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← National Council For Osteopathic Research

2024-04-30-accounts

Annual Report and Accounts for the year ended 30[th] April 2024

Registered charity number 1157217

NCOR Annual Report and Accounts for the year ended 30 April 2024

Contents

NCOR Trustees information ........................................................................................................................ 3 NCOR Team ................................................................................................................................................. 3 NCOR stakeholders ..................................................................................................................................... 3 NCOR Policies and objectives ..................................................................................................................... 4 Activity Report for the year end to 30th April 2024 ................................................................................... 5 Foreword .................................................................................................................................................. 5 Activity Report .......................................................................................................................................... 6 NCOR governance ................................................................................................................................. 6 Professional collaboration and contribution ........................................................................................ 7 Outreach, education, promotion and dissemination of research ............................................................ 8 Special projects .......................................................................................................................................13 Practice-Based Research Network .....................................................................................................13 QAA Subject Benchmark Statement: Osteopathy ..............................................................................14 CUTIES trial .........................................................................................................................................14 Patient Reported Outcome Measurement: PROMs ...........................................................................14 PhD update - using AI to disseminate research evidence ..................................................................15

2

NCOR Annual Report and Accounts for the year ended 30 April 2024

NCOR Trustees information

NCOR Team

NCOR stakeholders

  1. BCNO group: British College of Osteopathic Medicine (BCOM) and European School of Osteopathy (ESO)

  2. College of Osteopaths (CO)

  3. General Osteopathic Council (GOsC)

  4. Institute of Osteopathy (iO)

  5. International College of Osteopathic Medicine (ICOM) at NESCOT

  6. London School of Osteopathy (LSO)

  7. Osteopathic Alliance (OA)

  8. Sutherland Cranial College (SCC)

  9. Swansea University

  10. University College of Osteopathy (UCO)

3

NCOR Policies and objectives

The Trustees present their Annual Report together with the financial statements of the National Council for Osteopathic Research (the charity) for the year ended 1 May, 2023 to 30 April, 2024. The Trustees confirm that the Annual Report and financial statements of the charity comply with the current statutory requirements, the requirements of the charity's governing document, the Charities Act 2011 and the Accounting and Reporting by Charities: Statement of Recommended Practice (SORP) applicable to charities preparing their accounts in accordance with the Financial Report standard applicable in the UK and Republic of Ireland (FRS102) (effective 1 January, 2015), as amended by update Bulletin 1 (effective 1 January, 2016).

In setting objectives and planning for activities, the Trustees have given due consideration to general guidance published by the charity commission relating to public benefit. The role of NCOR is to promote for the public benefit the advancement of education and the promotion of good health in particular, but not exclusively by:

  1. Leading and facilitating osteopathic research development in the UK, including developing a comprehensive and cohesive research strategy providing both direction and coordination of osteopathic research.

  2. Representing the osteopathic profession on matters relating to the osteopathic evidence base and research development. Acting on behalf of the profession, in a research context, to the media, the public and patients, policymakers, the inter-professional research community, other health professions and healthcare regulators.

  3. Providing a forum for osteopathic educational institutions (OEIs) through which to forge consistent standards in research governance, to share expertise, achieve economies of scale, and foster undergraduate and postgraduate research collaboration. Promoting research capacity and scholarship.

  4. Providing osteopaths, the public and patients, healthcare professionals, and the research and academic community with a recognised, high quality and accessible resource of researchrelated information concerning the distinctive body of knowledge within osteopathic practice.

  5. Improving awareness of osteopathic research development amongst osteopaths and the wider community. Establishing links and building networks within the research fraternity, nationally and internationally, with a view to development through collaboration. Formulating and fostering strategies for attracting funding for osteopathic research development.

  6. Providing systems relevant for grants governance and research governance for the benefit of all stakeholders.

  7. Fostering and disseminating outputs from osteopathic audit, evaluation, and research activities.

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Activity Report for the year end to 30th April 2024 Foreword

It has been my privilege to assume the rule of Chair as the successor to Maurice Cheng who stepped down earlier this year. I want to thank Maurice for his support and guidance in handing over duties during a busy time for the profession and for NCOR. The impetus behind the Practice-Based Research Network (PBRN) continues as part of this busy schedule, with further investment in resources to support osteopaths in demonstrating evidence around patient encounters.

The work of NCOR is critical to the UK practice of osteopaths and given the challenges we see within the NHS and the need for more preventative measures, practitioners can strive to be integral to this initiative. The collaborative approach afforded by strong stakeholder involvement and research dissemination through specialist activities, both online and at conferences with the iO, make NCOR’s services indispensable in providing context and evidence to allow osteopaths to further their careers both within and outside of the NHS. I look forward to working with my fellow trustees and the NCOR team to help further the growth of this evidence base.

Dr Philip Bright Chair of NCOR Board of Trustees

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Activity Report

NCOR governance

NCOR Trustees

Maurice Cheng stepped down as Chair of NCOR on 03/04/2024 after having held this position for many years. He supported the Charity extremely well, represented it nationally and internationally, and was very generous with his time. The Charity would like to thank him for his years of service.

Dr Philip Bright became Chair on 03/04/2024, and we congratulate him on his appointment.

Prof Duncan Empey has informed the Board that he will step down in September 2024 and has notified the Osteopathic Foundation that a successor is needed. Duncan has been instrumental in helping NCOR build a strong bond with the oF, and we would like to thank him for all the time and advice he gave to the executive team, particularly the director.

NCOR’s team growth

Amandine Senequier joined the NCOR in April 2023 to contribute to a study investigating the trustworthiness of osteopathic trials methodology. She started a PhD at QMUL in September 2023.

The timing of the Trustworthiness project was slightly modified to support Amandine’s start of her PhD, and to include more reviewers due to the number of osteopathic trials included in the systematic review. Whilst it took longer to complete the study, the costs were similar as Amandine decided to decrease her FTE (from 0.2 to 0.1 FTE) to be able to cover a longer period, whilst the reviewer are completing the data extraction and trustworthiness assessment.

In August 2023, Ms Stefanie Butendieck was recruited as an Administrator. Stefanie holds an MSc. in Social Anthropology (LSE, UK) and an MA. in Cultural Management (UCM, Spain). She has also contributed as a volunteer Research Assistant and Editor at the Nuffield Centre of Experimental Social Sciences at Oxford University. With a background spanning editorial management, academic coordination and event organisation, she brings a multidisciplinary working experience and is eager to contribute and learn from the field of osteopathic research and education.

NCOR’s host contract

Due to the growth of the team, the contract was updated accordingly.

NCOR's host institution, the University College of Osteopathy, is due to merge with AECC University College in August 2024. A dedicated item was shared with the Trustees and discussed at several meetings to assess various considerations including financial due diligence, regulatory compliance, strategic fit, cultural compatibility, staff transition, stakeholder relationships, supplier relationships, communication strategy, contingency planning, post-merger integration and long-term strategy. In January 2024, Dr Jerry Draper-Rodi travelled to Bournemouth to visit the Vice-Chancellor, Prof Lesley Haig, to explore options for the future hosting of NCOR.

The Board of Trustees decided to continue to monitor the situation during the merger process and to decide closer to the merger what to do about the hosting contract, which expires in October

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NCOR’s bank account

Due to the ongoing problems with NCOR’s longstanding bank and their inability to support us or respond to our official complaints, we opened an account with another bank, the Cooperative Bank, in July 2023.

Professional collaboration and contribution

Ongoing collaborations

NCOR continues to be involved with Osteopathy Europe (previously known as the European Federation and Forum for Osteopathy (EFFO)), the Osteopathic Development Group (ODG), and the General Osteopathic Council’s (GOsC) Policy Education and Advisory Committee and Council meetings. The NCOR Director’s chairing with the QAA Osteopathy Subject Benchmark was completed in January 24 (update on the benchmark statement below).

NCOR provided detailed feedback on the structure and content of the proposed 2024 iO Census in response to a request to investigate the possibility of combining the NCOR Research Network Survey and the iO Census.

Dr Jerry Draper-Rodi met with the new GOsC Council members during their induction day in March 2024 to ensure a smooth transition as many members were terminating their mandates, which could have created a risk of loss of legacy knowledge and relationships between NCOR and the GOsC Council.

Dr Bailey and Dr Draper-Rodi have taken part in the newly form Osteopathic Development Group (ODG) short life working group on scoping needs, issues and opportunities relating to osteopathy recruitment and retention. Dr Bailey has presented and shared the findings of the PBRN focus group study and the NCOR-RN registration survey to inform the activity of this group.

Dr Jerry Draper-Rodi was appointed Chair of the Osteopathy Europe (OE) Research Standing Committee at the OE General Assembly in London (23 October). Since then, he has chaired monthly meetings of the Research Standing Committee and attended the OE meeting in Milan (24 March) where he presented an update on the activities of the Research Standing Committee.

Stakeholders’ meetings

After consultation with the stakeholders, the format of stakeholder engagement was changed to two group meetings per year, and individual meetings (NCOR with each stakeholder separately): all respondents were in favour (6 said the new format would better support their organisation, and 7 said maybe). Half of them prefer morning meetings, and half afternoon meetings so full participation within the same meeting may be challenging. Planning in advance is of utmost importance.

We have run two Stakeholder Group meetings, one on grant application (July 23) and one on NCOR Research Network (October 23). We noted a decrease in stakeholder engagement during our

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meetings. This may be due to the increased offer from NCOR, with the addition of evidence summaries. To understand why this was happening, a survey was disseminated to the stakeholders. 13 responses were received, c. half of them had attended one or more stakeholder meetings in the last 12 months and all of them found them helpful, the ones who did not attend reported these reasons for non-attendance: someone else attends the meetings and represents my organisation (n=4), lack of time (n=3), other (n=8 – no details).

We also ran 1 evidence summary in September 23 (on a recent large RCT involving back pain patients, and on a meta-analysis on cervicogenic headache). These were available live for our stakeholders’ members, faculty and students, and put online for anyone to watch (VOD).

Outreach, education, promotion and dissemination of research

Hubs

The hubs remain active, and meetings have included:

Bristol :

Leeds :

Haywards Heath :

Exeter:

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CPD

NCOR delivered two CPDs on its PBRN this year, in Swansea, 24th June 2023; and Manchester, 1st July 2023. These activities consisted of focus groups to explore osteopaths’ views on the utility, barriers, and facilitators to a PBRN in the UK, and some activities relating to clinical audit of case notes. Branding and naming options were also explored with attendees.

A series of online presentations were given to different regional CPD groups of osteopaths. These presentations have covered how research can benefit clinical practice, introduced various research focussed clinical resources, and explained the PBRN and how to get involved. A recording of one of the presentations is available on the NCOR Research Network web page.

An online learning resource for osteopaths has been created, providing free CPD and training related to research skills and how research skills can benefit clinical practice. The resource currently consists of 9 ‘modules’, each with multiple activities, totalling an estimated 9-hours of learning. This resource serves to demonstrate to osteopaths how involvement in the Research Network could benefit their osteopathic practice.

Dr Bailey took part in a live online interview discussing PBRN research and the NCOR Research Network for the Academy of Physical Medicine on the 16th of November. This is a multi-profession CPD service, which provides informal, ‘chat-show’ style, accessible, online CPD for clinicians. A recording of the interview is available on the NCOR website.

In collaboration with Glynis Fox, NCOR Trustee and iO President, Dr Daniel Bailey provided multiple online ‘drop-in’ mentoring sessions to support osteopaths.

A one-hour video lecture was created concerning exercise adherence for inclusion in the training course for osteopaths taking part in the NeuOst study. The training course aims to equip fully qualified UK osteopaths with the knowledge and practical skills to work with people living with painful diabetic neuropathy, as part of the NeuOst study investigating osteopathy for neuropathic pain.

Dr Jerry Draper-Rodi co-presented a series of events on "Setting up your own PBRN". The events were hosted by the COME Collaboration and supported by NCOR and UTS: ARCCIM. Prof Paul Vaucher moderated the events and Dr Amie Steel and Dr Jerry Draper-Rodi delivered a series of presentations: 1/ Presenting PBRNs (23/5/23 - online); 2/ Ingredients that help ensure success (05/09/23 - online); and 3/ Practical aspects of building PBRNs (19/10/23, face-to-face in London). These events were all free of charge. Attendance was good and feedback was very positive.

Webinars

Carol Fawkes has held a series of webinars with osteopaths in various European countries (Sweden, Italy, Greece and Austria), New Zealand and Israel to explain the use of PROMs in their practices, and some of the areas for consideration prior to piloting the PROMs app in their respective countries. The PROMs app has been very successfully piloted at two OEIs in France with a significant amount of data submitted by patients. The app will be introduced into the teaching clinic at Ara university, New

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Zealand later this year. The app is currently being piloted at the UCO and LSO clinics. This is an important area of development for students entering practice life and a recognition of the growing requirements for data from various stakeholders in healthcare. Discussions will be held with other OEIs during the next year to try to introduce PROMs into other UK OEI teaching clinics.

Carol Fawkes held a webinar with osteopaths in Spain to explain the use of PROMs in their practices prior to starting a national pilot of the PROMs app.

Carol Fawkes delivered two sessions online for students at BCOM in relation to clinical audit. This included an introduction to the topic, and some examples relevant to clinical practice (October 2023).

Daniel Bailey held 6 online webinars on NCOR’s PBRN to regional groups: Kent and East Sussex, Surrey, Edinburgh, London and Midlands.

Dr Bailey provided an online presentation about exercise and musculoskeletal (MSK) pain on behalf of NCOR, to the Clinical Research Network (CRN) West Midlands Musculoskeletal Research Collaborative (28[th] November 2023). Membership of the Collaborative includes clinicians and researchers working in the field of MSK pain at NHS sites across the West Midlands.

An online presentation was provided to stakeholders giving a breakdown of a recent large RCT involving back pain patients. This served to identify the difficulties of translating research evidence into practice, therefore highlighting the benefits of PBRN based research. This presentation was recorded and is available on the NCOR Research Skills Facebook page.

Convention

Convention 2023 was a one-of-a-kind event commemorating the 30[th] anniversary of Osteopathy's regulatory recognition in Europe and the 20[th] anniversary of NCOR. Hosted at the Radisson Hotel & Conference Centre London Heathrow in London, it served as a global gathering point for osteopaths from the UK and across the world. The Convention featured internationally renowned speakers, attracting clinicians, educators, researchers, and influential figures within the osteopathic field. In addition to the presentations, the event offered access to top-tier continuing professional development (CPD) courses. It provided a platform for attendees to establish connections, nurture professional networks, and encourage collaborative efforts within the global osteopathic community. The Convention was organised by the Institute of Osteopathy, the National Council for Osteopathic Research and the University College of Osteopathy, in collaboration with Osteopathy Europe, the General Osteopathic Council, and the Osteopathic International Alliance.

NCOR was responsible for the research stream. There was an open call for abstracts and presentations at the conference were based on merit. Dr Carol Fawkes and Dr Draper-Rodi independently assessed the abstracts to decide which were accepted for oral or poster presentation. Unsuccessful applicants were given feedback to assist them with future submissions. The NCOR research stream was organised around four themes:

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Daniel Bailey, Carol Fawkes and Jerry Draper-Rodi chaired the sessions, delivering oral and poster presentations also.

Stefanie Butendieck provided support towards the organisation of the 2023 Convention by:

Conferences

Jerry Draper-Rodi gave a keynote presentation at the Journée Ostéopathique de Paris, in June 2023. Jerry Draper-Rodi participated to a round-table discussion on research and practice at the conference in Toulouse (France) in September 2023.

Articles

We continue to write for Osteopathy Today. An article explaining PBRNs and outlining NCOR’s Research Network and how to get involved was published in the Autumn edition of Osteopathy Today.

This year we have published 11 papers in peer reviewed journals:

• Draper-Rodi, J., Abbey, H., Brownhill, K. and Vogel, S., 2023. OSCAR (Osteopathic Single – CAse Research) Assessing the effect of standard and biopsychosocial osteopathic - management for patients with non specific low back pain: Protocol for a Single Case Experimental Design (SCED). International Journal of Osteopathic Medicine, 48,

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p.100660.

Professional meetings

Carol Fawkes attended the MSK data meeting in December 2023.

Jerry Draper-Rodi attended meetings with the Arthritis and Musculoskeletal Alliance to share good practice and intelligence on Equity, Diversity and Inclusion.

Jerry Draper-Rodi was invited to join the International Association for the Study of Pain taskforce on Integrative Pain Care. He contributed to the Integrated Manual Therapies and Behaviour Change Principals for Persistent Pain factsheets and was invited to write an article for Pain Reports on Integrated Manual Therapies.

Jerry Draper-Rodi gave a one-day workshop on Equity, Diversity, Inclusion and Belonging at Osteopathy House, organised by the GOsC. The delegates were educators from UK OEIs.

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Social media

Dr Bailey developed an online learning resource on NCOR’s Facebook account for osteopaths providing free CPD and training related to research skills and how research skills can benefit clinical practice. The resource currently consists of 7 ‘modules’, each with multiple activities, totalling an estimated 6-hours of learning, with 34 active users.

As a result of increased social media, NCOR has experienced a significant surge in its follower count and overall visibility. For illustration, over the course of 365 days NCOR attained 348 new followers on LinkedIn. In summary, our X account has 2,097 followers, Facebook 3.2K, LinkedIn 674 followers, and Instagram 482 followers.

Special projects

Practice-Based Research Network

NCOR was awarded the iO Collaboration in Practice in October 2023 to establish the UK's first PBRN for osteopathy.

A research study focused on the development of a Practice-Based Research Network (PBRN) is underway. This study aims to gather osteopaths' perspectives on the benefits, barriers and facilitators of this initiative. Preliminary findings were presented at the iO convention, and a publication is being prepared for submission to the IJOM.

In addition, a survey of UK osteopaths is being designed and developed to investigate their demographics, clinical practice and patient demographics. The results will not only enhance our research capacity but also provide valuable insights into the state of osteopathic practice in the UK. This data will be disseminated to a wider health audience beyond osteopathy.

NCOR was also present at the iO Convention with a stand to promote the PRBN with free giveaways and information on how to sign up to the project.

An online digital interface (the Plugin Project) is being developed in partnership with an osteopathic IT specialist. This interface will automate data collection from osteopathy patients via integration with Cliniko and other online clinical software programs. This will streamline the data collection process from patients for future PBRN studies. The interface will also contain a ‘dashboard’ that will display audit type information for the benefit of the osteopath using it. This will help with practice management and clinical audit, such as for the objective activity component of the GOsC’s CPD requirement. The data collection aspect has undergone initial testing and is now being developed further before pilot testing using real data commences, for which an ethics application has been submitted.

Following the consultation with osteopaths (described above – CPD events), a manuscript has been submitted to the Internation Journal for Osteopathic Medicine (IJOM), describing the study, its findings and the implications for establishing a PBRN for osteopathy in the UK, to be known as the NCOR Research Network (NCOR-RN).

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QAA Subject Benchmark Statement: Osteopathy

Dr Jerry Draper-Rodi chaired the QAA SBS Advisory Group for Osteopathy, which consisted of 17 members, including two osteopathic students, from a range of backgrounds including osteopathic education providers (BCNO Group, London School of Osteopathy, Swansea University and University College of Osteopathy), the General Osteopathic Council, the Institute of Osteopathy, the Council for Osteopathic Education Institutions, the Osteopathic Alliance and the QAA. The updated document was published in April 2024.

The Subject Benchmark Statement for Osteopathy is intended to be read and used by students, employers and academics. Subject Benchmark Statements describe the nature of study and the benchmark academic standards expected of graduates in specific subject areas, in respect of qualifications. They provide a picture of what graduates in a particular subject might reasonably be expected to know, do and understand at the end of their course or programme.

Subject Benchmark Statements are presented in four sections. Section 1 outlines the contextual information - providing the operational landscape, and boundaries, of subject discipline. This includes consideration of the ways in which the discipline addresses wider social goals, specifically in relation to equality, diversity and inclusion (EDI); the requirements of disabled students; education for sustainable development (ESD); and enterprise and entrepreneurship. Section 2 covers distinctive features of the course, including curriculum design, partnership arrangements, flexibility of delivery, progression and ongoing monitoring processes. Section 3 explains any features relevant to teaching, learning and assessment activities for the subject. Section 4 describes the benchmark standards of achievement reached by all graduates with some subjects also including achievement at master's level.

CUTIES trial

The CUTIES trial testing the effectiveness of osteopathic care for infants with colic has finished and the results’ manuscript is now published: Carnes, D., Bright, P., Brownhill, K., Carroll, K., Engel, R., Grace, S., Vogel, S. and Vaucher, P., 2024. Usual light touch osteopathic treatment versus simple light touch without intent in the reduction of infantile colic crying time: A randomised controlled trial. International journal of osteopathic medicine , 51 , p.100710.

The study and its results were presented at the Osteopathic Convention in London, October 2023. A webinar for participating osteopaths was also held and patients will be able to view the results of the study once published via the CUTIES page (HSU website).

Patient Reported Outcome Measurement: PROMs

No new languages have been added to the app this year as most European languages have been included and PROMs data collection continues across Europe and the UK.

Presentations including summary data reports have been delivered to osteopaths in Denmark, Sweden, and Ireland for local stakeholder delivery.

Currently data submissions include over 7000 observations from patients. Discussions have been

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held with Clinvivo, the IT company which develops and supports the app, to create a platform for easier joining to use the app, and a system for automatic data analysis as this is currently an extremely time-consuming process.

A summary description of the development and implementation of the PROMs app has been prepared for CAHPR under its “Technology and Innovation” section it is preparing relating to AHP’s activities. A similar piece of work has been submitted to Health Education England (HEE) at their request (September 2023). An online interview was also held with HEE staff on the topic of the use of apps in musculoskeletal patients’ management as a follow up to this article (January 2024).

Posters describing the use of PROMs and outcomes of osteopathic patient care were presented at the 2023 iO conference. This included one specifically focussing on the data from patients in the UK, and a second poster with data from patients in Germany, Belgium, Switzerland, France, Denmark, Sweden, Greece, Italy, Spain, and Eire.

Workforce planning projects

NCOR has been awarded three grants by the GOsC to carry out work on osteopathic workforce planning to investigate the reasons why osteopaths decide to leave the register voluntarily, and to investigate the factors that influence students' motivation to choose osteopathy as a course of study.

Once the contract is written and signed, we will work with the GOsC to plan these projects effectively.

Concerns and Complaints report

This document was produced again this year analysing data submitted from the GOsC, the iO, and the professions’ insurers.

An area where data are lacking relates to the patients making the complaints. Work was conducted (CF and JDR) to identify additional questions which could be included in the current data collection tool. The revised version was shared with insurers, the GOsC and iO following a meeting for stakeholders in December 2023. The revised version of the tool has been circulated for the first time in 2024 to try to identify any specific areas where patients and osteopaths could be better supported to reduce the risk of complaints.

Dr Jerry Draper-Rodi was interviewed on a French osteopathic podcast on the work done by NCOR with GOsC regarding the Concerns and Complaints reports, the lessons learnt, and future projects.

PhD update - using AI to disseminate research evidence

Prof Dawn Carnes provided a summary report of Austin Plunkett's PhD. He submitted his final thesis at the end of March 2024. Dawn thanked NCOR and the oF, for their financial support over these years.

Artificial Intelligence (AI) based technologies can play a role in the translation of knowledge into clinical practice, the failure of that translation, and the potential spread of disinformation. AI’s role in the osteopathic profession is under-explored.

In this study we asked osteopath’s how they engaged in with research evidence, as part of a

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questionnaire survey and we looked at the literature about how forms of AI are used in health care. We also developed and tested (with osteopaths) a web-app (OsteoScout) to search for and summarise research literature and share research information.

However, in 2022, new highly sophisticated global AI platforms were launched which out-performed our web-app, rendering further investment redundant. However, during the process of OsteoScout’s development and testing we learned a lot about how osteopaths engage with and make-sense of research information and potentially AI. Peer conversations were the dominant form of sensemaking among osteopaths, these occurred inside and outside the clinic, in-person, online and on social media. These conversations inevitably included not just peer-reviewed 'evidence' but information from a wide variety of sources, with clinical utility being the primary focus.

Mutually respectful conversations were far more likely to engage osteopaths, online or in-person.

There are repeated opportunities for information to enter, and leave clinical practice, some information ‘sticks’, other information leaves and returns and some is rejected. Clinical utility, timing, endorsement by others, peer and group discussion, personal validity and value were factors influencing retention of information and use.

We recommend:

Experience osteo NHS

This study was awarded funding by the Osteopathic Foundation (oF) to explore osteopaths’ experience of working in the NHS. Ethical approval was received in Oct 23 from the UCO ethics committee. A total of 16 osteopaths were recruited for the study. This was the projected number to reach information power with participants from a range of different NHS settings and length of experience.

A range of diverse themes have emerged focussing on the benefits of working in the NHS, the journey from application to starting work in the NHS, career progression and development, professional support and some of the challenges encountered and how they were managed. Themes and sub-themes were developed by Carol Fawkes and Jerry Draper-Rodi. They were reviewed independently for quality assurance. Report writing for the oF is being finalised and the draft content for two peer-reviewed publications have been agreed.

Some key areas for development have been identified to support osteopaths considering applying for NHS roles. These will be addressed in discussion with various NCOR stakeholders.

Mental health and osteopathy

This project is now completed. The protocol manuscript is published in BMJ Open (https://bmjopen.bmj.com/content/13/6/e071680.abstract), the meta-analysis is under review, and the proof-of-concept manuscript is under preparation.

Scholarly work

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The manuscript on the project conducted with Swansea University is under preparation.

Scoping reviews

Both scoping reviews, led by Carol Fawkes and Jerry Draper-Rodi, on prevention and care for older patients are now completed. The prevention article is published and the manuscript on care for older adults is being prepared.

Dr Jerry Draper-Rodi

NCOR Director

11/09/2024

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National Council for Osteopathic Research

Statement of Financial Activities for the year ended 30 April 2024

Income from
Membership and donations
Grants
Sundry Income
Interest Received
Total Income
Expenditure on
Charitable Activities
Total Expenditure
Net Income/ (Expenditure) and
movement in funds
Reconciliation of funds
Total funds brought forward
Total funds carried forward		 Note
2
3-5
6		 Unrestricted
funds 2024
£
74,459
45,653
350
90
120,551
84,281
84,281
36,271
97,239
133,510		 Total Funds
2023
£
74,739
0
0
0
74,739
68,337
68,337
6,402
90,837
97,239

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Balance Sheet as at 30 April 2024

Current Assets
Debtors
Cash at bank and in hand
Total Current Assets
Creditors: amount falling due
within one year
Net Current assets
Net Assets
Charitys funds
Unrestricted funds
Total Funds		 Note
7
8		 £
0
137,535
137,535
(4,025)		 2024 £
133,510
133,510

133,510
133,510		 £
0
115118
115118
(17,879)		 2023 £
97,239
97,239
97,239
97,239

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Notes to Financial Statements

2. Income from donations
Membership fees
Other donations
Grants
Sundry Income
Interest Received
Total donations and legacies		 Unrestricted
funds 2024
£
68,140
6,319
45,653
350
90
120,551		 Total Funds
2023
£
67,640
7,099
0
0
0		 Total Funds
2023
£
67,640
7,099
0
0
0
74,739

3. Analysis of expenditure by activities

Activities Governance
undertaken and support
directly costs Total
2024 2024 2024
£ £ £
Expenditure 79,436 4,805 84,241

4. Direct Costs

Staff costs recharged
Tuition fees
Other direct costs
PROMs project
CUTIES- project research
Convention Project
Trust Project
NHS Qualitative Project
PBRN Project		 Research
activities
2024
£
53,040
0
0
8,334
(77)
1,437
11,887
2,765
2,051
79,436		 Total
2023
£
60,058
0
3,109
0
0
0
0
0
0
63,167

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5. Governance and support costs

Travel Expenses
Consultancy & Legal Fees
Insurance
Bad debt
Sundry costs
Honoraria costs
Accountancy & Bookkeeping
Artwork
Website design & Hosting
Bank Charges
Software Costs
6. Net income/ (expenditure)
This is stated after charging:
Independent Examination fee
7. Debtors
Other debtors
8. Creditors: amounts falling due within one year
Other creditors, including accrued expenses		 Support
2024
£
557
40
391
0
932
0
2,531
0
397
(5)
0
4,805
2024
£
1,400
2024
£
0
0
2024
£
4,025
4,025		 Total
2023
£
0
70
381
0
1,701
0
1,931
0
738
62
288
5,171
2023
£
1,200
2023
£
0
0
2023
£
17,879
17,879

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Notes to Financial Statements

9. Related party transactions

University College of Osteopathy (UCO) provided administration services to NCOR. Total costs were £57,845 (2023: £60,250 and comprised of recharged salary costs: £53,040 (2023: £56,250) support costs: £4,805 (2023: £4,000).

A donation of £26,500 (2023: £26,500) was received from the General Osteopathic Council, a trustee of NCOR is any employee of this organisation; and an employee of NCOR is a council member of this organisation.

A donation of £26,500 (2023: £26,500) was received from the Institute of Osteopathy, a trustee of NCOR is any employee of this organisation.

A donation of £2,500 (2023: £2,800) was received from the University College of Osteopathy, a trustee of NCOR is any employee of this organisation.

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