## **Charity Registration No 1188852** ## **EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO** ## **TRUSTEES REPORT AND ACCOUNTS** **FOR THE YEAR ENDED 31 OCTOBER 2022** EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO ## **CONTENTS** |Legal and Administrative Information
Trustees Report
Independent Examiner’s Report
Statement of Financial Activities
Balance Sheet
Notes to the Accounts
Detailed Statement of Financial Activities|Page
3
4
7
8
9
10
14| |---|---| Trustees Report & Reviewed Accounts AGM 22 2 EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO ## **LEGAL AND ADMINISTRATIVE INFORMATION** Trustees Dr T Gray (Chairman) Mrs M Boothroyd Dr B Coyle Mr D Ford (resigned December 2022) Dr P Holden Dr J Inman Secretary Mrs M Boothroyd Treasurer (To be appointed) Charity Number 1188852 Principal Address The Lodge 2 Pasture Lane Barleythorpe Oakham Rutland LE15 7EQ Independent Examiner Bettles Accountancy Limited Gummies Retreat Leicester Road Tilton on the Hill Leicestershire LE7 9DB Bank CAF Bank Ltd 25 Kings Hill Avenue Kings Hill West Malling Kent ME19 4JQ Trustees Report & Reviewed Accounts AGM 22 3 EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO ## **TRUSTEES REPORT** ## **FOR THE YEAR ENDED 31 OCTOBER 2022** The Trustees present their report and accounts for the year ended 31 October 2022. The accounts have been prepared in accordance with the accounting policies set out in note 1 to the accounts and comply with the Charity’s constitution, the Charities Act 2011 and the Statement of Recommended Practice applicable to charities preparing their own accounts in accordance with the Financial Reporting Standards for Smaller Entities (FRSSE) (effective 1 January 2015). ## **REFERENCE AND ADMINISTRATIVE DETAILS** Registered name: EMICS (East Midlands Immediate Care Scheme) CIO Registered Charity No: 1188852 Principal Address: The Lodge 2 Pasture Lane Barleythorpe Rutland LE15 7EQ Trustees (at 31 October 2022): Dr T Gray Mrs M Boothroyd Dr B Coyle Mr D Ford Dr P Holden ## **STRUCTURE, GOVERNANCE AND MANAGEMENT** ## **Governing Document** The CIO was established by a charitable trust deed on 1 April 2020. ## **Corporate Structure** The Charity has continued to operate as a Charitable Incorporated Organisation (CIO) since its effective formation on 31 May 2020. The CIO is managed by the Board of Trustees who act in the best interest of the members, and other stakeholders, of the Charity and ensured that all the required legal formalities are met. ## **Recruitment and Appointment of New Trustees** Last year's proposed efforts to identify skills gaps in the Trustees Board and recruit more Trustees did not materialise but this is something which must be addressed this year. ## **Risk Management** The Trustees have continued to assess the major risks to which the Charity is exposed and are satisfied that systems and arrangements have been put in place to mitigate exposure to the major risks. These arrangements include purchasing appropriate insurance protection and operating suitable clinical compliance systems. Trustees Report & Reviewed Accounts AGM 22 4 EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO ## **OBJECTIVES AND ACTIVITIES** EMICS (East Midlands Immediate Care Scheme) CIO exists to provide support for appropriately registered medical practitioners in their voluntary and charitable duties acting as Pre-Hospital Doctors. Such work, although undertaken on a charitable and voluntary basis, requires such doctors to be trained and equipped to a very high standard and is not part of their NHS duties. The Trustees have paid due regard to guidance issued by the Charity Commission in deciding what activities the Scheme should undertake. They work in partnership with the East Midlands Ambulance Service (EMAS) who commission the call-outs attended by our volunteer clinicians and, inter alia, assist in our compliance procedures via a memorandum of understanding. ## **ACHIEVEMENT AND PERFORMANCE** In the year ending 31 October 2022 our 20 doctors responded to 1513 calls from EMAS to assist their frontline staff (in 2021 we responded to 1545 jobs). Each responding doctor has signed an agreement setting out a minimum standard of activity in order to justify the cost of the equipment and to maintain clinical competence. Presently work is being undertaken to update the agreements (‘Memoranda of Understanding/ MoU’) between EMICS and both responding doctors and EMAS. It is anticipated that these will be completed in time for the next AGM to be held in March 2023. It is planned for EMICS Membership to be extended to suitably qualified and selected Paramedics who will respond in the Fast Response Vehicle (FRV). It is anticipated that this will result in a significant increase the availability and standard of the services of EMICS to EMAS. A further agreement (MoU) is currently being drawn up to enable this, again it is anticipated that this will be completed in time for the next AGM. In the year to October 2022 EMICS received two significant donations. One from NHS Together, via the EMAS Charity, to purchase equipment for the FRV which upgraded its status to qualify as a ‘Critical Care Car’. This included a Schiller monitor/defibrillator, an advanced ventilator, an external cardiac compression device, portable ultrasound and iPad monitor and a suction device. The other donation, from the Morrison’s Foundation, funded the purchase of four further portable ultrasound machines. These devices have enabled the highest standards of pre-hospital care to be achieved and maintained by EMICS. ## **FINANCIAL REVIEW** During the year the Charity saw a pleasing uplift in its income following the re-opening after the Covid 19 lockdowns. Income from general donations, legacies and fundraising increased by 89% from the previous year. Through some significant efforts, the Trustees were successful in applying for £14,500 in unrestricted grants and £28,502 in restricted grants from various trusts and foundations. In addition the Charity, in conjunction with East Midlands Ambulance Service, were equally successful in obtaining a restricted grant from NHS Together worth £44,176. During the financial year ending 31 October 2022 the Trustees continued to improve the equipment available to the doctors who respond to call-outs particularly in respect of equipment carried by the Fast Response Vehicle (FRV). The equipment now carried on this FRV facilitates more sophisticated treatment of patients than when doctors are responding to incidents in their own vehicles. Capital assets acquired in the year were: Trustees Report & Reviewed Accounts AGM 22 5 ## EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO |Equipment
PPE Clothing
IT Systems
Fast Response
Vehicle|**2022**
55,213
-
2,868
-
£58,081
|**2021**
61,197
23,324
2,196
590| |---|---|---| |||£87,307| Of the Equipment some £49,307 has been acquired with funds provided by foundations and charitable trusts under restricted terms. In addition to capital expenditure the Trustees have continued to incur expenses related to the drugs and medical consumables used by the responding doctors. They have also spent funds on extensive insurance cover and on motor expenses to support full use of the FRV. The Trustees have also introduced expense payouts to doctors to compensate them for mileage, insurance and training they incur in responding to call-outs. Approximately one quarter of the total annual expenditure is spent on non-clinical, risk management or non-operational expenses. During the year the Trustees have operated a system of pre-expenditure and commitment controls. In addition, they have also maintained a reserves policy which requires the retention in cash assets of the equivalent of 12 months’ forecast expenditure irrespective of potential income during that period. They believe that his policy is a sensible way of ensuring the long-term continuation of the Charity. ## **OUTLOOK** Work has continued during the year, on a completely volunteer basis, to improve the Charity organisationally and administratively. Plans have been made to expand the number of clinicians, but also to test alternative models beyond solo responding, in support of EMAS. New emergency driver training legislation/standards are being imposed by EMAS and life-style changes are leading to clinicians responding in a charity-operated Critical Care Car. These developments will be tested in the coming year. Having successfully initiated various income generation programmes in the last year, plans are being made to bring greater professionalism to the business side of the Charity’s activities with more specialist marketing volunteers being recruited. It is hoped these plans will increase the profile of the Charity across the East Midlands and increase income to facilitate the recruitment of more clinicians, thereby treating more patients. ## **APPRECIATION** I would like to place on record, my appreciation for all the individuals (volunteers, both clinical and administration, Trustees, donors etc) who make EMICS such a success. Signed Chairman **. . . . . . . . . . . . . . . . . . . . . . . . . . . .** Dr T Gray MBE Trustees Report & Reviewed Accounts AGM 22 6 EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO ## **INDEPENDENT EXAMINER’S REPORT** ## **TO THE TRUSTEES OF EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO** I report on the accounts for the year ended 31 October 2022 which are set out on pages 8 to 13. ## **Responsibilities and basis of report** As the charity’s trustees you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 (‘the Act’). I report in respect of my examination of the charity’s accounts carried out under section 145 of the 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 Examiner’s Statement** I have completed my examination and I confirm that no material matters have come to my attention in connection with the examination giving me cause to believe that in any material respect: - 1 Accounting records were not kept in respect of the charity as required by section 130 of the Act; or - 2 The accounts do not accord with those records; or - 3 The accounts do not comply with the applicable requirements concerning the form and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a ‘true and fair view’ which is not a matter considered as part of an independent examination. I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached. Mrs T M Bettles MAAT ## **BETTLES ACCOUNTANCY LIMITED** Gummies Retreat Leicester Road Tilton on the Hill Leicestershire LE7 9DB 29 June 2023 Trustees Report & Reviewed Accounts AGM 22 7 EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO ## **STATEMENT OF FINANCIAL ACTIVITIES** ## FOR THE YEAR ENDED 31 OCTOBER 2022 |**Unrestricted**
**2022**
**Notes £**

**Incoming resources from generated funds**
Donations, legacies and fundraising
41,527
Investment income
2
300
Grants
14,500
Total incoming resources
56,327
**Resources expended**
Direct charitable costs
3
75,613
Net income in excess of expenditure
(19,286)
Gains/losses on invested assets
(132)
**Net movement in funds**
(19,418)

Transfer between funds
(3,632)
**Funds brought forward**
226,272

**Accumulated funds carried forward**
£203,222|**Restricted**
**2022**
**£**
-
-
72,678
72,678
11,618
61,060
-
61,060
3,632
18,828
£83,520|**Total**

**£**
41,527
300
87,178
129,005
87,231
41,774
(132)
41,642
-
245,100
£286,742|**2021**
**£**
21,967
466
21,868| |---|---|---|---| ||||44,301
69,518| ||||(25,217)
668| ||||(24,549)
-
269,649| ||||£245,100| - All incoming and resources and expenditures arise from continuing activities - The notes form part of these financial statements Trustees Report & Reviewed Accounts AGM 22 8 EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO ## **BALANCE SHEET** FOR THE YEAR ENDED 31 OCTOBER 2022 |**Funds**
**Funds**
**Notes**
£
£
**Fixed assets**
Tangible assets
7 & 8
115,960
54,885
Investments
9
76,745
-
192,705
54,885
**Current assets**
Debtors & accounts receivable
10
4,301
-
Cash at bank
7,455
28,635
11,756
28,635
**Creditors: amounts falling due within one year**
11
1,239
-
**Net current assets**
10,517
28,635
**Total assets**
£203,222
£83,520
**Accumulated funds**
12
£203,222
£83,520
**Restricted**
**Unrestricted**|**Total**
£
170,845
76,745
247,590
4,301
36,090
40,391
1,239
39,152
£286,742
£286,742|**2021**
£
167,556
77,074| |---|---|---| |||244,630
3,947
10,093| |||14,040
13,572| |||468| |||£245,098| |||| |||£245,098| The accounts were approved by the Trustees on 8 February 2023. . . . . . . . . . . . . . . . . . . . . Dr T Gray MBE Chairman The notes form part of these financial statements. Trustees Report & Reviewed Accounts AGM 22 9 EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO ## **NOTES TO THE ACCOUNTS** FOR THE YEAR ENDED 31 OCTOBER 2022 ## **1 Accounting policies** ## **Accounting convention** The accounts have been prepared under the historical cost convention, with the exception of investments which are included at market value, as modified by the revaluation of certain assets, the Charities Act 2011 and the requirements of the Statement of Recommended Practice, Accounting and Reporting by Charities. ## **Incoming resources** Donations and legacy income and unrestricted grants: The income received from these sources are accounted for on a receipt basis. Investment income is accounted for on a receipts basis. ## **Resources expended** Expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all cost related to the category. Where costs cannot be directly attributed to particular headings they have been allocated to activities on a basis consistent with the use of resources. ## **Tangible fixed assets** Depreciation is provided at the following annual rates in order to write off each asset over its estimated useful life: Clinical and Blue Light Equipment and Radios – 20% on cost IT Software – 25% on cost PPE – 33[1] /3% on cost Assets acquired with restricted grants are depreciated on the same basis. ## **Taxation** The Charity is exempt from tax on its charitable activities. ## **Fund accounting** Unrestricted funds can be, and are, used in accordance with the charitable objectives at the discretion of the Trustees. However, where grants are received on a restricted basis, the monies are spent in line with those restrictions and accounted for separately. ## **Investments** Quoted investments are valued at their closing middle market price on the balance sheet date. Realised and unrealised gains (or losses) are reflected in the Statement of Financial Activities in the year in which they occur. ## **Value Added Tax** The Charity is not required to register for VAT. All expenses include irrecoverable VAT where charged by suppliers. Trustees Report & Reviewed Accounts AGM 22 10 EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO ## **NOTES TO THE ACCOUNTS (CONTINUED)** FOR THE YEAR ENDED 31 OCTOBER 2022 |**2 Investment income**
2022
2021
£
£
Income from listed
investments
15
20
Interest receivable
285
446
£300
£466
**3 Charitable activities cost**
**Direct Cost Support Cost**
**(see note 4) (see note 5)**
**Totals**
£
£
£
Unrestricted direct charitable costs
60,822
14,791
75,613
Restricted
11,618
-
11,618
Total
£72,440
£14,791
£87,231
**4 Direct costs of charitable activities**
**Unrestricted**
**Restricted**
**Total**
**2021**
£
£
£
£
Doctors' compensation & mileage
7,704
-
7,704
-
Medical expenses & drugs
1,472
2,851
4,323
7,440
Vehicle operating costs
3,515
-
3,515
121
Depreciation
46,022
8,767
54,789
46,918
PPE
-
-
-
324
Equipment security & servicing
2,109
-
2,109
125
£60,822
£11,618
£72,440
£54,928
**5 Support Costs**
**Total**
**2021**
£
£
£
£
Insurance
7,488
-
7,488
7,010
Printing & Stationery
186
-
186
244
Sundries
953
-
953
993
Fundraising & Marketing
1,559
-
1,559
2,351
IT Expenses
3,669
-
3,669
3,992
Accounting Software
936
-
936
-
£14,791
-
£14,791
£14,590
**Unrestricted**
**Restricted**|**Totals**
£
75,613
11,618|
**2021**
£
-
7,440
121
46,918
324
125| |---|---|---| ||£87,231|| |||£54,928| Trustees Report & Reviewed Accounts AGM 22 11 EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO ## **NOTES TO THE ACCOUNTS (CONTINUED)** FOR THE YEAR ENDED 31 OCTOBER 2022 ## **6 Trustees’ remuneration and benefits** There were no Trustees’ remuneration or other benefits for the year ended 31 October 2022. The only Trustees’ expenses paid for the year ended on the same date were for some miscellaneous office supplies or travelling expenses. ## **7 Unrestricted Tangible Assets** |**8 Restricted Tangible Assets**
**Cost**
At 1 November 2021
Additions in Year
Disposals/Write offs
At 31 October 2022
**Depreciation**
At 1 November 2021
Charge for the year
On Disposals/Write Offs
At 31 October 2022
**Net book value**
At 31 October**202**1
At 31 October 2020
**Cost**
At 1 November 2021
Additions in year
At 31 October 2022
**Depreciation**
At 1 November 2021
Charge for the year
At 31 October 2022
**Net Book Value**
At 31 October 2022
At 31 October 2021
2
2021|**Equipment**
£
172,387
5,906
(7409)
£170,884
43,822
34,354
(7,409)
£70,767
£100,117
£128,565
**Equipment**
£
-
49,307
£49,307
-
3,654
3,654
£45,653
-|**IT**
**Software**
**PPE**
**Vehicle**
**Total**
£
£
£
£
19,511
18,509
590
210,997
2,868
-
-
8,774
-
-
-
(7,409)
£22,379
£18,509
£590
£212,362
5703
8,261
-
57,786
5,356
6,164
148
46,022
-
-
-
(7,409)
£11,059
£14,425
£148
£96,399
£11,320
£4,084
£442
£115,963
£13,809
£10,248
£590
£153,212
**PPE**
**Total**
£
£
15,384
15,384
-
49,307
£15,384
£64,691
1,040
1,040
5,113
8,767
6,153
9,807
£9,231
£54,884
£14,344
£14,344| |---|---|---| Trustees Report & Reviewed Accounts AGM 22 12 EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO ## **NOTES TO THE ACCOUNTS (CONTINUED)** ## FOR THE YEAR ENDED 31 OCTOBER 2022 ## **9 Investments** |**9 Investments**||||||||| |---|---|---|---|---|---|---|---|---| ||**Unrestricted**||**Restricted**|||**Total**|**2021**|| |||£|£|||£|£|| |Listed Investments||1,244|-|||1,244|1**327**
1,|| |Cash Deposits||75,501|-|||75,501|75,696|| ||£76,745||-|||£76,745|**£77,023**|| |All investments were held within the UK.||||||||| |**10 Debtors: amounts falling due within one year**||||||||| |Other Debtors||£4,301|-|||£4,301|£3,947|| |**11 Creditors: amounts falling due within one year**||||||||| |||£|||£|£|£|| |Trade Creditors||129|-|||129|11,645|| |Other Creditors||1,110|-|||1,110|1,926|| |||£1,239|-|||£1,239|£13,571|| |**12 Movement in funds**||||||||| ||**1 November**||**Net movement**|||**31 October**||| |||**2021**|**in**|**funds**||**2022**||| |||**£**||**£**||
**£**||| |Unrestricted General Funds|226,272||(23,050)|||203,222||| |Restricted Funds||18,828|64,692|||83,520||| |**TOTAL**|£245,100||£41,642|||£286,742||| ## **13 Ultimate Controlling Party** The Charity is controlled by its Trustees. ## **14 Employees** There were no employees during the year. Trustees Report & Reviewed Accounts AGM 22 13 EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO ## **DETAILED STATEMENT OF FINANCIAL ACTIVITIES** ## FOR THE YEAR ENDED 31 OCTOBER 2022 |**Unrestricted**
**Restricted**
£
£
**INCOMING RESOURCES**
Voluntary income
Donation, Legacies & Fundraising
41,528
-
Grants
14,500
72,678
Investment income
Dividends
15
-
Interest receivable
286
-
**Total incoming resources**
£56,329
£72,678
**RESOURCES EXPENDED**
Charitable activities
Doctors' compensation & mileage
7,704
-
Medical expenses & drugs
1,472
2,851
Depreciation
46,022
8,767
PPE
-
-
Equipment security & servicing
2,109
-
Vehicle costs
3,515
-
60,822
11,618
Support costs
Accountancy fees & software
936
-
Insurance
7,488
-
Stationery & Printing
186
-
Sundries
953
-
Fundraising & Marketing
1,559
-
IT Expenses
3,669
-
14,791
-
**Total resources expended**
£75,613
£11,618
**Net income before gains/Losses**
(19,286)
61,060
Investment Gains/Losses
Unrealised gains/losses on listed investments
(132)
-
**Net expenditure transferred to reserves**
(£19,418)
£61,060|**Total**
**2021**
£
£
41,528
21,967
87,178
21,868
15
20
286
446
£129,007
£44,301
7,704
-
4,323
7,440
54,789
46,918
-
324
2,109
125
3,515
121
72,440
54,928
936
-
7,488
7,010
186
244
953
993
1,559
2,351
3,669
3,992
14,791
14,590
£87,231
£69,518
41,774
(25,217)
(132)
668
£41,642
(£24,549)| |---|---| This page does not form part of the statutory financial statements. Trustees Report & Reviewed Accounts AGM 22 14