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2023-03-31-accounts

DocuSign Envelope ID: F5BC5970-9DB7-42C3-B8C8-FEF3875274F6

THE POLYCYSTIC KIDNEY DISEASE CHARITY

Report of the Board of Trustees and Accounts – 1 April 2022 to 31 March 2023

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee Registered company in England and Wales (9486245) |Registered address: 86-90 Paul Street, London, EC2A 4NE

DocuSign Envelope ID: F5BC5970-9DB7-42C3-B8C8-FEF3875274F6

Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

ANNUAL REPORT AND ACCOUNTS 2022-2023

CONTENTS

REFERENCE AND ADMINISTRATIVE INFORMATION .............................................................................. 3 TRUSTEES ANNUAL REPORT & DIRECTORS’ REPORT ......................................................................... 4 WELCOME FROM THE CHAIR ................................................................................................................. 4 OBJECTIVES AND AIMS ........................................................................................................................... 5 About PKD .......................................................................................................................................... 5 Charitable objects .............................................................................................................................. 6 Our objectives and activities .............................................................................................................. 6 PERFORMANCE AND ACHIEVEMENTS DURING 2022-23 ....................................................................... 8 Research activities during 2022-23 .................................................................................................... 8 Support services for people, carers and families affected by PKD .................................................. 10 PKD Exercise App – in collaboration with ‘Kidney Beam’ ................................................................ 12 Information and Support event for parents of children affected by ARPKD ................................... 15 PKD awareness/advocacy activities ................................................................................................. 18 Community involvement in the work that we do ............................................................................ 22 Community fundraising .................................................................................................................... 22 Grant fundraising ............................................................................................................................. 23 Pro bono support ............................................................................................................................. 23 2023-24 plans ....................................................................................................................................... 23 STRUCTURE, GOVERNANCE AND MANAGEMENT ............................................................................... 24 Constitution...................................................................................................................................... 24 Trustees ............................................................................................................................................ 24 Governance and administration ...................................................................................................... 24 Risk Management ............................................................................................................................ 24 Fundraising ....................................................................................................................................... 25 FINANCIAL REVIEW .............................................................................................................................. 25 Independent Examiner's Report to the Trustees of the Polycystic Kidney Disease Charity ............ 27 STATEMENT OF FINANCIAL ACTIVITIES - 1 April 2021 TO 31 MARCH 2023 ........................................ 28 BALANCE SHEET AT 31 MARCH 2023 ................................................................................................... 29 NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2023 ............................. 31

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee Registered company in England and Wales (9486245) |Registered address: 86-90 Paul Street, London, EC2A 4NE

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Polycystic Kidney Disease Charity Annual Report and Financial Statement for the year ended 31 March 2023

REFERENCE AND ADMINISTRATIVE INFORMATION

Principal address and registered office:

86-90 Paul Street London EC2A 4NE

Tel: 020 7387 0543 Email: info@pkdcharity.org.uk pkdcharity.org.uk

Ms Sanela Becar (Lay Member) Professor Daniel Gale Dr Richard Sandford Professor John Sayer Dr Manish Sinha Professor David Wheeler

Chief Executive

Ms Tess Harris

Polycystic Kidney Disease Charity

(Also known as the PKD Charity) Registered charity in England and Wales Number 1160970 Registered charity in Scotland Number SC047730 A company limited by guarantee Registered company in England and Wales Number 9486245

Patrons

Professor Albert Ong Dr Anand Saggar Dr Richard Sandford Professor Patricia Wilson

Professional advisors

Bankers

Directors* and Trustees who served during the year and to the date of this report

Mr Alan Greenberg (Chair) Mr Jordan Adams (resigned Apr 2023) Mr Idriz Adedoja (Treasurer, appointed Jul 2022) Mr Raj Johal Ms Rebecca Murphy-Peers Mr Jon Rees Mrs Karen Stapleton Mr Adrian Tinsley Mr Nicholas Tracey Professor Patricia Wilson

Research Advisory Board

Professor Patricia Wilson (Chair)

CAF Bank Ltd 25 Kings Hill Avenue West Malling ME 19 4JQ

Accountants

PEM Salisbury House Station Road Cambridge, CB1 2LA

Independent accounts examiner

Charles Pickin Fellow of Institute of Chartered Accountants in England and Wales Harrison Jasper Ltd Florance Lane, Groombridge, TN3 9SH

*The directors of the charitable company (the charity) are its trustees for the purpose of charity law.

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee Registered company in England and Wales (9486245) |Registered address: 86-90 Paul Street, London, EC2A 4NE

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DocuSign Envelope ID: F5BC5970-9DB7-42C3-B8C8-FEF3875274F6

Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

TRUSTEES ANNUAL REPORT & DIRECTORS’ REPORT

The Trustees, who are also directors of the Charity for the purpose of the Companies Act, present their annual report and financial statements of the Charity for the year ended 31 March 2023. The accounts comply with the Charities Act 2011, Companies Act 2006 and the trust deed, and follow the recommendations in Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019).

The Trustees confirm that they have complied with the duty in section 17 of the Charities Act 2011 to have due regard to the public benefit guidance published by the Charity Commission in determining the activities undertaken by the Charity.

WELCOME FROM THE CHAIR

2022-2023 saw an initial return to normal working following COVID with the reintroduction of faceto-face events and we were pleased to experience an increase in our income to help us deliver our ambitious programmes to help benefit those suffering from PKD.

The year was heavily shaped by our drive to deliver the 1[st] year of our new 3-year strategic plan and I am really pleased to say that we delivered significant parts of this well ahead of schedule including the launch of the PKD App, significant advancement of our drive to increase research and the development of exercises for PKD integrated into the Kidney Beam app.

Following our successful partnership with Kidney Research UK we have built on this further with an exciting development of a PKD Research Consortium where we are striving to combine the UK’s research into PKD to help accelerate translational PKD research in the UK with therapeutic potential to impact the lives of patients.

Over the next few pages, you can read more about the Charity’s activities during 2022-23. We are unable to do our work without the generosity of those who donate money or give time: including patients and families affected by PKD, their colleagues and friends; the bereaved and those who give in memory of those who die from PKD; the healthcare professionals and researchers; our partners and foundations; our trustees and staff.

Alan Greenberg, Chair, Board of Trustees

Date: 22 December 2023

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

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Polycystic Kidney Disease Charity Annual Report and Financial Statement for the year ended 31 March 2023

OBJECTIVES AND AIMS

The Polycystic Kidney Disease (PKD) Charity is the only UK charity solely dedicated to improving the lives of children, adults, families, and carers affected by polycystic kidney disease (PKD). The Charity was formed in 2000 by a PKD patient and a genetics consultant. Throughout the past 20 years, most trustees and staff have been either PKD patients or family members.

About PKD

PKD is an incurable, systemic genetic condition that causes kidney failure and damages other organs. There are two forms of PKD: autosomal dominant polycystic kidney disease (ADPKD), the most common inherited kidney disease and fourth cause of kidney failure worldwide; and the rare autosomal recessive polycystic kidney disease (ARPKD).

The prevalence of ADPKD and ARPKD is approximately 1 in 1,000 and 1 in 20-40,000 respectively. This means that each year, of the 800,000 babies born each year in the UK, 800 could have ADPKD and 2040 could have ARPKD. As an inherited condition, PKD affects not only the individual but also their immediate family. It’s a lifelong condition that can start to present even before birth.

In 2021 (latest published data), approximately 7,000 adults with PKD were receiving treatment for kidney failure – accounting for 1 in 10 of all adults in the UK on dialysis or with a kidney transplant.

Image: 1 – Katie wanted the public to see how big polycystic kidneys can grow

ADPKD – the more common form of PKD

ADPKD causes multiple fluid-filled cysts to develop, grow and multiply from conception in both kidneys resulting in kidney growth and progressive kidney failure. In many patients, cysts also form in the liver, pancreas and other organs. Both kidneys can grow immensely, up to 100 times normal size - see Image 1 on left showing the impact of ADPKD kidneys on body shape. The brain and heart can also be damaged. Individuals with ADPKD will often have directly affected family members, parents and siblings, sometimes over several generations.

Most patients with ADPKD will have kidney failure by age 60 and will need kidney replacement therapy (KRT) to stay alive. KRT involves either dialysis or (if feasible) a kidney transplant. Some people will

require nephrectomies (kidney removal) due to organ size and have frequent disabling, painful cyst infections that may need surgical intervention. Over 20 adults annually will also need a liver transplant owing to massively cystic livers. Some families are prone to brain aneurysms, which can fatally rupture if not discovered and treated. Acute and chronic pain is common throughout life. As ADPKD progresses, individuals experience complications such as high blood pressure, infections, bleeding, bowel and bone disorders, gout and kidney stones.

There is one disease-modifying treatment. However, this is not available to all patients, has modest efficacy and challenging side effects. Read more about ADPKD on the PKD Charity website.

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

Image: 2 Hazel is affected by ARPKD (image by permission)

ARPKD is rare and often diagnosed during pregnancy. Unfortunately, 1 in 3 babies will die in the first week of life owing to the rapid growth of cystic kidneys preventing lung development. The babies who survive sometimes experience early kidney and liver failure. They may need life-saving dialysis before transplant and about a third have impaired growth during childhood. Some children may need kidney or liver transplants in later life.

Despite this, many children do survive to adulthood with mild forms of ARPKD, although their kidneys and livers can be impaired. ARPKD patients frequently have very high blood pressure and are prone to liver-related problems such as bile duct infections and enlarged spleens. See Image 2 of Hazel who is frequently unwell from ARPKD symptoms, affecting her ability to enjoy a normal childhood.

There are no treatments other than symptomatic. Read more about ARPKD on the PKD Charity website.

Charitable objects

To promote health and to relieve those persons suffering from or affected by PKD with a view to improving their conditions of life, in particular but not exclusively by:

Our objectives and activities

Research

Our aim is to support and fund ADPKD and ARPKD research in the UK. As a small charity, we focus on funding small research projects up to £15,000 each and contributing towards PhD studentships (future capacity building). To date, since 2008, we have awarded over £650,000 to research.

We publish details of funded research and outcomes on the Charity website and include in our regular eNews and printed newsletter.

We participate in PKD research groups and networks in the UK and internationally.

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

Information, awareness, and advocacy

ADPKD is the most common inherited kidney disease, yet few people have heard of it and awareness amongst GPs is known to be particularly low. ARPKD is rare and diagnosis/prognosis is a challenge, especially in pregnancy.

We produce and publish evidence-based information about PKD in collaboration with medical experts, available online and in print. We have PIF TICK accreditation and are designated as a ‘trusted health care information creator’ by the Patient Information Forum.

We organise frequent educational events on all aspects of PKD, with medical and health professional speakers, aimed at helping patients/carers be more knowledgeable, feel more confident and able to cope.

We represent the views and voices of patients, families and carers to UK healthcare professionals, researchers, the NHS, policy makers and the media. We educate pharmaceutical firms with an interest in PKD to ensure that they understand patients’ experiences and needs. Where appropriate, we work in partnership with other charities and umbrella groups, to raise awareness about PKD and its impact on individuals and families.

Support

Being diagnosed with PKD is usually a shock, even if there are known family members with the condition. People report feeling isolated and overwhelmed by the health implications and have concerns for their own future, their children and family members.

We want everyone affected by PKD to have the best quality of life, despite the complications and sometimes life-threatening nature of PKD.

We support patients and carers at every stage of their life with PKD. We provide a range of community services offering practical and emotional support, information and advice including: a helpline run by people with direct experience of PKD, educational events, individual befriending, webchat/messaging, meetups, workshops, and moderated online Facebook groups.

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

PERFORMANCE AND ACHIEVEMENTS DURING 2022-23

2022-23 was the first year of our 3-year strategy, approved in March 2022. Our long-term goals were:

In particular, in 2022-23, we aimed to:

  1. Evolve our research partnership with Kidney Research UK.

  2. Develop and launch a PKD information app, co-produced with our community.

  3. Participate in the development of PKD-specific exercise modules within the Kidney Beam app.

  4. Grow and develop local PKD Groups and recruit more volunteers to help organise their activities.

  5. Focus our fundraising strategy on community fundraising in conjunction with our Groups.

Research activities during 2022-23

PKD Charity and Kidney Research UK partnership

During the year, discussions continued with Kidney Research UK about evolving the existing partnership between our two charities into a PKD Research Consortium , which will bring together clinical and scientific experts in PKD and related rare conditions, to pool resources, drive collaboration and accelerate therapeutic development.

Image: 3 – Collaboration for improved patient outcomes in the PKD Research Consortium

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

The consortium will be a robust collaborative platform bringing together experimental models, including organoids and biosamples, and mature patient genetic and clinical data held in the UK Rare Kidney Disease Registry (RaDaR). A structured strategic approach through the consortium will generate novel disease insights and identify new targets for drug development and/or repurposing to transform patient outcomes. See Image 3.

Research grants

The PKD Charity trustees approved:

Progress report on the supply of BioResource samples for PKD research (UK)

The BioResource contains hundreds of cell tissues and fluid-based samples donated by ADPKD and ARPKD patients at various stages of kidney function decline. Samples from this unique collection have been provided to the majority of major PKD research centres in the UK. Importantly, this has also helped encourage collaborations between groups and allow investigators from other research fields to expand their studies to include PKD projects.

Professor Patricia Wilson, who curates the BioResource, reported that in a 12-month period:

Failure of two major ADPKD clinical trials

During the year, we were disappointed to learn that two pharmaceutical-sponsored clinical trials of drugs for ADPKD were stopped.

ADPKD research priorities

The research priorities were highlighted in several grant applications to external funders, including the National Institute for Health and Care Research (NIHR).

Patient involvement

We were asked to support research projects and invite our community to provide feedback on grant applications.

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

Other research activities

We participated in and supported UK and relevant international research activities:

Support services for people, carers and families affected by PKD

During 2022-23, we continued to support our community through remote service delivery and publishing frequently updated health and COVID-19 information. We used our online channels and platforms such as Zoom, Teams, Facebook and other social media, and were also able to return to inperson events. We also launched the first-ever PKD App.

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

PKD App

In November 2022, we launched the PKD App, after a tender process. The developer, Expert Self Care Ltd, was established by a GP with extensive experience of developing similar healthcare apps with charities and the NHS. In addition to the technical development, they provided editorial assistance and will assist with promotion to their NHS contacts.

We involved our PKD community through focus groups, editorial boards and rounds of content review, with every step logged for PIF TICK accreditation purposes. The app is free to download on Apple and Google stores and requires no registration. No personal data is collected. Android Google Play: PKD App iPhone App Store: PKD App

The app will help us deliver our information to an under-represented group in our community – the newly diagnosed and those at early stages of PKD. Historically we have had challenges reaching and supporting these patients due to:

  1. Lack of awareness of PKD and the PKD Charity in GP surgeries – these patients tend to be seen by a GP first and a surgery may only have 1 or 2 PKD patients.

  2. General lack of awareness about PKD and the PKD Charity in hospitals – these patients often get diagnosed incidentally (eg during an ultrasound for another issue) and then referred to their GP for follow-up.

  3. Hospital doctors/nurses don’t refer patients to the PKD Charity. Hospital leaflets/posters are inefficient – high cost of production/distribution to 300 hospitals with renal units, they are often not visible or displayed in out-patient clinics, not at hand when needed and many clinics have removed non-NHS Trust information).

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

In our app focus groups, patients and carers commented:

The PKD App:

  1. Provides credible information and health advice all in one place – derived from our PIFTICK accredited information.

  2. Offers practical tips for everyday life.

  3. Gives links to trusted further information and available support.

  4. Provides reassurance

At 31 March 2023:

“I have had a look at the app & it looks great!! I love the way it's easily accessible & can allow the user to use delve into the sections that they want to further.”

“I'm sure this will be a great success & look forward to be able tell others I know about this app as PKD is one disease that many people do not know much about at all (even those who have family members/friends that have it!)”

“We found the App easy to navigate and up to date with all the information on PKD. The key advantage I found was it accessible on my phone and helpful to explain to my family, as it also allowed them to read it for themselves.”

PKD Exercise App – in collaboration with ‘Kidney Beam’

A collaborative opportunity arose to work with an established webservice called ‘Kidney Beam’ to develop a set of exercise classes for PKD patients. Kidney Beam is a web app (accessed via a portal), set up by UK kidney doctors and physiotherapists who developed and published a range of exercises specifically for people with kidney disease. PKD patients have special needs owing to extended abdomens and pain, plus they need to careful about not causing a kidney cyst to rupture during exercise but there were no modules designed for their needs.

Exercise routines for PKD were created with patient involvement and modules were filmed for final testing in December 2022. The classes were launched Spring 2023. We expect to receive a report from Kidney Beam end 2023 with the outcomes of the exercises on PKD patients (as part of a research project).

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

Online support group meetups

During the year, we held 31 online support group calls either via Zoom or in-person. Our locationbased groups are in London, Bedfordshire, Norfolk, NE England and Wales. The online groups are open to anyone in the UK and either focus on a health topic or just bring people together to chat and share experiences.

“It was so valuable to hear other people's experiences and meet other fellow PKD/PLD sufferers. The group were so amazingly strong, open and honest and the hosts were amazing at holding the space and full of compassion. It almost felt like a relief to share my experience with people who totally understood and appreciated your anxieties and concerns.”

As a PKD patient now on the national transplant list, it's so important having access to these services and support groups, particularly as this disease doesn't show externally, so people think there is nothing wrong with you. The Low Clearance support group allows me to listen to other people who are in the same position as me; making me feel like I'm not alone. This then goes towards helping me manage my mental health, self-esteem and confidence.”

Attendance varies from about 20 for the London group to 7-8 for the other groups.

Image: 4 - Some of the London regulars arriving for the support group

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

Phone and Facebook support

Our 0300 phone helpline was available for those feeling worried or emotional or needing information. The number of callers remained at approximately one caller per day on average. We logged the details of nearly 180 incoming calls during the year and categorise them by type: they are split equally between ‘Support’ ‘Questions’ and ‘Information’.

Additionally, we respond to 1 to 2 messages a day posted on our Facebook groups or sent via direct message or text. We have help from our groups’ volunteer moderators and staff for out of hours support.

We use our CRM case management module to record all phone/online support requests. This enabled us to follow up on cases that needed extra support after the initial outreach.

Information & Support Day for patients and families affected by ADPKD

We held an ADPKD Information & Support Day in Sheffield, the first time in-person since February 2020, pre-COVID. We offered masks and had sanitisers available, and informed everyone that they came at their own risk.

The venue had a 100-person capacity and was fully booked. We added live streaming for an online audience as a trial. Along with presentations by leading experts in ADPKD, the event included an informal Q&A, giving the in-house and online audiences the opportunity to fully interact with the panel.

Despite extensive promotion, the online audience was smaller than hoped (33) and there were some technical difficulties (despite using a professional company). We decided that live streaming was

Image: 5 – Speakers at Sheffield Info & Support Day

not feasible and too costly for future events.

“Just wanted to say a huge thank you to you and your team for today. You are such warm friendly people and fellow PKD patients which I honestly did not realise. I will access your website much more now as a result of today.”

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

“The most helpful was learning about blood pressure, but I found the whole event informative, and professionally done, even down to the disabled parking you arranged for me.”

Information and Support event for parents of children affected by ARPKD (autosomal recessive polycystic kidney disease)

About 1% of our community is affected by the rare form of PKD, ARPKD (autosomal recessive polycystic kidney disease), which severely affects babies and children. Our beneficiary group are predominantly parents of affected children, but we also engage with ARPKD adults.

In November 2022, we organised an in-person event for parents and children in collaboration with Birmingham Children’s Hospital (BCH) who kindly allowed us to use their new Rare Disease Centre exclusively on a Saturday. It was also the 10[th] anniversary of our first ARPKD event at BCH.

In the morning, four doctors gave talks to the parents, and in the afternoon a clinical psychologist ran a workshop. We also invited an ARPKD scientist to talk about current research.

The children were cared for in a dedicated area by nursery nurses and DBS-checked volunteers and entertained by a magician and a petting zoo. A psychotherapist ran a workshop for the children showing them techniques to help with their anxiety. (Permission given by all parents to use photos)

Online events

During the year, we held 6 online topic-focused events with Q&A, attended by 300 in total:

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Annual Report and Financial Statement for the year ended 31 March 2023

“I submitted 2 questions. The doctor’s sensible approach and knowledge made this a very informative session.”

“I am constantly asked by friends and relatives why they don’t take the PKD kidneys out when I am suffering in some way from them and I haven’t really had the answer just assumed it too expensive or risky to do, so it’s good to have some facts from the experts.”

We also held 3 events jointly with the National Kidney Federation. We alternated the hosting which enabled us to reach more people and optimise our limited personnel resources.

Talks from the online information events were recorded and are available on our website and YouTube channel. Each topic video is also included on an appropriate page on our website to enrich written content.

During the year, we also shared information about events organised by other charities on topics such as COVID-19 and benefits.

We are very grateful to the UK healthcare professionals for volunteering their time on weekend evenings and Saturdays to present to and answer questions from our community.

Living Well with PKD Workshops

With the assistance of a Clinical Kidney Psychologist and Psychotherapist, we delivered 13 online workshops on ‘Living Well with PKD’. These explored pain, anxiety, diagnosis, relationships, grief and loss, body image and self-criticism. The workshops were held over 90 minutes via a Zoom meeting with capacity limited to 10.

The workshops were very popular with overall satisfaction rated 4.8/5.

“These workshops are so useful, I’d never considered joining one until recently but so glad I did and hope to attend more in the future, really helps to improve my own mindset around having PKD.”

Facebook groups

We manage and moderate 3 private UK-only Facebook groups with approximately 3,500 members. We are fortunate to have the support of trained volunteers who assist staff with moderation and peer support. As in the previous FY, we noticed that many people were experiencing delays in seeing specialists. However, we also noticed a growth in posts on PKD genetics, reflecting the increasing number of patients are now getting genomic testing.

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Annual Report and Financial Statement for the year ended 31 March 2023

Health information for patients and families

During the year we continued to update and draft new information. We have Patient Information Forum PIF TICK accreditation, which means that a reader can be assured that what they are reading, watching or listening to is evidence-based, understandable, jargon-free, up-to-date and produced to the best possible standard. This has enabled us to improve the distribution of our fact sheets, in particular to GPs via online directories, such as Healthinote.

All the fact sheets are available on our website, and we print booklets where required, eg ‘ADPKD Basics.

Feedback on 'ADPKD Basics' factsheet: “I thought it was a clear, brilliantly worded piece. It was really easy to understand without being patronising. I wish we had been given this when my husband was first diagnosed rather than the hospital leaflet!”

However, as in previous years, we struggled with the availability of healthcare professionals to review drafts owing to the pressures on NHS staff.

We regularly updated the COVID-19 information in line with Government and other health guidance.

ADPKD ‘Tweetorial’

The chief executive was invited by an international academic group to write a series of posts about ADPKD from the patients’ perspective. Link to the tweetorial on X (formerly Twitter).

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

PKD awareness/advocacy activities

Support Services campaign

We designed and implemented a digital campaign to promote Support Services which centred around the thoughts, fears, and feelings of isolation typically experienced by many affected by PKD. The campaign strapline aimed to remind the community that whether they required information, practical advice or just someone to talk to, we're here to help:

‘YOU’RE NOT ALONE YOU’VE GOT US’

A suite of graphics was created which linked to the Support section of our website. Links were measured to assess performance. The post with the highest reach and engagement was ‘No one understands’.

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

Awareness

Through social media posts on our Facebook page (10,000 followers), groups, Twitter/X, LinkedIn, Instagram social channels we continued to raise awareness of PKD, kidney health and our services.

We issued 2 printed full-colour newsletters to approximately 3,000 households and posted each online.

We published a regular e-news to over 4,000 individuals to keep the community informed. The e- news list grew by 25% over the previous year. Emails achieved high unique opens, with several over 50%, demonstrating good engagement.

After a 2-year pause due to COVID-19, the British Transplant Games made a welcome return in July 2022 in Leeds. The eagerly anticipated event saw hundreds of people competing in a variety of sports at venues across the city over 4 excitementfilled days.

This was a welcome opportunity for the team to meet members of the PKD community in person, and to cheer them on as they competed in the Games.

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

PKD Awareness Week Month was held in September 2022 and attracted wide interest online. We led with the story of Katie Banks (left), mum of two children, who bravely shared her experience of living with one of the more distressing symptoms of the disease, the ‘PKD Belly’.

One Facebook post featuring her photo and story achieved a record-breaking organic reach of 89,520, 16% engagement and 600+ comments, not only the highest for the year but all time. It resonated with the PKD community UK-wide and internationally, with hundreds thanking Katie and the Charity for addressing the widespread emotional anguish caused by living with grossly enlarged cystic kidneys.

World Kidney Day (WKD) 2023 was celebrated digitally and at an in-person event in March, in collaboration with the Kidney Charities Together group.

We promoted and aligned our activity with other Awareness days/weeks, including Rare Disease Day in February 2023.

Advocacy

Throughout the year, members of staff attended and participated in conferences, workshops and events relevant to PKD, kidney, liver, genetic and rare diseases. These included UK Kidney Week Conference held in-person in June 2022 for the first time since 2019, the European Renal Association congress and the British Association of Paediatric Nephrologists/Paediatric Nephrology Nurses Group Conference.

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Polycystic Kidney Disease Charity Annual Report and Financial Statement for the year ended 31 March 2023

During the year, the leads of three renal genomics projects invited the Charity to participate in their work to embed genomics and genetic testing into the kidney care pathway. The work was ongoing at 31 March 2023.

Additionally, the Charity participated in a UK-wide review of renal services during COVID-19 and joined a new Kidney Policy Forum, convened by Kidney Research UK.

The Charity continues as a member of Kidney Charities Together (KCT) working collaboratively to be the single powerful voice for all kidney patients in the UK. Other member charities include Kidney Care UK, Kidney Research UK, the National Kidney Federation, Kidney Wales, the UK Kidney Association. The KCT met regularly to agree unified communications around COVID-19 and plan World Kidney Day activities.

The Charity is a member of several UK umbrella organisations representing the interests of people with long-term conditions (LTC) or genetic diseases, including Genetic Alliance UK, the Health and Social Care Alliance Scotland, Rare Disease UK, the Kidney Health Partnership and the Specialised Healthcare Alliance . The Charity engages with these organisations to ensure that our aims and activities are known, recognised, and considered. The Charity regularly inputs into national consultations facilitated by these umbrella bodies.

The Charity is a founder member of the Ciliopathy Alliance , which brings together patients, families, doctors, and scientists with the aim of improving the quality of life for children and adults affected by ciliopathies – primarily genetic diseases caused by defects in the function and structure of cilia (microscopic organelles found in every human cell and vital to development). PKD is an important ciliopathy with ADPKD having the largest patient cohort. There is a growing interest in studying a cluster of conditions called renal ciliopathies, which include ADPKD and ARPKD.

The Charity is a member of Befriending Networks , the UK’s leading resource on befriending whose accreditation was obtained during 2015.

The Charity is a founding member of the Kidney Patients Involvement Network (KPIN), which is committed to increasing the number of patients engaged with initiatives and harness enthusiasm across a wider kidney patient and carer population, improving involvement and engagement from minority and under-served groups.

The Charity is a member of the ABPI (Association of British Pharmaceutical Industry) Patient Organisation Forum . The forum meets regularly to discuss issues such as joint working between patient organisations and pharmaceutical companies.

The Charity is a founder member of PKD International (PKDI), a global alliance of patient groups supporting people affected by all forms of PKD. These groups have similar aims to the PKD Charity. The chief executive is the current President of PKDI (a voluntary role). More information here: www.pkdinternational.org

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

The Charity is a member of EURORDIS , the European umbrella organisation of patient groups representing adults and children with rare and genetic diseases.

The Charity is a founder member of FEDERG , the European Federation of Patient Groups representing rare and genetic renal diseases.

Community involvement in the work that we do

Our PKD community plays a vital role in the work that we do. We involve them in many aspects – directly, through volunteering, speaking about their personal experience on webinars and education events; or indirectly, by asking for their feedback, taking part in consultations and surveys.

We have approximately 85 (2022: 60) active loyal volunteers and we hugely appreciate the time and commitment they willingly give. They helped us during the year with reviewing health information, moderating our Facebook groups, hosting online support group meetings and taking part in consultations. Their sharing of personal experiences has been invaluable to others going through the PKD patient journey.

We also thank the healthcare professionals, scientists and others who gave their time to speak at the patient information events and wrote or reviewed health information materials.

Community fundraising

We thank all our wonderful fundraisers who supported the Charity’s work during 2022-23. They walked miles, ran marathons, organised garden parties and plant sales, skydived, hula hooped, shaved their heads, fundraised at school, work and at home to raise funds to ensure that PKD Charity can continue to support people affected by PKD and fund life-changing research. Below are a few stories.

Ed set himself the challenge to complete 500,000 steps in the month of September as part of Walk for PKD. He did it!

Morgan and her friends took part in Walk for PKD in 2022.

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

Sam and her friends, Sujata and Tony shaved their heads.

“I have suffered from Polycystic Kidney Disease for most of my life. When my father succumbed to this awful illness, there were no chances of a transplant, dialysis, and certainly no medicinal treatments. The wonderful PKD Charity is trying to change this situation, funding research and providing support networks and initiatives so that sufferers can hope for a better future. To raise funds for this wonderful charity, two close friends, Sujata and Tony, and I shaved our heads (and beard in Tony’s case!).”

Grant fundraising

The National Lottery Community Fund awarded year 4 of the 5- year grant for the Positive Peers Programme.

Grants from other Trusts & Foundations are shown in the Statement of Financial Activities.

Pro bono support

We acknowledge and thank:

2023-24 PLANS

Our long-term goals are:

In 2023-24, we will:

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Polycystic Kidney Disease Charity Annual Report and Financial Statement for the year ended 31 March 2023

STRUCTURE, GOVERNANCE AND MANAGEMENT

Constitution

The Polycystic Kidney Disease Charity is a company limited by guarantee on 12 March 2015, Company Registration No 9486245 and is registered for charitable purposes with the Charity Commission, Charity Registration No. 1160970. The Charity is governed by its Memorandum and Articles of Association. In the event of the Charitable Company being wound up, company members are each required to contribute an amount not exceeding £10.

Trustees

Trustees, who are also directors of the Charitable Company, are recruited by open advertising and appointed by the other trustees. Trustee appointments are for three years, after which trustees retire but are eligible for re-appointment for a further two terms of three years.

They are unpaid volunteers and may claim reasonable out of pocket expenses. The charity’s activities are planned and carried out by the trustees. All trustees are required to declare relevant interests and may be required to withdraw from trustee meetings.

All trustees are encouraged to develop their trusteeship skills and to attend external conferences and events relevant to PKD and charity governance.

Governance and administration

The trustees met 5 times online during the year to review the charity’s performance, determine and approve the operating plan and budget. The trustees delegate review of grant applications to the PKD Charity Research Advisory Board (RAB) who met virtually to review grant applications. The trustees delegate the management of charitable activities and administration to a small team led by the chief executive. The trustees monitored performance at trustee meetings; the chair has regular phone and face-to-face meetings with the chief executive.

Risk Management

The trustees have overall responsibility for ensuring that the charity is managing risk in a professional, responsible and constructive manner. This has involved identifying risks the charity may face, assessing potential impacts and seeking to minimise them. Material risks for charity include key person dependency on its chief executive, risk of loss of supporters, managing regulatory changes, and maintaining a surplus. The trustees continue to review the risks caused by COVID-19, with a view to mitigating these risks. The trustees regularly review the charity’s risk management policies, which include data protection and safeguarding – the charity is registered with the Information Commissioner and requires trustees, staff and some volunteers to undertake Adult Safeguarding Courses. The charity is exposed to financial risks, such as loss of income, which it aims to mitigate by maintaining sufficient reserves while continuing to diversify fundraising, for example, by increasing grant funding.

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

Fundraising

The charity undertakes most of its fundraising activities in-house and used a consultant solely for the purposes of grant applications. The charity is a member of the Fundraising Regulator , providing reassurance to supporters, members of the public and other donors, and promoting best practice in fundraising. The charity received no complaints about its fundraising practice in this financial year.

The charity is registered with the Information Commissioner and all supporters’ and stakeholders’ personal data are maintained securely in accordance with the GDPR (2018).

FINANCIAL REVIEW

Performance

During the 12 months to 31 March 2023, the charity’s income was £386,220 (2022: £348,243).

Expenditure on raising funds as a percentage of total incoming resources was 22 % (2022: 19%). Research expenditure was £177,340 (2022: £90,626). The Charity’s expenditure on charitable activities across Patient support, Awareness and Education was £222,839 (2022: £136,893), which included information days, telephone support, online/chat support and expenditure on the peer support service.

In total, the Charity expended £508,629 (2022: £324,193), resulting outgoing resources for the year of £122,410 (2022: incoming resources of £24,050). Total fund balances at the year-end were £299,102 (2022: £421,512) and all funds maintained a surplus position at the year-end (Note 18).

Public Benefit

All charitable activities are undertaken to further charitable purposes for public benefit. The trustees confirm they have referred to the guidance contained in the Charity Commission’s general guidance on public benefit when reviewing the charity’s aims and objectives and in carrying out and planning current and future activities.

Reserves

The Charity maintains a Reserves Policy to hold reserves equivalent to a minimum 3 months’ ongoing expenditure, after covering current liabilities. As at the year end, the Charity had undesignated free reserves of £124,860 (2022: £140,935), equivalent to 3 months´ total expenditure (2022: 5 months). The trustees considered that the Charity has sufficient reserves at the year-end and are of the view that the Charity continues to be a going concern.

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

Risk Management

The trustees have overall responsibility for ensuring that the Charity is managing risk in a professional, responsible and constructive manner. This has involved identifying risks the Charity may face, assessing potential impacts and seeking to minimise them. Material risks for Charity include key person dependency on its Chief Executive, risk of loss of supporters, managing regulatory changes, and maintaining a surplus. The trustees continue to review succession plans and to survey the satisfaction of its beneficiaries and supporters, with a view to mitigating these risks. The trustees regularly review the Charity’s risk management policies, which include data protection and safeguarding. The Charity is exposed to financial risks, such as loss of income, which it aims to mitigate by maintaining sufficient reserves while continuing to diversify fundraising, for example, by increasing grant funding.

Approved by the Trustees and signed on their behalf by

Idriz Adedoja Trustee-Treasurer

Date: 22 December 2023

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

Independent Examiner's Report to the Trustees of the Polycystic Kidney Disease Charity

Independent examiner’s report to the trustees of The PKD Charity

I report on the accounts of the company for the year ended 31 March 2023, which are set out on pages 23-38.

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) or under Regulation 10 (1)(a) to (c) of The Charities Accounts (Scotland) Regulations 2006 (the 2006 Accounts Regulations) and that an independent examination is needed. The charity is required by company law to prepare accrued accounts and I am qualified to undertake the examination by being a qualified member of Institute of Chartered Accountants in England and Wales. 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:

Basis of independent examiner’s report

My examination was carried out in accordance with the general Directions given by the Charity Commission and is in accordance with Regulation 11 of the Charities Accounts (Scotland) Regulations 2006. 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:

Charles Pickin

Fellow of Institute of Chartered Accountants in England and Wales Harrison Jasper Ltd Florance Lane Groombridge TN3 9SH Date: 22 December 2023

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

STATEMENT OF FINANCIAL ACTIVITIES - 1 APRIL 2021 TO 31 MARCH 2023

(INCORPORATING INCOME AND EXPENDITURE ACCOUNT) FOR THE YEAR ENDED 31 MARCH 2023

Notes
Income from:
Donations grants and legacies
3
Charitable activities
4
Other trading activities
5
Investment income
6
Total income
Expenditure on:
Cost of fundraising
7
Non-charitable trading activities
7
Total
Research and grants
8
Awareness and education
Patient support
Depreciation
14
Total
Other expenditure
Support costs
9
Total expenditure
Net income / (expenditure) for the year
Fund balances brought forward at 1 April
18
Net incoming resources for the year
18
Transfers between funds
18
Fund balances carried forward
18
Restricted
Funds
2023
£
94,445
-
-
-
94,445
-
-
-
153,355
-
180,389
5,904
339,648
-
339,648
(245,203)
195,720
(245,203)
99,758
50,275
Unrestricted
Funds
2023
£
273,219
8,735
7,361
2,460
291,775
84,320
1,557
85,877
23,985
36,544
-
-
60,529
22,575
168,981
122,794
225,792
122,794
(99,758)
248,828
Total
2023
£
367,664
8,735
7,361
2,460
386,220
84,320
1,557
85,877
177,340
36,544
180,389
5,904
400,177
22,575
508,629
(122,409)
421,512
(122,409)
-
299,103
Total
2022
£
339,288
-
7,081
1,874
348,243
67,075
2,598
69,673
90,626
51,964
79,025
5,904
227,519
27,001
324,193
24,050
397,462
24,050
-
421,512

The Statement of Financial Activities includes all gains and losses in the year and therefore a statement of total recognised gains and losses has not been prepared.

All of the above amounts relate to continuing activities.

The notes on pages 31 - 43 form part of these financial statements.

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

BALANCE SHEET AT 31 MARCH 2023

Notes
FIXED ASSETS
Tangible assets
14
CURRENT ASSETS
Debtors
15
Cash at bank
Total current assets
Liabilities
Creditors: Amounts falling due
within one year
16
NET CURRENT ASSETS
Total
assets
less
current
liabilities
Creditors: Amounts falling due
after more than one year
17
NET ASSETS
The funds of the Charity:
Unrestricted funds - Designated
18
Unrestricted funds - General
18
Restricted funds
18
TOTAL FUNDS
2023
£
1,968
15,705
519,397
535,102
107,967
427,135
429,103
130,000
299,103
122,000
126,828
50,275
299,103
2022
£
7,872
7,783
535,666
543,449
84,809
458,640
466,512
45,000
421,512
76,985
148,807
195,720
421,512

The company was entitled to exemption from audit under section 477 of the Companies Act 2006.

The members have not required the company to obtain an audit of its accounts for the year in question in accordance with section 476 of Companies Act 2006.

The directors acknowledge their responsibilities for complying with the requirements of the Act with respect to accounting records and the preparation of accounts.

The financial statements have been prepared in accordance with the provision applicable to entities subject to the small companies’ regime.

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

The financial statements were approved by the Trustees and authorised for issue and signed on their behalf by:

………………………………..

Idriz Adedoja Trustee-Treasurer

Date: 22 December 2023

The notes on pages 31 - 43 form an integral part of these accounts.

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2023

1. GENERAL INFORMATION

The Charity is a company limited by guarantee and has no share capital. In the event of the Charity being wound up, the liability in respect of the guarantee is limited to £10 per member of the Charity. Its registered office is:

49-51 East Road London N1 6AH

The significant accounting policies applied in the preparation of these financial statements are set out below. These policies have been consistently applied unless otherwise stated.

2. ACCOUNTING POLICIES

The principal accounting policies adopted are as follows:

i) Basis of preparation

The financial statements have been prepared in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the United Kingdom and the Republic of Ireland (FRS 102) (Charities SORP FRS 102 second edition – effective January 2019) and the Charities Act 2011. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy or note.

The Polycystic Kidney Disease Charity meets the definition of a public entity under FRS102. Assets and liabilities are initially recorded at historical cost or transaction value unless otherwise stated in the relevant accounting policy.

ii) Going Concern

The Trustees are of the view that the Charity holds sufficient funds to carry on for the next 12 to 18 months and that on this basis the assessment of the Trustees is that the Charity is a going concern.

iii) Incoming Resources

All incoming resources are recognised once the Charity has entitlement to the resources, it is certain that the resources will be received, any performance conditions attached to the item(s) of income have been met or are fully within the control of the Charity and the monetary value of incoming resources can be measured reliably.

iv) Investment Income

Investment income is accounted for in the period in which the Charity is entitled to receipt. Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the Charity; this is normally upon notification of the interest paid or payable by the Bank.

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2023

v) Resources Expended

Expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party, it is probable that settlement will be required, and the amount of the obligation can be measured reliably. All expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to the category.

Governance costs principally comprise Trustees’ meeting costs, accountancy costs, professional fees, and an allocation of staff time.

vi) Grants

Provision is made for grants when the Trustees have made a binding commitment, and this has been communicated to the applicant.

vii) Government grants

grants are accounted under the accruals model as permitted by FRS102. Grants relating to expenditure on tangible fixed assets are credited to the Statement of Financial Activities at the same rate as depreciation on the assets to which the grant relates. The deferred element of grants is included in creditors as deferred income.

viii) Tangible fixed assets and depreciation

Depreciation is provided at rates calculated to write off the cost less the estimated residual value of each tangible fixed asset over its expected useful life.

ix) Current asset investments

Current asset investments represent cash investments maturing within one year and are shown at carrying value.

x) Debtors

Trade and other debtors are recognised at the settlement amount due after any trade discount offered. Prepayments are valued at the amount prepaid after taking account of any trade discounts due.

xi) Pensions

Employees of the Charity are entitled to join The Peoples Pension, a defined contribution pension scheme. The Charity contribution is restricted to the contributions disclosed in note 9. Pension costs are allocated to activities in proportion to the related staffing costs incurred. The defined contribution pension scheme is managed by The Peoples Pension Trustee. The Charity has no liability beyond making its contributions and paying across the deductions for the employee’s contributions.

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2023

xii) Creditors and provisions

Creditors and provisions are recognised where the Charity has a present obligation resulting from a past event that will probably result in the transfer of funds to a third party and the amount due to settle the obligation can be measured or estimated reliably. Creditors and provisions are normally recognised at their settlement amount after allowing for any trade discounts due.

xiii) Financial instruments

The Company only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value with the exception of bank loans which are subsequently measured at amortised cost using the effective interest method.

xiv) Funds Structure

Funds are established to provide financial resources for aspects of the Charity’s activities. Some funds were set up when the Charity received grants and donations that were made for specified purposes. Where conditions were made, the funds set up are restricted funds. The names of most of the funds convey the purposes for which they were established.

xv) Fund Accounting

General funds are unrestricted funds which are available for use at the discretion of the Trustees in furtherance of the general objectives of the Charity and which have not been designated for other purposes.

Designated funds comprise unrestricted funds that have been set aside by the Trustees for particular purposes. The aim and use of each designated fund is set out in the notes to the financial statements.

Restricted funds are funds which are to be used in accordance with specific restrictions imposed by donors or which have been raised by the Charity for particular purposes. The costs of raising and administering such funds are charged against the specific fund. The aim and use of each restricted fund is set out in the notes to the financial statements.

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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DocuSign Envelope ID: F5BC5970-9DB7-42C3-B8C8-FEF3875274F6

Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2023

3. DONATIONS, GRANTS AND LEGACIES

Donations and gifts
Trusts, foundations and grants
Gift Aid
Total 2023
Total 2022
Restricted
funds
2023
£
18,450
75,995
-
94,445
53,425
Unrestricted
funds
2023
£
252,378
-
20,841
273,219
285,863
Total Funds
2023
£
270,828
75,995
20,841
367,664
339,288
Total Funds
2022
£
262,085
53,125
24,078
339,288

No government grants were received during the year (2022: £Nil).

4. INCOME FROM CHARITABLE ACTIVITIES

Restricted
funds
2023
£
Patient research
-
Total 2023
-
Total 2022
-
. INCOME FROM OTHER TRADING ACTIVITIES
Restricted
funds
2023
£
Shop and other income
-
Total 2023
-
Total 2022
-
Unrestricted
funds
2023
£
8,735
8,735
-
Unrestricted
funds
2023
£
7,361
7,361
7,081
Total Funds
2023
£
8,735
8,735
-
Total Funds
2023
£
7,361
7,361
7,081
Total Funds
2022
£
-
-
Total Funds
2022
£
7,081
7,081

5. INCOME FROM OTHER TRADING ACTIVITIES

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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DocuSign Envelope ID: F5BC5970-9DB7-42C3-B8C8-FEF3875274F6

Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

NOTES TO THE FINANCIAL STATEMENTS FOR

THE YEAR ENDED 31 MARCH 2023

6. INVESTMENT INCOME

Interest income
Total 2023
Total 2022
. EXPENDITURE ON RAISING FUNDS
Cost of fundraising
Cost of goods sold
Total 2022
Total 2021
Restricted
funds
2023
£
-
-
-
Restricted
funds
2023
£
-
-
-
-
Unrestricted
funds
2023
£
2,460
2,460
1,874
Unrestricted
funds
2023
£
84,320
1,557
85,877
69,673
Total Funds
2023
£
2,460
2,460
1,874
Total Funds
2023
£
84,320
1,557
85,877
69,673
Total Funds
2022
£
1,874
1,874
Total Funds
2022
£
67,075
2,598
69,673

7. EXPENDITURE ON RAISING FUNDS

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Page 35/43

DocuSign Envelope ID: F5BC5970-9DB7-42C3-B8C8-FEF3875274F6

Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2023

8. ANALYSIS OF RESEARCH AND GRANTS

Bio Resource Bank
ADPKD Research
Kidney Research UK
UCL Great Ormond Street Institute of Child
Health
Staff, subcontractor and other costs
Total:
Bio Resource Bank
ADPKD Research
Kidney Research UK
UCL Great Ormond Street Institute of Child
Health
Total:
2023
£
10,000
3,355
150,000
-
13,985
177,340
Grants to
Institutions
No.
1
3
1
-
5
2022
£
-
54,750
5,000
14,960
15,916
90,626
Grants to
Individuals
No.
-
2
1
1
4

Details of material grants are disclosed in the Trustees Report.

9. SUPPORT COSTS

Trustee meetings and governance
Accountancy and audit
Other professional fees
Staffing costs
Total:
2023
£
417
14,787
2,653
4,718
22,575
2022
£
1,008
13,917
5,497
6,579
27,001

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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DocuSign Envelope ID: F5BC5970-9DB7-42C3-B8C8-FEF3875274F6

Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2023

10. EMPLOYMENT COSTS

Wages and salaries
Social security costs
Defined contribution pension costs
Total:
2023
£
135,579
8,614
3,007
147,200
2022
£
119,739
10,943
2,986
133,668

Employment costs are allocated to the activities to which they relate in the Statement of Financial Activities.

As at 31 March 2023 a balance of £29 overpaid pension contributions was owed to the Charity (2022: £29).

The average number of staff employed by the Charity during the year was 5, with a full time equivalent of 4 (2022: 4).

No employee received total benefits exceeding £60,000.

Key management personnel of the Charity comprises the Trustees and the Chief Executive Officer, the Support Services Manager, the Fundraising Manager and the Community Engagement Manager. Key management personnel received total remuneration of £136,786 (2022: £116,877).

11. NET INCOME/(EXPENDITURE) FOR THE YEAR

This is stated after charging:
Independent Examiners Remuneration
Depreciation
Total:
2023
£
-
5,904
5,904
2022
£
-
5,904
5,904

12. TRUSTEE REMUNERATION & EXPENSES

The Trustees were not remunerated by the Charity for their services during the year. Total expenses reimbursed during the year totalled £Nil (2022: £Nil).

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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DocuSign Envelope ID: F5BC5970-9DB7-42C3-B8C8-FEF3875274F6

Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2023

13. TAXATION

The Charity is exempt from tax on income and gains falling within section 505 of the Taxes Act 1988 or s256 of the Taxation of Chargeable Gains Act 1992 to the extent that these are applied to its charitable objects. No tax charges have arisen in the Charity.

14. ANALYSIS OF MOVEMENT OF FIXED ASSETS

Cost
At 1 April 2022
Additions
Disposals
At 31 March 2023
Accumulated depreciation
At 1 April 2022
Charge for the year
Disposals
At 31 March 2023
Net Book Value
At 1 April 2022
At 31 March 2023
5. DEBTORS
Prepayments
Accrued income
Other debtors
Total debtors
2023
£
15,271
-
434
15,705
2023
£
Office equipment
29,209
-
-
29,209
21,337
5,904
-
27,241
7,872
1,968
2022
£
7,100
-
683
7,783

15. DEBTORS

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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DocuSign Envelope ID: F5BC5970-9DB7-42C3-B8C8-FEF3875274F6

Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2023

16. LIABILITIES: AMOUNTS FALLING DUE WITHIN ONE YEAR

Trade creditors
Accruals
Other creditors
Grant commitments (Note 20)
Total current liabilities
2023
£
8,354
4,325
20,328
74,960
107,967
2022
£
2,480
3,245
(29)
79,113
84,809

17. LIABILITIES: AMOUNTS FALLING DUE AFTER MORE THAN ONE YEAR

Grant commitments within five years (Note 20) 2023
£
130,000
2022
£
45,000

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

Page 39/43

DocuSign Envelope ID: F5BC5970-9DB7-42C3-B8C8-FEF3875274F6

Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2023

18. FUNDS AND RESERVES – CURRENT YEAR

Unrestricted Funds
National Lottery – Matched
Funding
General fund
Total funds
Total funds
at 01/04/22
76,985
148,807
225,792
Income
-
291,775
291,775
Expenditure
-
(168,981)
(168,981)
Transfer
45,015
(144,773)
(99,758)
Total funds at
31/03/23
122,000
126,828
248,828

National Lottery – Matched Funding – Designated to fund a programme of support services for people affected by polycystic kidney disease

General fund – the free reserves, after allowing all other designated funds

Restricted Funds
ARPKD Research
Research
National Lottery - PPP
National Lottery – Nurse
Co-ordinator
PKDC/KRUK Research
Total funds
Total funds
at 01/04/22
3,350
-
14,368
28,002
150,000
195,720
Income
-
10,450
83,995
-
-
94,445
Expenditure
(3,355)
-
(186,293)
-
(150,000)
(339,648)
Transfer
5
39,825
87,930
(28,002)
-
99,758
Total funds at
31/03/23
-
50,275
-
-
-
50,275

Support Activities – Support related activities, such as information days

Research – Research related to PKD

ADPKD Research – Research related solely to ADPKD

ARPKD Research – Research related solely to ARPKD

European PKD conference – Income received to fund the European PKD conference

National Lottery, PPP – To fund a programme of face to face, online and telephone support for patients and families who are dealing with the traumatic and often devastating effects of PKD

National Lottery, Nurse Co-ordinator – Income received to fund Nurse co-ordination

PKDC/KRUK Research – to fund PKD research projects jointly with Kidney Research UK

Transfers represent research grants that have firstly been expended against the appropriate restricted fund that is for specific types of research and once that restricted fund is fully utilised any balance is transferred to unrestricted funds.

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

Page 40/43

DocuSign Envelope ID: F5BC5970-9DB7-42C3-B8C8-FEF3875274F6

Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2023

18. FUNDS AND RESERVES – PRIOR YEAR

Unrestricted Funds
Research
National Lottery – Matched
Funding
General fund
Total funds
Restricted Funds
Support Activities
ARPKD Research
Research
European PKD Conference
National Lottery - PPP
National Lottery – Nurse
Co-ordinator
PKDC/KRUK Research
Total funds
Total funds
at 01/04/21
145,318
-
156,353
301,671
Total funds
at 01/04/21
2,000
25,850
-
31,500
8,439
28,002
-
95,791
Income
-
-
294,818
294,818
Income
-
-
300
-
53,125
-
-
53,425
Expenditure
(2,031)
-
(133,184)
(135,215)
Expenditure
-
(22,500)
(66,095)
(15,454)
(84,929)
-
-
(188,978)
Transfer
(143,287)
76,985
(169,180)
(235,482)
Transfer
(2,000)
-
65,795
(16,046)
37,733
-
150,000
235,482
Total funds at
31/03/22
-
76,985
148,807
225,792
Total funds at
31/3/22
-
3,350
-
-
14,368
28,002
150,000
195,720

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Page 41/43

DocuSign Envelope ID: F5BC5970-9DB7-42C3-B8C8-FEF3875274F6

Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2023

19. ANALYSIS OF NET ASSETS BETWEEN FUNDS – CURRENT YEAR

Tangible fixed assets
Current assets
Creditors due within one year
Creditors due in more than one year
Total:
Unrestricted
funds
2023
Restricted
funds
2023
Total
funds
2023
£
£
1,968
-
1,968
251,185
283,917
535,102
(4,325)
(103,642)
(107,967)
-
(130,000)
(130,000)
248,828
50,275
299,103

ANALYSIS OF NET ASSETS BETWEEN FUNDS – PRIOR YEAR

Tangible fixed assets
Current assets
Creditors due within one year
Creditors due in more than one year
Total:
Unrestricted
funds
2022
Restricted
funds
2022
Total
funds
2022
£
£
7,872
-
7,872
191,093
352,356
543,449
(3,245)
(81,564)
(84,809)
-
(45,000)
(45,000)
195,720
225,792
421,512

20. GRANT COMMITMENTS

0. GRANT COMMITMENTS
£
Balance at 1 April 2022 124,113
New commitments 165,306
Cancelled commitments (1,951)
Commitments paid (82,508)
Balance at 31 March 2023 204,960

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

Page 42/43

DocuSign Envelope ID: F5BC5970-9DB7-42C3-B8C8-FEF3875274F6

Polycystic Kidney Disease Charity

Annual Report and Financial Statement for the year ended 31 March 2023

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2023

21. RELATED PARTY TRANSACTIONS

2023 2022
Donations Received from Trustees 1,825 2,381 3 Trustees (2022: 4) made donations
during the year
Grants to related parties - -

The Charity established a casual worker contract with the daughter-in-law of a Trustee. The Trustee was not involved in the decision to appoint. The details are as follows:

Employment Related Parties
Trustee Employee 2023 2022
Alan Greenberg Louise
Greenberg
1,800 5,848

Polycystic Kidney Disease Charity |Registered charity in England and Wales (1160970) | Registered charity in Scotland (SC047730) | A company limited by guarantee

Registered company in England and Wales (9486245) |Registered address: 49-51 East Road, London, N1 6AH

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