2025-06-01-accounts - Kairos Rehabilitation Trust

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CHARITY COMMISSION

Annual Report June 2024 to June 2025

Summary of the objects

To relieve sickness and promote the advancement of health within the community through the use and practice of the principles of anthroposophic medicine in combination with any other conventional or evidence based therapeutic modalities that might be indicated.

In furthering the objects, the C.I.O. will pay attention to the needs of those who are socially excluded by reasons of ill health, disability, unemployment or other reasons.

Summary of the main activities undertaken in relation to these objects

The Trust’s main task continues to be rehabilitation of patients referred with complex chronic pain and multi-morbidity. It also provides for the individual rehabilitation mainly of adults and a few children suffering other difficult-to-treat long term conditions.

Clinical interventions include medical assessment in which symptoms are seen in context of the person’s biography (strengths, weaknesses, aspirations) as well as of their medical condition(s). A re-interpretation of the diagnosis by the GP with Special Interest broadens treatment options and helps engage the patient both initially and with 1-3 monthly follow up. One-to one therapy (eurythmy, rhythmical massage and transpersonal art) addresses pain, sleep, energy and metabolic disturbances. Suggestions for reduction of analgesic and psychotropic medication are made where this is safely possible.

As part of an ongoing evaluation all patients are asked to complete validated questionnaires EQ5D-3L (quality of life), PHQ-9 (depression) and MYMOP2 (self-defined problem score). Results were last reported in 2022-23.

Group social activities have been used to help address loneliness, create interest and new skills. They encourage self-confidence, friendship, and a sense of belonging.

Individual support with applications, assessments and appeals for disability benefits has been important for increasing numbers of patients for whom the strain and anxiety caused by the DWP’s system can be severe; also, evidence for housing applications and occupational-related problems. A Disability Benefits Advisor has provided expert help.

As the time for discharge approaches, efforts are made to link patients with activities, organised by other organisations, whereby they may be able to continue their rehabilitation process.

Trustees have noted of the Charity Commission’s guidance on conduct as a trustee. All trustees have all made substantial contributions to the establishment of a firm foundation all in a voluntary capacity and without personal benefit.

Main achievements during the year

Patient numbers have continued to increase as the service has become better known. There were 140 new patients seen during the year. All consultations are face-to-face.

Kairos is a member of the AnthroMed network based in Switzerland. AnthroMed

regulates standards of anthroposophic community clinics and hospitals in Europe. The Leader of the Medical Section made a day visit to meet staff and 20 patients to learn of the clinic’s methods and achievements.

The GP and therapists contribute toward international trainings of the anthroposophic approach. Quarterly meetings with pain specialists and therapists practising in the UK, Switzerland, Germany and Holland allows sharing and exchange of ideas and experience.

Kairos continues to attract attention from local health professionals because of its apparent ability to successfully take forward the treatment and rehabilitation process for patients whose more conventional treatments are no longer benefitting. This has led to several requests for talks and discussions, especially with referring physiotherapists, and visits by a number of health professionals wishing to visit and observe the methods. The Kairos method was presented at the Integrative Personalised Medicine (IPM) International Congress, London in June.

The clinic’s increasing popularity has led to a substantial increase in the number of NHS referrals and waiting times for admission. The need for more efficient teamwork as well as an increase in staffing and hours became evident in order to reduce waiting times. Plans were made and a start made to find another Lead GP and increase therapy hours.

The Patient-led Discussion/Support Group has not continued. The Art Group encourages patients and those discharged to practise a new skill, make friends, and to learn from and contribute to a circle of fellow sufferers.

Trustees are pleased to note another year of financial surplus. The charity is indebted to Dr McGavin for his generosity by giving of his time or donations that enable it’s work and to the wider team who provide the award winning, highly effective and externally recognized and validated treatments, that patients are very appreciative of.

The principal source of income is from a contract with the main contractor providing Community MSK services in Greenwich. In early 2025 the NHS South East London Integrated Care Board (The Board) issued a tender for the renewal of the contract and in August announced that it had awarded the contract with the new provider expected to be in place by April 2026. The process has subsequently stalled and as a result no new patients are being referred to Kairos and consequently, income is reducing. The Board is supportive of Kairos’ ongoing contribution to Greenwich MSK services. It is Trustees fervent hope that the hold-up will be resolved as soon as possible. In the meantime, mindful of their responsibilities, they are monitoring the situation and the level of financial reserves. For now, Kairos continues to treat some patients at its own cost.

KAIROS REHABILITATION TRUST 1157359 Receipts and payments accounts CC16a For the period 31/05/2024 31/05/2025 To from — ~~———~~ Section A Receipts and payments Unrestricted Restricted Endowment Total funds Last year funds funds funds to the nearest £ to the nearest £ to the nearest £ to the nearest £ to the nearest £ A1 Receipts Donations including Gift Aid 25,849 25,849 2,366 Contract income 141,371 141,371 150,767 Bank interest 743 743 51 Other 957 957 1,072 - - - - - - - - Sub total (Gross income for AR) 168,920 - - 168,920 154,256 == A2 Asset and investment sales, ===> (see table). - - - - - - - - - - Sub total - Total receipts 168,920 - - 168,920 154,256 —— ~~—~~ A3 Payments Therapists & other fees 94,813 94,813 91,144 Rent 18,703 18,703 14,841 Therapists & others materials 3,237 3,237 2,684 Running costs 6,725 6,725 9,561 - - - - GP costs 38,250 38,250 11,830 - - - - Sub total 161,728 - - 161,728 130,060 = == ~~==~~ A4 Asset and investment purchases, (see table) Therapy room / Office equipment 1,224 - 2,404 - - Sub total [ 1,224 ] - - 1,224 2,404 ~~=~~ Total payments [ 162,952 ] - - 162,952 132,464 Net of receipts/(payments) 5,968 - - 5,968 21,792 A5 Transfers between funds - - - A6 Cash funds last year end 88,883 24,758 - 113,641 91,849 Cash funds this year end 94,851 24,758 - 119,609 113,641 ——

CCXX R1 accounts (SS)

09/03/2026

Section B Statement of assets and liabilities at the end of the	Section B Statement of assets and liabilities at the end of the	Section B Statement of assets and liabilities at the end of the	period	Endowment funds to nearest £ - - - - OK Endowment funds to nearest £ Current value (optional) Current value (optional) When due (optional) Jun-25 Jul-25 Date of approval
Categories Signed by one or two trustees on behalf of all the trustees B1 Cash funds B2 Other monetary assets B4 Assets retained for the charity’s own use B5 Liabilities B3 Investment assets	Signature Payroll deductions Uninvoiced rent Details Cash at Bank unbanked income unpresented payments Details *Total cash funds* (agree balances with receipts and payments account(s)) Details Details Details Office equipment Therapy room equipment	Unrestricted funds Restricted funds to nearest £ to nearest £ 94,851 24,758 - - 94,851 24,758 OK OK Unrestricted funds Restricted funds to nearest £ to nearest £ - - - - - - Fund to which asset belongs Cost (optional) Fund to which asset belongs Cost (optional) unrestricted unrestricted Fund to which liability relates Amount due (optional) unrestricted 2,660 unrestricted 3,975 Print Name

CCXX R2 accounts (SS)

09/03/2026

- CHARITY COMMISSION| FOR ENGLAND AND WALES

a = Independent examiner's report on the accounts

Section A

Independent Examiner’s Report

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Report to the trustees/ a
members of | Kairos Rehabilitation Trust
On accounts for the year | 31/5/25
ended
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Charity no | 1157359
(if any)
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| report to the trustees on my examination of the accounts of the above charity (“the Trust”) for the year ended 31/ 05 / 2025.
Responsibilities and As the charity trustees of the Trust, you are responsible for the preparation basis of report of the accounts in accordance with the requirements of the Charities Act 2011 (“the Act”).

| report in respect of my examination of the Trust’s accounts carried out under section 145 of the 2011 Act and in carrying out my examination, | have followed the applicable Directions given by the Charity Commission under section 145(5)(b) of the Act.

Independent | have completed my examination. | confirm that no material matters have examiner's statement come to my attention in connection with the examination which gives me cause to believe that in, any material respect: e accounting records were not kept in accordance with section 130 of the Act or
e the accounts do not accord with the accounting records

| have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in order to enable a proper understanding of the accounts to be reached.

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Name: | Perry O’Callaghan
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Relevant professional |[ACMA]
qualification(s) or body (if any):

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Address: | 9 Court Lodge Cottages
Lower Road, East Farleigh
MAIDSTONE, ME15 OJL
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IER

October 2018

Section B

Disclosure

Only complete if the examiner needs to highlight matters of concern (see CC32, Independent examination of charity accounts: directions and guidance for examiners).

Give here brief details of any items that the examiner wishes to disclose.

IER

October 2018