## GYNAE-ONCOLOGY RESEARCH AND CLINICAL EXCELLENCE (GRACE) Charitable Incorporated Organisation Registered Charity Number 1189729 Report and Financial Statements For the year ended 31 March 2023 1 GRACE (Registered Charity No 1189729) ## **Report of the trustees for the period ending 31 March 2023** The trustees are pleased to present their annual report together with the financial statements of the charity for the ten month period ended 31 March 2023. The financial statements comply with the Charities Act 2011 and Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable to the UK and Republic of Ireland (FRS 102)(effective 1 January 2019). ## **Chair’s Report** ## **Research** The charity continues to support research into gynaecological cancers, help support patients having to undergo treatment and supply local hospitals with vital surgical equipment. Current research projects continue to be supported although fundraising activity is still slow to re-establish itself. New researched proposals are being assessed if they can be supported within the charity’s existing cash flow predictions. Note 7 highlights the current support being given by GRACE. ## **Fundraising** Fundraising and is the Charity’s key source of funds. In addition to all the generous individual donations and third-party fundraising activities, GRACE also organises fundraising activities throughout the year. During the year GRACE benefitted from a legacy payment. It is anticipated that fundraising activities within GRACE will accelerate over the coming months and years under the direction of GRACE’s newly replaced fundraising manager. ## **Trustees** The Charity would not exist without the trustees who voluntarily give their time and effort to help run and manage the Charity. My thanks go to them. Simon Butler-Manuel Chair 2 GRACE (Registered Charity No 1189729) ## **Our purposes and activities** GRACE was established in 2005 to improve the prognosis and survival rates for women with gynaecological cancers, a desperately neglected area of medicine. Since then a unique service for the gynaecological cancers has been established at St. Luke’s Cancer Centre, Guildford, supporting a clinical network across Surrey, Sussex and Hampshire delivering equity of high-quality care. GRACE uses its funds to raise awareness, purchase equipment, fund research and has contributed to the development of a centre of excellence for the treatment of gynaecological cancers, with a growing national and international reputation. ## **GRACE’s Mission** GRACE supports women with gynaecological cancers by raising awareness, funding research, offering peer support for women who have been diagnosed and providing local hospitals with vital surgical equipment. Its mission is to - Raise standards of gynaecological cancer care and treatment for women across Surrey, West Sussex and Hampshire. - Promote early diagnosis and treatment through awareness. - Raise funds to support ground-breaking research into the cause, progression and treatment of gynaecological cancers. ## **Achievements and performance** Over the last twelve months the Charity has spent £50.3k (2022: £84.1k) funding research and research related projects. ## **Financial review for the period** Total surplus for the twelve-month period was £11,873 (2022: deficit £65,213). The surplus can be contributed to fundraising activity resuming following the pandemic, an increase of £15,685 and the Charity receiving a legacy donation of £38,412. Cost for the Charity have also reduced for various reasons. The Charity’s research assistant left at the end of December for a new position in Oxford and has not been replaced. Both the Charity’s administrator and fundraising manager resigned during the year and only recently have they been replaced. Research costs have also reduced mainly due to projects coming to an end or students opting to study part-time instead of full-time. During the year a new MIRRORS continuation study was initiated with funding sought from Intuitive Foundation Inc for $60k. Fifty percent of the grant was received during the year and is being treated as restricted funds for the purpose of this research and will be released when costs start to be incurred. Overall, the financial position of the Charity remains cautious but has improved over last year. With current annual running costs of £98k and existing net assets of £138k there are sufficient funds to cover its running costs for at least sixteen months. The charity endeavours to retain sufficient reserves to continue running the charity and its research funding for at least twenty-four months. With fundraising slowly resuming, future and proposed research projects are being evaluated in the light of GRACE’s cash forecast position. 3 GRACE (Registered Charity No 1189729) ## _Investment powers and policy_ The trustees, having regard to the liquidity requirements of the charity, maintain funds which are readily accessible. ## _Reserve’s policy and going concern_ The Charity is in a fortunate position where it is not committed to any long-term liabilities. Nevertheless, it is deemed prudent for the Trustees to ensure there are sufficient reserves to ensure the continued running of the Charity and its research funding for at least twenty-four months. As mentioned above the charity has sufficient funds to cover sixteen months of running and committed research costs, this falls short of the trustees’ desire to maintain at least twenty-four months cover. However, this is not unexpected, and it is anticipated GRACE’s reserves will remain below the desired twenty-four months cover for the coming years whilst fundraising resumes and depleted reserves are replenished. GRACE continues to consider the future expected cash flows of the charity and its status as a going concern. Following this exercise, using conservative assumptions, the trustees conclude the charity remains a going concern. Reserves Policy will be reviewed annually at the end of each financial year. ## _Plans for future periods_ GRACE will continue to provide funding support to research and awareness of gynaecological cancers. The Charity is looking to expand its offering of peer support for women who have been diagnosed and will look at the opportunities of supporting a facility to co-ordinate this. ## **Structure, Governance and Management** The Trustees are responsible for managing the affairs of the charity. The Board of Trustees are governed by the Charity’s constitution which is the Model Constitution of a Charitable Incorporated Organisation. Trustees are appointed for a fixed term at which point they may be re-elected or resign. In appointing a new individual as a Trustee, the Trustees must have regard to skills, knowledge and experience needed for the effective management of the Charity. The Trustees confirm that they have had due regard to the Charity Commission’s guidance on public benefit in reviewing the charity’s aims and objectives, in planning future activities and in compiling this report. 4 GRACE (Registered Charity No 1189729) ## **Reference and administrative details** Charity number: 1189729 Registered office: Department of Gynae-oncology, The Royal Surrey County Hospital Egerton Road Guildford Surrey, GU2 7XX _Our advisors_ Independent examiner Anne Jenkins FCA, Darbyns Brook Littleford Lane Shamley Green GU5 0RH Bankers CAF Bank Ltd, 25 Kings Hill Avenue, Kings Hill, West Malling, Kent, ME19 4JQ _Our trustees_ Trustees: Simon Butler-Manuel (Chair/Director) Richard Willacy (Treasurer) Caroline Hobbs (re-appointed 1 June 2023) Dr Agnieszka Michael (re-appointed 1 June 2023) Hellen Revenko (Resigned 1 June 2023) Katrina Mack (re-appointed 1 June 2023) Helen Nicks (re-appointed 1 June 2023) Dr Adrian Franklin (re-appointed 1 June 2023) ## **Trustees’ responsibility in relation to the financial statements** The charity trustees are responsible for preparing a trustees’ annual report and financial statements in accordance with applicable Charity Law, Charities Act 2011 and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice). Charity Law and the Charities Act 2011 requires the charity trustees to prepare financial statements for each year which give a true and fair view of the state of affairs of the charity and of the incoming resources and application of resources, including the income and expenditure, of the charity for that period. In preparing the 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 judgments and estimates that are reasonable and prudent; - state whether applicable UK accounting standards have been followed, subject to any material departures disclosed and explained in the financial statements; - prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in business. 5 GRACE (Registered Charity No 1189729} The trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any b.me the finanoal position of the charity and to enable them to ensure that the finarKial ststements comply with the Charibes Act 2011. They are Iso responsible for safeguarding the assets of the charity and hence taking reasonable steps for the prevention and detection of and other irregularities. The trustees are responsible for the maintenance and integrity of the charity and flnancial information included on the charitable website. Legislation in the United Klngdom goveming the p￿paration and dissemination of financial statements may differ from legislation in other jurisdicknons. By order of the committee of trustees . 06 ,ZDZ Simon BU￿er-ManUel Date.. Independent Examiners Report on the Accounts Report to the Trustees of GRACE (Registered Charity No 1189729} I report to the charlty trustees on my examination of the accwnts of the Charitable Incorporated Oryanisatlon, GRACE, for the year ended 31 March 2023, which are set out on pages 8 to 17. Responslbllltles affld ba$ls of report As the charity's trustees. you are responsible for the preparation of the accounts In accordance with the regul￿ments of the Charities Act 2011 (the Art)- I report In respert of my examination of the Charsty's accounts carried out under section 145 of the Act. In carrying out my examinatlon I have followed all applicable Dlrectlons glven by the Charity Commission under section 14515){b) of the 2011 Act. Independent examlner's statement I have completed my examination. I confirm that no material matters have come to my attention in connection with the examination giving me cause to belleve that in any material respect= accounting records were not kept In respect of the Charity as required by settion 130 of the Art; or 2. that the accounts do not accord with those records,. or 3. that the accounts do not comply wlth the applicable requirements conceming the form and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 other than the requirement that the accounts give a 'true and fair view" which is not a matter considered as part of an independent examinatlon. 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 understandlng of the accounts to be reached. 130 Signed Date Anne Jenkins FCA, Darbyns Brook Littleford Lane Shamley Green GU5 ORH GRACE (Registered Charity No 1189729) Statement of Financial Activities (SOFA) For the Period Ending 31 March 2023 |_Notes_
**_Income:_**
Donations and legacies
2
_Income from charitable_
_activities:_
Fund raising
3
_Income from other activities:_
Grants
Investment income
4
**Total income**
**Expenditure**
_Cost of raising funds_
Cost of generating voluntary
income
5
Fund raising costs
5
Expenditure on charitable
activities
5
**Total expenditure**
Net movement in funds from
operating activities
Net gains/(losses) on
investments
Net income/(expenditure)
**Transfers between funds**
**Net movement in funds**
**Reconciliation of funds:**
Funds transferred
**Total funds carried forward**|Unrestricted
Funds
12 Month
Period to
31 March
2023
£
Restricted
Funds
12 Month
Period to
31 March
2023
£
82,373
-
27,370
-
-
-
400
-

**110,143**
**-**
(36,124)
-
-
-
(62,146)
-
**(98,270)**
**-**
11,873
-
-
-
11,873
-
-
-
**11,873**
**-**
126,139
-
**138,012**
**-**|All Funds
12 Month
Period to
31 March
2023
£
All Funds
12 Month
Period to
31 March
2022
£
82,373
61,346
27,370
11,685
-
-
400
6

**110,143**
**73,037**
(36,124)
(47,856)
-
(2,760)
(62,146)
(87,634)

**(98,270)**
**(138,250)**

11,873
(65,213)
-
-

11,873
(65,213)
-
-
**11,873**
**(65,213)**
126,139
191,352
**138,012**
**126,139**| |---|---|---| The statement of financial activities includes all gains and losses recognised in the period. All income and expenditure are derived from continuing activities and are unrestricted funds. 8 GRACE (Registered Charity No 1189729) Balance Sheet For the Period Ending 31 March 2023 |Notes
**Fixed Assets:**
Tangible assets
8
**Total Fixed Assets**
Investments
**Current Assets:**
Debtors
9
Cash at bank and in hand
10
**Total Current Assets**
**Liabilities**
Creditors due within one year
11
**Net Current Assets**
**Total assets less current liabilities**
**Net Assets**
**The funds of the charity:**
Unrestricted Fund
12
Restricted Fund
12
**Total charity funds**|31 March
2023
£
645
**645**
-
1,829
164,367
**166,196**
(28,829)
**137,367**
**138,012**
**138,012**
138,012
-
**138,012**|31 March
2022
£
249

**249**
-
1,912
138,414

**140,326**
(14,436)

**125,890**
**126,139**

**126,139**
126,139
-

**126,139**| |---|---|---| The notes on pages 11 to 17 form part of these financial statements. Approved by the Board of Trustees on ______________ and signed on its behalf by: 20 June 2023 Richard Willacy Treasurer 9 GRACE (Registered Charity No 1189729) Cash Flow For the Period Ending 31 March 2023 |**Cash flows from operating activities**
**Cash flows from investing activities**
Dividends and interest
Purchase of property, plant and
equipment, investments
**Net cash provided by (used in)**
**investing activities**
Change in cash and cash equivalents in
the reporting period
Cash and cash equivalents at the
beginning of the reporting period
**Cash and cash equivalents at the**
**end of the reporting period**
**Analysis of cash and cash**
**equivalents**
Cash in hand
**Reconciliation of net movement in**
**funds to net cash flow from**
**operating activities**
**Net movement in funds for the**
**reporting period (as per the**
**statement of financial activities)**
Adjustments for:
Depreciation charges
Dividends and interest
(Increase)/decrease in debtors
Increase/(decrease) in creditors
**Net cash provided by (used in)**
**operating activities**|12 months
period to
31 March
2023
£
**26,167**
400
(614)
**(214)**
25,953
138,414
**164,367**
31 March
2023
£
164,367
12 Month
period to 31
March 2023
£
**11,873**
218
(400)
83
14,393
**26,167**|12 months
period to
31 March
2022
£
**(53,726)**| |---|---|---| |||6
-| |||**6**| |||(53,720)
192,134| |||**138,414**| |||31 March
2022
£
138,414| |||12 Month
period to 31
March 2022
£
**(65,213)**
150
(6)
168
11,175| |||**(53,726)**| 10 GRACE (Registered Charity No 1189729) Notes to the Accounts 31 March 2023 ## **1. Accounting Policies** ## **[a] Basis of Preparation** The financial statements have been prepared in accordance with 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) - (Charities SORP (FRS 102)), the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) and the Companies Act 2006. GRACE meets the definition of a public benefit entity under FRS 102. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy note(s). GRACE accounts have been prepared on the basis of being a going concern. **[b] Fund Accounting** General funds are unrestricted funds that are available for the use, at the discretion of the trustees, in furtherance of the objectives of the charity and have not been designated for other purposes. Designated funds comprise of unrestricted funds that have been set aside by the trustees for particular purposes. Restricted funds are funds that are to be used in accordance with specific restrictions imposed by donors or that have been raised by the charity for particular purposes. Costs relating to such funds are charged against specific funds. ## **[c] Incoming Resources** All incoming resources are included in the SOFA when the charity is legally entitled to the income, there is reasonable certainty of receipt and the amount can be quantified with reasonable accuracy. The following specific policies apply to categories of income. - **i. Donations/Collections** These are accounted for when received or where there is reasonable certainty of receipt. ## **ii. Legacies** Entitlement is the earlier of the charity receiving the final estate accounts or the legacy being received. ## **iii. Donated Goods/Services** This is included at the value to the charity where this can be quantified. ## **iv. Grants** Where these are related to the performance and specific deliverables, they are accounted for as the charity earns the right to consideration by its performance. Where income is received in advance, its recognition is deferred and included in creditors. Where entitlement occurs before income is received, the income is accrued. ## **[d] Resources Expended** All expenditure is accounted for on an accruals basis and has been classified under the headings that aggregate all costs related to that category. Where costs cannot be directly attributed to particular headings, they have been allocated on a basis consistent with the use of the resource. The following specific policies apply to categories of expenditure. - **i. Tangible fixed assets and depreciation** Tangible assets held by the charity for its own use are capitalised and 11 GRACE (Registered Charity No 1189729) Notes to the Accounts 31 March 2023 depreciated on a straight-line basis. This permits the write-off of their costs over their useful lives as follows, - Office/Computer equipment – 3 years ## **ii. Cost of generating voluntary income** These costs are those costs, be it fixed or variable, incurred in seeking voluntary contributions. - **iii. Fundraising trading costs** Are those costs incurred for products sold to raise funds for the Charity. ## **iv. Charitable activities cost** These are the cost incurred directly funding the aims of the Charity. It also includes the directly associated costs incurred in running GRACE’s charity events. ## **[e]** ## **Debtors** Trade and other debtors are recognised at the settlement amount due after any trade discount offered. Prepayments are valued at the amount prepaid net of any trade discounts due. ## **[f]** ## **Creditors** Creditors are recognised where the charity has a present obligation resulting from a past event that will probably result in the transfer of funds to a third party and the amount due to settle the obligation can be measured or estimated reliably. Creditors and provisions are normally recognised at their settlement amount after allowing for any trade discounts due. ## **[g]** ## **Financial instruments** The trust only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value. ## **[h] Taxation** GRACE is a registered charity and is therefore potentially exempt from taxation of its income and gains to the extent that they fall within section 505 of the Income and Corporation Taxes Act 1998 and section 256 of the Taxation of Chargeable Gains Act 1992. No tax charge has arisen in the year. ## **2. Income from donations and legacies** |Donations|12 Month
Period to
31 March
2023
£
82,373|12 Month
Period to
31 March
2022
£| |---|---|---| |||61,346| All income from donations and legacies was unrestricted. 12 GRACE (Registered Charity No 1189729) Notes to the Accounts 31 March 2023 |**3.**|**Income from charitable activities: Fundraising**|**Income from charitable activities: Fundraising**|**Income from charitable activities: Fundraising**|**Income from charitable activities: Fundraising**|**Income from charitable activities: Fundraising**|||| |---|---|---|---|---|---|---|---|---| |||||12|Month||12 Month|| |||||Period to|||Period to|| |||||31|March||31 March|| |||||2023|||2022|| ||||||£||£|| ||Fundraising/Products|||27,370|||11,685|| ||Other||||-||-|| |||||27,370|||11,685|| ||All fundraising activities|represent unrestricted funds.||||||| |**4.**|**Investment income**|||||||| |||||12|Month||12 Month|| |||||Period to|||Period to|| |||||31|March||31 March|| |||||2023|||2022|| ||||||£||£|| ||CAF Deposit Account interest||||400||6|| |**5.**|**Analysis of resources**|**expended**||||||| ||||||||All|Funds| ||||||||12|Month| |||12|Month Period to||||Period to|| ||||31 March||||31|March| |||||2023|||2022|| |||||£||||£| |||Unrestricted||Restricted||Total|Total|| |**Cost of generating voluntary**||||||||| |**income:**||||||||| |PR, web site costs, IT||998|||-|998||14| |Insurance||464|||-|464||231| |Bank charges||88|||-|88||96| |Salary/Sub-Contracted costs||32,598|||-|32,598|
45,691|| |Administration costs||1,758|||-|1,758|1,674|| |Depreciation||218|||-|218||150| |||36,124|||-|36,124|
47,856|| |**Fundraising trading costs:**||||||||| |Products||-|||-|-|2,760|| |Sundry||-|||-|-||-| |||-|||-|-||-| |**Charitable**|**activities:**|||||||| |Funded projects/research||62,146|||-|62,146|
87,634|| 13 GRACE (Registered Charity No 1189729) Notes to the Accounts 31 March 2023 ## **6. Staff Costs** |**taff Costs**||| |---|---|---| |Salaries and wages
Social security costs
Pension costs (defined contribution
scheme)
Average headcount
Fundraising
Charitable activities
Total|12 Month
Period to
31 March
2023
£
30,374
1,776
448
32,598
4
-
4|12 Month
Period to
31 March
2022
£| |||43,044
2,123
524| |||45,691| |||4
-| |||4| ## **7. Analysis of support given (included in the cost of charitable activities)** |Projects|12 Month Period to 31 March 2023
Grants to
individuals
£
Support
Costs
£
Total
£
2,298
-
2,298
11,900
-
11,900
(9,500)
-
(9,500)
5,000
-
5,000
6,096
-
6,096
34,552
-
34,552
50,346
-
50,346|12 Months
to 31 March
2022
Total
£| |---|---|---| |MIRRORS Study
Adipocytokines and their
relationship to endometrial cancer.
Targeting Chemotherapy resistance
using HTL01 (HOX/PBX) inhibitor in
combination with MPK1 (DUSP1
inhibitor) in platinum resistant
ovarian cancer.
Circulating tumour cells in
gynaecological malignancies in
collaboration with Brunel University
Risk prediction for women
undergoing cancer surgery
Research Assistant||15,730
17,120
9,805
-
-
41,462| |||84,117| The above grants primarily help support PhD (Doctor of Philosophy) and MD (Doctor of Medicine) students who study areas of cancer supported by GRACE. The £9.5k credit reflects an incorrect charge for study fees from the previous year. 14 GRACE (Registered Charity No 1189729) Notes to the Accounts 31 March 2023 ## **8. Fixed Assets** |Cost or Valuation
At 1 June 2022
Additions
Disposals
At 31 March 2023
Depreciation
At 1 June 2022
Charge for the year
Disposals
At 31 March 2023
Net Book Values
At 1 June 2022
At 31 March 2023
**9.**
**Debtors**
Accrued Gift Aid
PAYE Repayment
Prepayments
**10.**
**Cash at bank and in hand**
CAF Bank current account
CAF Bank deposit account|Office,
Computer
Equipment
£
Total
£
449
449
614
614
-
-
1,063
1,063
200
200
218
218
-
-
418
418
249
249
645
645
As at
31 March
2023
£
438
1,114
277
1,829
As at
31 March
2023
£
127,459
36,908
164,367|Total
£|As at
31 March
2022
£| |---|---|---|---| |||449
614
-|| |||1,063|| |||200
218
-|| |||418|| |||249|| |||645|| ||||| ||||1,655
-
257| ||||1,912| ||||As at
31 March
2022
£| ||||101,758
36,656| ||||138,414| 15 GRACE (Registered Charity No 1189729) Notes to the Accounts 31 March 2023 ## **11. Creditors due within one year** |Accounts payable
Accruals
Payroll creditors
Other creditors|As at
31 March
2023
£
3,555
-
839
24,435
28,829|As at
31 March
2022
£| |---|---|---| |||9,500
436
-
4,500| |||14,436| ## **12. Analysis of movements in unrestricted and restricted funds** |Unrestricted
General fund
Restricted fund
Represented by:
Fixed Assets
Investments
Current Assets
Current Liabilities|Transferred
Balance
31/03/2022
£
Income
£
Expenditure
£
126,139
110,143
(98,270)
-
-
-
General
Fund
£
Designated
Fund
£
Restricted
Fund
£
645
-
-
-
-
-
141,761
-
24,435
(4,394)
-
(24,435)
138,012
-
-|Transfer|Balance
31/03/2023
£| |---|---|---|---| |||-|138,012| |||-|-| ||||All
Funds
£| ||||645
-
166,196
(28,829)| ||||138,012| ## **13. Description of Reserves** Unrestricted Fund Funds held available for the ordinary purposes of the charity. Designated Fund The designated fund comprises resources invested in the charity’s fixed assets. It is therefore, not readily available for other purposes. Restricted Fund These funds represent a number of donations received which carry specific restrictions imposed by the donor. 16 GRACE (Registered Charity No 1189729) Notes to the Accounts 31 March 2023 ## **14. Reserves Policy** There are a number of predictable costs involved in the running of GRACE. These include PR, IT, website, insurance, administration and ongoing research project costs. As we rely heavily upon fund raising and donations for our income, which can lead to irregular cash flows, we need to maintain adequate reserves to meet these costs. To this end we endeavour to hold reserves to meet regular expenditure for twenty-four months. Expenditure for GRACE, based on the period to 31 March 2023 is £98,270 which implies reserves cover ratio of sixteen months (2022: ten months). This is as expected given the slow recovery of the industry and fundraising activities. It is anticipated GRACE’s reserves will remain below the desired twenty-four months cover for the coming two years, at least, whilst fundraising resumes and depleted reserves are replenished. ## **15. Trustees Remuneration and expenses** Trustees are not remunerated for their time and no expenses have been claimed. 17