Charity re8lStI'ation iiumber.. 1192184 The British Obesity and Metabolic Surgery Society Aniiual Report and Fin2tJcial Stateijients for the Year Ended 31 Octobej. 2023 Bgss OllflSH OBtSlTY & MEIABQLI SURfjERY 50£1ETY The B Yitish Obesity and MetAbolic Surgery Soeiety Contents Ref￿ence and Administtative Details TTh]stees' Reporl 2to5 Indepei)dEnt Examinees Report Slattment of FEnan¢ial Acltvilies Balance Sheet Notcs to tlie Ftnancial Statemei)ts 9t017 The British Obesity Alld Metabolic Surgeiy Society Reference and Administrative Details Trustee5 Mr V S Menoji, Chair Mr J P Byrne FRCS, President Mr A Alimed, Secirtaiy Mi. S Awad MsCMBorg Mr K Maliawar, Tft&%ur¢i' Elect Mr R Welbourn Ch%¥ity Registration Numbei. 1192184 Princip%1 Office clo Executive Busiiies5 Scrvites City Wharf Davidson Road Lichfield WS149DZ Independeht ExAtniner CBSL Accountants Liiniied Chartered Accoutitant Row￿1 House Noith l Tlie Professioiial Quarter Shi'ewsbury Bu51Ti¢S5 Park ShiEi¥sbLTrry Shropsliiiy SY2 6LG Page I The British Obesity aiid Metabolic Surgery Society Trustees, Report The ti'ustees presettt thc anttual irport (ogetlier with the fTrnan¢ial statements of tlie chai'ity for tlie yeai. ended 31 Octobei" 2023. S¢rllc¢uJ'e? govei'nance and manAgemeiit Nuliire ofgoveriiipig tlociiiiieiil Tl)e cliai'ity is a chat'itable incorporated 01saTristalion as50ciatJon 8Jid is goveJ'n¢d by tl* ¢onstitiition dated 5 Noveiiib¢i' 2020 and as aillended on 27 November 2020 and on 18 Deceinber 2020. The cho1.ity opti'ales under tlie name of BOMSS. Recriilim￿l1l aiidrtppoiiiliiiejil of iru51ees As set oiit iii t]ie constEtutioii, theie Imusl be at least fou¥ chai'ity trustees. Every cliarity trustee must be appoiiited for a teiiii of thre¢ years. In selecting individuals for appoinlinait as tharity ti'ustees, the appointing body niusi liave regai'd lo U)e 51cills, kiiokvledge aiid expcTien¢e needed for tlie effective adiiiinistralion of the CIO. liidiiclioii uiidiroiiiiiig olirii.slÉe Eacl) new chartty Ir115tee will receive a copy of the constitution aiid any aniendnia)Is, and a Copy of the CIO'S latest twsiees, annuaE report and statement of accounts. Orguiiisalioiiul slrtscliirg The iiienibers of BOMSS have no liability to contribute to tlie Ciiarity's assets if the CIO is wouttd up and have no persortal responsibtlity for 5ettliiig ils debts and liabilities. Tlie i'unniiig of chai'ity is deltg2ted lo Ilie Couti¢il of Management, wliicli 15 consists of lip to twenty individuals, appointed by the niembcis of the CEO. Each appointment shall b¢ a tenn of tl)i'ee yeavs. Trnstees ond orricers Tlie trustees aiid offictrs s¢iving durin8 di¢ year and since the year end were as follows.. Tiustees.. Mr V S Menoii, Chair Mr J P Byi'ne FRCS, Pi'esident Mi. A Aluned. Se¢iriary Mr S Awad MsCMBorg Mr K Mahawar, Titasurer Elect fvtr P K Sinall (resigned 24 July 2024) Mr R Welboiii Prof D D K¢ri'igatJ MD FRCS (Ir5igned 30 November 20231 Page 2 The British Obesity and Metabolic Surgei'y Society Ti'ustees, Repoi't (continued) Objeetlves Activatie5 Objecls lllnts ie charity was registered with the Cliaiity Cominis51011 as o ¢hai'itable iiieorporated orgat]isation 011 5 Floveinber 2020. Tlie objc¢tive% of Tljc Bi'itisli Obesity atid fvlelabolic Surgei'y Society {BOMSS) are tlie advanceii)eiit for the public benefit of the sciellce and p￿CtICe of the sui'gical and associat¢d multi-disciplinary ti'eatmejit of people wlio suffei. froin severe and complex obesity. BOMSS is a society of surgeoiis and other healtli professiotjals wlio sptCEalise in the tieatinent of seveiE obesity and Rls melaboli¢ Conditions. Oui- mission is to promote ilie lligliest slalldards of expert multidisciplinary caie for Ih05e living witli Coniplex obesity t11i￿l}gII de1tv￿'Y of education, training opportiillities. ￿Search throiigh thc proMot￿On ofcoh¢siv¢ l¢atn woi4(illg in higli quality bai'iatric suigery centiEs. We also provide expert advice to a vaiiety of bodies to irtfoim national policy and cojnmissioniiig guid8n¢e pl￿ni011ng tlie safe and equitable pra¢ti¢e of obesity surgery. Sei lip OIBOJVJSS We liave had 8 long-standing Telatioii*hip with AUGIS artiE it was primatrnly one undei. which they provided a secretarial fuNction. BOMSS has always been an iiidependent society separate fiK>in AUGIS willi our own Jiienibei'ship, subscription, Aniiual Scfjentific Meeting, Iiainlng days etc. Wlieii BOMSS fii'st staited. we did tjot liave the finat)cial capability to have an independellt Secretariat so we aoreed to pay AUGIS an aniiual fee to lielp us nianage our adm5nistrdtive attd sttirtai'ial fvnctiolls. Over the I￿t few years. willi the emergence of b&riatri¢ and especially nieiabolic sui'gery as a specialty, tnost if not all natiotjal bai'iatric aiid melabo5ic societEes have become indepeiideiit. Tliei'efore. the tnove away fiDIii AUGIS is # reflection of a ¥ruwin¥ inttrJ131iotial trend. Iii additioii, 130MSS also has a large llumber of iiiteg¥ated healthLare pl￿feSSIOnalS {nuiBes, dieti¢iaiis, psychologists et¢) who Slave joined BOMSS as in¢nibers, 50 we felt tliat tlici'e was a iieed foi. us to establish OLEr owii iiifrasti'ucture. fillanctal iiidependence artd secretari&t, while still Inaiiitaining an excellent workit]g IElatiortsliip Nvitli the AUGIS. Witli tliis iiew Irlatioiisliip, ive believe bo¢li societies will be stronger and will be able to fo¢us Oll tlieii. Ivork, as well as iiisintaiii our ¢lose collaboi2tive ai'rangenieAts. During the year funds held on behalf of BOMSS were l¥aiJsfeired froin AUGIS and are iiicluded in ijcome i tELe yeai. tot811iiig £566,447. Page 3 The Bi'itish Obesity and Metabolic Siirgery Society Truste￿, Report (eontinued) Objeclives, slrulegies ttijd ncliviliey BOMSS welcoixed delegates aiid ind1151ry to ils Ilnnual Scientific Meeting whTch took place at tlle H￿1(0￿) Biimiiiighani MetiDpole fiom 6th to 7th Jutie 2023. The Meeiing begati iviili a Trainiiig Doy for Tixinee Sutrgeons aiid Integrai¢d Healtl)care Pl￿fesSiOnalS aiid then over 300 attende¢s joined for the 2 day confeience pl￿gla1￿me. Our menibeisliip has now ciDssed over S40 and we hav¢ scen ali exciting ai'ray of topios being discussed at jouiiial clubs and webiiiai's. Sp¢ciali£t tr￿rting Pl￿grantme$ a¢ross Inultl-PlDf¢ssioJial gj'oiips. creation of patient fa¢iiig leaflels, videns atid dcvcloptneiit of liands oji cou￿'S¢S have been liighlights. 11 has beeii an exGltiiig last 12 iiioi)Ili.q foi. BOMSS builditig fui'tliei. on tlie foiindation5 of oiir Lhdl'lty, altliouoh enomiously eliallengiiiL% tinies for tlie NHS baltling orttsoiiig iiidustrial action and pvofessional uiirest. We al'e some way off loii¥ visiot]) of equitable access to safe and effective care for people living witli severe aTid Coihplex obessty a¢l￿sS tlie UK. W¢ ale contknuillg to engage willi NICE. tl)¢ NHS atid colSaboi'atiiig iwith othei. exteimal bodies so that our and our patitiits voices al'e lieard. National Bariatric Surgery Registry INBSRI has also growii in strengtli with itjcreased engaueillent froni provider iiiiits and conqultants. The rtgistiy has nioi'e tlian 9.000 cases added on since re$toratiO(i of bavi2tric and Iiietabolic surgeiy pDst pandciiiic including a significant nuinber caiTied out iii (lie privale seGtOL'. We contiiiiie lo work closely with NHSE in refining tlie newly laiinclicd National Obesity Audit (NOA). FiiiidruTsiiig disclosiires T5Je chai'ity do¢s not cai'ry out significant [￿1}draISing activities with the general public and does not use 8 professional fui)d*aistr or coillfftercial panicipator to caiiy out fundrai5tn& Piiblic bÉiieJli The tiustees ¢oiitinue to develop tlie chariry's position as a Itading surgery sociery to provide public benefjt t111￿￿gI1 advancenienls in tlie science, pi?clite and treatnient of people witli severe and ¢oniplex obesity. The tiustees Confirin that they Iiave ¢oniplied with the requirements of sectioii 57 of the Charities A¢t 201 I to have due regard to tlie pllblic benefEi guidance piiblished by the Clia¥ity Coniinission foi. Emgland &lld Wales. rijt]aiicial i'evieiv Tlie balance slieet 51ioivs total unreslrieted furtds of £603,563 at 31 O¢tobei' 202312022- £406,432). ln addiiion tliere are restricted fullds rtlated to tlie NBSR database of £94,438 aud Siii¥ical Support Lcad of £13,884. Dui'ing tlie period BOMSS had rnenibersliip incoine of £73.573 12022 - £65,373) and coipoi'ate itteittbership subscriptioiis of £97,000 12022 - £127.500). The Aiinual Ineetit)g delegate illcome totdlled £99,070 12022 £76,560) with a furihci £85,020 (2022- £114,124} of ¢orpoi2te sponsorships for the eveiit. BOMSS, exiienditUlE for the year lolalled £277,430 {2022 - £200,978), of wliicli £150,362 {2022 . £94,602) I'elated to the Anniial nieeting and coniiected eveiits, £33,508 (2022 - £14,520) lo NBSR resear¢li wid administi&tJort costs an(1 £9,116 for SSL expenditiire. Policy ¢JFI pÉ.$Èrves The ti'usiees recognise the need for a Ira5011abl¢ level of financial reserves in ol'der 10 protect the cliai'ity fiDm the possibility of any advea'se ol. Iiiiforeseen cii'ciiinstances iliat coiild arise. Unr¢stricted iEserves held at 31 O¢tobei' 2023 cnable tl* rliarily to coiitillue foi. at least a further 12 monihs in tlie event thai there was a %igiiifEcallt drop in illcoine. 'fiie trustees coiilinue to take appropriate steps 10 maintalll tlie Icvel of tliese reserves Io Lll¢¢t the futilit iieeds of the chai'ity. Page 4 Tlje Bi'itisli Obesity and Metabolic Siii'gejy Soeiety Ti'ustee.g1 Repoi't (contiiiiied) Uiiired ICIiiEdoni Accouiiliiig StHndai'ds (Uniied Ilittgdojii Generally AL¢¢pted Accoiilltiiig Pi'aclice) and obseive (he inelliods and pi'iJJcii)les iii Ilie Cljai'ities SORP; siatL' wlieilieL' 8ppli¢abl¢ accounting slaiidards Iiave been followed. siibje¢( lo any mal¢i-ial deygTiure$ di.Eclosed and explained in Ilie fin&nGial 51ateiherJls' aiid Ttie tiiislees al'e respoiisible for keepiiig pi'opei. accoiintlll8 I'ecoidÈ tliAI disclose witli reasotiable accuiicy at any Cli&i'ities Aet 2011, Ilie Cliai'ilies IA¥Lounls ft¢porl¥) Regiil¥iioNs 2008, aiid Ili¢ pi.ovisi0115 of the C(X15tilUlioii. The ti'uslces al'e al.80 iesp0115ibl¢ ftri. safegiiai'ding ISIC assets af the cliaTity and htnce for taking Yeasoiiable steps foy tlie PTevenlitstt and deteclioii of fi*ud #lld otli&' ipi'e£Lilarities. TIEe Ii'ustees #i'e i'esponsible foi. the m81iilenHnc¢ llnd integrity of the corpDrale financial £iiforJnalion iii¢luded oil Ilit cliai'itable coiiipany's iYtbsiLe. Lew51atioD goyetniiig the I)l￿paI￿(lO17 an(1 disscniinalioii OF fiiiaiicial slal¢Jneiils inay differ froin legislatioii in oihtrjw'isdictiolls. The 8iinii81 I'epoit was appToved by the t1.￿￿tee5 of the tliArity oil and srgN¢d oli 11$ beli)If by.. Ii. J P Byi'iie Tiiistec Page 5 The British Obesity aiid Metabolic Surgery Society Indepeiident xainiiier's Repoi* to the ti'ustees of The British Obesity and Metabolic Surgeiy Society I reportto the trustees ott iny exainii11i lioi) ofthe accouiits of The British Obesity and Metabol¥¢ Surgery Society for the year etided 31 Oclobet- 2023. R¢spoiisibÉlities fiiEd bxsS$ of i'epoi't As the charity tI￿s￿eS of The Bi'itisli Obesity 2nd Melaboli¢ Surgery Sociely yoii aye responsible for tl)e pi'epai?tion of tlie a¢¢ounts iii accordanre with Ilie iequiiEments of ihe Cl?arities Act 201 L I'the A¢t'l. r¢poi'l itt respect of Èny Cxaniinatioii of t5ie TITr¢ BTltisli Obesity and Metabolic Surgery Society's accounts cai'i'ied out iindci. section 145 of the 201 l Acl and ill carrying out 111y ¢xamsnation I have followed all ihe applicable Directioiis given by the Cliarity Cominissioii wjder seetioji 145{5llb) of ilie Act. Independent exRmLJlel S 5tatefftent Since TSie Bi'itisl) Obesity and Metabolic SuiEery So¢i¢ty's gibss iiicome exceeded £250,000 youi. examinei. lust be a member of a body listed in section 145 of the 201 l Act. I confirm tliat l ain qualifjed to undertake the txamiliation because l at)1 a nieniber of ICAEW, which is one of the listed bodies. I have completed my e¥8niination. I confirm that no iijaterial mattel's lthve coine to niy attention in Coiiiie¢tion with tlie examiiiatioll giving Ine Cal￿ to believe tliat in at)y ma(ei'ial resiiect.. atcounting records w¢i'e not kept in re5PeCt of The Bi'i(ssh Obesity and Metabolic SuiEeiy Society as required by seetion 130 Df tli¢ Act. or 2. the accoiints do not a¢¢ord witli tl)ose records; or 3. tlie #¢cout)Is do not comply witli the a¢¢oui)ting requirements coiicei'ning the fortn and ¢ontent of accoutits set o￿t in tli¢ Cliai'ities (Accounts aiid Reports) Regulationg 2008 othet. thati aiiy requireTnent that the a¢couiits give a 'true and faij. view, wliich is not a matter considered as pait of ali indepet)dent examinatioll. I Iiave iio coiic¢rn5 aiid I￿ve com¢ across no olheT mattevs in connection witli th¢ examination to which attention should be di3wn in tliis reporl in order to enable a propel. undei8laiiding of the accoiint5 10 be rea¢l?ed. LJosdb Mrs L J Ossclion FCA Chartered Accoutti)nt ICAEW Rowan House North l The Pvofessianal Quartei. Slirewsbuiy Busiiiess Park Shrewsbiiry SY2 6LG Date.... Page 6 The Bj'itisli Obesity and Metabolic Surgery Society Stateinent of Finaiieial Activities for the Year Ended 31 Octobei. 2023 Unr¢3ti'icted Restjicted fuArts Total 2023 Note Inoome And Ci Ddoi%ments from: Doiiatlorts legacies Cliaritable activiti¢s Otliei. inconi¢ 62,481 354,263 673 103.966 61,500 166.447 415,763 673 Total incoine 417,417 165,466 582.883 Kxpendituie on: Cliaritable activitie5 1234,806 {42,6241 277.430) Total expenditure 2i4,806 (42,624 (277,430 Net incoine GIDSS ti'ansfers between funds 182.611 14,520 122,842 14,520 305,453 Net Inovement funds 197,131 108,322 305,453 Rtcon¢lliation of fuiids Total funds brought foiward Total fuiids ca￿led forwai.d 406.432 406,432 14 603,563 108,322 711,885 Unresti'icted funds Tot81 2022 Note Incoiiie and EELdowments froni- Chai'itable acisvities Otlier incon)e 388,366 5,727 388,366 5,727 Yotal income 394,093 394,093 Expenditure 0￿- 1200,9781 1200,978 Tot&1 expenditure 200.978) 200,978 Ne¢ 1￿CoMe 193,115 Net moveineiil iii luiids 193,115 RecoTiciliAtioii uf fllnds Total fuiids brougl)t forward Total funds carr(ed foi'ward 213,317 213,317 14 406,432 406,432 All of tlie cliai'ity's a¢tivttics dei'ive fi'oix ¢onti#iiing operations diiring tli¢ above two p¢i'iods. The futids bie&kdown foi. 2022 15 sliown iii note 14. The notes on pa8es 9 to 17 form an integiyl part of tliese financial Sta￿MentS. Page 7 Tlie Bi'itish Obesify ￿￿1{[ Metxbolie Sui'gei'y Society Oiegisti'Rtioii iiiiInbei': 1192184} BalaiiLe Slieet as k)13 1 Octobej. 2023 2023 2022 Note Cui'i'cijt a55ets Dehts)T.% Cash at ￿lik an(1 iii liaiid 60,485 683.E25 33,326 416,797 12 749,610 450, 123 13 {37,725) 141,6911 406,432 Net %ssets 711,885 Re5tl'iEttd iiicoiiic fuiids Reslricied ft)iids 14 109,322 Uni'estl'LCted iiicoiiit fujjds Utiitsli'icled fuiids 603,563 406,432 Totnl fuiids 14 711,885 406,431 Tlie fiiiaiici81 s18teii1￿l1s on pages 7 to 17 approved by tlie tl'U51ees, oiid auihoi'ised fo¥ issue on ¥tr.loi* aiid signed oli their belialf by.. Mi. 3 P Byi'ii Tnisttc Pgge 8 The Bi'itislh Obesity and Metgbolic Sui'gei'y Society Notes to the f4 inancial Statements for the Year Ended 31 October 2023 l Aceountiiig polieies Statement of complixnce Tlie rtnallcial statenients I￿ve bEen Plrpared iii accordance wit]1 Ili¢ second edition of tlie ChRI'ities Statement or Re¢oinilleiided Practice issutd in October 2019. tlle l-.iiiancial Reportiiig Stcindard applicable in ¢he Uniied Kingdoiji and Republic of Ireland (FRS 102) and the Chai'ilies Act 2011. Basis of prepaiation Tlie Britisli Obesity, aiid MelabDli¢ Sui'gery Society nicels tli¢ defitiitioii of a public benefit eijiity under FRS 102. Tlie accounts {financial statemetTrts) have been pIEpared undei. the histoi'ical cost cotLv¢ntiDn witli Éteiiis ie¢ogttised at cost 01 tiansa¢tion valiie unless oth¢iwise stated in the Irlcvant notelsl to these accounts. Going corjtern The trusie¢s consider that there are no niateiial uncertainties &bollt the charity's ability io ¢ontinue as a going IncoEnt And endowiMeiit$ Voliintaiy incotne inclLiding donations. gifts, legacies and g￿nts Iliat provide ¢ore funding or al'e of a generdl natLire is reco8iii5¢d wlien the cliai'ity ha5 entitlement to tlie irtcome, it is piDb261e tliat the iii¢ome will be Itceived and the amount Gan be measured with suffi¢ient reliability. Graiits re¢eivuble Gra*ls are recogllised w5iert th¢ ¢liarity lias ali entitleineiit lo tlie lunds and &iiy Gonditions linked to the giantg liave been iiiel. Where perforihat)¢e conditi0115 are attaclied to the giant aiid are yel to be met, the income is I'ecogiiised as & liabthlity and iiieluded on Ihe balance sheet as deferred income to be IEleased. Cliariluble uclivili Charitable incoine comprises subscriptions. Ineeting registration f¢e5 wid event spolis0￿￿lp. attd ineorne to collate a#d nia(ntain NBSR database ii)lorniation. Incoime fi'oiM ¢hai'itablc activities is recogiiised ivlien the ¢l)arity becoines entitled to tlie Ytsouyces, thc trustees are virtLially ¢ertatn Iliat they will I￿1Ved tlie iEsources and (lie nitsnttaiy valiie can be Iiieasiiird willi siifficient Expeijditui All expenditure is recogiii5ed once Ihei'e is a legal or ¢onstmc(Ive obligation to tl)at eX￿ndit￿lE, it is probable seltleiiieiit is requii'ed and the anioiint caii be 2neasuitd Teliab5y. All costs ale allocated to the applicable expenditure Iieading tliat Eg8rc¥JT te siniilai. costs to tliat cateuory. Wliere costs caniiot be directly altribiited to particiilar l)eadings they liave been allocated 011 a basis consistent wilh tlje use of resoiiires. Page 9 The BrAtish Obesity And Metabolic Svrgery Society Notes to the Finaneial Stateineiits for the Yeai. Ei nded 31 October 2023 (eontinued) Cliuriluhle aclivilies Cliai'itable expenditure cojiipiises those costs in¢urred by the cliai'ity in the delivery of its activities and sejvices for its beneficiai'ies. 11 iiicludes botli costs that can be allocated directly to such activities aiid those ¢osis of an indirect iiature iiecessary to siipport them. Siippoit Costs iticlude iiidii'ecl chai'ftable expenditutE and liave been allocated to chai'itable activity c05t te8ories on a basis consistent with tlie iise of resi￿lice$. GoveTiiance costs it]clude tlie costs atti'ibliiable to the charity's CDmplian¢e with thc cottstituiional and statutory IEquiIEineiits, iii¢liiding independent exainination costs. TrAde debtoi's Tizde debtDis al'e amounts due fiDni customei'5 for Inwhandise sold or services perfoinied in th¢ o¥dsnary cotErse of b115iness. Trade debtors are recognised intiially at tlie ti?iisa¢lion price. They ar¢ siibsequently measuird at amoitised c05t sÉn8 the effective Enterest metliod, les8 pJ￿vIsion foi. iinpaiiiiient. A provision for tlie impaiiinent of irade debtors 15 establislied wlieii there is objective evidciiee that the eliai'ity will not be able io colleet all &mouttts due a¢¢oi'dÈng to tht oYigii)al tci'ms of Ilie re¢eivables. cash equivAlents Casli and ¢asli equivsleDt5 toniprise cash on hand and call d¢p05its, kind othei. sliort-ierm higlily liqiiid iiiveslments tlttt are readily convei'iible lo a knowtl aniount of easli and al'e subject to an i11signifi¢ant iisk of thaiige in value. Trade ci'editoi's Crtditors and pi'ovisioiis are recognised wliere tlic chai'ity Slas a present obligation ¥esiil(tn8 frorn a pasl event tliat will probably Ir.%iJlt in thc transfer of funds to a tljii'd party and tlie amouiit due to seltle Ilie obli8ation can be niea511¥ed oi. estiinated reliably. Creditors and pj￿VIsIonS aiE norinally recognised at their 5ettlenient &inount aftej. allowing for any trade di5COUllts due. Fund struetui'e Unresti'icted in¢tsnie funds are general funds tliat are available for use at the trustees, disci'etioii in fuTilieranee of the objectives of the cliarity- Restricted incoine fiinds are those dDnated foi. use in a particular area or for specifi¢ purposes, the use of wliidi s restricted to that air