|||**Trustees' Annual Report for theperiod**|**Trustees' Annual Report for theperiod**|**Trustees' Annual Report for theperiod**|**Trustees' Annual Report for theperiod**|**Trustees' Annual Report for theperiod**|**Trustees' Annual Report for theperiod**|**Trustees' Annual Report for theperiod**|**Trustees' Annual Report for theperiod**|
|---|---|---|---|---|---|---|---|---|---|
||**From**|Period start date||||**To**|Period end date|||
|||||||||||
|||1st||January|2020||31st|December|2020|
|||||||||||
|Section A||Reference and administration details||||||||
|**Charity name**<br>**Registered charity number**<br>**Charity's principal address**||||||||||
||||Tissue Viability Society (TVS)|||||||
|||||||||||
||||1180844|||||||
|||||||||||
||||c/o The Clinical Trials Research Unit, University of Leeds,<br>Leeds LS2 9JT|||||||



## **Names of the charity trustees who manage the charity. Trustees are elected by the board or members.** 

||**Trustee name**|**Office (if any)**|**Dates acted if not for whole year**|
|---|---|---|---|
|1.|Linda Primmer|Chair|Since 2018, Chair since May2019|
|2.|Jeannie Donnelly|Vice Chair|Since 2020|
|3.|Rachael Lee|Treasurer|Since 2019|
|4.|Frances Spratt|DeputyTreasurer|Since 2018|
|5.|Tina Chambers|Conference lead &<br>Regional StudyDaylead|Since 2018|
|6.|Ina Farrelly||Since 2019|
|7.|Sarah Gardner|Co-Vice Chair & Treasurer<br>Legs Matter lead|Since 2018|
|8.|Jemell Geraghty|Co-Vice Chair & Treasurer<br>Legs Matter lead|Since 2018|
|9.|David Hibbitt|Industryrepresentative|Since 2018|
|10.|Natasha Levy||Since 2020|
|11.|LiangLiu||Since 2019|
|12.|Sharon Neill||Since 2020|
|13.|Jane Nixon||Since October 2020|
|14.|RaySamuriwo||Since 2018, resigned July2020|
|15.|Heidi Sandoz||Since 2018, resigned July2020|
|16.|Nikki Stubbs||Since 2018|
|17.|Julie Sturges||Since 2018, resigned July2020|
|18.|Joanna Swan||Since 2018|
|19.|Gill Sykes||Since 2018|
|20.|Connie Traynor||Since 2018|
|21.|Pauline Vyse||Since 2018, resigned July2020|
|22.|Katie Williams||Since 2018|
|23.|HayleyWright||Since 2020, resigned September 2020|



TVS Annual Report 

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## **Section B              Structure, governance and management** 

## **Description of the charity’s trusts** 

Type of governing document  Constitution 

- (erg. trust deed, constitution) 

How the charity is constituted 

A Council of Trustees 

- (e.g. trust, association, company) 

Trustee selection methods  Appointed by Council or elected by membership depending upon number (e.g. appointed by, elected by) of available places and number of applicants. 

## **Section C                    Objectives and activities** 

The objectives for which the Society is established are to promote learning and advance public education in the study of tissue viability and **Summary of the objects of the** do all such things as may be conducive to improve standards in tissue **charity set out in its** viability as a multi-professional activity. **governing document** 

_All Trustees are aware of the public benefit guidance issued by the Charity Commission and have had regard to this when making decisions to undertake activities._ 

2020 opened with a great deal of optimism among the Council of Trustees that the Tissue Viability Society’s 40[th] anniversary year would be one to remember with its growing membership, an increased educational offering, a successful re-structuring of its finances and the excitement of co-hosting a major international conference to look forward to. Instead, it quickly became clear that 2020 was to be a memorable for quite a different reason as the scale of the health care emergency, brought about by the COVID-19 pandemic engulfing the UK became **Summary of the main** apparent. As key workers in health care, Trustees were redeployed into **activities undertaken for the** unfamiliar areas or found themselves on the frontline as specialists in **public benefit in relation to** wound care. Those working in education and research had to quickly adapt to teach and support students via new ways of remote working. **these objects** Trustees’ valuable time and energy was directed at supporting the UK’s health care services and education, with vastly reduced time and energy for charity work. In response, the Society radically changed its way of working, quickly forming a Crisis Group comprising a small group of Trustees, Pink Marketing and the TVS administrator. The group met weekly to carry out the Society’s prioritised objectives, ensuring the valuable work of the Society continued throughout the pandemic. The group’s meetings were open to all Trustees whenever they could attend and the Chair, Vice Chair and Council were consulted and kept regularly updated on progress. From that point, the TVS switched all its Trustee meetings and working practice to online only via the Zoom platform. 

TVS Annual Report 

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Despite the dramatic changes brought about by the COVID-19 pandemic, the TVS’s charitable achievements in 2020 have been truly amazing. Below is a short summary of the activities the TVS has undertaken in support of its strategic objectives. 

## **1. Membership** 

One of the TVS’s prime strategic aims is to encourage all professionals working in skin health and wound healing to become members of the Society and to ensure that TVS members engage in a diverse range of Society activities. But the pandemic made this aim hard to achieve in 2020 and overall TVS membership numbers fell from a high of 600 in 2019 to around 560 by the end of 2020. The pandemic prevented the TVS from holding or attending face to face events and from March 2020 all such TVS events were cancelled. This impacted on the recruitment of new members and engagement with our existing membership. However, the TVS continued to send out its regular e-newsletters specifically tailored to support health care professionals and the NHS. 

The TVS celebrated its 40[th] or ruby anniversary in 2020, proving the TVS’s unique history as one of the first (if not original) wound care societies in the UK. Celebratory plans were curtailed due to the pandemic, but not forgotten, with the issuing of an anniversary enamel pin badge sent out free to all members on request and to long-time supporters of the TVS. The TVS’s first ever public sponsored event, a walk on the theme of a ‘ _Journey to the Centre of Mars’_ (see below) was a fund-raising exercise to support TVS activities and prominently featured during TVS’s annual conference at EWMA 2020 and on social media. 

## **2. Conference** 

The TVS’s annual conference in 2020 was held in cooperation with the European Wound Management Association (EWMA). For more than two years the TVS had been working with EWMA to plan their conference at the ExCel exhibition centre, London, but all these plans had to be cancelled because of the pandemic. However, this meant that the TVS embarked on a journey of discovery, helping EWMA plan and deliver their first ever virtual conference, an amazing learning opportunity for all involved. As part of the conference planning, the TVS was proud to recommend and arrange for ‘The Choir with No Name’ to open EWMA 2020 with a resounding and very fitting delivery of ‘This is Me’. The Choir is a charity supporting homeless and marginalised people from across the UK, providing the opportunity to sing and gain much needed social and physical support. In addition, and on the TVS’s recommendation, in place of gifts for speakers EWMA made a generous donation to the choir. The Choir With No Name | The choir charity for homeless and marginalised people 

The TVS presented its own virtual stream at EWMA 2020 and also supported a separate virtual stream for the Wounds Research Network (WReN) scientific meeting. Both streams delivered a highly popular, quality programme to a worldwide audience. Excitingly the programme for the WReN stream attracted particularly large numbers of delegates (approaching 1000 for some sessions) from around the world with the TVS stream consistently attracting 200 to 300 attendees per session. 

To support our members to develop their knowledge and expertise we offered a total of 139 Educational Grants to qualified health care professionals, researchers, academics, students and postgraduates to attend TVS joint conference with EWMA. We also awarded free places 

TVS Annual Report 

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as a prize to the oral and poster free paper winners from our annual conference in 2019. 

Historically the annual conference has been one of the TVS’s largest sources of income, however, in recent years, the financial contribution of the conference to the Society’s income has fallen significantly. In 2020 the trend continued with the TVS generating no profit from its joint virtual conference with EWMA. Having already identified this decline in income as a threat to the TVS’s finances, the Society put in place a new funding model to secure a more stable financial footing. A new model of Corporate Sponsorship introduced in 2019 included funding to support the conference as well as a donation to the Society to support its wider charitable activities. With this financial security the TVS was able to absorb the costs incurred by the joint conference with EWMA as well as continue to present an innovative educational programme. 

The three largest contributors to the TVS’s revenue in 2020 were our corporate sponsors (approximately £32,300), the _Journal of Tissue Viability_ (approximately £20,166) and member subscriptions (approximately £15,827). 

## **3. Study Days** 

An exciting programme of TVS Study Days was planned for 2020, with Foundation Study Days organised for Scotland, Northern Ireland and England and new Advanced Study Days for the specialist practitioner instituted for the first time. TVS Study Days are free to attendees and widely seen as a valuable resource. The Society funds the speaker fees and expenses, the costs of which are offset by a small industry exhibition. 

The strategic aim for 2020 was to increase the number of study days that we delivered and to increase the number of people that attended. It was also an opportunity to serve the membership, carers and health care professionals in parts of the UK for the first time. Huge enthusiasm from delegates and our partners in industry was demonstrated with the largest numbers of delegate applications seen by the TVS. Unfortunately, due to the pandemic, the vast majority of these physical events had to be cancelled and the TVS had to quickly re-think its educational strategy to virtual. 

The Education Group completely reformatted the Foundation Study Day programme so that it could be delivered over the video platform Zoom and the first virtual Foundation Study Day was held in December 2020. Face-to-face study days had on average between 30 and 40 attendees, but the attendance at our virtual study days has risen dramatically to between 100 and 150 attendees. Looking forward to 2021, the TVS aims to hold 12 Foundation Days in the year, with up to 6 Advanced Study Days, all of which will be virtual. Because of the pandemic, the Study Day programme is currently running at a financial cost to the TVS, but the aim for 2021 is that the study days will again cover their costs and may even become an income generator for the Society. 

## **Webinars** 

Changing to delivering our education virtually opened up the possibility of the TVS holding its first ever solo webinar in November 2020. Titled ‘Lost in Translation – Implementing the TVS Seating Guidelines’ it was quickly followed in December by our second webinar introducing a new TVS initiative the Skin Care Champions Programme and Network. Both these webinars were for a specific target audience, but the TVS aims to institute a full webinar programme from the middle of 2021. All TVS 

TVS Annual Report 

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webinars are free to attend. 

## **Skin Care Champions** 

In May 2020 the TVS was approached by a care home manager with an idea for training staff on skin care relating to wounds. Due to the impact of the COVID-19 pandemic, awareness of the whole care home / home care sector has risen dramatically in the UK, with many recognising and applauding the essential role played by carers in the health care system. However, training for these essential workers can be extremely variable due to lack of resources and financial constraints and so the TVS proposed launching the Skin Care Champions Network and Programme. The scheme aims to provide a trusted and endorsed programme of costeffective and easily accessible education, with organisations who subscribe having a Skin Care Champion who can help to make sure that excellent care is provided to the people in their care and also be a source of information and knowledge for their peers. In 2020 the TVS applied for and won the Urgo Foundation Award to help set up the Skin Care Champions programme and so far the TVS has 12 organisations taking part in the pilot due to start in 2021, with an additional 6 organisations on the waiting list for the second cohort. 

## **Education Endorsement** 

Initiated in 2019, the Trustee Industry Group continued to develop the TVS Education Endorsement programme which is open to our partners in Industry. This aims to help ensure the quality of generic educational materials provided by partners in industry, developing a range of educational tools for health care professionals across the UK which are TVS approved. This service was piloted in 2020 and plans to be fully operational in 2021. Education Endorsement is also another TVS strategy initiated to provide alternative income generation for the Society, which can no longer depend on a physical conference as its main and traditional source of income. 

## **4. Project work / Consultations** 

The TVS is regularly approached by external organisations nationally to offer opinion or consultation on work they may be doing. Largely this kind of work is undertaken without consulting the membership but we are always mindful that we represent our membership when we respond. Project work and consultations this year have included: 

- v _Legs Matter Campaign:_ The Legs Matter Campaign was set up by the TVS in 2017 in coalition with 7 other key UK organisations. Throughout 2020 Legs Matter has continued to actively raise awareness of lower limb and foot health, gaining an increased level of interest from both patients and the public as well as health care professionals. 

- v The Legs Matter awareness week in October 2020 focused predominantly on reaching patients and the public, especially those at the start of their lower limb or foot journey in terms of care. Although there were concerns about how the COVID-19 pandemic would impact on the delivery of the awareness week, the virtual-based format was a great success, with coverage being far-reaching despite the media and PR challenges the coalition faced. There was excellent support from Industry throughout the week, with many companies contributing to the educational programme. The Legs Matter campaign has been fortunate to have continued support from its corporate partners in industry, since without this financial support the campaign would not be able to continue. 

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- v The campaign has also been fortunate to be supported by several patients who wanted to share their stories. These were captured in case study and film content and provided a powerful contribution to the awareness week’s activities. The coalition are tremendously grateful for the honesty and courage shown in these stories. Online readership of campaign media reached 1.15 million estimated views. There was a good mix of news stories across different types of national media, including a popular women’s magazine. The campaign secured 12 pieces of national consumer and health media coverage with backlinks to the Legs Matter website. 

- v The Legs Matter website continues to be central to the campaign. There was a 151% increase in visitors to the website leading up to and including the awareness week (compared to 2019) and a 44% increase in time for visitors staying on the website. Website analytics have identified that the patients, family and friends pages are being regularly accessed for information on specific leg and foot problems such as painful, aching legs, skin staining or non-healing wounds. Social media coverage continued to grow significantly with an increase of 1,705% in social media interactions. Authentic and useful conversations on Facebook and Instagram were triggered during the awareness week, many being from patients and the public. This dialogue is valuable to the campaign and helps shape its on-going strategy. 

- v In terms of the coalition, this remains strong with each organisation / society committed to supporting the campaign. COVID-19 brought challenges to the group as clinicians were often re-deployed or their services reconfigured during the height of the pandemic. However, with the release of the recommendations for Lower Limb and Foot Wound Care from the National Wound Care Strategy Programme in November 2020, there was not a better time to step up the pace and continue to move this campaign forward. Campaign strategy has already been reviewed and objectives reset for the next 12 months. The coalition are already planning for the next awareness week which is scheduled for 11–15 October 2021. 

- v _STOP the Pressure:_ On the 3[rd] Thursday in November each year, industry, health care professionals, the public and media come together to help raise awareness of pressure ulcers with the aim of increasing public knowledge in a bid to prevent pressure ulcers from forming and affecting so many people each year. Due to the COVID-19 pandemic many health care professionals did not have time to organise an event in support of national STOP the Pressure Day. In response the TVS led a new 2020 initiative collaborating with industry and other wound care organisations to provide resources. Supported by NHS England and NHS Improvement, EPUAP, industry and Wounds UK, the TVS put together a STOP the Pressure grab pack, all 2,000 of which were sent out. In addition the TVS organised an online pub quiz, a resource centre and virtual events all of which generated huge interaction on social media and many hits on the TVS website. 

- v _Wounds Research Network (WReN):_ For a long time now, the Society has worked to develop a network that increases the opportunities for inter-professional collaboration on research between clinicians, scientists, researchers and academics. This links directly to the TVS’s strategic goal for engagement with a wider multidisciplinary team and also introduces our membership 

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to the latest research and knowledge. To this end, the TVS continues to support the Wounds Research Network (WReN) which was launched in 2014. New for 2020 was a dedicated webpage on the WReN website for the National Institute for Health Research (NIHR), the largest national clinical research funder in Europe. NIHR programmes aim to improve patient health and care by providing evidence to inform clinical, social care and public health professionals, NHS managers and where appropriate, policy makers. The webpage provided an overview of the NIHR Wounds Research Portfolio that are in set up, actively recruiting, in follow up or completed. v In 2020 the TVS funded Pink Marketing to provide the secretariat function of the network, manage and develop the website, produce e-communications and promotional materials. This included organising the 4[th] WReN Scientific Meeting within the TVS’s joint conference programme with EWMA 2020. The Scientific Meeting was very well attended with around 1,000 attendees from around the world for some sessions. Visitors to the WReN website spent on average 2 minutes 30 seconds on a page and WReN’s followers on Twitter have increased to 1,089. The cost for Pink’s services for WReN is approximately £17,400 for 2020. v _NHS England:_ NHS England continues to lead a programme of change for the wound care population of England. Several Trustees are key members of NHS England’s steering committees, work streams and task forces including the National Wound Care Strategy Programme and NHS Supply Chain. v _Nurses Specialized in Wound Ostomy and Continence Canada (NSWOCC)_ : In 2020 the TVS commenced collaborative working with NSWOCC. Work to date has included a joint survey of both memberships to learn more about the needs of delegates attending virtual learning. Reciprocal invites to each organisation’s conference have also provided more opportunities to share knowledge. Continued collaborative working is an exciting and inspiring prospect for both parties. **5. Journal of Tissue Viability** The Society’s journal, the _Journal of Tissue Viability_ (JTV), is a high quality, peer reviewed journal that has an international readership. It is free to members and available to purchase by non-subscribers. The JTV experienced strong growth in submissions during 2020. The number of articles submitted to the journal was 216, up 71.4% from 2019. In 2020, the journal saw a significant surge in submissions, likely due to the worldwide pandemic resulting in a shift of focus among academics away from laboratory or clinical projects, to manuscript preparation and writing. The latest journal impact factor is 2.410 and the journal’s CiteScore has increased from 3.8 to 4.8. CiteScore counts the citations received in a 3- year period to articles, reviews, conference papers, book chapters and data papers published in the same period and divides this by the number of publications published in those 3 years. The JTV’s ranking now stands at 8/123 (Quartile 1) in the nursing category and 30/68 (Quartile 2) in the dermatology category. Online active accounts downloaded over 131,913 journal articles via 

TVS Annual Report 

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ScienceDirect, plus another 6,640 full-text downloads on Clinical Key. 

## **7. Wider public engagement and public benefit** 

The TVS contract Pink Marketing to support their wider administrative needs including conference organisation, managing the TVS’s website and social media. In 2020, Pink Marketing helped the number of corporate sponsors the TVS can count on for support to grow from 14 to 20 Corporate Sponsors during what was a very difficult year for industry. 

The TVS’s website attracts a lot of traffic and received over 100,000 page views in 2020. The top 3 pages (apart from the home page) were: STOP the Pressure; clinical guidelines; COVID-19 resources. There are 3,300 people subscribed to receive the TVS’s e-newsletter which is produced by Pink Marketing. 

Pink also manage the TVS’s social media accounts. By year end, followers of the TVS’s Twitter account had increased to 5,468, Facebook to 3,292 followers, and LinkedIn to 1,143. The TVS also signed up to Instagram in 2020 and we had 78 followers by the year end. All four of these sites attract high levels of engagement and are used to promote the Society’s activity and both national and international news. 

## **Coronavirus and wound care** : 

As a matter of urgency, the TVS’s Crisis Group created a specific COVID-19 wound care resource page on its website to provide help and resources for clinicians and patients during the pandemic. The webpage was a true collaboration with the resources being constructed with permission from other associations and from partners in industry. We would like to thank the following for their help in collating this important resource: Accelerate CIC, Legs Matter, National Wound Care Strategy Programme, 3M+KCI, ActivHeal, Coloplast, ConvaTec, Evolan, Flen Health, Frontier Medical Group, Juzo UK, L&R, LimbO Waterproof Protectors, Medi UK, Molnlycke, Smith + Nephew and Urgo Medical. The webpage also featured resources from the World Health Organisation, NICE, EWMA and EPUAP and has been regularly updated since its inception. 

## _**Journey to the Centre of Mars**_ sponsored walk 

In July, in support of the TVS’s 40[th] (ruby) anniversary, TVS Trustees and supporters challenged themselves to walk to the centre of the Ruby Red Planet - Mars, a distance of 2,106 miles (approximately 4,500,000 steps). True to TVS style participants walked to the centre of the planet and back! This generous feat raised over £7000 to help establish the TVS’s Skin Care Champions programme, an incredible project aiming to support carers who sacrificed so much during the pandemic to protect vulnerable people in their care. Our top fundraiser was Trustee Tina Chambers who raised an amazing £730.24, with Vicky Murray a close second with £618. A huge thank you to all our Trustees, members and supporters who helped the TVS raise an exceptional amount of money to establish such a valuable project. 

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Section D                      Achievements and performance 

**Summary of the main achievements of the charity during the year** 

Despite the emergence of a global pandemic in spring 2020 the Tissue Viability Society’s achievements have been truly amazing. **Highlights of the Society’s achievements in 2020:** 

|•|Formation of the**TVS Crisis Group**comprising a small number of|
|---|---|
||Trustees, Pink Marketing and the TVS administrator who were|
||tasked with carrying forward the Society’s prioritised objectives|
||during the pandemic.|
|•|**40th anniversary**: In 2020 the TVS celebrated its 40th(ruby)|
||anniversary. Proving the TVS’s unique history of one of the first, if|
||not original, wound care societies in the UK. Celebratory plans|
||were scaled down due to the pandemic, but included the issuing|
||of an anniversary badge pin, a sponsored walk ‘_to the centre of_|
||_the Red Planet’_and celebrations also featured at TVS@EWMA|
||2020 and on social media.|
|•|**TVS Study Days**: TVS physical study days were planned for|
||Belfast and Glasgow to be held in early 2020. Huge enthusiasm|
||from delegates and partners in Industry was demonstrated with|
||the largest numbers of delegate applications to date.|
||Unfortunately, due to the pandemic, these had to be cancelled|
||and the TVS had to re-think its educational strategy to virtual.|
|•|**Advanced and Foundation Study Days**: Converting the TVS|
||Advanced and Foundation Study Days to virtual format has been|
||another successful accomplishment for planned delivery in 2021.|
||The addition of Advanced Study Days on topics such as|
||paediatric wound care and advanced leg ulcer management, and|
||a planned programme of webinars are truly exciting developments|
||for delivery in 2021. Thanks to the TVS Educational Group and|
||Crisis Group for advancing these projects.|
|•|**_Journey to the Centre of Mars_**: In July TVS Trustees and|
||members challenged themselves to a sponsored ‘walk’ from the|
||surface to the centre of the Mars – the ruby red planet, and raised|
||more than**£7000**to help establish the TVS Skin Care Champion|
||project. A huge thanks to all the Trustees, members and|
||supporters who helped the TVS raise this exceptional amount of|
||money to establish a valuable Tissue Viability project.|
|•|**Skin Care Champions for UK care homes**: This new project|
||was conceived to support and provide first rate tissue viability|
||education to carers in domiciliary and care home settings across|
||the UK. The TVS established this project to support carers who|
||sacrificed so much during the pandemic to look after vulnerable|
||people in their care.|
|•|**Urgo Foundation Award**: In December 2020 the TVS applied for|
||and won the Urgo Foundation Award which secured £20,000|
||towards the development of the Skin Care Champions pilot. Such|
||financial support is enabling the TVS to fund a part time expert in|
||Tissue Viability to ensure delivery and development of this|
||fantastic educational programme. A huge thank you to the Urgo|
||Foundation, Trustees and TVS Crisis Group involved in the|
||development of this exciting project.|
|•|**TVS COVID-19 resources**: One of the first actions of the TVS in|
||response to thepandemic was to create a COVID-19 wound care|



TVS Annual Report 

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|Section D|Achievements andperformance|
|---|---|
||resource webpage to provide tissue viability resources to help<br>clinicians and patients during the pandemic. The resources were<br>constructed with collaboration from other wound care associations<br>and partners in industry and have been kept regularly updated.<br>Coronavirus (COVID-19) and wound care-Tissue Viability<br>Society (tvs.org.uk).<br>•<br>**STOP the Pressure**: In collaboration with industry and other<br>wound care organisations the TVS conducted a successful STOP<br>Pressure Ulcer campaign. The collaboration provided 2000 free<br>grab packs and other resources to help clinicians conduct<br>campaigns locally.<br>•<br>**EWMA / TVS 2020**: The Society was the local cooperating<br>organisation for EWMA’s first ever (and highly successful) virtual<br>conference in November 2020 with global reach. The TVS was<br>proud to recommend the charity ‘_The Choir with No Name’_to<br>open EWMA 2020 with a resounding and fitting delivery of ‘_This Is_<br>_Me’._The choir supports homeless and marginalised people from<br>across the UK by providing the opportunity to sing and gain social<br>and physical support. In place of gifts for speakers EWMA<br>generously donated to The Choir with No Name | The choir<br>charity for homeless and marginalised people<br>•<br>**TVS / WReN streams**: The TVS and WReN streams went virtual<br>for the first time too at EWMA 2020 and delivered a highly popular<br>quality programme to a worldwide audience.<br>•<br>**TVS Education Endorsement**: The TVS Industry Group<br>continued to develop its Education Endorsement service, which<br>aims to review generic educational materials provided by Industry<br>to ensure quality for users across the UK. This service will be fully<br>operational in 2021 when it is hoped it will become an alternative<br>income generation for the charity.<br>•<br>**Review of TVS brand:**During 2020 it was decided to start a<br>review of the Society’s branding with a planned rebrand for 2021.<br>•<br>**Collaborative working with Nurses Specialized in Wound**<br>**Ostomy and Continence Canada (NSWOCC):**Working with<br>NSWOCC during 2020 represented an exciting innovation and<br>opportunity for international collaboration during the year and in<br>future.<br>What an amazing year of achievement 2020 has been. Credit and thanks<br>must go to our fantastic Trustees and all those associated with our<br>Council including Pink Marketing (Sue Simmonds, Kerry Wiles and Dawn<br>Rush) and administrator Charlotte Hurdman, all of whom work<br>consistently hard and passionately for the TVS charity. Not forgetting our<br>amazing members, partners in industry and_Journal of Tissue Viability_<br>without whom the Society would not exist. More exciting objectives are<br>being met in 2021 and so much more planned for 2022. The Council of<br>Trustees and Tissue Viability Society is comprised of amazing people<br>and members united in their passion for Tissue Viability and compulsion<br>to solve the challenges of wound care as a multidisciplinary community.|



TVS Annual Report 

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Section D                      Achievements and performance 

**Section E                    Financial review** The Trustees are committed to maintaining financial reserves equivalent **Brief statement of the** to two years’ running costs. **charity’s policy on reserves** The Society is not currently in deficit **Details of any funds materially in deficit** 

**Section F                     Other optional information** 

## **Section G                    Declaration** 

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

|**Section G                    Declaration**|**Section G                    Declaration**|**Section G                    Declaration**|
|---|---|---|
|**The trustees declare that they have approved the trustees’ report above.**|||
|**Signed** **on behalf of the charity’s trustees**|||
|**Signature(s)**|||
|**Full name(s)**|Linda Primmer||
|**Position (e.g. Secretary,**<br>**Chair, etc.)**|Chair of the Council of Trustees||
|**Date**|28/06/2021||



TVS Annual Report 

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Slioron NeKI {appoAJiled Jul j 2020)
tIlL Nlxoii (thpp(Trl)Iteil Oet()bor 20211.
Joaiiiigfj Sivan lappointe.d Plov 2UI¥)
Gill Sykes (1¢ Ppolllted Nov 2018)
C.ollnie Tr&ynor (appoliited Nov 2018)
Rkkl Stvbbs (8ppolTlted Nov 2018)
K&1te Williaiiis {ilPPaillted N(Iv 211121)
ReslLwlldl'loiis dut'inL year:
Heidi Saiidoz (appointed F4ov 21118, re$igiied .luly 2020)
Julie Stllrges (%kppointed Nov 2018, 1-e5igned July 202Q)
PJiil¢iie Vy8e (apyolnl'eil Nov 2O1S: i-LtriiRlJ¢.il Jiily 2020)
Rlly Sxmiirim'u <:11)i)ultitLd Nihv 201EI, rcsikFIILd July 2U211)
Hayley Wright (￿p}I￿{￿t¢d July 3020, I'¢￿gned S'ept 2U20)
BATr*KERS:
Lloyd8 B9ntc plc,
15 Rlaclcli¢aili Village
Lonclon,
,%E3 9LH

"I'l%,%'Ufi, VIABILITY SOCILI I'¥
tYDEPENDENT EXAMINER'S IiEPORT TO lllE TRUSI'EES ofi
Tissufi, VIABtLITY SOCWI,TY
I Irpuri th¢ 8Lcoiiiir8 of tlie ,%ociely IL)I' IIIL yLElI' É'nded 3 Isl DvLt',￿￿Lf 2020 ser oiit 011 3 to 9.
RESPP.c.'fTvF, Rb'.%PON.8IBILITIES OF THE TRLS'IELI? AND LUIMINER
A.£ Ihe ¢hai'ity's I￿￿t¢eS you are i'esponsible foi. tl)e preparation of <ltyCOUlJI.s. Tbe liiislees considei. Ilial an
audit is hol reqiiirLLI foi. Lhis ycui- ull(ILr s¢¥LiurJ 144(?)--i)f Ilie Clill l-itie8 Act 2011 {Ihe ?U I l Acl) 7Jicl thAI. lin
11 is m} I'e%poiisibiliLs' LO=
EKaniine the accoux)ts under seciion 145 of tbe 201 l Act.
Follom, Ihe i)roLecl111'es ItiiLI (lowrj genertLI Dii"eetiDnS giycii by Ilitt Cbaiily Comniissioiiers iinder
sectioii 14$ (51{b) ofihe ?01 l Aul- and
slalc Vvlicllicr &llly I7￿.11¢111￿￿ iinLlbiiiil ttLiill¥rs Jkiivty vtslll¢ to n)'J &tttnlicJii.
B_.%SIS IIYDLPLI NDLI NT EXAllllNER'S REPORT
hly examination wa.s carried ciiii in accoi'dancu i￿1th the general Directions given by tlie Charity
C(iinnii88ioners. Aji exclLII11l1¢ tion: iiiclude% a I"eview of Il)e accoiit)ling Tecords kept b¥ l.he cbai'ity and a
coiiipaiison ot thi awoiiiils pr¢senied Nvirh th08¢ i'¢¢ol￿s. It 7180 incliides considei.i21ioii of aiiy IlllU,4Lial items
I dib¢lthsllre% in the aLcDuiII,% and *iLLkinLF expl￿ll￿tio1j.¥ fi'Din you IrLlStees coIic¢rLullLp I￿Y bllLli inaLlers.
Thc procLdiitLS iindLI-uk¥ri do noL provide all ilie ¥vAd#iice tlittt woutd be i'equii"ed iii an lludil. and
congequently no opinioii is gkven #s to whcthcr llie accoullts present a u'u¢ and full view¥ and the report 18
limil¢d to rliose n)xttets set out in the statement belolw.
LNL)Li iifi,Nl)F,NT FXAMTNF.R'S ST A TEiI,IENT
In conn¢¢tion willi my cx#inination: no mdltLr hiis Lunil to my ¢LtlcllLion:
(i)
which gives me reasonable Lause lo believe that. in any maleLial i'espe¢t: the requircments
lo k¢¢p d¢¢Olllltillg YttLr)rds iii dccoidance Ivith section 130 of Ilic 2011 Act- and
lo prepare accoiinls wliich accord Rviili tlic accDuntlL￿F rcvor(Is uii(I lo ¢()mply wiLh Ih
accouFILiiiB ieiiiiiiyiiivjils ol ?Ul l Atil
b]
liavc not b¢¢n m¢l' or
(21
to which, in niy opiniorL attention should be th'&ivn in order to ¢Dabl¢ a propcr und¢rslanding of the
aCCOUllts lo bc reached.
M ILhGLeL bJc>rtlL(W
M A NORTH01￿R TD FCA
CHARTERED ACCOUNTANT
CHANDLERS FORD, HAIIIPSHIRE.

'i-.T,s,siir, VlABILI"I'Y.SOC:I*;'I'Y
s'rATEMEI NT OF Fif4ANcIAL AClryVI'fTXS
FOR T&IE VEAR EYDfi.T) 3IST DECE,MBER 2020
Tlnr¢t>tYletts(I
NolLY
201Q
I,VCOfrTrfJNGRESOLTRCES
InLibml*ie reiniirte5 tr'oni EeiieJiite￿ Ill￿1]￿:.
Subseriptiojis
CL)Kii¥iieitial iiiewbei'shiy
l*,827
32,300
14,885
33,000
IneoFniiig resourtL¥ fF()In clilli'it￿l)1e ctivities
f()htereiiee ii)coiiic
R¢gJoiial sliirly ddyfj
Joiirnal
{6)
(7)
(8)
3,110
1,707
20,1.00
21,339
Other InLiJiiie
hwai'd troill Educ,&tioii En(IoL7cincnt.Vioj¢r,t
Mi8¥ellaiitouslDoiiLItIoiis
12,000
7,7ill
2,248
InTrestm¢iit liiconie
Intei'est rEceiv-d oli
15
21
TQT,IL JNC.'OfvJIliGJI￿OUIic￿S
£9%,1133
£76,7b9
RtSOURCFS FXPE,IIILD
Cosi of gcncraliiig funds
ChAI'itihle &Cti￿7￿cl
(y)
(65,4581
(61,694}
Governa11￿ costs
{9)
22,467
28,860j
TOTAL RESOURCESEXPEJYDED
(£87,925)
{£90.554)
NF.T INC.OMING RF.soiffte.ESi fi,XPIPNT)ITIIRr
R I'HE YEAR
£7,908
(13,765)
Ti)iul fuÈi(L$ biviight torwflLd
12.4,347
13'7,12•
TOTAL FUNDS CARRIED FORIVARD
£131163
£123,357

TZ%.Thl,'E VIAIIILITI, SOCI.L-I-I'
BALANCE SFIEET
FOR THC 3JST DEcEI￿lBER 2020
Notey
2019
CUIUiLI NT A.$s￿Ts
t3anl% I:iiii'Lni accounl
74,181
,Iiyii
'1'1-4ile dLbtors
Pi'opavm¥iit6
23,¥66
946
158,149
149,069
LRLIII'I'()RS-.
OD¢ yeiir
{26:884)
NLT ASSETS
£1.11,265
£193,357
UNRESTRicfED FUNDS
£131,265
£123,357
Tli¢ f121tn¢ial statemenrs w￿e appi.0￿-d by the trustees on
aijd si￿]ed oli t11eir belialt-.
CbiirniaEk
TLf89ur¢r

'I'IS,£L6 VIABILRTY S'OC". J.Ji,'rY
NOTfi,8 TO THfi rtNANCTAL ST ATEIMENTS
FOR TIIE YE.AR EI NDED 31ST DECEMBCI R 2020
ACCOllh'TING POLIC.IES
B#sis ol'pr¢pai'atl(In of fi11I11ciAI ￿t￿tLn1L1It
The financial statcinei)l& aj'e pr¢pai'¢cl iu?clEI. the l)istni-i¢al ¢Obt eoiivcDtion in accordi¢ nct with the
Fi11on¢i<il Repor'ting St<Elltlicrd for Srniill¢r P.EILities &iid in accorilAJice wit.li tl7e 8t4tClllCi)l of
Recoi]uiiei)de.d Pi'aLtice for 'A¢coiinting anil Ilf POTLiiig hy C,liai'iiic%" (S()IiP FRS 102) %lLiII ILimply
witli the Cli317iir,g Acl 2fJ I I
siib8triptioii,s
Subscription iiicome is accounted for in th¢ period covered by Ilie 5ubsGriPtion.
li1￿l￿e tiom l.isi¢d m¢iKb¢rshii.Is is aecoui)ted fni- 11) Ilie fiii&lnfldl i)L'llU(l in whiLkk btyn¢liis ￿lfiS¢ Io
the Ineinbcri.
InvcstmeDt ineome
Inconie from Inv￿tMe1its is ac¢ount¢d tor a5 ftt¥etYable.
(JDVCI'T]ance e.li%ti
Govert)aiice costs LLicILides nia21agement and &idininistr&tion expendttiire not dire¢ilv r¢lat¢d lo the
charilable activilics. Tlii8 ineludes genei'al overheads and nial￿gement of subscriptions.
Rc,Inurces expended.
ExpLndilw'c ib i1i6ludLd oil <lll busi%.
Tangible fixed assets
The cost. of tangible fixed asset8 if ¥my, is fiilly ivritten off 3ll the period of acqLLiSttion.
Websire d&sign costs if ally, are WL&lleJ) off in tlie. year diey are iiicurred.
Outsourcing ot. Some aceDuntittir
pro¢estseb
Dui'ing 2020 a u¢w way of working ivas introcliiced with moi"# ot'tbe invoicing and
eKpenditLLFf on beh&lf of the S being done via tli¢ TV%'s confei'¢ii¢e, website
I￿11 mlli"IcttliTrg proviilen* PinliCts..Pink Lld. Sepcif¥iLc Accoiinlb IleU4iIiiiLF lh& inuom¢
aiid cxi)ciidittirc fni. cdcli i)rojiCt iiiaiiagcil bv Piiik, plill a fui)(Is l)alaiice tnr the
Ibirik(t¢F?Iiik TVS I,I'd b¢1nlc accoiinl lJ*vr b¥L'tt pruiiidL(l Lo th¥ TriibLLvs.

I'ISSULI VIALIILI'I'Y ,SOLI.V,T
IOTFS TO THE filNIlNCLdL ST ATfi,MLI Nl's (LON'I'INUED)
FOR TIIE YEAR ENDLD 31ST DECEMBER 2020
CONVERSION OTr E()RN,iER C'ILiIU'I"I I'U A
I.'.I IARI'I'ABLLI TNCOIiVOIL4TED ORGA.NISATION (CIU)
On 10 Septeinber 2020, Ihe ￿[d iiiiincoTPOI'ated Ti5s11e Viabil jtry socie.ty (i'egistCLed chai'iLy iiumbei.
1041915} was clos¢d and removed fi'oni Ilie Chai'ity Con]niissioii Regis'ivr. The (isseis of the old
Tiqsiie Viabiliiy Society {iliarity niimbci 1041915) W¢.￿e. IrMnsfLtYed in Ihp Tiq.8ue VialTri lity 8()cicly
ITV,%) C'.1() (r￿£1$ tei'¢(l LI142171￿. 1I11111bei' l 1811%44)- TIIL iiiniiicorpoi<ilvd 4,.Eicll-Ily h1< IIIL ¢i¥Loiirils I'eiiil¢ 111
OPLI) SIIILL £1 biibsl&i111ial IiiliJLber ot staiiding cTrl'cl¢rs li i-e P¢iid iiit(J rlie111, liowLvbr. (lib piuN'.,45
li'anstei"I'iiig Ili¢se st&911diiiTr OL'dei's lo the neiv C IV accol1￿( tiuiiiiniies with ¢7 view lo c108ing tlie two
old baiil< accouiils ui Ibe fiinll"e.
TRUSI'EESI RESPONS.IBII:ITfEI S IN RESPEC.T OF THE FINANCIAL STATEI Tr.tEhry.
Tki¢ Ifiw applic.111ile to ch<ll-ilie% iii [￿li￿VId1]d aiiJ IV:IlL% I'LquifLS Ilic li'u8le.¥s lo pr￿P￿.1¢ liiiiiiic.iiil
Stalciiielils lur LaLh lin(illbiuI prriod whibli givtt a Iri1¢ aiid fair s7icw ol Ilie eliii i&ty"'s finai)cial
a¢iivitics dui'ing tlie yeai. Ulld of ils finallcial position at tlie end of Ihe Ye￿.. hi pitpatiiig financial
statements gving a true and fair view, die Iiws¢¢¢s should folloiv best practi¢e wd..
SLI￿( siiil¢lbl¢ a¢¢oiiiilii)g pr)licies ai)d tlieii apply tl)¢ni coii8iqlti)tly'
riiaky judgicllienls aiid ¢stimates tl)&t &re reasoIi&ble and piiideLIt-
slate whether applicable acLourkting standa1.ds amd statements of recL)mmended practicL have bccn
followed, %ul)ject tr) &iiy dci)artiiir% di,gcl(J8cd aiid cxi)laiiied iii Ihe fllun&ial st&¢emGnt5'
pi'Ep&I'e tlie tIEIEiiicial &lateineiiLS nii Ihe goiiio tronceTn17Lsi6 11111¢$% it 1% ijiappi'oiiriate to presiimc Ilial
th¢ socieL}I will conlitliie operatioii.
Tlie ttu8t¢es are Lesponsible for koeping ac¢oullting recoix]s whi¢h disclose with reasonable accliracy
trlIL fintmcial position of ttic 8OCiCty aiLd whicli etLablc Ihcm to 8sGcnAin Ihts finaiiLial pusitioi) 0£ Ihc
8nciety and ivliicli ei)able tliem to eii,qiii'e fLtliincid sriteiile￿rS coinply witl) appl icthle IAW.
'I'he,y rL¥punsiblts l(li' tsdlggyi1dr(lii}r￿ Ili¥ asset& ot tlic SOLiL151 dnd Ii¥nbL IOL lttluiLg redSUlldblc
steps foi. the pi'eitention and deiection of fraud and othtr itttgularities.
R.ESERVES POLICY
The cliarity regulations require the sociely lu defjkic its polioy in respect of reserv￿.
The triisietts Loiisicler ¢b1f L l( s il uo long¥r biiy Iiill L£tLi¥ I'.mpluyvtb Iiiiili a penn(￿ellL bas¢, cbill It hul(1
¥ufYiciciil rc4CTVC& to insul'¢ tliai it cali coiitiETru¢ ILS a¥tivities .8atiqfactDI'ily foi. a period of le&sl 12
Inoiith.s even if ILS Iiicoime iv28 blV'iiIyL*iiiIIy iLcliic',bd. Lluwbvu- thL'I'tUblLLb ilu UUllSILIL￿ Ibty Lhaiily'%
n¥oin¥ viability on dn uni)udl ba%1%. Aiiy ￿[7d.% al)d niiBniiig iiicomc nnt I'equii"ed foi. iininedi&te
no¢d8 1$ put oil deposit to maxiinise itLterGsI di'&wii upon as rcquirFd.

TIS%L LP VIAIIILI'II, suc'.vr.Tl'
NOTES TO THL ITIliANClikL ST.4TrTr(EN'fs (CONTINLED)
FOR THE YEI All ENDV,D.81 ST T)Ir.cF.rvlBFI.R 20211
211211
SALARIES
Tliere ww'e no eMplnyee.% durin% rhe yeai. (2019 uollc).
L)iiring tho 5?eiir ie-imhuT%ed ¥A!ieRse% wcre liJll()W%'.-
Fecs
Tiav¢l ¢xp¢Jises ctc
250
F¢cs were paEd tu a Trusise fw prep4iiation and 5peakillg at the FSD in December 2020
.LIABII,l.Tifi,.S u)BMILinlts rtllling dil¢ williin I)n￿.¥.￿￿1.
l-rade ¢reditors
A￿￿al£
Otii¢r Grcditors
25,218
1,666
24,142
1,570
*26,f1114
£25,71ry

I-ISSIJE VIABELI'I'Y %OLIth','A'Y
NOTES 'I'O'I'IqLI I,'INAf%'CIAL SJ'AI-ENqEINTS (COhlTINUED)
FOR THK YEEtR EliDED 31ST DECEMBER 202
1120
2019
CONVII RLNCL- SUM[￿R Y
SpQtJsoI' knc4>lli¢il)rofit 61iai"e
1,107
Exp¥ii(liliiT¢
(1,016
SURPLUS
£3,000
L691
confc￿lIe¢ Incoiiiu iv￿6 retained bv Mailietin.o iiiid Co]rference Provider
Pliik(My'i)￿1.Vs l.ld for th¢ni io dihpLll.4e lh¥ MulL¥r Priij¥bl und
Dn n￿￿k￿li7]Ll ila =IliiLuIi111i4LI ir141tLU% on i)Iir l?ehtlt' tsiid.<o we Iiavc providid
thi8 aillount iu hill as a Proje¢[ e%peJise outlay as sliowLI in Not¢ 9
to thes¢ Ao¢ouiits.
,STUDY DAYg- ,%UMMARI'
tncome
Expeiiditure
4,767
(3,720)
3,589
(3,U54)
SII1iPLUS
£l,Q47
JOURNAL- SUhthqARY foR 2020
Inborn¥
Exp¢nditiii¢
21),166
16,251
21,339
(14,.501
SVRPLUS
£3,91)
£6,778

Tl>,%UL VIAIII.L,I'IV >liof.'Tft'y
NOI"IE% I'O 'I'H E b"'IIYANCIA.L ST A TV,*fE￿Ts (CONTINLTE¢ D)
FOR THE YEEIR ENDF,D.318T Dfi(.'LI ￿16￿[R 202D
COS'I. VJI GLI NkIlATING FUNDS
ClIA¥i¢ii ble
GvvL'rllHtTi¢'
Total
iTrIL'.4
207.11
Adiniiiistrli tion fe¢$
Couiicil ¢xpeDseS
Siudy (1¥4y8 ¢Xk)Ln6eb
.loiimal expens&
Lnsi1r￿￿ce
16,671
,414
16.871
1,664
3,720
16,251
17,446
8.183
3,054
14,561
9211
(4)
{7}
18)
250
3,720
16,25J
946
PriijttLI ¥KI￿n%¥￿'.
Wi¢ii (Piiik)
Stop The Pressui"# Projecr jPiDk)
Legs Multet Pi'ofit Fuiid
Plnk@Pinli TVS Ltd
Overbeads Ifinlc)
Sttategylmissioll expenses..
F.PUAP
44,(i>U
-4¥,.$50
17,4UU
4,372
.12,0011
10,878
5S7
4,779
367
220
S'cqtitig ￿lIde[inC$
Piiiitillg, post&ge,
5rationery & sunthy m¢etitig costs
Scholarship
Indepeiid¢ttl exit Ininer
Adv¥rLi%in
Ti'a£tLiiig
Bll[￿ Lh2rg¢s
S80
580
244
750
1,822
120
1.900
1,90
41111
3S6
356
125
£65,458
£22,467
£87,925
£90,554


Our Ref.: T151Accs20/JR/MN 22 June 2021 

The Trustees Tissue Viability Society 

Dear Trustees 

## **Annual Accounts** 

I am pleased to confirm that the following documents are available on the Northover & Co Secure Web Portal for your attention and approval: 

- Accounts for the year ended 31 December 2020.  Should you and the Trustees/Chair consider that no adjustments are necessary to the uploaded Accounts and that to the best of their knowledge  they are considered accurate and complete, please could the Chair and Treasurer print and sign the balance sheet page only (page 4) where indicated and return back to us. 

For your convenience, these documents will be held securely on the Web Portal and be available for your future reference for three years, unless otherwise requested. 

The following comments arise from these Accounts for the Trustees to consider compared with the previous year 2019 (see Accounts and Notes to Accounts): 

|•<br>Comparison of included financial amounts with 2019:<br>**Incoming resources:**<br>Subscriptions<br>£15,827<br>Commercial membership<br>£32,300<br>Conference income (Note 6)<br>£  3,000<br>Study day (Note 7)<br>£  4,767<br>Journal<br>(Note 8)<br>£20,166<br>Award from Project skin care champions   £12,000<br>Other Income£   7,758 <br>Total Income<br> £95,818 <br>**Resources expended:**<br>Charitable activities (Note 9)<br>**£ 65,458**<br>This increase is represented by:<br>Conference expenses<br>Study day expenses<br>Journal expenses<br>Project expenses<br>Scholarship expenses|up<br>down<br>up<br>up<br>down<br>up<br>up<br>**up**|£     942 (6%)<br>£     700 (2%)<br>£  1,293 (75%)<br>£  1,178 (32%)<br>£  1,173 (5%)<br> £  5,510 (245%)<br>£ 19,050 (25%)<br>**£3,764 (6%)**<br>£ 4,192<br>£    916<br>£ 1,689<br>£ 6,100<br>£    750|
|---|---|---|
||<br>down<br>up<br>up<br>up<br>down||







|**Governance costs: (Note 9)**<br> <br>Council expenses<br>Meeting costs|**Total £22,467**<br>£ 1,414<br>down           £6,769 (82%)<br>£    580             up                £   336|
|---|---|



There was an overall surplus for the year of **£7,908** compared with deficit £(13,765) for 2019. 

I assume that the above variances are in line with expectation by the Treasurer and Trustees and that significant amounts of expenditure have been duly reviewed and authorised by the Trustees  as arising during the financial year. 

I would remind the Trustees that in accordance with Charities Commission guidance, an Independent Examiner is not expected to ‘audit’ annual expenditure or verify completeness of income to prime documents (i.e., invoices, receipts) but instead is expected to bring unusual variations if any, in income and expenses to the attention of the Trustees. 

Should any such variances be considered unexpected then it would be prudent for the Trustees to either instruct the Independent Examiner to examine further or for the Trustees themselves to arrange further suitable examination by nominated Trustees who are independent of any financial management responsibilities for the Society. 

- Finally I repeat the following as e mailed with the previous year’s accounts, to remind the Trustees of considered ‘Best Practice’ in dealing with financial matters. 

**In addition to the preparation of the actual Accounts, professionally we are advised to complete ‘Independent Reviewer’ and ‘Not for Profit Organisation’ checklists and to bring certain matters to the attention of Trustees generally, i.e., as follows: Have the Trustees considered and reviewed the following at least once during the year:** 

- **That there have not been any material changes in the aims of the Society.** 

- **That all net funds raised/received are for non-restrictive purposes (i.e., not specific or restricted), or if so, to ensure that they are applied for that specific purpose.** 

- **That there are adequate control and supervision over the Society’s Bank Accounts, i.e. control over use of cheques and bank transfers and any BACS rights available to any member through internet banking, if applicable.** 

- **Expenditure, authorisation of payments is exercised regularly by more than one person, e.g., only authorised signatures and more than one individual/Trustee involved in authorisation and monitoring of expenses.** 

- **There were no material changes in the Trustees most responsible for control and management, or if so, that such changes were properly controlled and monitored.  Also, all Trustees are properly appointed and are or remain eligible for appointment.** 

- **That there were no occurrences of any unusual activities or possible loss or misuse of Society funds or resources or mismanagement by Trustees, which should be brought to the attention of the Independent Examiner** _**.**_ 

As the work on these Accounts and Examination is now complete, I have uploaded our Fee Note for your kind attention which I hope you find self-explanatory and in order.  Of course, if there any queries or any points arising, please do not hesitate to let me know 

Pease feel free to discuss any of the above with us before you sign anything. 

Yours sincerely 

## _Michael Northover_ 

**M A Northover TD FCA** 

**Director**