ANNUAL REPORT AND FINANCIAL STATEMENTS 2022
Guts UK Charity
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Charity Registration No. 1137029
Annual Report and Financial Statements for the Year End 31 December 2022 CONTENTS
| Welcome | 3 |
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| Who we are | 4 |
| Our 2022 highlights | 6 |
| Plans for 2023 | 10 |
| Financial performance review | 12 |
| Governance, policies and standards | 17 |
| Report of the Independent Auditors | 21 |
| Statement of Financial Activities | 27 |
| Balance sheet | 28 |
| Cash Flow Statement | 30 |
| Notes to the Cash Flow Statement | 31 |
| Notes to the Financial Statements | 32 |
| Detailed Statement of Financial Activities | 52 |
| Reference and administrative information | 54 |
| Appendix 1 – Detail of research grants payable | 55 |
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A WELCOME FROM OUR BOARD AND CEO
It’s five years since we changed our name to Guts UK charity. Despite some of those 5 years being the most challenging we have ever encountered, in this our review of the year 2022 we want to focus on the dynamic, transformational change that is happening.
The name change worked. Many more people can find Guts UK online with our website packed full of helpful, accessible, evidenced-based information about digestive health conditions and symptoms. We hear the heart-lifting tales of people who are empowered by Guts UK information, to manage their symptoms better or finally get to a diagnosis. We have had Colin the Inflatable Colon back out on the road (he so doesn’t like being in his box, dear reader) to raise awareness of digestive health. And we have the biggest active medical research programme ever with a whopping 70% of our expenditure in 2022 funding yet more new vital research into our gut, liver and pancreas.
We have done this together. You, our beloved Guts UK community of supporters have come on board in droves to support our mantra that “it’s time the UK got to grips with guts” . You have given vital donations that enable our information services and make the research happen. You have added your powerful voices to our campaigns, being brave and visible when sharing your personal stories, even in the most testing of times imaginable. You volunteer your valuable time to speak at conferences, connect and share on social media on annual #GutSelfieSunday. Our volunteers on the Research Awards Committee lend expertise alongside our lay panel of Experts by Experience, to study, debate and decide on where the charity’s precious donations should be invested to further research. Guts UK charity exists for you and because of you. Thank you all. May we continue to grow Guts UK’s bold and brave community together, so we can be there for those who do not yet know they will need us.
For the Guts UK staff, we suffered a major blow when we lost our colleague and Finance Manager, Alice Kington, who died in November 2022. Unexpected and utterly untimely; for our small, close-knit team, this loss was huge. As our brilliant Finance Manager for so many years, she watched over every single penny and a better custodian of the charity’s finances we could not have wished for. Alice was hugely committed to this charity, its growth and you, the Guts UK community, who we know inspired and motivated her every day.
Alice Kington, 1965-2022
We dedicate these accounts to Alice Kington’s memory and resolve to build on her superb contribution and her legacy.
Julie Harrington CEO
Linda Dugdale-Bradley , Deputy Chair, Board of Trustees
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WHO WE ARE
Guts UK is the charity for the digestive system. Though there are some 150 plus patient groups and charities in the field of digestive health in the UK, many of them are disease specific. Guts UK remains the only charity that covers all of the digestive system, from ‘top to tail’. Guts UK works actively and collaboratively with other charities. However, with our own limited resources, we choose to focus particularly on the conditions that have no other specific charity or voice - those illnesses that really are underserved such as pancreatitis, diverticular disease, irritable bowel syndrome (IBS), childhood gut and liver disease and digestive cancers. These conditions affect millions of people every day and digestive diseases account for one in eight hospital deaths in the UK each year.
Objectives and activities
Guts UK’s charitable objectives as declared in 1971 remain unchanged and are:
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The advancement of the science and practice of medicine and surgery for the benefit of the public with particular reference to the field of gastroenterology, which includes the study of the physiology and pathology of the digestive system;
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To promote the study of and research into medicine and surgery with particular reference to the physiology and pathology of the digestive system and to ensure dissemination where appropriate of the results of such study and research;
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To provide educational material, information and advice to the general public on gastrointestinal diseases.
To achieve these objectives, Guts UK works across six areas:
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Providing evidence-based information to patients and carers that enables people to take proactive decisions and control of their lives;
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Supporting medical research that increases our understanding of digestive diseases, leading to better diagnosis and treatment and improved outcomes for patients;
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Funding research training fellowships for clinicians and scientists to allow them to pursue academic gastroenterology and to enable the development of future researchers;
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Hosting scientific research symposia as part of the British Society of Gastroenterology (BSG) Annual Meeting;
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Giving general advice and signposting to other organisations;
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Raising awareness of digestive health and the science surrounding it to increase public understanding.
When setting the objectives and planning the work of Guts UK for the year, the trustees gave careful consideration to the Charity Commission’s general guidance on public benefit.
The trustees always ensure that the activities undertaken are in line with the charitable objectives and aims of Guts UK. As highlighted in this report, we are continuing to develop our information provision and public education programme thereby helping the general population to better understand digestive diseases. Digestive diseases include diseases and disorders of the oesophagus, stomach and intestines, colon and rectum, liver, gall bladder, bile ducts, and pancreas; including inflammatory, neoplastic and functional disorders.
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OUR 2022 HIGHLIGHTS
Research
2022 was a bumper year for research commitments as it included the awarding of our two major fellowships; the Derek Butler Fellowship and the Amelie Waring fellowship. In addition, we committed to awarding 28 new grants and awards in partnership with other professional bodies, pharmaceutical companies and private philanthropists. The value of new awards we committed to in 2022 totaled £734k (£301k in 2021). Further detail on our research grants is available in the Appendix on page 55.
Our Experts by Experience (those with direct or indirect experience of digestive diseases, who we fondly refer to as our EBEs) helped our Research Awards Committee with two research grant rounds in 2022.
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Information and awareness
Guts UK and our giant inflatable colon, Colin the Colon, hit the road more than ever in 2022.
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We are a proud founding member of the Less Survivable Cancers Taskforce (LSCT), campaigning at national level to raise the profile of digestive cancers that have been woefully underfunded for decades. Not all cancers are equal.
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Celebrating our 50 year milestone
Our Royal Patron HRH Princess Alexandra who has supported our charity since 1994 invited the Guts UK community to St James’s Palace to mark the charity’s 50[th] year. It was a huge honour. Despite the pandemic still hovering over, the train and bus strike, we made it. There were tears and laughter, a lot of laughter. Thank you, Your Royal Highness.
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OUR PLANS FOR 2023
Since changing the name to Guts UK in 2018, this small but mighty charity has been building profile, presence and an engaged community of supporters. We have been working tirelessly to ensure the digestive system gets more attention and more funding. 2023 will be a year of investment in our growth as we review our strategy, invest in increasing capacity and expertise and our infrastructure. The everincreasing demand for evidenced based information about digestive conditions and symptoms is not going away.
Refining our strategy, vision and delivery plans
2023 will see changes to our Board as a number of long serving-trustees finish their tenure; this will include a new Chair of Trustees alongside Treasurer, Legal and Research trustees. These changes will bring new perspectives, energy and ideas to our Board to support and refresh our strategy for the coming years. We will also bring in the support of Pilotlight[1] in 2023 to use external expertise to guide our strategic review and develop growth plans to support the increase in demand from our community and the wider public. The Board have also committed to creating a high performing senior management team to support our Chief Executive Officer; leadership roles that can really drive the finalised strategy that will lead to growth to increase the reach of the charity.
Research Plans for 2023
Proposed grant funding
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Guts UK/Dr Falk awards £24,000 – investing in the gastroenterologists of the future
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Guts UK/BSG trainee awards £50,000 - £5,000 for individual and £10,000 for networks
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Guts UK development grants for early career researchers totalling 6 x £15,000
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Research Priority Setting Partnership – focusing on diverticular disease £20,000
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Guts UK/ASGBI awards – working in collaboration with surgeons £15,000
Following the recruitment in 2021 of our first dedicated Public and Patient Involvement and Engagement (PPIE) Officer, in 2023 we aim to have completed, in partnership with the BSG and James Lind Alliance (JLA), two Priority Setting Partnerships (PSPs) for IBS and Pancreatitis. The publishing of these PSPs will be the culmination of 18 months work between medical professionals, patients and carers and should help drive the direction of future research studies.
1 Pilotlight is a charity that amplifies the impact charities, business and individuals can bring to make a better world. Guts UK has applied and been accepted to their 360 programme in 2023. Further information can be found on their website here.
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Fundraising, patient engagement and raising awareness
Sustainable growth in fundraising for Guts UK will remain focused on building up our supporter base which grows naturally as we serve more people via our information services. We will continue to build our presence via digital platforms such as Facebook, Instagram, Twitter and TikTok that enable us to reach new audiences in a format they favour. Our PPIE Officer will also continue to work with our community and panel of Experts by Experience to ensure the patient voice is represented in medical research, product and drug development and relevant think tanks.
We will continue to promote our patient information leaflets to gastroenterology clinics across all four nations of the UK in order that more patients are able to access evidence-based information about their symptoms and/or condition. In 2023 we also hope to receive a PIF Tick[2] (Patient Information Forum Trusted Information Creator) to validate the quality and reliability of our informational materials.
We will build more relationships with companies to increase corporate support and to find successful partnerships with the industry around digestive health, focusing on our shared objective of helping patients get the information they need, get access to more treatments, kinder treatments and ultimately a cure.
Staff, resources and capacity building
2023 will see the recruitment of two critical leadership roles to help facilitate stability and growth; a Chief Operating Officer and a Head of Fundraising and Communications. These two roles will ensure that by the end of the year that we can focus on proactive, targeted fundraising including investing in corporate partnerships, but we can also look at our operating procedures to make the way we work more efficient and smoother for both our community and for our team. These two new roles will, alongside the CEO, form a holistic leadership team for the charity who can then focus on resource, capacity and succession planning to make sure we are supporting our people as well as we support our community.
2 The PIF TICK is the UK-wide quality mark for trusted health information. Further information can be found on their website here
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FINANCIAL PERFORMANCE REVIEW
Overview
This year the charity has recorded income for the year of £1.2m (12% up on 2021 at £1.1m) and expenditure of £1.6m (up 80% on 2021 at £0.9m). This resulted in a net expenditure, before investment losses, of £456,740 (2021 saw a net income of £157,359). This expenditure reflects a bumper year for research funding including awarding two Guts UK Fellowship Grants of £390,000 in total. This demonstrates the commitment and impact that our small team is making into life changing research and getting out into our community and spreading awareness and education amongst the public.
Total Income 2022: £1.2m
Total Expenditure 2022: £1.6m
Income
Voluntary income
At a total level, voluntary income reduced this year when compared with 2021 (down 16% from £567k to £475k) however, this is primarily driven by a reduction in legacy donations. Public donations (excluding legacies) saw an increase of 3% on 2021 and reached £312k (£302k in 2021). Our team’s efforts to expand our presence through social media and our brilliant Guts UK community’s fundraising efforts continue to drive donations. We have seen steady increases in both regular donations (12% up on 2021) and donations from fundraising events (7% up on 2021) demonstrating sustainable growth in our income streams.
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As a recently renamed charity, Guts UK’s growing profile and presence today will result in legacies into the future. Legacy income currently is unpredictable and can have a big effect on the overall total voluntary income levels. We have legacy promotion at the heart of our fundraising to develop this as a sustainable source of income for the future as we build a community of supporters.
Leaflet sales and other income
Other trading activities have increased this year bringing in £50k (31% more than 2021 at £38k). This is primarily driven by growth in leaflet sales (£42k in 2022, 8% up from £36k in 2021) where we continue to see increasing demand from medical institutions as we expand our suite of materials. In addition, we received a specific donation this year (£7.5k) to help fund our first proactive PR campaign; Microscopic Colitis Awareness Week which was a great success reaching an audience of 3.5 million people.
Overall income was bolstered in 2022 by positive gains from the investment portfolio with investment income up 42% on 2021 contributing £240k to overall income (2021: £169k).
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Research grants
Research partner income came from collaborations with private philanthropists, pharmaceutical companies such as Dr Falk Pharma (UK) and other professional bodies such as the BSG, the Pancreatic Society of Great Britain and Ireland and The British Society of Paediatric Gastroenterology, Hepatology and Nutrition. 2022 saw a 45% increase in research partner grants (£439k in 2022 against £303k in 2021).
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In addition, we made a second successful application to the UK Government’s COVID Medical Research Charity Support Fund to support our Early Career Researchers and gastroenterology trainees grants. The total grant received was £108,540 towards active research projects.
Expenditure
Overall expenditure is up 80% this year to £1.6m (against £920k in 2021) and this is primarily driven by a significant increase in the value of awards we have granted for research, a key charitable objective for Guts UK. Our spend on research has increased to £1.1m in 2022 (137% rise from £478k in 2021) and represents 68% of total expenditure for 2022.
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Spending on our two other charitable objectives, public education and information services, has also increased significantly in 2022 (92% up from £162k in 2021 to £313k in 2022) which demonstrates the rising demand from our community and investment in reaching the wider public who still do not know Guts UK charity exists. This increase in expenditure manifests in us attending more events, raising more awareness and reaching and recruiting new supporters, helping us to build a sustainable future for the charity.
Expenditure (excluding research) was 20% higher than 2021 (£529k in 2022 against £162k in 2021). Staff costs are comparative with 2021 with only a marginal increase in total payroll costs (£344k in 2022, 5% up on £329k in 2021) which is reflective of inflationary increases in salaries. General overheads rose by 36% this year (£191k in 2022 against £140,000 in 2021) where the sharp cost of living increases can be felt in the office costs plus increases in recruitment, professional fees and travel expenses as we began to get out and about more post pandemic.
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Balance Sheet
As at 31 December 2022, Guts UK had net assets of £5.3m, a reduction of £1m (16%) on 2021 levels, (2021: £6.4m) with 99.9% of those assets held in listed investments. These include the Derek Butler endowment fund for research into upper gastrointestinal conditions of £3,266,446. The income from this fund will finance the new three-year fellowship awarded in 2022.
The markets were more volatile in 2022 and therefore the investment portfolios delivered unrealised losses of £621k and realised losses of £0.4k (2021: unrealised gains of £213k and realised gains of £373k). Of this amount, total realised and unrealised losses of £306k related to the endowment fund (2021: £267k total realised and unrealised losses).
Unrestricted funds which can be spent at the discretion of the trustees were £2.4m of which £1.3m has been designated to contribute to the Amelie Waring pancreatitis fellowship and general gastrointestinal research grants awarded by the charity. General funds amounted to £1m for 2022. More details of the disposition of Guts UK net assets can be found in the financial statements on pages 51 and 52.
The principal liability of Guts UK Charity is to complete the research programme it has committed to of £1,251,335 at 31 December 2021 as set out in detail in note 18. Of these commitments, £90,000 is due from funding partners and £1,161,335 is to be funded from Guts UK’s general unrestricted funds.
Reserves policy
Guts UK has reviewed the amount of reserves it regards as a minimum prudent requirement and has concluded that provision for twelve months administration, public education and fundraising costs is sufficient. This would allow time to manage cost reductions or fund appeals as required whilst minimising the impact on service provision. Based on the forecast for 2023, the desired minimum reserve is approximately £1m. As at 31 December 2022, free reserves less amounts held as fixed assets stands at £1.1m. Additional funds are to be utilised for research expenditure, building capacity and expanding the public information programme going forward.
Investment policy and performance
The charity’s listed investments are managed by Cazenove. The investment strategy is set by the trustees and takes into account income requirements, the risk profile and the investment manager’s advice on the market prospects in the medium term. Investments are held in a Responsible Multi-Asset Fund which adopts a total returns approach and provides even distribution payment alongside being an ethically responsible investment policy. The performance of the portfolio is monitored by the trustees.
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Brexit
As the charity is operational in the UK the impact of Brexit has not been significant for Guts UK charity to date. Where it has manifested is via researchers Guts UK is funding who are unable to get some supplies for their work. This has resulted in a delay in the timescale for their research project, no one has yet been unable to complete their research to date.
Covid-19
The impact of the pandemic is seen clearly in the number of our Guts UK funded researchers who have had to delay their research projects. Most gastroenterologists were pulled back into general medicine throughout the pandemic and returning to their main gastroenterology job has been difficult. On top of that, trying to regain the protected time to do their research has also been difficult within the strains of the NHS environment. Guts UK has been able to accommodate this with No-Cost Extensions to enable researchers to complete the important research. Having the additional funding support from the MRC again in 2022 has enabled the charity to continue to offer the annual research programme during this difficult phase, particularly through the uncertainty of the economic market and the increased risk in terms of the ability to raise funds from the public.
Going concern
There is a reasonable expectation that the charity has adequate resources to continue in operational existence for the foreseeable future. The trustees believe that there are no material uncertainties that call into doubt the charity’s ability to continue operating as a going concern. Consequently, the financial statements have therefore been prepared on the basis that the charity remains a going concern.
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GOVERNANCE, POLICIES & STANDARDS
Guts UK is a charitable company limited by guarantee. Its governing document is its Memorandum and Articles of Association. The trustees have overall responsibility for setting the strategic direction of the charitable company. The trustees delegate specific responsibility to several committees as follows:
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a) Audit, Risk and Compliance Committee (“ARC”) whose purpose is to oversee the operational activities of the charity covering finance, investment, audit, legal compliance, HR and risk management;
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b) Research Awards Committee (“RAC”) whose purpose is to ensure the integrity of Guts UK’s research awards and that they align with the charity’s stated objectives. The RAC is responsible for assessing, approving and monitoring applications for research funding. The RAC’s processes are governed by the Terms of Reference and committee members (including those co-opted for specific awards) are required to sign a declaration of conflicts of interests form;
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c) Funding, Communications and Industry Committee (“FUNCI”) whose purpose is to deliver on Guts UK’s fund-raising programmes, ensuring engagement with patients, public, the medical profession and industry alike;
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d) Information Committee whose purpose is to recommend the strategic direction for information service provision; and to facilitate peer review and quality control of written and web-based information, plus any other public sources of information such as webinars provided by Guts UK.
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e) Research Strategy Committee (RSC) whose purpose is to recommend areas of focus for Guts UK’s research priorities.
The policies of the charity are determined by its board of trustees whose membership is listed on page 84. The research policy of the charity is decided by the trustees in consultation with the Research Committee of the BSG. Guts UK is a member of the Association of Medical Research Charities.
Guts UK advertises for new trustees as required. Prospective trustees are interviewed by the Chair and fellow trustees and are asked to submit a CV for review by the trustees. Candidates must be approved by a majority of trustees and the usual term of office is three years, renewable on approval by the board up to a maximum of 9 years total.
New trustees are provided with information concerning the finances, fundraising activities, grant-making and research policies of the charity. Those who are not familiar with the legal obligations and responsibilities of a trustee are provided with information published by organisations such as the Charity Commission. Training opportunities are offered to trustees on an ongoing basis.
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Guts UK continues to work closely with the BSG to provide strong links with the main professional community and to improve its ability to disseminate research and patient information. The Chair of the BSG’s Research Committee is a member of the board. The day-to-day operation of Guts UK is delegated to the Chief Executive who is supported by a team of staff.
Key management personnel
The key management personnel are those involved in managing the organisation, fundraising, communications, research and finance. These comprise the trustees, the Chief Executive and the Finance Manager.
The pay of all staff members, including members of key management, is reviewed annually by the trustees. Remuneration details in relation to key management personnel are provided in Note 10 to the financial statements.
Risk management
Guts UK maintain a risk register covering the major risks to which the charity is exposed. This covers governance and compliance, operational and administration, financial and investment and reputational risks. Guts UK rates potential risks by likelihood and impact. The risk register is reviewed regularly by the trustees and the key risks together with the policies to mitigate them have been identified as:
Failure to comply with GDPR regulations
Policies and procedures have been developed and communicated to all staff. Ongoing training is provided. Data protection is a standing item on the ARC Committee and trustee meeting agendas to ensure trustees are kept up to date with actions taken to ensure compliance with the regulations. There will be ongoing monitoring of compliance with regulations.
Failure to meet strategy to increase donations
Management accounts are prepared and regularly reviewed by the ARC Committee to monitor fundraising performance. The fundraising strategy has been reviewed by the Chief Executive and trustees with a view to increasing the number of individual supporters and donors alongside developing different income sources to include approaching former funded researchers and gastroenterologists and industry/pharma for support. The trustees review income generation, reserves and strategy at each Board meeting to ensure the strategy is still the right one and that the charity has sufficient funds to meet it.
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Key Person risk
Unfortunately circumstances in 2022, and the loss of a critical team member with significant operational knowledge, meant that key-person risk became a concern for the organisation. Steps have now been taken to ensure procedures are available to the whole organisation, there are secondary users set-up for all systems and temporary measures were agreed with the Board to ensure financial activities could still be carried out with appropriate oversight and controls. Recruitment is underway to resolve this permanently and critical procedures will be reviewed to ensure any key person risk is mitigated sustainably going forward.
Impact of COVID-19
The COVID-19 Pandemic continues to pose a level of increased risk and trustees will continue to monitor income and expenditure and adjust expenditure as required. Most staff are now working most days in the office, but all staff have the resources to work from home if required. Whilst we are expecting all events to take place in person in 2023, the possibility of digital public awareness events will be investigated as well. The public awareness programme is important to enable the charity to fulfil its charitable objectives of educating the public about digestive diseases but also impacts on the recruitment of new supporters and fundraisers.
This Annual Report of the trustees was approved by order of the board of trustees, as the company directors, on 6th September 2023 and signed on the board's behalf by:
....................................................................... Dr L A Dugdale-Bradley – Trustee
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Financial Statements for the Year Ended 31 December 2022
for
Guts UK Charity
Audited by: Harris Lacey and Swain Chartered Accountants and Statutory Auditors
Suite 1
The Riverside Building Hessle East Yorkshire HU13 0DZ
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Guts UK Charity
Report of the Trustees for the Year Ended 31 December 2022
STATEMENT OF TRUSTEES' RESPONSIBILITIES
The trustees (who are also the directors of Guts UK Charity for the purposes of company law) are responsible for preparing the Report of the Trustees and the 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 incoming resources and application of resources, including the income and expenditure, of the charitable company for that period. In preparing those financial statements, the trustees are required to:
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select suitable accounting policies and then apply them consistently;
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observe the methods and principles in the Charity SORP;
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make judgements and estimates that are reasonable and prudent;
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state whether applicable accounting standards have been followed, subject to any material departures disclosed and explained in the financial statements;
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prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charitable company will continue in business.
The trustees are responsible for keeping proper accounting records which disclose with reasonable accuracy at any time the financial position of the charitable company and to enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.
In so far as the trustees are aware:
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there is no relevant audit information of which the charitable company's auditors are unaware; and
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- the trustees have taken all steps that they ought to have taken to make themselves aware of any relevant audit information and to establish that the auditors are aware of that information.
AUDITORS
The auditors, Harris Lacey and Swain, will be proposed for re-appointment at the forthcoming Annual General Meeting.
Report of the trustees, incorporating a strategic report, approved by order of the board of trustees, as the company directors, on 6[th] September 2023 and signed on the board's behalf by:
....................................................................... Dr L A Dugdale-Bradley – Trustee
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Report of the Independent Auditors to the Trustees of Guts UK Charity
Opinion
We have audited the financial statements of Guts UK Charity (the 'charitable company') for the year ended 31 December 2022 which comprise the Statement of Financial Activities, the Balance Sheet, the Cash Flow Statement and notes to the financial statements, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).
In our opinion the financial statements:
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give a true and fair view of the state of the charitable company's affairs as at 31 December 2022 and of its incoming resources and application of resources, including its income and expenditure, for the year then ended;
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have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; and
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- have been prepared in accordance with the requirements of the Companies Act 2006.
Basis for opinion
We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditors' responsibilities for the audit of the financial statements section of our report. We are independent of the charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC's Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.
Conclusions relating to going concern
In auditing the financial statements, we have concluded that the trustees' use of the going concern basis of accounting in the preparation of the financial statements is appropriate.
Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the charitable company's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.
Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.
Other information
The trustees are responsible for the other information. The other information comprises the information included in the Annual Report, other than the financial statements and our Report of the Independent Auditors thereon.
Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.
In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact. We have nothing to report in this regard.
Matters on which we are required to report by exception
We have nothing to report in respect of the following matters where the Charities (Accounts and Reports) Regulations 2008 requires us to report to you if, in our opinion:
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the information given in the Report of the Trustees is inconsistent in any material respect with the financial
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statements; or
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the charitable company has not kept adequate accounting records; or
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the financial statements are not in agreement with the accounting records and returns; or
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we have not received all the information and explanations we require for our audit.
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Report of the Independent Auditors to the Trustees of Guts UK Charity
Responsibilities of trustees
As explained more fully in the Statement of Trustees' Responsibilities, the trustees (who are also the directors of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.
In preparing the financial statements, the trustees are responsible for assessing the charitable company's ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the charitable company or to cease operations, or have no realistic alternative but to do so.
24
Report of the Independent Auditors to the Trustees of Guts UK Charity
Our responsibilities for the audit of the financial statements
We have been appointed as auditors under Section 144 of the Charities Act 2011 and report in accordance with the Act and relevant regulations made or having effect thereunder.
Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue a Report of the Independent Auditors that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.
We identify and assess the risks of material misstatement of the financial statements, whether due to fraud or error, and then design and perform audit procedures responsive to those risks, including obtaining audit evidence that is sufficient and appropriate to provide a basis for our opinion.
Identifying and assessing potential risks related to irregularities
In identifying and assessing risks of material misstatement in respect of irregularities, including fraud and noncompliance with laws and regulations, we considered the following:
Audit response to risks identified
-
the nature of the industry and sector, control environment and business performance including key drivers for directors' remuneration, bonus levels and performance targets
-
results of our enquiries of management and their own identification and assessment of the risks of irregularities;
-
any matters we identified having obtained and reviewed the companies' documentation of their policies and procedures relating to:
-
identifying, evaluating and complying with laws and regulations and whether they were aware of any instances of noncompliance;
-
detecting and responding to the risks of fraud and whether they have knowledge of any actual, suspected or alleged fraud;
-
the internal controls established to mitigate risks of fraud or non-compliance with laws and regulations;
-
the matters discussed among the audit engagement team including regarding how and where fraud might occur in the financial statements and any potential indicators of fraud.
As a result of these procedures, we considered the opportunities and incentives that may exist within the organisation for fraud and identified the greatest potential for fraud in relation to revenue deferrals. In common with all audits under ISAs (UK), we are also required to perform specific procedures to respond to the risk of management override.
We also obtained an understanding of the legal and regulatory frameworks that the company operates in, focusing on provisions of those laws and regulations that had a direct effect on the determination of material amounts and disclosures in the financial statements. The key laws and regulations we considered in this context included the UK Companies Act, UK Corporate Governance Code and local tax legislation.
In addition, we considered provisions of other laws and regulations that do not have a direct effect on the financial statements but compliance with which may be fundamental to the company's ability to operate or to avoid a material penalty.
Audit response to risks identified
Our procedures to respond to risks identified included the following:
-
reviewing the financial statement disclosures and testing to supporting documentation to assess compliance with provisions of relevant laws and regulations described as having a direct effect on the financial statements;
-
enquiring of management concerning actual and potential litigation and claims;
-
performing analytical procedures to identify any unusual or unexpected relationships that may indicate risks of material misstatement due to fraud;
-
reading minutes of meetings of those charged with governance
25
Report of the Independent Auditors to the Trustees of Guts UK Charity
-
obtained an understanding of provisions and held discussions with management to understand the basis of recognition or non-recognition of tax provisions; and
-
in addressing the risk of fraud through management override of controls, testing the appropriateness of journal entries and other adjustments; assessing whether the judgements made in making accounting estimates are indicative of a potential bias; and evaluating the business rationale of any significant transactions that are unusual or outside the normal course of business.
We also communicated relevant identified laws and regulations and potential fraud risks to all engagement team members, and remained alert to any indications of fraud or noncompliance with laws and regulations throughout the audit.
A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council's website at www.frc.org.uk/auditorsresponsibilities. This description forms part of our Report of the Independent Auditors.
Use of our report
This report is made solely to the charitable company's trustees, as a body, in accordance with Part 4 of the Charities (Accounts and Reports) Regulations 2008. Our audit work has been undertaken so that we might state to the charitable company's trustees those matters we are required to state to them in an auditors' report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and the charitable company's trustees as a body, for our audit work, for this report, or for the opinions we have formed.
Laura Jennifer Drew BFP ACA ACCA (Senior Statutory Auditor) for and on behalf of Harris Lacey and Swain Chartered Accountants and Statutory Auditors Eligible to act as an auditor in terms of Section 1212 of the Companies Act 2006 Suite 1 The Riverside Building Hessle East Yorkshire HU13 0DZ
Sep 25, 2023 Date: .............................................
Laura Drew (Sep 25, 2023 14:33 GMT+1)
26
Guts UK Charity
Statement of Financial Activities
for the Year Ended 31 December 2022
| Unrestricted fund Notes £ INCOME AND ENDOWMENTS FROM Donations and legacies 2 446,718 Gastro-enterology research - Other trading activities 3 50,404 Investment income 4 124,499 Total 621,621 EXPENDITURE ON Cost of raising funds 209,114 Charitable activities 6 Gastroenterology research 307,662 Public education and Science of Digestion 313,352 Total 830,128 Net gains/(losses) on investments - Realised - - Unrealised (322,790) NET INCOME/(EXPENDITURE) (531,297) Transfers between funds (195,121) Net movement in funds (726,418) RECONCILIATION OF FUNDS Total funds brought forward 3,090,435 TOTAL FUNDS CARRIED FORWARD 2,364,017 |
Restricted Endowment fund fund £ £ 7,939 - 434,630 - - - 115,854 - 558,423 - - 6,909 824,180 - - - 824,180 6,909 - (460) - (298,668) (265,757) (306,037) 195,121 - (70,636) (306,037) 361,908 2,937,073 291,272 2,631,036 |
2022 Total funds £ 454,657 434,630 50,404 240,353 1,180,044 216,023 1,131,842 313,352 1,661,217 (460) (621,458) (1,103,091) - (1,103,091) 6,389,416 5,286,325 |
2021 Total funds £ 567,059 303,289 38,532 169,250 1,078,130 279,438 478,526 162,807 920,771 373,228 213,775 744,362 - 744,362 5,645,054 6,389,416 |
|---|---|---|---|
These notes form part of these financial statements
27
Guts UK Charity
Balance Sheet
31 December 2022
| Unrestricted fund Notes £ FIXED ASSETS Tangible assets 12 3,422 Investments 13 5,957,620 5,961,042 CURRENT ASSETS Debtors 14 420,659 Cash at bank and in hand (2,079,984) (1,659,321) CREDITORS Amounts falling due within one year 14 (1,937,700) NET CURRENT ASSETS (3,597,021) TOTAL ASSETS LESS CURRENT LIABILITIES 2,324,017 NET ASSETS 2,324,017 FUNDS Unrestricted funds - General - Designated fund Restricted funds Endowment funds TOTAL FUNDS |
Restricted fund £ - - - - 331,272 331,272 (40,000) 291,272 291,272 291,272 |
Endowment fund £ - - - - 2,631,036 2,631,036 - 2,631,036 2,631,036 2,631,036 |
2022 Total funds £ 3,422 5,957,620 5,961,042 420,659 882,324 1,302,983 (1,977,700) (674,717) 5,286,325 5,286,325 1,069,028 1,294,989 291,272 2,631,036 5,286,325 |
2021 Total funds £ 3,363 6,435,629 6,438,992 343,764 945,805 1,289,569 (1,339,142) (49,573) 6,389,416 6,389,416 1,468,407 1,622,028 361,908 2,937,073 6,389,416 |
|---|---|---|---|---|
These notes form part of these financial statements
28
Guts UK Charity
Balance Sheet - continued 31 December 2022
The charitable company is entitled to exemption from audit under Section 477 of the Companies Act 2006 for the year ended 31 December 2022.
The members have not deposited notice, pursuant to Section 476 of the Companies Act 2006 requiring an audit of these financial statements.
The trustees acknowledge their responsibilities for
-
(a) ensuring that the charitable company keeps accounting records that comply with Sections 386 and 387 of the Companies Act 2006 and
-
(b) preparing financial statements which give a true and fair view of the state of affairs of the charitable company as at the end of each financial year and of its surplus or deficit for each financial year in accordance with the requirements of Sections 394 and 395 and which otherwise comply with the requirements of the Companies Act 2006 relating to financial statements, so far as applicable to the charitable company.
These financial statements have been audited under the requirements of Section 145 of the Charities Act 2011.
The financial statements were approved by the Board of Trustees and authorised for issue on 6[th] September 2023 and were signed on its behalf by:
......................................................
Dr L A Dugdale-Bradley - Trustee
These notes form part of these financial statements
29
Guts UK Charity
Cash Flow Statement
for the Year Ended 31 December 2022
| Notes Cash flows from operating activities Cash generated from operations 1 Net cash used in operating activities Cash flows from investing activities Purchase of tangible fixed assets Purchase of fixed asset investments Proceeds from disposal of investments Interest received Net cash provided by investing activities Change in cash and cash equivalents in the reporting period Cash and cash equivalents at the beginning of the reporting period Cash and cash equivalents at the end of the reporting period |
2022 £ (157,850) (157,850) (2,074) (100,000) 97,655 240,353 235,934 78,084 1,296,247 1,374,331 |
2021 £ (225,219) (225,219) (1,417) (6,473,053) 6,504,709 169,251 199,490 (25,730) 1,321,977 1,296,247 |
|---|---|---|
These notes form part of these financial statements
30
Guts UK Charity
Notes to the Cash Flow Statement for the Year Ended 31 December 2022
| 1. | RECONCILIATION OF NET (EXPENDITURE)/INCOME TO NET CASH | FLOW FROM OPERATING | FLOW FROM OPERATING |
|---|---|---|---|
| ACTIVITIES | |||
| 2022 | 2021 | ||
| £ | £ | ||
| Net (expenditure)/income for the reporting period (as per the | |||
| Statement of Financial Activities) | (1,103,091) | 744,362 | |
| Adjustments for: | |||
| Depreciation charges | 2,015 | 1,574 | |
| Losses/(gain) on investments | 621,918 | (587,003) | |
| Interest received | (240,353) | (169,250) | |
| (Increase)/decrease in debtors | (76,897) | 14,718 | |
| Increase/(decrease) in creditors | 638,553 | (229,620) | |
| Net cash used in operations | (157,850) | (225,219) | |
| 2. | ANALYSIS OF CHANGES IN NET FUNDS |
| ANALYSIS OF CHANGES IN NET FUNDS | |||
|---|---|---|---|
| At 1.1.22 | Cash flow | At 31.12.22 | |
| £ | £ | £ | |
| Net cash | |||
| Cash at bank and in hand | 260,268 | (173,331) | 86,937 |
| Short term cash deposits | 685,537 | 109,851 | 795,388 |
| Cash held by investment managers | 350,442 | 141,564 | 492,006 |
| 1,296,247 | 78,084 | 1,374,331 | |
| Total | 1,296,247 | 78,084 | 1,374,331 |
These notes form part of these financial statements
31
Guts UK Charity
Notes to the Financial Statements for the Year Ended 31 December 2022
1. ACCOUNTING POLICIES
Basis of preparing the financial statements
The financial statements of the charitable company, which is a public benefit entity under FRS 102, have been prepared in accordance with the Charities SORP (FRS 102) 'Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019)', Financial Reporting Standard 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland' and the Companies Act 2006. The financial statements have been prepared under the historical cost convention, with the exception of investments which are included at market value.
Assessment of going concern
The trustees have assessed whether the use of the going concern assumption is appropriate in preparing these financial statements and have made this assessment in respect to a period of one year from the date of approval of these financial statements.
The trustees have concluded that there are no material uncertainties related to events or conditions that may cast significant doubt on the ability of the charity to continue as a going concern. The trustees are confident that the charity has sufficient funds to cover its existing liabilities.
With regard to the next accounting period, the year ending 31 December 2022, the most significant areas that affect the carrying value of the assets held by the charity are the level of investment return and the performance of the investment markets (see the investment policy and the risk management sections of the trustees' report for more information).
Income
Income is recognised in the period in which the charity has entitlement to the income, the amount of income can be measured reliably and it is probable that the income will be received.
Donations are recognised when the charity has confirmation of both the amount and settlement date. In the event of donations pledged but not received, the amount is accrued for where the receipt is probable.
Legacies are included in the statement of financial activities when the charity is entitled to the legacy, the executors have established that there are sufficient surplus assets in the estate to pay the legacy, and any conditions attached to the legacy are within the control of the charity. Entitlement is taken as the earlier of the date on which either: the charity is aware that probate has been granted, the estate has been finalised and notification has been made by the executor to the charity that a distribution will be made, or when a distribution is received from the estate. Receipt of a legacy, in whole or in part, is only considered probable when the amount can be measured reliably and the charity has been notified of the executor's intention to make a distribution. Where legacies have been notified to the charity or the charity is aware of the granting of probate, but the criteria for income recognition have not been met, then the legacy is treated as a contingent asset and disclosed if material. In the event that the gift is in the form of an asset other than cash or a financial asset traded on a recognised stock exchange, recognition is subject to the value of the gift being reliably measurable with a degree of reasonable accuracy and the title of the asset having being transferred to the charity.
Dividends are recognised once the dividend has been declared and notification has been received of the dividend due.
Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the charity; this is normally upon notification of the interest paid or payable by the bank.
32
Guts UK Charity
Notes to the Financial Statements - continued for the Year Ended 31 December 2022
1. ACCOUNTING POLICIES - continued
Income
Research funding income is recognised in the period in which the charity receives a written commitment from the funder. Research funding is deferred only when the charity has to fulfil conditions before becoming entitled to it or the donor has specified that the income has to be spent in a future period.
Expenditure
Liabilities are recognised as expenditure as soon as there is a legal or constructive obligation committing the charity to make a payment to a third party, it is probable that a transfer of economic benefits will be required in settlement and the amount of the obligation can be measured reliably.
All expenditure is accounted for on an accruals basis and is stated inclusive of irrecoverable VAT. Expenditure comprises direct costs and support costs. All expenses, including support costs, are allocated or apportioned to the applicable expenditure headings. The classification between activities is as follows:
a) Cost of raising funds which includes direct fundraising costs and investment manager's fees.
b) Expenditure on charitable activities comprises expenditure on the charity's primary charitable purposes as described in the trustees' report. Such costs include grants payable, other direct costs and support costs, which are apportioned based on the level of activity in each area.
Research grants payable are included in the statement of financial activities when approved and when the intended recipient has either received the funds or been informed of the decision to make the grant, and has satisfied all relevant conditions. Grants approved but not paid at the end of the financial year are accrued for. Grants where the beneficiary has not been informed or has to meet certain conditions before the grant is payable are not accrued for but are noted as financial commitments in the notes to the financial statements.
The provision of a multi-year grant is recognised at its present value where settlement is due over more than one year from the date of the award, there are no unfulfilled performance conditions under the control of the charity that would permit the charity to avoid making the future payments, settlement is probable and the effect of the discounting is material. The discount rate used is the average rate of investment yield in the year in which the grant is made. This discount rate is regarded by the trustees as providing the most current available estimate of the opportunity cost of money reflecting the time value of money to the charity.
Allocation and apportionment of costs
Support costs represent indirect charitable expenditure. In order to carry out the primary purposes of the charity it is necessary to provide support in the form of financial procedures, provision of office services and equipment and a suitable working environment.
Governance costs comprise the costs directly attributable to the governance of the charity, including audit costs and the necessary legal procedures for compliance with statutory requirements. Support costs and governance costs are allocated between activities with the allocation based on staff time.
Tangible fixed assets
Depreciation is provided at the following annual rates in order to write off each asset over its estimated useful life.
Computer equipment - 33% on cost
Taxation
The charity is exempt from corporation tax on its charitable activities.
33
Guts UK Charity
Notes to the Financial Statements - continued for the Year Ended 31 December 2022
1. ACCOUNTING POLICIES - continued
Fund accounting
The charity has various types of funds for which it is responsible, and which require separate disclosure. These are as follows:
General funds
Funds which are expendable at the discretion of the trustees in furtherance of the objects of the charity.
Designated funds
Funds which are set aside as part of the charity's unrestricted funds for particular purposes in the future as determined by the trustees from time to time.
Restricted funds
Funds raised for, and their use restricted to, a specific purpose, or donations subject to donor-imposed conditions.
Endowment funds
Funds which must be held indefinitely as capital. Income therefore is credited to general funds and applied for general purposes unless under the terms of the endowments such income must be used for specific purposes in which cases it is credited to restricted funds.
Hire purchase and leasing commitments
Rentals paid under operating leases are charged to the Statement of Financial Activities on a straight-line basis over the period of the lease.
Financial instruments
The charity only holds basic financial instruments as defined in FRS 102. The financial assets and financial liabilities of the charity and their measurement basis are as follows:
Financial assets - other debtors are basic financial instruments and are debt instruments measured at amortised cost. Listed investments are a basic financial instrument as detailed above. Prepayments are not financial instruments.
Cash at bank - classified as a basic financial instrument and is measured at face value.
Financial liabilities - accruals and other creditors are financial instruments are measured at amortised cost.
Critical accounting judgements and key sources of estimation uncertainty
Estimates and judgements are continually evaluated and are based on historical experience and other factors, including expectations of future events that are believed to be reasonable under the circumstances. Although these estimates are based on the Trustees' best knowledge of the amount, events or actions, actual results ultimately differ from these estimates. The Trustees do not consider there to be any material estimates and judgements.
Investments
Investments both current and fixed are included at fair value within the accounts.
34
Guts UK Charity
Notes to the Financial Statements - continued for the Year Ended 31 December 2022
2. DONATIONS AND LEGACIES
| Donations Legacies & In Memoriam donations 2022 Total funds Donations Legacies & In Memoriam donations 2021 Total funds |
Unrestricted funds £ 295,325 151,393 446,718 Unrestricted funds £ 276,420 231,661 508,081 |
Restricted funds £ (2,581) 10,520 7,939 Restricted funds £ 26,489 32,489 58,978 |
2022 Total funds £ 312,744 161,913 454,657 2021 Total funds £ 302,909 264,150 567,059 |
|---|---|---|---|
3. OTHER TRADING ACTIVITIES
| Public Education Science of Digestion Microscopic Colitis Awareness Week 2022 Total funds Public Education 2021 Total funds |
Unrestricted funds £ 41,544 1,360 7,500 50,404 Unrestricted funds £ 38,532 38,532 |
Restricted funds £ - - - - Restricted funds £ - - |
2022 Total funds £ 41,544 1,360 7,500 50,404 2021 Total funds £ 38,532 38,532 |
|---|---|---|---|
35
Guts UK Charity
Notes to the Financial Statements - continued for the Year Ended 31 December 2022
4. INVESTMENT INCOME
| Interest - fixed interest securities Multi-asset funds Charities property fund Interest on cash deposits 2022 Total funds Interest - fixed interest securities Dividends - UK and international equities Bonds - UK and international Multi-asset funds Charities property fund Other funds Interest on cash deposits 2021 Total funds |
Unrestricted funds £ 2,553 119,020 - 2,926 124,499 Unrestricted funds £ 7 22,206 5,643 52,389 5,086 2,979 64 88,174 |
Restricted funds £ 4,185 110,777 892 - 115,854 Restricted funds £ 18 40,470 6,200 26,048 4,886 3,454 - 81,076 |
2022 Total funds £ 6,738 229,797 892 2926 240,353 2021 Total funds £ 25 62,476 11,843 78,437 9,972 6,433 64 169,250 |
|---|---|---|---|
36
Guts UK Charity
Notes to the Financial Statements - continued for the Year Ended 31 December 2022
5. INCOME FROM CHARITABLE ACTIVITIES
| New grants for research 2022 Total funds New grants for research 2021 Total funds |
Unrestricted funds £ - - Unrestricted funds £ - - |
Restricted funds £ 434,630 434,630 Restricted funds £ 303,289 303,289 |
2022 Total funds £ 434,630 434,630 2021 Total funds £ 303,289 303,289 |
|---|---|---|---|
37
Guts UK Charity
Notes to the Financial Statements - continued for the Year Ended 31 December 2022
6. CHARITABLE ACTIVITIES COSTS
| Gastroenterology research Public education 2022 Total funds Gastroenterology research Public education 2021 Total funds Fundraising costs Investment manager's fees Support costs 2022 Total funds Fundraising costs Investment manager's fees Support costs 2021 Total funds |
Direct costs £ 2,636 69,258 71,894 Direct costs £ 1,059 58,263 59,322 |
Research grants awarded (note 6) £ 1,001,807 - 1,001,807 Research grants awarded (note 6) £ 288,068 - 288,068 Unrestricted funds £ 38,392 6,917 163,805 209,114 Unrestricted funds £ 81,417 9,679 174,866 265,962 |
Support costs (note 8) £ 127,399 244,094 371,493 Support costs (note 8) £ 189,399 104,544 293,943 Restricted funds £ - 6,909 - 6,909 Restricted funds £ - 13,476 - 13,476 |
2022 Total funds £ 1,131,842 313,352 1,445,194 2021 Total funds £ 478,526 162,807 641,333 2022 Total funds £ 38,392 13,826 163,805 216,023 2021 Total funds £ 81,417 23,155 174,866 279,438 |
|---|---|---|---|---|
38
Guts UK Charity
Notes to the Financial Statements - continued for the Year Ended 31 December 2022
7. RESEARCH GRANTS AWARDED
| New research grants Less grants no longer required - research commitments Research grants awarded |
2022 Total funds £ 1,004,180 (2,373) **1,001,807 ** |
2021 Total funds £ 301,231 (13,163) 288,068 |
|---|---|---|
Research grants awarded represent commitments made for research, and are set out in detail in the appendix on page 55.
39
Guts UK Charity
Notes to the Financial Statements - continued for the Year Ended 31 December 2022
8. SUPPORT COSTS
Charitable Activities
| Directly incurred Grants payable Research administration Fundraising costs Public education Investment management fees Support costs Staff costs Premises and donated facilities Postage Telephone Stationery, printing, design and marketing Insurance Bank charges Meeting costs Subscriptions/publications Equipment/maintenance and website development Depreciation Training and recruitment Governance costs: - Audit & Accountancy - Professional fees - Bookkeeping costs Brand development 2022 Total funds |
Cost of raising funds £ - - 38,393 - 13,826 52,219 105,379 13,316 172 1,119 1,568 1,344 2,597 4,067 5,203 11,673 617 2,981 3,094 5,706 2,170 2,798 163,804 216,023 |
Gastro- enterology research £ 1,001,807 2,636 - - - 1,004,443 81,962 10,357 134 870 1,219 1,045 2,020 3,163 4,046 9,079 480 2,318 2,406 4,437 1,687 2,176 127,399 1,131,842 |
Public education and Science of Digestion £ - - - 69,258 - 69,258 157,036 19,844 256 1,668 2,336 2,003 3,869 6,061 7,753 17,395 918 4,441 4,611 8,502 3,232 4,169 244,094 313,352 |
2022 Total funds £ 1,001,807 2,636 38,393 69,258 13,826 1,125,920 344,377 43,517 562 3,657 5,123 4,392 8,486 13,291 17,002 38,147 2,015 9,740 10,111 18,645 7,089 9,143 535,297 1,661,217 |
|---|---|---|---|---|
40
Guts UK Charity
Notes to the Financial Statements - continued for the Year Ended 31 December 2022
8. SUPPORT COSTS - continued
Charitable Activities
| Directly incurred Grants payable Research administration Fundraising costs Public education Investment management fees Support costs Staff costs Premises and donated facilities Postage Telephone Stationery, printing, design and marketing Insurance Bank charges Meeting costs Subscriptions/publications Equipment/maintenance and website development Depreciation Training and recruitment Governance costs: - Audit & Accountancy - Professional fees - Bookkeeping costs Brand development 2021 Total funds |
Cost of raising funds £ - - 81,417 - 23,155 104,572 122,674 8,685 495 1,727 2,566 1,603 2,968 1,732 3,685 16,635 587 (464) 3,702 2,863 1,697 3,711 174,866 279,438 |
Gastro- enterology research £ 288,068 1,059 - - - 289,127 132,870 9,407 536 1,871 2,780 1,735 3215 1,874 3992 18,018 636 (504) 4,010 3,101 1,838 4,020 189,399 478,526 |
Public education and Science of Digestion £ - - - 58,263 - 58,263 73,342 5,193 296 1,033 1,534 958 1,775 1,033 2,203 9,945 351 (278) 2,213 1,712 1,015 2,219 104,544 162,807 |
2021 Total funds £ 288,068 1,059 81,417 58,263 23,155 451,962 328,886 23,285 1,327 4,631 6,880 4,296 7,958 4,639 9,880 44,598 1,574 (1,246) 9,925 7,676 4,550 9,950 468,809 920,771 |
|---|---|---|---|---|
41
Guts UK Charity
Notes to the Financial Statements - continued for the Year Ended 31 December 2022
9. NET INCOME/(EXPENDITURE)
This is stated after charging:
| Staff costs Depreciation Auditor's remuneration (including VAT) - Statutory audit services |
2022 Total funds £ 344,377 2,015 9,600 |
2021 Total funds £ 328,886 1,574 9,000 |
|---|---|---|
10. TRUSTEES' REMUNERATION AND BENEFITS
A total of £nil remuneration (2021: £nil) was paid or payable, directly or indirectly, out of the funds of the charity for the period to any trustee, or to any person or persons known to be connected with any of them.
Trustees' expenses
A total of 4 trustees were reimbursed for travel expenses of £678 during the period (2021: 5 trustees: £308).
11. STAFF COSTS
| Salaries and wages Social security Pension costs The average monthly number of employees during the year was as follows: General |
2022 Total funds £ 311,219 23,950 9,208 344,377 2022 9 |
2021 Total funds £ 294,066 26,352 8,468 328,886 2021 8 |
|---|---|---|
| The number of employees whose employee benefits (excluding employer pension costs) exceeded | The number of employees whose employee benefits (excluding employer pension costs) exceeded | £60,000 was: |
|---|---|---|
| 2022 | 2021 | |
| £60,001 - £70,000 | 1 | 1 |
42
Guts UK Charity
Notes to the Financial Statements - continued for the Year Ended 31 December 2022
11. STAFF COSTS - continued
The key management personnel of the charity in charge of directing and controlling, running and operating the charity on a day to day basis comprise the trustees, the CEO, the Finance and Research Managers. The total remuneration (including taxable benefits and employer's pension contributions) of the key management personnel for the year was £123,830 (2021: £164,730).
12. TANGIBLE FIXED ASSETS
| TANGIBLE FIXED ASSETS | |
|---|---|
| Computer | |
| Equipment | |
| £ | |
| COST | |
| At 1 January 2022 | 10,980 |
| Additions | 2,074 |
| At 31 December 2022 | 13,054 |
| DEPRECIATION | |
| At 1 January 2022 | 7,617 |
| Charge for year | 2,015 |
| At 31 December 2022 | 9,632 |
| NET BOOK VALUE | |
| At 31 December 2022 | 3,422 |
| At 31 December 2021 | 3,363 |
43
Guts UK Charity
Notes to the Financial Statements - continued for the Year Ended 31 December 2022
13. FIXED ASSET INVESTMENTS
| At valuation Balance brought forward at 1 January Additions Disposal proceeds Investment gains - Realised (losses) / gains - Unrealised (losses) / gains Total investment (losses) / gains Balance carried forward at 31 December Cash held by investment managers Total investments Analysis by Type Listed investments at market value - Multi-asset funds - Property funds Total investments Historic cost of listed investments (all are listed in the UK) - excluding cash held by investment managers |
Endowment portfolio £ 2,943,542 100,000 (97,655) (460) (298,668) (299,128) 2,646,759 429,503 3,076,262 2,646,759 - 2,646,759 2,895,796 |
Unrestricted portfolio £ 3,141,645 - - - (322,790) (322,790) 2,818,855 62,503 2,881,358 2,818,855 - 2,818,855 2,986,808 |
2022 £ 6,085,187 100,000 (97,655) (460) (621,458) (621,918) 5,465,614 492,006 5,957,620 5,465,614 - 5,465,614 **5,882,604 ** |
2021 £ 5,529,842 6,473,052 (6,504,710) 373,228 213,775 587,003 6,085,187 350,442 6,435,629 5,987,072 98,115 6,085,187 5,866,753 |
|---|---|---|---|---|
At 31 December 2022, the charity had the following material investment holdings:
| Listed investments within the portfolio are: SUTL Cazenove Charity Responsible |
Endowment £ 2,646,759 |
Unrestricted £ 2,818,855 |
Market Vale £ 5,465,614 |
Percentage of portfolio % 100% |
|---|---|---|---|---|
44
Guts UK Charity
Notes to the Financial Statements - continued for the Year Ended 31 December 2022
13. FIXED ASSET INVESTMENTS - continued
The total unrealised gains as at 31 December 2022 constitute movements on revaluation and are as follows:
| Unrealised (losses) gains included above: On investments Total unrealised gains at 31 December Reconciliation of movements in unrealised gains: Unrealised gains at 1 January (Losses) in respect to disposals in the year Add: net (losses)/gains arising on revaluation in the year Total unrealised (losses)/ gains at 31 December DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR Trade debtors Other debtors Prepayments and accrued income Prepayments |
2022 £ (416,984) (416,984) 231,179 (26,705) 204,474 (621,458) (416,984) 2022 £ 33,232 231,351 143,540 12,536 420,659 |
2021 £ 231,179 231,179 320,696 (303,292) 17,404 213,775 231,179 2021 £ 58,886 90,000 185,470 9,410 343,766 |
|---|---|---|
14. DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR
Included within debtors under commitments due from funding partners is £244,937 (2021: £291,100) which is due within one year.
45
Guts UK Charity
Notes to the Financial Statements - continued for the Year Ended 31 December 2022
15. CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR
| Social security and other taxes Trade & other creditors Research grants payable Deferred income Accrued expenses |
2022 £ 9,513 88,701 1,866,534 - 12,952 1,977,700 |
2021 £ 9,800 - 1,251,332 51,374 26,636 |
|---|---|---|
| 1,339,142 |
Included behind Research grants payable is £557,550 (2021: 220,040) which is in relation to research grants falling due after more than one year. A full breakdown of research grants payable for 2022 can be found in the Appendix on page 52.
16. RESTRICTED FUNDS
The income funds of the charity include restricted funds comprising the following unexpended balances of donations and grants held on trust to be applied for specific purposes:
| Guts UK/Dr Falk Awards Restricted research grants UK Government COVID Medical Research Charity support fund Pancreatitis Stomach Cancer Research into adhesions Diverticular Oesophageal Liver Microbiome Barrett's Oesophagus Trust Funding - digital Trust funding for Amelie Waring Fellow Company donations - restricted Derek Butler Endowment Income fund |
At 1 January 2022 £ - - - 2,214 6,031 548 500 - - 625 18,633 - - 14,896 318,461 |
Income £ 28,319 297,771 108,540 8,243 2,063 - - 2,204 - - 10,000 24,429 - 1,000 115,854 |
Expenditure £ (32,638) (581,542) - - - - - - - - - (40,000) - - (210,000) |
Transfers £ 4,319 283,771 (108,540) - - - - - - - - 15,571 - - - |
At 31 December 2022 £ - - - 10,457 8,094 548 500 2,204 - 625 28,633 - - 15,896 224,315 |
|---|---|---|---|---|---|
| 361,908 | 598,423 | (864,180) | 195,121 | 291,272 |
46
Guts UK Charity
Notes to the Financial Statements - continued for the Year Ended 31 December 2022
16. RESTRICTED FUNDS - continued
| Guts UK/Dr Falk Awards Restricted research grants UK Government COVID Medical Research Charity support fund Pancreatitis Stomach Cancer Research into adhesions Diverticular Oesophageal Liver Microbiome Barrett's Oesophagus Trust funding Trust funding for Amelie Waring Fellow Company donations - restricted Derek Butler Endowment Income fund |
At 1 January 2021 £ - - - 8,114 - - - - - - - 2,500 - - 244,668 255,282 |
Income £ 19,163 133,028 151,100 12,100 6,031 548 500 1,312 831 625 18,633 - 3,500 14,896 81,076 443,343 |
Expenditure £ (24,325) (242,000) - (18,000) - - - (1,312) - - - (2,500) - - (7,283) (295,420) |
Transfers £ 5,162 108,972 (151,100) - -- - - - (831) - - - (3,500) - - (41,297) |
At 31 December 2021 £ - - - 2,214 6,031 548 500 - - 625 18,633 - - 14,896 318,461 361,908 |
|---|---|---|---|---|---|
The transfer represents the contribution from general funds towards the research grants or from restricted funds to general or designated funds for previously committed research as specified by the donor.
The purposes of Guts UK's restricted funds in are as follows:
-
Restricted research grants: grants for specific research schemes.
-
Pancreatitis: Funds remain for contributions to the Pancreatitis PSP and new funds received for general pancreatitis research
-
Oesophageal: contribution to Dr Benjamin Sharpe's research project into oesophageal cancer (Early Career Researcher Grant 2021)
-
UK Government COVID Medical Research Charity Support Fund: contribution to the Amelie Waring Fellow, the Olympus Fellow, Development Grants and Trainee Awards.
-
Derek Butler Endowment Income Fund: this represents the income received from the endowment fund and expenditure on research into the diseases of the upper gastrointestinal tract.
-
Barrett’s Oesophagus – represents a donation received from the Barrett’s Oesophagus Charity for research into Barrett’s oesophagus
-
Trust Funding – digital; represents donations received from a charitable Foundation which was restricted to the development of a digital app for pancreatitis. Despite best efforts, this project has not materialised and on mutual agreement the donation will be returned to the donor in 2023. Given the materiality of the donation being returned, the 2022 accounts have been adjusted and the £40k donation can now be seen on the balance sheet as a creditor.
47
Guts UK Charity
Notes to the Financial Statements - continued for the Year Ended 31 December 2022
17. DESIGNATED FUNDS
Amelie Waring
| Investments Research Commitments Total Amelie Waring Fund Investments Research Commitments Total Amelie Waring Fund Research Investments Research Commitments Total GI Research Fund |
At 1 January 2022 £ 874,944 (100,525) 774,419 At 1 January 2021 £ 889,217 (147,300) 741,917 At 1 January 2022 £ 986,455 (138,846) 847,609 |
Income £ 32,639 - 32,639 Income £ 25,967 - 25,967 Income £ 37,318 - 37,318 |
Expenditure £ 2,325 (180,000) (177,675) Expenditure £ (8,604) - (8,604) Expenditure £ (37,329) - (37,329) |
Transfers £ - 127,711 127,711 Transfers £ (120,000) 46,775 (73,225) Transfers £ - (121,246) (121,246) |
Investment (losses) £ (87,248) - (87,248) Investment (losses) £ 88,364 - 88,364 Investment (losses) £ (101,209) - (101,209) |
At 31 December 2022 £ 822,660 (152,814) 669,846 At 31 December 2021 £ 874,944 (100,525) 774,419 At 31 December 2022 £ 885,235 (260,092) 625,143 |
|
|---|---|---|---|---|---|---|---|
GI Research
48
Guts UK Charity
Notes to the Financial Statements - continued for the Year Ended 31 December 2022
17. DESIGNATED FUNDS - continued
| At 1 January 2021 £ Investments 887,402 Research Commitments (19,950) Total GI Research Fund 867,452 otal Designated Funds Total Designated Funds 2022 ,622,028 Total Designated Funds 2021 ,609,369 |
Income £ 28,486 - 28,486 69,957 54,453 |
Expenditure £ (26,959) - (26,959) (215,004) (35,563) |
Expenditure £ (26,959) - (26,959) (215,004) (35,563) |
Transfers £ - (118,896) (118,896) 6,465 (192,121) |
Investment (losses) £ 97,526 - 97,526 (188,457) 185,890 |
At 31 December 2021 £ 986,455 (138,846) 847,609 |
|
|---|---|---|---|---|---|---|---|
| (215,004) (35,563) |
|||||||
| 1,294,989 | |||||||
| 1,622,028 |
Total Designated Funds
The Amelie Waring fund was initially established in memory of Amelie Waring to fund pancreatitis research, although the original bequest has been fully expended the trustees continue to designate funds to pancreatitis research in recognition of their ongoing commitment to funding research in this area.
The GI Research Fund is designated to general gastrointestinal research.
49
Guts UK Charity
Notes to the Financial Statements - continued for the Year Ended 31 December 2022
18. ENDOWMENT FUND
| Derek Butler Endowment Derek Butler Endowment |
At 1 January 2022 £ 2,937,073 At 1 January 2021 £ 2,683,415 |
Income £ - Income £ - |
Expenditure/ transfers £ (6,909) Expenditure/ transfers £ (13,476) |
Investment losses £ (299,128) Investment losses £ 267,134 |
At 31 December 2022 £ 2,631,036 At 31 December 2021 £ 2,937,073 |
|---|---|---|---|---|---|
Income from the Derek Butler Endowment fund is credited to restricted funds and is to be spent on research into diseases of the upper gastrointestinal tract.
19. ANALYSIS OF NET ASSETS BETWEEN FUNDS
| Unrestricted funds -General -Designated funds - AW -Designated funds - GI Restricted funds Endowment funds Unrestricted funds -General -Designated funds - AW -Designated funds - GI Restricted funds Endowment funds |
Fixed assets £ 3,422 - - - - 3,422 Fixed assets £ 3,363 - - - - 3,363 |
Investments £ - 822,660 885,235 - 2,631,036 5,957,620 Investments £ 1,307,784 874,944 986,454 329,374 2,937,073 6,435,629 |
Net current (liabilities/) assets £ (90,533) (57,814) (260,092) 291,272 - (117,167) Net current (liabilities/) assets £ 298,362 (100,525) (59,907) 32,534 - 170,464 |
Long-term liabilities £ (462,550) (95,000) - - - (557,550) Long-term liabilities £ (141,102) - (78,938) - - (220,040) |
2022 Total £ 1,069,028 669,846 625,143 291,272 2,631,036 5,286,325 2021 Total £ 1,468,407 774,419 847,609 361,908 2,937,073 6,389,416 |
|---|---|---|---|---|---|
50
Guts UK Charity
Notes to the Financial Statements - continued for the Year Ended 31 December 2022
20. BRITISH SOCIETY OF GASTROENTEROLOGY
Guts UK works closely with the British Society of Gastroenterology (BSG) (Charity Registration No. 1149074 and Company Registration No. 08124892 (England and Wales)) to provide strong links with the main professional community and to improve its ability to disseminate research and patient information. The Chair of the Research Committee of BSG is a member of Guts UK's Board of Trustees. The Chair of Guts UK is an ex-officio member of BSG's Council.
Transactions between the two charities during the period were as follows:
-
The BSG provided a grant of £16,396 (2021: £52,000) to support trainee research grants.
-
- Guts UK paid the BSG a total of £3,053 for office rates and broadband provision.
-
.
21. CONTINGENT ASSET AND LIABILITY
In 2018 the charity secured provisional funding amounting to £1,250,000 for the colorectal cancer research grant of which £530,000 has been received to date.
Up to £250,000 is receivable on an annual basis contingent on a satisfactory annual report being approved by the funding partner. Should the next stages of funding be received, Guts UK has agreed to distribute and monitor use of this funding as a sub-grant. As at 31 December 2022, £590,000 remains receivable, of which up to £240,000 is receivable and payable within one year.
22. RELATED PARTY TRANSACTIONS
During the year the charity received donations of £1,910 from trustees (2021: £3,200). Transactions with the British Society of Gastroenterology are detailed in note 20.
There were no further related party transactions during the period requiring disclosure (2020: none).
23. LIABILITY OF MEMBERS
The charity is constituted as a company limited by guarantee. In the event of the charity being wound up, members are required to contribute an amount not exceeding £1.
24. COMMITMENTS UNDER OPERATING LEASES
At 31 December 2022 the charity had future minimum commitments under non-cancellable operating leases as set out below:
| Payments which fall due: Within one year Within 2 to 5 years |
2022 £ 772 387 1,159 |
2021 £ 772 1,160 1,932 |
|---|---|---|
51
Guts UK Charity
Detailed Statement of Financial Activities for the Year Ended 31 December 2022
| INCOME AND ENDOWMENTS Donations and legacies Donations Legacies Other trading activities Public education Investment income Curr asset inv income Charitable activities Grants Total incoming resources EXPENDITURE Other trading activities Grants payable Fundraising Public education Research administration Investment management fees Support costs Management Staff costs Premises & donated facilities Insurance Postage Telephone Stationery, printing, design & marketing Bank charges |
2022 £ 292,744 161,913 474,657 50,404 240,353 434,630 1,180,044 1,001,807 38,393 69,258 2,636 13,826 1,125,920 344,377 43,517 4,392 562 3,657 5,123 8,486 410,114 |
2021 £ 302,910 264,150 567,060 38,533 169,251 303,289 1,078,133 288,069 81,417 58,263 1,059 23,155 451,963 328,886 23,285 4,296 1,327 4,631 6,880 7,958 377,263 |
|---|---|---|
This page does not form part of the statutory financial statements
52
Guts UK Charity
Detailed Statement of Financial Activities for the Year Ended 31 December 2022
| Support costs cont’d Management Finance Meeting costs Subscriptions Information technology Equipment/maintenance & web- site development Training and recruitment Computer equipment Governance costs Accountancy fees Legal fees Bookkeeping costs Brand development Total resources expended Net (expenditure)/income before gains and losses Realised recognised gains and losses Realised gains/(losses) on fixed asset investments Net (expenditure)/income |
2022 £ 13,291 17,002 30,293 38,147 9,740 2,015 49,902 10,111 18,645 7,089 9,143 44,988 1,661,217 (481,173) (621,918) (1,103,091) |
2021 £ 4,639 9,880 14,519 44,598 (1,246) 1,574 44,926 9,926 7,676 4,550 9,950 32,102 920,773 157,360 587,003 744,363 |
|---|---|---|
This page does not form part of the statutory financial statements
53
Guts UK Charity
Reference and Administrative Information As at 31 December 2022
Royal Patron HRH Princess Alexandra
-
Trustees • Professor C Hawkey DM FRCP FMedsci – President • Professor J Rhodes MD FRCP FMedSci – Chair (Resigned as Chair 10[th] June 2022, resigned as Trustee 23[rd] June 2022)
-
• Professor J McLaughlin MBChB PhD FRCP – Deputy Chair (Until 10[th] June, appointed as Chair from 10[th] June 2022)
-
• Mr S Williams BA ACA Honorary Treasurer (Resigned 26[th] October 2022)
-
• Professor D Adams MD FRCP FMedSci • Mrs M Davey (nee Boland) • Dr L Dugdale-Bradley • Miss N Bridge • Mr G Christian-Lim BSc (Resigned 14[th] March 2022) • Professor A Ford MBChB, MD, FRCP (Resigned 15[th] March 2022) • Dr M Lomer MBE PhD • Ms S Murray (Resigned 23[rd] August 2022) • Professor S Sebastian* MD FRCP • Professor C Norton (Appointed 14[th] March 2022) • Professor C Probert MD FRCP (Appointed 10[th] June 2022)
-
nominee of the British Society of Gastroenterology (BSG)
Chief Executive Ms J Harrington
Principal office 2 St Andrews Place Regent’s Park London. NW1 4LB Telephone 0207 486 0341 Website www.gutscharity.org.uk E-mail info@gutscharity.org.uk
Company registration number 07274105 (England and Wales) Charity registration number 1137029 Auditor Harris, Lacey and Swain Suite 1, The Riverside Building Livingstone Road Hessle, HU13 0DZ Bankers National Westminster Bank plc 1 Cavendish Square London, W1A 4NU Investment managers Cazenove Capital Management 12 Moorgate London, EC2R 6DA Solicitors Hempsons 40 Villiers Street London, WC2N 6NJ
54
APPENDIX 1 - Guts UK Research grants payable in the Financial year 1[st] January to 31[st] December 2022
Research grants payable
| Research grants payable | ||
|---|---|---|
| 2022 Total funds £ |
2021 Total funds £ |
|
| At 1 January Research grants awarded in the year Research grants no longer required Paid during the year At 31 December Research grants at 31 December are payable as follows: Within one year After more than one year |
1,251,335 1,004,179 (2,371) (386,609) |
1,454,984 301,231 (13,163) (491,717) |
| 1,866,534 | 1,251,335 | |
| 1,308,984 557,550 |
1,031,295 220,040 |
|
| 1,866,534 | 1,251,335 |
Specific detail of individual research grants are provided on the following pages
55
APPENDIX 1 - Guts UK Research grants payable in the Financial year 1[st] January to 31[st] December 2022
| Ongoing research Dr Wadiamu Gashau Core-BSG Trainee Research Network Award RISE NoW (Regional IBD Surveillance Endoscopy North West) study: A real world experience of dysplasia and colorectal cancer surveillance in Inflammatory Bowel Disease (IBD) Mr James O'Kelly Guts UK/Amelie Waring Research Fellowship Single cell definition of the mechanistic role of kynurenine monooxygenase at the innate immune interface in acute pancreatitis Dr Sara Jamel Olympus Guts UK Endoscopy Fellowship Profiling of Dysplastic Changes in Barrett's Oesophagus and Early Oesophageal Cancer Using Non-Invasive Volatile Organic Compound Analysis of Exhaled Breath Professor Colin Rees Parabola-Guts UK Colorectal Cancer Research Grant COLO-COHORT Colorectal Cancer Cohort Study Dr Marc-Emmanuel Dumas Guts UK Development Award Precision medicine through integrative metagenomics and phenomics in a human NAFLD cohort Dr Dipesh Vasant Guts UK-Dr Falk SpR Trainee Audit/Quality Improvement Award Anorectal dysfunction in ulcerative colitis: a cross sectional survey Dr Gwo-tzer Ho Guts UK Development Award Resolving Inflammation in IBD: Developing a new therapeutic approach by targeting pro-inflammatory mitochondrial formylated peptides on neutrophil FPR1- pathway Dr Nick Powell For Crohns TNFα responsive transcriptional networks in the human intestinal epithelium - the key to predicting therapeutic response to antic-TNFα in Crohn's disease Balance carried forward |
At 1 January 2022 £ 2,500 147,301 51,079 271,505 49,797 1,300 11,659 3,531 538,672 |
Research grants awarded £ - - - 250,000 - - - - 250,000 |
Grants no longer required £ - - - - - - - - - |
Grants paid in the year £ - (127,711) (30,332) (129,652) - - (9,767) (297,462) |
At 31 December 2022 £ |
|---|---|---|---|---|---|
| 2,500 19,590 20,747 391,853 49,797 1,300 1,892 3,531 |
|||||
| 491,210 |
56
APPENDIX 1 - Guts UK Research grants payable in the Financial year 1[st] January to 31[st] December 2022
| Continued… Ongoing research cont’d Balance brought forward Dr Louise China Guts UK-BSG Trainee Research Award Exploring Periodontitis in Cirrhosis (EPIC): a single arm feasibility study to explore the relationship between periodontitis and infection in patients with liver cirrhosis. Dr Srivathsan Ravindran Guts UK-BSG Trainee Research Award Developing a patient-reported safety incident tool in endoscopy Dr Mike Davies Guts UK-BSG Trainee Research Network Award Getting to the bottom of acute Lower Gastrointestinal Bleeding: Improving quality of care for patients with acute lower gastrointestinal bleeding and assessing resource implications of adherence to national guidelines Dr Samuel Smith Guts UK-BSG Trainee Research Network Award Improving key performance measures in inflammatory bowel disease surveillance Professor Jonathan Fallowfield Development Grant A molecular phenomic approach to define the high risk NAFLD population Dr Salvatore Papa Development Grant Starving livers of glucose for HCC prevention and treatment Professor Chris Probert3 Development Grant Evaluation of the gut metabolome, micro and myco biome in ulcerative colitis patients undergoing anti-fungal therapy: can we predict response to therapy? Dr James Pritchett Development Grant Decoding Yes Associated Protein 1 driven hepatic stellate cell activation Dr Marnix Jenson Development Grant The TARGET study (TArgeted biopsies to Risk Stratify Gastric cancer precursors for tailored Endoscopic surveillance and Treatment) Balance carried forward |
At 1 January 2022 £ 538,672 4,980 1,887 1,500 5,000 19,306 48,572 48,099 22,447 49,560 |
Research grants awarded £ 250,000 - - - - - - - - - |
Grants no longer required £ - - (121) - - - - - - - |
Grants paid in the year £ (297,462) - (1,766) (1,500) - (6,254) - - (505) (2,660) |
At 31 December 2022 £ |
|||||
|---|---|---|---|---|---|---|---|---|---|---|
| 491,210 4,980 0 0 5,000 13,052 48,572 48,099 21,942 46,900 |
||||||||||
| 740,023 | 250,000 | (121) | (310,147) | 679,755 |
3 Professor Chris Probert was awarded this Grant in 2019 before he was appointed as a Trustee in 2022. As a trustee, he does not sit on the Research Awards Committee or the Research Strategy Committee.
57
APPENDIX 1 - Guts UK Research grants payable in the Financial year 1[st] January to 31[st] December 2022
| Ongoing research cont’d Balance brought forward Dr Catherine Williamson Nutrition Development Grant Impact of cold exposure in conjunction with dietary modification on metabolic regulation in children with non- alcoholic fatty liver disease Professor Christer Hogstrand Nutrition Development Grant Targeting “Leaky Gut“ with combined dietary zinc and plant derived Aryl Hydrocarbon Receptor agonists Dr Paul Henderson Guts UK - BSPGHAN Development Grant The PINPOINT study – The Prospective Incidence of Paediatric – Onset Inflammatory bowel disease in the United Kingdom Professor Graham Lord For Crohn’s Development Grant Modulation of the effector/regulatory T-cell balance by targeting a causal genetic variant as a novel therapeutic paradigm in Crohn’s disease Dr Robin Dart Guts UK-BSG Trainee Research Award The cellular architecture of the human colonic mucosa : a pilot and feasibility study to facilitate longitudinal multi- centre studies Dr James Ashton Guts UK-BSG Trainee Research Award To establish a UK wide Paediatric IBD Research network (PAIR network) to answer clinical research questions and enable rapid decision making Dr John Thomas Guts UK-BSG Trainee Research Award Transcriptomic profiling of patient derived colonic epithelial organoids exposed to Ulcerative Colitis-relevant cytokines – a novel approach to uncover IBD pathogenesis and inform precision medicine strategies. Dr Rebecca Harris Guts UK-BSG Trainee Research Award Non-invasive risk stratification of patients with compensated advanced chronic liver disease : Results from a real world cohort from the Nottingham Scarred Liver pathway Dr Flora Korkwaro Guts UK - Dr Falk SpR Trainee Audit/Quality Improvement Award My Tube Passport - "Mind My Tube" - a hospital e- passport for the patient with an enterostomy device Balance carried forward |
At 1 January 2022 £ 740,023 48,283 50,000 37,540 43,336 10,000 4,000 4,975 5,000 8,000 951,157 |
Research grants awarded £ 250,000 - - - - - - - - - 250,000 |
Grants no longer required £ (121) - - - - - (83) (154) - - (358) |
Grants paid in the year £ (310,147) - - - - (5,000) - - - - (315,147) |
At 31 December 2022 £ |
|---|---|---|---|---|---|
| 679,755 48,283 50,000 37,540 43,336 5,000 3,917 4,821 5,000 8,000 |
|||||
| 885,652 |
58
APPENDIX 1 - Guts UK Research grants payable in the Financial year 1[st] January to 31[st] December 2022
| 1 - Guts UK Research grants payable in the Financial year 1st January to 31st December | 2022 | ||||
|---|---|---|---|---|---|
| Ongoing research cont’d Balance brought forward Dr Tessa Cacciottolo Guts UK - Dr Falk SpR Trainee Audit/Quality Improvement Award Using age-appropriate information to support adolescents and young adults with liver disease as they transition from paediatric to adult services Dr Dimitrios Koutoukidis Guts UK - BSG Early Career Researcher Grant A proof-of-concept trial exploring the mechanism of diet- induced weight loss in non-alcoholic steatohepatitis with fibrosis through the gut microbiome and intestinal permeability Dr Nicholas Edward Ilott Guts UK - BSG Early Career Researcher Grant DYNAMHIX in PSC : Longitudinal Dynamics of the Hepatic-Intestinal axis in PSC-UC Dr Benjamin P Sharpe Guts UK - BSG Early Career Researcher Grant Investigating the cellular microenvironment of lymph node metastasis in oesophageal adenocarcinoma Dr Rachael Slater Guts UK - BSG Early Career Researcher Grant Investigating the mechanisms of irritable bowel syndrome using shotgun metagenomics sequencing and volatile metabolomics in integrated omics analysis Dr Nikhil Vergis Guts UK - BSG Early Career Researcher Grant Which socioeconomic and healthcare factors determine survival for patients with alcohol related liver disease? A secondary analysis of patient data from the Steroids or Pentoxyfilline for Alcoholic Hepatitis (STOPAH) trial 2011-2015 Dr Naaventhan Palaniyappan Guts UK - BSG Early Career Researcher Grant Risk stratification of patients with cirrhosis undergoing colorectal surgery: pilot feasibility study." Dr Paloma Ordonez Moran Guts UK - BSG Early Career Researcher Grant MINIGUTS: Development of novel in vitro models of paediatric IBD Dr Tariq Ahmad For Crohn’s Grant Impact of biologic and immunomodulatory therapy on SARS-CoV-2 re-infection, chronic carriage and evolution of viral variants Balance carried forward |
At 1 January 2022 £ 951,157 2,325 14,996 12,642 14,649 11,075 15,000 13,350 14,977 25,220 1,075,391 |
Research grants awarded £ 250,000 - - - - - - - - - 250,000 |
Grants no longer required £ (358) - - - - - - - - - (358) |
Grants paid in the year £ (315,147) - - (312) - (295) - - - - (315,754) |
At 31 December 2022 £ |
| 885,652 2,325 14,996 12,330 14,649 10,780 15,000 13,350 14,977 25,250 |
|||||
| 1,009,279 |
59
APPENDIX 1 - Guts UK Research grants payable in the Financial year 1[st] January to 31[st] December 2022
| Ongoing research cont’d Balance brought forward Dr Zoe Saynor For Crohn’s Grant EnablExercise in Crohn’s: A qualitative study to understand the barriers and facilitators to physical activity and exercise in children and adolescents with Crohn's disease - perceptions of patients, caregivers and clinicians Pancreatitis Priority Setting Partnership (PSP) Guts UK / BSG / PSGBI Identification and prioritisation of gaps in evidence in the diagnosis, treatment, management and support of patients with pancreatitis Irritable Bowel Syndrome (IBS) Priority Setting Partnership Guts UK / BSG Identification and prioritisation of the unanswered questions about the diagnosis, treatment and care of people (16 years +) with IBS Professor Anil Dhawan Guts UK - BSPGHAN Joint Development Grant Umbilical Cord-Mesenchymal Stromal/stem cell immunotherapy for Biliary Atresia Dr Tassos Grammatikopoulos Guts UK - BSPGHAN Joint Small Grant Mental health and quality of life in children and young people with acute recurrent and chronic pancreatitis Dr Peter Rimmer Guts UK – BSG trainee grant The Microbiome in IBD Inception: An exploratory two year longitudinal analysis of the gastrointestinal microbiome through IBD onset, treatment, and relapse, to guide future microbiome based interventions Dr Julian Yeh Guts UK – BSG trainee grant Microscopic Colitis: a regional multi-centre audit." Dr Simeng Lin Guts UK – BSG trainee grant End of life care provision in patients with advanced liver disease in the south-west: a regional perspective **Balance carried forward ** |
At 1 January 2022 £ 1,075,391 21,807 35,382 35,382 38,902 4,248 5,000 4,000 765 1,220,877 |
Research grants awarded £ 250,000 - - - - - - - - 250,000 |
Grants no longer required £ (358) - - - - - - - - (358) |
Grants paid in the year £ (315,754) (9,582) (19,017) (1,811) - - - - - (346,164) |
At 31 December 2022 £ |
|---|---|---|---|---|---|
| 1,009,279 12,225 16,365 33,571 38,902 4,248 5,000 4,000 765 |
|||||
| 1,124,355 |
60
APPENDIX 1 - Guts UK Research grants payable in the Financial year 1[st] January to 31[st] December 2022
| Ongoing research cont’d Balance brought forward Dr Oliver Tavabie Guts UK – BSG trainee grant Does the implementation of the BASL/BSG bundle improve the survival of patients with decompensated chronic liver disease acutely admitted into hospital Dr Ayman Bannaga Guts UK – BSG trainee grant The Fatty Liver and Liver Cancer Study (Tendency) Total ongoing research New Commitments Falk Pharma 2022 awards – various Guts UK – 9 x Dr Falk awards 2022 Dr Jonathan King Guts UK-Dr Falk SpR Trainee Audit/Quality Improvement Award Assessing the impact of using interactive video in the correct languages for the consenting of non-English speaking patients in endoscopy Mr Arjun Kattakayam Guts UK/Amelie Waring Research Fellowship Novel high resolution insights into mitochondrial dysfunction in acute pancreatitis within and beyond the pancreas Dr Katja Christodoulou Guts UK/ Derek Butler Research Fellowship Non - invasive testing of Early Oesophageal Cancer and Dysplasia Professor Sheena Cruickshank For Crohns Characterising the immune signature of genital Crohn's disease Balance carried forward |
At 1 January 2022 £ 1,220,877 2,000 5,000 1,227.877 - - - - - - |
Research grants awarded £ |
Grants no longer required £ (358) - - (358) - - - - - - |
Grants paid in the year £ (346,164) - - (346,164) (14,000) - - - - (14,000) |
At 31 December 2022 £ |
|---|---|---|---|---|---|
250,000 - - |
1,124,355 2,000 5,000 |
||||
| 250,000 | 1,131,355 | ||||
| 14,000 8,638 180,000 210,000 19,874 |
- 8,638 180,000 210,000 19,874 |
||||
| 432,512 | 418,512 |
61
APPENDIX 1 - Guts UK Research grants payable in the Financial year 1[st] January to 31[st] December 2022
18. Research grants payable (continued)
| 18. Research grants payable(continued) | |||||
|---|---|---|---|---|---|
| New commitments cont’d Balance brought forward Dr Mohamed Albed Alhnan For Crohns Enabling the oral delivery of adalimumab via novel 4D printing architectures fro the treatment of Crohn's Dr Tovah Shaw For Crohns Determining the contribution of long-lived Tim4+ gut macrophages to oral tolerance of food, and intestinal microbial community stability Dr Alice Lapthorn Guts UK - BSG Early Career Researcher Grants Repurposing of drugs to prevent intra-abdominal adhesion formation Dr K Belogianni Guts UK - BSG Early Career Researcher Grants Implementing an integrated care pathway for the management of irritable bowel syndrome Dr M Mohamed Guts UK - BSG Early Career Researcher Grants Development and evaluation of point-of-care diagnostics utilising clinical metagenomic sequencing for rapid pathogen and antimicrobial resistance detection in decompensated cirrhosis and acute-on-chronic liver failure Dr Fumi Kamlesh Varyani Guts UK - BSG Early Career Researcher Grants Identifying the impact of Specialist Nutrition Support Teams on the outcomes of parenterally fed and gastrostomy patients utilising the Hospital Episode Statistics and National Endoscopy Database" James Halle-Smith Guts UK - BSG Trainee Research Award "The Influence of Pancreatic Exocrine Insufficiency and Pancreatic Enzyme Replacement Therapy on the Intestinal Microbiome of Pancreatic Cancer Patients" Amir Saifuddin Guts UK - BSG Trainee Research Award "Evaluation of the safety of perioperative advanced anti- inflammatory therapy in patients with inflammatory bowel disease (IBD) undergoing elective surgery" Nosheen Umar Guts UK - BSG Trainee Research Award "Development of a risk prediction tool for inflammatory bowel disease (IBD) in patients presenting in primary care with abdominal symptoms in the Clinical Practice Research Datalink (CPRD Aurum)." Balance carried forward |
At 1 January 2022 £ - - - - - - - - - - - |
Research grants awarded £ 432,512 16,019 14,803 15,000 15,000 14,961 14,999 3,880 5,000 5,000 537,174 |
Grants no longer required £ - - - - - - - - - - - |
Grants paid in the year £ (14,000) - - - - - - - - - (14,000) |
At 31 December 2022 £ |
| 418,512 16,019 14,803 15,000 15,000 14,961 14,999 3,880 5,000 5,000 |
|||||
| 523,174 |
62
APPENDIX 1 - Guts UK Research grants payable in the Financial year 1[st] January to 31[st] December 2022
| 18. Research grants payable(continued) New commitments cont’d Balance brought forward Jonathan Gan Guts UK - BSG Trainee Research Award "Monitoring gut permeability in Irritable Bowel Syndrome (IBS) using a novel non invasive optical sensor" Jonathan Sturgeon Guts UK - BSG Trainee Research Award "Spacial profiling of duodenum transcriptomic changes following administration of novel therapeutic agents in children with severe acute malnutrition" Joseph Delo Guts UK - BSG Trainee Research Award "The role of the TIGIT immune checkpoint axis in susceptibility to infection in decompensated cirrhosis" Adeel Harmad Guts UK - BSG Trainee Research Award "Exploring the role of the brainstem in human swallowing and post radiotherapy induced dysphagia using functional MRI" Marcus Auth BSPGHAN/GUTS UK/Falk "Faecal volatile organic compounds in children with eosinophilic oesophagitis potential as non-invasive biomarkers" Francis Robertson Newcastle ASGBI "Micro RNAs in acute pancreatitis" Hwei Jene Ng ASGBI "Micro RNAs in acute pancreatitis" Pancreatitis Priority Setting Partnership (PSP) Dr Maria Alcolea Worldwide Cancer Research "Mechanomodulation of mutant clonal competition in oesophageal epithelium : relevance for early tumour formation " Total New Commitments |
At 1 January 2022 £ - - - - - - - - - - - |
Research grants awarded £ 537,174 3,917 5,000 5,000 5,000 39,995 9,954 4,000 20,000 124,143 754,179 |
Grants no longer required £ - - - - - - - - - - - |
Grants paid in the year £ (14,000) - - - - - (2,500) (2,500) - - (19,000) |
At 31 December 2022 £ |
|---|---|---|---|---|---|
| 523,174 3,917 5,000 5,000 5,000 39,995 7,454 1,500 20,000 124,143 |
|||||
| 735,179 |
63
APPENDIX 1 - Guts UK Research grants payable in the Financial year 1[st] January to 31[st] December 2022
18. Research grants payable (continued)
| Research completed during the year Dr Varinder Athwal Guts UK Development Award Investigating fibrosis pathobiology in cystic fibrosis related liver disease to improve clinical detection and management Dr Jorge Gutierrez- Merino For Crohn’s Development Grant Understanding how gut bacteria induce beneficial type 1 interferon responses Dr Roosey Sheth Guts UK-BSG Trainee Research Network Award A UK wide Audit of the Management of Primary Biliary Cholangitis (PBC) Falk Pharma 2021 awards - various Guts UK - Dr Falk awards 2021 Dr Katja Christodoulou Guts UK – BSG trainee grant Consent for contact in endoscopy Total research completed during the year Total grants for the year |
At 1 January 2022 £ 4,290 10,393 5,000 2,500 1,275 |
Research grants awarded £ |
Grants no longer required £ (238) - (500) - (1,275) |
Grants paid in the year £ |
At 31 December 2022 £ |
||||
|---|---|---|---|---|---|---|---|---|---|
| - - - - - |
(4,052) (10,393) (4,500) (2,500) - |
- - - - - |
|||||||
| 23,458 | - | (2,013) | (21,445) | - | |||||
| 1,251,335 | 1,004,179 | (2,371) | (386,609) | 1,866,534 |
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APPENDIX 1 - Guts UK Research grants payable in the Financial year 1[st] January to 31[st] December 2022
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APPENDIX 1 - Guts UK Research grants payable in the Financial year 1[st] January to 31[st] December 2022
We’re getting to grips with guts
66
Guts UK Annual Report and Financial Accounts
- 2022_FINAL
Final Audit Report
2023-09-25
Created: 2023-09-25 By: Guts UK (info@gutscharity.org.uk) Status: Signed Transaction ID: CBJCHBCAABAACrVkUitvh8Y7CVOgmWR5BFGH4i-vx_1M
"Guts UK Annual Report and Financial Accounts - 2022_FINAL" History
Document created by Guts UK (info@gutscharity.org.uk)
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