## **Trustees' Annual Report for the period** Period start date Period end date Day Month Year Day Month Year **From** 1 June 2021 **To** 31 May 2022 ## Section A Reference and administration details **Charity name** NTSP Ltd **Other names charity is known by** National Tracheostomy Safety Project **Registered charity number (if any)** 1160824 |**red charity number (if any)**|1160824|1160824| |---|---|---| |**Charity's principal address**|
Acute Intensive Care Unit,|| ||Wythenshawe Hospital, Manchester University NHS FT|| ||Southmoor Rd, Wythenshawe, Manchester|| ||**Postcode**|**M23 9LT**| **Names of the charity trustees who manage the charity** |1
2
3
4
5
6
7
8|**Trustee name**|**Office (if any)**|**Dates acted if not for whole**
**year **|**Name of person (or body) entitled**
**to appoint trustee (ifany)**| |---|---|---|---|---| ||Dr B McGrath|Chair|Since May31 2014|| ||Dr L Bates|Secretary|Since May31 2014|| ||Dr J Moore|Director|Since May31 2014|| ||Dr D Atkinson|Treasurer|Since May31 2014|| |||||| |||||| |||||| |||||| ## **Names of the trustees for the charity, if any, (for example, any custodian trustees)** ||**Name**|**Dates acted if not for whole year**| |---|---|---| ||None|| ## **Names and addresses of advisers (Optional information)** |**Names and addresses of**|**advisers (Optional information)**|**advisers (Optional information)**| |---|---|---| |**Type of adviser**|**Name**
**Address**|| |**Legal**|Mrs Emma McGrath|12 Alcester Road, Sale, Manchester. M33 3QP| |**Financial**|Mr Tim McInnes|34, Cumberland Drive, Bowdon, Altrincham. WA14 3QP| |**Paediatric**|Dr Catherine Doherty|Department of Anaesthesia, RMCH, Oxford Rd,
Manchester M13 9WL| |**SLT**|Mrs Sarah Wallace|Dept of Speech, Swallowing & Voice, Wythenshawe
Hospital, Southmoor Road, Manchester M23 9LT| |**Respiratory**
**physiotherapy**|Mrs Barbara
Bonvento|Dept of Physiotherapy, Wythenshawe Hospital,
Southmoor Road, Manchester M23 9LT| ## **Name of chief executive or names of senior staff members (Optional information)** N/A **TAR** 1 (TAR report version March **2012 –** completed Feb 2023 **)** **Section B Structure, governance and management** ## **Description of the charity’s trusts** Type of governing document (eg. trust deed, constitution) How the charity is constituted Adopted Memorandum & Articles of Association, incorporated 29[th] May 2014 as amended by special resolution, dated 29[th] January 2015 (following advice from the Charities Commission) as amended by special resolution registered at Companies House, dated 20[th] February 2015. Charitable company limited by guarantee - (eg. trust, association, company) Trustee selection methods Appointment by ordinary resolution by existing trustees - (eg. appointed by, elected by) ## **Additional governance issues (Optional information)** You **may choose** to include additional information, where relevant, about: - policies and procedures adopted for the induction and training of trustees; - the charity’s organisational structure and any wider network with which the charity works; - relationship with any related parties; - trustees’ consideration of major risks and the system and procedures to manage them. NTSP Ltd has partnered with the Royal College of Anaesthetists and the Global Tracheostomy Collaborative on a number of Quality Improvement Projects, notably ‘Improving Tracheostomy Care’ (2016-19), ‘Evidence into Practice’ (2017) and the _6[th] International Tracheostomy Symposium_ (2021). We supply regular updates to the RCoA and GTC and final reports of our activities. The results of these QI projects have been taken forward by NHS England as a National Patient Safety Improvement Program (NatPatSIP) ‘Safer Tracheostomy Care’ commencing April 2020 (to May 2021). We have secured funding for educational activities and promotion of our resources from the UK Health Foundation. Again, we supply written progress reports and final reports, including financial statements. We have opened our accounts up to annual inspection in line with our governing documents and the regulations of the Charities Commission. Reports are shared with the Directors at the AGM and available to the Commission and to the Public on request. NTSP Ltd has applied for Innovate UK funding (August 2022) to fund new developments in Virtual Reality tracheostomy education. **TAR** 2 (TAR report version March **2012 –** completed Feb 2023 **)** ## **Section C Objectives and activities** _To advance the education of the public in general, and in particular amongst patients with tracheostomies and laryngectomies and those responsible for their care on the subject of tracheostomy and_ **Summary of the objects of the** _laryngectomy safety in particular but not exclusively by the provision and_ **charity set out in its** _development and facilitation of educational resources and courses._ **governing document** The objects of the Charity were achieved through hosting and attending local, national and international conferences, meetings and training courses related to tracheostomy safety on behalf of the Company. These included: Developing new educational resources for the benefit of staff, patients and their families (e-learning, smartphone applications, publishing _Comprehensive Tracheostomy Care_ and revising our video library of resources _)_ Developing new resources for tracheostomy care during the COVID-19 pandemic, with UK and international reach. Developing the ‘trachy ward round game’. **Summary of the main activities undertaken for the** Developing the ‘trachy ward round game’. **public benefit in relation to these objects (include within** Developing a successful video library of 52 videos for patients, families **this section the statutory** and carers, disseminated through social media. The YouTube video **declaration that trustees have** channel received 463,700 views (441,500 watch time minutes) in 2022. **had regard to the guidance issued by the Charity** Updated video resources to support children with tracheostomies **Commission on public** accessing education during the pandemic. **benefit)** Continue to work with the Advanced Life Support Group to develop international tracheostomy safety courses. We have formed a working group to work on VR additions to the course offerings we have. We confirm that the Trustees of the Charity have exercised their duties for the public benefit as defined in Section 17(5) of the Charities Act and the Charities (Accounts and Reports) Regulations 2008. Our program for this reporting period was determined by consensus and designed to continue to deliver our Charitable Objectives for the public benefit. This guidance shall be reviewed annually in planning future activities of the Charity. **TAR** 3 (TAR report version March **2012 –** completed Feb 2023 **)** ## **Additional details of objectives and activities (Optional information)** Mrs Emma McGrath has been kindly volunteering her legal expertise to assist the directors in preparing the required reports and submissions to satisfy the regulations of the Charities Commission, Companies House and HMRC. You **may choose** to include further statements, where relevant, about: The NTSP has supported travel for working party members by administering travel bursaries. These have been funded by the grant programmes. Applications are considered by 2 or more directors, usually by email. - policy on grantmaking; - policy programme related investment; - contribution made by volunteers. **TAR** (TAR report version March **2012 –** completed Feb 2023 **)** 4 Section D Achievements and performance **Summary of the main** NHS England and NHS Improvement National Patient Safety **achievements of the charity** Improvement Program (NatPatSIP) _Safer Tracheostomy Care_ rolled out **during the year** nationally in response to rising tracheostomy rates during the coronavirus pandemic. Developing new educational resources for the benefit of staff, patients and their families (e-learning, smartphone applications, publishing _Comprehensive Tracheostomy Care_ and revising our video library of resources _)_ Written a report of the impact of the NatPatSIP with a grant from NHS England, working with the University of Manchester. Continued to build a multidisciplinary team and expertise around tracheostomy care, including patients and their families in our steering groups and as co-applicants in grant applications. Continue to work with the Advanced Life Support Group to develop international tracheostomy safety courses with a new focus on VR. NHS England agreed the role of National Tracheostomy Lead Clinician (to which our Chair was appointed). Contributing a representative to the Global Tracheostomy Collaborative Board of Directors (Dr B McGrath) **TAR** 5 (TAR report version March **2012 –** completed Feb 2023 **)** ## **Section E Financial review** NTSP LTD is a company limited by guarantee and not having a share **Brief statement of the** capital (Company Registration Number: 09062489 (England and Wales)) **charity’s policy on reserves** NTSP LTD does not have a policy for reserves. Abbreviated (Unaudited) Financial Statements have been prepared and will be submitted to Companies House in accordance with Company Law. Period of accounts Start date: 1[st] June 2021 End date: 31 May 2022 These accounts detail: Total assets (less current liabilities) at the **start** of the reporting period of £9,867 Total assets (less current liabilities) at the **end** of the reporting period of £22,798 This included £22,798 in the NTSP Ltd bank account on 31[st] May 2021. Total income during the reporting period of £37,056. (Sponsorship, course fees, YouTube Ad revenue) Total expenditure during the reporting period of £24,125 (Expenses associated with NTSP and GTC meetings and events, video film making, website development and admin) ## **Details of any funds materially** N/A **in deficit Further financial review details (Optional information)** Application to BBC Children in Need – competitive application (not successful) You **may choose** to include additional information, where relevant about: Application to Innovate UK – Fast Start Scheme (Awarded Aug 2022) - the charity’s principal sources of funds (including Expenditure has supported directors, officers and representatives of any fundraising); NTSP Ltd in supporting our charitable objectives through education. - • how expenditure has NTSP Ltd has submitted our financial affairs to independent external - supported the key objectives examination as per the guidelines of the Charities Commission, based on - of the charity; our turnover. - investment policy and objectives including any ethical investment policy adopted. **TAR** 6 (TAR report version March **2012 –** completed Feb 2023 **)** ## **Section F Other optional information** Plans for 2023 & Next report: Continue to contribute to COVID-19 tracheostomy literature Continue to work on NIHR i4i grant of approximately £800,000 to embark on a 3 year Programme to develop a novel device to assist patients with tracheostomies vocalise. Continue to work on national patient safety improvement program for NHS England (NatPatSIP) – current project is to attempt to extrapolate the results of our 20-site project to estimate the impact of the NatPatSIP. Redesign and evaluate trachy safety course into VR. ## **Section G Declaration** |**ection G Declaration**|**ection G Declaration**|**ection G Declaration**| |---|---|---| |||| |**he trustees declare that they have approved the trustees’ report above.**
**igned** **on behalf of the charity’s trustees**
**Signature(s)**
**Full name(s)**Dr Brendan McGrath
Dr Dougal Atkinson
**Position (eg Secretary, Chair,**
**etc)**
Chair
Treasurer
**Date**16/2/2023||| |||| ||Dr Brendan McGrath|Dr Dougal Atkinson| ||
Chair|Treasurer| ||16/2/2023|| ||16/2/2023|| **The trustees declare that they have approved the trustees’ report above.** **Signed on behalf of the charity’s trustees** **TAR** 7 (TAR report version March **2012 –** completed Feb 2023 **)** ## **EXAMINER’S UNQUALIFIED REPORT** ## Independent examiner’s report to the trustees of ‘ **NTSP Ltd’** I report on the accounts of the company for the year ended **31 May 2022** , which are set out on pages 1 to 4. ## Respective responsibilities of trustees and examiner The trustees (who are also the directors of the company for the purposes of company law) are responsible for the preparation of the accounts. The trustees consider that an audit is not required for this year under section 144(2) of the Charities Act 2011 (the 2011 Act) and that an independent examination is needed. Having satisfied myself that the charity is not subject to audit under company law and is eligible for independent examination, it is my responsibility to: - examine the accounts under section 145 of the 2011 Act - to follow the procedures laid down in the general Directions given by the Charity Commission under section 145(5)(b) of the 2011 Act - to state whether particular matters have come to my attention ## Basis of independent examiner’s report My examination was carried out in accordance with the general Directions given by the Charity Commission. An examination includes a review of the accounting records kept by the charity and a comparison of the accounts presented with those records. It also includes consideration of any unusual items or disclosures in the accounts, and seeking explanations from you as trustees concerning any such matters. The procedures undertaken do not provide all the evidence that would be required in an audit and consequently no opinion is given as to whether the accounts present a ‘true and fair view’ and the report is limited to those matters set out in the next statement. ## Independent examiner’s statement In connection with my examination, no matter has come to my attention: - (1) which gives me reasonable cause to believe that in any material respect the requirements: - to keep accounting records in accordance with section 386 of the Companies Act 2006 and - to prepare accounts which accord with the accounting records, comply with the accounting requirements of section 396 of the Companies Act 2006 and with the methods and principles of the Statement of Recommended Practice: Accounting and Reporting by Charities have not been met or (2) to which, in my opinion, attention should be drawn in order to enable a proper understanding of the accounts to be reached. ## Tim McInnes Name: Timothy Ian McInnes Relevant professional qualification or body: Institute of Chartered Accountants in England and Wales Address: 34 Cumberland Drive, Bowdon, Altrincham, Cheshire WA14 3QP Date: 21[st] February 2023 **Balance Sheet Report for NTSP Ltd** ||**31 May 2022**|**31 May 2022**|**31 May 2021**|**31 May 2021**| |---|---|---|---|---| |**Account**|**Asset**|**Liability**|**Asset**|**Liability**| |LONG-TERM ASSETS
IT Equipment
**Long-term Assets (total)**
CURRENT ASSETS & LIABILITIES
NTSP Ltd Bank account
Balance on Customers
**Current Assets & Liabilities (total)**
**Net current assets (liabilities)**
**Total assets less current liabilities**
LONG-TERM LIABILITIES
**Long-term Liabilities (total)**
**Total net assets (liabilities)**
CAPITAL & RESERVES
Profit and loss
**Capital & Reserves (total)**
OPENING BALANCES
Opening Balances
**Total assets**|£0.00
**£0.00**
£22,797.91
£0.00
**£22,797.91**
**£22,797.91**
**£22,797.91**
**£22,797.91**
**£22,797.91**|**£0.00**
**£0.00**
£19,391.80
**£19,391.80**
£3,406.11
**£22,797.91**|£270.00
**£270.00**
£1,096.96
£8,500.00
**£9,596.96**
**£9,596.96**
**£9,866.96**
**£9,866.96**
**£9,866.96**|**£0.00**
**£0.00**
£6,460.85
**£6,460.85**
£3,406.11
**£9,866.96**| Prepared on 17 Jan 2023 at 11:53:24 ## **Profit and Loss Report for NTSP Ltd** ||**1 Jun 2021**
**to 31 May 2022**|**1 Jun 2021**
**to 31 May 2022**|**1 Jun 2020**
**to 31 May 2021**|**1 Jun 2020**
**to 31 May 2021**| |---|---|---|---|---| |**Account**|**Expense**|**Income**|**Expense**|**Income**| |SALES
Fees income
**Total Revenue (Turnover)**
INDIRECT EXPENSES
Course expenses
Legal, professional
Website / internet
Travel, subsistence
Advertising
Media / Design
Depreciation
General admin
Finance charges
Training
**Indirect Expenses (total)**
**Total Expenses**
**Net Income**|£7,935.90
£6,294.66
£5,200.91
£2,285.27
£1,486.20
£566.61
£270.00
£49.48
£36.25
£0.00
**£24,125.28**
**£24,125.28**|£37,056.23
**£37,056.23**
**£12,930.95**|£0.00
£170.00
£1,056.00
£0.00
£3,380.00
£359.31
£1,592.87
£0.00
£3.72
£384.00
**£6,945.90**
**£6,945.90**|£11,284.60
**£11,284.60**
**£4,338.70**| Prepared on 17 Jan 2023 at 08:03:35 ## **Cash Flow Report for NTSP Ltd** |**Account**|**1 Jun 2021**
**to 31 May 2022**| |---|---| |CASH FLOW FROM OPERATIONS
Net Income
Depreciation
Decrease in Customers Balance
**Operations (total)**
CASH FLOW FROM INVESTING
**Investing (total)**
CASH FLOW FROM FINANCING
**Financing (total)**
**Total Cash Flow**
**Cash Balance At Start**
**Total Cash Flow**
**Cash Balance At End**|£12,930.95
£270.00
£8,500.00
**£21,700.95**
**£0.00**
**£0.00**
**£21,700.95**
**£1,096.96**
**£21,700.95**
**£22,797.91**| ||| Prepared on 17 Jan 2023 at 11:54:01 ## **Accounts by Category for NTSP Ltd** Period from 1 Jun 2021 to 31 May 2022. ## Assets |Assets||||||| |---|---|---|---|---|---|---| |**Category**|**Account**|**B/F**|**Debit**|**Credit**|**Balance**|**Notes**| |Fixed assets
IT Equipment||£270.00
£0.00
£270.00
£0.00||||| |||||||| Final depreciation this financial year to zero balance. Prepared on 17 Jan 2023 at 11:56:41