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Annual Report & Accounts 2020

## About National Axial Spondyloarthritis Society 

## Our purpose: 

To transform the diagnosis, treatment and care of people with axial SpA (including AS) so everyone can live well with it. 

## Our cause: 

Axial SpA (including AS), is an inflammatory condition of the spine and joints. It’s an invisible and misdiagnosed condition. Often leaving people feeling powerless, in increasing pain and extreme exhaustion. 

## What we do: 

We campaign policy makers for early diagnosis and better services. We work with the NHS to get axial SpA identified and diagnosed quickly. We’re determined that everyone receives effective care. 

We make sure people with axial SpA get the latest information and the support they need to tackle living with this condition. And we build an active community, online and through our local branches across the UK. 

Axial SpA works silently. We don’t. 


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Contents<br>Our impact in 2020 P4<br>Administrative information P11<br>Trustees' report P13<br>Independent Auditors’ Report P18<br>P21<br>Statement of financial activities<br>Balance sheet P22<br>P23<br>Statement of cash flows<br>P24<br>Notes to the financial statements<br>**----- End of picture text -----**<br>




## Our Impact in 2020 


**Report from the Chair and CEO** 

The Covid-19 pandemic may have over-shadowed 2020, but our work to deliver our new five-year strategy didn’t stop. 

Despite significant challenges, we campaigned policy makers for better services, worked with the NHS to improve care and made sure people got the latest information and support they needed to tackle the challenges of life with axial SpA. 

Axial SpA works silently. **We don’t.** 



**Raj Mahapatra, Dr Dale Webb,** Chair CEO 

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## By the side of people with axial SpA (AS) in 2020 

As the Covid-19 pandemic hit, people needed our support more than ever. We responded by redesigning our frontline services, so people living with axial SpA had the support they needed to tackle the challenges of living with the condition through extraordinary times. 


## **Our helpline was a lifeline** 

We doubled our helpline opening hours and increased the number of staff on the helpline. 

The number of enquiries that we responded to rose by 300% in the first six months and over 12 months we helped 5,600 people who were struggling with issues related to axial SpA. More people than ever faced financial difficulties and we helped people obtain more than £800,000 in disability benefits that they were entitled to. 

**Increase in enquiries responded too** 

## **Keeping people moving and connected, even when we couldn’t go outside** 


Exercise is crucial for people living with axial SpA. To help keep people moving, we ran 33 innovative Facebook live sessions and produced videos that were viewed 135,000 times. We also created a new section of our website, _My AS My Life_ , with advice, blogs, guides and videos to empower people to tackle the challenges of living with axial SpA. 

**Views of our Facebook Live sessions** 

Thanks to funding from the National Lottery, we offered 65 people three online physiotherapy sessions. 


## **Providing clarity, in a confusing and changing world** 

A new Covid-19 section on our website provided clarity when official information could be confusing. The page was visited almost 50,000 times. 

## Campaigning in Parliament to transform diagnosis and treatment 

Our work to ensure that policy makers and politicians hear the voice of people with axial SpA didn’t stop. The All-Party Parliamentary Group (APPG) on Axial Spondyloarthritis continued to share our commitment to drive change. 

## **Calling for faster diagnosis and improvements in care** 

## **Campaigning for Ministers to support measures to end the delay to diagnosis** 

In September, Tom Randall MP hosted a landmark parliamentary debate on the delay to diagnosis of axial SpA and we were immensely grateful to him for sharing his story of life with the condition. 

We worked with the APPG to launch a landmark report, _Assessing Variation in Axial Spondyloarthritis Services in England_ , in January. Based on data from a freedom of information request, it revealed worrying gaps in the care and diagnosis of people living with axial SpA and called for urgent improvements. 

During the debate, the Minster of State for Care, Helen Whatley, gave her commitment to supporting greater public awareness of axial SpA. 

## **Ensuring people got access to services during the pandemic and beyond** 

## **Keeping hydrotherapy alive** 

A special virtual meeting of the APPG found that thousands of people were struggling to access appointments with healthcare teams. The results were published in a report, _Minimum Services Specification Recommendation Paper_ , which called for axial SpA services to be maintained during the pandemic and beyond. 

Our November APPG meeting took the first steps towards developing a campaign so that hydrotherapy gets the attention it deserves. 

In 2021, we will continue to work with other organisations to publish a _Hydrotherapy Manifesto_ to ensure this sometimes overlooked form of treatment is recognised as a legitimate option for people with axial SpA. 

The findings were published in an editorial in _Lancet Rheumatology_ and discussed with the National Clinical Director for Musculoskeletal Conditions for NHS England. 

**Covid-19 website page views online** 

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## Transforming care. Transforming diagnosis 

We continued to work with the NHS and healthcare professionals to ensure that everyone with axial SpA received effective care and diagnosis. 

## **We’re acting on the delay to diagnosis** 

## **Our branches adapted and kept people positive** 

In 2020, we established a ground-breaking five-year programme that aims to end the unacceptable average time to diagnosis of axial SpA of more than eight years. 

We have 90 volunteer-led branches around the UK, and over half ran virtual sessions, giving people a much-needed opportunity to exercise with a trained physiotherapist and connect with friends. 

NASS is the first organisation in the world to call for a _Gold Standard Time to Diagnosis_ of one year and is leading the largest programme ever undertaken to act on the delay. The programme will be launched in full in June 2021. 

## **Membership connected people, even when we couldn’t meet in person** 

By the end of 2020, our membership had risen to 3,685. 

## **Rheumatology teams working with us to** 

## **drive quality improvement** 

Our members told us that during the pandemic, when people felt alone and isolated, NASS membership was more important than ever. 

_Aspiring to Excellence_ helps rheumatology departments to improve their care of axial SpA patients, with the support of our external quality improvement experts at the NHS Transformation Unit. 

## **Our events went online** 

In June, we held our Members Day online which was attended by over 150 people. It provided a great opportunity for people to reconnect and find out about new approaches to living well with axial SpA. 

During 2020 the first six teams faced considerable disruption, with many staff redeployed to the frontline to care for Covid-19 patients. This didn’t deter them and the 31 people taking part made commendable strides in their Quality Improvement (QI) learning journey and the design of 13 projects. 

In November, we hosted Physio in Focus, in partnership with physiotherapist association AStretch. The event helped keep more than 100 people moving, at a time when they were struggling to access much needed physiotherapy appointments. 

With five more rheumatology departments joining in 2021, this is the largest quality improvement initiative in axial SpA anywhere in the world. 

## **Building communities and embracing new technologies** 

During 2020, it was more important than ever that NASS was here to make sure that no one with axial SpA felt alone. Despite the challenges of Covid-19, our community remained active and everyone’s determination to join together and combat isolation shone through. 

## Fundraising in 2020 

## Despite challenging times, our fundraising didn’t stop. 

We are grateful to our corporate sponsors, including UCB with whom we secured a five-year funding agreement that enabled us to bring the _Gold Standard Time to Diagnosis_ programme to life. We also secured emergency Covid-19 funding from industry sponsors. 

givers, who collectively gave over £9,000 in 2020, are helping to ensure that our income is sustainable for the future. 

We want to say a big thank you to all our fundraisers who walked, ran and stretched their way to raising £58,000 for NASS. 

Collectively, our generous donors gave over £40,000, which made a significant difference during a very challenging year. Our growing number of regular 


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In 2020 we received a total<br>of £251,450 in grant funding.<br>Thank you to AbbVie, Biogen, Eli Lilly,<br>Janssen, Novartis and UCB for<br>supporting our vital work.<br>Twenty twenty done P9<br>**----- End of picture text -----**<br>


NASS Annual Report & Accounts 2020 

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**Charity Registration No. 1183175 (England and Wales) Charity Registration No. SC049746 (Scotland)** 

National Axial Spondyloarthritis Society Annual Report and Financial Statements for the year ended 31 December 2020 

## Administrative information 


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Trustees Raj Mahapatra, Chair (Re-elected 13 June 2020)<br>Danny McFarlane, Treasurer<br>Paul Curry<br>Peter Townsend<br>Poppy Hocken<br>Gillian Eames<br>Patricia O'Callaghan<br>Nick Clarke<br>Monika Mayhew<br>Ben Hoare (Retired 13 June 2020)<br>Grant Poiner (Retired 13 June 2020)<br>Claire Jeffries (Elected 13 June 2020)<br>Dr Jacqueline Harris (Elected 13 June 2020)<br>Dr Antoni Chan (Elected 13 June 2020)<br>Chief Executive  Dr Dale Webb<br>Charity number<br>1183175<br>(England and Wales)<br>Charity number<br>SC049746<br>(Scotland)<br>Berg Kaprow Lewis LLP<br>35 Ballards Lane<br>Auditor<br>London<br>N3 1XW<br>**----- End of picture text -----**<br>


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## Trustees’ Report 

The Trustees present their report and financial statements for the year ended 31 December 2020. 

The financial statements have been prepared in accordance with the accounting policies set out in note 1 to the financial statements and comply with the Charity’s [governing document], the Charities Act 2011, the Charities and Trustee Investment (Scotland) Act 2005, the Charities Accounts (Scotland) Regulations 2006 (as amended) and “Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019)”. 

## **Objectives and activities** 

## **NASS’s vision is as follows:** 

_“The future we want to create is one where every person with axial spondyloarthritis (axial SpA) has timely and effective diagnosis, treatment and care, is empowered to make informed health choices and feels part of a supportive community.”_ 

## **It seeks to do this by:** 

- **providing** information to the general public about axial SpA, and advice to people living with the condition, their families, carers, service-providers and employers 

- **advocating** to ensure that every person has timely and effective diagnosis, treatment and care of the condition 

## **Public Benefit** 

The Trustees have paid due regard to the Charity Commission’s guidance on public benefit in deciding on the activities NASS should undertake. 

## **NASS provides public benefit by:** 

- **working** with statutory bodies and others that provide for the treatment and welfare of people affected by axial SpA 

- **educating** people affected by axial SpA, as well as healthcare professionals and the public, on the problems related to it 

- **putting** people affected by axial SpA in contact with expert advisers 

- **promoting** research into the management and cure of axial SpA and its causes 

- **disseminating** the results of research related to axial SpA. 

In so doing NASS improves the lives of those affected by axial SpA, particularly in relation to their ability to contribute positively to the prosperity of their communities and the country as a whole. 

NASS achieves these aims by developing and adopting relevant strategies and through establishing the necessary resources and an appropriate structure to deliver these strategies. 

- **funding** and disseminating research and analysis to advance scientific understanding of the condition and its effective treatment. 

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## Trustees’ Report (Continued) 

## **Achievements and performance** 

## **Reserves** 

Free reserves, defined as the balance of unrestricted funds less tangible fixed assets, currently amount to £434,967. 

The remaining funds are comprised of two properties (valued at £700,000) from which NASS derives rental income, other tangible assets of £10,703, branch funds of £304,487, other restricted grants totalling £175,907, and two statues gifted by Dame Elisabeth Frink. 

Unrestricted cash reserves represent six months operating costs. 

At present NASS does not have an endowment fund and therefore income must be raised each year from voluntary sources and total income is likely to fluctuate from year to year. 

We aim to hold 6-9 months free reserves. This working capital protects the continuity of our core work, that is, work not funded through restricted income. Core work includes our information and support service, awareness raising, campaigning and policy influencing, and the work of our branches across the UK. We have chosen a reserves level of 6-9 months having considered the level of predictability/unreliability in our income sources and the extent to which our cost base is flexible or committed. Our largest income sources (legacies and grant funding from pharmaceutical companies) come at irregular intervals, and the majority of our costs are committed, principally in the form of the staff who deliver our charitable objectives. 

## **Investments** 

NASS has an investments strategy and statement of investment principles. We have adopted a policy of maximising liquidity and therefore funds available have been held in interest bearing bank accounts or equivalent short-term deposits at varying rates of interest placed with first tier banks. NASS’s property investments comprise two residential apartments which are rented out on shorthold assured tenancies to generate income for NASS. NASS’s investments also include two Frink statues. All investments are carried at market value. 

## **Summary of financial performance** 

NASS reported a deficit of expenditure over Income of £334,290. 

In the financial year ending 31 December 2020 the charity received £829,223 of income (£412,735 unrestricted funds, £416,488 restricted funds). 

£115,844 of the income was generated at the branch level. 

Total resources expended in the year amounted to £1,163,513 (£864,892 unrestricted, £298,621 restricted). 

£80,219 of expenditure was spent at the branch level. 

The Covid-19 pandemic negatively impacted on our financial performance. We were unable to undertake the normal volume of community and events fundraising due to the social restrictions put in place by Government. 

We were, however, successful in securing emergency Covid-19 funding from charitable trusts and pharmaceutical companies to help fund enhanced information and support services. These enhanced services were needed to meet the unprecedented demand that occurred as a consequence of the pandemic. 

Overall, we were able to achieve 91% of our income budget for 2020. 

## **The Trustees have adopted appropriate policies necessary to limit or mitigate the risks faced by NASS.** 

## **The principal risks are:** 

- **Loss of funds:** Funds are held with various first tier banks on a short term basis and as a result there is little risk of loss in the short to medium term. 

- **Loss of income:** NASS seeks to broaden and expand its income from all sources. Nevertheless, NASS is dependent upon voluntary income, both at branch level and at national level, and aims to increase its membership locally and nationally. 

- **Loss of reputation:** NASS seeks at all times to maintain its independent viewpoint. Assistance received from external bodies, such as members of the pharmaceutical industry, is strictly controlled so as to ensure that independence is not compromised. 

- **Loss of staff:** NASS has a Reward Strategy to ensure that the charity is able to recruit and retain high quality staff. It also has a set of HR policies to provide the appropriate framing for all HR matters. 

NASS has a safeguarding policy and set of procedures which is applicable to beneficiaries, staff, trustees and volunteers. Staff are trained and NASS branches have a training resource. The safeguarding policy and procedures will be reviewed on an annual basis by the Finance and General Purposes Committee. 

## **Structure, governance and management** 

NASS is a Charitable Incorporated Organisation (CIO) and was registered as a charity in April 2019. It was formed by the National Ankylosing Spondylitis Society, an unincorporated society, whose assets were transferred to the CIO in October 2019. The rules and regulations of the CIO are set out in its Constitution, adopted by the Board of Trustees on 14 September 2019 and approved by the Charity Commission. 

The governing body of NASS are an elected Board of Trustees. Only members of NASS may be appointed as Trustees. The maximum number of charity trustees that may be appointed to NASS is twelve. At every annual general meeting of the members of NASS, one third of the charity trustees will be retired from office. The charity trustees to retire by rotation will be those who 

have been longest in office since their last appointment or reappointment. If any trustees were last appointed or reappointed on the same day those to retire shall (unless they otherwise agree among themselves) be determined by lot. The vacancies so arising may be filled by the decision of the members at the annual general meeting; any vacancies not filled at the annual general meeting may be filled by the charity trustees. Such persons shall retire at the conclusion of the next annual general meeting after the date of his or her appointment, and shall not be counted for the purpose of determining which of the charity trustees is to retire by rotation at that meeting. The members or the charity trustees may at any time decide to appoint a new charity trustee, whether in place of a charity trustee who has retired or been removed in accordance with clause 15 (Retirement and removal of charity trustees), or as an additional charity trustee, provided that the limit specified on the number of charity trustees would not as a result be exceeded. The Chair and Treasurer are approved by the Board and selected from among the trustee group. Their term of office as Chair and Treasurer is consistent with their term of office as a trustee. 

In advance of each AGM, members of NASS are widely encouraged to nominate a fellow member as Trustee. On appointment, new trustees are asked to spend a half day in the NASS central office for a briefing with the Chief Executive and staff to understand how the society works. Formal training is provided when required. 

The Trustees meet quarterly to review matters of policy and to make appropriate judgments, directions and decisions on CIO issues. Trustees delegate authority on some matters to a Finance and General Purposes Committee consisting of the Chair, the Treasurer, up to three appointed Trustees and the Chief Executive. This Committee meets four times per year. NASS also has a Medical Advisory Board which acts in advisory capacity only. NASS has more than 90 volunteer-led branches across the UK, each run by a committee in accordance with guidance and policies set by NASS centrally. Day to day management of NASS is undertaken by the Chief Executive and his / her staff. The trustees consider the Chief Executive as comprising the key management personnel of the charity in charge of directing and controlling the charity and running and operating the charity on a day to day basis. The pay of the Chief Executive is reviewed annually by the trustees. 

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## Trustees’ Report (Continued) 

The Trustees who served during the year and up to the date of signature of the financial statements were: 

**Raj Mahapatra, Chair** 

(Retired by rotation 13 June 2020 and re-elected 13 June 2020) 

## **Danny McFarlane, Treasurer** 

**Paul Curry** 

|**Peter Townsend**||
|---|---|
|**Poppy Hocken**||
|**Gillian Eames**||
|**Patricia O'Callaghan**||
|**Nick Clarke**||
|**Monika Mayhew**||
|**Ben Hoare**|(Retired 13 June 2020)|
|**Grant Poiner**|(Retired 13 June 2020)|
|**Claire Jeffries**|(Appointed 13 June 2020)|
|**Dr Jacqueline Harris**|(Appointed 13 June 2020)|
|**Dr Antoni Chan**|(Appointed 13 June 2020)|



## **The charity’s current policy concerning the payment of trade creditors is to:** 

- **settle** the terms of payment with suppliers when agreeing the terms of each transaction; 

- **ensure** that suppliers are made aware of the terms of payment by inclusion of the relevant terms in contracts; and 

- **pay in accordance** with the company’s contractual and other legal obligations. 

Trade creditors of the company at the year end were equivalent to 25 days purchases, based on the average daily amount invoiced by suppliers during the year. 

## **Statement of trustees’ responsibilities** 

The Trustees are responsible for preparing the Trustees’ Report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice). 

In preparing these financial statements, the Trustees are required to: 

- **select** suitable accounting policies and then apply them consistently; 

- **observe** the methods and principles in the Charities SORP; 

- **make judgements** and estimates that are reasonable and prudent; 

- **state** whether applicable accounting standards have been followed, subject to any material departures disclosed and explained in the financial statements; and 

- **prepare** the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in operation. 

The Trustees are responsible for keeping sufficient accounting records that disclose with reasonable accuracy at any time the financial position of the Charity and enable them to ensure that the financial statements comply with the Charities Act 2011, the Charity (Accounts and Reports) Regulations 2008, the Charities and Trustee Investment (Scotland) Act 2005, the Charities Accounts (Scotland) Regulations 2006 (as amended) and the provisions of the trust deed. They are also responsible for safeguarding the assets of the Charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. 

## **The trustees’ report was approved by the Board of Trustees.** 

Please note: The National Axial Spondyloarthritis Society is a Charitable Incorporated Society (CIO). It was formed by the National Ankylosing Spondylitis Society, an unincorporated Society. The Charity Commission approved the CIO on 29 April 2019 and entered it onto the Register of Charities with the Registered Charity Number 1183175. The Office of the Scottish Charity Regulator approved the CIO on 20 November, registration number SC049746. 

At an Annual General Meeting of the National Ankylosing Spondylitis Society held on 13 June 2019, members present voted unanimously in favour of establishing the CIO and authorising trustees of the Society to transfer all assets of the Society after the satisfaction of any proper debts and liabilities of the Society to the new CIO being a charitable organisation having objects similar to the objects of the Society. The CIO became operational on 1 November 2019. 

Therefore, the 2019 data contained in the tables in this Report and Accounts only include two months of financial performance. In order to provide full comparative financial performance for 2019 we have supplemented relevant tables with additional narrative which combines the 2019 income and expenditure of the National Ankylosing Spondylitis Society (January – October) with that of the National Axial Spondyloarthritis Society (November – December). 


**Raj Mahapatra, Chair** Trustee Dated: 4 October 2021 

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## Independent Auditors’ Report 

## **Opinion** 

We have audited the financial statements of National Axial Spondyloarthritis Society (the ‘charity’) for the year ended 31 December 2020 which comprise the Statement of Financial Activities, the Balance Sheet, the Statement of Cash Flows and the related notes, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 ‘The Financial Reporting Standard applicable in the UK and Republic of Ireland’ (United Kingdom Generally Accepted Accounting Practice). 

## **In our opinion the financial statements:** 

- **give a true and fair view** of the Charitable Incorporated Organisation’s affairs as at 31 December 2020 and of its incoming resources and application of resources, including its income and expenditure for the year then ended; 

- **have been properly prepared** in accordance with United Kingdom Generally Accepted Accounting Practice; and 

- **have been prepared in accordance** with the requirements of the Charities Act 2011, the Charities and Trustee Investment (Scotland) Act 2005 and regulation 8 of the Charities Accounts (Scotland) Regulations 2006. 

## **Basis for opinion** 

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditors’ responsibilities for the audit of the financial statements section of our report. We are independent of the charity in accordance with the ethical requirements that are relevant to our audit of the financial statements in the United Kingdom, including the Financial Reporting Council’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion. 

## **Conclusions relating to going concern** 

In auditing the financial statements, we have concluded that the Trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate. Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the charitable company’s ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue. 

Our responsibilities and the responsibilities of the Trustees with respect to going concern are described in the relevant sections of this report. 

## **Other information** 

The other information comprises the information included in the Annual report other than the financial statements and our Auditors’ report thereon. The Trustees are responsible for the other information contained within the Annual report. Our opinion on the financial statements does not cover the other information and,except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit, or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact. 

We have nothing to report in this regard. 

## **Matters on which we are required to report by exception** 

We have nothing to report in respect of the following matters where the Charities (Accounts and Reports) Regulations 2008 and the Charities Accounts (Scotland) Regulations 2006 (as amended) requires us to report to you if, in our opinion: 

- the information given in the Trustees’ report is inconsistent in any material respect with the financial statements; or 

- sufficient accounting records have not been kept; or 

- the financial statements are not in agreement with the accounting records and returns; or 

- we have not received all the information and explanations we require for our audit. 

## **Responsibilities of trustees** 

As explained more fully in the Trustees’ responsibilities statement, the Trustees are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the Trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error. 

In preparing the financial statements, the Trustees are responsible for assessing the charity’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the Trustees either intend to liquidate the charitable company or to cease operations, or have no realistic alternative but to do so. 

## **Auditors’ responsibilities for the audit of the financial statements** 

We have been appointed as auditor under section 145 of the Charities Act 2011 and report in accordance with the Act and relevant regulations made or having effect thereunder. 

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an Auditors’ report that includes our opinion. Reasonable assurance is a high level of assurance but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements. 

- Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below: 

- **Enquiring of management** around actual and potential litigation and claims; 

- **Reviewing board meeting minutes** of meetings of those charged with governance; 

- **Reviewing financial statement disclosures** and testing to supporting documentation to assess compliance with applicable laws and regulations; 

- **Performing audit work** over the risk of management override of controls, including testing of journal entries and other adjustments for appropriateness, evaluating the business rationale of significant transactions outside the normal course of business and reviewing accounting estimates for bias. 

A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council’s website at: **www.frc.org.uk/auditors responsibilities** . This description forms part of our Auditors’ report. 

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## Independent Auditors’ Report (Continued) 

## Statement of Financial Activities Including Income and Expenditure Account For the year ended 31 December 2020 

## **Use of our report** 

This report is made solely to the charitable company’s members, as a body, in accordance with Part 4 of the Charities (Accounts and Reports) Regulations 2008 and regulation 10 of the Charities Accounts (Scotland) Regulations 2006. Our audit work has been undertaken so that we might state to the charity’s members those matters we are required to state to them in an Auditors’ report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and its members, as a body, for our audit work, for this report, or for the opinions we have formed. 


## **Berg Kaprow Lewis LLP** 

Chartered Accountants & Statutory Auditor 35 Ballards Lane London N3 1XW 

Date: 

4 October 2021 

Berg Kaprow Lewis LLP are eligible to act as auditors in terms of section 1212 of the Companies Act 2006. 


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Unrestricted  Restricted Total Unrestricted Restricted Total<br>funds funds 2020 funds funds 2019<br>2020 2020 2019 2019<br>Notes £ £ £ £ £ £<br>Income and endowments from:<br>Donations and legacies 3 319,212 157,086 476,298 1,787,661 398,175 2,185,836<br>Charitable activities 4 - 251,450 251,450 - 14,500 14,500<br>Other trading activities 5 58,981 3,715 62,696 10,678 3,025 13,703<br>Investments 6 26,094 - 26,094 5,207 - 5,207<br>Other income 7 8,448 4,237 12,685 - 6,414 6,414<br>Total income 412,735 416,488 829,223 1,803,546 422,114 2,225,660<br>Expenditure on:<br>Raising funds 8 151,114 - 151,114 31,467 1,372 32,839<br>Charitable activities 9 670,638 298,621 969,259 145,152 58,215 203,367<br>Other 14 43,140 - 43,140 - - -<br>Total resources expended 864,892 298,621 1,163,513 176,619 59,587 236,206<br>Net (expenditure)/income<br>for the year/<br>Net movement in funds (452,157) 117,867 (334,290) 1,626,927 362,527 1,989,454<br>Fund balances at<br>- - -<br>1,626,927 362,527 1,989,454<br>1 January 2020<br>Fund balances at<br>1,174,770 480,394 1,655,164 1,626,927 362,527 1,989,454<br>31 December 2020<br>**----- End of picture text -----**<br>


The statement of financial activities includes all gains and losses recognised in the year. All income and expenditure derive from continuing activities. 

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## Balance Sheet 

## As at 31 December 2020 


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2020 2019<br>Notes £ £ £ £<br>Fixed assets<br>Tangible assets 15 10,703 13,546<br>Investment properties 16 700,000 700,000<br>Investments 17 29,100 86,700<br>739,803 800,246<br>Current assets<br>Debtors 18 128,079 145,957<br>Cash at bank and in hand 988,429 1,137,176<br>1,116,508 1,283,133<br>Creditors: amounts falling due within one year 19 (201,147) (93,925)<br>Net current assets 915,361 1,189,208<br>Total assets less current liabilities 1,655,164 1,989,454<br>Income funds<br>Restricted funds 22 480,394 362,527<br>General unrestricted funds 22 1,174,770 1,591,927<br>1,174,770 1,626,927<br>1,655,164 1,989,454<br>**----- End of picture text -----**<br>


## Statement of Cash flows 

## For the year ended 31 December 2020 


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2020 2019<br>Notes £ £ £ £<br>Cash flows from operating activities<br>Cash (absorbed by)/generated from operations 25 (187,071) 1,936,730<br>Investing activities<br>Purchase of tangible fixed assets (2,230) (18,061)<br>-<br>Proceeds on disposal of tangible fixed assets (14,440)<br>-<br>Purchase of investment property (700,000)<br>Proceeds on disposal of other investments 28,900 (86,700)<br>Investment income received 26,094 5,207<br>Net cash generated from/(used in) investing activities 38,324 (799,554)<br>- -<br>Net cash used in financing activities<br>Net (decrease)/increase in cash and cash equivalents (148,747) 1,137,176<br>-<br>Cash and cash equivalents at beginning of year 1,137,176<br>Cash and cash equivalents at end of year 988,429 1,137,176<br>**----- End of picture text -----**<br>


Note: The 2019 income of the National Ankylosing Spondylitis Society and National Axial Spondyloarthritis Society combined was £1,003,246, and expenditure was £1,201,274. 

The financial statements were approved by the Trustees on 4 October 2021. 


**Raj Mahapatra, Chair** Trustee 

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## Notes to Financial Statements 

## As at 31 December 2020 

## **1. Accounting policies** 

## **1.2 Going concern** 

At the time of approving the financial statements, the Trustees have a reasonable expectation that the Charity has adequate resources to continue in operational existence for the foreseeable future. Thus, the Trustees continue to adopt the going concern basis of accounting in preparing the financial statements. 

Charity information 

National Axial Spondyloarthritis Society is an organisation incorporated in the United Kingdom under the Charities Act 2011. The organisation is a Charitable Incorporated Organisation, registered in England and Wales and in Scotland. The address of the registered office is 172 King Street, London, W6 0QU. 

## **1.3 Charitable funds** 

## **1.1 Accounting convention** 

Unrestricted funds are available for use at the discretion of the Trustees in furtherance of their charitable objectives. 

The financial statements have been prepared in accordance with the Charities Act 2011, the Charities and Trustee Investment (Scotland) Act 2005, the Charities Accounts (Scotland) Regulations 2006 (as amended) and “Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019)”. The Charity is a Public Benefit Entity as defined by FRS 102. 

Restricted funds are subject to specific conditions by donors as to how they may be used. The purposes and uses of the restricted funds are set out in the notes to the financial statements. 

Endowment funds are subject to specific conditions by donors that the capital must be maintained by the Charity. 

## **1.4 Income** 

The financial statements have departed from the Charities (Accounts and Reports) Regulations 2008 only to the extent required to provide a true and fair view. This departure has involved following the Statement of Recommended Practice for charities applying FRS 102 rather than the version of the Statement of Recommended Practice which is referred to in the Regulations but which has since been withdrawn. 

Income is recognised when the Charity is legally entitled to it after any performance conditions have been met, the amounts can be measured reliably, and it is probable that income will be received. 

Cash donations are recognised on receipt. Other donations are recognised once the Charity has been notified of the donation, unless performance conditions require deferral of the amount. Income tax recoverable in relation to donations received under Gift Aid or deeds of covenant is recognised at the time of the donation. 

The financial statements are prepared in sterling, which is the functional currency of the Charity. Monetary amounts in these financial statements are rounded to the nearest £. 

Legacies are recognised on receipt or otherwise if the Charity has been notified of an impending distribution, the amount is known, and receipt is expected. If the amount is not known, the legacy is treated as a contingent asset. 

The financial statements have been prepared under the historical cost convention, modified to include the revaluation of freehold properties and to include investment properties and certain financial instruments at fair value. The principal accounting policies adopted are set out below. 

## Notes to Financial Statements (Continued) 

## As at 31 December 2020 

## **1.6 Tangible fixed assets** 

## **1 Accounting policies** 

Grants are included in the Statement of financial activities on a receivable basis. The balance of income received for specific purposes but not expended during the period is shown in the relevant funds on the Balance sheet. Where income is received in advance of entitlement of receipt, its recognition is deferred and included in creditors as deferred income. Where entitlement occurs before income is received, the income is accrued. 

Tangible fixed assets are initially measured at cost and subsequently measured at cost or valuation, net of depreciation and any impairment losses. 

Depreciation is recognised so as to write off the cost or valuation of assets less their residual values over their useful lives on the following bases: 

Office equipment 25% on a straight line basis 

The gain or loss arising on the disposal of an asset is determined as the difference between the sale proceeds and the carrying value of the asset, and is recognised in net income/(expenditure) for the year. 

Income tax recoverable in relation to donations received under Gift Aid or deeds of covenant is recognised at the time of the donation. Income tax recoverable in relation to investment income is recognised at the time the investment income is receivable. 

## **1.7 Investment properties** 

## **1.5 Expenditure** 

Investment property, which is property held to earn rentals and/or for capital appreciation, is initially recognised at cost, which includes the purchase cost and any directly attributable expenditure. Subsequently it is measured at fair value at the reporting end date. The surplus or deficit on revaluation is recognised in profit or loss. 

Expenditure is recognised once there is a legal or constructive obligation to transfer economic benefit to a third party, it is probable that a transfer of economic benefits will be required in settlement and the amount of the obligation can be measured reliably. Expenditure is classified by activity. The costs of each activity are made up of the total of direct costs and shared costs, including support costs involved in undertaking each activity. Direct costs attributable to a single activity are allocated directly to that activity. Shared costs which contribute to more than one activity and support costs which are not attributable to a single activity are apportioned between those activities on a basis consistent with the use of resources. Central staff costs are allocated on the basis of time spent, and depreciation charges allocated on the portion of the asset’s use. 

## **1.8 Fixed asset investments** 

Fixed asset investments are initially measured at transaction price excluding transaction costs, and are subsequently measured at fair value at each reporting date. Changes in fair value are recognised in net income/(expenditure) for the year. Transaction costs are expensed as incurred. 

## **1.9 Impairment of fixed assets** 

Expenditure on charitable activities is incurred on directly undertaking the activities which further the charity’s objectives, as well as any associated support costs. 

At each reporting end date, the Charity reviews the carrying amounts of its tangible assets to determine whether there is any indication that those assets have suffered an impairment loss. If any such indication exists, the recoverable amount of the asset is estimated in order to determine the extent of the impairment loss (if any). 

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

All expenditure is inclusive of irrecoverable VAT. 

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## Notes to Financial Statements (Continued) 

As at 31 December 2020 

## **1.10 Cash and cash equivalents** 

Cash and cash equivalents include cash in hand, deposits held at call with banks, other short-term liquid investments with original maturities of three months or less, and bank overdrafts. Bank overdrafts are shown within borrowings in current liabilities. 

## **1.11 Financial instruments** 

The Charity has elected to apply the provisions of Section 11 ‘Basic Financial Instruments’ and Section 12 ‘Other Financial Instruments Issues’ of FRS 102 to all of its financial instruments. 

Financial instruments are recognised in the Charity’s balance sheet when the Charity becomes party to the contractual provisions of the instrument. 

Financial assets and liabilities are offset, with the net amounts presented in the financial statements, when there is a legally enforceable right to set off the recognised amounts and there is an intention to settle on a net basis or to realise the asset and settle the liability simultaneously. 

## **Basic financial assets** 

Basic financial assets, which include debtors and cash and bank balances, are initially measured at transaction price including transaction costs and are subsequently carried at amortised cost using the effective interest method unless the arrangement constitutes a financing transaction, where the transaction is measured at the present value of the future receipts discounted at a market rate of interest. Financial assets classified as receivable within one year are not amortised. 

## **Basic financial liabilities** 

Basic financial liabilities, including creditors and bank loans are initially recognised at transaction price unless the arrangement constitutes a financing transaction, where the debt instrument is measured at the present value of the future payments discounted at a market rate of interest. Financial liabilities classified as payable within one year are not amortised. 

Debt instruments are subsequently carried at amortised cost, using the effective interest rate method. 

Trade creditors are obligations to pay for goods or services that have been acquired in the ordinary course of operations from suppliers. Amounts payable are classified as current liabilities if payment is due within one year or less. If not, they are presented as noncurrent liabilities. Trade creditors are recognised initially at transaction price and subsequently measured at amortised cost using the effective interest method. 

## **Derecognition of financial liabilities** 

Financial liabilities are derecognised when the Charity’s contractual obligations expire or are discharged or cancelled. 

## **1.12 Employee benefits** 

The cost of any unused holiday entitlement is recognised in the period in which the employee’s services are received. 

Termination benefits are recognised immediately as an expense when the Charity is demonstrably committed to terminate the employment of an employee or to provide termination benefits. 

## **1.13 Retirement benefits** 

Payments to defined contribution retirement benefit schemes are charged as an expense as they fall due. 

## **1.14 Leases** 

Rentals payable under operating leases, including any lease incentives received, are charged as an expense on a straight line basis over the term of the relevant lease. 

## **2 Critical accounting estimates and judgements** 

The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised where the revision affects only that period, or in the period of the revision and future periods where the revision affects both current and future periods. 

In the application of the Charity’s accounting policies, the Trustees are required to make judgements, estimates and assumptions about the carrying amount of assets and liabilities that are not readily apparent from other sources. The estimates and associated assumptions are based on historical experience and other factors that are considered to be relevant. Actual results may differ from these estimates. 

## **3 Donations and legacies** 


**----- Start of picture text -----**<br>
Unrestricted Restricted Total Unrestricted Restricted Total<br>funds funds funds funds<br>2020 2020 2020 2019 2019 2019<br>£ £ £ £ £ £<br>Donations and gifts 131,011 37,019 168,030 1,660,706 369,240 2,029,946<br>- -<br>Legacies receivable 120,567 120,567 106,500 106,500<br>Grants receivable - 16,277 16,277 6,629 - 6,629<br>Membership fees 50,214 103,790 154,004 13,826 28,935 42,761<br>Donated services 17,420 - 17,420 - - -<br>319,212 157,086 476,298 1,787,661 398,175 2,185,836<br>**----- End of picture text -----**<br>


Income from donations and legacies in 2019 for the National Ankylosing Spondylitis Society and National Axial Spondyloarthritis Society combined was £619,462. The figure of £2,029,946 in the table above includes the transfer of assets from the unincorporated Society to the Charitable Incorporated Organisation, which totalled £2,014,801, of which £367,276 is for restricted purposes. 

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## Notes to Financial Statements (Continued) 

As at 31 December 2020 

## **4 Charitable activities** 

|**4 Charitable activities**|||
|---|---|---|
||**Restricted funds**|**Restricted funds**|
||**2020**<br>**£**|2019<br>£|
|Pharmaceutical industry funded grants||14,500|
||251,450||



Income from charitable activities in 2019 for the National Ankylosing Spondylitis Society and National Axial Spondyloarthritis Society combined was £243,052. 

## **7 Other income** 


**----- Start of picture text -----**<br>
Unrestricted Restricted  Total Unrestricted Restricted Total<br>funds funds funds funds<br>2020 2020 2020 2019 2019 2019<br>£ £ £ £ £ £<br>Job retention scheme 8,048 - 8,048 - - -<br>Branches other Income - 4,237 4,237 - 6,414 6,414<br>Other Income 400 - 400 - - -<br>-<br>8,448 4,237 12,685 6,414 6,414<br>**----- End of picture text -----**<br>


## **5 Other trading activities** 


**----- Start of picture text -----**<br>
Unrestricted Restricted  Total  Unrestricted Restricted Total<br>funds funds funds funds funds funds<br>2020 2020 2020 2019 2019 2019<br>£ £ £ £ £ £<br>Fundraising events 58,981 3,715 62,696 10,687 3,025 13,703<br>**----- End of picture text -----**<br>


Income from other trading activities in 2019 for the National Ankylosing Spondylitis Society and National Axial Spondyloarthritis Society combined was £100,707. 

## **6 Investments** 


**----- Start of picture text -----**<br>
Unrestricted funds Unrestricted funds<br>2020 2019<br>£ £<br>Rental income 25,450 14,500<br>Interest receivable 984 515<br>26,094 5,207<br>**----- End of picture text -----**<br>


## **8 Raising funds** 


**----- Start of picture text -----**<br>
Unrestricted Unrestricted Restricted Total<br>funds funds funds<br>2020 2019 2019 2019<br>£ £ £ £<br>Staging fundraising events 34,391 4,651 1,372 6,023<br>Staff costs 83,035 7,840 - 7,840<br>Total fundraising and publicity 117,426 12,491 1,372 13,863<br>Support costs 33,688 18,976 12,491 18,976<br>Total cost of raising funds £151,114 31,467 1,372 32,839<br>**----- End of picture text -----**<br>


Expenditure on raising funds in 2019 for the National Ankylosing Spondylitis Society and National Axial Spondyloarthritis Society combined was £129,196. 

Income from investments in 2019 for the National Ankylosing Spondylitis Society and National Axial Spondyloarthritis Society combined was £29,427. 

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## Notes to Financial Statements (Continued) 

As at 31 December 2020 

## **9 Charitable activities** 


**----- Start of picture text -----**<br>
Governance  Every Patient  Connected &  Informed and  Total Governance costs Every Patient  Connected &  Informed and  Total<br>costs Every Time Supportive Empowered Every Time Supportive Empowered<br>2020 2020 2020 2020 2020 2019 2019 2019 2019 2019<br>£ £ £ £ £ £ £ £ £ £<br>Staff costs - 187,336 143,132 108,821 439,289 - 35,539 22,636 16,394 71,559<br>Travel expenses - 5,940 155 356 6,451 - 7,743 474 427 8,644<br>IT and communications - - - - - - 694 5,280 134 6,108<br>Office costs - - 1,603 268 1,871 - 8 108 (60) 56<br>Courier and distribution of<br>- 32 6,518 694 7,244 - 28 2,779 620 3,427<br>materials<br>Literature, brochures and  - 57,944 26,080 6,561 90,585 - 317 - 34 351<br>information<br>Treatment by healthcare  - - - - - -<br>56,378 56,378 28,841 28,841<br>professionals<br>Hire of venue and facilities - 4,924 16,255 52 21,231 - 3,483 3,453 70 7,006<br>- - - - - -<br>Other branch payments 8,742 8,742 2,645 2,645<br>Third party technical   - 91,581 15,231 11,305 118,117 - 5,993 812 85 6,890<br>providers<br>Total direct costs - 347,757 274,094 128,057 749,908 - 53,440 35,542 46,545 135,527<br>Support costs 18,927  76,004  58,070  44,150   197,151 27,525 16,076 8,721  6,800   59,122<br>Grant funding of activities  - 20,192 2,008 - 22,200 - 8,613 - 105 8,718<br>(see note 10)<br>Total charitable<br>18,927 443,953 334,172 172,207 969,259 27,525 78,129 44,263 53,450 203,367<br>activities<br>Analysis by fund<br>Unrestricted funds 18,927  229,535  253,953  168,223 670,638 27,525 48,755 44,263 24,609 145,152<br>Restricted funds - 214,418 80,219  3,984 298,621 -  29,374 -   28,841  58,215<br>Total 18,927 443,953 334,172 172,207 969,259 27,525 78,129 44,263 53,450 203,367<br>**----- End of picture text -----**<br>


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## Notes to Financial Statements (Continued) 

## As at 31 December 2020 

## **10 Grants payable** 


**----- Start of picture text -----**<br>
Grants paid to  Grants paid to  Total Grants paid to  Grants paid to  Total<br>individuals institutions individuals institutions<br>2020 2020 2020  2019 2019 2019<br>£ £ £ £ £ £<br>Every Patient Every Time  -   20,192   20,192   250   8,363   8,613<br>Connected & Supportive  -   1,644   1,644   -   -   -<br>Informed & Empowered  364   -   364   105   -   105<br>Total  364   21,836   22,200   355   8,363   8,718<br>**----- End of picture text -----**<br>


## **11 Analysis of support costs** 


**----- Start of picture text -----**<br>
Every  A Connected  Empower,  Total  Governance  Fundraising  Total Total<br>Patient  and  Inform  charitable  costs costs<br>Every  Supportive  and  Expenditure<br>Time Community Inspire<br>2020 2020 2020  2020 2020 2020  2020  2019<br>£ £ £ £ £ £ £ £<br>Staff costs 21,426 16,370 12,446 50,241 3,093 9,497 59,738 8,345<br>Depreciation 1,819 1,390 1,057 4,267 - 806 5,073 3,788<br>Other staff costs 5,723 4,373 3,324 13,420 - 2,537 15,957 3,093<br>Premises costs 22,620 17,282 13,140 53,042 - 10,026 63,068 10,967<br>Travel expenses 73 56 43 172 - 32 204 1,632<br>IT and<br>-<br>10,900 8,328 6,332 25,561 4,831 30,392 2,132<br>communications<br>Office costs 1,974 1,509 1,147 4,630 - 875 5,505 4,673<br>Conference<br>1,207 922 701 2,829  - 535 3,364 0<br>costs<br>Audit fees - - - - 6,540 - 6,540 5,280<br>Accountancy 1,076 822 625 2,523 -  477 3,000 10,080<br>Insurance, legal<br>9,186 7,018 5,336 21,540 2,660 4,071 28,271 60<br>and professional<br>Other<br>Governance  - - - - 9,727 - 9,727 9,072<br>costs<br>Total 76,004 58,070 44,150 178,224 18,927 33,688  230,839 59,122<br>Total 2019 16,076  8,721 6,800 31,597 9,072 18,453 59,122<br>**----- End of picture text -----**<br>


Governance costs includes payments to the auditors of £6,540 (2019- £5,280) for audit fees. Governance and support costs in 2019 for the National Ankylosing Spondylitis Society and National Axial Spondyloarthritis Society combined was £271,330. 

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## Notes to Financial Statements (Continued) 

## As at 31 December 2020 

## **12 Trustees** 

None of the Trustees (or any persons connected with them) received any remuneration or benefits from the Charity during the year. In 2020 there were expenses claimed by one trustee. 

## **13 Employees** 

|The average monthly number<br>during the year was:|of employees|**2020**<br>**Number**|2019<br>Number|
|---|---|---|---|
|||12|11|
||**Employment costs**|**2020**<br>**£**|**2019**<br>**£**|
|||||
||Wages and salaries|461,270|79,477|
||Social security costs|44,586|7,991|
||Other pension costs|76,206|12,077|
|||582,062|99,545|



Employment costs in 2019 for the National Ankylosing Spondylitis Society and National Axial Spondyloarthritis Society combined was £537,872. 

The following numbers of staff had emoluments above £60,000. 

|Gross annual salary|**No. of staff 2020**|No. of staff 2019|
|---|---|---|
|Between £100,001 - £110,000|**1**|0*|



*In 2019, as the National Axial Spondyloarthritis Society was only operational for two months, no staff had an emolument in excess of £60,000. In 2019, the gross salary of the CEO for the National Ankylosing Spondylitis (January – October) and then National Axial Spondyloarthritis Society (November – December) was £100,000. 

## **14 Other** 


**----- Start of picture text -----**<br>
Unrestricted Restricted Total  Unrestricted<br>funds  funds  funds<br>£ £ £ £<br>2020 2020 2020 2019<br>- -<br>Net loss on disposal of tangible fixed assets 14,440 14,440<br>Revaluation loss on investment 28,700 - 28,700 -<br>- -<br>43,140 43,140<br>**----- End of picture text -----**<br>


## **15 Tangible fixed assets** 


**----- Start of picture text -----**<br>
Office equipment<br>£<br>Cost<br>At 1 January 2020 18,061<br>Additions 2,230<br>At 31 December 2020 20,291<br>Depreciation and impairment<br>At 1 January 2020 4,515<br>Depreciation charged in the year 5,073<br>At 31 December 2020 9,588<br>Carrying amount<br>At 31 December 2020 10,703<br>At 31 December 2019 13,546<br>**----- End of picture text -----**<br>


In 2020, the gross salary of the CEO was £100,431. 

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## Notes to Financial Statements (Continued) 

## As at 31 December 2020 

## **16 Investment property** 


**----- Start of picture text -----**<br>
2020<br>£<br>Fair value<br>At 1 January 2020 and 31 December 2020 700,000<br>**----- End of picture text -----**<br>


Investment property comprises residential flats let. The fair value of the investment property has been arrived at on the basis of a valuation carried out by the trustees. The valuation was made on an open market value basis by reference to market evidence of transaction prices for similar properties. 


**----- Start of picture text -----**<br>
2020 2019<br>£ £<br>Freehold - -<br>Long leasehold 700,000 700,000<br>Short leasehold - -<br>**----- End of picture text -----**<br>


## **17 Fixed asset investments** 


**----- Start of picture text -----**<br>
Unlisted<br>investments<br>£<br>Cost or valuation<br>At 1 January 2020 86,700<br>Revaluation (28,700)<br>Disposals (28,900)<br>At 31 December 2020 29,100<br>Carrying amount<br>At 31 December 2020 29,100<br>At 31 December 2019 86,700<br>**----- End of picture text -----**<br>


## **18 Debtors** 


**----- Start of picture text -----**<br>
2020 2019<br>Amounts falling due within one year: £ £<br>Trade debtors 6,458 114,236<br>Other debtors 116,500 15,052<br>Prepayments and accrued income 5,121 16,669<br>128,079 145,957<br>**----- End of picture text -----**<br>


## **19 Creditors: amounts falling due within one year** 


**----- Start of picture text -----**<br>
2020 2019<br>Notes £ £<br>Other taxation and social security 22,241 13,396<br>Deferred income 34,925 30,000<br>Trade creditors 76,930 14,159<br>Other creditors 26,469 11,710<br>Accruals 40,582 24,660<br>201,147 93,925<br>**----- End of picture text -----**<br>


The fixed assets investment are two statuettes gifted by Dame Elisabeth Frink. 

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## Notes to Financial Statements (Continued) 

## As at 31 December 2020 

## **20 Deferred income** 


**----- Start of picture text -----**<br>
2020 2019<br>£ £<br>Arising from grants 33,750 30,000<br>Other deferred income 1,175 -<br>34,925 30,000<br>**----- End of picture text -----**<br>


## **21 Retirement benefit schemes** 

## **Defined contribution schemes** 

The charity operates a defined contribution pension scheme. The assets of the scheme are held separately from those of the charity in an independently administered fund. The pension cost charge represents contributions payable by the charity to the fund and amounted to £76,206 (2019: £12,077). An amount of £8,937 (£6,136 in 2019) was payable to the fund at the balance sheet date and is included in creditors. 

## **22 Statement of funds** 

The income funds of the charity include restricted funds comprising the following unexpended balances of donations and grants held on trust for specific purposes: 


**----- Start of picture text -----**<br>
Statement of funds<br>Balance at  Incoming  Resources  Balance at<br>1 January 2020 resources  expended  31 December<br>£ £ £ 2020 £<br>Unrestricted Funds<br>General funds-all funds 1,626,927 412,735 (864,892) 1,174,770<br>Restricted Funds<br>Branch funds 268,862 115,844 (80,219) 304,487<br>Branch Development Fund 5,211 - (84) 5,127<br>Fergus Rogers Fund 2,416 - (364) 2,052<br>Aspiring to Excellence 86,038 122,500 (84,918) 123,620<br>APPG - 12,272 (12,272) -<br>Cimzia Select Programme - 150 - 150<br>-<br>National Lottery Fund 9,750 (4,713) 5,037<br>- -<br>Ophthalmology/Gastroenterology project 9,205 9,205<br>- -<br>Self management programme 13,962 13,962<br>COVID-19 - 17,828 (14,287) 3,541<br>Gold Standard - 98,700 (97,242) 1,458<br>Good Boost - 16,277 (4,522) 11,755<br>362,527 416,488 (298,621) 480,394<br>Total of funds 1,989,454  829,223  (1,163,513) 1,655,164<br>**----- End of picture text -----**<br>


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## Notes to Financial Statements (Continued) 

As at 31 December 2020 


**----- Start of picture text -----**<br>
Statement of funds prior year<br>Incoming  Resources  Balance at<br>resources  expended  31 December 2019<br>£ £ £<br>Unrestricted Funds<br>General funds-all funds 1,803,546  (176,619) 1,626,927<br>Restricted Funds<br>Branch funds 301,720 (32,858) 268,862<br>-<br>Branch Development fund 5,211 5,211<br>-<br>Fergus Rogers fund 2,416 2,416<br>Pharma industry funded 112,767 (26,729) 86,038<br>422,114  (59,587)  362,527<br>Total of funds 2,225,660  (236,206)  1,989,454<br>**----- End of picture text -----**<br>


## **23 Analysis of net assets between funds** 


**----- Start of picture text -----**<br>
Unrestricted  Restricted  Total Unrestricted  Restricted  Total<br>funds funds 2020 funds funds 2019<br>2020 2020 2019 2019<br>£ £ £ £ £ £<br>Fund balances at<br>31 December 2020 are<br>represented by:<br>- -<br>Tangible assets 10,703 10,703 13,546 13,546<br>- -<br>Investment properties 700,000 700,000 700,000 700,000<br>Investments 29,100 - 29,100 86,700 - 86,700<br>Current assets/(liabilities) 434,967 480,394 915,361 826,681 362,527 1,189,208<br>1,174,770 480,394 1,655,164 1,626,837 362,527 1,989,454<br>**----- End of picture text -----**<br>


## **24 Related party transactions** 

There were no disclosable related party transactions during the year (2019 - none). 

NASS has 12 restricted income streams, the largest of which represents the funds of our national network of branches. We also have funds to support branch development and funds to provide small welfare grants. We received grant funding from pharmaceutical companies and charitable trusts which support our larger programmes. In 2020 we also received grants to support COVID-1 9 support work. 

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## Notes to Financial Statements (Continued) 

As at 31 December 2020 

## **25 Cash generated from operations** 


**----- Start of picture text -----**<br>
2020  2019<br>£ £<br>(Deficit)/surplus for the year (316,400) 1,989,454<br>Adjustments for:<br>Investment income recognised in statement of financial<br>(26,094) (5,207)<br>activities<br>-<br>Loss on disposal of tangible fixed assets 14,440<br>Revaluation loss on investment 28,700 -<br>Depreciation and impairment of tangible fixed assets 5,073 4,515<br>Movements in working capital:<br>Decrease/(increase) in debtors 17,878 (145,956)<br>Increase in creditors 102,297 63,924<br>Increase in deferred income 4,925 30,000<br>Cash (absorbed by)/generated from operations (187,071) 1,936,730<br>**----- End of picture text -----**<br>


## **We don’t.** 

## **26 Analysis of changes in net funds** 

The Charity had no debt during the year. 

## **27 Operating lease commitments** 

At 31st December 2020 the charity had commitments to make future minimum lease payments under non-cancellable operating leases as follows: 


**----- Start of picture text -----**<br>
2020 2019<br>£ £<br>Not later than 1 year 22,750 22,750<br>Later than 1 year and not later than 5 years 17,062 39,812<br>**----- End of picture text -----**<br>


NASS Annual Report & Accounts 2020 

P42 




## **National Axial Spondyloarthritis Society** 

172 King Street, Hammersmith, London, W6 0QU 

**Helpline & General Enquiries** 020 8741 1515 **Membership & Events** 020 3011 5133 **Email:** admin@nass.co.uk **Website:** www.nass.co.uk 

