our support from the Burdett Trust, C3 attracted funding from other sources, including three charities.

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C3 Collaborating for Health 6

Trustees’ report 31 December 2024

ACHIEVEMENTS AND PERFORMANCE (continued)

Working with professionals (continued)

During 2024 we were joined by Professor Andy Jones, an expert in evaluation and C3 was commissioned by the Queens Nursing Institute Scotland to evaluate its Burdett-funded cardiovascular prevention programme which successfully empowered nurses to lead community health initiatives that aimed to address significant health inequalities in Scotland. An emphasis was placed on co-production, personal development, and sustainable practices to support the development and delivery of interventions that were effective and relevant. The programme demonstrated the potential for nurses to drive health improvements in their communities. The legacy of this initiative could be to provide a model to inspire and guide ongoing efforts in CVD prevention and health in Scotland.

Andy Jones brought with him an ongoing University of Hertfordshire project - inspirited minds, a mental heaith intervention evaluation.

The International Council of Nurses commissioned C3 to write text for their 2025 International Nurses Day publication, Our Nurses. Our Future. Caring for Nurses, Strengthening Economies, Asmall grant from St James's Place Foundation enabled C3 to run sessions with young people aged 12-16 in 2 areas of London. The sessions covered smoking, including tobacco as well as, cannabis and vaping. The events were interactive with 'true or false’ questions and plenty of discussion, as well as sharing information and increasing the knowledge and awareness of participants. The young people were engaged, actively took part in discussions and felt that they had learnt from the session. We hoped to build on the initial sessions, but the Foundation changed its criteria for further funding.

C3 had a strong presence at the Commonwealth Nurses and Midwives Federation's Conference in Malta, presenting the work on Oral Health.

Working with business

C3 has a long tradition of working with businesses who share our vision to help people live more healthy lives and prevent chronic disease. We have established a very good relationship with Colgate Palmolive for whom Oral Health is a major business goal and who shares with C3 the potential in engaging the millions of nurses to take the message of oral health to communities.

The World Health Organisation has established a programme focusing on oral health and its strong link to other NCDs such as diabetes, heart disease, respiratory disease, cerebrovascular disease, and mental health. There is strong and consistent research evidence of an association between severe periodontal disease and type 2 diabetes; cardiovascular disease; lung diseases (such as pneumonia); cerebrovascular disease (especially Alzheimer’s disease); and adverse pregnancy outcomes. Poor oral health shares the same risk factors as other NCDs: a poor diet with high sugar intake; tobacco use; and harmful fevels of alcohol.

During 2024 C3's work on Oral Health has grown, especially working in sub-Saharan Africa. Ironically, since the Covid pandemic online learning has been more accessible and acceptable. With funding and support from Colgate's Africa division and working with Commonwealth Nurses and Midwives Federation as well as the World Continuing Education Alliance, we have reached 10,000 nurses and midwives as well as produced training materials for parents, teachers and community health workers. Most of the materials have been translated into French and Swahili as has the delightful song recorded by the Commonwealth Children's Choir and presented on Commonwealth Day at the Guards Chapel in London: hitps:/Awww.youtube.com/watch?v=JFpqijlY cis

C3 Collaborating for Health 7

Trustees, report 31 December 2024 ACHIEVEMENTS AND PERFORMANCE (continued) Events and Communlcatlons C3's CHESS project in Kings Lynn. was adopted by the Economist Health Inclusivity Index supported by Haleon". htlps:Ilwww.haleon.GomlcontenVdamlhaleonlcorporateldoGumentslour-impaGUkings- tynn.pdf.downloadasseLpdf C3's nursing team held a health and wellbeing event at RCN Congress for 2024, and the event considered smoking and CVD and how nurses can be heatthier themselves. C3 and CNMFS Deputy President joined a meeting of School Health and Education Lead8rs, many present at a UN meeting in New YoTk induding many nurses and school nurses- simple message was Schools are important. C3 Parbcipated in the London Global Cancer Week where our speaker was Professor Wamakulasuriya, emeritus professor of Oral Medicine and Experimental Pathology at King's College London, UK. Professor Wamakulasuriya has made major contributions in cancer epidemiology, oral medicine and experimental pathology. and he is the Director of the WHO Collaborating Centre for Oral Cancer. the 13th rnosi common can￿r worldwide. Despite oral cancer belng so prevalenl and untreated dentsl caries (tooth decay) belng the most common heafth condition globally. oral health is sttll often overlooked. Oral cancer is largely preventabl8 and shares rÈsk factors with other NCDS, with sugar, tobac￿ and alcohol among the leading ¢auses. C3 has long recognised the importanrE of tad<ling ordl diseases Includlng oral cancer through prevention and early detection as part of our mission to address NCDS. C3 continues to send regular infomiative newsletters to those on our ne￿Ork who share our ambltion to prevent NCDS. C3's web site has been regularly improved to demonstrate C3's work and impact. PLANS FOR THE FUTURE Our plans for 2025 indude: • Continuing to work on addressing the healtti of soc4al care statr. + Attending the ICN Congress in Helsinki; • Preparing a submission to Burdett Trust lo address Women's Health" • Continulng work on oral health in Africa- • Submit a proposal to address oral health in India: and • Developing new sources of funds. FINANCIAL REVIEW Flnancial report for the period Forthe year ended 31 December 2024, C3 had total income of £406.239 (2023: £604,324) and total expenditure of £410,823 (2023: £603.901). resuliing in a net defi(xt for the year of£4,584 (2023: surplus of £423). The carried fotward fund balanc8 at 31 Decèmber 2024 amounted to a surplus balanGe of £75.264. C3 Collaborating for Health

Trustees. report 31 December 2024 FINANCIAL REVIEW (continued) Reserves policy It is the charity's poficy to hold reserves to ensure Tt can meet its operational and project financial liabilitiès for a period of at least three months, wrthout obtaining additional funding. This policy enables the trustees. when necessary. to fund some projects where the specific project funding has not yet been received from the funder due to timing delays or other unforeseen issues. It is recognised that such funding is not the nomi. however. rf financial commllments have been made it is essential C3 can cover them rf necessary. The trustees ensure resetves are maintsined at an adequate level by reviewing the charity management accounts and cashflow forecasts on a quarterly basis. Any shortfalls in reserves are recognised and dealt with as necessary at these trustee meellngs. GOING CONCERN The financial statements have been prepared on a going COn￿M basis. The trustees have dosdy monitored the charity's financaal position since the year end and are satisfied that it will be able to meet its obligations over the next 12 months as they fall due. Moreover, the trustees are satisfied that there are no identified Un￿rtaIntieS relating to events or conditions that may cast significant doubt on the ability of the chaiity to contlnue as a going concem. Hence, the financial statements do not include the adjustrnents that would result rf the charity was unable to continue as a going concern. Signed by order of the trustees: Dr Margaret Atkinson Chair of Trustees Date: }?/q C3 Collaborating for Health

Independent examinerfs report 31 December 2024 Independent examinerfs report to the trustees of C3 Collaborating for Health I report to the charity trustees on my examination of the financial statements of C3 Collaborating for Health for the year ended 31 December 2024, which are set out on page5 12 to 20. Responsibilities and basis of report As the trustees (rf the charitable company (and also Its dir8Ctors for the purposes of company law) you are responsible for the preparation of the financial ststements In accordance with the requirements of the Companies Act 2006 Cthe 2006 Acf). Having satisfied myselfthat the finanGtal statements of the charitable company are not required to be audited under Part 16 of the 2006 Act and are eligible for independent examination, S report In respect of my examination of your cha)iVs financlal ststements as carried out under section 145 of the Charities Act 2011 Cthe 2011 AGV). In carying out my gxamination I have followed the Directions given by the Charity Commission under section 145(5)(bl of the 2011 Independent examinerfs statement Since th8 charitys gross income exceeded £250.000 your examiner must be a member af a body listed in sectFon 145 of the 2011 ACL I confiTm that l am qualified to undertake the exaniination because l am a member of the Institute of Chartered Accountants in England and Wales. which is one of the listed bodies. I have completed my examination. l Confim that no matters have come to my attention in onnedion wth my examination givlng me cause to be￿eVe. accounting records were not kept in respect of the charitable company as required by seclion 386 of the 2006 ACL. or the finan¢ial statements do not accord v•ith those records: or + the financial statements do not comply wth the accounting requir8m8nts of section 396 of the 2006 Act other Ihan any requirement that the finanGial stateménts give a Yrue and fair view, which is not a matter Gonsidered as part of an independent examinatlon. or the financial statements have not been p￿pared in accordance with the methods and principles of the for °Acwunting and Reporling by Charities: the Statement of Recommended Pradice applicable to charities preparing their accounts in accordance vAth Ihe Finanoal Reporting Standard aprAicabIe in the UK and Republic of Ireland (FRS 102) (effective 1 January 2015)." C3 Collaborating for Health 10

Independent examinerfs report 31 December 2024 Independent examinerfs ststement (continued) I have no concems and have come across no other matters in connection with the examination to which attenlion should bé drawn in this report in order to enabla a proper understanding of the accounts to be reached. Katharine Patel ACA Buzzacott LLP Chartered Accountants 130 Wood Street London EC2V 6DL Dat&. 23 September 2025 C3 Collaborating for Health 11

Statement of financial acttvities Year lo 31 De￿rnber 2024 2024 Total funds 2023 Total funds funds funds Income and expendlture Income from: Charitable actswtses Investrnent inm Totsl income 192.549 2.231 194.780 211,459 404,008 2,231 406,239 603,842 211.459 604,324 Expenditure on: Charitable actiiribes Total expeThlilure 199,364 199,364 211.459 211.459 410.823 410,823 603,901 603.901 Net (expenditure) Income forthe year I net movement in funds (4.584) (4584) 423 Fund balances brought fonward at 1 January 2024 79.848 79,848 7g,425 Fund balances Carried fomanl at 31 December 2024 75264 75,264 79,848 All of the charity's activities derived from continuing operations during the abov& two ffinancial periods. C3 Collaborating for Health 12

Statement of finanaal activities Year to 31 De￿mber 2023 2023 Total nds funds funds Income and 8xpondiluro InGDme fiDm." Chantable aciwtles Inveslrnent income Total incon 336,571 482 337,053 267,271 603.842 482 604,324 267,271 EXpendrtU￿ (WF." Chaiilable aGtsVrt￿S Tolal expendrture 336,S30 336,630 267.271 267,271 603,901 603,907 Netincome ft>rtheyear/net movement in funds 423 423 Fund balances brought ronvard at l January 2023 79.425 79.425 Fund balances rAniod fonvard at 31 December 2023 79.848 79,848 All of Ihe charitys aGllvllies derived from continuing operations during the above finandal period. C3 Collaborating for Health 13

Balance sheet 31 December 2024 2024 2023 CunEnt as$9ls Debtcrs Cash at bank and in hand 17,110 169,950 187,060 158,578 117.730 276,308 Creditoys: amounts falling due wlthln Me ye 7 (107,632) (182.157) Net CUFrent assets 79,428 94,151 CredStorn: am¢)unts falllng due after one yeaT 14.164) (14.303} Total net assets 74264 79.848 Represented by: Funds and reserwes Income fvnds Restricted fvnds Unrestricted fvnds 75,264 74264 79,848 79,848 For the year ended 31 December 2024 the charitable company was entitled to exemplion from audit under section 477 of the Companies Act <'the Act") relating to small companies. The members have not required the company to obtain an audSt of its financial statements for the financial year in question in accordance with sectton 476 of the Act. The trustees adfn0￿edge their responsibli ities for complying with the requirements of the Compani8s Act 2006 with rnspect to accounting records and Ihe preparation of financial statements. These financial statements have beèn prepared in accordance with the proirisTons applicable to companies subject to the small companies, regime. Approved by the trustees of C3 Collaborating for Health. Company Registration Number 06941278 (England and Wales) and signed on their behalf by: Dr Margaret Atkinson Chair of Trustees Approved on: ooa< C3 CoIlaborating for Health 14

Principal accounting policies 31 De￿mber 2024 Basis of accountlng These finan¢tal statements have been prepared in accordance with FRS 102 The Flnancial Reporttng Standard applicable in Ihe UK and Republic of Ireland. (°FRS 102"). "Accounting and Reporting by Charities" the Statement of Recommended Practice for charilies applying FRS 102, the Companies Act 2006 and UK Generally Accepted Accounting Practice. The charity is a Public Benefrt Entity as defined by FRS 102. The financial statements are prepared in sterling. which is the functional currency of the charity. Monetsry amounts in these financlal statements are rounded to the neares The financial statements have been prepared on the historical cost convention. The principal accounting policaes adopted are set out below. Golng concern The financial statements have been prepared on a going concem basis. The trustees have dosely monitored the charivs financtal position since the year end and are satisfied that it will be able to meet its obligations over the next 12 months as they fall due. Moreover, the trustees are satisfied that there are no identified uncertainties relating to events or conditions that may cast significant doubt on the ability of the tharity to continue as a going concem. Hence. the financial ststements do nol include the 8djustrnents that would result tf the charity was unable to Continue as a going concern. Critlcal accounting estimates and areas of judgement Preparation of the financial ststements may require the trustees and management to mako significantjudgements and estimates. Olherthan the going concem judgements made above. there are no further areas of significantjudgement or estimate. Cash flow statement The finanaal statements do not include a cash flow statement because the charity, as a srnall reporting entity, ￿ exempt from the requirement to prepare such a ststement under FRS 102. Income Income is recognised in the perithy In which the charity is entitted to receipt and the amount can be measured with reasonable certainty. Income is deferred only when the charity has to fulfil conditions before becoming entitled to it or where the donor or funder has specified that the income is to be expended in a fuiure accounting period. Income represents donations. grants. fee5 for services rendered and interest recelvable. Grants subject to specific conditions are credited to relevant restricted funds. C3 Collaborating for Health 15

Principal accounting policies 31 December 2024 Expenditure Expenditure is included In the statement of financial act1vi￿e$ when incurred and indudes attributable VAT w*id) cannot be recovered. Expenditure cornprises the following: a. Charitable expendiiure compiises both direct and indirect overhead expendlture on the charitys primary charitable purposes. b. Govemance Tr￿ts comprise Ihe costs ass(Kiated with govemance of the charity incurred in connection Ktyth the administration of the charity and compliance with institutional and statutory requirements. Included within this rategory are costs associated with the strategic as opposed to the daY-t￿daY management of the charitys assets. Fund accountlng Unrestricted fijnds represent those monies which may be used towards meetlng the charitable objeclives of the charitable company at the discretion of the trustees. The restricted funds are monies raised for. and their use restricted to, a specific Purpose. or grants subject to donor4mposed Lx)nditions. C3 Collaborating for Health 16

Notes to the financial statements 31 December 2024 1 Income from charltablè aclivitie5 Ureslricted Restricted funds funds Totsl 2024 2024 Working businesses Health professIonals The Burdett Trusl for Nursing {note g1- Nurses f HeaEthier Communitses The Burdett Trust for Nursing (note 9)- Thalxtes The Burdett Trust for N￿￿ing (nole 9)- Chrtxmc Resplratory Dk8eases The Bltrdett Trust for Nutsing {note 9)- Adult Soc481 Care Core donalions and olher llKrxne Community engagement 169,303 13.746 189,303 13,746 49,750 6.952 99.912 49,750 6.952 99,912 54,845 2,500 7,000 192.549 7,000 4D4.008 211.459 Unrestiicled Restrlcted ftmds fvnds Total 202 2023 Worfring vAlh b¢￿IneS Health Pmfessionats The Burdett Tmst for NurSIr￿ (nole 9)- Nurses Heafthier Communilies The Burdett Ttust for Nuysing (note 9)- Winn&7g Hea and Minds The Burdett fwsl for Nursny {nole 9)- Dlabeles The Burdett Trust for Nuwg (note 9)- QNIS Inte￿ (note 9) - ASPIRE Core donations and otheriiK¥v Communty engagement 323.Ci12 10,526 323.002 10,526 99.5(10 99,500 69.062 62.568 19,931 16,210 69,062 62.568 19,931 16,210 43 3.000 267,271 603,842 336,511 2 Expenditure on charitable activitses Unrestricted Restrl(ed fvnts funds Total 2024 2024 Direct cosls . The Burdett Trustfor Nursing (note 9)- Nurses Healthier Commun￿"e5 . The Burdett Trustfor Nursing {note 9)- Diabetes . The Burdelt Trust for Nursing (note 91- Chronic Respiratory Diseases . Th8 Burdgtt Tnjstfor Nursing (note 9}- h4Jutt Social Care other costs of ￿re charllable ad1vit￿ induding gjpport c#Jsls . Rent and ￿leS . Staff Gosts (note 4) . Exchange losses . other project and overhead wsls . Govemance and adminlstration costs (note 3) 9,701 (8,1281 53,503 9,701 (8.1281 53,503 13,650 13,650 3,920 53.542 1,601 137.844 2.457 199,364 2,807 38.332 1,148 98,687 1,759 211.459 6,727 91,874 2,749 236,531 4,216 410,823 C3 Collaborating for Healih 17

Not8S to the financial statements 31 December 2024 2 Expenditure on charitable activities (continued) UnTrstricted Restsicted funds funds 2D23 Direct pmiect costs . The Burdett TrnstforNurslng (note9J- Nurses lor H&allhter Communities . The Burdett TmstforNursing (note9)- ￿ff￿nIng Hearts and Minds . The Burdett TrnstforNutsing (note 9J- Diabetes . The Burdett TrustforNur&ng (note 9)- QNIS . Interreg (nole gJ-ASPIRE Olher costs of ¢ore chantal)le ac*ivibe4 indud&YU support wsts . Rent and Trtes . Staff costs (note 4) . Exthange losses . Otherproiecl and overhead costs . Governance and ￿minIs1[a￿ C¥￿ (note 3) 37,675 37,675 30,806 36.648 10.080 17.750 30.806 36,648 10,080 17.7 6,3￿1 130.860 362 196,126 3,032 2,494 52.212 143 78.253 1.210 267,271 8,T44 183,072 505 274.379 4,242 603.901 3 Governance costs Unrestricted Restricted funds nds Total 2024 2024 Independ￿￿ examination and acuxjnlancy reiated 2.352 105 2.451 4.036 Other tJ)sts 75 1.759 4,216 UnTrstriGted Resfiictsd funds Totsl 2023 2023 Independent 8xamination and accDunlanty relat8d 2,7ti 321 1.081 129 3, 792 QtheT costs a032 1.210 4.242 4 Staff costs fijnds funds 2024 2023 staff costs during the perfod were as follows: Wages and salartes Pension c(Ists Sodal security costs 50.526 420 2,596 36.174 300 1,858 8&700 720 4,454 167.771 12,757 183 072 The averagè number of staff employed during the year was 2 (2023: 4). The average monthly number of fulj-time equivalent employees during the year was 2 (2023: 3). C3 Collaborating for Health 18

Notes to the financial statements 31 December 2024 4 Staff costs (continued) One employee eamed between £60.001 and £70,000 (induding benefits) during the year ended 310ecember 2024 (2023: one employee). No trustee received any remuneralion in respect of their services as a trustee during the year nor were any expenses reIMi￿rSed (2023: none). 5 Taxation C3 Collaborating for Heallh is a Tegistered d)atity and therefor8 is not liable to income tax orcorporation tsx on income derived from its charitable acttvitses. as itfalls within the various exemptions available to regisiered charities. 6 Debtor5 21J24 2023 Grants re￿Nable Accounts recetvabje Olher debtots and prepaym 9,345 7.000 765 17,110 21.939 135,988 651 158,578 7 Creditors: amounts falllng due within one year 2024 2023 Trade ueditors other credllors and acuuals Deferred income Taxabon and sooal security Loan- Coronavtrus Business Intemiption Scheme Loan 10,681 43,984 39,175 3,144 10,648 107,632 10,068 82,012 74,702 4,727 10,648 182.157 Creditor5: amounts falling due after more than one year 2024 2023 Loan- Coronavirus Business Interruptic4) Scheme L 14 Restrictsd funds At1 January 2024 At31 De¢Bmber 2024 InGome Expertditure The Burdett Trust for Nursing 211,459 {211,469) 211.549 (211.5491 C3 Collaborating for Health 19

Notes to the financial statements 31 December 2024 9 RestrfGted funds (contlnued) At1 January 2023 At31 DeGen7ber 2023 Income Expendrfure The Burdptt Twst for Nuw 251.061 (251,061) (16,210) Inteffeg 16,210 267.271 267.271 The specific purposes for which the funds are lo be applied are set out belovr. The Burdett Trust for NU￿Ing The Burdett Twst for Nursing has funded three projects during the year ended 31 December 2024: + Nurses forHealthier Communibes This project aims to connect nuTses with each other and their communities. thus helping community members better understand their health risks. + Chn)nic RespiTrfory Diseases Review of the prevalence of smoking in nurses and exploring the baryiers to smoking cessation for nurs8s smoke as well as providing smoking cessation supporL + AduK SO￿81 Care An initiative working vAth staff responsible for the care of people In care homes and in P80ple's ow homes to address the health challenges of staff working in this field. • Diabetes and Oral Heallh This project aims to reduce the prevalen￿ of type 2 diabetes by training nurses on the relationship between diabetes and oral health. 10 Related partles There are no related paty transadions to report for the years ended 31 December 2024 and 31 December 2023. C3 Collaborating for Health 20