2025-04-05-accounts

British Hernia Society

Annual Report

1 May 2024 to 30 April 2025

Contents

Table of Contents

Annual Summary of the Society ............................................................................................................ 4 Board members .................................................................................................................................. 4 Subcommittees ................................................................................................................................... 4 Education and Professional Matters ..................................................................................................... 5 British Hernia Society 13[th] Annual Conference, November 2024 ....................................................... 5 Podcast Series ..................................................................................................................................... 5 Webinar Series .................................................................................................................................... 5 British Hernia Society Registry ............................................................................................................... 5 Corporate development ......................................................................................................................... 6 The BHS has acknowledged the need to adopt a more professional and corporate approach to expand and enhance its offerings to members. ................................................................................. 6 Strategic Plan ...................................................................................................................................... 6 Association Management Support ..................................................................................................... 6 Branding and Communications ........................................................................................................... 6 Partnerships ............................................................................................................................................ 6 British Journal of Surgery Foundation (BJS Foundation) .................................................................... 6 Association of Laparoscopic Surgeons Great Britain and Ireland (ALSGBI) ........................................ 6 Association of Surgeons, Great Britain and Ireland (ASGBI) ............................................................... 6 Association of Surgeons in Training (ASiT) .......................................................................................... 7 Getting it Right First Time (GIRFT), Robotically-Assisted Surgery ....................................................... 7 Initiatives in 2025/26 ............................................................................................................................. 7 Parastomal Hernia Cadaveric Course and Study Day.......................................................................... 7 The A to Z of Hernia Surgery, Virtual Workshop, 10[th] October 2025 ................................................. 7 14[th] British Hernia Society Conference, 9-11[th] November 2026 ......................................................... 7 Patient and Public Liaison Subcommittee Report ................................................................................. 8 Membership ........................................................................................................................................ 8 Scientific Subcommittee Report .......................................................................................................... 10 Summary ........................................................................................................................................... 10 Membership ...................................................................................................................................... 10 Initial meeting ................................................................................................................................... 10 Second meeting ................................................................................................................................ 11

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Trainee Subcommittee Report ............................................................................................................. 12 Summary of Activity .......................................................................................................................... 12 Aims and Objectives for 2025 ........................................................................................................... 12 Abdominal Wall Reconstruction Subcommittee report ..................................................................... 13 Membership ...................................................................................................................................... 13 Subcommittee aims .......................................................................................................................... 13 Projects to date ................................................................................................................................. 14 Education and Training Subcommittee Report ................................................................................... 15 Members ........................................................................................................................................... 15 Summary ........................................................................................................................................... 15 Registry Subcommittee Report ............................................................................................................ 17 Members ........................................................................................................................................... 17 The Registry ...................................................................................................................................... 17 Publicity and Marketing .................................................................................................................... 17 Reporting .......................................................................................................................................... 18 Governance ....................................................................................................................................... 18 Strategic Direction ............................................................................................................................ 18

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Annual Summary of the Society

The British Hernia Society has continued to grow and flourish over the last 12 months. It has delivered educational content including webinars and conferences, ensured revenue for financial stability, developed a strategic plan and launched a national hernia registry.

Board members

The Board has expanded to 18 members, including 14 Trustees. In January 2025, we were pleased to welcome Ms. Kellie Bateman (Co-Director of Trainee Liaison), Mr. Rhys Thomas (Ordinary Board Member), Mr. David Layfield (Treasurer), and Mr. Asim Abbas (Director of Communications). The applicant pool was exceptionally strong, and we look forward to collaborating with these highly accomplished individuals.

We also welcomed an Association of Surgeons in Training (ASiT) Representative on to the Board, Roberta Garau who is ASiT President. We hope this will foster the relationship between the two organisations and realise mutual benefit.

We have said goodbye to Prof Aali Sheen who finished his term as Past President. Aali had been part of the British Hernia Society for more than 10 years. We are immensely grateful to him for his dedication and hard work for the Society over the years and we wish him all the best in his future endeavours.

Subcommittees

The Abdominal Wall Reconstruction, Education and Training, and Registry Subcommittees continue to thrive. In response to the evolving needs of our membership, and to support a broader range of initiatives, three new subcommittees were established in January 2025: the Trainee Subcommittee, the Patient and Public Involvement Subcommittee, and the Scientific Subcommittee.

The existing Registry Subcommittee, Education and Training Subcommittee and Abdominal Wall Reconstruction Subcommittee all welcomed new members in January 2025. We greatly appreciate the vigour, enthusiasm and experience that our new subcommittee members bring to their roles and we look forward to working with them in the months and years to come.

We would like to thank the Board and Subcommittees for their hard work and incredible achievements over the past year which is detailed below in the subcommittee sections.

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Education and Professional Matters

British Hernia Society 13[th] Annual Conference, November 2024

The BHS ran a very successful annual conference in November 2024 in Oxford. With over 300 delegates and very positive feedback, we are looking to build on this event to attract more trainees and to ensure the rapid progression of robotically assisted hernia surgery is reflected in our programme. Plans are already afoot for the conference in November 2026 which will be held in Manchester. We look forward to publicising a provisional programme at the end of 2025.

Podcast Series

A series of podcasts are being developed with the British Journal of Surgery Foundation. These are informal conversations with renowned hernia surgeons from across the globe and reflect some of the incredible journeys and challenges these surgeons have faced. We look forward to posting these later in 2025.

Webinar Series

In association with the Royal College of surgeons of Edinburgh, the BHS has run a very successful 3rd webinar series. With more than 500 delegates attending the webinar series has grown exponentially and has international reach.

British Hernia Society Registry

In November 2024, the BHS launched the registry. It is designed to capture all types of hernia surgery and embeds patient reported outcome measures (PROMs) as well as longitudinal follow-up. The registry is the only way to accurately track the hernia operations being performed and the technologies being used. The registry can produce reports at provider, surgeon and national level as well as providing industry with technology-related data for post-market surveillance. The BHS has created and hosts the registry through Dendrite Ltd who have a large repository of registries and a wealth of experience. In the first six months, more than 1000 patients were entered but we have a long way to go to capture the 100,000 patients undergoing hernia surgery in the UK each year. The BHS will continue to promote the registry and will seek support from the national Outcomes and Registries Programme, formerly held within NHS England, to ensure that it becomes mandatory. Ultimately, the registry will permit benchmarking and research into hernia surgery on a previously unknown scale; it will be the largest hernia registry in the world. Output from the registry will guide the future of hernia surgery, technology development and, ultimately, improve patient safety.

We are deeply grateful to Mr. Liam Hogan, Director of the Registry, and the Registry Subcommittee, for their hard work and dedication in achieving this significant milestone.

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Corporate development

The BHS has acknowledged the need to adopt a more professional and corporate approach to expand and enhance its offerings to members.

Strategic Plan

In 2024, a strategic plan was created to focus the work of the society and identify gaps in the resource needed to realise its workstreams. This is available on our website.

Association Management Support

To be able to deliver the increasing volume of workstreams and to grow the organisation, the society has welcomed tenders for corporate support from Association Management Companies. We hope to announce a new partnership in summer 2025.

Branding and Communications

Work has begun on developing a strong brand and improving communications. By analysing the metrics of our media streams, we hope to provide a more tailored approach to what we offer.

Partnerships

British Journal of Surgery Foundation (BJS Foundation)

The BHS continues to partner with British Journal of Surgery Foundation to deliver educational material. The Foundation supported the November 2024 conference, and we have created a series of podcasts together in 2025. The BJS has also, after a competitive application process, provided a free place to a member of the trainee subcommittee for the “How to write a paper” course in 2025. We are looking to partner with the Foundation on other workstreams including the development of a broad range of patient information.

Association of Laparoscopic Surgeons Great Britain and Ireland (ALSGBI)

One of the objectives of the British Hernia Society is to bring hernia education to general surgeons who may not otherwise seek it out. With over 2500 consultant surgeons in the UK undertaking hernia surgery, many of whom do not undertake hernia surgery as their core practice, it is important that training is readily accessible and financially viable. We are looking forward to orchestrating a hernia session at the ALSGBI Annual Scientific Meeting in November 2025. With a focus on minimallyinvasive hernia surgery, with interactive videos and discussion, we expect this to be a popular and stimulating event.

Association of Surgeons, Great Britain and Ireland (ASGBI)

In view of the strategic objective of the Society to bring hernia education to the masses and with a mutual desire to build on the success and popularity of the BHS session at the annual ASBGI congress, the session has been expanded to a whole day event in May 2027. Occupying 1/9[th] of the three-day programme, we are excited to be inviting nationally and internationally renowned hernia surgeons to deliver high quality training.

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Association of Surgeons in Training (ASiT)

The BHS have been supporting prizes at the ASiT annual conference for several years. With a representative from ASiT now attending BHS Board meetings, we hope to build our relationship with this outstanding trainee society and work with them to increase our offering to the next generation of surgeons.

Getting it Right First Time (GIRFT), Robotically-Assisted Surgery

The BHS were delighted to be invited to participate in the development of the recent GIRFT RAS guidance. Two members of the Board were involved in promoting the needs of hernia patients undergoing minimally invasive surgery and the specialised services it requires.

Initiatives in 2025/26

Parastomal Hernia Cadaveric Course and Study Day

The BHS are supporting the European Hernia Society parastomal course and study day 0n 24th and 25[th] April 2025. We have no doubt that this inaugural event will be insightful and highly educational and will run for years to come.

The A to Z of Hernia Surgery, Virtual Workshop, 10[th] October 2025

The BHS delighted to announce that it will run an inaugural virtual workshop for trainees on consultants from the UK and abroad in October 2025. We have partnered with SaySo, a virtual conferencing platform, to host the event. Full programme to be published shortly. We hope this will become an annual or biennial meeting, providing value for money training for those undertaking the fellowship exams or wanting a refresh of their hernia knowledge base.

14[th] British Hernia Society Conference, 9-11[th] November 2026

Following the success of the 13th BHS conference in Oxford, in November 2024, we are already planning the next conference. We will be hosting it in Manchester, UK in November 2026. Building on our pedigree for delivering high quality presentations and interactive discussions, we are expanding the conference to three days. The conference in 2026 will include a day focused on robotic hernia surgery provision and training with a UK focus. Other plans include hosting workshops for trainees during the conference to provide hands-on, small-group practical training in inguinal and ventral hernia surgery. We look forward to welcoming our delegates in 2026.

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Patient and Public Liaison Subcommittee Report

The Patient and Public Liaison subcommittee is a new committee which has been performed and acts on behalf of the British Hernia Society Board. The chair is Mr Srinivas Chintapatla.

Our purpose is to promote education for patients (and carers) having hernia in British isles. We aim to develop information on best and most effective processes in clinical care, to promote best outcomes for patients, supporting choices for patients based on evidence. Our subcommittee will promote best clinical outcomes for patients in hernia care and will engage with research objective and have a team who could provide patient input if required, engage with teaching objectives of BHS and work with other societies to promote needs of patients. We have invited patients and public through an advertisement to recruit members and the following were chosen after a long selection process, which was open and transparent.

Membership

Srinivas Chintapatla - Chair

Jackie Bullock (also on the BHS board)

Kamil Sterniczuk

Mary Mancini

Kate Hawley

Alice Birch

We have met on multiple occasions and have gone through a process of creating a pathway with respect to what it’s aim is, it’s outcomes should be, and this is attached.

PPL Strategy Overview.pptx

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Progress has been made during its inception year and we are first tackling the issue of frequently asked questions, and that is being collated and is close to publication. Jackie Bullock, Alice Birch and Srinivas Chintapatla have presented on issues involving patients at British Hernia Society conference 2024. Jackie Bullock and Srinivas Chintapatla are presenting patient related issues at European Hernia Society conference in Paris in June 2025 .

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Scientific Subcommittee Report

Summary

Following open invitations for expressions of interest for patients and surgeons of all career stages, 12 applicants were appointed to the Scientific Subcommittee in February 2025: 3 consultant surgeons, 4 surgical trainees, 1 foundation trainee 3 patient representatives, and 1 patient researcher

The Subcommittee has met twice, first in March 2025 and then in April 2025.

Membership

Sam Parker (Deputy Chair) – stepped down

ASGBI / RCS liaison lead(s) – co-opted on to subcommittee and individuals will change depending on who is in post

Nilofer Husnoo

Mo Atif

Tom Whitehead-Clark

Jonathan Hodgkinson

Rishabh Segar

Luqman Bin Aizen

Sue Blackwell (PPI/Research)

Mary Mancini (PPI)

Kamil Sternikzuk (PPI)

Initial meeting

• At the initial meeting, members were inducted into the BHS and the remit and goals of the Subcommittee were discussed

• Initial goals were set

• Development and implementation of a research strategy, allied with application for Academy of Medical Research Charity (AMRC) membership

• Establishment of an Audit and Research Collaborative

• Establishment of a ‘study watch’ to inform members as to recent research studies and guidelines relevant to their practice

• Develop a priority setting exercise for research into hernias

• Following the initial meeting, one of the consultant surgeons had to step down from the committee due to a lack of available time

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Second meeting

• At the second meeting,

• Research strategy – discussed

• Collaborative

  • established (British Hernia Society Audit and Research Collaborative (BHS ARC)

  • initial projects discussed

• Study watch – working group established

• Priority setting exercise – initial discussions had with James Lind Alliance

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Trainee Subcommittee Report

Summary of Activity

• Formation of committee with 11 members ranging from ST4-ST8

• First monthly meeting undertaken to develop work streams

• Work streams to consist of membership survey, research, compiling educational resources and courses

• Draft of membership survey, in progress

• Draft list of current courses, in progress

Aims and Objectives for 2025

Our aim is to promote the British Hernia Society (BHS) as a key educational resource for all general surgical trainees, particularly those with an interest in hernia surgery and abdominal wall reconstruction.

To achieve this, we will:

• Utilise our trainee survey to understand what trainees value in their educational journey.

• Signpost existing educational resources, fellowship opportunities, and courses aligned with different stages of career development.

• Identify gaps in the current educational landscape and develop a portfolio of:

• BHS-approved courses

• Member-only content

• A dedicated educational weekend, delivered in collaboration with trainee organisations such as ASiT, Moynihan Academy, Roux, and Dukes.

• Develop a recognisable BHS Trainee Brand to unify and promote our educational initiatives.

• Undertake research into access to hernia surgery training, with the aim of ensuring equity and standardised skill development across the UK.

• Support the BHS Research and Education Committees in engaging trainees and shaping future initiatives in education and research.

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Abdominal Wall Reconstruction Subcommittee report

The AWR Subcommittee joined with ACPGBI Abdominal Wall Subcommittee in Jan 2022

Membership

Toby Hammond (Chair)

Dominic Slade (Chair ACPGBI Abdominal Wall Subcommittee)

Sanjoy Basu

Ciaran Walsh

Maciej Pawlak

Rhys Thomas

David Layfield

Ben Stutchfield

Elena Schembari

Sala Abdalla

Joshua De Marchi (Trainee Rep)

Jackie Bullock (Patient Rep)

Subcommittee aims

Promote safe & standardised care to prevent & manage incisional and parastomal hernias through education & training of:

1. How to open & close the abdomen

2. Management of the open abdomen

3. Principles of simple midline ventral/ incisional hernia repair - should be within skillset of all general surgeons

4. Stoma management, including:

5. a. Stoma formation

6. b. Parastomal hernia prevention

7. c. Parastomal hernia management

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Projects to date

1. Abdominal midline closure survey

Aim was to capture national practice and help drive quality improvement in making surgeons aware of evidence-based closure techniques.

Conclusion: A minority of UK consultant surgeons have adopted the SBT or PMA. Practice change should be driven by more widespread dissemination of current evidence and procedural information

Published: ACPGBI, BHS, Dukes' Club. CLosure of Abdominal MidlineS Survey (CLAMSS): A national survey investigating current practice in the closure of abdominal midline incisions in UK surgical practice. Colorectal Dis. 2024 Aug;26(8):1617-1631.

2. National Open Abdomen Audit (NOAA)

The aim is to carry out an audit of national practice which ultimately (like NASBO) should inform and educate which management options/ treatment modalities are used nationally to manage the open abdomen.

Launched August 2023.

NOAA continues to recruit well - we are over halfway to the UK target of 600 cases.

iNOAA the international version of the study now rolled out to Republic of Ireland with 5 centres registered (all the trauma centres) and one approved. Also a new version of the protocol has been created to try and include Australia and new Zealand with 1 site in New South Wales registered. Also launched across Europe via ESCP with a further 20 sites registered.

3. Develop a descriptor set for studies on parastomal hernias.

Produced & sent out Delphi consensus questionnaire

Premise being treatment of parastomal hernias is complex with different options available. One of challenges of putting surgical techniques into practice is understanding which patients they work best for. Unfortunately, published studies show lots of variation in how they describe patients in their studies

We would like to address that by agreeing on a set of key descriptors which can be used in future parastomal hernia studies.

Completed & published:

Blackwell S, Massey L, Mehta A, Smart N, Sahnan K, Lederhuber H, Lee MJ. Development of a core descriptor set for parastomal hernia repair. Colorectal Dis. 2024 Oct;26(10):1815-1821

4. Amend abdominal wall closure component of Basic Surgical Skills (BSS) Course

To transition from teaching mass closure of abdomen using blunt loop 1/0 nylon to single layer aponeurotic closure using slowly absorbable sutures in small bites technique.

To date we have confirmed agreement with RCS Basic Surgical Skills committee & new course material for national BSS course produced

5. Develop a standardised Cadaveric open AWR course

To cover management of midline incisional & large primary ventral hernias See joint publication BHS, ACPGBI & EHS:

Kulkarni GV, Hammond T, Slade D, Borch K, Theodorou A, Blazquez L, Lopez-Monclus J, GarciaUrena MA. Proposal for a uniform protocol and checklist for cadaveric courses for surgeons with special interest in open abdominal wall reconstruction. Hernia. 2024 Nov 27;29(1):32

6. Deliver a dedicated Parastomal Hernia Symposium

Tripartite PSH study days (BHS, ACPGBI & EHS) – delivered 24-25[th] April, Manchester

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Education and Training Subcommittee Report

Members

Oroog Ali (Chair)

Christian Wakefield

Mike Glaysher

Artur Zanellato

Greg Simpson

Duncan Scrimgeour

Prita Daliya

Marina Yiasemidou

Izzy Legood

Summary

The BHS Education and Training Subcommittee has had another productive year, maintaining its focus on expanding access to high-quality educational opportunities in hernia surgery. Our ongoing commitment is to support trainees, fellows, and consultants by delivering relevant, innovative, and accessible learning experiences.

We are pleased to report the successful completion of the third instalment of the Hernia Masterclass Webinar Series, delivered in collaboration with the Royal College of Surgeons of Edinburgh (RCSEd). This year’s series featured a highly engaging robotic surgery-themed mini-series, reflecting growing interest in this rapidly evolving area. The webinars were well attended by a diverse international audience, including expert faculty, BHS board members, and even patients, all contributing to enriching discussions and positive feedback.

A key milestone this year has been the development and launch of the BHS Hernia Fellowship Database. This comprehensive resource is designed to guide trainees and members through available hernia fellowship opportunities across the UK and internationally. It is now live and accessible through the BHS website for all members.

Looking ahead, we are excited to announce the launch of a full-day virtual Hernia Teaching Day. This event will cover the core principles and essential knowledge in hernia surgery, making it an ideal revision resource for trainees preparing for the FRCS examination, as well as anyone seeking to refresh their understanding of hernia management. Registration details will be available soon—please stay tuned and secure your place early.

In addition, the subcommittee continues to support and deliver live operative hernia courses, which remain an invaluable component of surgical training, particularly in the current post-pandemic educational environment.

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Finally, we warmly invite all hernia surgeons with an interest in education and training to become involved in the work of the subcommittee. Your experience and input can help shape future initiatives and ensure we continue to meet the needs of our community. If you're interested in contributing, please do get in touch via [e-mail]

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Registry Subcommittee Report

Members

Liam Horgan (Chair)

Nasra Alam

Sue Blackwell (patient representative)

John Findlay

Andrei Mihailescu

Praminthra Chitsabesan

Grace Kettyle Isabelle Legood

Elena Schembari

Ebied Husam

Rhys Thomas

The British Hernia Society Registry Sub Committee (RSC) has been working hard over the past year. The highlight for us was the launching of the registry at our BHS conference in Oxford in November 2024. In the last five months we have signed up over 200 hernia surgeons to the registry. We have entered over 1000 patients into the registry which is a significant success.

Earlier this year the subcommittee expanded by recruiting 3 new members - Elena Schembari, Ebied Husam and Rhys Thomas. We continue to hold regular meetings every 4 to 6 weeks. The administration demands of the registry continue to increase and we are actively looking to appoint an administrator to assume this work. We have migrated to the new google workspace to store our documents, and a new email address organised by Asim Abbas, Director of Communications.

The Registry

The main focus of the work of the RSC is around the practical running and functioning of the registry including updating lists and ironing out glitches. We work closely with Dendrite in this area. We have seen a steady increase in email traffic about the registry from Trusts and individual surgeons. Nasra and Sue continue for the moment to deal with these enquiries.

Publicity and Marketing

We have a marketing/publicity action plan in place. Over the next 2 years we will concentrate more on advertising and publicity around the registry, by direct communication with the public, speaking at surgical meetings and contacting Trusts and surgeons directly. We release updates to the BHS

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members every 3 months and react as quickly to feedback as we can. We have a patient orientated video which we developed last year, ready to go.

Reporting

We are looking to publish our first Registry report in November 2025, which will be a first basic version, including demographics and operation data. It will be too early to report on PROMS possibly. We are working with Dendrite to construct the report.

We have also been working on a surgeon’s dashboard, which will be accessed by logging into the registry website, giving each surgeon personalised data compared to our peers. The fields have been agreed, and we continue to work on this.

Governance

This remains a large part of the work around the registry, and just when we feel we are on top of it another form, or NHS dictate raises it’s head. The most recent is the DSPT which relates to data governance within the NHS relating to NHS patients. For a small charity like the BHS this is a disproportionate amount of work, but we are slowly working our way through it. Eventually it will make the BHS and the registry stronger.

Strategic Direction

Ensuring the ongoing success and expansion of the registry depends on funding. Although we raised enough money to keep us going for the first 3 years, we are mindful that a definite income stream is essential.

The most important strategic aim is to make the registry mandatory. This is proving difficult, to contact the relevant people in NHSE and the Dept of Health. Help from our board in relation to this would be much appreciated.

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REGISTERED CHARITY NUMBER: 1193226 REPORT OF THE TRUSTEES AND FINANCIAL ￿ATEmENTs FOR THE YEAR ENDED 30 APRIL 2025 FOR THE BRITISH HERNJA SOCIETY (CIO) P B Syddall & Co Chartered Accounwits Grafton Hous¢ 81 Chorley Old Road Bolion L4ncashire BLI 3AJ

THE BRITISH HERNIA SOCIETY (CIO) co￿TE￿rS OF THE FINANCIAL STATEMENTS FOR THE YEAR Ef4DED 30 APRIL 202S Pgge Report of the Tnzst¢es I to 2 Inde￿ndEnt Exarniner's Rtport Statement of Finncil Activities B8lan¢e Sheet Notes to the Financial Ststern¢nts 6 to 9 tktailed Statement of Fln#ncial Actlvltles 10

THE BRITISH HERNIA SOCIETY (CIO) REPORT OF THE TRUSTEES FOR THE YEAR ENDED 30 APRIL 2025 The trusiees present their report with the financial ststem¢nts of the chartty for the year ended 30 April 2025. The trustees have adopied the provisions of A¢¢ounting and Reporting by Charities. Staiement of Recornrnended Practice applicable to charili¢5 preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective l January 2019). O￿lEcTIVEs AND ACTIVITIES Objectives and aims The obje¢1 of The British H¢mia Society is the advancemeni of health for public benefit by ethicating the public and healthcare professionals about hemia surgery. We aim to ensure national and international quality in hernia surgery. More details ¢an be found on our website www.britishherniaw¢i¢ty.or8. SIEnifi£4nt activities We run educational events in¢luding ¢ourses and conf¢rences about th¢ management of hemi&s for healthcare professionals. We also provide online infornmtion for healthwe prof¢sstona]s. the publi¢ and patients on herni&s and their mana8¢ment. We are dev¢loping a registy io wllect inforniaiiort on hernii sur8ery in the UK. Th¢Te is moTe infomiation on the activitie$ of the charity detailed in a separa￿ documeni titled Annual Report May 2024 io April 2025 which is filed alon8 with the finan¢ial staternents on the Charity Commission w¢bsire.. Public beneflt The trustees consid¢r that durin8 the year und¢r review they hav¢ successfvlly a¢hieved the objectives s¢t out in its 80v¢rnin8 documeni and have given due regard io th¢ guidanc¢ published by the Charity Commission on public benefit. FINANCIAL REVIEW Flnanclgl position The charity is in a h¢althy financial p)sition. The British Hernia Society made £4,lJ)O of research grants to individuals in the year to 30 April 2025, and awarded ASIT prize money lo the tyne of £250. A further £10,$27 wJ5 speni by the charity on th¢ data cawure software to establish the UK National Hernia Registy. R￿erVeS policy The charity is still in its infan¢y and 1$ buildin8 up reserY¢s ftsr future projec￿. The British H¢mia So¢iety is in th¢ proc¢ss of setting up national teaching, training. mentorship and coaching pro8rammes at all career levels.There are also a number of projects detsiled in the Annual R¢port which will ￿11 on th¢5e reserves. GolnE eoneern There are no evenis or ¢ondition$ that. individually or ¢ollecttvely, may ¢a5t Si8nificani doubt on ihe charity'5 ability to continu¢ as a goin8 concern. As such ihe In￿1¢£5 have prepared the accounV5 on a going concern basi$. STRucfuRE, GOVERNANCE AND MANAGEMENT Governlng doeurnent The charity 15 controlled by its goveming documen( a deed of trust and Consliiutes a Charitsble Incorporated Organisation ICIO). The ¢onstitution was ]￿t arnended on Sih DKember 2023. REFERENCE AND ADMINISTRATIVE DETAII Regist¢red Charlty number 1193226 Page I

THE BR￿lSH HERNIA SOCIETY (CIO) REPORT OFTHE TRu￿B&s FOR THE YEAR ENDED JO APRIL 2025 Prineipl ddress M￿￿￿¢sterun1Ve￿1ity NHS Trus¢ O¥foTd M8Dches M13 9WL Trnsteeg Mr D L Sande Ms S R G Smith ChBir MlssN N Alam fr H Jayamanne Mr P Chitsattwi Miss O All Mr D Damsk05 Mr L F Hor8a Mr T M HommoTrd ProfrssorA J She¢n 3.1124) Mr S Chint8F411a Mr J M Findlay MrDAJSlade D L4)rfSeld (appointed 3.125) DrA A Abms (l￿￿t￿l 3.125} Independent ExAmlner Mr Adam J. SY¢￿1 MA FCA P B Syddall & Co Chgrtered Acc￿ Grafton Hujse 81 Cljoriey Old Rthd Bolion La￿￿hly¢ BLI 3AJ Approvtsj by crttrof the botrd of trusts ￿.-.............. .... .................. li￿￿ LYb￿tbY.' MSSRGS

INDEPENDETrrr EXAMINER'S REPORT TO THE TRusfEES OF THE BRITISH HERNIA SOCIETY (CIO) lttdependent ¢xaTnlner'$ report to the trnsttts of The British Hernia So¢lety (CIO) I report to the charity uijsiees on my examtnaiion of the accounts of The Briiish Hernia Society (cio) (the Trust) for the year ended 30 April 2025. Responsibilitles and basls of report As the charity trnsi¢¢s of the T￿￿ you ar¢ responsible for the preparntion of the ￿￿oUnts in accordance with the requirements of the Chariti¢5 Act 2011 (Ihe Act,). I report in resp￿1 of my examination of the Trusvs a¢counts carried out under Section 145 of the Act and in carrying out my examination I have followed all applicable Direclions given by the Charity Cornmi5sion under Section 145(5)(b) of the Act. Independent eximiner'3 5txtement I have completed my examination. I conflmk that no material matt¢r5 have corne to my auention in ¢onnection with th¢ examination giving m¢ cause to believe thal in any material res￿¢¢= accounting records were not kept in respect of the Trust as required by Section 130 of the Act. or the accowiis do not accord with those record5. or the o¢¢ounts do not comply with the applicable requirements concerning the fom and content of accounts set out in the Charities (Accounts and Reports) Regulations 2LKJ8 other than any requtr¢ment tha¢ the accounls 8iv¢ a true and fair view which 15 not a matter considered as part of an independent cxamination. I have no con¢¢rns and hav¢ come across no other mallers in ¢onneciion with the examination ¢0 which attention should be drawn in this r¢port in order to enable o proper understanding of the accounts to be r¢ached. Mr Ad&rn J. Syddall MA FCA The Instilutc of Chartered Accountants in Eng]and and Wales P B Syddthll & Co ChArtered Accountants GTafton House 81 Chorl¢y Old Road Bolton L#nc4shire BLI 3AJ Date.. Pa8¢ 3

THE BRITISH HERNIA SOCIETY (CIO) STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 30 APRIL 2025 30.4.25 Total rund5 30.4.24 Total funds Unrestricted fijnd Restricted fimd Notes INCOME AND ENDOWMENTS FROM Charitable activities The establishmeni of a UK National Hernia Regis 166337 166237 17,500 EXPENDITURE ON Charitable activities The establishment of a UK National Hernia Registy 99,000 16J33 115J33 18,517 Other 923 232 1,155 5,330 Total 99.923 16,565 116,488 23,847 NET INCOMEI(EXPENDITURE) 66J14 (16.505) 49.749 (6,347) RECONCILIATION OF FUNDS Total fvnds brought forward 58.043 157,136 215,179 221,526 TOTAL FUNDS CARRIED FORWARD 124J57 140,571 264,928 215,179 The notes fonn part of these fEnan¢i81 stat¢m¢nts Page 4

THE BRTllSH HERNIA (CIO) BALANCE SHEET 30 APR￿ 2025 30.4.24 Totsl Nrts Debtors Cash at bank 7,5CKI 208J39 12SJ17 140J71 12SJ17 140J71 265088 215.839 CREDITORS Amounts failth8 thle wilhin on¢ y¢r (6￿) NET CURRE￿ ￿ETs 14OJ71 215,179 TOTAL ASSETS LESS CURREr LIABILrriES 140J71 215,179 NET A&SETS 124J57 140J71 215.179 FUNDS UnTtstricted fund5 Restricttd funds 124J57 140J71 58.043 137,130 204.￿£8 215,179 were signed OD its bohatrby.

THE BRITISH HERNIA SOCIETY (CIO) NOTES TO THE FINAfiCIAL STATEMENTS FOR THE YEAR ENDED30 APRIL 2025 ACCOUNTING POLICIES Basis of preparing tht finatkci815tatements Th¢ financial statements of th¢ charity. whi¢h is a ptsbli¢ benefit entity under FRS 102, have been prepared in accordance with the Chariiies SORP (FRS 102) 'Accounting and Reporting by Chariti¢s'. Ststement of Recommended Practi¢e applicable to charities pr¢paring thehr accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective l January 2019),. Financial Reporting Siat)dard 102 The Financial Reporting Srandard applicable in th¢ UK and Republic of Ireland, and the Charities Aa 2011. The financial staiements have been prepared under the his(orical cost convention. Ineome All income i5 recognis¢d in the Ststement of Financial Aclivities fmrx the charity has entitlement to the fi]nd5, It 15 probable that the incom¢ will be received and ihe amount can be me&sured reliably. Expenditure Liabilities are recogni5ed as expendiwre as soon ￿ there i$ a legal or con$t￿ctive obligation committing the charity ¢0 that expenditure. it is probable that a transfer of econornic benefits will be required in settlement and th¢ amount of the obligation can be measured reliably. Expenditure is ac¢ounted for on an accruals basis and ha5 been classified under headings that a88re8at¢ all cosi related to the ¢ategory. Where costs cannot be directly attributed to particular headings they have bc¢n allocated to activities on a basi$ wnsisient with the use of resources. Grant$ offered Subject to condilions which have noi been met at the year end date tre noted 0$ a Commitsnent but not accrued Ls expenditure. Taxatlon Th¢ Charity is exemp¢ from tax on its charithble a¢iiviiies. Fund a¢countlng Unrestri¢ted fijnds ¢m be used in a¢¢ordance with the chari￿le obj¢cllves at the discretion of the truste¢s. Re5tricred fvnds Can only b¢ used for particular restricted purpow within th¢ objects of th¢ ¢harity. Restrictions aTise when specified by the donor or when fvnds are rnixd for parti¢ular restricted purposes. Funh¢r explanation of the nawre and purpose of ea¢h fund is in¢luded in the notes to th¢ financial statements. TRUSTEES, REMUNERATION AND BENF.FITS There were no trustees. remuneration or other benefits for the year ended 30 April 2025 nor ftsr the year ended 30 April 2024. Tru5tees' expenses Trustees ore allowed to claim travel expenses to board me¢iin83 and ¢th reclaim •ny out of p￿k¢1 expenses incurred on behalf of the charity. Pa8e 6 continued...

THE BRITISH HERNIA SOCIETY (CIO) r40TES TO THE Fif4ANCIAL STATEME]YTS- eontlnued FOR THE YEAR ENDED JO APRIL 2025 COMPARATIVES FOR THE sfATEMENT OF FINANCIAL ACTIVITIES Unrestricted fund Restricted fiwd Total fjJnds INCOME AND ENI)OWMENTS FROM Charitable Aetivities The establishm¢ni of a UK National H¢rnia Registry 17.5CK) 17.500 EXPENDITURE ON Charltablt #ctivili¢s The esrablishment of a UK Nation81 H¢rniA Registry 8.182 10.335 18,517 Other 2.421 2.909 3,330 TolAI 10,603 13.244 23,847 NET INCOMEI(EXPENDITURE) {10,603) 4.256 (6.347) RECONCILIATION OF FUNDS Total fvnds brought forwgrd 68.646 152,880 221,526 TOTAL FUNDS CARRIED FORWARD 58.043 157.136 215.179 DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR 30.4.25 30.4.24 PrePa￿nentS 7.500 CREDITORS: AMOUNTS FALLING DUE WITHIN ONF. YEAR 30.4.2S 30.4.24 Other ¢reditors 960 660 MOVEMENT IN FUNDS Net movement in funds Ai 30.4.25 At 1.5.24 Unrestrl¢ted funds Generdl fvnd 043 66J14 124J57 Restricted funds BHS UK National Hernia R¢gistty 157,136 (16,565) 140,571 TOTAL FUNDS 215,179 49,749 264,928 P88e 7 coniinued...

THE BRITISH HERNIA SOCIETY (CIO) NOTES TO THE FINIANCIAL STATEMENTS- contithued FOR THE YEAR ENDED30 APRIL 2025 MOVEMENT IN FUNDS- continu Net movem¢nt in fijnds, included in th¢ above are as follows.. Incoming resource5 Resources expended Movement in fimds Unrestricted funds General fimd 166337 {99.923) 66J14 Restricted fund$ BHS UK National Hernia Registy (16.565) (16J65) TOTAL FUNDS 166337 (116,488) 49,749 Comparatlves for movement in funds Net mov¢ment in funds At 30,4.24 At 1.5.23 Unrestricted ftsnd$ Gen¢Tal fund 68.646 (10,603> 58,043 Restrleted funds BHS UK National Hernia R¢gi5try 152.880 4.256 157,136 TOTAL FUNDS 221,526 (6,347) 215.179 Comparacive net movement in ￿nds. in¢luded in the above are ss follows: Incoming re$ourc¢J Resources exp¢nded Movemen¢ in fund5 Unrejtrleted fuDd$ General fund (10.603) (10.603) Re51ricted fundj BHS UK National Hernia Registry 17.500 (13.244) 4,256 TOTAL FUNDS 17.500 (23,847) (6,347) Page 8 continued...

THE BRITISH HERNIA SOCIETY (CIO) NOTES TO THE FINANCIAL STATEMENTS - contlnwed FOR THE YEAR ENDED 30 APRIL2025 MOVEMENT IN FUNDS- CODtlnued A current year 12 months and prior year 12 months tombined position is as follows.. Net ovement in funds At 30.4.25 Ai 15.23 Unre5trieted funds Generdl fund 68.646 55,711 124 J57 Restricted funds BHS UK National Hernia Regi5ty 152.880 (12.309) 140,571 TOTAL FUNDS 221.526 43.402 264,928 A ¢utTent year 12 months and prior >tar 12 months combined nei movemeni in fijnds, included in ihe above are ls follows.. Incoming resource5 Resources ¢xpendrA Movement in ￿ndS Unrestrlcted funds General fund 166.237 (110.526) 33.711 Restrlcted funds BHS UK National H¢rnia Re8LStry 17,500 (29,809) {12.309) TOTAL FUNDS 183.737 1140,335) 43,402 RELATED PARTY DISCLOSURES There were no Telated party transa¢tions for the yw ended 30 April 2025. Page 9

THE BRITISH HERNIA SOCIETY (CIO) DETAILED STATEMENT OF FINANCIAL ACTJVITIES FOR THE YEAR E.NDED JO APRIL 2025 30.4.25 30.4.24 INCOME AND ENDOWMENTS CharitAble attivities Grants Conf¢ren¢¢ income 17,500 166,237 166337 I7.5￿) Total incomlng resourees 166237 17,500 EXPENDITURE Ch4ritable actlvltlej Conference costs R¢gisiry software Grants to institutions 92.783 10.528 4,IXIO 10.335 107Jl I 10.335 Other Websiie and IT ¢o$ts ASIT prizes 905 250 3.137 650 1.155 3.787 Support costs Management Insurance Adv¢rtisin8 812 5,461 883 6,273 883 Governante costs Independent examination Meeti#8s Ind ¢ottf¢r¢n¢ 660 8.182 789 1,749 8.842 Total resour¢es expended 116.488 23,847 Iyet intomellexpendi¢ure} 49,749 (6,347> This pa8e does not fom part of the 5tstutory fuwAcial $￿eMen P￿¢ 10