2023-05-31-accounts - Ntsp Ltd

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Trustees' Annual Report for the period

Period start date Period end date Day Month Year Day Month Year From 1 June 2022 To 31 May 2023

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 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

Trustee name	Office (if any)	Dates acted if not for whole year
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)	Names and addresses of advisers (Optional information)	Names and addresses of 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

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Section B Structure, governance and management

Description of the charity’s trusts

Adopted Memorandum & Articles of Association, incorporated 29[th] May Type of governing document 2014 as amended by special resolution, dated 29[th] January 2015 (eg. trust deed, constitution) (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 How the charity is constituted

(eg. trust, association, company)

Appointment by ordinary resolution by existing trustees Trustee selection methods

(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;

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 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.

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Section C Objectives and activities

Summary of the objects of the charity set out in its governing document Summary of the main activities undertaken for the public benefit in relation to these objects (include within this section the statutory declaration that trustees have had regard to the guidance issued by the Charity Commission on public benefit)	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 laryngectomy safety in particular but not exclusively by the provision and development and facilitation of educational resources and courses.
	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’. See https://trachygame.com/register Developing a successful video library of 52 videos for patients, families and carers, disseminated through social media. The YouTube video channel received 501,429 views (8.0k watch hours, +1.4k subscribers) in this reporting period. Updated video resources to support children with tracheostomies accessing education during the pandemic. 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. The results of our 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). A follow on report was commissioned by NHS England and completed by NIHR ARC-GM, link here:Estimating the potential benefits of a patient safety QI scheme on safer tracheostomy care introduced at scale in NHS Hospitals in England. The report estimated the impact of the NHSE NatPatSIP if it were scaled up to the 180 hospitals of NHSE. Based mostly on a reduction in length of stay, NHS E calculated a notional saving of £1.92 million per hospital (and there are 180 hospitals!). 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. We were successful and have completed a project that developed a stand-alone tracheostomy course in VR. This has led to 2 publications:

Summary of the objects of the
charity set out in its
governing document
Summary of the main
activities undertaken for the
public benefit in relation to
these objects (include within
this section the statutory
declaration that trustees have
had regard to the guidance
issued by the Charity
Commission on public
benefit)

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
laryngectomy safety in particular but not exclusively by the provision and
development and facilitation of educational resources and courses.

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’. See
https://trachygame.com/register
Developing a successful video library of 52 videos for patients, families
and carers, disseminated through social media. The YouTube video
channel received 501,429 views (8.0k watch hours, +1.4k subscribers) in
this reporting period.
Updated video resources to support children with tracheostomies
accessing education during the pandemic.
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.
The results of our 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). A follow on
report was commissioned by NHS England and completed by NIHR
ARC-GM, link here:Estimating the potential benefits of a patient safety
QI scheme on safer tracheostomy care introduced at scale in NHS
Hospitals in England. The report estimated the impact of the NHSE
NatPatSIP if it were scaled up to the 180 hospitals of NHSE. Based
mostly on a reduction in length of stay, NHS E calculated a notional
saving of £1.92 million per hospital (and there are 180 hospitals!).
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. We were
successful and have completed a project that developed a stand-alone
tracheostomy course in VR. This has led to 2 publications:

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The road to net zero: incorporating VR technology to reduce the carbon footprint of medical training (BJA)
A Randomised Controlled Trial of Virtual Reality Courses for Adult Tracheostomy Safety Skills. (Anaesthesia Reports)

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.

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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:

policy on grantmaking;
policy programme related investment;

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.

We received an un-solicited donation from the Adrian Swire Trust. We were invited to make an application for financial support to help the running of the charity, and we were successful in securing a £15k donation. This donation will be part of next Year's accounting (and reporting).

contribution made by volunteers.

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Section D Achievements and performance

Summary of the main achievements of the charity during the year

NHS England and NHS Improvement National Patient Safety Improvement Program (NatPatSIP) Safer Tracheostomy Care rolled out 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)

Follow on from the Innovate UK grant will include company support and guidance to develop the VR offering into a commercial product, probably in collaboration with other companies.

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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 2022 End date: 31 May 2023 These accounts detail: Total assets (less current liabilities) at the start of the reporting period of £22,798 Total assets (less current liabilities) at the end of the reporting period of £31,428 This included £19,331 in the NTSP Ltd bank account on 31[st] May 2023. Total income during the reporting period of £51,385 (Sponsorship, course fees, YouTube Ad revenue) Total expenditure during the reporting period of £42,755 (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)

Youmay chooseto include
additional information, where
relevant about:
•
the charity’s principal
sources of funds (including
any fundraising);
•
how expenditure has
supported the key objectives
of the charity;
•
investment policy and
objectives including any
ethical investment policy
adopted.

Application to BBC Children in Need – competitive application (not
successful)
Application to Innovate UK – Fast Start Scheme (Awarded Aug 2022)
Application to the Swire Trust.
Expenditure has supported directors, officers and representatives of
NTSP Ltd in supporting our charitable objectives through education.
NTSP Ltd has submitted our financial affairs to independent external
examination as per the guidelines of the Charities Commission, based on
our turnover.

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Section F Other optional information

Plans for 2024 & Next report:

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.

Redesign and evaluate trachy safety course into VR. Commence work on additional modules for paediatric, transitional and long-term ventilation training, in partnership with Rescape Health (VR) and Atos medical (a medical device company).

Section G Declaration

The trustees declare that they have approved the trustees’ report above.

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 14/2/2024	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 14/2/2024	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 14/2/2024

Dr Brendan McGrath		Dr Dougal Atkinson
Chair		Treasurer
	14/2/2024
	14/2/2024

Signed on behalf of the charity’s trustees

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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 2023 , which are set out on pages 2 to 5.

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: 24[th] January 2024

Profit and Loss Report for NTSP Ltd

	1 Jun 2022 to 31 May 2023	1 Jun 2022 to 31 May 2023	1 Jun 2021 to 31 May 2022	1 Jun 2021 to 31 May 2022
Account	Expense	Income	Expense	Income
SALES Fees income Total Revenue (Turnover) INDIRECT EXPENSES Media / Design Website / internet Depreciation Advertising Legal, professional Travel, subsistence Course expenses General admin Finance charges Indirect Expenses (total) Total Expenses Net Income	£30,208.74 £5,061.77 £4,048.65 £1,500.00 £727.40 £694.90 £454.44 £35.00 £23.66 £42,754.56 £42,754.56	£51,384.84 £51,384.84 £8,630.28	£566.61 £5,200.91 £270.00 £1,486.20 £613.86 £2,285.27 £13,616.70 £49.48 £36.25 £24,125.28 £24,125.28	£37,056.23 £37,056.23 £12,930.95

Prepared on 17 Feb 2024 at 09:04:36

Cash Flow Report for NTSP Ltd

Account	1 Jun 2022 to 31 May 2023	1 Jun 2022 to 31 May 2023	1 Jun 2021 to 31 May 2022
CASH FLOW FROM OPERATIONS Net Income Depreciation Decrease in Customers Balance Operations (total) CASH FLOW FROM INVESTING IT Equipment Investing (total) CASH FLOW FROM FINANCING Financing (total) Total Cash Flow Cash Balance At Start Total Cash Flow Cash Balance At End	£8,630.28 £4,048.65 (£4,000.00) £8,678.93 (£12,145.96) (£12,145.96) £0.00 (£3,467.03) £22,797.91 (£3,467.03) £19,330.88		£12,930.95 £270.00 £8,500.00 £21,700.95 £0.00 £0.00 £0.00 £21,700.95 £1,096.96 £21,700.95 £22,797.91

Prepared on 17 Feb 2024 at 09:08:51

Balance Sheet Report for NTSP Ltd

	31 May 2023	31 May 2023	31 May 2022	31 May 2022
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 Balance on P&L Capital & Reserves (total) OPENING BALANCES Opening Balances Total assets	£8,097.31 £8,097.31 £19,330.88 £4,000.00 £23,330.88 £23,330.88 £31,428.19 £31,428.19 £31,428.19	£0.00 £0.00 £19,391.80 £8,630.28 £28,022.08 £3,406.11 £31,428.19	£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 £0.00 £19,391.80 £3,406.11 £22,797.91

Prepared on 17 Feb 2024 at 09:06:57

Accounts by Category for NTSP Ltd

Period from 1 Jun 2022 to 31 May 2023.

Assets

Assets
Category	Account	B/F	Debit	Credit	Balance	Notes
Fixed assets	IT Equipment	£0.00	£12,145.96	£4,048.65	£8,097.31

Prepared on 17 Feb 2024 at 09:08:10