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2022-03-31-accounts

PAEDIATRIC CRITICAL CARE SOCIETY Report and financial statements For the year to 31 March 2022

CONTENTS
Reference and administrative details 1
Trustees' report 2
Independent Examiner’s report 7
Statement of financial activities 8
Balance sheet 9
Notes to the financial statements 10

Charitable Incorporated Organisation no: 1165535

PAEDIATRIC CRITICAL CARE SOCIETY REPORT AND FINANCIAL STATEMENTS FOR THE YEAR TO 31 MARCH 2022 REFERENCE AND ADMINISTRATIVE DETAILS

Trustees from 1 April 2021 to date of the approval of these Financial Statements

Elected Position Name
President Dr James Fraser, until Sept 2022
Mrs Carli Whittaker from Sept 2022
President elect Vacant until Oct 2021
Mrs Carli Whittaker fromOct2021 -Sept2022
Immediate Past-President Vacant until Sept 2022
Dr James Fraser from Sept 2022
Honorary secretary Dr Padmanabhan Ramnarayan until Oct 2021
Dr Adrian Plunkett from Oct 2021
Honorary treasurer Dr Patrick Davies
Medical Vice President Dr Margarita Burmester until Oct 2021
DrSarah MahoneyfromOct2021
Non-medical vice president Mrs Carli Whittaker until Oct 2021
Mr Simon Gates from Oct 2021
Medical member Dr Adrian Plunkett from Nov 2020 to Oct 2021
Dr Peter Donelly from Oct 2021
Medical member Dr Mehrengise Cooper until Oct 2021
Dr Andrew Nyman from Oct 2021
Medical member Dr Sarah Mahoney until Oct 2021
DrCostantinosKanarisfromOct2021
Medical member Dr Miriam Fine-Goulden until Sept 2022
Vacant from Sep 2022 (election underway)
Trainee member Dr Helen Ord
Trainee member Dr Michelle Winter until Sept 2022
Dr Gerard Manning from Sept 2022
Nurse / AHP member Fiona Bickell
Nurse / AHP member Tracey Phillips
Nurse / AHP member Mr Simon Gates until Oct 2021
Ms Donna Webb from Oct 2021
Nurse / AHP member Mark Clement from Nov 2021

Charity registered number

Charitable Incorporated Organisation no. 1165535 England and Wales

Principal office

21 Portland Place London W1B 1PY

Bankers

CAF Bank Limited 25 Kings Hill Avenue Kings Hill, West Malling, Kent ME19 4JQ

1

PAEDIATRIC CRITICAL CARE SOCIETY REPORT AND FINANCIAL STATEMENTS FOR THE YEAR TO 31 MARCH 2022 TRUSTEES’ REPORT

The Trustees present their annual report together with the financial statements of the Society for the year to 31 March 2022. The Trustees confirm that the Annual report and financial statements of the charity comply with the current statutory requirements, the requirements of the charity's governing document and the provisions of the Statement of Recommended Practice "Accounting and Reporting by Charities" applicable to charities preparing their accounts in accordance with the Financial Reporting Standard in the UK and Republic of Ireland (FRS102) Update Bulletin 1 (effective 1 January 2019).

Structure, governance and management

CONSTITUTION

The principal object of the Society is to advance and promote the care and safety of critically ill infants and children.

METHOD OF APPOINTMENT OR ELECTION OF TRUSTEES

The trustees hold office for an initial three-year period and comprise those elected by members of the Paediatric Critical Care Society to serve on its Council. They may be re-elected for one further period of three years and serve as an Officer in accordance with the Constitution.

Public Benefit Statement

The Society’s trustees confirm that they have complied with the duty in section 17 of the Charities Act 2011 to have regard to the Charity Commission’s general guidance on public benefit, “Charities and Public Benefit’. The charitable purposes of the Society are set out in its constitution. The objects are achieved through education and training events, issuing professional standards documents, and by promoting and funding research.

Objectives and Activities

POLICIES AND OBJECTIVES

The Society’s objectives ("the objectives") are to advance and promote the care and safety of critically ill infants and children, by (1) the advancement and promotion of those branches of medical science concerned with critical care of infants and children, and (2) the promotion of study and research into the critical care of infants and children and the publication of useful results of such study and research.

The Society’s trustees form a Council to manage the development of policies and objectives for the Society. The principal objectives are in relation to its charitable purposes of education, standards, and research.

During the year, the Society developed statements of plans and activities in support of its objectives.

ACTIVITIES FOR ACHIEVING OBJECTIVES

The main activities for achieving the Society’s objectives are:

  1. Education and accreditation of training: PCCS promotes education across the broad multidisciplinary team who treat critically ill children. PCCS holds a major scientific conference each year for the benefit of all members of the multi-disciplinary team. PCCS also holds an annual event for members of the RCPCH at the annual RCPCH scientific meeting. PCCS trainees hold a further 4-6 master classes per year for training purposes. The PCCS educators group host multiple study days for nurses and advanced practitioners. Committees (sub-groups of PCCS Council) support education of nurses, advanced practitioners, trainees, pharmacists and all staff undertaking transport of patients. All groups report their activities to Council on an annual basis. PCCS provides accreditation and peer review for PCC nurse education courses, run by individual centres. Accreditation is provided for levels 1,2 (high dependency) and 3 (intensive care).

  2. PCCS standards and peer review: PCCS publishes national standards of care for providers of PCC (last iteration Sept 2021) and provides peer review to facilitate service development and quality improvement in local centres.

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PAEDIATRIC CRITICAL CARE SOCIETY REPORT AND FINANCIAL STATEMENTS FOR THE YEAR TO 31 MARCH 2022 TRUSTEES’ REPORT

  1. Communication with membership and other professionals working in PCC: PCCS holds regular meetings for members of leadership teams in PCC Units to share information and resources. Multiple special interest groups within the PCCS community meet regularly and report to PCCS council. PCCS council has a communication strategy to optimise information sharing between PCCS members via various digital media including email, website resources, social media, webinars, and blogs. PCCS collaborates with other professional organisations whose work relates to PCC – including, but not limited to, NHS England, Intensive Care Society, The Royal College of Nursing, The Royal College of Paediatrics and Child Health.

  2. Research: A subgroup of professionals working in PCC form a Study Group (PCCS-SG), the purpose of which is to promote research within PCC. In the last decade, PCCS-SG has become a very successful research network, winning several major research grants and delivering a wealth of research activity, including multi-centre clinical trials, the results of which have been published in major healthcare journals.

GRANT MAKING POLICIES

The Society makes research and fellowship grants subject to available resources. The aim is to make two awards each year. A separate Designated Fund has been established from which awards are made.

RISK MANAGEMENT

Council has considered significant risks to which the Society is exposed. The Society has a financial risk relating to the outcome of its educational events programme and has taken steps to contain the risk through event insurance and budgetary controls. The Honorary Treasurer reports on financial matters to each Council meeting of the Society. These meetings record the formal review and approval of all aspects of finance and accounts.

Achievements and performance

REVIEW OF ACTIVITIES

Highlights of PCCS activity and achievements in the year 2021-2022 include:

The Respiratory Surge in Children programme. PCCS worked with NHSE/I (NHS England / Improvement) and London Transformation and Learning Collaborative to produce guidance and education / training resources to assist with the NHS response to “Respiratory Surge” in children. The education package is here: Respiratory Surge in Children - elearning for healthcare (e-lfh.org.uk). This initiative aimed to support the cross-skilling of the national NHS workforce to manage the potential future spikes in paediatric demand as a result of respiratory syncytial virus (RSV) and other respiratory illnesses in children, as well as longerterm increasing paediatric acuity and demand in children. Included in this work is the PCCS endorsement of the “PCCS passport” – a paediatric digital skills passport for staff caring for children in critical care during resp surge. More information here: HEE LTLC launches new Paediatric Digital Skills Passports to support - staff caring for children in critical care during surge Paediatric Critical Care Society (pccsociety.uk).

PCCS contributed to the development of the National Paediatric Critical Care Nursing Competencies Paediatric Critical Care Nursing Competencies (pccsociety.uk)

In response to the national GIRFT (Getting It Right First Time) review of PCC, PCCS has established a formal link with the national GIRFT team to share findings with PCCS members, and to help address implementation of recommendations (ongoing work).

In recognition of the climate emergency, PCCS issued a climate change statement and created a network of - green champions throughout the society. Paediatric Critical Care Society Statement on Climate Change Paediatric Critical Care Society (pccsociety.uk)

Multiple special interest groups (SIGs) comprising members of the PCCS community have continued to report their activities to council – the areas of special interest include: cardiac, transport, HDU, wellbeing, nurse educators, nurse managers, advanced practitioners, global partnerships, and nutrition.

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PAEDIATRIC CRITICAL CARE SOCIETY REPORT AND FINANCIAL STATEMENTS FOR THE YEAR TO 31 MARCH 2022 TRUSTEES’ REPORT

The PCCS has formed a formal link with the National Paediatric Pharmacy Group (NPPG): the NPPG is now co-opted on PCCS council.

The membership of PCCS has grown year on year; there are approximately 200-300 new members per calendar year.

In order to expand the scope and accessibility of the benefits of PCCS membership, PCCS has created a new membership category for colleagues in Low to Middle Income Countries (LMIC) at greatly reduced financial cost for members.

An AGM was held in Feb 2022. A change to the PCCS constitution and regulations was agreed: chairs of the Science and Education committee and the PCCS-SG will be recognised as council members (and thus Trustees of the charity). Previously, these roles were co-opted members of council.

PCCS has worked with the Intensive Care Society (ICS) to develop an accredited course for learning the use of point of care ultrasound in PICU (Children's Acute Ultrasound - CACTUS course). This is ongoing work and expected to be available to PCCS members in 2022 / 2023.

PCCS held its annual scientific meeting in the Autumn of 2021. This year’s conference was hosted by the Manchester PCCU team. The two-day event was held as a virtual meeting due to social distancing requirements. Conference content included a range of scientific material, e-poster and virtual presentations from PCCS members, prize and grant awards. PCCS also hosted an special interest stream at the annual conference of the Royal College of Paediatrics and Child Health (RCPCH).

The PCCS educational webinar programme continued throughout the year with quarterly webinars on healthcare topics of relevance to PCCS members.

PCCS worked with ICS to produce guidance on patients undergoing transition from paediatric to adult critical care. Joint PCCS-ICS guidance for Paediatric to Adult critical care transition - Paediatric Critical Care Society (pccsociety.uk)

PCCS has continued to develop its communication strategy to improve communication to members, colleagues outside the PCCS membership, patients, families and members of the public. There has been significant growth in social media followers (twitter), podcast downloads / streams, blogs and the development of “hot topics” programme – an initiative in which educational webinars are promoted via multiple digital media platforms.

The wellbeing of healthcare professionals is a key area of interest within PCCS. The wellbeing special interest group has report regularly to council. Members of the wellbeing SIG have worked with an academic team from Aston University to conduct research into the wellbeing of professionals working in PCC. Findings have been promoted via conference presentation and peer-reviewed publications. PCCS is supporting a digital wellbeing tool (“tree”) for use by PCCS members (ongoing work).

PCCS has developed a rapid response network “emergency grand round” for use by PCCS members whose patients may benefit from rapid expert opinions. During the year 2021-2022 this project was conceived and the ground work and infrastructure were established. The initiative is due to launch in the Autumn of 2022.

PCCS collaborated with RCPCH and Together for Short Lives to produce guidance for professionals and patients / families related to External Second Opinions (ESO). Seeking and providing external second opinions in paediatrics | RCPCH

The revised PCCS standards document (6[th] edition) were completed and published in the Autumn of 2021. PCCS publishes 6th edition quality care standards - Paediatric Critical Care Society (pccsociety.uk).

The PICSSG (study group) has remained active, supporting research activity across the society, with over 15 million pounds of research funding allocated to PCCS research studies.

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PAEDIATRIC CRITICAL CARE SOCIETY REPORT AND FINANCIAL STATEMENTS FOR THE YEAR TO 31 MARCH 2022 TRUSTEES’ REPORT

FINANCIAL REVIEW

The Society recorded an overall surplus of £2,235 for the year (2021: surplus of £6,095). Where receipts are made from former members, they are recognised as donations and will be used to support research projects; these are held in a Designated Fund.

RESERVES POLICY

The Society maintains reserves to enable it to develop its activities and progressively implement plans in support of its objectives. The Trustees consider that the level of reserves required to meet fluctuations in income and the outcome of major meetings is £40,000. Free reserves currently greatly exceed this figure, and we are looking to spend some of these additional funds in various areas of our work.

FUTURE PLAN

The Society has set out a comprehensive strategic plan and will continue to develop specific activities to achieve the objectives. The key areas are:

PCCS intends to build on its successful delivery of a range of online educational material via through a series of educational webinars for members. The annual scientific meeting will be held this year in Leicester as a hybrid (virtual and in person) event. The masterclasses and nursing education programme will continue. The website will be updated intermittently with “hot topics” and other relevant educational resources. PCCS aims to launch the accredited Children’s Acute Ultrasound (CACTUS) course.

Benefits of membership will be promoted via existing communication streams, and colleagues who work in high dependency units (HDU) will continue to be encouraged to join the society. A membership strategy to increase accessibility for members in Low to Middle Income Countries (LMIC) has been developed and will be promoted. The PCCS Membership Group will inform council about how to better represent the needs of the Society's members. A Rapid Response Network (emergency grand rounds) programme will be launched in 2022.

The Society’s Communications Strategy will be reviewed and reiterated in order to meet the society’s objectives. The Society will continue to build on relationships with other professional organisations to establish PCCS as the primary contact for opinion and information regarding paediatric critical care services in the UK. It will continue to strengthen collaborations with NICE and NHS-England.

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PAEDIATRIC CRITICAL CARE SOCIETY REPORT AND FINANCIAL STATEMENTS FOR THE YEAR TO 31 MARCH 2022 TRUSTEES’ REPORT

Representation will be maintained with other organisations. The society is represented by Royal College of Paediatrics and Child Health through co-opted membership on Council. The Society’s President attends the Board meetings of the adult Intensive Care Society and the Faculty of Intensive Care Medicine. The National Paediatric Pharmacy Group are now co-opted onto PCCS council.

• Promoting safe practice in paediatric critical care

The Society’s Guidelines special interest group which will provide a focus for the ongoing development of standards and guidelines, and a point of contact for NICE and other Societies wishing to work collaboratively. The Society will continue to work through established sub-groups, including nurse managers, in developing its activities. PCCS will support peer review of PCCS services, using the latest standards as reference.

The PCCS Study Group (PICS-SG) will continue to provide a forum to promote a multi-disciplinary interest in research. The Society will be making further research grants (awarded competitively) available to members. The PCCS-SG will undertake a research prioritisation exercise, to describe the research priorities of the society.

Trustees' Responsibilities Statement

The Trustees are responsible for preparing the Trustees' report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice). The law applicable to charities in England & Wales requires the Trustees to prepare financial statements for each financial year, which give a true and fair view of the state of affairs of the charity and of the incoming resources and application of resources of the charity for that year. In preparing these financial statements, the Trustees are required to:

The Trustees are responsible for keeping accounting records that disclose with reasonable accuracy at any time the financial position of the charity and enable them to ensure that the financial statements comply with the Charities Act 2011 and the Charity (Accounts and Reports) Regulations. They are also responsible for safeguarding the assets of the charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

This report was approved by the Trustees on 8 December 2022 and signed on its behalf by:

A. Plunkett

Dr Adrian Plunkett, Honorary Secretary

6

INDEPENDENT EXAMINER’S REPORT TO THE MEMBERS OF PAEDIATRIC CRITICAL CARE SOCIETY

I report to the trustees on my examination of the accounts of the charity for the year ended to 31 March 2022.

Responsibilities and basis of report

As the charity trustees, you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 ('the 2011 Act').

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

Independent examiners statement

I have completed my examination. I confirm that no matters have come to my attention in connection with the examination giving me cause to believe that in any material respect:

  1. accounting records were not kept in respect of the Charity as required by section 130 of the 2011 Act; or 2. the accounts do not accord with those records; or

  2. the accounts do not comply with the applicable requirements concerning the form and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a 'true and fair view' which is not a matter considered as part of an independent examination.

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

Counterculture Partnership LLP Unit 115 Ducie House Ducie Street Manchester M1 2JW

Date: 8 December 2022

7

PAEDIATRIC CRITICAL CARE SOCIETY STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR TO 31 MARCH 2022

STATEMENT OF FINANCIAL ACTIVITIES

Unrestricted
Funds
Notes
2022
£
Income from:
Donations and legacies:
Subscriptions
77,721
Charitable activities:
Annual Conference
2
35,440
Study days and other activities
400
TOTAL INCOME
113,561
Expenditure on:
Charitable activities:
Annual Conference
2
38,208
Grants
3
-
Membership and support services
4
70,618
TOTAL EXPENDITURE
108,826
Net income
4,735
NET MOVEMENT IN FUNDS
4,735
Reconciliation of funds:
Fund balances brought forward
91,989
Fund balances carried forward
96,724
Designated
Funds
2022
£
-
-
-
-
-
2,500
-
2,500
(2,500)
(2,500)
8,705
6,205
Total
Total
Funds
Funds
2022
2021
£
£
77,721
69,269
35,440
7,470
400
-
113,561
76,739
38,208
-
2,500
2,000
70,618
68,644
111,326
70,644
2,235
6,095
2,235
6,095
100,694
94,599
102,929
100,694

8

PAEDIATRIC CRITICAL CARE SOCIETY (A Charitable Incorporated Organisation no. 1165535) BALANCE SHEET AS AT 31 MARCH 2022

Notes
CURRENT ASSETS
Debtors
6
Cash at bank
Total Current Assets
CREDITORS: falling due within one year
7
NET CURRENT ASSETS
NET ASSETS
FUNDS
Unrestricted funds
8
Designated funds
8
2022
£
£
£
18,078
20,721
100,200
115,325
118,278
136,046
(15,349)
(35,352)
102,929
102,929
96,724
6,205
102,929
2021
£
100,694
100,694
91,989
8,705
100,694

These financial statements were approved by the Trustees on 8 December 2022 and signed on their behalf by:

A. Plunkett

Dr Adrian Plunkett

P. Davies

Dr Patrick Davies

9

PAEDIATRIC CRITICAL CARE SOCIETY NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR TO 31 MARCH 2022

1 ACCOUNTING POLICIES

Basis of preparation of financial statements

The financial statements have been prepared under the historical cost convention in accordance with the Charities SORP (FRS 102) ‘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)', Financial Reporting Standard 102 the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102), and the Charities Act 2011.

The trustees have assessed whether the use of the going concern basis is appropriate and have considered possible events or conditions that might cast significant doubt on the ability of the Charity to continue as a going concern. The trustees have made this assessment for a period of at least one year from the date of approval of the financial statements. In particular, the trustees have considered the Charity’s forecasts and projections. After making enquiries the trustees have concluded that there is a reasonable expectation that the Charity has adequate resources to continue in operational existence for the foreseeable future. The Charity therefore continues to adopt the going concern basis in preparing its financial statements.

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 the funds is set out in the notes to the financial statements.

Income

All income is included in the Statement of Financial Activities when the charity is legally entitled to the income and the amount can be quantified with reasonable accuracy.

Subscriptions are accounted for when received. No accrual is made for outstanding subscriptions as membership lapses on non-payment.

Grants and Donations are accounted for when receivable. Grants for future expenditure received subject to conditions are deferred and released to income when the conditions are met.

Meetings income includes registrations fees and associated income received from meetings.

Expenditure

All expenditure is accounted for on an accruals basis and has been included under expense categories that aggregate all costs for allocation to activities. Where costs cannot be directly attributed to particular activities they have been allocated on a basis consistent with the use of the resources.

Meetings expenditure includes the direct costs of meetings and associated expenditure.

Support Services costs are those costs incurred directly in support of expenditure on the objects of the charity. Governance costs are those incurred in connection with administration of the charity and compliance with constitutional and statutory requirements.

Grants payable are charged in the year when the offer is made except in those cases where the offer is conditional, such grants being recognised as expenditure when the conditions attaching are fulfilled. Grants offered subject to conditions which have not been met at the year-end are noted as a commitment, but not accrued as expenditure.

Taxation

As a registered charity, the company is exempt from income and corporation tax to the extent that its income and gains are applicable to charitable purposes only.

10

PAEDIATRIC CRITICAL CARE SOCIETY NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR TO 31 MARCH 2022

2. ANNUAL CONFERENCE

The Annual conferences in October 2021 and October 2020 were held online due to Covid COVID-19.

3. GRANTS

GRANTS
Research grants
One research grant was made during the year (2021:1).
2022
£
2,500
2,500
2021
£
2,000
2,000

4. MEMBERSHIP AND SUPPORT SERVICES

Publications
Meetings
Administrative services
Office costs
Website costs
Insurance
Legal and professional fees
Bank and credit card charges
Governance costs (see Note 5)
2022
2021
£
£
12,826
10,256
486
2,615
15,010
13,020
617
512
13,874
16,257
9,601
7,392
15,960
15,692
1,286
1,173
69,660
66,917
958
1,727
70,618
68,644

5. GOVERNANCE

Council meetings
Independent Examiner remuneration
2022
2021
£
£
-
815
958
912
958
1,727

Trustees received no remuneration. Expenses received during the year were £120 for 1 trustee (2021: £8,323 for 5 trustees).

11

PAEDIATRIC CRITICAL CARE SOCIETY NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR TO 31 MARCH 2022

6. DEBTORS

Trade debtors
Prepayments
Other debtors
2022
2021
£
£
4,085
1,500
13,891
19,221
102
-
18,078
20,721

7. CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR

Accruals
Deferred Income
Trade creditors
2022
2021
£
£
3,102
2,828
7,990
6,510
4,257
26,014
15,349
35,352

8. FUNDS

CURRENT YEAR

Unrestricted Funds
Designated funds
Total Funds
PRIOR YEAR
Unrestricted Funds
Designated funds
Total Funds
Brought
forward 1
April 2021
£
91,989
8,705
100,694
Brought
forward 1
April 2020
£
83,894
10,705
94,599
Income
£
113,561
-
113,561
Income
£
76,739
-
70,885
£
(108,826)
(2,500)
(111,326)
£
(68,644)
(2,000)
(97,221)
Expenditure
Expenditure
Carried
forward 31
March 2022
£
96,724
6,205
102,929
Carried
forward 31
March 2021
£
91,989
8,705
100,694

The Designated Fund was established for donations from former members and will be used to support research.

All funds at the year end were represented by net current assets.

12