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The Network for Improving Critical-care Systems & Training (NICST)

Report and Financial Statements Year ended: MARCH 2021

Charity no: 1171106

The trustees present their annual report and financial statements of the charity for the year ended 31st March 2021. The financial statements have been prepared in accordance with the accounting policies set out in The Charity Commission’s 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 published on 16 July 2014, the Charities Act 2011, and comply with the NICST’s founding constitution.

The annual report addresses matters in the same order as the Charities SORP (FRS 102). The charity is registered in England and Wales and so reference is made to the Charity Commission’s public benefit guidance in shaping the Trust’s aims and objectives . The section on achievements and performance is framed from a public benefit viewpoint and reviews each activity in turn. Under the heading monitoring achievement , it includes performance information (presented in tabular form) illustrating the achievements. A review of finances for the period reported is included in this report. This section has been compiled with the assistance of Hines Harvey Woods Limited Co. Reg. No. 4942170. The section on plans for the future distinguishes between the broader strategic vision and specific plans for the following financial year. The structure, governance and management section includes how trustees are selected, volunteers are supported and how decisions are made. A statement of trustees’ responsibilities in relation to the financial statements has also been included in accordance with FRC audit standards (ISA 700). This statement (see appendix 4 to Audit Practice Note 11, March 2012) is not a requirement of the Charities SORP (FRS 102).

Administrative details

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Charity name Network for Improving Critical-Care Systems and
Training
Other name the charity NICST
uses
Registered charity 1171106
number
Charity’s principal 27 Rosemary Road
address
Blofield
Norwich
NR13 4QQ
Management and A Beane (first trustee and chair) is responsible for day
governance to day management of the charity.
Expertise and advice regarding charitable law and
constitution of the CIO is sought from
Mr Philip Norton, of
Hansells Solicitors and FInancial Advisors.
13 The Close
Norwich
Norfolk
NR1 4DS
T 01603 615 731
F 01603 633 585
Email: info@hansells.co.uk
Financial report The charities financial report was compiled and
independently reviewed by
Hines Harvey Woods Limited
Queens Head House
The Street
Acle
Norwich
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NR13 3DY Co. Reg. No. 4942170 Tel: 01493 750207 Fax: 01493 750475 Email: mail@h-h-w.co.uk Website: www.h-h-w.co.uk

The Trustees’ Annual Report

1.0 Objectives and activities for the public benefit

The purpose of the charity is the advancement of health for public benefit by improving the availability, delivery and quality of acute medical care through the development of clinical training for healthcare professionals, clinical teams and healthcare services. The charity has a particular (but not exclusive) focus in Low and Middle Income Countries (LMIC) by promoting translational research and collaborative working amongst healthcare teams. The trustees confirm that they have referred to the Charity Commission’s Guidance on public benefit when reviewing the charity’s aims and objectives and in planning future activities.

The charity furthers its charitable purposes for the public benefit through its five core objectives:

Creating and optimising a critical and acute care surveillance platform in Sri Lanka ( Nat- Intensive Care Surveillance, NICS-MORU) by providing academic and strategic leadership, and financial support to this subsidiary co-operative.
Establishing and developing data platforms to enable better patient care by using the NICS-MORU model of supporting health informatics projects in other LMIC settings.
Providing training for healthcare professionals, community and the general public in LMIC with an emphasis on skills and simulation based training.
Developing and implementing quality improvement interventions aimed at delivering better care for sick patients.
Promoting translational research and collaboration amongst healthcare teams.

By focussing on these areas NICST achieves the strategic priorities of improving access to good quality and highly practical acute and critical care skills training for health professionals and the public (‘training’) and developing informatics systems that can enable healthcare professionals to use data to better understand and

ultimately improve health care systems. Facilitating research and enabling quality improvement support these priorities. Better training and better healthcare delivery systems lead to better patient care, providing public benefit.

The charity achieves these objectives predominantly through a partnership with NICSMORU. NICS-MORU is Not-for-Profit Organisation (NPO) registered in Sri Lanka, aiming to improve acute and critical healthcare through the development, maintenance and improvement of systems enabling routine surveillance of care. The NPO, based in Sri Lanka, established in 2015 was pivotal in the development of one of the first national critical care registries in a LMIC, and remains at the forefront of developing and implementing systems to enable evaluation and improvement of acute care services in Asia and Africa. NICS-MORU has the expertise to be able to support NICST in meeting its charitable objectives. NICST and NICS-MORU share common objectives of capacity building and health system strengthening. A Checklist 3: Charities in a regular partnering or funding relationship with a non-charity that is not its founder or subsidiary document has been completed (2021) and will be updated annually. This checklist details the relationships and common objectives of the partnership. NICSMORU employs LMIC based healthcare workers and scientists, providing employment and opportunity for setting based research in the region. NICS-MORU employs a local team of 16 FTE researchers, data collectors, web application developers and clinical tutors. NICS-MORU activities are non profit making with all charitable donations to the organisation going directly towards achieving the above objectives. Of note, Rashan Haniffa, first trustee of NICST is a director of NICS-MORU. His role in both organisations is voluntary, and the activities of both organisations does not provide him with any financial remuneration. All Charity trustees have completed a conflict of interest form.

2.0 Achievements and performance: how our objectives delivered public benefit.

The benefits of NICST’s work are the mentorship, training of health care workers and future researchers, the development of new and strengthening of existing infrastructure for data driven research (observational and interventional) and the funding of on-going research to aid care of patients including those with critical illness and non communicable diseases. The trustees are pleased that the activities, impact, learning and achievements of the charity, as set out below, reflect these goals.

The NICST/NICS-MORU critical and acute care surveillance platform (first piloted and implemented nationally in Sri Lanka) has been adapted, optimised and scaled internationally to 16 countries in Asia and Africa. The surveillance platform is a central tenet of the existing 3 year nine country Wellcome- Oxford, “CRIT Care Asia”and the newly awarded UKRI/ MRC funded CRIT Care Africa active in 7 countries. Information can be found here. NICST/ NICS MORU will play a central role in the development and maturation of this network over the next 4-5 years. Key deliverables of this project are; registry expansion, capacity building for research and quality improvement and training for health care providers to improve outcomes for critically ill patients. NICST and NICS-MORU will provide expertise in implementation, data coordination, curation and analysis of data for research, clinical trials and quality improvement. As such the objectives of the charity will align with the deliverables for the Wellcome- Oxford’s project and will be a leading priority for the charity for 20202024. The surveillance platform provides a mechanism for continuous evaluation of

quality in healthcare across multiple LMICs. Data captured through the platform is enabling patients and healthcare providers to engage in high quality international observational and interventional research. More about this collaboration and its published research output is described in appendix 1 . Data derived from registry output is enhancing knowledge in response to the global COVID 19 pandemic, and within the wider global health and quality improvement community.

NICST has supported the initiation and expansion of registries in Asia-Africa, where there was little to no mechanism to provide systematic routine evaluation of the quality of critical care and no comprehensive information on critical care infrastructure. The information measured through the platform is directly accessible to the frontline clinician team with the aim of improving individual patient care. The aggregate information captured through the platform is enabling evaluation of processes and quality of care for patients who are critically and acutely unwell, for example, infection rates, delays in recovery, and mortality following hospital discharge.

New for 2020-21, the platform has been adapted to support registry enabled clinical trials for the generation of new evidence regarding treatments effective in the management of severe COVID-19. NICST/ NICS-MORU has developed to be the data coordinating centre for international clinical trials; REMAP- CAP and MegaROX. NICST and NICS-MORU further play a central role in trial coordination, monitoring, patient safety, and data management prior to analysis. Within this role NICST/ NICS MORU has supported research naive healthcare communities in Asia to implement clinical trials, together seeking solutions to known barriers to clinical trials, including ethical, regulatory and resource barriers. To date NICST/ NICS-MORU has recruited 280 patients to clinical trials.

NICST’s continues its collaboration with University College London, whereby CQIN facilitates opportunities for higher education (MSc) in Perioperative Medicine and fellowships in global health and quality improvement methods for healthcare workers, primarily from LMICs. Information about this collaboration can be found here. The CQIN continues to support the QI and education platform whereby experts and clinicians from LMICs and provide resources for health care professionals seeking to improve the quality and experience of care for patients in Asia and Africa. This resource will be leveraged in the ongoing Wellcome CCAA network.

The partnership with Doctors with Africa and local health care workers in Freetown, Sierra Leone, established in 2018 with Doctors with Africa,an Italian based NGO https://doctorswithafrica.org/, has matured and expanded to include Ethiopia, Sudan and Sierra Leone with a focus on maternal and infant health. This partnership has been central in the foundation of the CRIT Care Africa network.
In addition, NICST’s partnership with AIGHD (Netherlands) established in 2019 continues to provide opportunities for new career researchers and clinicians to engage in bi directional research programmes. Six academic fellows have successfully completed MSc in perioperative medicine and global health, contributing to the charity's projects in Asia and Africa. The perioperative registry (initiated in 2019) has led to the evaluation of clinical care using a

series of perioperative care outcome measures which focus on the essentials of safe surgical care; airway management, safe surgery checklist, pain relief, cardiovascular and airway support, recognition of infection and early mobilisation and a national landscaping of critical care service capacity in the region. This work has been published in peer reviewed journals. More information about this collaboration can be found here.

Founded in 2019, the collaboration between University of Birmingham, Institute of Applied Sciences and University of Jaffna, Faculty of Community Medicine has continued to flourish. This collaboration is part of an NIHR funded Global Health Research Group for AF management; spanning Brazil, Sri Lanka and China. NICST continues to support Sri Lanka based collaborators (University of Jaffna) with the evaluation and improvement of existing community to tertiary management of AF. This project has recruited a longitudinal cohort for over 10,000 patients to monitor incidence and prevalence of non communicable disease, for which NICST is supporting coordination and curation of the data and supporting utilisation of the data for analysis. Qualitative research training facilitated by NICST is now enabling rapid evaluations of AF and NCD pathways in Sri Lanka, with a view to identifying barriers to quality of NCD care and direct further quality improvement.

3.0 Structure, Governance and Management

3.1 Structure

The charity is constituted as a charitable incorporated organisation (CIO) and is governed by a CIO foundation constitution constituted in 2017. The CIO’s organisational structure consists of a trustee board of five first trustees and a newly appointed 6th trustee Dr Krishnarajah Nirantharakumar. He has been appointed for a minimum period of 3 years, and his appointment was supported by all first trustees. He has no conflicts of interest. Dr Krishnarajah Nirantharakumar brings expertise in data science, research (including in Asia) with a focus on non communicable disease. We welcome him to the charity trustee board. The CIOs trustees all contribute without remuneration or pay in accordance with the CIOs foundation constitution. All decisions related to the structure and governance of the CIO are made by the members of the CIO acting on behalf of the charity. As set out in our governing document, every charity trustee is a natural person, older than 16 years of age. Any new trustee will be appointed for a minimum of three years by resolution and formal meeting of the trustees. Regard for skills, expertise and experience to the contribution of the CIO is considered when selecting new trustees. Prior to appointment of a trustee the following will be made available to the trustee: a copy of the governing document, a copy of the CIO’s most recent annual report, and a copy of the charity’s accounts for the most recent financial year. Trustees are required to disclose all relevant interests and register them with the CIO and in accordance with the charities policy withdraw from decisions where a conflict of interest arises. No trustees have declared interests (except as stated above) which conflict with their role in the CIO.

3.2 Governance and management

The CIO does not employ any management or committees to act on its behalf. The trustees aim to meet face to face twice a year, with a minimum of a quorum in attendance . With the advent of the COVID-19 pandemic, the trustee meeting for second quarter 2020 was postponed given the clinical / critical care commitments of

the trustees. An online meeting was conducted in the 4th quarter of 2020. The trustees communicate at other times via email, which are archived for accountability and audit. A minimum of 2 trustees are in attendance for any decision to be made. Questions arising at meetings are decided by an eligible majority. In the case of equality of vote the chair will cast a second vote. A chair is appointed for each meeting and has responsibility for the accurate recording, reporting, dissemination and storage of minutes and decisions.

3.3 Monitoring achievement

The success of the charity’s activities is evaluated by the successful collaboration of the charity with universities, research institutions and the LMIC health care community. Success is further measured by the award of funding for academic research and development from UK and foreign scientific and philanthropic funding agencies. Translational research success is assessed by the timely completion of planned research projects and the publications in peer reviewed journals. The outcome of the research is also assessed by the identification of the changes or improvements to clinical or care practices stemming from the research.

3.4 Summary of achievements

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Objectiv Measure This reporting period
e
1-4 Peer reviewed scientific publications 7
1-4 International conference presentations Online given COVID-19
pandemic
2.2 Registry activity (patient episodes) Continuing quality
evaluation across over
220 units in 16
countries
2.5 Academic fellows / graduate exchanges 6 (100 % completed)
2.4 Research projects conducted and completed 3 (100% of projects
completed)
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3.5 Trustees’ responsibilities in relation to the financial statements

The charity trustees are responsible for preparing a trustees’ annual report and 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 and Wales requires the charity trustees to prepare financial statements for each 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 period. In preparing the financial statements, the trustees are required to:

select suitable accounting policies and then apply them consistently;
observe the methods and principles in the applicable Charities SORP;
make judgements and estimates that are reasonable and prudent;
state whether applicable accounting standards have been followed, subject to any material departures that must be disclosed and explained in the financial statements;
prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in business.

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

The trustees are responsible for the maintenance and integrity of the charity and financial information included on the charity’s website in accordance with legislation in the United Kingdom governing the preparation and dissemination of financial statements.

4.0 Contribution made by volunteers

The charity and its trustees and beneficiaries are very grateful to the volunteers who contribute to achieving the aims and objectives during this period. Given the global travel restrictions of COVID-19, no international fellowships were supported in the 2020-21 period. Ms Eva Slujis, an MSc Global Health student has volunteered with NICST to participate in leading an online international stakeholder quality indicator prioritizations research project. Volunteers continue to be supported by a trustee to mentor them in their voluntary contributions. Support during overseas work (suspended for 2020-21) was provided by a support crew with face to face and remote communication as required.

5.0 Financial Review

5.1 Trustee Financial statement

The trustees have prepared the financial report for the period in accordance with legislation in the United Kingdom governing the preparation and dissemination of financial statements. The trustees confirm that proper accounting records disclose with reasonable accuracy the financial position of the charity and that these records comply with the Charities Act 2011, the applicable Charities (Accounts and Reports) Regulations, and the provisions of the CIO foundation constitution. They can report that there are no irregularities within the financial reports for this period. As per the

Charities Act 2011, they have sought independent review from Hines Harvey Woods Limited.

5.2 Financial report.

The charity has no investments or endowments. The charity received £62,514 during the reporting period. The charity’s principal sources of funds during the period was in services for MORU (for expenditure for Wellcome- Oxford CCAA (£27,695) and from grants (£30,827.90). The remaining was from private donors who wish to see the charity achieve its charitable objectives and for services. The charity allocated funds to support the activities to achieve objectives 1- 5 and for travel to enable the establishment of collaborations in Asia and Africa. During the financial year the charity’s expenditure was £10,076, of which £8,443 was in charitable donations. The charity currently has no investments but its trustees are aware of the social investment policy. The charity faces no financial uncertainties for the next financial year. Funds have been secured to meet the projected commitments and the current deficit of the charity. The charity has no subsidiary undertakings.

6.0 Risk management

7.0 Future plans for the charity

NICST’s success in achieving their charitable objectives in 2020-21 is a testimony to the generosity of private donors, the volunteers contributions and the productivity of the collaboration with NICS- MORU and other healthcare organisations. The trustees’ will continue to prioritise promoting the development of clinical training for healthcare professionals, clinical teams and healthcare services, and advancing translational research. We continue to work with our key partners in NICS- MORU and Doctors with Africa to develop and deliver clinical training programmes. We will build on the collaborations with University College London, University of Oxford, UKRI/ MRC and Wellcome, with whom we have common goals to undertake translational research. An area of fresh focus will be the development of context relevant quality evaluation and improvement methods. This new focus complements the established objective of ‘establishing and developing data platforms to enable better patient care in LMICs.’ This will benefit the public by providing frontline healthcare teams with information to evaluate existing care, identify areas where quality of care is not as expected and identify priorities for care improvement.

Our medium term goals for 2021- 2022 will be to further the establishment and development of a community of practice to improve the quality of acute care LMICs through south to south collaboration. To achieve this goal, NICST will continue to partner with NICS-MORU and with Mahidol Oxford Tropical Research Unit, (MORU), Wellcome and the UKRI/ MRC with a planned acute and critical care collaboration across 15 countries in Asia and Africa. NICST’s role in this collaboration will be to train healthcare workers in the skills to undertake research and quality improvement in their setting.

8.0 Declarations

The trustees declare that they have approved the trustees’ report above. Each trustee is an expert active in the field in which the charity operates. This means we are assured that their technical knowledge is up to date and that they have the depth of insight to effectively evaluate the appropriateness of the objectives, activities and charitable donations to NICS-MORU. They are further accountable to the wider academic community in which they stand and projects output, which includes scientific publications are reviewed by peers within the scientific community.

Signed on behalf of the charity’s trustees:

Full name: Abigail Beane

Position: Chair.

Date 28th January 2022

References

Valentin A, Ferdinande P, ESICM Working Group on Quality Improvement: Recommendations on basic requirements for intensive care units: structural and organizational aspects. Intensive Care Med 2011; 37:1575–87
Baker T: Critical care in low-income countries. Trop Med Int Heal 2009; 14:143– 148
Beane A, Stephens T, Silva AP De, et al.: A sustainable approach to training nurses in acute care skills in a resource limited setting (Network for Intensive Care Skills Training, NICST). Resuscitation 2016; 101:e1–e2
De Silva AP, Stephens T, Welch J, et al.: Nursing intensive care skills training: A nurse led,short, structured, and practical training program, developed and tested in a resource- limited setting. J Crit Care 2015; 30:438.e7-438.e11
Stephens T, De Silva AP, Beane A, et al.: Capacity building for critical care training delivery: Development and evaluation of the Network for Improving Critical care Skills Training (NICST) programme in Sri Lanka. Intensive Crit Care Nurs 2017; 39:28–36
De Silva, A.P., Sujeewa, J.A., De Silva, N., Rathnayake, R.M.D., Vithanage, L., Sigera, P.C., Munasinghe, S., Beane, A., Stephens, T., Athapattu, P.L. and Jayasinghe, K.S.A., 2017. A retrospective study of physiological observationreporting practices and the recognition, response, and outcomes following cardiopulmonary arrest in a low-to-middle-income country. Indian Journal of Critical Care Medicine, 21(6), p.343.

Beane A, De Silva AP, De Silva N, Sujeewa JA, Rathnyake RMSigera PC, Dondopr AM, HAniffa R. 2017. Evaluation of the feasibility and performance of existing early warning systems to identify patients at risk of adverse outcomes in a lowmiddle income country setting. ESICM Lives 2017, Vienna.
Haniffa R, Lubell Y, Cooper BS, Mohanty S, Alam S, Karki A, Pattnaik R, Maswood A, Haque R, Pangeni R, Schultz MJ. Impact of a structured ICU training programme in resource-limited settings in Asia. PloS one. 2017 Mar 14;12(3):e0173483.

Appendix 1. Publications and scientific output.

Aryal D, Beane A, Dondorp AM, Green C, Haniffa R, Hashmi M, Jayakumar D, Marshall JC, McArthur CJ, Murthy S, Webb SA. Operationalisation of the Randomized Embedded Multifactorial Adaptive Platform for COVID-19 trials in a low and lower-middle income critical care learning health system. Wellcome open research. 2021;6.

Read me

Benham-Mirando S, Abayadeera A, Kannangara S, Dassanayake V, Weerasekara D, Priyadarshani GD, Dondorp AM, Wijeyaratne M, Beane A, Haniffa R. Patient-centred perioperative outcomes after major abdominal surgery in Sri Lanka: a multicentre registry. Journal of British Surgery. 2020 Nov;107(12):e603-4.

Read me

Dongelmans DA, Pilcher D, Beane A, Soares M, Lopez MD, Fernandez A, Guidet B, Haniffa R, Salluh JI. Linking of global intensive care (LOGIC): An international benchmarking in critical care initiative. Journal of Critical Care. 2020 Sep 14.

Read me

Ranasinghe WG, Beane A, Vithanage TD, Priyadarshani GD, Colombage DD, Ponnamperuma CJ, Karunarathne S, Schultsz C, Dondorp AM, Haniffa R. Quality evaluation and future priorities for delivering acute myocardial infarction care in Sri Lanka. Heart. 2020 Apr 1;106(8):603-8.

Read me

Asia CC, Hashmi M, Beane A, Murthy S, Dondorp AM, Haniffa R. Leveraging a CloudBased Critical Care Registry for COVID-19 Pandemic Surveillance and Research in Lowand Middle-Income Countries. JMIR Public Health and Surveillance. 2020;6(4):e21939.

Read me

Hashmi M, Taqi A, Memon MI, Ali SM, Khaskheli S, Sheharyar M, Hayat M, Shiekh M, Kodippily C, Gamage D, Dondorp AM. A national survey of critical care services in

hospitals accredited for training in a lower-middle income country: Pakistan. Journal of critical care. 2020 Dec 1;60:273-8.

Marotta C, Pisani L, Di Gennaro F, et al. Epidemiology, Outcomes, and Risk Factors for Mortality in Critically Ill Women Admitted to an Obstetric High-Dependency Unit in Sierra Leone. The American Journal of Tropical Medicine and Hygiene. 2020 Nov;103(5):2142-2148.

Beane A, Wagstaff D, Abayadeera A, Wijeyaratne M, Ranasinghe G, Mirando S, Dondorp AM, Walker D, Haniffa R. A learning health systems approach to improving the quality of care for patients in South Asia. Global health action. 2019 Jan 1;12(1):1587893. Read more

Hashmi, M., Beane, A., Taqi, A., Memon, M., Athapattu, P., Khan, Z., Haniffa, R. (2019). Pakistan Registry of Intensive CarE (PRICE): Expanding a lower middle-income, clinician- designed critical care registry in South Asia. Journal of the Intensive Care Society, 20(3),190–195. Read more

Schell, C.O., Beane, A., Kayambankadzanja, R.K., Khalid, K., Haniffa, R. and Baker, T., 2019. Global Critical Care: Add Essentials to the Roadmap. Annals of Global Health, 85(1), p.97.

Beane A, Ranasinghe WG, Vithanage TDP, et al Quality evaluation and future priorities for delivering acute myocardial infarction care in Sri Lanka. Heart. Published Online First: 16 December 2019.

Addressing the information deficit in Global Health: Lessons from a digital acute care platform in Sri Lanka. Beane, A., De Silva, P., Lakmini Athapattu, P., Jayasinghe, S., Unnathie Abayadeera, A., Wijerathne, M., Gamage, I., Rathnayake, S., Dondorp, A.M., Haniffa, R. January 2019 British Medical Journal Global Health

Show Abstract

Commentary: Challenges and Priorities for Paediatric Critical Care ClinicianResearchers in Low- and Middle-Income Countries. Beane, A., Lakmini Athapattu, P., Dondorp, A.M., Haniffa, R. February 2019

Association of the Quick Sequential (Sepsis-Related) Organ Failure Assessment (qSOFA) Score With Excess Hospital Mortality in Adults With Suspected Infection in Low- and Middle-Income Countries. Rudd, K.E., Seymour, C.W., Aluisio, A.R., Augustin, M.E., Bagenda, D.S., Beane, A., Byiringiro, J.C., Chang, C.C.H., Colas, L.N., Day, N.P. and De Silva, A.P. June 2018 Jama Show Abstract

PRactice of VENTilation in Middle-Income Countries (PRoVENT-iMIC): rationale and protocol for a prospective international multicentre observational study in intensive care units in Asia

Pisani, L., Algera, A.G., Neto, A.S., Ahsan, A., Beane, A., Chittawatanarat, K., Faiz, A., Haniffa, R., Hashemian, R., Hashmi, M. and Imad, H.A. April 2018 BMJ open Show Abstract

Is the Tail Wagging the Dog in Sepsis? Haniffa, R., Beane, A. and Dondorp, A.M August 2018 Critical Care Medicine Read More

Inequalities in the prevalence of diabetes mellitus and its risk factors in Sri Lanka: a lower middle income country. De Silva, A.P., De Silva, S.H.P., Haniffa, R., Liyanage, I.K., Jayasinghe, S., Katulanda, P., Wijeratne, C.N., Wijeratne, S. and Rajapaksa, L.C..April 2018. International Journal for Equity in Health Show Abstract

Experiences of ICU survivors in a low middle income country- a multicenter study. Pieris L, Sigera PC, De Silva AP, Munasinghe S, Rashan A, Athapattu PL, Jayasinghe KS, Samarasinghe K, Beane A, Dondorp AM, Haniffa R. March 2018 BMC Anesthesiology

Show Abstract

Decision-making in the detection and management of patients with sepsis in resourcelimited settings: the importance of clinical examination. Haniffa, R., Beane, A., & Dondorp, A. M.March 2018Critical Care

Checklist 3: Charities in a regular partnering or funding relationship with a non-charity that is not its founder or subsidiary

You can use this checklist to help you test that your connection to a non-charity is set up or run in line with our guidance for charities with a connection to a non-charity.

It will help you to make that check for regular partnership and funding relationships with a non-charity. Charities who operate in a group with non-charities and “friends of” charities can also use this checklist.

Use one of the other checklists published with the guidance if the non-charity is your subsidiary or founder.

Using this checklist is optional and you will need to adapt it to meet your charity’s activities circumstances. It is not a substitute for reading the guidance and applying it your charity’s circumstances.

You can tell us if you decided to use this checklist, and if it has been useful for your charity. We welcome all comments through our anonymous feedback survey.

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Checklist 3: Charities in a regular partnering or funding relationship with a non-charity that is not
its founder or subsidiary
Yes/ Action to take Target Comments
No/ date
NA
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A. The purpose of the connection
For all charities with a connection to a non- charity, the purpose of the connection must be to help the charity to
make a positive difference for its beneficiaries. The connection must be managed in the charity’s best interests.
we have identified how the Yes The purpose of the connection between reviewed Examples of the impact of
connection to the non-charity NICST and NICS MORU is to enable NICST annually. the connection on NICST
helps our charity to make a to advance and meet its charitable achieving its charitable
positive difference to its Yes objectives in LMICs. NICS MORU provides objectives are detailed in
beneficiaries expertise in LMIC research, data curation the annual report.
we know how the aims, interest and coordination and in training. NICST
and scope of our charity differ partnership with NICS MORU ensures
from those of the connected non-
that NICST can engage with LMIC based
charity
researchers and build capacity in the
countries in which it is trying to improve
quality of care. NICS MORU is a not for
profit entity and as such ensures that its
focus is only on projects of public
interest.
B. Recognise the risks
Read principle 1 of the guidance. Look at the list of risks to help you identify and assess any risks to your charity
from its connection to the non-charity. Decide how and when you are going to address and review risk.
we have used the Commission’s Yes To assess and monitor risk, projects Financial reports for the
guidance and this checklist to jointly carried out by NICST and its collaborating organisation
help us identify any risks to our connected non charity are agreed on a are reviewed annually by
charity from the connection with project by project basis. Each project has an external auditor. Peer
the non-charity Yes a clear aim, methods- that align with the publications are publicly
we have assessed any risks that vision and principles of the charity and a accessible.
we have identified and set an set of measurable deliverables. Progress
appropriate plan to address and toward these deliverables are reviewed
review them
monthly and funds to support activities
are paid on a remuneration basis for
work completed and with supporting
documentation of how the funds have
been spent.
The deliverables of each project include
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presentation of findings to LMIC based
stakeholders, and are subject to
academic peer review in international
journals. The collaborating partner
conducts the work in its own name, and
acknowledges the intellectual and
financial contribution of the charity.
These steps ensure the integrity, assets
and beneficiaries of NICST charity are
protected.
C. Do not further non-charitable purposes
Read principle 2 of the guidance. For charities in a partnering or funding relationship with a non-charity, following
this principle is largely about making sure that the connection doesn’t result in any non-incidental private benefit
to the non-charity or people connected with it, and that the rules about carrying out particular activities are
followed.
Private benefit to the non-charity
● any benefit to the non-charity Yes Both organisations are financially
from its connection to our charity independent and both report their
is incidental. This means that the financial status and accounts annually to
benefit is a necessary result or by- an external auditor.
product of carrying out the
charity’s purposes. NICST assesses the fitness of purpose of
its collaborators for partnership and
achieving its charitable objectives by
1, review of the potential partners public
profile.
2, review of publicly available accounts
and annual reports
3. review of academic publication
4. review of other funders investing in
the organisation.
Our activities
----- End of picture text -----

----- Start of picture text -----
● If we make grants to a connected All funding is subject to budgetary
non-charity we Yes review, and accounts for the non charity
o ensure that we only give funding partner are externally audited and made
for activities, services or Yes available to review by the trustees
outcomes that will further our annually.
charity’s purposes Yes
o ensure that the grant doesn’t NICST does not engage, fund or endorse
result in more than incidental
any activities which are outside of the
benefit Yes scope of its charitable aim and
o carry out appropriate checks on
objectives. This includes any politically
the organisation to test that it is
or religiously motivated activities
genuine, suitable for our charity
N/A including campaigning, funding, financial
to work with, and competent to
or non financial support, advertisement
carry out the funded work
Yes or endorsements.
o check that our charity’s funds
were actually used for the
N/A
purposes given
● If we fund, or receiving funding
N/A
from, the connected non- charity
to carry out campaigning or
political activities
o this is an effective way to further
our charity’s purposes
o follows the legal rules which cover
campaigning and political activity
● If we fund, or receiving funding
from, the connected non-charity
to produce research or other
output in furtherance of our
charity’s educational purpose we
ensure that the output created
o furthers our charity’s purposes
o is educational in the charitable
sense
D. Operate independently
Read principle 3. For charities in a partnering or funding relationship with a non-charity, following this principle is
argely about making sure that the charity exists for its own charitable purposes and is governed by its trustees in
----- End of picture text -----

----- Start of picture text -----
ts best interests.
● if we receive funding from the Yes NICST is financially independent of its
non-charity, we have a choice relationship with the non charity. Its
about accepting it and any terms governance is independant and it
attached to it Yes serves to achieve its own charitable
● having agreed any funding and objectives.
terms, we make our own decisions Yes
about our activities and who will
NICST reviews the objectives of any
benefit from them N/A non charity organisation with which it
● we are clear about the partners, and re-reviews this annually.
circumstances in which it would
not be appropriate for our charity
to agree funding or other
arrangements with the non-
charity
● any trustees appointed to our
charity by the non-charity act
independently of the non-charity
and only in our charity’s best
interests
E. Address conflicts of interest
Read principle 4. For charities in a partnering or funding relationship with a non-charity, following this principle is
argely about identifying and addressing any conflicts of interests which may, on some matters, affect any trustees
who are appointed by the non-charity.
● if the non-charity appoints any of Yes
our trustees, our systems,
including our conflicts of interest NICST has a conflict of interest policy
policy, help us to identify and which has been completed by each
properly address any conflicts of trustee. in addition NICST mitigates
interest against potential conflicts of interest
being realised by the following measures
1. Its trustees do not receive any
financial remuneration for their
role in the charity.
2. It considers any conflict of loyalty
----- End of picture text -----

to be a potential COI and as such does not seek to place any trustee in the position that they may knowingly or unknowingly be in a position of conflict. 3. Requires its trustees to update their COI statement annually and at any time a new collaboration or partnership is considered. 4. Maintains a minimum of 4 charity trustees and ensures any decisions made by the trustee board are made so based on voting of trustees with no conflict of interest. 5. Provide annual reports which includes statements on all partnerships with non charitable organisations. 6. Makes available written documentation pertaining to COI and any decisions regarding decision to enter into and terminate partnerships with other organisations. F. Maintain your charity’s separate identity Read principle 5. For charities in a partnering or funding relationship with a non-charity, who share an identity with the non-charity, this principle is largely about assessing and addressing the risks of a shared identity, as well as the benefits. if we share an identity with the NA non-charity, we have considered if, and how, this is in our charity’s best interests

identity with the non-charity is in our best interests, we have also identified, and will address, any risks to our charity that this sharing brings if we have donors, they can tell whether our charity or the noncharity is asking for their money or support we take reasonable steps to help people outside our charity understand that it works with, but is separate from, the non-charity

----- Start of picture text -----
G. Protect your charity
Read principle 6. For charities in a partnering or funding relationship with a non-charity, appropriate due diligence
s key. It is also about being satisfied that the arrangements for working together and for any resource sharing are
n the charity’s best interests. The arrangements and agreements must protect the charity’s assets, reputation
and beneficiaries.
● we operate an appropriate due Yes NICST due diligence process prior to
diligence/assurance procedure. It partnering with a non charity are
helps us to know that our
partners, funders and the Review of potential partner
organisations we fund are suitable N/A organisations objectives, public
for our charity to work with statements or reportings, financial
● If structures and financial audits, code
⮚ sharing resources (such as
of conduct for research, policies on
staff, premises or data) or
employment, bribery, bullying and
⮚ communicating jointly with the harassment.
connected non-charity, we
● identify and address the risks as
well as the benefits of the sharing
All projects are reviewed by the
or joint work
trustees annually. The trustees are
● only agree payment
free to decide not to extend or renew
arrangements which provide value
a partnership with another
for our charity’s money
organisation even if the project has
● have systems to control
----- End of picture text -----

----- Start of picture text -----
communication which is about our been successful when measured
charity, or issued on its behalf against its deliverables.
● don’t renew sharing arrangements
without considering our charity’s NICST reviews its charitable
best interests objectives annually and is aware of
● We have appropriate written new and emerging priorities for
agreements in place to protect
improving healthcare in LMICs. It
our charity
reviews these priorities and the
research which influences the funding
and charity landscape and makes
adjustments to the projects its selects
and the partnerships it establishes
accordingly.
----- End of picture text -----

Network for Improving Critical-Care Systems and Training Charity No 1171106 Company No CE009621 Annual accounts for the period Period start date 01-Apr-20 To 31-Mar-21

Section A Statement of financial activities (including summary income and expenditure account)

Unrestricted funds Restricted income funds Endowment funds Total funds Prior year funds £ £ £ £ £ F01 F02 F03 F04 F05	Unrestricted funds Restricted income funds Endowment funds Total funds Prior year funds £ £ £ £ £ F01 F02 F03 F04 F05	Unrestricted funds Restricted income funds Endowment funds Total funds Prior year funds £ £ £ £ £ F01 F02 F03 F04 F05	Unrestricted funds Restricted income funds Endowment funds Total funds Prior year funds £ £ £ £ £ F01 F02 F03 F04 F05	Unrestricted funds Restricted income funds Endowment funds Total funds Prior year funds £ £ £ £ £ F01 F02 F03 F04 F05
62,514	-	-	62,514	16,363
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-
62,514	-	-	62,514	16,363

-	-	-	-	-
9,416	-	-	9,416	23,573
-			-	-
660	-	-	660	570
10,076	-	-	10,076	24,143

52,438	-	-	52,438	(7,780)
-	-	-	-	-
52,438	-	-	52,438	(7,780)
-	-	-	-	-
52,438	-	-	52,438	(7,780)
-	-	-	-	-
-	-	-	-	-

-	-	-	-	-
-	-	-	-	-
52,438	-	-	52,438	(7,780)

(16,195)	-	-	(16,195)	(8,415)
36,243	-	-	36,243	(16,195)

Page 1 of 45

Network for Improving Critical-Care Systems and Training	Charity No	1171106
	Company No	CE009621

Section B Balance sheet

Unrestricted funds 01/04/2020 £ £ F01 F02	Unrestricted funds 01/04/2020 £ £ F01 F02	Endowment funds 31/03/2021 Total last year £ £ £ F03 F04 F05	Endowment funds 31/03/2021 Total last year £ £ £ F03 F04 F05	Endowment funds 31/03/2021 Total last year £ £ £ F03 F04 F05
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-

-	-	-	-	-
15,120	-	-	15,120	18,623
-	-	-	-	-
22,328	-	-	22,328	2,903
37,448	-	-	37,448	21,526

1,205	-	-	1,205	37,721

36,243	-	-	36,243	(16,195)

36,243	-	-	36,243	(16,195)

-	-	-	-	-
-	-	-	-	-

36,243	-	-	36,243	(16,195)

-			-	-
	-		-	-
36,243		-	36,243	(16,195)
			-	-

36,243	-	-	36,243	(16,195)

The company was entitled to exemption from audit under s477 of the Companies Act 2006 relating to small companies.

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

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

These accounts have been prepared in accordance with the provisions applicable to small companies subject to the small companies regime and in accordance with FRS102 SORP.

Signed by two trustees on behalf of all the trustees

Print Name	Date of approval dd/mm/yyyy
Ms A Beane
Mr R Haniffa	28-02-2022

Signature	Date dd/mm/yyyy
Dr Rashan Haniffa	28/01/22
	Print name

Page 2 of 45

Section C Notes to the accounts

Note 1 Basis of preparation

This section should be completed by all charities `.`

1.1 Basis of accounting

These accounts have been prepared under the historical cost convention with items recognised at cost or transaction value unless otherwise stated in the relevant note(s) to these accounts.

The accounts have been prepared in accordance with:

the Statement of Recommended Practice: Accounting and Reporting by Charities • and with � preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued on 16 July 2014 • and with � the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102)

and with the Charities Act 2011.

The charity constitutes a public benefit entity as defined by FRS 102.*

�

-Tick as appropriate

1.2 Going concern

If there are material uncertainties related to events or conditions that cast significant doubt on the charity's ability to continue as a going concern, please provide the following details or state "Not applicable", if appropriate:

An explanation as to those factors that support the conclusion that the charity is a going concern;

Disclosure of any uncertainties that make the going concern assumption doubtful;

Where accounts are not prepared on a going concern basis, please disclose this fact together with the basis on which the trustees prepared the accounts and the reason why the charity is not regarded as a going concern.

1.3 Change of accounting policy

The accounts present a true and fair view and no changes have been made to the accounting policies adopted in notes 2.2 - 2.4.

----- Start of picture text -----
Yes �
-Tick as appropriate
No �
----- End of picture text -----*

Please disclose:

(i) the nature of the change in accounting policy;

(ii) the reasons why applying the new accounting policy provides more reliable and more relevant information; and

Page 3 of 45

(iii) the amount of the adjustment for each line affected in the current period, each prior period presented and the aggregate amount of the adjustment relating to periods before those presented, 3.44 FRS102 SORP.

1.4 Changes to accounting estimates

No changes to accounting estimates have occurred in the reporting period (3.46 FRS102 SORP).

----- Start of picture text -----
Yes �
-Tick as appropriate
No �
----- End of picture text -----*

Please disclose:

----- Start of picture text -----
(i) the nature of any changes;
(ii) the effect of the change on income and expense or
assets and liabilities for the current period; and
(iii) where practicable, the effect of the change in one or
more future periods.
----- End of picture text -----

1.5 Material prior year errors

----- Start of picture text -----
No material prior year error have been identified in the reporting period (3.47 FRS102 SORP).
Yes �
-Tick as appropriate
No �
----- End of picture text -----*

----- Start of picture text -----
Please disclose:
----- End of picture text -----

----- Start of picture text -----
(i) the nature of the prior period error;
(ii) for each prior period presented in the accounts, the
amount of the correction for each account line item
affected; and
(iii) the amount of the correction at the beginning of the
earliest prior period presented in the accounts.
----- End of picture text -----

Page 4 of 45

Section C Notes to the accounts (cont)

Note 2 Accounting policies

This standard list of accounting policies has been applied by the charity except for those deleted. Where a different or additional policy has been adopted then this is detailed in the box below.

########

2.1 RECONCILIATION WITH PREVIOUS GENERALLY ACCEPTED ACCOUNTING PRACTICE

Please provide a description of the nature of each change in accounting policy

Reconciliation of funds per previous GAAP to funds determined under FRS 102

Start of End of period period £ £ Fund balances as previously stated Adjustments: Fund balance as restated Reconciliation of net income/(net expenditure) per previous GAAP to net income/(net expenditure) under FRS 102 End of £ Net income/(expenditure) as previously stated Adjustments: Previous period net income/(expenditure) as restated

Page 5 of 45

Section C Notes to the accounts (cont)

Note 2 Accounting policies 2.2 INCOME

Recognition of income These are included in the Statement of Financial Activities (SoFA) when: • the charity becomes entitled to the resources; • it is more likely than not that the trustees will receive the resources; • the monetary value can be measured with sufficient reliability.

Offsetting	There has been no offsetting of assets and liabilities, or income and expenses, unless required or permitted by the FRS 102 SORP or FRS 102.
Grants and donations	Grants and donations are only included in the SoFA when the general income recognition criteria are met (5.10 to 5.12 FRS102 SORP).
	In the case of performance related grants, income must only be recognised to the extent
	that the charity has provided the specified goods or services as entitlement to the grant
	only occurs when the performance related conditions are met (5.16 FRS 102 SORP).
	Legacies are included in the SOFA when receipt is probable, that is, when there has
Legacies	been grant of probate, the executors have established that there are sufficient assets in the estate and any conditions attached to the legacy are either within the control of the
	charity or have been met.
Government grants	The charity has received government grants in the reporting period
	Gift Aid receivable is included in income when there is a valid declaration from the
Tax reclaims on	donor. Any Gift Aid amount recovered on a donation is considered to be part of that gift
donations and gifts	and is treated as an addition to the same fund as the initial donation unless the donor or
	the terms of the appeal have specified otherwise.
Contractual income and	This is only included in the SoFA once the charity has provided the related goods or
performance related	services or met the performance related conditions.
grants
Donated goods	Donated goods are measured at fair value (the amount for which the asset could be exchanged) unless impractical to do so.
	The cost of any stock of goods donated for distribution to beneficiaries is deemed to be
	the fair value of those gifts at the time of their receipt and they are recognised on
	receipt. In the reporting period in which the stocks are distributed, they are recognised
	as an expense at the carrying amount of the stocks at distribution.
	Donated goods for resale are measured at fair value on initial recognition, which is the
	expected proceeds from sale less the expected costs of sale, and recognised in 'Income
	from other trading activities' with the corresponding stock recognised in the balance
	sheet. On its sale the value of stock is charged against 'Income from other trading
	activities' and the proceeds from sale are also recognised as 'Income from other trading
	activities'.
	Goods donated for on-going use by the charity are recognised as tangible fixed assets
	and included in the SoFA as incoming resources when receivable.
	Gifts in kind for use by the charity are included in the SoFA as income from donations
	when receivable.
Donated services and	Donated services and facilities are included in the SOFA when received at the value of
facilities	the gift to the charity provided the value of the gift can be measured reliably.
	Donated services and facilities that are consumed immediately are recognised as
	income with an equivalent amount recognised as an expense under the appropriate
	heading in the SOFA.
Support costs	The charity has incurred expenditure on support costs.

Yes No N/a*	Yes No N/a*	Yes No N/a*
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Yes No N/a*
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� Yes No N/a*
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Yes No N/a*
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Yes No N/a*
�	�	�
Yes No N/a*
�	�	�

Page 6 of 45

Yes No N/a*	Yes No N/a*	Yes No N/a*
�	�	�
Yes No N/a*
�	�	�
Yes No N/a*
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Yes No N/a*
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Yes No N/a*
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Yes No N/a*
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Yes No N/a*
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Yes No N/a*
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Yes No N/a*
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Yes No N/a*
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Yes No N/a*
�	�	�


Yes No N/a*
�	�	�
Yes No N/a*
�	�	�
Yes No N/a*
�	�	�

Page 7 of 45

The charity has heritage assets, that is, non-monetary assets with historic, artistic, scientific, technological, geophysical or environmental qualities that are held and Heritage assets maintained principally for their contribution to knowledge and culture. The depreciation rates and methods used as disclosed in note 16.

They are valued at cost.

Fixed asset investments in quoted shares, traded bonds and similar investments are valued at initially at cost and subsequently at fair value (their market value) at the year end. The same treatment is applied to unlisted investments unless fair value cannot be measured reliably in which case it is measured at cost less impairment.

Investments

Investments held for resale or pending their sale and cash and cash equivalents with a maturity date of less than 1 year are treated as current asset investments

Stocks and work in Stocks held for sale as part of non-charitable trade are measured at the lower or cost or progress net realisable value.

Goods or services provided as part of a charitable activity are measured at net realisable value based on the service potential provided by items of stock.

Work in progress is valued at cost less any foreseeable loss that is likely to occur on the contract.

Debtors (including trade debtors and loans receivable) are measured on initial recognition at settlement amount after any trade discounts or amount advanced by the Debtors charity. Subsequently, they are measured at the cash or other consideration expected to be received.

The charity has investments which it holds for resale or pending their sale and cash and Current asset cash equivalents with a maturity date less than one year. These include cash on investments deposit and cash equivalents with a maturity of loss than one year held for investment purposes rather than to meet short-term cash commitments as they fall due.

They are valued at fair value except where they qualify as basic financial instruments.

Yes No N/a*	Yes No N/a*	Yes No N/a*
�	�	�
Yes No N/a*
�	�	�
Yes No N/a*
�	�	�
Yes No N/a*
�	�	�
Yes No N/a*
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Yes No N/a*
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Yes No N/a*
�	�	�
Yes No N/a*
�	�	�
Yes No N/a*
�	�	�
Yes No N/a*
�	�	�

POLICIES ADOPTED ADDITIONAL TO OR DIFFERENT FROM THOSE ABOVE

Page 8 of 45

Section C	Notes to the accounts (cont)	Notes to the accounts (cont)
Unrestricted funds 01/04/2020 Endowment funds 31/03/2021 Prior year £ £ Donations andgifts 3,991 - -3,9915,670 Gift Aid - - - - - Services 27,695 - - 27,69510,693 General grants provided by government/other charities 30,828 - -30,828 - Membership subscriptions and sponsorships which are in substance donations - - - - - Donatedgoods,facilities and services - - - - - Other - - - - - Total 62,514 - - 62,514 16,363 - - - - - - - - - - - - - - - 0 Other - - - - - Total - - - - - - - - - - - - - - - - - - - - Other - - - - - 0 Total - - - - - Interest income - - - - - Dividend income - - - - - Rental and leasingincome - - - - - Other - - - - - Total - - - - - - - - - - - - - - - - - - - - - - - - - Total - - - - - Conversion of endowment funds into income - - - - - Gain on disposal of a tangible fixed asset held for charity's own use - - - - - Gain on disposal of a programme related investment - - - - - Royalties from the exploitation of intellectual propertyrights - - - - - Other - - - - - Total - - - - - 62,514 - - 62,514 16,363 Other information: Other: Charitable activities: Where sums originally denominated in foreign currency have been included in income, explain the basis on which those sums have been translated into sterling (or the currency in which the accounts are drawn up). Within the income items above the following items are material: (please disclose the nature, amount and any prior year amounts) Where any endowment fund is converted into income in the reporting period, please give the reason for the conversion. Separate material item of income TOTAL INCOME All income in the prior year was unrestricted except for: (please provide description and amounts) Note 3 Income Analysis of income Donations and legacies: Income from investments: Other trading activities:
All income in the prior year was unrestricted except for: (please provide description and amounts)
Where any endowment fund is converted into income in the reporting period, please give the reason for the conversion.
Within the income items above the following items are material: (please disclose the nature, amount and any prior year amounts)

Where sums originally denominated in foreign currency have been included in income, explain the basis on which those sums have been translated into sterling (or the currency in which the accounts are drawn up).

Page 9 of 45

Section C Notes to the accounts (cont)

Note 4 Analysis of receipts of government grants

Description	01/04/2020 This year Last year £ £	01/04/2020 This year Last year £ £
	-	-
	-	-
	-	-
	-	-
Total	-	-

Please provide details of any unfulfilled conditions and other contingencies attaching to grants that have been recognised in income. Please give details of other forms of government assistance from which the charity has directly benefited.

Page 10 of 45

Section C Notes to the accounts (cont)

Note 5 Donated goods, facilities and services

This year Last year £ £	This year Last year £ £
-	-
-	-
-	-
-	-

Seconded staff Use of property Other Please provide details of the accounting policy for the recognition and valuation of donated goods, facilities and services. Please provide details of any unfulfilled conditions and other contingencies attaching to resources from donated goods and services not recognised in income. Please give details of other forms of other donated goods and services not recognised in the accounts, eg contribution of unpaid volunteers.

Page 11 of 45

Section C Notes to the accounts (cont)

Note 6 Expenditure

Analysis of expenditure	01/04/2020 Restricted income funds 31/03/2021 Total funds Prior year £ £ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3,270 - - - - 157 8,443 - -8,44320,062 973 - -973 9 - - - - 75 9,416 - -9,41623,573 - - - - - - - - - - - - - - - - - - - - - - - - -	01/04/2020 Restricted income funds 31/03/2021 Total funds Prior year £ £ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3,270 - - - - 157 8,443 - -8,44320,062 973 - -973 9 - - - - 75 9,416 - -9,41623,573 - - - - - - - - - - - - - - - - - - - - - - - - -	01/04/2020 Restricted income funds 31/03/2021 Total funds Prior year £ £ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3,270 - - - - 157 8,443 - -8,44320,062 973 - -973 9 - - - - 75 9,416 - -9,41623,573 - - - - - - - - - - - - - - - - - - - - - - - - -	01/04/2020 Restricted income funds 31/03/2021 Total funds Prior year £ £ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3,270 - - - - 157 8,443 - -8,44320,062 973 - -973 9 - - - - 75 9,416 - -9,41623,573 - - - - - - - - - - - - - - - - - - - - - - - - -	01/04/2020 Restricted income funds 31/03/2021 Total funds Prior year £ £ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -3,270 - - - - 157 8,443 - -8,44320,062 973 - -973 9 - - - - 75 9,416 - -9,41623,573 - - - - - - - - - - - - - - - - - - - - - - - - -
Incurred seeking donations	-	-	-	-	-
Incurred seeking legacies	-	-	-	-	-
Incurred seeking grants	-	-	-	-	-
Operating membership schemes and social lotteries	-	-	-	-	-
Staging fundraising events	-	-	-	-	-
Fundraising agents	-	-	-	-	-
Operating charity shops	-	-	-	-	-
Operating a trading company undertaking non-charitable trading activity	-	-	-	-	-
Advertising, marketing, direct mail and publicity	-	-	-	-	-
Start up costs incurred in generating new source of future income	-	-	-	-	-
Database development costs	-	-	-	-	-
Other trading activities					-
Investment management costs:	-	-	-	-
Portfolio management costs	-	-	-	-	-
Cost of obtaining investment advice	-	-	-	-	-
Investment administration costs	-	-	-	-	-
Intellectual property licencing costs	-	-	-	-	-
Rent collection, property repairs and maintenance charges	-	-	-	-	-
	-	-	-	-	-
Total expenditure on raising funds	-	-	-	-	-

Travelling	-	-	-	-	3,270
Cloud computing	-	-	-	-	157
Charitable donations	8,443	-	-	8,443	20,062
Office expenses	973	-	-	973	9
Advertising	-	-	-	-	75

Total expenditure on charitable activities	9,416	-	-	9,416	23,573

	-	-	-	-	-
	-	-	-	-	-
	-	-	-	-	-
	-	-	-	-	-
Total	-	-	-	-	-

Page 12 of 45

660	-	-	660	570
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-
660	-	-	660	570
10,076	-	-	10,076	24,143

Other information:

Analysis of expenditure on charitable activities

Activity or programme	Activities undertaken directly	Grant funding of activities	Support Costs	Total this year	*Total prior* *year*
	£	£	£	£	£
Activity 1 Activity2

Other
Total

Prior year expenditure on charitable activities can be analysed as follows:

Within the expenditure items above the following items are material: (please disclose the nature, amount and any prior year amounts)

Where sums originally denominated in foreign currency have been included in expenditure, explain the basis on which those sums have been translated into sterling (or the currency in which the accounts are drawn up).

Page 13 of 45

Section C Notes to the accounts (cont)

##

Note 7 Extraordinary items

Please explain the nature of each extraordinary item occurring in the period.

Extraordinary item 1 Extraordinary item 2 Extraordinary item 3 Extraordinary item 4 Description Total extraordinary items	Description	This year Last year £ £ - - - - - - - - - - - -	This year Last year £ £ - - - - - - - - - - - -
		-	-

		-	-
		-	-
		-	-

		-	-
		-	-

Page 14 of 45

Section C Notes to the accounts

01/04/2020 31/03/2021

Note 8 Funds received as agent

8.1 Please complete this note if the charity has agreed to administer the funds of another entity as its agent. Note: If a charity is acting as an agent, it should not recognise the income in the Statement of Financial Activities or the Balance Sheet.

		Amount received	Amount received	Amountpaid out	Amountpaid out	Balance held atperiod end	Balance held atperiod end
Description/name of party	Related party (Yes or No)	Thisyear	Lastyear	Thisyear	Lastyear	Thisyear	Lastyear
		£	£	£	£	£	£
		-	-	-	-	-	-
		-	-	-	-	-	-
		-	-	-	-	-	-
		-	-	-	-	-	-
		-	-	-	-	-	-
Total		-	-	-	-	-	-

8.2 Where a consortia or similar arrangement exists whereby 2 or more charities co-operate to achieve economies in the purchase of goods or services, please disclose details of any balances outstanding between any participating members.

Description/name of party	Balance held atperiod end	Balance held atperiod end
	Thisyear	Lastyear
	£	£
	-	-
	-	-
	-	-
	-	-
	-	-
Total	-	-

Page 15 of 45

Section C Notes to the accounts

Note 9 Support Costs

Please complete this note if the charity has analysed its expenses using activity categories and has support costs.

31/03/2021

Support cost (examples)	Raising funds £	Activity 1 £	Activity 3 £	Grand total £	Basis of allocation
					(Describe method)
Governance	-	-	-	-
	-	-	-	-
	-	-	-	-
	-	-	-	-
Other	-	-	-	-
Total	-	-	-	-

Please provide details of the accounting policy adopted for the apportionment of costs between activities and any estimation techniques used to calculate their apportionment.

Page 16 of 45

Section C Notes to the accounts

Note 10 Details of certain types of expenditure

01/04/2020

31/03/2021

Note 10.1 Fees for examination of the accounts

Please provide details of the amount paid for any statutory external scrutiny of accounts and other services provided by your independent examiner. If nothing was paid please enter '0' in the appropriate box(es).

*Please provide details of the amount paid for any statutory external scrutiny of* *accounts and other services provided by your independent examiner. If nothing* *was paid please enter '0' in the appropriate box(es).*
Tax advisory fees Other fees (for example: financial advice, consultancy, accountancy services) paid to the independent examiner Independent examiner’s fees Assurance services other than independent examination	This year £	Last year £
	220	200


	440	370

Page 17 of 45

Section C Notes to the accounts (cont)

Note 11 Paid employees

Please complete this note if the charity has any employees (transactions with Trustees dealt with in Note 28)

31/03/2021

11.1 Staff Costs

Social security costs Other employee benefits Total staff costs Pension costs (defined contribution pension plan) Salaries and wages	This year £	Last year £
	-	-
	-	-

	-	-
	-	-

Please provide details of expenditure on staff working for the charity whose contracts are with and are paid by a related party

Please give details of the number of employees whose total employee benefits (excluding employer pension costs) fell within each band of £10,000 from £60,000 upwards. If there are no such transactions, please enter 'true' in the box provided.

No employees received employee benefits (excluding employer pension costs) for the reporting period of more than £60,000

Band	Number of employees	0
£60,000 to £69,999
£70,000 to £79,999
£80,000 to £89,999
£90,000 to £99,999
£100,000 to £109,999

Please provide the total amount paid to
key management personnel (includes
trustees and senior management) for
their services to the charity. For
specific amounts paid to trustees, see
Note 28.
11.2 Average head count in the year		This year Number	Last year Number
The parts of the charity in which the	Fundraising	-	-
employees work	Charitable Activities	-	-
	Governance	-	-
	Other	-	-
	Total	-	-
11.3 Ex-gratia payments to employees and others (excluding trustees)
*Please complete if an ex-gratia payment*	*is made.*
Please explain the nature of the
payment
Please state the legal authority or
reason for making the payment
Please state the amount of the payment
(or value of any waiver of a right to an
asset)
11.4 Redundancy payments
*Please complete if any redundancy or termination payment is made in the period.*
Total amount of payment
The nature of the payment (cash, asset
etc.)

Page 18 of 45

The extent of redundancy funding at the balance sheet date Please state the accounting policy for any redundancy or termination payments

Page 19 of 45

Section C Notes to the accounts (cont)

Note 12 Defined contribution pension scheme or defined benefit scheme accounted for as a defined contribution scheme.

31/03/2021

12.1 Please complete this note if a defined contribution pension scheme is operated.

Amount of contributions recognised in the SOFA as an expense

Please explain the basis for allocating the liability and expense of defined contribution pension scheme between activities and between restricted and unrestricted funds.

12.2 Please complete this section where the charity participates in a defined benefit pension plan but is unable to ascertain its share of the underlying assets and liabilities.

Please confirm that although the scheme is accounted for as a defined contribution plan, it is a defined benefit plan.

Please provide such information as is available about the plan's surplus or deficit and the implications, if any, for the reporting charity

12.3 Please complete this section where the charity participates in a multi-employer defined benefit pension plan that is accounted for as a defined contribution plan.

Describe the extent to which the charity can be liable to the plan for other entities' obligations under the terms and conditions of the multi-employer plan

Explain how any liability arising from an agreement with a multi-employer plan to fund a deficit has been determined.

Page 20 of 45

Section C Notes to the accounts (cont)

31/03/2021

Note 13 Grantmaking

Please complete this note if the charity made any grants or donations which in aggregate form a material part of the charitable activities undertaken.

13.1 Analysis of grants paid (included in cost of charitable activities)

Analysis	Grants to institutions	Grants to individuals	Support costs	Total
			£	£
Donations to National Intensive Care Surveillance - M.O.R.U	10,153		-	10,153
Activityorproject 3			-	-
Activityorproject 4			-	-
*Total*	10,153	-	-	10,153

Please enter “Nil” if the charity does not identify and/or allocate support costs.

13.2 Grants made to institutions

13.2 Grants made to institutions	13.2 Grants made to institutions
*My charity has made grants to particular institutions that are material in* *the context of its grantmaking. Details of the institution supported,* *purpose of the grant and total paid to each institution is available on the* *charity's web site.*		*Yes*	*Please provide* *details of charity's* *URL.*
		No	*Provide details* *below*

Names of institution	Purpose		Total amount of grantspaid £
			-
			-
			-
			-
			-
			-
			-
			-
			-
			-
*TOTAL GRANTS PAID* *Other unanalysed grants* *Total grants to institutions in reporting period*			-
			-
			-

Page 21 of 45

Section C Notes to the accounts (cont)

Note 14 Tangible fixed assets

Please complete this note if the charity has any tangible fixed assets

14.1 Cost or valuation

Freehold land & buildings £	Other land & buildings £	Plant, machinery and motor vehicles £	Fixtures, fittings and equipment £	Total £
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-

14.2 Depreciation and impairments

SL or RB	SL or RB	SL or RB	SL or RB	SL or RB

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-

14.3 Net book value

Net book value at the beginning of the year Net book value at the end of the year	-	-	-	-	-
	-	-	-	-	-

14.4 Impairment

Page 22 of 45

Please provide a description of the events and circumstances that led to the recognition or reversal of an impairment loss.

14.5 Revaluation

If an accounting policy of revaluation is adopted, please provide: the effective date of the revaluation

the name of independent valuer, if applicable the methods applied and significant assumptions the carrying amount that would have been recognised had the assets been carried under the cost model.

14.6 Other disclosures

(i) Please state the amount of borrowing costs, if any, capitalised in the construction of tangible fixed assets and the capitalisation rate used. (ii) Please provide the amount of contractual commitments for the acquisition of tangible fixed assets. (iii) Details of the existence and carrying amounts of property, plant and equipment to which the charity has restricted title or that are pledged as security for liabilities.

The "transfers" row is for movements between fixed asset categories.

** Please indicate the method of depreciation by deleting the method not

Page 23 of 45

Section C Notes to the accounts

Note 15 Intangible assets Please complete this note if the charity has any intangible assets 15.1 Cost or valuation

	Project	Patents and	Other	Total
	development	trademarks
	costs
	£	£	£	£
At beginning of the	-	-	-	-
year
Additions	-	-	-	-
Disposals	-	-	-	-
Revaluations	-	-	-	-
Transfers *	-	-	-	-
At end of the year	-	-	-	-
15.2 Amortisation and impairments
**Method of	SL or RB	SL or RB	SL or RB	SL or RB	Straight Line
amortisation					("SL") or
					Reducing
					Balance
					("RB")
** Rate
						0
At beginning of the	-	-	-	-
year
Disposals	-	-	-	-
Amortisation	-	-	-	-
Impairment	-	-	-	-
Transfers*	-	-	-	-
At end of year	-	-	-	-
						0
15.3 Net book value
Nat book value at the	-	-	-	-
beginning of the year
Net book value at the	-	-	-	-
end of the year

15.4 Accounting policy

Please disclose the accounting policy for intangible fixed assets including: Reasons for choosing amortisation rates Policies for the recognition of any capital development

15.5 Impairment

Please provide a description of the events and circumstances that led to the recognition or reversal of an impairment loss.

Page 24 of 45

15.6 Revaluation

If an accounting policy of revaluation is adopted, please provide:

the effective date of the revaluation

the name of independent valuer, if applicable

the methods applied

the carrying amount that would have been recognised had the assets been carried under the cost model.

15.7 Other disclosures

(i) If your intangible asset was acquired by way of grant, provide value on initial recognition and carrying amount of the asset.

(ii) Details of the carrying amounts of any intangible assets to which the charity has restricted title or that are pledged as security for liabilities.

(iii) Please provide the amount of contractual commitments for the acquisition of intangible assets.

(iv) State the amount of research and development expenditure recognised as expenditure in the year. (v) Please detail the headings in the SOFA in which a charge for amortisation of intangible assets is included. (vi) For any material intangible assets, please provide a description, its carrying amount and any remaining amortisation period.

*  The "transfers" row is for movements between fixed asset categories.

** Please indicate the method of depreciation by deleting the method not applicable (SL = straight
line; RB = reducing balance). Also please indicate the rate of depreciation: for straight line, what is
the anticipated life of the asset (in years); for reducing balance, what is the percentage annual
ddti

Page 25 of 45

Section C Notes to the accounts (cont)

Note 16 Heritage assets

Please complete this note if the charity has heritage assets

16.1 General disclosures for all charities holding heritage assets (i) Explain the nature and scale of heritage assets held. (ii) Explain the policy for the acquisition, preservation, management and disposal of heritage assets.

At beginning of the year Additions Disposals Revaluations Transfers At end of the year *Basis Rate** At beginning of the year Disposals Depreciation Impairment Transfers At end of year Nat book value at the beginning of the year Net book value at the end of the year 16.2 Cost or valuation 16.3 Depreciation and impairments 16.4 Net book value*	Heritage asset 1 Heritage asset 2 Heritage asset 3 Heritage asset 4 Total £ £ £ £ £ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 0 SL or RB SL or RB SL or RB SL or RB SL or RB Straight Line ("SL") or Reducing Balance - - - - - - - - - - - - - - - 0 - - - - - - - - - - - - - - - - - - - - - - - - -	Heritage asset 1 Heritage asset 2 Heritage asset 3 Heritage asset 4 Total £ £ £ £ £ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 0 SL or RB SL or RB SL or RB SL or RB SL or RB Straight Line ("SL") or Reducing Balance - - - - - - - - - - - - - - - 0 - - - - - - - - - - - - - - - - - - - - - - - - -	Heritage asset 1 Heritage asset 2 Heritage asset 3 Heritage asset 4 Total £ £ £ £ £ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 0 SL or RB SL or RB SL or RB SL or RB SL or RB Straight Line ("SL") or Reducing Balance - - - - - - - - - - - - - - - 0 - - - - - - - - - - - - - - - - - - - - - - - - -	Heritage asset 1 Heritage asset 2 Heritage asset 3 Heritage asset 4 Total £ £ £ £ £ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 0 SL or RB SL or RB SL or RB SL or RB SL or RB Straight Line ("SL") or Reducing Balance - - - - - - - - - - - - - - - 0 - - - - - - - - - - - - - - - - - - - - - - - - -	Heritage asset 1 Heritage asset 2 Heritage asset 3 Heritage asset 4 Total £ £ £ £ £ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 0 SL or RB SL or RB SL or RB SL or RB SL or RB Straight Line ("SL") or Reducing Balance - - - - - - - - - - - - - - - 0 - - - - - - - - - - - - - - - - - - - - - - - - -
	-	-	-	-	-
	-	-	-	-	-

16.5 Impairment

Please provide a description of the events and circumstances that led to the recognition or reversal of an impairment loss.

16.6 Revaluation

If an accounting policy of revaluation is adopted, please provide:

the effective date of the revaluation

the name of independent valuer, if applicable

qualifications of independent valuer

Page 26 of 45

the methods applied and significant assumptions

any significant limitations on the valuation

16.7 Analysis of heritage assets by class or group distinguishing those at cost and those at valuation

At valuation Group A £	At cost Group B £	Total £
-	-	-
-	-	-
-	-	-
-	-	-
-	-	-
-	-	-

16.8 Heritage assets (where heritage assets are not recognised on the balance sheet)

(i) Explain the reason why heritage assets have not been recognised on the balance sheet.

(ii) Describe the significance and nature of heritage assets.

(iii) Disclose information that is helpful in assessing the value of heritage assets.

(iv) Explain the reason why it is not practicable to obtain a valuation of heritage assets.

16.9 Five year summary of heritage assets transactions

	2020	2019	2018	2017	2016
Purchases Group A Group B Group C Other Donations Group A Group B Group C Other Total additions Charge for impairment Group A Group B Group C Other Total charge for impairment Disposals Group A - carrying amount Group B - carrying amount Group C Other Total disposals	£	£	£	£	£

	-	-	-	-	-
	-	-	-	-	-
	-
	-

	-	-	-	-	-
	-	-	-	-	-
	-	-	-	-	-
	-	-	-	-	-
	-	-	-	-	-


	-	-	-	-	-
	-	-	-	-	-
	-	-	-	-	-
	-	-	-	-	-
	-	-	-	-	-


	-	-	-	-	-
	-	-	-	-	-
	-	-	-	-	-
	-	-	-	-	-
	-	-	-	-	-

Page 27 of 45

Section C Notes to the accounts (cont)

Note 17 Investment assets

Please complete this note if the charity has any investment assets.

31/03/2021

17.1 Fixed assets investments (please provide for each class of investment)

Cash & cash equivalents	Listed investments	Investment properties	Social investment s	Other	Total
-	-	-	-	-	-
-	-	-	-	-	-
-	-	-	-	-	-
-	-	-	-	-	-
-	-	-	-	-	-
-	-	-	-	-	-
-	-	-	-	-	-
-	-	-	-	-	-

*Please specify additions resulting from acquisitions through business combinations, if any.

Please note that Fair Value in this context is the amount for which an asset could be exchanged between knowledgeable and willing parties in an arm's length transaction. For traded securities, the fair value is the value of the security quoted on the London Stock Exchange Daily Official List or equivalent. For other assets where there is no market price on a traded market, it is the trustees' or valuers' best estimate of fair value.

17.2 Please provide a breakdown of investments shown above agreeing with the balance sheet row B04 differentiating between those held at fair value and those held at cost less impairment.

Analysis of investments Cash or cash equivalents Investment properties Total Listed investments Other investments Grand total (Fair value at year end+Cost less impairment) Social investments
	Fair value at year end	Cost less impairment
	£	£
	-	-
	-	-
	-	-
	-	-
	-	-
	-	-

17.3 If your charity holds investment properties, please complete the following note:

(i) Explain the methods and significant assumptions in determining the fair value of investment property held by the charity

Page 28 of 45

(ii) Name or independent valuer, if applicable, and relevant qualifications

(iii) Provide details of any restrictions on the ability to realise investment property or on the remittance of income or disposal proceeds

(iv) Explain any contractual obligations for the purchase, construction or development of investment property or for repairs, maintenance or enhancements

17.4 Please provide a breakdown of current asset investments, if applicable, agreeing with the balance sheet.

Analysis of current asset investments Social investments Cash or cash equivalents Listed investments Investment properties Other investments Total	This year	Last year
	£	£
	-	-
	-	-
	-	-
	-	-
	-	-
	-	-

17.5 Guarantees

Please provide details and amount of any guarantee made to or on behalf of a third party

Name of the entity or entities benefitting from those guarantees

Please explain how the guarantee furthers the charity's aims

17.6 Concessionary loans

*Description*	This year £	Last year £




*Total*

*Description*	This year £	Last year £



*Total*

Amount of concessionary loans made ( Multiple loans made may be disclosed in aggregate provided that such aggregation does not obscure significant information ).

Amount of concessionary loans received (Multiple loans received may be disclosed in aggregate provided that such aggregation does not obscure significant information).

Terms and conditions eg interest rate, security provided

Page 29 of 45

Value of any concessionary loans which have been committed but not taken up at the reporting date

Amounts payable within 1 year

Amounts payable after more than 1 year

Amounts receivable within 1 year

Amounts receivable after more than 1 year

17.7 Additional information

Please provide information about the significance of investments to the charity's financial position or performance eg. terms and conditions of loans or the use of hedging to manage financial risk.

For all investments measured at fair value, the basis for determining the value, including any assumptions applied when using a valuation technique.

Where a charity or its subsidiary has provided financial assets as a form of security, the carrying amount of the financial asset pledged as security and the terms and conditions relating to its pledge.

Page 30 of 45

Section C Notes to the accounts (cont)

Note 18 Stocks

Please complete this note if the charity holds any stock items

31/03/2021

18.1 Please state the carrying amount of stock and work in progress analysed between activities.

Stock	Stock	Donated goods	Donated goods	Work in progress
For distribution	For resale	For distribution	For resale
£	£	£	£	£

-	-	-	-	-
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-


-	-	-	-	-
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-


-	-	-	-	-
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-
-	-	-	-	-

18.2 Please specify the carrying amount of any stocks pledged as security for liabilities

Page 31 of 45

Section C Notes to the accounts (cont)

Note 19 Debtors and prepayments

Please complete this note if the charity has any debtors or prepayments.

19.1 Analysis of debtors

19.1 Analysis of debtors
Total Trade debtors Prepayments and accrued income Other debtors	This year £	Last year £
	-	-
	-	-
	15,120	18,623
	15,120	18,623

Complete 19.2 where a material debtor is recoverable more than a year after the reporting date.

19.2 Disclosure of debtors recoverable in more than 1 year (included in debtors above)

Total Trade debtors Prepayments and accrued income Other debtors	This year £	Last year £
	-	-
	-	-
	-	-
	-	-

Page 32 of 45

Section C Notes to the accounts (cont)

Note 20 Creditors and accruals

Please complete this note if the charity has any creditors or accruals.

20.1 Analysis of creditors

Amounts falling due within oneyear	Amounts falling due within oneyear	Amounts falling due after more than oneyear	Amounts falling due after more than oneyear
This year £	Last year £	This year £	Last year £
-	-	-	-
-	-	-	-
600	-	-	-
-	-	-	-
600	540	-	-
-	-	-	-
5	37,181	-	-
1,205	37,721	-	-

Accruals for grants payable Bank loans and overdrafts Trade creditors

Payments received on account for contracts or performance-related grants Accruals and deferred income Taxation and social security Other creditors

20.2 Deferred income

Please complete this note if the charity has deferred income.

Please explain the reasons why income is deferred.

*Movement in deferred income account* Amounts released to income from previous periods Balance at the end of the reporting period Balance at the start of the reporting period Amounts added in current period	This year £	Last year £
	-	-
	-	-
	-	-
	-	-

Page 33 of 45

Section C Notes to the accounts (cont)

Note 21 Provisions for liabilities and charges

You should complete this note if you have included in the charity expenditure any provisions. A provision is made when the charity has a liability of uncertain timing or amount.

21.1 Please provide:

- a brief description of any obligations on the balance sheet and the expected amount and timing of resulting payments; - an indication of the uncertainties about the amount or timing of those outflows; and - the amount of any expected reimbursement, stating the amount of any asset that has been recognised for that expected reimbursement.

21.2 Movements in recognised provisions and funding commitment during the period

Unused amounts reversed during the period Balance at the start of the reporting period Amounts added in current period Amounts charged against the provision in the current period Balance at the end of the reporting period	This year £	Last year £
	-	-
	-	-
	-	-
	-	-
	-	-

21.3 For any funding commitment that is not recognised as a liability or provision, provide details of commitment made, the time frame of that commitment, any performance-related conditions and details of how the commitment will be funded (with contracts for capital expenditure separately identified)..

21.4 Where unrestricted funds have been designated to a fund commitment, please disclose the nature of any amounts designated and the likely timing of that expenditure.

Page 34 of 45

Section C Notes to the accounts (cont)

Note 22 Other disclosures for debtors, creditors and other basic financial instruments

22.1 Please provide information about the significance of financial instruments (eg. debtors, creditors, investments etc) to the charity's financial position or performance, for example, the terms and conditions of loans or the use of hedging to manage financial risk.

----- Start of picture text -----
31/03/2021
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22.2 If the charity has provided financial assets as a form of security, the carrying amount of the financial assets pledged as security and the terms and conditions related to its pledge should be given here.

Page 35 of 45

Section C Notes to the accounts (cont)

Note 23 Contingent liabilities and contingent assets

23.1 Contingent liabilities

Where the charity has contingent liabilities, please complete the following section unless the possibility of their existence is remote.

Description of item including its legal nature. Estimate of financial effect Please describe any security provided in connection to the liability.

23.2 Contingent assets

Where the charity has contingent assets, please complete the following section when their existence is probable

Description of item Estimate of financial effect

23.3 Other disclosures for contingent assets and/or liabilities Please provide the following information where practicable:

Explain any uncertainties relating to the amount or timing of settlement; and the possibility of any reimbursement Where it is not practical to make one or more of these disclosures, please state this fact

Page 36 of 45

Section C Notes to the accounts (cont)

Note 24 Cash at bank and in hand

Note 24 Cash at bank and in hand
Other Short term deposits Cash at bank and on hand Total Short term cash investments (less than 3 months maturity date)	01/04/2020 £	Last year £	31/03/2021
	-	-
	-	-
	22,328	2,903
	-	-
	22,328	2,903

Page 37 of 45

Section C Notes to the accounts (cont)

Note 25 Fair value of assets and liabilities

01/04/2020

25.1 Please provide details of the charity's exposure to credit risk (the risk of incurring a loss due to a debtor not paying what is owed) , liquidity risk (the risk of not being able to meet short term financial demands) and market risk (the risk that the value of an investment will fall due to changes in the market) arising from financial instruments to which the charity is exposed at the end of the reporting period and explain how the charity manages those risks.

25.2 Please give details of the amount of change in the fair value of basic financial instruments (debtors, creditors, investments (see section 11, FRS102 SORP)) measured at fair value through the SoFA that is attributable to changes in credit risk.

Page 38 of 45

Section C Notes to the accounts (cont)

Note 26 Events after the end of the reporting period

Please complete this note where events (not requiring adjustment to the accounts) have occurred after the end of the reporting period but before the accounts are authorised which relate to conditions that arose after the end of the reporting period.

31/03/2021

Please provide details of the nature of the event

Provide an estimate of the financial effect of the event or a statement that such an estimate cannot be made

Page 39 of 45

Fund balances carried forward £	36,243	-	-	-	-	-	-	-	-	-	-	36,243
Gains and losses £	-	-	-	-	-	-	-	-	-	-	-	-
Transfers £	-	-	-	-	-	-	-	-	-	-	-	-
Expenditure £	(10,076)	-	-	-	-	-	-	-	-	-	-	(10,076)
Income £	62,514	-	-	-	-	-	-	-	-	-	-	62,514
Fund balances brought forward £	(16,195)	-	-	-	-	-	-	-	-	-	-	(16,195)
Purpose and Restrictions	For charitable activities										N/a	Total Funds as per balance sheet	*If yes, please state the basis on which the assets and/or liabilities have been translated into* *sterling (or the currency in which the accounts are drawn up).*
Type PE, EE R or U *	U										N/a
Fund names	Other funds (balancing figure)										*Other funds (balancing* *figure)*

Fund balances carried forward £	(16,195)	-	-	-	-	-	-	-	-	-	-	(16,195)
Gains and losses £	-	-	-	-	-	-	-	-	-	-	-	-
Transfers £	-	-	-	-	-	-	-	-	-	-	-	-
Expenditure £	(24,143)	-	-	-	-	-	-	-	-	-	-	(24,143)
Income £	16,363	-	-	-	-	-	-	-	-	-	-	16,363
Fund balances brought forward £	(8,415)	-	-	-	-	-	-	-	-	-	-	- 8,415
Purpose and Restrictions	For charitable activities										N/a	Total Funds as per balance sheet
Type PE, EE R or UR *	U										N/a
Fund names	Other funds (balancing figure)										*Other funds (balancing* *figure)*

Section C Notes to the accounts (cont)

Note 27 Charity funds (cont)

27.3 Transfers between funds

	Reason for transfer and where endowment is converted to income, legalpower for its conversion	Amount
Between unrestricted and restricted funds
Between endowment and restricted funds
Between endowment and unrestricted funds

27.4 Designated funds

Planned use Purpose of the designation Amount

Page 42 of 45

Section C Notes to the accounts (cont)

Note 28 Transactions with trustees and related parties

If the charity has any transactions with related parties (other than the trustee expenses explained in guidance notes) details of such transactions should be provided in this note. If there are no transactions to report, please enter “True” in the box or "False" if there are transactions to report.

28.1 Trustee remuneration and benefits

None of the trustees have been paid any remuneration or received any other benefits from an employment with their charity or a related entity (True or False)

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TRUE
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In the period the charity has paid trustees remuneration and benefits. Please give the amount of, and legal authority for, any remuneration or other benefits paid to a trustee by the charity or any institution or company connected with it.

Amounts paid or benefit value	Amounts paid or benefit value	Amounts paid or benefit value	Amounts paid or benefit value	Amounts paid or benefit value	Amounts paid or benefit value
This year					Last year £
Remuneration	Pension contribution	Redundancy (including loss of office)/ex gratia	Other	TOTAL
£	£	£	£	£



				0

Please give details of why remuneration or other employment benefits were paid.

Where an ex gratia payment has been made to a trustee, provide an explanation of the nature of the payment.

If a third party has been reimbursed for providing one or more trustees, state the nature of the payment and amount of the reimbursement.

State the number of trustees to whom retirement benefits are accruing under a defined contribution pension scheme.

28.2 Trustees' expenses

If the charity has paid trustees expenses for fulfilling their duties, details of such transactions should be provided in this note. If there are no transactions to report, please enter “True” in the box below. If there are transactions to report, please enter "False".

No trustee expenses have been incurred (True or False)		*TRUE*

Type of expenses reimbursed	This year	Last year
	£	£
Travel
Subsistence
Accommodation
Other (please specify):

TOTAL

Page 43 of 45

Please provide the number of trustees reimbursed for expenses or who had expenses paid by the charity

28.3 Transaction(s) with related parties

Please give details of any transaction undertaken by (or on behalf of) the charity in which a related party has a material interest, including where funds have been held as agent for related parties. If there are no such transactions, please enter 'true' in the box provided.

There have been no related party transactions in the reporting period (True or False)

TRUE

Amount	Balance at period end	Provision for bad debts at period end	Amounts written off during reporting period
£	£	£	£

In relation to the transactions above, please provide the terms and conditions, including any security and the nature of any payment (consideration) to be provided in settlement.

For any related party, please provide details of any guarantees given or received.

Page 44 of 45

Section C Notes to the accounts (cont)

Note 29 Additional Disclosures

The following are significant matters which are not covered in other notes and need to be included to provide a proper understanding of the accounts. If there is insufficient room here, please add a separate sheet.

Page 45 of 45

CHARITY (OMMISSION FOR ENGLANO AND WALES Independent examiner's report on the accounts Section A Independent Examiner's Report Report to the trusteesl members of Network for Improving Critlcal-care Systems and Training On accounts for the period ended 31 March 2021 Charity no lif any) 1171106 Set out on pages 1to45 We report to Ihe trustees on our examinatton of the accounts of the above charity I'the Trust") for the period ended 3110312020. As Ihg charity's trustees, you are responslble for Ihe preparation of the accounts in accordance with the requirements of the Charilies Act 2011 {"the Act"). Responslbllltles and basis of report We report in respect of our examination of the Trust's aGcounts carried out under section 145 of the 2011 Act and in carrying out our examinalion, we have followed all the applicable Directions given by the Charity Commission under section 14515}Ibl of the Act. Independent We have completed our examination. We confirm that no material matters examlner's statement have come to aur attention in ronnection with the examlnation which gives us cause to believe that in, any material respect.. the accounting records were not kept in accordance with section 130 of Ihe Charities Act; or the accounts did not accord with the accounting records., or the accounts did not comply with Ihe applicable requirements concerning the form and contenl of accounts set oul in the Charities (Accounts and Reports) Regulations 2008 other Ihan any requir&menl that the accounts give a 'true and fair, view which is nol a maller considerod as part of an independent examination. We 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 lo anab18 a proper underslanding of the accounts to be reached. Signed., Date: 2oA Name: Hines Harvey Woods Ltd Relevant professional qualificallonls) or body {if any): Association of Chartered C8rtified Accountants ("ACCA"I Address: Queens Head House The Streèt, Acle Norwich, NR13 3DY

Section B Disclosure Only complete if the examiner needs lo highlight material mallers of concern {s&e CC32, Independent exarnination of charity accounts.. directions and guidance for examin&rsl. Glvè here brief dotails of any items thal the examiner wishes to dlsclose.

2021-03-31-accounts

The Network for Improving Critical-care Systems & Training (NICST)

Report and Financial Statements Year ended: MARCH 2021

Charity no: 1171106

Administrative details

The Trustees’ Annual Report

1.0 Objectives and activities for the public benefit

2.0 Achievements and performance: how our objectives delivered public benefit.

3.0 Structure, Governance and Management

3.1 Structure

3.2 Governance and management

3.3 Monitoring achievement

3.4 Summary of achievements

3.5 Trustees’ responsibilities in relation to the financial statements

4.0 Contribution made by volunteers

5.0 Financial Review

5.1 Trustee Financial statement

5.2 Financial report.

6.0 Risk management

7.0 Future plans for the charity

8.0 Declarations

Signed on behalf of the charity’s trustees:

Full name: Abigail Beane

Position: Chair.

References

Appendix 1. Publications and scientific output.

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Section A Statement of financial activities (including summary income and expenditure account)

Section B Balance sheet

Note 1 Basis of preparation

This section should be completed by all charities .

1.1 Basis of accounting

1.2 Going concern

1.3 Change of accounting policy

Please disclose:

1.4 Changes to accounting estimates

Please disclose:

1.5 Material prior year errors

Section C Notes to the accounts (cont)

Note 2 Accounting policies

2.1 RECONCILIATION WITH PREVIOUS GENERALLY ACCEPTED ACCOUNTING PRACTICE

Note 2 Accounting policies 2.2 INCOME

Investments

POLICIES ADOPTED ADDITIONAL TO OR DIFFERENT FROM THOSE ABOVE

Note 4 Analysis of receipts of government grants

Note 5 Donated goods, facilities and services

Note 6 Expenditure

Other information:

Analysis of expenditure on charitable activities

##

Note 7 Extraordinary items

Please explain the nature of each extraordinary item occurring in the period.

Note 8 Funds received as agent

Note 9 Support Costs

31/03/2021

Section C Notes to the accounts

Note 10 Details of certain types of expenditure

01/04/2020

31/03/2021

Note 10.1 Fees for examination of the accounts

Please provide details of the amount paid for any statutory external scrutiny of accounts and other services provided by your independent examiner. If nothing was paid please enter '0' in the appropriate box(es).

Section C Notes to the accounts (cont)

Note 11 Paid employees

11.1 Staff Costs

12.1 Please complete this note if a defined contribution pension scheme is operated.

This section should be completed by all charities `.`