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2024-10-31-accounts

Charity registration number: 1192184

The British Obesity and Metabolic Specialist Society

Annual Report and Financial Statements for the Year Ended 31 October 2024

The British Obesity and Metabolic Specialist Society

Contents

Reference and Administrative Details 1
Trustees' Report 2 to 5
Independent Examiner's Report 6
Statement of Financial Activities 7
Balance Sheet 8
Notes to the Financial Statements 9 to 17

The British Obesity and Metabolic Specialist Society

Reference and Administrative Details

Trustees Mr J P Byrne FRCS, Chair Mr A Ahmed, President Mr K Mahawar, Treasurer Mr R Welbourn Charity Registration Number 1192184 Principal Office c/o Executive Business Services Stowe House St Chad's Road, Lichfield Staffordshire WS13 6TJ Independent Examiner CBSL Accountants Limited Chartered Accountant Rowan House North 1 The Professional Quarter Shrewsbury Business Park Shrewsbury Shropshire SY2 6LG

Page 1

The British Obesity and Metabolic Specialist Society

Trustees' Report

The trustees present the annual report together with the financial statements of the charity for the year ended 31 October 2024.

Structure, governance and management

Nature of governing document

The charity is a charitable incorporated organistation - association and is governed by the constitution dated 5 November 2020 and as amended on 27 November 2020 and on 18 December 2020.

The charity operates under the name of BOMSS.

Recruitment and appointment of trustees

As set out in the constitution, there must be at least four charity trustees. Every charity trustee must be appointed for a term of three years. In selecting individuals for appointment as charity trustees, the appointing body must have regard to the skills, knowledge and experience needed for the effective administration of the CIO.

Induction and training of trustees

Each new charity trustee will receive a copy of the constitution and any amendments, and a copy of the CIO's latest trustees' annual report and statement of accounts.

Organisational structure

The members of BOMSS have no liability to contribute to the charity's assets if the CIO is wound up and have no personal responsibility for settling its debts and liabilities.

The running of charity is delegated to the Council of Management, which is consists of up to twenty individuals, appointed by the members of the CIO. Each appointment shall be a term of three years.

Trustees and officers

The trustees and officers serving during the year and since the year end were as follows:

Trustees: Mr J P Byrne FRCS, Chair Mr A Ahmed, President Mr K Mahawar, Treasurer Mr R Welbourn Mr S Awad (resigned 18 June 2025) Ms C M Borg (resigned 18 June 2025) Prof Rachel Batterham (resigned 18 June 2025) Mr V S Menon (resigned 18 June 2025)

Page 2

The British Obesity and Metabolic Specialist Society

Trustees' Report (continued)

Objectives and activities

Objects and aims

The charity was registered with the Charity Commission as a charitable incorporated organisation on 5 November 2020.

The objectives of The British Obesity and Metabolic Specialist Society (BOMSS) are the advancement for the public benefit of the science and practice of the surgical and associated multi-disciplinary treatment of people who suffer from severe and complex obesity.

BOMSS is a society of surgeons and other health professionals who specialise in the treatment of severe obesity and its metabolic conditions.

Our mission is to promote the highest standards of expert multidisciplinary care for those living with complex obesity through delivery of education, training opportunities, research through the promotion of cohesive team working in high quality bariatric surgery centres.

We also provide expert advice to a variety of bodies to inform national policy and commissioning guidance promoting the safe and equitable practice of obesity surgery.

Set up of BOMSS

We have had a long-standing relationship with AUGIS and it was primarily one under which they provided a secretarial function. BOMSS has always been an independent society separate from AUGIS with our own membership, subscription, Annual Scientific Meeting, training days etc. When BOMSS first started, we did not have the financial capability to have an independent secretariat so we agreed to pay AUGIS an annual fee to help us manage our administrative and secretarial functions.

Over the last few years’ with the emergence of bariatric and especially metabolic surgery as a specialty, most if not all national bariatric and metabolic societies have become independent. Therefore, the move away from AUGIS is a reflection of a growing international trend. In addition, BOMSS also has a large number of integrated healthcare professionals (nurses, dieticians, psychologists etc) who have joined BOMSS as members, so we felt that there was a need for us to establish our own infrastructure, financial independence and secretariat, while still maintaining an excellent working relationship with the AUGIS. With this new relationship, we believe both societies will be stronger and will be able to focus on their work, as well as maintain our close collaborative arrangements.

During the current and prior funds held on behalf of BOMSS were transferred from AUGIS and are included in income in the year totalling £32,733 (2023 - £166,447).

Page 3

The British Obesity and Metabolic Specialist Society

Trustees' Report (continued)

Objectives, strategies and activities

BOMSS welcomed delegates and industry to its Annual Scientific Meeting which took place at the Harrogate Convention Centre from 4th to 5th June 2024.

The Meeting began with a Training Day for Trainee Surgeons and Integrated Healthcare Professionals and then over 300 attendees joined for the 2 day conference programme.

Our membership has now crossed over 540 and we have seen an exciting array of topics being discussed at journal clubs and webinars. Specialist training programmes across multi-professional groups, creation of patient facing leaflets, videos and development of hands on courses have been highlights. We have continued to build on the foundations of our charity, although it remains enormously challenging times for the NHS, battling ongoing industrial action and professional unrest. We are some way off (our vision) of equitable access to safe and effective care for people living with severe and complex obesity across the UK. We are continuing to engage with NICE, the NHS and collaborating with other external bodies so that our and our patients voices are heard.

We also now have a mailing list of over 1,670 contacts spread all around the world indicating our broad reach.

National Bariatric Surgery Registry (NBSR) has also grown in strength with increased engagement from provider units and consultants. The registry has more than 9,000 cases added on since restoration of bariatric and metabolic surgery post pandemic including a significant number carried out in the private sector. We continue to work closely with NHSE in refining the National Obesity Audit (NOA).

Fundraising disclosures

The charity does not carry out significant fundraising activities with the general public and does not use a professional fundraiser or commercial participator to carry out fundraising.

Public benefit

The trustees continue to develop the charity's position as a leading surgery society to provide public benefit through advancements in the science, practice and treatment of people with severe and complex obesity.

The trustees confirm that they have complied with the requirements of section 17 of the Charities Act 2011 to have due regard to the public benefit guidance published by the Charity Commission for England and Wales.

Financial review

The balance sheet shows total unrestricted funds of £849,985 at 31 October 2024 (2023 - £603,563). In addition there are restricted funds related to the NBSR database of £65,233 and Surgical Support Lead of £10,884.

During the year BOMSS received membership income of £66,050 (2023 - £73,173) and corporate membership subscriptions of £210,000 (2023 - £97,000). The Annual Scientific Meeting delegate income totalled £95,384 (2023 - £99,070) with a further £100,245 (2023 - £85,020) of corporate sponsorships for the event.

BOMSS' expenditure for the year totalled £290,901 (2023 - £277,430), of which £163,931 (2023 - £150,362) related to the Annual Scientific Meeting and connected events, £29,205 (2023 - £33,508) to NBSR research and administration costs and £3,000 (2023 - £9,116) for SSL expenditure.

Policy on reserves

The trustees recognise the need for a reasonable level of financial reserves in order to protect the charity from the possibility of any adverse or unforeseen circumstances that could arise.

Unrestricted reserves held at 31 October 2024 enable the charity to continue for at least a further 12 months in the event that there was a significant drop in income. The trustees continue to take appropriate steps to maintain the level of these reserves to meet the future needs of the charity.

Page 4

The British Obesity and Metabolic Specialist Society

Trustees' Report (continued)

Statement of Trustees' Responsibilities

The trustees are responsible for preparing the trustees' report and the financial statements in accordance with the United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice) and applicable law and regulations.

The law applicable to charities requires the trustees to prepare financial statements for each financial 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 of the charity for that period. In preparing these financial statements, the trustees are required to:

The trustees are responsible for keeping proper 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 Charities (Accounts and Reports) Regulations 2008, and the provisions of the constitution. The trustees 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 are responsible for the maintenance and integrity of the corporate and financial information included on the charitable company's website. Legislation governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.

The annual report was approved by the trustees of the charity on 14 August 2025 and signed on its behalf by:

Mr J P Byrne FRCS Trustee

Page 5

The British Obesity and Metabolic Specialist Society

Independent Examiner's Report to the trustees of The British Obesity and Metabolic Specialist Society

I report to the trustees on my examination of the accounts of The British Obesity and Metabolic Specialist Society for the year ended 31 October 2024.

Responsibilities and basis of report

As the charity trustees of The British Obesity and Metabolic Specialist Society 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 The British Obesity and Metabolic Specialist Society's accounts carried out under section 145 of the 2011 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

Since The British Obesity and Metabolic Specialist Society's gross income exceeded £250,000 your examiner must be a member of a body listed in section 145 of the 2011 Act. I confirm that I am qualified to undertake the examination because I am a member of ICAEW, which is one of the listed bodies.

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 believe that in any material respect:

  1. accounting records were not kept in respect of The British Obesity and Metabolic Specialist Society 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 accounting 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 L J Osselton FCA Chartered Accountant ICAEW

Rowan House North 1 The Professional Quarter Shrewsbury Business Park Shrewsbury Shropshire SY2 6LG

Date: 14 August 2025

Page 6

The British Obesity and Metabolic Specialist Society

Statement of Financial Activities for the Year Ended 31 October 2024

Note
Income and Endowments from:
Donations and legacies
Charitable activities
Other income
Total income
Expenditure on:
Charitable activities
Total expenditure
Net income/(expenditure)
Net movement in funds
Reconciliation of funds
Total funds brought forward
Total funds carried forward
14
Note
Income and Endowments from:
Donations and legacies
Charitable activities
Other income
Total income
Expenditure on:
Charitable activities
Total expenditure
Net income
Gross transfers between funds
Net movement in funds
Reconciliation of funds
Total funds brought forward
Total funds carried forward
14
Unrestricted
funds
£
32,733
471,679
706
505,118
(258,696)
(258,696)
246,422
246,422
603,563
849,985
Unrestricted
funds
£
62,481
354,263
673
417,417
(234,806)
(234,806)
182,611
14,520
197,131
406,432
603,563
Restricted
funds
£
-
-
-
-
(32,205)
(32,205)
(32,205)
(32,205)
108,322
76,117
Restricted
funds
£
103,966
61,500
-
165,466
(42,624)
(42,624)
122,842
(14,520)
108,322
-
108,322
Total
2024
£
32,733
471,679
706
505,118
(290,901)
(290,901)
214,217
214,217
711,885
926,102
Total
2023
£
166,447
415,763
673
582,883
(277,430)
(277,430)
305,453
-
305,453
406,432
711,885

All of the charity's activities derive from continuing operations during the above two periods. The funds breakdown for 2023 is shown in note 14.

The notes on pages 9 to 17 form an integral part of these financial statements. Page 7

The British Obesity and Metabolic Specialist Society

(Registration number: 1192184) Balance Sheet as at 31 October 2024

Note
Current assets
Debtors
11
Cash at bank and in hand
12
Creditors: Amounts falling due within one year
13
Net assets
Funds of the charity:
Restricted income funds
Restricted funds
14
Unrestricted income funds
Unrestricted funds
Total funds
14
2024
£
114,292
833,129
947,421
(21,319)
926,102
76,117
849,985
926,102
2023
£
66,485
683,125
749,610
(37,725)
711,885
108,322
603,563
711,885

The financial statements on pages 7 to 17 were approved by the trustees, and authorised for issue on 14 August 2025 and signed on their behalf by:

Mr J P Byrne FRCS Trustee

The notes on pages 9 to 17 form an integral part of these financial statements. Page 8

The British Obesity and Metabolic Specialist Society

Notes to the Financial Statements for the Year Ended 31 October 2024

1 Accounting policies

Statement of compliance

The financial statements have been prepared in accordance with the second edition of the Charities Statement of Recommended Practice issued in October 2019, the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102) and the Charities Act 2011.

Basis of preparation

The British Obesity and Metabolic Specialist Society meets the definition of a public benefit entity under FRS 102. The accounts (financial statements) have been prepared under the historical cost convention with items recognised at cost or transaction value unless otherwise stated in the relevant note(s) to these accounts.

Going concern

The trustees consider that there are no material uncertainties about the charity's ability to continue as a going concern.

Income and endowments

Voluntary income including donations, gifts, legacies and grants that provide core funding or are of a general nature is recognised when the charity has entitlement to the income, it is probable that the income will be received and the amount can be measured with sufficient reliability.

Grants receivable

Grants are recognised when the charity has an entitlement to the funds and any conditions linked to the grants have been met. Where performance conditions are attached to the grant and are yet to be met, the income is recognised as a liability and included on the balance sheet as deferred income to be released.

Charitable activities

Charitable income comprises subscriptions, meeting registration fees and event sponsorship, and income to collate and maintain NBSR database information.

Income from charitable activities is recognised when the charity becomes entitled to the resources, the trustees are virtually certain that they will received the resources and the monetary value can be measured with sufficient reliabiility.

Expenditure

All expenditure is recognised once there is a legal or constructive obligation to that expenditure, it is probable settlement is required and the amount can be measured reliably. All costs are allocated to the applicable expenditure heading that aggregate similar costs to that category. Where costs cannot be directly attributed to particular headings they have been allocated on a basis consistent with the use of resources.

Page 9

The British Obesity and Metabolic Specialist Society

Notes to the Financial Statements for the Year Ended 31 October 2024 (continued)

Charitable activities

Charitable expenditure comprises those costs incurred by the charity in the delivery of its activities and services for its beneficiaries. It includes both costs that can be allocated directly to such activities and those costs of an indirect nature necessary to support them.

Support costs include indirect charitable expenditure and have been allocated to charitable activity cost categories on a basis consistent with the use of resources.

Governance costs include the costs attributable to the charity's compliance with the constitutional and statutory requirements, including independent examination costs.

Trade debtors

Trade debtors are amounts due from customers for merchandise sold or services performed in the ordinary course of business.

Trade debtors are recognised initially at the transaction price. They are subsequently measured at amortised cost using the effective interest method, less provision for impairment. A provision for the impairment of trade debtors is established when there is objective evidence that the charity will not be able to collect all amounts due according to the original terms of the receivables.

Cash and cash equivalents

Cash and cash equivalents comprise cash on hand and call deposits, and other short-term highly liquid investments that are readily convertible to a known amount of cash and are subject to an insignificant risk of change in value.

Trade creditors

Creditors and provisions 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.

Fund structure

Unrestricted income funds are general funds that are available for use at the trustees' discretion in furtherance of the objectives of the charity.

Restricted income funds are those donated for use in a particular area or for specific purposes, the use of which is restricted to that area or purpose.

Page 10

The British Obesity and Metabolic Specialist Society

Notes to the Financial Statements for the Year Ended 31 October 2024 (continued)

Financial instruments

Classification

Financial assets and financial liabilities are recognised when the charity becomes a party to the contractual provisions of the instrument.

Financial liabilities and equity instruments are classified according to the substance of the contractual arrangements entered into. An equity instrument is any contract that evidences a residual interest in the assets of the charity after deducting all of its liabilities.

Recognition and measurement

All financial assets and liabilities are initially measured at transaction price (including transaction costs), except for those financial assets classified as at fair value through profit or loss, which are initially measured at fair value (which is normally the transaction price excluding transaction costs), unless the arrangement constitutes a financing transaction. If an arrangement constitutes a financing transaction, the financial asset or financial liability is measured at the present value of the future payments discounted at a market rate of interest for a similar debt instrument.

Financial assets and liabilities are only offset in the statement of financial position when, and only when there exists a legally enforceable right to set off the recognised amounts and the charity intends either to settle on a net basis, or to realise the asset and settle the liability simultaneously.

Financial assets are derecognised when and only when a) the contractual rights to the cash flows from the financial asset expire or are settled, b) the charity transfers to another party substantially all of the risks and rewards of ownership of the financial asset, or c) the charity, despite having retained some, but not all, significant risks and rewards of ownership, has transferred control of the asset to another party.

Financial liabilities are derecognised only when the obligation specified in the contract is discharged, cancelled or expires.

Page 11

The British Obesity and Metabolic Specialist Society

Notes to the Financial Statements for the Year Ended 31 October 2024 (continued)

2 Income from donations, grants and legacies

Grants, including capital grants;
Grants from other charities
Grants, including capital grants;
Grants from other charities
Unrestricted
funds
General
£
62,481
62,481
Unrestricted
funds
General
£
32,733
32,733
Restricted
funds
£
103,966
103,966
Total
2024
£
32,733
32,733
Total
2023
£
166,447
166,447

During the year the charity received funds from The Association of Upper Gastrointestinal Surgery of Great Britain and Ireland (AUGIS) in respect of funds held when the Society was within the AUGIS charity. These funds received were split between the general unrestricted reserves £32,733 (2023 - £62,481), NBSR restricted fund £nil (2023 - £80,966) and SSL restricted fund £nil (2023 - £23,000).

3 Income from charitable activities

Annual scientific meeting and related events
Membership subscriptions - individual and corporate
Annual scientific meeting and related events
Membership subscriptions - individual and corporate
NBSR research and administration
Unrestricted
funds
General
£
184,090
170,173
-
354,263
Unrestricted
funds
General
£
195,629
276,050
471,679
Restricted
funds
£
-
-
61,500
61,500
Total
2024
£
195,629
276,050
471,679
Total
2023
£
184,090
170,173
61,500
415,763

Page 12

The British Obesity and Metabolic Specialist Society

Notes to the Financial Statements for the Year Ended 31 October 2024 (continued)

4 Other income

Other income
5 Expenditure on charitable activities
Unrestricted
funds
General
Note
£
Annual scientific
meeting and related
events
163,931
NBSR research and
administration
-
Surgical Support
Lead
-
Allocated support
costs
6
93,381
Governance costs
6
1,384
258,696
Unrestricted
funds
General
£
706
Restricted
funds
£
-
29,205
3,000
-
-
32,205
Total
2024
£
706
Total
2024
£
163,931
29,205
3,000
93,381
1,384
290,901
Total
2023
£
673
Total
2023
£
150,362
33,508
9,116
81,572
2,872
277,430

Analysis of charitable activities expenditure

Conference costs
Costs of related events during conference programme
Other event costs
Training Day costs
Unrestricted
funds
General
£
131,766
9,082
3,533
19,550
163,931
Total
2024
£
131,766
9,082
3,533
19,550
163,931
Total
2023
£
144,499
3,678
2,185
-
150,362

Page 13

The British Obesity and Metabolic Specialist Society

Notes to the Financial Statements for the Year Ended 31 October 2024 (continued)

6 Analysis of governance and support costs

Allocated support costs

Secretarial and administrative costs
Insurance
Website costs
Printing, postage and stationery
Registration fees
Committee meeting costs
Training costs
Subscriptions and licences
Sundry expenses
Travel and subsistence
Bank and payment facility charges
Unrestricted
funds
General
£
57,404
2,468
2,310
66
2,265
-
-
21,175
3,877
1,359
2,457
93,381
Total
2024
£
57,404
2,468
2,310
66
2,265
-
-
21,175
3,877
1,359
2,457
93,381
Total
2023
£
51,106
1,845
-
41
4,792
3,347
927
15,956
987
-
2,571
81,572

Governance costs

Independent examiner fees
Examination of the financial statements
Legal fees
Unrestricted
funds
General
£
1,384
-
1,384
Total
2024
£
1,384
-
1,384
Total
2023
£
1,372
1,500
2,872

7 Trustees remuneration and expenses

During the year the charity made the following transactions with trustees:

£865 (2023: £Nil) of expenses were reimbursed to one of the Trustees during the year.

No trustees, nor any persons connected with them, have received any remuneration from the charity during the year.

No trustees have received any other benefits from the charity during the year.

Page 14

The British Obesity and Metabolic Specialist Society

Notes to the Financial Statements for the Year Ended 31 October 2024 (continued)

8 Staff costs

The charity had no employees during the period.

9 Independent examiner's remuneration

Examination of the financial statements

----- Start of picture text -----
2024 2023
£ £
1,384 1,372
----- End of picture text -----

10 Taxation

The charity is a registered charity and is therefore exempt from taxation.

11 Debtors

Trade debtors
Prepayments
VAT recoverable
2024
£
14,002
27,404
72,886
114,292
2023
£
29,403
14,291
22,791
66,485

12 Cash and cash equivalents

12 Cash and cash equivalents
Cash at bank
13 Creditors: amounts falling due within one year
Trade creditors
Accruals
2024
£
833,129
2024
£
20,019
1,300
21,319
2023
£
683,125
2023
£
36,426
1,299
37,725

Page 15

The British Obesity and Metabolic Specialist Society

Notes to the Financial Statements for the Year Ended 31 October 2024 (continued)

14 Funds
Unrestricted funds
General
Unrestricted funds
Restricted funds
NBSR research and
administration
Surgical Support Lead
Total restricted funds
Total funds
Unrestricted funds
General
Unrestricted funds
Restricted
NBSR research and
administration
Surgical Support Lead
Total restricted funds
Total funds
Balance at 1
November
Incoming
Resources
Balance at 31
2023
£
resources
£
expended
£
October 2024
£
603,563
505,118
(258,696)
849,985
94,438
-
(29,205)
65,233
13,884
-
(3,000)
10,884
108,322
-
(32,205)
76,117
711,885
505,118
(290,901)
926,102
Balance at 1
November
Incoming
Resources
2022
resources
expended
Transfers
£
£
£
£
Balance at
31 October
2023
£
406,432
417,417
(234,806)
14,520
603,563
-
142,466
(33,508)
(14,520)
94,438
-
23,000
(9,116)
-
13,884
-
165,466
(42,624)
(14,520)
108,322
406,432
582,883
(277,430)
-
711,885
Balance at 31
October 2024
£
849,985
65,233
10,884
Balance at 31
October 2024
£
849,985
65,233
10,884
76,117
926,102
Balance at
31 October
2023
£
603,563
94,438
13,884
108,322
711,885

The specific purposes for which the funds are to be applied are as follows:

The SSL funds are funds received to support a Surgical Support Lead for the speciality education of healthcare professionals in the area of Bariatric Surgery.

The NBSR restricted funds are funds collected from NHS Trusts and HQIP for the purpose of fulfilling their legal obligation to publish yearly information on bariatric surgery outcomes. This information is collated in the NBSR database.

Page 16

The British Obesity and Metabolic Specialist Society

Notes to the Financial Statements for the Year Ended 31 October 2024 (continued)

15 Analysis of net assets between funds

15 Analysis of net assets between funds
Current assets
Current liabilities
Total net assets
Current assets
Current liabilities
Total net assets
Unrestricted
funds
General
£
859,065
(9,080)
849,985
Unrestricted
funds
General
£
613,434
(9,871)
603,563
Restricted
funds
£
88,356
(12,239)
76,117
Restricted
funds
£
136,176
(27,854)
108,322
Total funds at
31 October
2024
£
947,421
(21,319)
926,102
Total funds at
31 October
2023
£
749,610
(37,725)
711,885

16 Related party transactions

There were no related party transactions in the year.

Page 17