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2023-10-31-accounts

Charity Registration No 1188852

EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO

TRUSTEES REPORT AND ACCOUNTS

FOR THE YEAR ENDED 31 OCTOBER 2023

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
8
9
10
11
15

Trustees Report & Accounts AGM 24

EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO

LEGAL AND ADMINISTRATIVE INFORMATION

Trustees Dr T Gray (Chairman) Mrs M Boothroyd Dr B Coyle Dr P Holden Dr J Inman Secretary Mrs M Boothroyd 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 & Accounts AGM 24

EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO

TRUSTEES REPORT

FOR THE YEAR ENDED 31 OCTOBER 2023

The Trustees present their report and accounts for the year ended 31 October 2023.

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 2023): Dr T Gray Dr B Coyle Dr J Inman Dr P Holden Mrs M Boothroyd

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

The proposed efforts to identify skills gaps in the Trustees Board and recruit more Trustees did not materialise but this is something which will be addressed in the year to come. It is recognised that as the Charity becomes more complex to run the skills and experience of the Board need to be extended.

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 & Accounts AGM 24

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 2023 our 18 active doctors responded to 1261 calls from EMAS to assist their front-line staff. EMICS doctors were first on scene at around 15% of these incidents. On average some 60% of these calls related to life threatening cases. Once again, we can confidentially say that EMICS doctors have saved lives and prevented life changing injuries.

The plans to complete a set of agreements between EMICS and each responding doctors and with EMAS were achieved during the year, although there is a slight delay in fully implementing those agreements. Each responding doctor has signed an agreement which lays down minimum levels of responding by way of justification of the equipment allocated to them but also importantly to maintain their clinical and operational competence.

The aspiration to extend our clinical responding personnel to include suitably qualified paramedics has yet to be met. Unfortunately, the pressure under which our doctors work, in their day jobs, and our inability to recruit more doctors in that environment, has impacted on our objective. Initially, we need to be able to put responding teams together, which combines the two sets of skills, but this has not been practically possible on enough occasions to develop the operational capability.

During the year we have continued to successfully trial the use of a Fast Response Vehicle. This trial has confirmed that we can deliver support to EMAS with responders working shifts and in parallel with the more traditional own car methodology. The trial has confirmed that the use of the FRV lowers the cost of responding, thereby delivering better value for money. Plans are being developed to turn the trial into a more permanent solution. These plans recognise that the FRV is carrying a more sophisticated set of medical equipment, with the enhanced treatment capability this delivers.

In the year to October 2023, EMICS received restricted grants from Basics, Leicestershire and Rutland Masons and Tesco’s Community Fund. These grants were used to acquire a Schiller Monitor, some medical consumables and to initiate a fund to potentially purchase the FRV. In addition, restricted grant (NHS Together) monies were carried over from the previous year, which were used to service equipment purchased with the original grant.

FINANCIAL REVIEW

During the year, the Charity saw a drop of 16% in income from donations, legacies and fundraising. Along with other charities, the Trustees believe that the current cost of living crisis is having an impact. There was a drop of 20% in consolidated grant income if the one-off large grant received last year from NHS Together is ignored.

During the financial year, the Trustees continued to improve the equipment available to treat patients. These acquisitions included completing the purchasing of the sophisticated equipment that was installed on the Fast Response Vehicle (FRV). The capital assets acquired in the year were:

Trustees Report & Accounts AGM 24

EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO

2023 2022
£ £
Equipment 34,983 55,213
PPE Clothing 1,376 -
IT Systems 921 2,868
Fast Response Vehicle - -
£37,280 £58,081

Of the Equipment, some £30,869 has been acquired with funds provided by foundations and charitable trusts under restricted terms. Some £29,734 of assets were written off in the year as they were fully depreciated.

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 continued to make expense payout to high-responding doctors to compensate them for mileage, insurance and training they incur in responding to call-outs. Approximately one fifth of the total annual expenditure is spent on non-clinical, risk management or non-operational expenses.

During the year the Trustees continued to control costs and ensure that value for money procurement practices were undertaken. Although operating costs increased by 15% over the last year, the Charity achieved a net (of depreciation) unrestricted cash operating surplus of £9690 in the period.

The Trustees have maintained strong cash balances and have set aside the equivalent of 3 months forecast cash expenditure irrespective of any potential income during that period. They believe that this is a sensible approach and, as well as covering any very unlikely closure, enables the Trustees to consider several strategic options to sustain the Charity.

OUTLOOK

The Trustees have spent time in the latter months of the year reviewing the Charity’s future and organisational structures. This review is against a background of growing compliance requirements and a desire to increase the level of responding. Having trialled the use of the FRV, it has been decided to seek grants to fund the purchase of the FRV. Operating this vehicle on a shift basis provides EMAS with more certainty of a responding capability and the doctors with a better work life balance. Similarly, it provides the opportunity to add suitably qualified paramedics to the responding team.

Having recognised the opportunity to develop the use of the FRV and the growing compliance requirements, the Trustees have decided that it is no longer possible to manage the Charity’s day-to-day operations on a totally volunteer basis. As a result, the potential employment of an Operations Manager is being considered.

The Trustees have developed 3-year plans which show the financial implications of this new strategic approach. These plans show the need to develop and improve the business side of the Charity and to invest more funds in marketing resources. It is hoped that this investment will increase the profile across the East Midlands, to generate more donations, fundraising and grant income. This extra income will be used to recruit more clinicians, fund greater use of the FRV, to cover the costs of an Operations Manager and sustain the Charity in the longer term.

Trustees Report & Accounts AGM 24

EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO

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 & Accounts AGM 24

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 2023 which are set out on pages 9 to 15.

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:

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.

T M Bettles

Mrs T M Bettles MAAT T M Bettles BETTLES ACCOUNTANCY LIMITED Gummies Retreat Leicester Road Tilton on the Hill Leicestershire 26 March 2024 LE7 9DB

Trustees Report & Accounts AGM 24

EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO

STATEMENT OF FINANCIAL ACTIVITIES

FOR THE YEAR ENDED 31 OCTOBER 2023

2023
Notes
£
Incoming resources from generated funds
Donations, legacies and fundraising
34,925
Investment income
2
1606
Grants
9,686
Total incoming resources
46,217
Resources expended
Direct charitable costs
3
80,450
Net income in excess of expenditure
(34,233)
Losses on invested assets
2
(275)
Net movement in funds
(34,508)
Transfer between funds
(7)
Funds brought forward
203,222
Accumulated funds carried forward
£168,707
Unrestricted		 Restricted
2023
£
-
-
20,805
20,805
20,463
342
-
342
7
83,520
£83,869		 Total
2023
£
34,925
1606
30,491
67,022
100,913
(33,881)
(275)
(34,166)
-
286,742
£252,576		 2022
£
41,527
300
87,178
129,005
87,231
41,774
(132)
41,642
-
245,100
£286,742

Trustees Report & Accounts AGM 24

EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO

BALANCE SHEET

FOR THE YEAR ENDED 31 OCTOBER 2023

Funds
Funds
£
£
Fixed assets
Tangible assets
7 & 8
78,448
65,915
Investments
9
74,192
-
152,640
65,915
Current Assets
Debtors & accounts receivable
10
5,782
-
Cast at bank
11,422
17,954
17,204
17,954
Creditors:
Amounts falling due within one year
11
1,137
-
Net current assets
16,067
17,954
Total assets
£168,707
£83,869
Accumulated funds
12
£168,707
£83,869
Unrestricted
Restricted
Notes		 Total
£
144,363
74,192
218,555
5,782
29,376
35,158
1,137
34,021
£252,576
£252,576		 2022
£
170,845
76,745
247,590
4,301
36,090
40,391
1,239
39,152
£286,742
£286,742

The accounts were approved by the Trustees on 21 February 2024

. . . . . . . . . . . . . . . . . . . .

Dr T Gray MBE Chairman

The notes form part of these financial statements.

Trustees Report & Accounts AGM 24

EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO

NOTES TO THE ACCOUNTS

FOR THE YEAR ENDED 31 OCTOBER 2023

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:

Equipment – 20% on cost IT Software – 25% on cost PPE – 33[1] /3% on cost Motor Vehicles – 25% 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.

Some grants were received on a restricted basis during this year. These grants were consolidated together and also with similar funds carried over from the previous year. The resulting fund was spent in line with the grant restrictions either on capital expenditure or on-going support costs of those items.

Investments

Investments are bank ‘saving’ accounts as all quoted investments were sold during the year.

Value Added Tax

The Charity is not required to register for VAT. All expenses include irrecoverable VAT where charged by suppliers.

Trustees Report & Accounts AGM 24

EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO

NOTES TO THE ACCOUNTS (CONTINUED)

FOR THE YEAR ENDED 31 OCTOBER 2023

2 Investment income
Income from listed investments
Interest receivable		 2023
£
-
1606
£1,606		 2022
£
15
285
£300

Listed investments were sold during the year at a loss of £275.

3 Charitable activities cost Direct costs Direct costs Support Costs Support Costs Totals
(See note 4) (See note 5)
£ £ £
Unrestricted direct charitable costs 63,084 17,366 80,450
Restricted 20,463 - 20,463
Total £83,547 £17,366
£100,913
4 Direct costs of charitable activities
Unrestricted Restricted Total 2022
£ £ £ £
Doctors' compensation & mileage 6,158 - 6,158 7,704
Medical expenses & drugs 5,941 - 5,941 4,323
Vehicle operating costs 3,737 - 3,737 3,515
Depreciation 43,923 19,838 63,761 54,789
PPE 91 - 91 -
Equipment security & servicing 3,234 625 3,859 2,109
£63,084 £20,463 £83,547 £72,440
5 Support Costs
Unrestricted Restricted Total 2022
£ £ £ £
Insurance 8,153 - 8,153 7,488
Printing, Stationery & Meeting Expenses 268 - 268 186
Sundries 317 - 317 953
Fundraising & Marketing 2,138 - 2,138 1,559
IT Expenses 2,958 - 2,958 3,669
Accounting Fees & Software 3,532 - 3,532 936
£17,366 - £17,366 £14,791

Trustees Report & Accounts AGM 24

EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO

NOTES TO THE ACCOUNTS (CONTINUED)

FOR THE YEAR ENDED 31 OCTOBER 2023

6 Trustees’ remuneration and benefits

There were no Trustees’ remuneration or other benefits paid in the year ended 31 October 2023. Some miscellaneous office supplies were re-imbursed to one Trustee.

7 Unrestricted Tangible Assets

Restricted Tangible Assets
Cost
At 1 November 2022
Additions in Year
Disposals/Write offs
At 31 October 2023
Depreciation
At 1 November 2022
Charge for the year
On Disposals/Write Offs
At 31 October 2023
Net book value
At 31 October 2023
At 31 October 2022
Cost
At 1 November 2022
Additions in year
At 31 October 2023
Depreciation
At 1 November 2022
Charge for the year
At 31 October 2023
Net Book Value
At 31 October 2023
At 31 October 2022		 Equipment
£
170,884
4,112
(14,546)
£160,450
70,767
34,177
(14,546)
£90,398
£70,052
£100,117
Equipment
£
49,307
30,869
£80,176
3,654
14,725
£18,379
£61,797
£45,653		 IT
Software
PPE Vehicle
Total
£
£
£
£
22,379
18,509
590
212,362
921
1,376
-
6,409
-
(15,188)
-
(29,734)
£23,300
£4,697
£590
£189,037
11059
14,425
148
96,399
5,732
3,867
148
43,924
-
(15,188)
-
(29,734)
£16,791
£3,104
£296
£110,589
£6,509
£1,593
£294
£78,448
£11,320
£4,084
£442
£115,963
PPE
Total
£
£
15,384
64,691
-
30,869
£15,384
£95,560
6,153
9,807
5,113
19,838
£11,266
£29,645
£4,118
£65,915
£9,231
£54,884

8 Restricted Tangible Assets

Trustees Report & Accounts AGM 24

EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO

NOTES TO THE ACCOUNTS (CONTINUED)

FOR THE YEAR ENDED 31 OCTOBER 2023

9 Investments

Unrestricted
Restricted
£
£
Listed Investments
-
-
Cash Deposits
74,192
-
£74,192
-
All investments were held within the UK.
Other Debtors
£5,782
-
£
£
Trade Creditors
(59)
-
Other Creditors
1,195
-
£1,137
-
11 Creditors: amounts falling due within one year
10 Debtors: amounts falling due within one year		 Total
2022
£
£
-
1,244
74,192
75,501
£74,192
£76,745
£5,782
£4,501
£
£
(59)
129
1,195
1,110
£1,137
£1,239

12 Ultimate Controlling Party

The Charity is controlled by its Trustees.

13 Employees

There were no employees during the year.

14 Movement in funds

Unrestricted General Funds
Restricted Funds
Total
1		 2022
in funds
2023
£
£
£
203,222
(34,515)
168,707
83,520
349
83,869
£286,742
(£34,166)
£252,576
November
Net movement
31 October

Trustees Report & Accounts AGM 24

EMICS (EAST MIDLANDS IMMEDIATE CARE SCHEME) CIO

DETAILED STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 OCTOBER 2023

INCOMING RESOURCES
Voluntary income
Donation, Legacies & Fundraising
Grants
Investment income
Dividends
Interest receivable
Total incoming resources
RESOURCES EXPENDED
Charitable activities
Doctors' compensation & mileage
Medical expenses & drugs
Depreciation
PPE
Equipment security & servicing
Vehicle costs
Support costs
Accountancy fees & software
Insurance
Stationery, Printing & Meeting Expenses
Sundries
Fundraising & Marketing
IT Expenses
Total resources expended
Net income before Gains/Losses
Investment Losses
Net expenditure transferred to reserves		 £
34,925
9,686
-
1,606
£46,217
6,158
5,941
43,923
91
3,234
3,737
63,084
3532
8,153
268
317
2,138
2,958
17,366
£80,450
(34,233)
(275)
(£34,508)		 £
-
20,805
-
-
£20,805
-
-
19,838
-
625
-
20,463
-
-
-
-
-
-
-
£20,463
342
-
£342		 £
£
34,925
41,528
30,491
87,178
-
15
1,606
286
£67,022
£129,007
6,158
7,704
5,941
4,323
63,761
54,789
91
-
3,859
2109
3,737
3,515
83,547
72,440
3532
936
8,153
7,488
268
186
317
953
2,138
1,559
2,958
3,669
17,366
14,791
£100,913
£87,231
(33,891)
41,774
(275)
(132)
(£34,166)
£41,642

This page does not form part of the statutory financial statements.

Trustees Report & Accounts AGM 24