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Charlty rogistratlon number 1149166
Company règistratlon numbèr 07986504 {England and Walgs)
MERSEY SCHOOL OF ANAESTHESIA
ANNUAL REPORT AND FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2024
LONSDALE & MARSH
C114J<TL&EDACCOUNfANrs

MERSEY SCHOOL OF ANAESTHESIA
LEGAL AND ADMINISTRATIVE INFORMATION
Trustees
Dr R S Ahearn
Dr N Airey
Dr N C Brooks
Dr S Pedder
Dr E A Djabaley
(Appointed 4 December 20231
Secretsry
D M Achestnutt
Charity number
1149165
Company numbèr
07986504
Principal address
Edu¢alion & Training Centre
INhislon H05Pital
Warrington Road
Pr8scol
Merseyside
L35 5DR
Rgglstered office
Education & Training Centre
iston Hospital
Warrsngton Roa
Pres¢ol
Merseyside
L35 5DR
Audltor
Lonsdale & Marsh
5L19 - 510 Cotton Exchange
Bixteth Street
Liverpool
L3 9LQ
Bankers
The Co-operative Bank
PO Box 48
18alloon St
Manchester
M60 1GP
Solicitors
Brabners LLP
Horton Heuse
Exchange Flags
Liverpool
L2 3YL
Invastment advisors
Charles Stanley & Co Ltd
Ropemaker Place
25 Ropemaker Slreel
London
C2Y gLY

MERSEY SCHOOL OF ANAESTHESIA
CONTENTS
Page
Trustees, report
Independent auditor's report
Statement of financial activities
BalanGe sheet
staternenl of cash lows
10
Notes to the finencial statemènts

MERSEY SCHOOL OF ANAESTHESIA
TRUSTEES, REPORT (INCLUDING DIRECTORS. REPORTI
FOR THE YEAR ENDED 31 MARCH 2024
Th8 trustees present their annual report and financial statements for the year ended 31 March 2024.
The finanGial statements have been prepared In accordance with the accounting policies set out In note 1 to the
financial stslemenls and comply with the charty's governing docurnenl, the Cornpanies Act 2006 and "Accounting
and Reporting by Charities.. Statement ot Recommended Practi￿ applicable to charSties preparing their aceounls in
acwrdance with the Financial R8POrting SlandaTd applicable in the UK and Republic of Ireland IFRS
102)" (effective 1 January 2019}.
OblectiVg8 and actlvlties
The charitys objects are to advance the education of medi￿1 professionals in matters of medicine in general and
anae5thesia in particular and to promote research for the public benefit in all aspects of those objects and lo publish
usefLtI results.
The policies adopted in furtherance of these oblects are to provide educational and r8vision courses for trainee
anaeslhet1515 and to dispense any surpluses genèrated by the charity to NHS Foundation Trusts or to institutions in
accordance with ils charitable objects.
A principal strategy of Ihe Gharity in order to achieve ils slated obj8Cts is to provide educatignal and revision courses
for trainee anaeslhelists who are preparing for their examinations, success in which is mandatory for the
continuance of their training.
To become a Fellow of the Royal College of Anaesthelisls IRCA), a traine8 anaesthetist must pass the Primary and
the Final Examinations. Those who pass bc>th examinatlDns may use the letters FRCA (Fellow of the Royal College
of Anaesthetistsl after their nan)0,
The examinations are Sat and supervised by the RCA through a Board of Exarniners.
The usual annual Mersey School of Ana8sthesia (MSA) programme of courses for the FRCA Examinations
Gomprises.. Primary MCQISBA CoLtrses. OSCE & Viva week.long and weekend Courses, Final MCQISBA Courses,
CRQ E Club, Final Written 'Bogker' Couisè, Final VIVA w88k-long and weekend Courses.
Only after having obtsined th8 FRCA qualification can trainee anaesthetists continu8 the prescribed training
programme of a further three or four years, at the ènd of which they will be granted the Certificate of Completion of
Training ICCT) which renders them eligible lo apply a perman8nt hospital post as Consuvcant, Associated
Spe¢ialisl or StafF Gradè Anaeslhelisl.
The trusteès have paid due regard to guidance issued by the Charity Commission in deadin9 what acb"vities tho
charity should undertake. The tr￿SteeS have complied with the duty in section 17151 of the Charitie5 Act 2011 to
have due regard tD the guidanTr published by the Charity Commission on public benefit. Th8 trustees dècide on
any grants or donations made.
Thè charity makes grants lo individugls and organisations sharing similar objectives at the discretion of the trustees.
Achlevomfrnts and performance
This was the first year that was completely fre8 from any reslriGtions caused by the Covid pandemic. The results
achiéved were in line with the foreca51s prepared for the new programme of ¢ourses that thè MSA would deliver.
The tsrg81 turnover of £350,000 was achieved and almost all courses wer& run al maximum attendan￿ numbers.
The decision lo move in-person courses to the Village Hotel has been juslified. Although the costs are slightly
higher, the hotel's facilities and staff more than rnake up for Ihis, plus, those attending be accommod8ted on
sile. This provides a much more professional experience for the trainees.
Tha support of thè Facutties and the ExecL*tive officers have assisted irb helping the MSA to provide a
comprehensive ￿UrSe programme, delivered by th8 Chief EX￿Ul1Ve.
A new course. following demand to support trainees taking the FICM wrillen examination, has also been astablishgd
into the programme. This runs twice a year in-line with the FICM exam date.

MERSEY SCHOOL OF ANAESTHESIA
TRUSTEES, REPORT (INCLUDING DIRECTORS, REPORT) {CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2024
The twslees are pleased to report that in th8 fiAanelal year under review grants and donations totalling £11,529
were made to a variety of institutions and various other charitablè causes as determined by the Iruslees. All grants
and donatsons were less than £1,000 each except for the donation of £1.750 to Anlree University Hospital for a
central lin? simulator.
Financlal review
For the year ended 31 March 2024, the charity generated a $l￿lus of £22,104 (2023 d8ficil £44,444) befora
unrealisÈd gains on investments of £33,269 (2023 - IDSSQS £26,865) from ils charitable activities, before the charity
made donations and grants of £11.52912023- £19.372) and before bonuses of £10,876 (2023 - nill.
It remains th8 policy of tha charity that unreslrlcled ftjnds which have not ￿en designat￿ for a specific use should
be maintained al a level equivalent to approximately b￿e1ve months of customary annual expenditure, being
approximately £400,000. The IAJSteas consider that reserves at this level will ensure that, in the event of a
significant drop in fvnding, they will be able to continue the charity's current activities while consideration is given to
ways in which additional fijnds may be raised. This level of reserves has been maintaineLI throughout the year.
total value of free reservas, excluding tangible fixed ass8ts, as al 31 Ma￿h 2024 was £511,212 12023
£458.4011.
On the basls that the charity aims lo retain the equivalent of tselve months expenditure in reserves, it has been
agreed that a proportion Df said reserves will be investèd in various stocks and securitie5 as advised by the charity's
nveslment manager, in ord8r lo maintain the capitsl value of the monies invested 2nd also generate a greater
return than would be achieved frorn cash deposlts. The trusteès are satisfied that this investment objective has
been mel.
The IDlal value of funds held with Charles Stanley & Co. Limited at 31 March 2024 was £492,173 of whlch £474,617
was invested with the remaining £17,556 held as cash lor reinveslmenl.
Plans for fltturo periods
In the year lo 31 March 2024 the charity detivered 12 in-person courses and 4 online courses.
The feedback from those attendingbDth in-person and online coursesis greatly apprecialivo of
th8 MSA'S continuing efforts to provide pre-exam preparation and coaching.
Wth the in-person and online Courses both iunning well, the trustees ere pleased that the MSA has returned to
bre8k-even position this year after three years operating 4t a deficit
The ExecLrtive have explored the possibilty of running a shorter additional course in the run up lo the dates of the
FRCA Viva examinations lo accommodate the Gurrenl demand. They are also revising the structure of some
courses lo streamline the Goverage ol all relevant topics required for the Final FRCA Written Examination.
Structura. governance and management
The tharity is a company limited by guarantee ancl is governed by the Memorandum and Articles ofAssociation.
The trustees, who are also the directors for the purpc>se of company law, and who served during Iheyear and up to
the date of Signature of the financial statements were..
Dr R SAheam
Dr N Airey
Dr N C Brooks
Dr V M Blanchard (nee Nelson)
Dr S Pedder
Dr E A Ojabaley
(Retired 1 July 2024)
(Appointed 4 December 20231

MERSEY SCHOOL OF ANAESTHESIA
TRUSTEES. REPORT (INCLUDING DIRECTORS, REPORT) (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2024
None of the trustees has any beneficial interest in the company. All of the trustees are membors ofthe company and
guarantee lo contribute £10 in the event of a winding up.
New trustees may be elected at any timè by the existing trustees al trustee board meetings. RecrLJiting and training
the Tight trustees is an important aspect of governing the charity and the trustees will largel a balance of individuals
wth a range of skills and backgrounds who are able lo contllbule lo the governance process. New trustees will
already be familiar with the work of th8 charity and their induetion and training includes a discussion of their role and
their responsibilities with the Company Secretsry and other trustees.
The Mèrsey School ofAnaesthesia Constituency compris@s the trustees and all stakeholders. The Mersey School of
Anaesthesia Constituency delegate the day to day running of the charity to the Executiv8 Administration who are
responsible for the organisalional, administrative and finanaal governance of the Mersey School of Anaoslhesia
IMSAI. The administration is comprised of." Ms Kir8tie Gray (Chief Executive Officer), Dr Tushar Dixit, Dr Beth Perrilt
and Dr Kristianne Jones INon-Execulive Direciorsl and Mr David Chestnutt (Company Secretary and Treasurèrl.
The trustees have assessed the major risks to which the charity is exposed, and are satisfied that systems are in
place to mitigate exposure ID the major risks. The major risks Sdentified are a change lo the curriculum for the
FRCA ex2minations andlor a change lo the FRCA exarn structure. The Executive Administration of the charity
losely monitor any updates released by the RCA and actively engage with relevant individuals at the RCA to
ensure the courses provided are updated and remain relevant.
Statement of trustees, rgsponslbllities
The trustees. who are also the directors of Mersey School of Anaeslhesia for the purpose of company law, are
responsible for preparing the Trustees, Report and the financial statements in accordance with applicable law and
United Kingdom Accounting Standards IUni18d Kingdom GenerallyAccepl@d Accounting Practlcel.
Company Law requires the trustees to prepam financial slalem@nts for each financial year which give 8 true and fair
view of the stale of affairs of the charity and of the in¢orning resources and application of résoiJrce5, including the
income expenditure, of the Gharilable company for that year.
In prep8Ting these financial slatemenls, th8 trustees are required lo..
select suitable accounting policies and then apply them consistently..
- observe the methods and principles in the Charities SORP-,
make ludgements and estimates that are reasonable and prudenf.,
state whether applicable UK Accountir￿ Standards have been followèd, subject to any material departures
disclosed and explained in the financlal statements., and
prepare the financial statements on the going ¢oneem basis unless it is inappropriate ID presume that the Gharity
will conllnue in Dperation.
The trustees are résponsible for keeping adequate accounting records that disc105e with reasonable accuracy at
any lime the financial position of the charity and enable them to ensure that the financial statements ¢r)mply with the
Companies Act 2006. They 2re also responsible for safeguarding the assets of the charity and hence for taking
reasonable steps for the prevention and detection of fraud and other irregularities,
The trustees are r8sponsible for the rnaintenance and integrity of the chaiify and financial information included on
the Charity's website. Legi51alion in the United Kingdom goveming the preparation and diss8minalion of financial
stat8menls may differ from legislation in other jurisdictions.
Auditor
In accordance with the company's articles, a resolution proposing that Lonsd81e & Marsh be rogppointed as audiloi
of the charity will be put at a General Meets'ng.

MERSEY SCHOOL OF ANAESTHESIA
TRUSTEES. REPORT {INCLUDING DIRECTORS, REPORT) (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2024
Dlsclosure of informatlon to audltor
Ea¢h of the trustees has confirmed that there is no information of which they are aware which is relevant lo the
8udil, but of which the auditor is unaware. They have furthor conf rmed that thoy have takerb appropiiate steps lo
identify such relevant infomation and to establish that the auditor is aware of such information.
The t lees, report was a
roved by the board of Iruslees.
Dr R S A￿arn
Trustee
2 December 2024

MERSEY SCHOOL OF ANAESTHESIA
INDEPENDENT AUDITOR'S REPORT
TO THE MEMBERS OF MERSEY SCHOOL OFANAESTHESIA
Opinion
We have audited the financial slalem8nts of Mersey School of Anaesthesia (the 'charily'l for the year ended 31
March 2024 which comprise the statement of financial activities, the balance sheet, the statement ofcash flows and
the notes lo the financial slatemenls, Including a summary trf 8ignificanl accounting policies. The financial reporting
framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards,
including Financial Reporbng Standard 102 Th8 Financial R8POrting St8ndartJ 8pplicabl8 in Ihe UK and Republic ol
Ireland (United Kingdom Generally Accepted Accounting Practice).
In our opinion, the firkancial statements..
give a true and fair view of the state of the tharilable ￿mpanY'S affairs as al 31 March 2024 end of its
incoming resour￿5 and application of resources. including its income and 8xpenditure, for the year then
ended",
hav& been properly prepared in accordance wilh United ￿ngdoM Generally Accepted Accounting Pra¢ti￿",
and
have been prepared in accordawe with the requirements of th8 CompanlesAct 2006.
Basis for opinion
We conducted our audit in accordance with Intemational Standards on Auditing (UK} (ISAS {UKII and applicable
law. Our responsibilitiès und&r those standards are further described in the Audrforfs Trsponsibililiès for the audit
the financial statements section of our reptsrt. We are independent of the charity in accordance ¥Mlh the elhic81
requirements that are relevant to our audit of the financial slalements in the UK, including the FRC'S Ethical
Standard, and the provisions availablè lor small entib"es, in the circumstances set out in note 24 to Ihe finanual
statements, and we have fulfilled our other ethical responsibilities in aecordance with these ffquiremenls. We
believe that the 8udil evidence we have obtained is SLJfficlenl and appropriate to provide a basis for our opinion.
Concluslons relating to golng concorn
In auditing the financial 51alemenls, we havè eoncluded that tho trustees, usa of the going ￿nCern basis ol
awounling in th8 preparation of the financial stalernenls is appropriatè.
Based on the work we have performed, we havè not identified any material uncertainties relating to events or
conditions that. individually or collectively, may cast significant doubl on the charity's ability to continue as a going
concern for a period of at least tw8lve rnonths frorn when the financial statements are aLrthorised for issue.
Our responsibiliti8s and the responsibilities of the trustees with respect to going concern are described in the
relevant sections of this report.
Other Information
The other infomalion comprises the information included in the annual report other than the finarKial statements
and our audilor's report Ihereon. The trustee5 are responsible for the other information contained within the annual
rèport. Our opinion on the financial slalemènts does not cover the other information and, except to the extent
otherwise @xplicitly slated in our report, we do not express any torm ol assurance conclusion Ihereon. Our
responsibility is to read the other infomialion and, in doing so, consider whether the other infomiation is materially
inconsistent with the financial statements or our knowledge obtained in the course of the audit, or othenmise appèars
to be malerially misstated. If we identify such material incon51slencies or apparent material misslalemenls, we are
required lo determine whether this gives rise to a material miss1218m&nt in the financial >latèmenls Ihemselvos. If,
based on the work we have performèd. we condude that there is a material misstatement of this other information,
we ar@ required to report that fact.
We have nothing to report in this regard.

MERSEY SCHOOL OF ANAESTHESIA
INDEPENDENT AUDITOR'S REPORT (CONTINUED)
TO THE MEMBERS OF MERSEY SCHOOL OF ANAESTHESIA
OpSnlons on other matters prescrlbed by the Companles Aet 2006
In our opinion, based Dn the work undertaken in the course of our audit..
the information given in the trustees, report for the financial year for which the financial statements are
prepared, which includes the directors, report prepared for the purpos8s of company law, is consistent with the
financial slalements., and
the directors, report included wthin the bust88s' report has been prepared in aecordanc8 Wlth applicable legal
requirements.
Matters on whlch we are requlred lo report by exceptlon
In the light of the knowledge and understanding of the charity and its environment obtained in the course of thè
audit, w& have not identified matefial misslatemenls in the dir8Ctors' report included wlhin the trustees, report.
We have nothing lo report in respect of thè following matters in relation lo which the Companies Ad 2006 rèquires
us to report lo you if. in our opinion..
adequate and proper accounting records have not been kept, or returns adequate for our aLKJil have rbot been
recèived from branchès not visited by us., or
the financial slal&menls are not in agreement with the 8eeoL¢nting records and retums.. or
certain disclosure5 of trustees, remuneration specified by law are not made., or
we hav8 not received all the information and explanations we require for our audit., or
the Iruste8s were not enlilled to prepare the financial slalem8nts in accordance with the small companies
regime and lake advantage of the small companies. exemptions in preparing the Iiuslees, report and from the
requirement lo prepare a strategic report.
Re5ponsibilitles of trustees
As explained more fully in thè statement of trustees, responsibilities, the trustèes, who are also the directors of th8
charity for the purpose 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 lo
enable the preparation of financial stalèmenls that are free from material misstatement, whether due lo fraud or
error. In preparing the fjnancial statements, the trustees are responsible for assessing the charity's ability lo
continue as a going concem, disclosing, as applieable, matt&rs related to going concern and using the going
concern basis of accounting unless th8 Iruslees either intend to liquidate the charitable compsny or to cease
operations, or have no realistic allemative bul to do so.
Audltor'$ responsibllltles for the audit of the flnanclal slatements
Our objech.ves are lo obtain reasonable assuran￿ about whether the financial slalemenls as a whole are free from
material misstatement, whether due to fraud or error, and lo issue an auditor's report that Includ￿ r)ur opinion.
Reasonable assurance is a high level of assuranee but is not a guarantee that an audit conduct8d in accordance
with ISAS (UK) will always dètect a material misslalement when il èxists. Misslalements can arise from fraud or
error and are wnsideted material if. individually 01 in the aggregate, they eould reasonably be expected lo influenee
the économic decisions of user5 taken on the basis of these financial slalements.
Irregularities, including fraud. are instances of non-compliance with laws and regulations. We design procedures in
line with our responsibilities, outlined abovo, lo detect material mis51atements in respect ol irregularities, including
fraud. The exlenl to which our prO￿dureS are capable of detecting iTregu18rilies, including fraud, is d8tai18d below.

MERSEY SCHOOL OF ANAESTHESIA
INDEPENDENT AUDITOR'S REPORT (CONTINUED)
TO THE MEMBERS OF MERSEY SCHOOL OF ANAESTHESIA
I￿ obtained an underslandlng of the legal and regulatory frameworks that are applicable to th& charity and
determined that the most significant are those that relate to the laws and regulations that hav8 a direct impact on
the financial statements suth as the CompaniesAct 2006 and the Charities SORP IFRS102).
Our approach to identifying and assessing the risks of material misststement in respect of irregularities, induding
fraud and non-compliance with laws and regulations, included the following..
the engagement partner ensured the engagement team collectively had the appropriate competence,
apabilits.es and skills ID identify or recognise non-compliance with applicable laws and regulations,.
discussions wrth senior management..
identified laws and regulations were communicated within the audit team who remained alert to instances
of non-¢ompliance throughout the audit.
We evaluated management's incentives and opportunitie8 for fraudulent manipulation of the financial
statements (Ind￿1ng override of controls) and addressed the risk through.,
making enquires of those charged with governanGe as to their kno￿edge of aCtl￿1. suspected and alleged
instances of fraud.,
considering thè intem81 Controls in place to mitigate the risks ol fraud.
In res￿nSe to the risk of irregularities and non-complian￿ Mlh laws and régulations, we designed our audit
Pro￿dureS which included, but was not limited lo..
agreeing financial statement disclosures to underlying supporting documentation..
reviewing the minutes of meetings of those charged wlh govemance-,
reviewing correspondence with professional advisors",
reviewing for any transactions undertaken with related parties such as those tharged with govemante andl
or directors.,
testing and reviewing joumal enlri&s',
checking exp8nses are bon8 fide Iransactions of the charitable company.
Because of the inherent limitations of an audit, Ihere is a risk that w8 ￿11 not detect all irregul8rilies, incluoling those
leading to a material rnisstatement in the fin8ncial statements or non-complian￿ with regulakn"ons. The risk is also
greater regarding Irregularitiès occurring due lo fraud rather than err¢y, as fraud involves intentional COn￿alMent.
forgery. collusion, omission or misr8pre3entation.
A further description of our r8sponsibililies is available on thè Financial Reporting Council's website at.. https.'Il
www.frc.org.uklaudilorsresponsibilities. This description fom)s part of our auditor's report.
Usè ofour report
This report is made solely to the charitable company's members, as a body, in accord?nce with Chapter 3 of Part 16
of the Compani8s Act 2006. Our audit work has beèn undertaken so that we might slate to the chariiable company's
mernbers those matters we 3re r@qLJired lo slate to them in an auditor's report and for no other purpose. To the
fullest extent permitted by law, we do ni)t accept or assume responsibility lo anyone other than the charitable
company and the charitable company's members as a body, for our audit work, for this report, or for the opinions we
have formed.
ElaSne Frances McElro
Isenlor Statutory Auditor)
for and on behalf of Lonsdale & Marsh
2 December 2024
Chartered Accountants
Statutory Auditor
509- 510 Cotton Exchange
Bixt@th Street
Liverpool
L3 9LQ

MERSEY SCHOOL OF ANAESTHESIA
STATEMENT OF FINANCIAL ACTIVITIES
INCLUDING INCOME AND EXPENDITURE ACCOUNT
FOR THE YEAR ENDED 31 MARCH 2024
Unrestrlcted Unrestricted
funds
funds
2024
2023
Notes
Incomefrom:
Charitable aetivities
InvestmÈnls
350,618
12,152
271,950
12,536
Total income
362.770
284,486
Expendttur8 on..
Raising funds
Charitable activiknes
1,896
359,971
3.540
341,352
Total 8xpenditure
361,867
344,892
Net gainsl{lossesl on investrnenls
12
32,065
13D,275)
Net Incomel{expendlture> and movement In fund$
32,968
{90,6e11
Reconciliation of funds:
Fund balan￿5 al 1 Apfil 2023
521,930
612,e11
Fund balances at 31 March 2024
554.898
521,930
The statement of financial adivilies Includes all gains and Ioss8s recogni5ed in the year. All income and expenditure
derive from continuing activities.

MERSEY SCHOOL OF ANAESTHESIA
BALANCE SHEET
ASAT31 MARCH2024
2024
2023
Notes
Flxod assets
Tongible assets
Investsnents
14
15
43,686
492,173
65,529
454,139
535.859
519,668
Current assots
Debtors
Cash at bank and in hand
16
1,696
44,084
543
18,457
45,780
19,000
Creditors.. amounts falling du8 within
one year
17
126,741)
{16,7381
Net current a$$ets
19,039
2.262
Tolal assets less current liabllltlas
554,898
521,930
The funds of the charlty
Unrestricted funds
19
554.898
521,930
554,898
521.93Cs
The fina
I statements We￿ ap
roved by the trustees on 2 December 2024
Dr R SAhearn
Trustge
Cornpany regislrakn.on number 07986504 (England and Infrdlesl

MERSEY SCHOOL OF ANAESTHESIA
STATEMENT OF CASH FLOWS
FOR THE YEAR ENDED 31 MARCH 2024
2024
2023
Notes
Cash flows from opèratlny activities
Cash generated fromllabsorbed by)
cperations
22
19,444
(52,767)
Invostlng activltles
Purchase of investments
Proceeds from disposal of investments
Investment incomè recelved
124,6681
18,699
12.152
(40,4681
84,189
12,536
Net cash generated from Investing
activities
6,183
56,259
Not cash used In financing actlvities
Net increase in cash and cash oqulvalents
25,627
3,492
Cash and cash equivalents 8t beginning of yèar
18,457
14,965
Cash and cash equivalents at end ofyear
44,084
18,457
10

MERSEY SCHOOL OF ANAESTHESIA
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 hlARCH 2024
Accountlng pollcle$
Charity Information
Morsey School of Anaesthesia is a private company limited by guarantee incorporated in England and Wales.
The registered officè 18 Education & Training Centre. Vlphislon Hospital, Warrin9ton Road, Prèscol.
Merseyside, L35 5DR.
1.1 Accountlng Gonvtrntlon
The accounts have been prepared in accDrdance with the chaiity's Memorandum and Articles of Association,
the Companies Act 2006 an¢ "Accounting and Reporting by Charities.. Statement of Recommended Practice
applicable to chari118s preparing their a￿OUnts in accordance wtr the Financial Reporting Standard
appIl￿ble in the UK and Republic of ITeland IFRS 1021. {as amend8d for acGounling periods commencing
from 1 January 20191. The charity 15 a Public Benefit Entity as defined by FRS 102.
The financ(al statements are prepared in sterfing. which is the ftjnclional currency of the charity. Mon8tary
amounts in these financial slatemenÉs are rounded to the nearest £,
The accounts have been prepared Ltnder the hi5toriGal cost convention modified to include the revalualitsn
financial investments to their maTket value. The principal accounting policies adopl8d are set Dut below.
1.2 Golng concern
At the bme of approwng the financial stalèmenls, the trustee5 have a r&asonable expeGtation that the charity
has adequate reSoUr￿S to continue in operational existènce for the foreseeable future. Thus the trusteès
coNtinue lo adopt the going concern basis of a¢Gounting in preparing the ftnancial statements.
1.3 Charltable funds
Unrestricted funds are available for use at the di$￿￿tIOn of the trustees fvrthera￿e of their charitable
objectives.
1.4 Income
Income is reeognised in the SOFA when the charity is legally entitled lo it. The income derived from the
provision of courses is recognised in the year in which the coursè takes place.
Investment income is accounted for on the accruals basis.
1.5 Expendlture
Expenditure is recognised once there is a legal or constructive obligation to transfer economic benefit lo a
third party, il is probab18 that a Iransf6r of economyc benefits will be requiied in settlèment, and the amount of
the obligation can be measured reliably.
Expenditurè is classified by activity. The cos18 of each activity aro made LJP of the lolal of dirfLt costs and
shared wsls, including support costs involved in undertaking each activity. DiieGI costs attributable to a single
activity are allocated directly to that activrty. Shared costs which contribute le more than one activity and
support costs which are not attributable lo a single activity are apportioned between those activities on a basis
consistent with the use of resources. Central staff costs arè allocated on the basis of tim8 spent, and
depreciation charges are allocated on the portion ol the asset's use.
Resources expended are included in the SOFA on an a￿r￿alS basis. indusive of any VAT that is not
recoverable.

MERSEY SCHOOL OF ANAESTHESIA
NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2024
Accounting pollcles
{Continu8dl
1.6 Tangible flxed ass8t5
Tangible fixed assets are initially measured at cost and subsequently measured at cost or valuation. net of
depreciation and any impaimient losses.
Tangible fixed assets arè staled at cost less depreryalion. The costs of minor additions, being thosè below
£500, are not capitalised. Depreciation is provided al rates calculated to write off the cost less eslirnated
residual value of each asset over its expected us8ful life, as follows..
Fixtures, fittings & equipment
Computer software
33% on cost per annum
200h on cost per arsnum
The gain or loss arlsing on the disposal of an ass&t is d8termined as the difference between the sa18 prO￿ed8
and the ￿rryINg value of the asset, and is recognised in the slalement of financial a¢livities.
1.7 Flxed asset Investments
Fixed asset investments are initially measured at transaction price excluding transaction costs, and ar8
subsequ8nlty measured at fair value al each reporting dale. Changes in fair value are recognised in nel
ineomellexpenditur81 for the year. Transaction Cgsts are expensed as incurred.
1.8 Impaimient of flxed assets
At each reporting end date, the charity reviews the carrying amounts of it5 tangible assets to determine
whether there is any indication that those assets have suffered an impairment Ioss. If any su¢h indication
8xists, the recoverable amount of the asset is eslimaled in order to delemine the extent of Ihe impairment
loss lif any}.
1.9 Cash and cash equivalènts
Cash and cash equivalents include cash in hand, deposits h81d al call with banks, other short-term liquid
nvestmenls with original maturities of thr@e months or less.
1.10 Flnanclal Instruments
The charity has elected lo apply the provisions of Sertion 11 'Basic Financial In81ruments' and Section 12
'Olher Financial Insttuments Issues. of FRS 102 to all of its financial instruments.
Financial instruments are recognised in the charity's balance sheèt when the charty becomes party to the
contractual provisions of l*e instrument
Basic financial assets
Basi¢ financial assets, which include debtors and cash and bank balances, are initially measured at
transaction price including transadion costs and are subsequently earried at cost.
Basic financlal liabilities
Basic financial liabilities. including trade and other creditors are initially recDgni5ed al Iransaclitsn priee unlèss
the a￿angeMent ¢onslilutes a financing tr8nsaction, where the debt instrument is measured at the present
value of thè future payments diswunled at a mark8t rale of interest. Finanoial liabilities classified as payablo
vrilhin one year are not amortised.
Trad@ creditors are obligations lo pay for goods or services that have been acquired in the ordinary course ol
operations from suppliers. Amounts payable gre classified as current liabilities if payment is due within c>ne
year or less.
Derecognition of finanelal liabilities
Financial liabil((ies are derecognised when the charity's contractual obligations expire or are discharged or
cancelled.
12.

MERSEY SCHOOL OF ANAESTHESIA
NOTES TO THE FINANCIAL STATEMENTS {CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2024
Accountlng poll¢les
(Contlnuedl
1.11 Employee benèflts
If material, the cost of 8ny unused holiday entitlement is recognised In the period in which the employee's
setvices are received.
1.12 Retlrement bgnefits
P?yments lo defined eonlribLrtlon retirement benefit schèmes are charged as an expense as they fall due.
Crltlcal aceountlng estlmatgs and Judgements
In the application of the charity's accounting policies, the trustees are required lo make judgements, estimates
and assumptions 8boLJt the carrying amount of assets and liabilities that are not readily appar8nl from other
sources. Thè estimates and associated assumplions are based on historical Èxperien￿ and other factors that
are considered to be relevant. Aclu21 results may differ from these estimates.
The estimates and underlying assumptions are reviewed on an ongolng basis. Revisions lo accoiinting
estSmales are recognised in the period in which the estimate is revised where the revision affects only that
period, or in th& period of the revision and future periods where the revision affects both current and future
periods.
Income from charitable actlvlties
Ullrestrlcted
funds
2024
Unrestrlcted
funds
2023
Course fees
350,618
271,950
In¢¢)me from investments
Unrestricted Unrestrict8d
funds
funds
2024
2023
Income from listed investments
Interest receivable
11,963
189
12,533
12,152
12,536
Expenditure on ralslng funds
Unrestriettd Unrestrictod
funds
funds
2024
2023
Fundraising and publiclty
staging fundraising events
1,896
3,540
13

MERSEY SCHOOL OF ANAESTHESIA
NOTES TO THE FINANCIAL STATEMENTS {CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2024
Expenditure on charltable activltles
Course Donatlons
gxpondlture and grants
2024
2024
Total
Course Donations
expenditure and grants
2023
2023
Total
2024
2023
Dlrect costs
Staff costs
Depre¢iation and
impaimient
Course costs
Rent
Insurance
Paslage and slalionery
IT costs
Legal and professional
fees
Investment management
fees
Sundry expenses
163.016
163,D16
160,965
160,985
21.843
112.356
5,910
905
6,316
7,081
21,843
112,356
5.910
905
6,316
7.081
22,260
88.017
5,910
912
6,058
8,150
22,260
88,017
5,910
912
6,058
6,150
4,299
4,299
5,998
5.998
5,994
13,522
5,gg4
13,522
6,256
11,054
6,25e
11,054
341.242
341,242
313.580
313,580
Grant funding of activities
1s@8 note 71
Share of support and
govemance costs
(see note 8)
Governance
11,529
11,529
19,372
19,372
7,20D
7,200
8,4DO
8,400
348,442
11,529
359,971
321,980
19,372
341.352
Analysls by fund
Unrestricted funds
348,442
11.529
359.971
321,980
19,372
341,352
Grants payable
Donations
and grants
2024
Donatlons
and grants
2023
Grants to instilullons112 grantsl-
Education and training
Other
384
3,467
1,581
10,388
3.851
11,967
Grants lo individuals120 granlsl
7,678
7,405
11,529
19,372
14-

MERSEY SCHOOL OF ANAESTHESIA
NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)
FOR THE YEAR ENDED 31 MARGH 2024
Support costs
8upport Gov8rnance
osts
costs
2024
Support Governanc8
costs
costs
2023
Audit fees
Audit fees12022
underprovisionl
7.200
7,200
7.2CM)
7,200
1.200
1,200
7,200
7,200
8,400
8.400
Analysed béfvften
Charitable actlvities
7.200
7,200
8,400
8,400
Net movemenl In funds
2024
2023
The net movement in funds is slateé after chargingllcr8diting}'.
Fees payable the audit of the charity's financial gtatements
Depreciation of owned tsngible fixed assets
7,20LI
21,843
8,400
22,260
10 Trustees
None of the Iruglees {or any persons connected with them) received any rernun8ration, expenses or benefits
duting the year.
Employees
The average monthly number of @mployees during the year was..
2024
Numb9r
2023
Number
Employment costs
2024
2023
Wages and salaries
Social security costs
Other pension costs
152,803
8.752
1,461
148,728
9,653
2,584
163,016
160,%5
15-

MERSEY SCHOOL OF ANAESTHESIA
NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2024
11 Employo9s
Icontlnuedl
The number of ernplDyees whose annual remuneration was more than £60,000
is as follows..
2024
Number
2023
Numb•r
£60,001- £70,000
£70,C￿l - £80,000
Remunoratlon of key managemont pgrsonngl
The k8y management personnel of the charity comprise the trustees and the execulive committee which
includes the Chief Executive Officer, the Company Secretary. Dr T Dixit, Dr B Perritt gnd Dr K Jones. The
employee b&nefits of the key management personnel are £126,303 (2023.. £110,492).
12 Galns and losses on Inve$trnpnts
Unrestrictgd Unrestrfcted
funds
funds
2024
2023
Gainslllosses) arising on..
Revalvalion of inv8Stm@nls
Sale of investment
33,269
(1.2041
126,8651
13,4101
32,065
130,2751
13 Taxatlon
Th& company is a registered charity and as such is exempt from taxation on its income so long as this is
applied lor a charitable purpose.
16

MERSEY SCHOOL OF ANAESTHESIA
NOTES TO THE FINANCIAL STATEMENTS {CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2024
14 Tanglble fixèd assets
Flxture$,
fittings &
equlprngnt
Cornputèr
software
Total
Cost
At 1 April 2023
4,527
109,215
113,742
At 31 March 2024
4,527
109.215
113,742
Depraclation and Impalrmènt
Al 1 April 2023
Depreciation charged in the year
4,527
43,686
21,843
48.213
21,843
At 31 March 2024
4,527
6S.529
70,056
Carrylng amount
Al 31 March 2024
43.686
43,686
Al 31 March 2023
65,529
65,529
15 Flxed asset Investments
L15ted
Investments
Cash In
portfolio
Total
Cost or valuatlo
Al 1 April 2023
Additions
Valuation changes
Movement in Cash
Disposals
438,482
24,668
33,269
15,857
454,139
24,668
33.269
1,899
121,S021
1,899
121.802}
Al 31 March 2024
474,617
17,556
492,173
Carrylng amount
At 31 March 2Q24
474,617
17,556
492,173
Al 31 March 2023
438,482
15,657
454,139
17-

MERSEY SCHOOL OF ANAESTHESIA
NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2024
15 Flxed asset Investments
(Contlnuedl
2024
2023
Investments al fair value comprise..
UK fixed
UKequity
Overseas @quity
Allemative
Mixed
64,146
121,823
218,480
50,365
19,803
{64,189}
{118.359}
186,764
49,282
19,888
474,617
438,482
Fixed asset investments revalued
At the year end the investments had a cost of £371,66612023 - £367.7271 .
16 Debto
2024
2023
Amounts falling du8 wlthln one year:
Prepayments and accrued income
1,696
543
17 Credltors: amounts falllng due within one year
2024
2023
Other taxation and soeial security
Other creditors
Accruals and deferred income
3.687
3,678
300
12,760
23,054
26,741
16.738
18 Retlrement bènafit schemes
2024
2023
Defined contrlbution schemes
Charge to profit or loss in respect of defined conlribution schemes
1,461
2,584
The charity operates a defined contribution pension sch&me for all qualifying employees. Thè ass8ts of the
scheme are h?Id separately from those ofthe charity in an independently administered fund.
18-

MERSEY SCHOOL OF ANAESTHESIA
NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2024
19 Unrestricted funds
The unrestricted funds of the charty comprise the un?xpended balances of donations and grants which are
not subject to specific conLlrtions by donors and grantors as to how they may be used. These include
designated funds which have been sel aside out of unrestricted funds by the trustees for specific purposes.
At 1 Aprll
2023
Incomlng
resources
Resources
expended
Gains and At31 March
108s6s
2024
General funds
521,930
362,770
1361,867)
32,065
554,898
Pr¢vlous year:
At 1 April
2022
Incomlng
re5ourcoS
Resources
expended
Galns and At 31 March
losses
2023
General funds
612.611
284,486
(344,8921
130,2751
521,930
20 Related party transaetions
There weré ne disclosable related party transactions during th8 y@ar12023 - none).
21 Company Ilmlted by guaranlgfr
The eharlty is a company limited by guarante& and does not have a share capital. Each of the members has
undertaken to conlrtbute an amount not ex￿edIng £10 towards meeting the charity's debts in the 8venl of ils
being wound up.
22 Cash gen8rat&d from operations
2024
2023
Surplusl(d8ficil} for the year
32,988
(90,681)
Adjustments for..
Investment income recognised in statement of financial activities
Loss on dlsposal of investments
Fair value gains and losses on investments
Depreciation and impairment of langibla fixed assets
112,1521
1,204
133,2891
21.843
{12.5361
3,410
26,865
22,260
Movements in working capital.
Ilncrogselldecrease in debtors
Increaselldecreasel in creditors
{1,1531
10,003
5,549
{7,634}
Cash g&nerated fromllabsorbed by} operatlons
19,444
{52,7671
23 Analysis of change5 In net funds
The charity had ne material debt during the year.

MERSEY SCHOOL OF ANAESTHESIA
NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2024
24 Nonvaudlt servlces providèd by audltor
In common with many businesses of our size and nature we use our auditor to assist the preparation of
the financial statements.
20-