ALK POSITIVE LUNG CANCER (UK)
Charity No. 1181171
TRUSTEES’ ANNUAL REPORT
1 January 2024 to 31 December 2024
The Charity was established in December 2018 and this is the Trustees’
sixth Annual Report.
ALK-Positive lung cancer is a relatively rare form of lung cancer caused by a genetic malfunction and comprises about 3% of all lung cancers. Patients are, on average, much younger than most other lung cancer patients and are usually never-smokers.
1. Objectives and Activities
The objectives of the Charity are to relieve sickness and to preserve and protect good health of UK anaplastic lymphoma kinase (ALK) positive lung cancer patients by: -
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a. providing an information resource, in particular access to information about latest developments and clinical trials.
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b. Identifying and locating UK ALK-positive patients and offering support and guidance on the location of UK ALK specialists and services.
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c. Liaising with and influencing decision makers, e.g., NICE, NHS, DVLA;
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d. Raising awareness of ALK-positive lung cancer, particularly amongst the medical profession to promote the best treatment for patients.
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e. Liaising with relevant organisations, in particular EGFR Positive UK, Ruth Strauss Foundation and the pharmaceutical industry.
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f. Raising funds for the above purposes.
2. Our Vision
We want everyone in the UK who is diagnosed with ALK-positive lung cancer to thrive and live a long and fulfilling life unhindered by their disease.
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3. Our Mission
Alk Positive Lung Cancer (UK) exists to
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Support the ALK+ lung cancer patient community
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Empower people affected by ALK-positive lung cancer
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Advocate for improvements in the diagnosis, treatment and care of ALK-positive lung cancer across the UK
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Represent the voice of the ALK-positive lung cancer community
4. Our Values
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We are welcoming in our approach and put the needs and interests of patients with ALK-positive lung cancer and their families first, treating them with the respect and empathy that they deserve.
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We are passionate about our work – our passion is driven by a deep personal connection to ALK-positive lung cancer which means we are highly committed and determined.
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We always act with professionalism and integrity and our activities are based on the best available evidence.
4. Achievements and Performance
A group of 18 patients and supporters came together in July 2018 with the aim of establishing a UK group of ALK-positive patients who could exchange experiences and give and receive mutual support. At our second meeting in October 2018, it was decided to form a registered charity and the Charity was registered by the Charity Commission on 14 December 2018. We started with a £1,000 loan from the Treasurer.
Our achievements and performance in our six years have greatly exceeded our expectations. The main activities undertaken in 2024 to further our objectives are set out below. In this report, “members” refers to members of the charity’s private Facebook Support Group.
4.1 Support and Empowerment
Conference
We held our third national conference for ALK-positive patients and their families. 148 delegates attended the conference which was held in London and they heard from and questioned some of the UK’s leading ALK-positive experts. The conference was the largest gathering of ALK-positive patients and their families in the world, outside the USA. It was funded, in part, by grants from pharmaceutical companies. The conference was a huge success and videos of all sessions are on our website along with a vox pop of what the delegates thought. We received very positive feedback about the venue, organisation and quality of the speakers.
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Life Coach
We offered a Living With ALK+ Lung Cancer Coaching Service, providing 6-week online group sessions. A cancer diagnosis can cause loss of identity and self. Through self-management, individuals are empowered to regain control of their lives by understanding thoughts and emotions, strengthening mental resilience, identifying challenges, exploring different perspectives and setting goals. We have had very positive feedback from participants.
Regional Ambassadors
Twelve of our members from many parts of the country have volunteered to be Regional Ambassadors to arrange local meet-ups for members. The Charity believes that these social gatherings are important for the mental well-being of patients and, for this reason, the charity subsidises the cost of meals.
We produced guidelines for the Ambassadors to equipment them in delivering what has become a key component of our service to members.
Website
Additional information was added to the website which provides information about the Charity and is a source of information for members to be better informed about ALK-positive lung cancer. One of our principal aims is to empower patients to enable them to ensure that they get the best possible care.
We developed two animated videos – the first explaining what ALK-positive lung cancer is and the second is about good practice. Both animations have been used in our social media output and are available on the website.
We place considerable importance on the mental wellbeing on patients and we provide several resources on the website.
Visits to the website have increased from about 500 per month in 2020 to 2000 per month in 2024.
A working party of members was established to review the website and prepare a brief for its redesign to focus on newly diagnosed patients. We asked newly diagnosed patients how we could make the website easier for them to find the information that they were looking for.
Facebook Page
The Facebook page is a great success and the number of members increased from 638 to 748 during the year. Each day, there are postings by patients sharing experiences and giving and receiving emotional support. It is particularly pleasing that new members receive a very warm welcome from existing members. A survey of followers showed that 95% of respondents would recommend the group to other ALK-positive patients.
Newsletters
We produced newsletters in Spring, Summer and Autumn which inform members of developments in the treatment of ALK-positive lung cancer and the activities of the charity.
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Medical & Scientific Advisory Panel
We had a Medical & Scientific Advisory Panel comprising two retired GPs and a Professor Emeritus of Molecular Oncology, all ALK-positive patients. The Panel produced guidance on the NHS rules concerning extended breaks of treatment.
During the year, the Panel was reconstituted and now comprises working lung cancer oncologists and members of relevant allied professions.
DVLA Panel
The Panel of three members continued to interact with the DVLA with the objective of amending their rules which we consider to be unreasonably harsh for our members. The Panel is able to give advice to members on the application of these rules.
During the year, the Panel produced an authoritative guidance for members on the DVLA rules on driving and brain tumours.
4.2 Advocacy
Surveys
For six years, we have conducted surveys of our members to ascertain real-world data on all aspects of their diagnosis, treatment and care. The data produced enables us to identify deficiencies and variations in the level of services our members receive, including regional variations. We use this information at meetings with oncologists and nurses and at conferences to advocate for best practice. During the year, we conducted a survey of patients’ experiences of their treatment for blood clots.
We attended the national conferences of
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British Thoracic Oncology Group
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All Ireland Lung Cancer Coalition
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Lung Cancer Nurses UK • Cambridge Rare Diseases Conference
We also attended other meetings with healthcare professionals where we raised awareness of the Charity and of ALK-positive lung cancer and advocated on behalf of patients. It is important that healthcare professionals are aware of the Charity and the support that we provide so that they direct their patients to us. The growth in members indicates that we are having some success in raising this awareness.
We had abstracts published at key stakeholder conferences –
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British Thoracic Oncology Group
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Lung Cancer Nurses UK
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British Oncology Pharmacists Association
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European Lung Cancer Conference
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We continued to work with the Christie Hospital on the development of an Educational Portal for oncologists, their teams and patients and we are supporting the development of the patient Resources section.
We continued to campaign for early diagnosis of lung cancer and a fourth phase of our “See Through the Symptoms Campaign with EGFR Positive UK and the Ruth Strauss Foundation was launched. This campaign is targeted at primary care.
We were members of
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UK Lung Cancer Coalition • Cancer52 • Genetic Alliance
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Lung Cancer Europe • European Lung Foundation
To coincide with Lung Cancer Awareness Month in November and again in collaboration the EGFR UK and Ruth Strauss Foundation, we launched “All You Need is Lungs” campaign aimed at the general public and social media users.
We have continued to grow our use of social media and are active on Twitter, Linkedin and Instagram, TikTok and BlueSky
4.3 Representation
We were consulted by the National Institute for Health and Care (NICE) on applications by pharmaceutical companies for approval of their products relevant to ALK-positive lung cancer and we attended online meetings with NICE (and its Scottish equivalent) where we have given the patients’ perspective.
We continued to collaborate with several pharmaceutical companies on the development of resources for patients and participated in other working groups and advisory boards.
Working with these organisations and groups gives us access to information about latest developments and raises the Charity’s profile with key clinicians.
We developed links with organisations in the Scottish, Welsh and Northern Ireland regions. We registered with the Scottish Charity Regulator and joined the Scottish Cancer Coalition. We have appointed one of our Trustees who lives in Scotland our representative. We have become members of the Wales Cancer Coalition and the Northern Ireland Cancer Charities Coalition. We joined with other organisations in lobbying the NI Health Executive about the lack of resources in NI for diagnosing and treating lung cancer.
We have developed links with relevant orgaisations throughout Europe. Our Chair is Vicepresident of Lung Cancer Europe, a Board member of ALK Positive Europe and a member of the European Lung Cancer Foundation Patient Advisory Committee.
5. Financial Review
Our members undertook a wide range of activities which, together with those activities organised by the charity, raised over £70,000. We are very grateful to these members.
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We have registered with the Fundraising Regulator and this requires us to comply with their fundraising standards.
We are also very grateful to all those members who are now making regular monthly donations.
The Charity had £ 177,023 in its bank account at the end of the year, a year-on-year increase of £68K. The principal reasons for the surplus were increased fundraising and donations. With uncertainty about funding of future conferences and the need to employ a part-time CEO, it is expected that we will draw on balances in future years.
The Charity is risk averse and we ensure that we have sufficient funds in hand before committing ourselves to expenditure.
6. Structure, Governance and Management
The Charity is a Charitable Incorporated Organisation and the governing document is its Constitution which provides that there shall be between three and eight Trustees.
During the year, the trustees had two face-to-face meetings, an AGM at the start of the year and a half-year review, and eighteen meetings held electronically, by email or Zoom. The Trustees have had regard to the guidance issued by the Charity Commission on public benefit.
Three new trustees were appointed and one left at the end of the year – details at paragraph 8.
Day-to-day management is delegated to the Senior Leadership Team comprising the Chair, Treasurer, Secretary and Chief Officer.
Following a review of administration, we appointed a part-time Manager who is tasked with reviewing our administrative arrangements, implementing our PIF Tick obligations and putting the charity on a sustainable basis.
We started to use Monday.com as a project management tool and we are making greater use of Google Share to store and share documents.
Following our successful Strategic Planning meeting towards the end of 2023, we adopted a 10point Action Plan for 2024.
Our first official complaint was received at the end 0f 2023 and resulted in a review of attendance by bereaved relatives at regional lunches.
The Charity has policies in place concerning –
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Code of Conduct
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Equality and Diversity
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Privacy
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Complaints Procedure
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Financial Control
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Trustee Expenses
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Conflicts of Interest
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Fundraising
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Whistle-blowing
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Use of Images & Quotes
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7. Reference and Administrative Details
| CharityName | ALK Positive LungCancer(UK) |
|---|---|
| Other names the charityuses | ALK Positive UK and ALK+UK |
| Registered charitynumber | 1181171 |
| Charity’s principal address | 1 Ethley Drive Raglan Monmouthshire NP15 2FD |
8. Names of the Charity Trustees who Managed the Charity in 2024
| Trustee Name | Office (if any) | Dates Acted if not for whole Year |
|---|---|---|
| Debra Montague | Chair | |
| Graham Lavender | Secretary | |
| Rebecca Stebbings | To 29/12/24 | |
| Angela Field | ||
| AndyMcKay | Treasurer | |
| KathyRedmond | From 15/2/24 | |
| Geoff Otterman | From 11/10/24 | |
| Callum Cobb | From 4/12/24 |
Corporate Trustees – n/a
Names of Trustees holding title to property belonging to the Charity – n/a
Funds held as custodian trustees on behalf of others – nil.
9. Declarations
The Trustees declare that they have approved the Trustees’ Report as above.
Signed on behalf of the Charity’s Trustees
| Signatures | G H Lavender | D L Montague |
|---|---|---|
| Full Names | Graham Herbert Lavender | Debra Louise Montague |
| Positions | Secretary | Chair |
| Date | 17 September 2025 | 17 September 2025 |
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| Income | 2024 |
|---|---|
| Old Account | 79,923 |
| New Account | 19,779 |
| OpeningBalance | 109,702 |
| Donations | 28,488 |
| Events | 2,214 |
| Fees(Deb's appearancepayments) | 11,592 |
| Conference | 3,411 |
| Grants(Restricted) | 64,416 |
| In Mem | 30,669 |
| Our FundraisingEvents(includingGift Aid) | 22,595 |
| Members' Fundraising (includingGift Aid) | 49,056 |
| StandingOrders | 6,949 |
| Other | 805 |
| 220,195 | |
| 329,897 | |
| Expenditure | 2024 |
| Admin | 9,086 |
| National Conference | 70,186 |
| Attendance at Conferences | 7,249 |
| Events | 8,738 |
| Life Coach | 2,370 |
| Local Meet-ups | 4,664 |
| PIFTIK | 3,463 |
| Printing& Publicity | 8,620 |
| Website | 2,470 |
| Staffing | 16,252 |
| Social Media | 17,194 |
| Trustee Expenses | 1,328 |
| Other | 1,254 |
| 152,874 | |
| Closing Balance | 177,023 |
| Old Account | 19,409 |
| New Account | 157,614 |
| ClosingBank Balance | 177,023 |
Independent examiner's report on the accounts
Section A Independent Examiner’s Report Report to the trustees ALK Positive Lun Cancer UK g ( ) On accounts for the year Charity no 1181171 ended[2024] I report to the trustees on my examination of the accounts of the above charity (“the Trust”) for the year ended 31/11/2024 . Responsibilities and As the charity's trustees, you are responsible for the preparation of the basis of report accounts in accordance with the requirements of the Charities Act 2011 (“the Act”). I report in respect of my examination of the Trust’s accounts carried out under section 145 of the 2011 Act and in carrying out my examination, I have followed all the applicable Directions given by the Charity Commission under section 145(5)(b) of the Act. Independent I have completed my examination. I confirm that no material matters have examiner's statement come to my attention in connection with the examination which gives me cause to believe that in, any material respect:
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the accounting records were not kept in accordance with section 130 of the Charities Act; or
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the accounts did not accord with the accounting records; or
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the accounts did not comply with the applicable requirements concerning the form and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a ‘true and fair’ view which is not a matter considered as part of an independent examination.
I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached.
Date: 13/09/2025 Signed: Name: Philip Collins Address: 19 Wye Crescent Chepstow NP16 5DW
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OCT 2018
IER