Registered Charity No. 1148855 Registered Company No. 08132198
NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
REPORT OF THE DIRECTORS AND UNAUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 JULY 2021
NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
CONTENTS OF THE FINANCIAL STATEMENTS for the year ended 31 July 2021
| Page | |
|---|---|
| Reference and administrative details | 1 |
| Chair’s Review | 2 |
| Report of the Directors and Trustees’ Annual Report | 3 |
| Independent examiners’ report | 10 |
| Statement of Financial Activities | 11 |
| Statement of Financial Activities - 2020 | 12 |
| Balance Sheet | 13 |
| Notes to the Financial Statements | 14 |
NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
REFERENCE AND ADMINISTRATIVE DETAILS
Registered Company number: 08132198 (England and Wales) Charity number: 1148855 Directors / Trustees: Mrs J Field Miss J Sehmbi Mr M Field - Company Secretary Mrs R Hereford - Chair Mr D Salt Mr R Flemming Mrs A Terry Registered office & Principal office: Hereward College Campus Bramston Crescent Tile Hill Lane Coventry West Midlands CV4 9SW Accountants: Dafferns LLP Chartered Accountants One Eastwood Harry Weston Road Binley Business Park Coventry CV3 2UB Bankers: The Co-operative Bank P.O. Box 101 Balloon Street Manchester M60 4EP Chief Executive Officer: Sarah Ann Moore
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NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
CHAIR’S REVIEW for the year ended 31 July 2021
2020/21 has been a strong and productive year for the Muscular Dystrophy Support Centre (‘MDSC’ or ‘the Charity’) that has seen us start to regain momentum on a range of projects and initiatives previously forced to pause because of the global Covid-19 pandemic.
Our charity has worked hard to maintain a consistent presence in the lives of our service users throughout this challenging time when other health and care services that our service users rely on have been so severely curtailed by the impact of the pandemic. We made our core therapies (physiotherapy and osteopathy) available throughout the 2020/21 year both online and face-to-face at our Coventry headquarters and our satellite clinics. As Covid restrictions were lifted, we began to recommence work outside of core therapies and focus on progressing our five-year Transforming Access to Therapies (TATT) strategy, funded by the National Lottery Community Fund.
During the year we were delighted to welcome new therapists to our Clinical Team, allowing us to expand the provision of our services both in geographical terms and in the number of therapy hours available. Although Covid restrictions led to the cessation of our East Midlands Satellite Clinic in Loughborough; we were able to resume services in a new East Midlands location at LOROS Hospice in Leicester. Before the year end, we were also able to open our latest Satellite Clinic to serve the Black Country region, at Murray Hall in Tipton, the first of 3 planned new satellites in our 5-year TATT strategy.
In June 2021, we were pleased to launch our service-user led Steering Group. This group empowers its members to have a hands-on role in developing ideas and running projects that members are passionate about, whilst helping to support the Charity. As experts on the subject of living with MD, members also provide an excellent focus group that we can draw guidance and inspiration from, and we plan to use their insights to complement the information we gather annually via our service user engagement survey.
Our online therapies have remained popular and a great supplement to our core face-toface therapies. They have enabled us to maintain a year-on-year increase in our overall therapy session provision in 2020/21 of 18% and to bring our support right into the homes of our service users.
On behalf of the Board of Trustees, I would like to express deep gratitude to everyone who has contributed to the very real difference the Muscular Dystrophy Support Centre has continued to make to the lives of people with muscular dystrophy and their families in the past year. Our achievements this year have only been possible because of the ongoing generosity of our donors and supporters, and the tireless hard work of our staff, volunteers and trustees.
Ruth Hereford Chair of Trustees
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NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
TRUSTEES’ REPORT for the year ended 31 July 2021
The Trustees, who are directors under company law, present their report with the financial statements of the company for the year ended 31 July 2021.
The accounts have been prepared in accordance with the accounting policies set out in note 1 to the accounts and comply with the Charity’s governing document, the Companies Act 2006 and “Accounting and Reporting by Charities: Statement of Recommended Practice (SORP)” issued in October 2019.
STRUCTURE, GOVERNANCE AND MANAGEMENT Governing document
NMC Midlands trading as Muscular Dystrophy Support Centre (“MDSC” or “the Charity”) is a charitable company limited by guarantee incorporated on 5 July 2012 and governed by its Memorandum and Articles of Association. The company became a registered Charity on 6 September 2012.
Recruitment and appointment of directors / trustees
The Directors of the company are also the Charity Trustees for the purpose of Charity law. Under the requirements of the Memorandum and Articles of Association, one-third of the Directors must retire and offer themselves for re-election at the Annual General Meeting.
The Charity is administered by the Trustees, who meet quarterly as a board to provide oversight and review of the operation of the Charity.
All Trustee appointments are made with due regard to the range of skills required by the Board of Trustees & the relevant experience and knowledge offered by the potential trustee. The training of each new trustee includes a visit to Charity premises and discussions with existing Trustee board members.
None of the trustees have any beneficial interest in the company. All of the Trustees are members of the company and guarantee to contribute £1 in the event the company being wound up.
OBJECTIVES AND ACTIVITIES
Charitable objectives and aims
The Charity's formal objects per its Memorandum and Articles of Association are to relieve sickness and promote health for those affected by muscular dystrophy and related neuromuscular conditions, by providing or assisting in the provision of facilities and services, and by such other means as are exclusively charitable according to the laws of England and Wales as the trustees may determine from time to time.
MDSC was established and is led by people with, or affected by, muscular dystrophy. Its Board of Trustees had 7 members during 2020/21, all of whom either have muscular dystrophy themselves or have a family member with the condition.
The Charity has been providing therapies since January 2013 and its long-term goal is to transform access to specialist physical therapies for adults with muscular dystrophy in the Midlands region. Operating from its main Centre in Coventry and a growing network of Satellite Clinics around the Midlands, it supports people primarily by providing specialist physical therapies on a long-term basis. We are the only organisation in the Midlands region to do so, and one of only two in the UK. Nearly all of our service user referrals currently come from GPs and specialist Consultants in hospitals across the Midlands.
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NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
TRUSTEES’ REPORT for the year ended 31 July 2021
OBJECTIVES AND ACTIVITIES cont…
There is currently no cure for muscular dystrophy. However, regular, specialist physical therapies can help improve muscle usage, reduce pain and ultimately enable people to take control of their condition and retain greater functionality and independence. Latest prevalence data suggests that Around 17,000 people with muscular dystrophy live in the Midlands of whom 12,500 are adults. Current provision of appropriate therapy is very poor and falls behind other long-term conditions. For example, there are 100,000 people in the UK with another degenerative condition - multiple sclerosis - and over 50 therapy centres to serve their needs. For the 110,000 people with muscular Dystrophy across the UK however, there are just two therapy centres. Taking into account the 455 people with muscular dystrophy that are registered with us, this leaves over 12,000 adults (in the Midlands alone) unable to access the therapy they need.
MDSC’s trustees, employees and volunteers conduct activities in furtherance of the Charity’s mission and vision:
Our Mission:
We work together to support people affected by muscular dystrophy (MD), creating an environment where full potential and optimal well-being can be achieved, through provision of physical therapies and other support services.
Our Vision:
To empower people with MD and improve the ability of people with, and affected by, MD to live well independently for longer by:
- growing our service capacity, scope, reach, accessibility and relevance
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continuously improving our systems for governance, sustainability and clinical effectiveness
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diversifying income streams and improving our engagement with service users via strengthened communications/marketing.
Public benefit
The Trustees have referred to the Charity Commission's general guidance on public benefit when reviewing the Charity’s aims and objectives and in planning its future activities and have therefore complied with the duty to have due regard to guidance on public benefit published by the Commission.
ACHIEVEMENTS AND PERFORMANCE
Activities 2020/21
In 2020/21 we continued to provide our core therapies (physiotherapy and osteopathy), from our main Centre at Hereward College in Coventry and at satellite locations in Birmingham and Droitwich. During the year we were very pleased to resume operating in the East Midlands (at a new satellite location in Leicester) and just before the close of the year, to open a new satellite clinic in Tipton.
1 Latest prevalence data suggests a 57% increase in UK prevalence – national rate taken from: https://www.musculardystrophyuk.org/news-blogs-and-stories/news/new-research-reveals-110000-people-in-the-uknow-live-with-muscle
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NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
TRUSTEES’ REPORT for the year ended 31 July 2021
Thanks to the continued support of generous donors and our amazing team of staff, volunteers and Trustees, in 2020/21 were able to:
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Provide 3013 therapy sessions (2019/20: 2553), of which 1107 were face to face
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contact hours delivered from August 2020 to July 2021, and 1906 were online therapy sessions delivered in the same period
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Raise £217,289 in voluntary income (2019/20: £278,917). Fundraising achievements
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included £199,062 in grants from trusts and foundations, £10,475 in donations and gifts, and £7,502 from community and fundraising events. We would like to thank all our supporters for their continued and generous contributions during this crucial time
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Continue to grow our service user base with 41 new service user referrals. (2019/20:
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71)
During 2020/21 we continued to progress our 5-year strategy (part-funded by a generous £300k 5-year grant from the National Lottery Community Fund) to increase our service capacity and expand to additional satellite sites to better meet demand for our services throughout the Midlands, to strengthen our organisational structure and finances, and to provide enhanced evidence and outcomes data to support the effectiveness of our model in helping people with muscular dystrophy. Key achievements in the year included:
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Establishing a new satellite clinic located in Tipton, increasing our accessibility to new
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and existing service users in the Black Country region
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Resuming operations in the East Midlands region by opening a Satellite Clinic at a new
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site, LOROS Hospice in Leicestershire
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Recruiting new team members to enhance our communications, engagement and
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clinical management
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Expanding our therapy team by welcoming 2 new employed physiotherapists and 1
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new self- employed physiotherapist to increase the therapy provision available at our Headquarters and Satellite Clinics
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Launching our new Steering Group, led by MDSC Service Users to empower service
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users and support the growth and development of the Charity
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Continuing to actively participate in a number of external forums and networks to
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promote improvements to care and choice for people with muscular dystrophy and to raise the profile of wider issues affecting the health and wellbeing of people with, and affected by, muscular dystrophy.
Challenges
The COVID-19 pandemic continues to present our Charity and its service users with a range of significant ongoing challenges:
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NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
TRUSTEES’ REPORT for the year ended 31 July 2021
ACHIEVEMENTS AND PERFORMANCE cont…
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Many of our service users were in the extremely vulnerable risk category for COVID-19
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– meaning that leading into 2020/21 many of them were unable to leave home and are
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physically isolated – with emotional vulnerability and the potential for physical deterioration of their condition associated with that isolation. Our online service provision has been vital in supporting these service users to manage their health as well as possible during extended periods of lockdown but is ultimately not a long-term substitute for hands-on treatment. The length of the pandemic has therefore had a significant impact on the severity/complexity of a large percentage of our service users’ needs
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Demand for our services continues to grow – and this is compounded by the
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devastating impact that the pandemic has had on the other health and care services on which our service users rely. We have worked hard in 2020/21 to successfully drive down our waiting list, but we recognize the increased pressure and reliance that our service users place on our services
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The pandemic disrupted access to partner facilities on which we have relied to support
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the provision of other activities such as hydrotherapy and complementary therapies. We hope to resume offering these services to our service users in 2021/22
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The enormous impact of the pandemic on the UK national economy presents distinct
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challenges for all charities that rely on fundraising income. Our overall voluntary income fell in 2020/21 and our plans to grow our income streams derived from community events, corporate relationships and individual giving continue to be affected by the impact of the pandemic
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Our Coventry Centre has been based on the site of Hereward College since the
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charity’s inception in 2012. However, expansion of our services and the impact of Covid-19 on space-sharing arrangements have led to the need to find a new, larger home. In May 2021, Hereward gave notice of their need to end our lease to accommodate their own expansion and support post-Covid requirements, including more space for their student population. The decision accelerated what was an inevitable move for MDSC, and we began searching for a new location in summer 2021. We have now agreed Heads of Terms of a 10-year lease at Westwood House, Westwood Business Park, Coventry with an anticipated move date of June 2022. This larger, single-use premises will improve accessibility, parking and facilities and aid us reducing risk and creating a Covid-secure environment so service users can safely access our support with greater peace of mind. Crucially, we will be able to expand our clinics to help more people with MD.
Staffing and volunteers
MDSC is committed to promoting inclusiveness and equal opportunities for all. As part of this commitment, we are focussed on actively supporting our service users to stay in the workforce, and we provide opportunities for people with muscular dystrophy via employment and volunteering.
In 2020/21 our staffing was comprised of seven physiotherapists, and two osteopaths, two fundraisers, three receptionist/administrators, a Communications and Engagement Manager, a Clinical Manager, and our Chief Executive. All of our staff work part-time. Four of our staff are directly or indirectly affected by MD.
Volunteers make a significant contribution to the Charity, donating their time at the Centre to facilitate service user care - including greeting service users, providing peer interaction, and undertaking administrative tasks to assist our employed staff team. In 2020/21 our volunteers included 7 people working in management, administration, communications, and website support. A further 15 people volunteered through our service user Steering Group.
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NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
TRUSTEES’ REPORT for the year ended 31 July 2021
ACHIEVEMENTS AND PERFORMANCE cont…
Feedback from service users and professionals
We continually collect feedback from service users through our Annual Survey and via service user testimonials – such as the one below:
“By coming to MDSC, I feel like I have been given hope. Although the conditions I have are irreversible, for the first time since I was diagnosed 8 years ago, I know I can at least fight its effects. That there are people out there supporting me and offering the physiotherapy that I so desperately need as I try and live as normal a life as possible, for as long as I possibly can.
Before I was referred to the Centre, I received the standard 6 sessions of physiotherapy from the NHS and was then discharged. I have annual appointments with my NHS consultant, that have been impacted by COVID, so I hadn’t spoken to anyone about how I was getting on for a long time, before I was put in touch with MDSC.
The Centre can be life changing, and mentally so rewarding to be given back some control and having a purpose. Everyone at MDSC have been so kind, understanding and welcoming since I began visiting in April 2021. It goes without saying, I would recommend it to anyone with muscular dystrophy.”
Paul, service user
We also receive feedback and testimonials from professionals working in the neuromuscular field. Further details can be found in our Impact Reports which are available on our website (https://mdsupportcentre.org/about-us/publications/) or on request.
PLANS FOR THE FUTURE
In 2020/21 we progressed work on the implementation of our 5-year strategy to transform access to specialist therapies for all people with muscular dystrophy across the Midlands who need it. Our strategy is underpinned by detailed business plans and supported by KPIs to achieve the following expansion by 2024/25:
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Adding 3 additional satellite sites across the Midlands (our newest Satellite Clinic in the
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Black Country marks the first of these, and the next additions are planned for Northamptonshire and Worcestershire)
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Increasing the number of service users regularly accessing our services
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Increasing monthly therapy hours delivered across all of our sites.
These plans are designed to enable us to expand access to our critical services over the short to medium term, but also to create a platform for continued sustainable growth in the longer term by strengthening our organisational infrastructure and finances. Furthermore, our strategy includes key activities, the benefits of which will extend beyond our own immediate organisational reach, such as developing outcome measures to evidence the effectiveness of our therapy model in helping people with muscular dystrophy. We are also committed to sharing the knowledge and experience that we gain in the coming years with people with muscular dystrophy in other areas of the UK and beyond, in particular to help them to potentially develop their own therapy service provision.
Our original plans were developed with a view to expanding access to hands-on, face-toface physical therapies. However, our experience of the COVID-19 pandemic forced us to innovate and adapt our services to online/ remote provision. Whilst we do not believe that online therapy is a long-term substitute for hands-on treatment (and nor does it work for every service user), we have demonstrated this year that online therapy has a key role to play in supporting our service users to actively manage their condition both during and beyond the pandemic – for example removing the need for travel to our physical locations and therefore enabling more regular therapy opportunities for who cannot easily travel.
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NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
TRUSTEES’ REPORT for the year ended 31 July 2021
PLANS FOR THE FUTURE cont…
In 2021/22 we plan to relocate our headquarters to a new site and are aiming to be in our new home in time for the 10-year anniversary of the Charity in July 2022.
FINANCIAL REVIEW
Total income for the year was £318,692 (2019/20: £398,840).
Fundraising achievements included £199,062 in grants from trusts and foundations, £10,475 in donations and gifts, and £7,502 from community and fundraising events. Income from Clinical Commissioning Groups accounted for £91,519 (2019: £107,539). In addition, service users donated £8,336, and we were able to generate £428 in rental income or resale of physio sundries.
We would like to thank all our supporters for their most generous contributions.
RESERVES POLICY
The Trustees have agreed a policy of holding six to nine months of annual expenditure in cash reserves. This policy was increased during the year from the previous policy of holding three to six months of annual expenditure in reserve to better to mitigate the risk of reducing our services to people with muscular dystrophy should we find ourselves at risk of a deficit position in the short- term. This risk is deemed to have increased because of the additional growth/pressure that the Charity is seeing due to COVID19 depleting the NHS care available for people with MD and service users therefore relying more heavily on the Charity. The policy is reviewed annually by the Board of Trustees.
Our overall reserves position at 31st July 2021 is £361,660, with free (unrestricted) reserves of £268,306.
Our unrestricted and restricted cash reserves position at 31 July 2021 is £324,411 with free (unrestricted) cash reserves of £237,395.
As we progress our 5-year strategy for growth and sustainability, it is anticipated that our expenditure will increase. Relocating our Headquarters in 2021/22 will have a significant impact on our overheads, and the full impact of COVID-19 on our Charity’s income and expenditure projections is yet to be fully known. However, based on present forecasted expenditures for 2021/22 our unrestricted cash reserves of £237k equals 6.7 months of forecasted expenditure for the coming year.
RISK REVIEW
The Trustees have assessed the major risks to which the Charity is exposed and have systems in place to manage those risks. New risks have been identified in-year related to the effective operation of the Charity during the COVID-19 pandemic, and these risks continue to be actively managed.
During the year the Charity reviewed its organisational structure and appointed a new Executive Director to focus on building organisational sustainability and delivering the Charity’s 5-year strategy.
In so doing, the Charity is also reviewing and enhancing its systems of internal control. This includes reviewing key policies and procedures, enhancing reporting structures, using new electronic tools to improve efficiency and control, and further embedding the Charity’s vision and values to ensure that all activities of the Charity continue to always support the fulfilment of its mission.
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NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
TRUSTEES’ REPORT for the year ended 31 July 2021
PAYMENT OF CREDITORS
The Charity’s current policy concerning the payment of trade creditors is to follow the CBI’s Prompt Payers Code (copies are available from the CBI, Centre Point, 103 New Oxford Street, London, WC1A 1DU).
The Charity’s current policy concerning the payment of trade creditors is to:
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Settle the terms of payments with suppliers when agreeing the terms of each transaction;
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Ensure that suppliers are made aware of the terms of payments by inclusion of the relevant terms of contracts; and
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Pay in accordance with the company’s contractual and other legal obligations.
This report has been prepared in accordance with the special provisions of Part 15 of the Companies Act 2006 relating to small companies.
ON BEHALF OF THE BOARD:
Mr M Field – DIRECTOR
Dated: 23 March 2022
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INDEPENDENT EXAMINER'S REPORT TO THE TRUSTEES OF NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
I report to the Charity trustees on my examination of the accounts of the company for the year ended 31 July 2021 which are set out on pages 11 to 23.
Responsibilities and basis of report
As the Charity trustees of the company (and also its directors for the purposes of company law) you are responsible for the preparation of the accounts in accordance with the requirements of the Companies Act 2006 (‘the 2006 Act’).
Having satisfied myself that the accounts of the company are not required to be audited under Part 16 of the 2006 Act and are eligible for independent examination, I report in respect of my examination of your company’s accounts as carried out under section 145 of the Charities Act 2011 (‘the 2011 Act’). In carrying out my examination I have followed the Directions given by the Charity Commission under section 145(5)(b) of the 2011 Act.
Independent examiner's statement
I have completed my examination. I confirm that no matters have come to my attention in connection with the examination giving me cause to believe that in any material respect:
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accounting records were not kept in respect of the company as required by section 386 of the 2006 Act; or
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the accounts do not accord with those records; or
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the accounts do not comply with the accounting requirements of section 396 of the 2006 Act other than any requirement that the accounts give a ‘true and fair view’ which is not a matter considered as part of an independent examination; or
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the accounts have not been prepared in accordance with the methods and principles of the Statement of Recommended Practice for accounting and reporting by charities [applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102)].
I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached.
Signed:
G R Cox BA FCA (Institute of Chartered Accountants in England and Wales) Dafferns LLP One Eastwood Harry Weston Road Binley Business Park Coventry CV3 2UB
Date: 23 March 2022
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NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
STATEMENT OF FINANCIAL ACTIVITIES (including Income and Expenditure Account) for the year ended 31 July 2021 (current year)
| INCOME FROM: Voluntary income: Donations and legacies Charitable Activities Services provided Other trading activities Investment income Other income Total income EXPENDITURE ON: Raising funds Charitable activities Total expenditure Net income for the period before transfers Transfer between funds Net movement in funds Reconciliation of funds Total funds brought forward Total funds carried forward |
Notes 3 4 5 6 7 8 16/17 |
Unrestricted £ 48,227 100,283 - 1,120 - __ 149,630 ══════3,296 90,915 _ 94,211 ══════55,419 - 55,419 212,889 ___ 268,308 ══════ |
Total Total Restricted 2021 2020 £ £ £ 169,062 217,289 278,917 - 100,283 118,972 - - - - 1,120 894 - - 57 __ _ 169,062 318,692 398,840 ══════════════════14,750 18,046 2,092 217,562 308,477 207,905 232,312 326,523 209,997 ══════════════════(63,250) (7,831) 188,843 - - - (63,250) (7,831) 188,843 156,602 369,491 180,648 ___ 93,352 361,660 369,491 ══════════════════ |
|---|---|---|---|
All income and expenditure derive from continuing activities.
The statement of financial activities includes all gains and losses recognised during the year.
The notes on pages 14 to 23 form part of these financial statements
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NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
STATEMENT OF FINANCIAL ACTIVITIES (Including Income and Expenditure Account) for the year ended 31 July 2020 (prior year)
| INCOME FROM: Voluntary income: Donations and legacies Charitable Activities Services provided Other trading activities Investment income Other income Total income EXPENDITURE ON: Raising funds Charitable activities Total expenditure Net expenditure/net income for the period before transfers Transfer between funds Net movement in funds Reconciliation of funds Total funds brought forward Total funds carried forward |
Notes 3 4 5 6 7 8 |
Unrestricted £ 57,884 118,972 - 894 57 __ 177,807 ══════1,682 104,635 _ 106,317 ══════71,490 - 71,490 141,399 ___ 212,889 ══════ |
Total Restricted 2020 £ £ 221,033 278,917 - 118,972 - - - 894 - 57 __ _ 221,033 398,840 ════════════410 2,092 103,270 207,905 103,680 209,997 ════════════117,353 188,843 - - 117,353 188,843 39,249 180,648 ___ 156,602 369,491 ════════════ |
|---|---|---|---|
All income and expenditure derive from continuing activities. The statement of financial activities includes all gains and losses recognised during the year.
The notes on pages 14 to 23 form part of these financial statements
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Registered No. 08132198
NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
| BALANCE SHEET | |||||
|---|---|---|---|---|---|
| 31 July 2021 | |||||
| 2021 | 2020 | ||||
| Notes | £ | £ | £ | £ |
|
| FIXED ASSETS | |||||
| Tangible assets | 11 | 6,352 | 10,443 | ||
| CURRENT ASSETS | |||||
| Debtors | 12 | 44,425 | 48,925 | ||
| Cash at bank and in hand | 324,411 | 319,671 | |||
| ______ | ______ | ||||
| 368,836 | 368,596 | ||||
| LIABILITIES | |||||
| Creditors falling due within one year | 13 | (13,528) | (9,548) | ||
| ______ | ______ | ||||
| NET CURRENT ASSETS | 355,308 | 359,048 | |||
| ______ | ______ | ||||
| NET ASSETS | 361,660 | 369,491 | |||
══════ |
══════ |
||||
| FUNDS OF THE CHARITY | |||||
| Unrestricted fund | 268,308 | 212,889 | |||
| Restricted funds | 17 | 93,352 | 156,602 | ||
| __ | __ | ||||
| TOTAL CHARITY FUNDS | 16 | 361,660 | 369,491 | ||
══════ |
══════ |
These financial statements have been prepared in accordance with the provisions applicable to companies subject to the small companies’ regime.
For the year ending 31 July 2021 the company was entitled to exemption from audit under section 477 of the Companies Act 2006 relating to small companies.
Directors / Trustees responsibilities:
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The members have not required the company to obtain an audit of its accounts for the year in question in accordance with section 476;
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The directors acknowledge their responsibilities for complying with the requirements of the Act with respect to accounting records and the preparation of accounts.
The financial statements were approved and authorised for issue by the Board on 23rd March 2022.
ON BEHALF OF THE BOARD:
Mr M Field - DIRECTOR
The notes on pages 14 to 23 form part of these financial statements
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NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 July 2021
1. ACCOUNTING POLICIES
General information and basis of preparation
NMC Midlands is an incorporated Charity in England. In the event of the Charity being wound up, the liability in respect of the guarantee is limited to £1 per member of the Charity. The address of the registered office is given in the Charity information on page 1 of these financial statements. The nature of the Charity’s operations and principal activities are to relieve sickness and promote health for those affected by muscular dystrophy and related neuromuscular conditions by providing or assisting in the provision of facilities and services and by such other means as are exclusively charitable according to the laws of England and Wales as the trustees may from time to time determine.
The Charity constitutes a public benefit entity as defined by FRS 102. The financial statements have been prepared in accordance with 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 issued in October 2019, the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102), the Charities Act 2011, the Companies Act 2006 and UK Generally Accepted Practice.
The financial statements are prepared on a going concern basis under the historical cost convention, modified to include certain items at fair value. The financial statements are presented in sterling which is the functional currency of the Charity and are rounded to the nearest £1.
The significant accounting policies applied in the preparation of these financial statements are set out below. These policies have been consistently applied to all years presented unless otherwise stated.
Funds
Unrestricted funds are available for use at the discretion of the trustees in furtherance of the general objectives of the Charity and which have not been designated for other purposes.
Restricted funds are funds which are to be used in accordance with specific restrictions imposed by donors or which have been raised by the Charity for particular purposes. The cost of raising and administering such funds are charged against the specific fund. The aim and use of each restricted fund is set out in the notes to the financial statements.
Endowment funds are subject to specific conditions by donors that the capital must be maintained by the Charity.
Income recognition
All incoming resources are included in the Statement of Financial Activities (SoFA) when the Charity is legally entitled to the income after any performance conditions have been met, the amount can be measured reliably, and it is probable that the income will be received.
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NMC MIDLANDS
(A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 July 2021
1. ACCOUNTING POLICIES (cont’d)
Income recognition (cont’d)
For donations to be recognised the Charity will have been notified of the amounts and the settlement date in writing. If there are conditions attached to the donation and this requires a level of performance before entitlement can be obtained, then income is deferred until those conditions are fully met or the fulfilment of those conditions is within the control of the Charity and it is probable that they will be fulfilled. Cash donations are recognised upon receipt. Income tax recoverable in relation to donations received under gift aid or deeds of covenant is recognised at the time of the donation.
Legacies are recognised on receipt or otherwise if the Charity has been notified of impending distribution, the amount is known, and receipt is expected. If the amount is not known, the legacy is treated as a contingent asset.
No amount is included in the financial statements for volunteer time in line with the SORP (FRS 102). Further detail is given in the Notes to the Financial Statements.
Items donated for resale are included in trading income when sold and no value is placed on stock at the year end.
Income from trading activities includes income earned from fundraising events and trading activities to raise funds for the Charity. Income is received in exchange for supplying goods and services in order to raise funds and is recognised when entitlement has occurred. Where income is received in advance of a performance or other specified service it is deferred until the Charity is entitled to that income.
Expenditure recognition
All expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to the category. Expenditure is recognised where there is a legal or constructive obligation to make payments to third parties, it is probable that the settlement will be required and the amount of the obligation can be measured reliably. It is categorised under the following headings:
-
Expenditure on charitable activities includes the direct cost of staff, premises and other operating costs; and
-
Other expenditure represents those items not falling into the category above.
Irrecoverable VAT is charged as an expense against the activity for which expenditure arose.
Tax
The Charity is an exempt Charity within the meaning of schedule 3 of the Charities Act 2011 and is considered to pass the tests set out in Paragraph 1 Schedule 6 Finance Act 2010 and therefore it meets the definition of a charitable company for UK corporation tax purposes.
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NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 July 2021
1. ACCOUNTING POLICIES (cont’d) Employee benefits
The cost of any unused holiday entitlement is recognised in the period in which the employee’s services are received.
Termination benefits are recognised immediately as an expense when the Charity is demonstrably committed to terminate the employment of an employee or to provide termination benefits.
Retirement benefits
Payments to defined contribution retirement benefit schemes are charged as an expense as they fall due.
Tangible fixed assets
Tangible fixed assets are stated at cost (or deemed cost) or valuation less accumulated depreciation and accumulated impairment losses. Cost includes costs directly attributable to making the asset capable of operating as intended.
Operational assets costing less than £10,000 are written off in full through the Statement of Financial Activities in the year of purchase. Depreciation is provided on all other tangible fixed assets, at rates calculated to write off the cost, less estimated residual value, of each asset on a systematic basis over its expected useful life as follows: Fixtures, fittings & equipment 5 years straight line Computer equipment 3 years straight line
At each reporting end date, the Charity reviews the carrying amounts of its tangible assets to determine whether there is any indication that those assets have suffered an impairment loss. If any such indication exists, the recoverable amount of the asset is estimated in order to determine the extent of the impairment loss (if any).
Debtors and creditors receivable / payable within one year
Debtors and creditors with no stated interest rate and receivable or payable within one year are recorded at transaction price. Any losses arising from impairment are recognised in expenditure.
Leases
Rentals payable under operating leases, including any lease incentives received, are charged to income on a straight-line basis over the term of the relevant lease.
Going concern
The financial statements have been prepared on a going concern basis as the trustees believe that no material uncertainties exist. The trustees have considered the level of funds held and the expected level of income and expenditure for 12 months from authorising these financial statements. The budgeted income and expenditure is sufficient with the level of reserves for the Charity to be able to continue as a going concern.
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NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 July 2021
2. CRITICAL ACCOUNTING ESTIMATES AND JUDGEMENTS
In the application of the Charity’s accounting policies, the trustees are required to make judgements, estimates and assumptions about the carrying amount of assets and liabilities that are not readily apparent from other sources. The estimates and associated assumptions are based on historical experience and other factors that are considered to be relevant. Actual results may differ from these estimates.
The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised where the revision affects only that period, or in the period of the revision and future periods where the revision affects both current and future periods.
3. VOLUNTARY INCOME
| Donations and gifts Grants and trusts Donated goods, facilities and services Other Fundraising events |
Unrestricted Funds £ 10,475 30,000 - 250 7,502 _ 48,227 ═══════ |
Restricted Total Total Funds 2021 2020 £ £ £ - 10,475 4,329 169,062 199,062 257,483 - - 60 - 250 105 - 7,502 16,940 _ _ _ 169,062 217,289 278,917 ═════════════════════ |
|---|---|---|
═ |
═ |
Volunteers at the Charity are usually utilised in an administrative capacity and assist with activities such as reception cover, producing the newsletter and fundraising support.
Service users sometimes donate goods that are displayed in the Centre and sold for a small donation. The total sales during the period were £nil due to Covid-19 restrictions and safeguards.
| 4. | CHARITABLE ACTIVITIES | 2021 | 2020 |
|---|---|---|---|
| £ | £ | ||
| Services provided under contract | 91,519 | 107,539 | |
| Charitable rental income | 390 | 820 | |
| Service user donations | 8,336 | 10,613 | |
| Sale of physio sundries | 38 | - | |
| ______ | ______ | ||
| 100,283 | 118,972 | ||
| ═════ | ═════ | ||
| 5. | INVESTMENT INCOME | 2021 | 2020 |
| £ | £ | ||
| Interest received | 1,120 | 894 | |
| ______ | ______ | ||
| 1,120 | 894 | ||
| ═════ | ═════ |
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NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 July 2021
| 6. 7. 8. |
OTHER INCOME 2021 2020 £ £ Other income - 57 _ _ - 57 ══════ ══════ RAISING FUNDS Unrestricted Restricted Total Total Funds Funds 2021 2020 £ £ £ £ Charitable costs Other charitable activities 3,296 14,750 18,046 2,092 _ _ _ _ 3,296 14,750 18,046 2,092 ════════════════════════════CHARITABLE ACTIVITIES Unrestricted Restricted Total Total Funds Funds 2021 2020 £ £ £ £ Staff costs 56,453 173,582 230,035 143,582 Depreciation and impairment 4,797 18,598 23,395 14,131 Rent (452) 15,700 15,248 16,866 Insurance (762) 6,146 5,384 2,795 Postage, stationery & telephone 752 650 1,402 2,816 Computer & IT 7,202 195 7,397 5,649 Sundry expenses 1,940 2,352 4,292 2,149 Travelling expenses 167 36 203 1,639 Repairs and maintenance 1,240 - 1,240 2,286 Subscriptions - 303 303 5,970 Accountancy 2,304 - 2,304 2,100 Bookkeeping costs 2,760 - 2,760 - Professional fees and services 5,394 - 5,394 7,922 Consultancy fees 9,120 - 9,120 - _ _ _ _ 90,915 217,562 308,477 207,905 ════════════════════════════ |
|---|---|
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NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 July 2021
9. DIRECTORS / TRUSTEES REMUNERATION
2 of the trustees (or any person connected with them) received remuneration of £9,165 during the year (2020: £8,625).
R Hereford received remuneration for consultancy support.
J Field received remuneration for provision of therapies.
0 Trustees (2020: 3) were reimbursed £nil of charitable expenditure and travel expenses (2020: £3,568).
| 10. | STAFF COSTS | 2021 | 2020 |
|---|---|---|---|
| £ | £ | ||
| Wages and Salaries | 119,283 | 34,482 | |
| Fundraising salaries and costs | 37,319 | 31,205 | |
| Pension contributions | 3,188 | 858 | |
| Social Security | 5,614 | 3,511 | |
| Therapists | 61,948 | 68,018 | |
| Volunteers and Interns | - | 270 | |
| Other support services | 1,133 | 5,079 | |
| Other costs | 1,550 | 159 | |
| _ | _ | ||
| 230,035 | 143,582 | ||
| ══════ | ══════ | ||
| 2021 | 2020 | ||
| Average number of staff | |||
| Philanthropy & Fundraising | 2 | 2 | |
| Administration | 4 | 3 | |
| Management | 1 | 1 | |
| Clinical | 2 | - | |
| _ | _ | ||
| 9 | 6 | ||
| ══════ | ══════ | ||
| Full Time equivalent | 6.2 | 3.6 | |
| ══════ | ══════ | ||
| No employee received remuneration of £60,000 or more. | |||
| Volunteers: | |||
| 2021 | 2020 | ||
| Key Management | 1 | 2 | |
| Clinical & Administration | 6 | 4 | |
| _ | _ | ||
| 7 | 6 | ||
| ══════ | ══════ |
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NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 July 2021
11. FIXED ASSETS
| Fixtures, | ||||
|---|---|---|---|---|
| Fittings & | ||||
| Equipment | Computers | Total | ||
| Cost | £ | £ | £ | |
| At 1 Aug 2020 | 45,498 | 1,130 | 46,628 | |
| Additions | 14,923 | 4,380 | 19,303 | |
| Disposals | - | - | - | |
| _ | _ | _ | ||
| 31 July 2021 | 60,421 | 5,510 | 65,931 | |
| ══════ | ══════ | ══════ | ||
| Depreciation & impairment | ||||
| At 1 Aug 2020 | 35,055 | 1,130 | 36,185 | |
| Charge for year | 19,014 | 4,380 | 23,394 | |
| Disposals - elimination | - | - | - | |
| _ | _ | __ | ||
| 31 July 2021 | 54,069 | 5,510 | 59,579 | |
| ══════ | ══════ | ══════ | ||
| Net Book Value | ||||
| At 31 July 2021 | 6,352 | - | 6,352 | |
| ══════ | ══════ | ══════ | ||
| At 31 July 2020 | 10,443 | - | 10,443 | |
| ══════ | ══════ | ══════ | ||
| 12. | DEBTORS | 2021 | 2020 | |
| £ | £ | |||
| Trade debtors | 40,328 | 44,279 | ||
| Prepayments and accrued income | 4,097 | 4,646 | ||
| _ | _ | |||
| 44,425 | 48,925 | |||
| ══════ | ══════ | |||
| 13. | CREDITORS FALLING DUE WITHIN ONE YEAR | 2021 | 2020 | |
| £ | £ | |||
| Trade creditors | 741 | 748 | ||
| Accruals and deferred income | 11,143 | 8,800 | ||
| Other Creditors | 1,644 | - | ||
| _ | _ | |||
| 13,528 | 9,548 | |||
| ══════ | ══════ |
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NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 July 2021
14. ULTIMATE CONTROLLING PARTY
The Charity is under the control of its Board of directors/trustees.
15. RELATED PARTY TRANSACTIONS
There were no related party transactions for the year ended 31 July 2021 (2020: none).
16. ANALYSIS OF NET ASSETS BETWEEN FUNDS
| Fixed Assets | Current Assets | Current Liabilities | Total |
|
|---|---|---|---|---|
| £ | £ | £ | £ | |
| Restricted Funds | 6,352 | 87,000 | - | 93,352 |
| Unrestricted Income Fund | - | 281,836 | (13,528) | 268,308 |
| _ | _ | _ | _ | |
| 6,352 | 368,836 | (13,528) | 361,660 | |
══════ |
══════ |
══════ |
══════ |
Unrestricted funds are available for use at the discretion of the trustees in furtherance of the general objectives of the Charity and which have not been designated for other purposes.
Restricted funds are funds which are to be used in accordance with specific restrictions imposed by donors or which have been raised by the Charity for particular purposes. The cost of raising and administering such funds are charged against the specific fund. The aim and use of each restricted fund is set out in the notes to the financial statements.
17. FUND RECONCILIATION – RESTRICTED FUNDS
| Balance at | Balance at | Balance at | |||
|---|---|---|---|---|---|
| 1 | August 2020 | Income | Expenditure | 31 July 2021 | |
| £ | £ | £ | £ | ||
| Edward Gostling Foundation | |||||
| (formerly ACT) | 300 | 8,000 | (8,000) | 300 |
|
| National Lottery Community | |||||
| Fund – Awards for All | 1,420 | - | (1,420) | - |
|
| Leicestershire County Council | |||||
| Communities Fund | |||||
| (formerly Shire Community Grant) | 870 |
6,000 | (6,870) | - |
|
| The National Lottery Community | |||||
| Fund - TATT | 35,461 | 84,482 | (75,334) | 44,609 |
|
| The National Lottery Community | |||||
| Fund – COVID Emergency | 72,293 | - | (39,333) | 32,960 |
|
| The Eveson Charitable Trust | - | 10,000 | (10,000) | - |
|
| Leicestershire & Rutland Community | |||||
| Foundation | 391 | - | (391) | - |
|
| Heart of England Community | |||||
| Foundation - Doing Things | |||||
| Differently Fund | 20,000 | - | (20,000) | - |
|
| Heart of England Community | |||||
| Foundation – Harry Payne Fund | - | 2,000 | - | 2,000 | |
| Julia and Hans Rausing Foundation | - |
24,580 | (24,580) | - |
|
| The Rowlands Trust | - | 1,000 | (1,000) | - |
|
| Hospital Saturday Fund | - | 2,000 | (1,325) | 675 |
|
| Other restricted funding [A] | 14,924 | 31,000 | (39,967) | 5,957 |
|
| Other restricted projects | 500 | - | - | 500 | |
| NBV Restricted fund assets | 10,443 | - | (4,092) | 6,351 |
|
| _ | _ | _ | _ | ||
| 156,602 | 169,062 | (232,312) | 93,352 |
||
══════ |
══════ |
══════ |
══════ |
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NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 July 2021
17. FUND RECONCILIATION – RESTRICTED FUNDS cont…
The Edward Gostling Foundation provided monies towards the purchase of physiotherapy equipment for the opening of a new satellite clinic in the Black Country.
Leicestershire County Council Communities Fund provided funds towards support for Leicestershire service users during the Covid-19 pandemic and costs associated with relocating the East Midlands satellite clinic.
The National Lottery Community Fund provided grants from the Reaching Communities programme as partial funding for specific activities relating to the delivery of our 5 year Transforming Access to Therapies (TATT) project.
National Lottery Community Fund-Covid-19 emergency grant monies provided funding to support extraordinary expenditure related to operating therapies during the COVID-19 pandemic.
The Eveson Charitable Trust provided monies towards the provision of therapies for people with MD in the West Midlands, Worcestershire and Herefordshire.
The Heart of England Community Foundation provided funding for equipment and innovation required to facilitate the delivery of therapies online during and beyond the COVID-19 pandemic.
Heart of England Community Foundation/Harry Payne Fund provided monies in relation to therapies for service users within the West Midlands and Warwickshire region.
The Julia and Hans Rausing Trust provided monies towards core costs to help charities in need during the Covid-19 pandemic.
The Rowlands Trust granted monies to help meet the costs of purchasing PPE for staff (Personal Protective Equipment) during the Covid-19 pandemic.
Hospital Saturday Fund provided a grant towards the running of a new satellite clinic in the Black Country in its first year of operation.
Other restricted funding - The Charity receives funds from grant-makers to support various aspects of the Charity’s work including the provision of therapies for service users who live in specific areas or are of a particular demographic group, or for the provision of specific therapies. These have not been detailed in full here however the Trustees wish to acknowledge that these are vital contributions and without such support the Charity would not be able to serve the number of service users it is otherwise able.
Other restricted projects relate to funding from various grant givers in the previous year for which projects or purchases completed during 2020-21.
NBV Restricted fund assets fund relates to funding received towards the initial purchase of clinical equipment. These funds are being released to match the depreciation charge over the estimated useful life of these assets.
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NMC MIDLANDS (A COMPANY LIMITED BY GUARANTEE)
T/A MUSCULAR DYSTROPHY SUPPORT CENTRE
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 July 2021
18. OPERATING LEASES
Total future minimum lease payments under non-cancellable operating leases are as follows:
| Not later than one year Later than one and not later than five years Later than five years Net cash flow from operating activities ═ |
2021 2020 £ £ - 13,500 - 7,875 - - __ _____ - 21,375 ═════ ══════ |
|---|---|
Operating lease expenditure recognised in the year £7,875 (2020: £14,625)
19. PENSIONS AND OTHER POST-RETIREMENT BENEFITS
Defined contribution pension plans:
The Charity operates a defined contribution pension plan for its employees through the Government’s NEST scheme. The amount recognised as an expense in the period was £3,188 (2020 - £858).
The defined contribution liability is allocated to unrestricted funds.
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