





## **The Chartered Society of Physiotherapy Charitable Trust** 

## REPORT AND FINANCIAL STATEMENTS 

## 31 December 2023 

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## The Chartered Society of Physiotherapy Charitable Trust 

REPORT OF THE TRUSTEES 

Year ended 31 December 2023 

## **Trustees** 

Paul Chesterton CSP member Jo Jackson CSPCT Chair Rekha Soni CSP member David FitzGerald Lay Trustee Chris Garcia Lay Trustee, CSPCT Vice-Chair Catherine Minns Lowe Chair of Scientific Panel Tom Wainwright CSP member Jane Hislop Chair of Education Awards Panel Rhoda Allison CSP member Maurice Darding Lay Trustee Clare Kell CSP member Sivaramkumar Shanmugam  CSP member 

Appointed December 2021 (Resigned April 2023) Appointed December 2021 Appointed December 2021 Appointed December 2021 Appointed December 2021 Appointed September 2022 Appointed October 2022 Appointed January 2023 Appointed January 2024 Appointed January 2024 Appointed January 2024 Appointed January 2024 

|**Principal**|The Chartered Society of Physiotherapy Charitable Trust|
|---|---|
|**address**||
||3rdFloor South|
||Chancery Exchange|
||10 Furnival Street|
||London|
||EC4A 1AB|
|**Independent**|<br> <br>Richard Weaver|
|**Examiner**|Haysmacintyre LLP|
||10 Queen Street|
||London EC4R 1AG|
|**Bankers**|Lloyds TSB Bank PLC|
||25 Gresham Street|
||London|
||EC2V 7HN|
|**Investment**|Rathbone Investment Management Limited|
|**Managers**|8 Finsbury Circus|
||London|
||EC2M 7AZ|
|**Registered**|1197247|
|**Charity No.**||



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## The Chartered Society of Physiotherapy Charitable Trust 

## REPORT OF THE TRUSTEES 

## Year ended 31 December 2023 

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The Trustees of the Chartered Society of Physiotherapy Charitable Trust (CSPCT) present their annual report and the audited financial statements for the year ended 31 December 2023. 

The financial statements have been prepared in accordance with the accounting policies set out in the notes to the financial stat Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland. 

## **1. CONSTITUTION AND OBJECTS** 

The Charitable Incorporated Organisation (CIO) was created by a constitution dated 05 November 2021. The CIO is a registered charity, number 1197247. 

The Charity was incorporated on 21 December 2021 and prior year comparatives are included on the first period of accounting basis from the incorporation period of 21 December 2021 to 31 December 2022. 

The objects of the charity are the aiding in the prevention or relief of human suffering and the protection or preservation of public health by the advancement of education and research in subjects relevant to the practice of physiotherapy and kindred forms of treatment. The vision of the CIO is therefore to support the advancement of excellence in physiotherapy practice and service delivery, the foundation for which is research, evidence based practice and continuing professional development. 

## **2. OBJECTIVES AND ACTIVITIES** 

The Trustees confirm that they have referred to the guidance provided by the Charity Commission on public 

The CIO seeks to carry out its objectives for public benefit as stated in Section 1 through providing financial support to chartered physiotherapists to: 

- 1) Improve accessibility to learning opportunities for all members of the Chartered Society of Physiotherapy (CSP); 

- 2) Support the continued development of research capacity; 

- 3) Support the continued development of a culture of evidence-based practice within physiotherapy, as underpinned by the Core Standards of Physiotherapy Practice 2005; 

- 4) Ensure that through education, chartered physiotherapists are equipped with the knowledge and skills required to improve the health and wellbeing of the public and those who seek their services; and 

- 5) Ensure that through research they are able to continue to provide and develop effective treatments, advice and education to the public or members of the public, seeking assistance on prevention, management, rehabilitation and recovery to improve their quality of life and wellbeing. 

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Year ended 31 December 2023 

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**3. STRUCTURE, MANAGEMENT AND GOVERNANCE PROCEDURES** 

## The Chartered Society of Physiotherapy Charitable Trust 

REPORT OF THE TRUSTEES 

The Trustees of the CIO currently comprise members of the CSP as well as lay Trustees. The constitution sets out the terms of office for Trustees. 

Number of Trustees: 

- two Ex-Officio Trustees, i.e. the respective Chairs of the Scientific Panel and the Educational Awards Panel 

- up to four Lay Trustees; and 

- up to six Trustees from amongst the CSP membership 

There must be at least four Trustees. If the number falls below this minimum, the remaining Trustee or Trustees may act only to call a meeting of the Trustees, or appoint a new Trustee or new Trustees. 

The maximum number of Trustees that can be appointed is as stipulated above. No Trustee appointment may be made in excess of these provisions. 

There must be at least two Trustees who are resident in the United Kingdom. 

All Trustees, with the exception of the two Ex-Officio Trustees, join the CSPCT Board via an appointment process. All candidates are asked to submit via email, a personal statement which addresses how they can meet all the requirements of the person specification, a CV of no more than two sides of A4, which sets out recent employment and voluntary activity relevant to the role and a covering letter which includes the names of two referees who can comment on their suitability for the role. Candidates should also indicate whether the CSPCT can contact their referees prior to interview, if appropriate. 

A sub-panel of three Trustees, to include BOTH the Chair and Vice-Chair where possible (and otherwise at least the Chair OR the Vice-Chair) to form a recruitment panel at each recruitment round. 

Each Trustee holds office for a term of 3 years from the date of his/her appointment and is eligible for reappointment for one further term of 3 years, in accordance with the process applicable to new candidates. 

Trustees are offered training where it is considered that it will enhance the skill set of the Board or where there is specific training needed. The Board meets three times a year and at these meetings Trustees consider and agree future grant-making activities, investment activities, risk management and operational performance. 

CSPCT and CSP are organisations that share similar missions to: develop physiotherapy practice, research and education; enhance the quality of patient experience and outcomes; and raise the profile of both organisations and UK physiotherapy. The entities are legally separate with clear and separate governance arrangements. 

As the CIO is a separate legal entity to the CSP, and retains its own control, in the view of the Trustees, consolidated accounts are not required. 

Trustees, and the 

annual budgets. 

## **4. INVESTMENT AND RESERVES POLICIES** 

towards closure over a 4 to 5 year period, with the Charity to potentially remain open after that period solely for the administration of any final awarded grant tranches. 

towards closure, therefore utilising capital and income to fund grants to applicants in the intervening period, and the administrative costs of the Charity.  The Trustees regularly review this policy in light of available funds and committed costs.  At 31 December 2023, unrestricted funds totalled £1,271,463. Ongoing grant commitments funded from unrestricted funds totalled £1,210,824.  In 2023, administrative costs of £159,715 were incurred, with no significant increases planned during 2024.  The reserves position is deemed to be sufficient to cover the immediate commitments, as well as the ongoing running costs towards closure. 

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## The Chartered Society of Physiotherapy Charitable Trust 

## REPORT OF THE TRUSTEES 

## Year ended 31 December 2023 

c 

level of risk given its needs for funds over the period to closure, by generating a return above inflation over the period to closure.  The Trust adopts a total return approach to investment, generating the investment return from income and capital gains or losses.  It is expected that if in any one year the total return is insufficient to meet the budgeted grant making expenditure, in the long term the real value of the Trust will still be maintained in accordance with the investment objective above. Investment performance is reviewed annually and returns are compared against the appropriate industry benchmarks. 

## **5. RISK MANAGEMENT** 

The Trustees actively review the major risks which the charity faces on a regular basis, including operational and business risks, and consider that they have established appropriate systems to mitigate the risks identified. 

The Trustees consider the largest risk facing the Trust to be the reasonable identification and forecasting of income sources to support its work, in light of volatile investment performance, a suspension of the annual donation received from the CSP, and future annual increases to support costs. The Trustees consider the level of reserves held to be more than adequate to continue the operations of the Trust for the foreseeable future given the very low operating costs and committed costs of the Trust. The Trust will continue to regularly review cash flow forecasts, investment performance and opportunities for new funding sources. The Trust will keep under close consideration the amount of funding it has available to commit to new grant applications when reviewing proposals. The Trustees do not consider there to be any other significant risks affecting the Trust. 

## **6. GRANT MAKING POLICIES** 

Grants to are made institutions and individuals in two broad categories: education and research. 

The beneficiaries of grants awarded are ultimately those who will receive services and treatment from a chartered physiotherapist. Those services may be indirectly or directly provided. 

The Trustees seek to invite applications for funding through the following panels: Scientific Panel and Education Awards Panel. Applicants submit proposals to the appropriate panel who then scrutinises the applications against a set of predetermined criteria. Grants are awarded on the basis that applications are robust, fit for purpose and funds as follows: 

## **Education Awards Panel** 

## **Scientific Panel** 

Academically Accredited Courses Award Physiotherapy Research Foundation Award: Pre-Doctoral Award Education and Development Placements Award Conference and Presentation Fund Physiotherapy Research Foundation Award: Post-Doctoral Award 

Trustees also consider the funding of projects outside of the current grants they award, which they feel are of merit and which they wish to support in line with their objectives. The Trustees consider these work projects against the 

## **7. ACHIEVEMENTS AND PERFORMANCE OF THE CIO** 

The CIO seeks to ensure that the work it supports is robust and aids in the prevention or relief of human suffering and the protection or preservation of public health by the advancement of education and research in subjects relevant to the practice of physiotherapy and kindred forms of treatment. The Trustees see dissemination of the 

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## The Chartered Society of Physiotherapy Charitable Trust 

## REPORT OF THE TRUSTEES 

## Year ended 31 December 2023 

learning and knowledge acquired from any projects they award grants to as paramount to ensuring that this is achieved. 

The achievements and performance of the CIO are measured in the following ways: 

## **7.1 Research Awards** 

For the awards administered through the Scientific Panel, all successful applicants are asked to submit annual and final reports of their work, present their findings at appropriate forums, have their papers published in appropriate journals, and present at the CSP Annual Conference. 

In order to comply with registration requirements for randomised controlled trials (RCT) and to maintain a public portfolio of Physiotherapy Research Foundation (PRF) projects, successful applicants undertaking a randomised controlled trial are required to apply for International Standard Randomised Controlled Trials Number (ISRCTN) registration. 

For all projects which are prospective trials, it is mandatory that they are prospectively registered with a recognised registry. 

## **7.1.1 Physiotherapy Research Foundation Awards** 

## _**Completed research**_ 

- a. Final reports provide information on the projects aims, results, conclusions, future research and their dissemination/publication activities. 

- b. Clinical impact and dissemination of information are considered to be indicators of public benefit, resulting from physiotherapy research funded by the Charitable Trust. 


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Project Ref / Project Title Publications Professional  Impact<br>Lead  Presentation /<br>Researcher Conferences<br>PRF/19/A18 The experiences  Yeowell G, Leech R,  Physiotherapy  As a consequence of this<br>of  Greenhalgh S, Willis E, Selfe Research Society.  research, [there is now]<br>Yeowell<br>physiotherapists in  J. (2023). The lived  Yeowell (2023)  an understanding of:<br>relation to Cauda  experiences of  Keynote speaker:<br>Equina Syndrome  physiotherapists involved in  Litigation in UK<br>litigation and process of<br>and litigation  Cauda Equina Syndrome  physiotherapy<br>medico-legal litigation in<br>Litigation. A qualitative  pathway to impact<br>relation to<br>study. PLOS ONE.<br>physiotherapists in the<br>https://doi.org/10.1371/journ Physiotherapy<br>UK (investigated in<br>al.pone.0290882 Conference (Nov<br>Phase 1,2,3)<br>2023) Yeowell G,<br>Greenhalgh S*, et al.<br>Yeowell G, Leech R,<br>(2023). Keep Calm  of physiotherapists<br>Greenhalgh S, Willis E, Selfe<br>and carry on: The  involved in CES<br>J. (2022) Medico-legal<br>lived experiences of  litigation cases (explored<br>litigation of UK<br>UK physiotherapists in Phase 2)<br>physiotherapists in relation to<br>involved in Cauda<br>Cauda Equina Syndrome: A<br>Equina Syndrome<br>multi-methods study. BMJ  physiotherapists (Phase<br>Litigation. A<br>Open.  1,2,3)<br>qualitative study<br>https://bmjopen.bmj.com/con<br>(*speaker).<br>tent/12/7/e060023<br>needs for<br>Leech RL, Selfe J, Ball S,  physiotherapists in<br>Greenhalgh S, Hogan G,  relation to CES litigation<br>Holway J, Willis E, Yeowell<br>**----- End of picture text -----**<br>


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## The Chartered Society of Physiotherapy Charitable Trust 

## REPORT OF THE TRUSTEES 

## Year ended 31 December 2023 


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c<br>G. (2021) A scoping review:  (investigated in Phase<br>Investigating the extent and  2,3)<br>legal process of Cauda<br>Equina Syndrome claims for<br>UK physiotherapists.  A series of<br>Musculoskeletal Science &  recommendations have<br>Practice.  been made to support UK<br>https://doi.org/10.1016/j.msk physiotherapists involved<br>sp.2021.102458 in litigation to ensure<br>their health and<br>Leech RL, Selfe J, Ball S,<br>wellbeing.<br>Greenhalgh S, Hogan G,<br>Holway J, Willis E, Yeowell<br>G. (2021) A scoping review:<br>[Outputs included] a<br>Investigating the extent and<br>report by Jeremy Hunt<br>legal process of Cauda<br>MP, to the House of<br>Equina Syndrome claims for<br>Commons Health and<br>UK physiotherapists.<br>Social Care Committee<br>Musculoskeletal Care.<br>on NHS litigation<br>https://doi.org/10.1002/msc.1<br>reform, which cites [this]<br>550<br>research throughout. As a<br>Frontline. (2023) Hot topic.  consequence, [the]<br>research has the potential<br>carry on. Frontline, 29,2,  to change UK policy on<br>p24-26.  NHS litigation.<br>https://www.csp.org.uk/frontl<br>-<br>ine/article/litigationkeep<br>calm-carry<br>Project Ref / Project Title Impact<br>Lead<br>Researcher<br>PRF/19/B05 Understanding the  The value of undergoing diagnostic imaging was considered wide-ranging<br>Cuff  use of diagnostic  from a patient perspective in attempt to help make sense of their symptoms,<br>imaging in  with this value appearing more perceived than actual. Despite this, patients<br>musculoskeletal  did not feel fully informed or involved in the decision-making process.<br>pain conditions<br>affecting the  Whilst for clinicians, the results demonstrate that imaging use requires<br>lower back, knee  context with wide-ranging considerations informing an imaging request,<br>and shoulder: a  with these considerations refined with experience. Whilst patient<br>qualitative  expectations influence how imaging is used, clinicians will engage in what is<br>investigation.  considered a challenging conversation if they do not feel this expectation is<br>appropriate, often adopting a gatekeeper role to whether imaging is in turn<br>**----- End of picture text -----**<br>


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## The Chartered Society of Physiotherapy Charitable Trust 

## REPORT OF THE TRUSTEES 

## Year ended 31 December 2023 


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c<br>PRF/19/B18 Student led  Findings from the study have generated 4 key themes for student<br>Wynne  neurological  experiences of attending [student-led clinics] SLC. These were : 1) student<br>rehabilitation: A  experience; 2) learning environment; 3) service user involvement; and 4)<br>longitudinal  SLC organisation.<br>exploration of<br>physiotherapy  Whilst SLCs are in existence in other contexts, they are still in their infancy<br>student  in the UK as a model of practice-based learning preparation/education and<br>experiences and  as such there is a paucity of research in this country.  This study, through<br>service user  explor<br>satisfaction.  established that physiotherapy neurological rehabilitation SLCs could have a<br>place to further develop students skills in pre-registration curricula and<br>provide value to the service users who attend. This study indicates there is<br>further potential to develop SLCs to enhance the student and service user<br>experience.<br>PRF/20/C09 Do working  [Lower than expected recruitment meant that] useful data analysis [could<br>Mallows  alliance, patient  not] be undertaken and, a decision [was] taken to close the study before the<br>outcome  planned sample size [could be] achieved.<br>expectations and<br>self-efficacy<br>predict changes in<br>pain and disability<br>from treatment for<br>Achilles<br>tendinopathy?<br>Project Ref / Project Title  Publications Professional  Impact<br>Lead  Presentation /<br>Researcher Conferences<br>PRF/PPEF- Community  Age and Aging September  Internationally at the This research offers key<br>21-PRE01  2023:   11th Fragility  tangible strategies on<br>Adams  Perceptions of  perspectives of barriers and  Fracture Network  improving rehabilitation<br>Provision of  facilitators to effective  Global Congress in  following hip fracture,<br>Rehabilitation  community provision after  October 2023  which could be<br>After Hip Fracture  hip fracture: a qualitative  applicable across<br>study in England - PMC  Presented at  English. It identifies<br>(nih.gov) Physiotherapy  areas of practice that<br>Symposium at Guys  could be tested to further<br>improve care for such a<br>hospital.    vulnerable population of<br>patients.<br>NP/18/01  Guiding family  Chugh Deepti, G WAITE, S  Great Ormond Street Our findings make an<br>decision making  CAWKER, P HARNIESS, J  Hospital Trust  important contribution to<br>Cawker<br>around Selective  WRAY, K OULTON.  Neurodisability  literature as the first<br>Dorsal Rhizotomy  (2021). Children and young  Research day  study to include parental<br>A family  people's perspectives on  and children and young<br>participatory  decision-making and their  people (CYP)<br>research project to  experiences around selective  Presentation of  perspectives on SDR<br>co-design pre- dorsal rhizotomy.  findings of the  clinical decision making.<br>operative  Developmental medicine and  project to a mixed<br>counselling  child neurology, 63 (S2  professional<br>information  Special Issue: Abstracts of  audience as part of  Positive parental<br>the 33rd Annual Meeting of  Selective dorsal  decision-making<br>the European Academy of  rhizotomy (SDR)  experiences are critical<br>Childhood Disability  training lecture.  within SDR to ensure<br>(EACD), Europe (Virtual),  that expectations are able<br>May-June 2021), pp. 27-79.  to match the reality of<br>**----- End of picture text -----**<br>


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## The Chartered Society of Physiotherapy Charitable Trust 

## REPORT OF THE TRUSTEES 

## Year ended 31 December 2023 


**----- Start of picture text -----**<br>
c<br>G WAITE, D CHUGH, S  potential short- and long-<br>CAWKER, K OULTON, J  term outcomes.<br>WRAY, P HARNIESS.<br>(2021). Developmental<br>Medicine and Child  Greater understanding  of<br>Neurology. Parental decision- the  experiences and<br>making around selective  expectations of parents<br>dorsal rhizotomy - A family  and CYP leading up to<br>participatory research, 63(S2  SDR surgery has<br>Special Issue: Abstracts of  implications for the<br>the 33rd Annual Meeting of  clinical and psychosocial<br>the European Academy of  support required.<br>Childhood Disability<br>(EACD), Europe (Virtual),<br>May-June 2021), pp. 27-79.<br>Waite G, Cawker S, Chugh<br>D, Harniess P, Oulton K.<br>(2019). 71 Putting public<br>patient involvement to work-<br>how families are making<br>research more meaningful in<br>the area of selective dorsal<br>rhizotomy. doi:<br>10.1136/archdischild-2019-<br>gosh.71<br>**----- End of picture text -----**<br>


## _**2023 Awards and Cancellations**_ 

The table below provides details of 2023 PRF awards and cancellations. Where project end dates are earlier than 2023, the funds now cancelled had previously remained available to grant holders as per the conditions in their grant award letters. 

|**Project Ref /**|**Title**<br>**Host**<br>**Institution**<br>**Award**<br>**Status**<br>**Project**<br>**Start**<br>**Date**<br>**Project**<br>**End**<br>**Date**<br>**Funding**<br>**Value**<br>**Cancellation**<br>**Value**|**Title**<br>**Host**<br>**Institution**<br>**Award**<br>**Status**<br>**Project**<br>**Start**<br>**Date**<br>**Project**<br>**End**<br>**Date**<br>**Funding**<br>**Value**<br>**Cancellation**<br>**Value**|**Title**<br>**Host**<br>**Institution**<br>**Award**<br>**Status**<br>**Project**<br>**Start**<br>**Date**<br>**Project**<br>**End**<br>**Date**<br>**Funding**<br>**Value**<br>**Cancellation**<br>**Value**|**Title**<br>**Host**<br>**Institution**<br>**Award**<br>**Status**<br>**Project**<br>**Start**<br>**Date**<br>**Project**<br>**End**<br>**Date**<br>**Funding**<br>**Value**<br>**Cancellation**<br>**Value**|**Title**<br>**Host**<br>**Institution**<br>**Award**<br>**Status**<br>**Project**<br>**Start**<br>**Date**<br>**Project**<br>**End**<br>**Date**<br>**Funding**<br>**Value**<br>**Cancellation**<br>**Value**|**Title**<br>**Host**<br>**Institution**<br>**Award**<br>**Status**<br>**Project**<br>**Start**<br>**Date**<br>**Project**<br>**End**<br>**Date**<br>**Funding**<br>**Value**<br>**Cancellation**<br>**Value**|**Title**<br>**Host**<br>**Institution**<br>**Award**<br>**Status**<br>**Project**<br>**Start**<br>**Date**<br>**Project**<br>**End**<br>**Date**<br>**Funding**<br>**Value**<br>**Cancellation**<br>**Value**|
|---|---|---|---|---|---|---|---|
|<br>**Lead**||||||||
|**Researcher**||||||||
|PRF/23A/<br>POD08<br>Baker|A Phase II feasibility trial<br>of transcutaneous<br>auricular vagus nerve<br>stimulation for people<br>with Myalgic<br>Encephalomyelitis<br>University of<br>Liverpool<br>Conditional<br>Offer<br>TBC<br>TBC £101,620.26<br>-|||||||
|PRF/23A/<br>POD11 Hall|A new, novel walking<br>frame for older adults in<br>community settings<br>feasibility study with<br>qualitative evaluation and<br>health economic analysis<br>University of<br>Exeter<br>Conditional<br>Offer<br>TBC<br>TBC<br>£98,249.11<br>-|||||||
|**Project Ref /**|**Title**<br>**Host**<br>**Institution**<br>**Award**<br>**Status**<br>**Project**<br>**Start**<br>**Date**<br>**Project**<br>**End**<br>**Date**<br>**Funding**<br>**Value**<br>**Cancellation**<br>**Value**|||||||
|<br>**Lead**||||||||
|**Researcher**||||||||
|PRF/23A/<br>POD14 Neal|Is online patient<br>education feasible in<br>people with<br>patellofemoral pain whilst<br>they wait for<br>physiotherapy: a|<br> <br> <br> <br> <br> <br>University of<br>Essex|<br>Conditional<br>Offer|<br><br>TBC|TBC|£101,177.78|-|



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## The Chartered Society of Physiotherapy Charitable Trust 

## REPORT OF THE TRUSTEES 

Year ended 31 December 2023 


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c<br>randomised controlled<br>feasibility trial<br>PRF/23A/  Cognitive Muscular University of  Un- 01/05/24 30/06/25 £52,343.00 -<br>PRE04   therapy versus  Salford conditional<br>Brookes  psychologically informed  Offer<br>Physiotherapy In non-<br>specific chronic Neck<br>pain: a feasibility study<br>(COMPIN)<br>PRF/23A/  Defining and measuring  Oxford Conditional  N/A N/A  £52,233.48 £52,233.48<br>PRE05 Dove  leg weakness in people  University Offer.<br>with sciatica. A mixed  Applicant<br>methods study. withdrew<br>PRF/23A/  Does collaborative  University Conditional  TBC TBC £18,040.53 -<br>PRE08 Heelas working between pain  College  Offer<br>specialists and social  London<br>prescribers / primary<br>health teams, increase<br>community asset<br>participation and improve<br>health outcomes, in<br>people living with chronic<br>pain?<br>PRF/23S/  Developing a Training  University of  Awarded 01/03/24 31/10/25 £71,629.00 -<br>POD01  Programme and Real  East Anglia<br>Chester  Time Support for<br>Physiotherapists to<br>integrate Behaviour<br>Change Conversations<br>into their Clinical<br>Practice.<br>PRF/23S/POD What are the most  Oxford  Awarded 01/03/24 20/10/26 £88,808.00 -<br>05  important surgical and  University<br>Nicolson  rehabilitation outcomes to  Hospitals<br>patients after total knee  NHS<br>replacement? A discrete  Foundation<br>choice experiment. Trust<br>PRF/18/B12  Caregiver Experiences of  Newcastle  Completed 11/03/19 31/03/20 - £1,004<br>Knight Lozano Paediatric Inpatient  upon Tyne<br>Cardiac Services: A  Hospitals<br>Qualitative Systematic  NHS<br>Review Foundation<br>Trust<br>PRF/17/B17  Acupuncture in addition  Newcastle  Completed 10/10/18 14/10/20 - £2,100.00<br>Hargreaves  to standard conservative  Upon Tyne<br>treatment for overactive  NHS<br>bladder; a feasibility trial  Foundation<br>for a randomised  Trust<br>controlled study.<br>(ACASO Study)<br>Project Ref /  Title Host  Award  Project Project  Funding Cancellation<br>Lead  Institution Status Start  End  Value Value<br>Researcher Date Date<br>**----- End of picture text -----**<br>


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## The Chartered Society of Physiotherapy Charitable Trust 

## REPORT OF THE TRUSTEES 

## Year ended 31 December 2023 


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c<br>PRF/16/A07  Individual patient data  Keele  Completed 27/03/17 31/03/20 - £2,600.00<br>Holden  meta-analysis of trials  University<br>investigating the<br>effectiveness of exercise<br>in patients with knee and<br>hip osteoarthritis<br>PRF/16/B07  Effects of Ankle and First  Plymouth  Completed 24/01/18 31/01/20 - £6,668.54<br>Lepesis  Metatarsophalangeal Joint  University<br>Mobilisations on Range<br>of Motion and Forefoot<br>Plantar Pressures in<br>Diabetic Peripheral<br>Neuropathy<br>PRF/17/B01  Aerobic exercise after University of  Completed 01/05/18 30/04/19 - £1,500<br>Gaskins   stroke: perspectives of  Central<br>physiotherapists working  Lancashire<br>in stroke or cardiac<br>rehabilitation<br>PRF/16/A21  The patient journey  University of  Completed 18/12/17 17/06/19 - £501<br>Rushton   following lumbar spinal  Birmingham<br>fusion surgery (LSFS): a<br>qualitative analysis of the<br>PRF/16/B11  Perspectives of walking  Birmingham  Completed 27/06/17 27/08/18 - £1,500<br>Poole   aid users, parents and  Community<br>therapists on designing  Healthcare<br>walking aids that  NHS<br>encourage children with  Foundation<br>disabilities to physically  Trust<br>active.<br>PRF/15/A05  A novel, theory based University of  Completed 01/05/17 30/06/18 - £600<br>Cramp   intervention to promote  the West of<br>engagement in physical  England<br>activity in early<br>rheumatoid arthritis<br>(PEPA-RA): proof of<br>concept study.<br>PRF/15A19  An exploration of the  Ulster  Completed 01/09/16 31/08/18 - £600<br>Liddle   history, presenting  University<br>symptoms, treatment and<br>long-term outcomes of a<br>cohort of pregnant<br>women experiencing LBP<br>OPA/14/03  Skilful Care Training  University of  Completed 01/09/16 31/03/19  - £600<br>Forster  Package for residents in  Leeds<br>care homes: cluster<br>randomised controlled<br>feasibility trial.<br>**----- End of picture text -----**<br>


## **7.1.2 Match-Funded Research: 2023 cancellations** 

The CSPCT has negotiated matched-funding awards with partner charities whose purposes and priorities align with those of CSPCT. In order to be eligible to apply, principal investigators must be CSP members. All awards are administered, monitored and reviewed by the partner charities. 

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REPORT OF THE TRUSTEES 

Year ended 31 December 2023 

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## The Chartered Society of Physiotherapy Charitable Trust 

## _**Action Medical Research**_ 

The CSPCT and Action Medical Research for children (AMR) had an agreement in place to annually joint fund an award for research in the area of paediatric non-acquired disability from birth, in particular through research into effective physiotherapy treatments and the dissemination of the results to the public. 

The table below provides details of the 2023 cancellation within this initiative. The funds now cancelled had previously remained available to the grant holder, post project-end, as per the conditions of their award. 

|**Award**|**Title**<br> <br>|**Funding**<br>|**Funding**|**Cancellation**|
|---|---|---|---|---|
|**Reference**||<br>**Start Date** <br> <br>|<br>**End Date**|**Value**|
||||||
|GN2445<br>Helen Dawes|Brain plasticity and motor skill competence<br>development in young people with<br>developmental coordination disorder|2016|2019|£600|



In 2016, the CSPCT match-funded 

of this initiative was on research that covered four themes health and care service improvement, health promotion/prevention, health economic evaluation, and health intelligence and data linkage. It was anticipated that the expected primary outcomes of the research would lead to improvements in the quality of life of people with arthritis and/or contribute to the evidence base of knowledge relevant to people with arthritis. It was envisaged that a multidisciplinary approach would be undertaken across different groups. Awards under this 

The CSPCT collaborated with Versus Arthritis to fund successful applications, with a particular focus on physiotherapy. 

The table below provides details of the 2023 cancellations within this initiative. The funds now cancelled had previously remained available to the grant holders, post project-end, as per the conditions of their award. 

|**Award**|**Title**<br>**Project Start**<br>**Date**|**Title**<br>**Project Start**<br>**Date**|**Project End**|**Cancellation**|
|---|---|---|---|---|
|**Reference**|||<br>**Date**|**Value**|
|21403<br>Ross Wilkie|Getting sustainable, person-centred<br>musculoskeletal health intelligence from<br>primary care electronic health record<br>linkage and modelling: the PRELIM<br>initiative.<br>01/01/17||30/04/20|£600|
|21405<br>Jonathan Hill|Implementing the MSK-HQ to empower<br>patients and improve services.|<br>01/11/16|30/09/19|£600|



11 



## The Chartered Society of Physiotherapy Charitable Trust 

REPORT OF THE TRUSTEES 

## Year ended 31 December 2023 

c 

## **7.2 Education Awards** 

The tables below provide details of 2023 education awards and cancellations by award category. 


**----- Start of picture text -----**<br>
Academically Accredited Courses Award : Funding to help chartered, student and associate members of the<br>CSP undertaking academically accredited programmes of study, which should serve to enhance their skills and<br>knowledge, and enhance patient care<br>Award ref  Awardee name  Funding value  Cancellation value<br>AAC 3134  Pei Tan  £500.00<br>AAC 3145  Rachel Smith  £500.00<br>AAC 3149  Nicholas Livadas  £2,200.00<br>AAC 3156  Samantha Grace  £5,475.00<br>AAC 3158  Harriet Doody  £300.00<br>AAC 3160  Emily Hatch  £3,381.00<br>AAC 3178  Arun Georgeyson Pheshi Joseph  £8,894.00<br>AAC 3180  Hayley Williams  £5,865.00<br>AAC 3188  Paul MacDonald  £9,540.00<br>AAC 3189  Susan Dargie  £3,450.00<br>AAC 3238  Katherine McNabb  £5,072.00<br>AAC 3262  Sarah Smart  £6,000.00<br>AAC 3285  Uzo Ehiogu  £6,550.00<br>AAC 3319  Carmen Taylor  £4,440.00<br>AAC 3320  Sarah Rand  £2,278.00<br>AAC 3329  Chun Sum  £2,825.00<br>AAC 3332  Sian Doughty  £700.00<br>AAC 3338  Anthony Crooks  £3,625.00<br>AAC 3339  Fiona Lovell  £3,493.00<br>AAC 3341 Joshua Slater £3,250.00<br>AAC 3342 Ellie Mayhew £4,535.00<br>AAC 3343 Lydia Heins £5,698.00<br>AAC 3345 Linda Fettus £2,325.00<br>AAC 3361 Lucy Ridgway £10,000.00<br>AAC 3362 Sian Kinal £5,475.00<br>AAC 3366 Carissa Jones £5,996.00<br>AAC 3372 David Gill £4,250.00<br>AAC 3374 Lucy Dove £10,000.00<br>AAC 3390 Martino Secchia £675.00<br>AAC 3426 Linsay Clark £2,375.00<br>AAC 3431 Deborah Church £438.00<br>AAC 3437 Louise Bluck £3,298.00<br>AAC 3440 Brooke Nairn £10,000.00<br>AAC 3441 Leila Heelas £2,170.00<br>AAC 3443 Amy Wolfe £5,238.00<br>**----- End of picture text -----**<br>


12 



## The Chartered Society of Physiotherapy Charitable Trust 

REPORT OF THE TRUSTEES 

## Year ended 31 December 2023 

c 

**Conference & Presentation Award** : Funding for chartered, associate or student members who wish to contribute to national or international physiotherapy/ interdisciplinary conferences. Funding for members who are up to Band 5 physiotherapists to attend a physiotherapy national or international conference for the first time 


**----- Start of picture text -----**<br>
Award ref  Awardee name  Funding value  Cancellation value<br>CPA 3322  David Nicklin  £896.00<br>CPA 3324  Ben Foxcroft  £689.00<br>CPA 3327  Sharon Morgans  £1,004.00<br>CPA 3355  Akushla Senarath Rathnayake  £2,500.00  £2,500.00<br>CPA 3358  Natalie Thrale  £752.00<br>CPA 3359  Rebecca Nightingale  £1,883.00<br>CPA 3381  Mohammad Al-Rashed  £550.00<br>CPA 3388  Casey Farrell  £1,633.00<br>CPA 3423  Diarmuid Denneny  £2,307.00<br>CPA 3428  Dore Young  £763.00<br>CPA 3439  Laura Burgess  £638.00<br>CPA 3444  Jacqueline Walumbe  £2,300.00<br>**----- End of picture text -----**<br>


**Education and Development Placements Award** : Funding to assist chartered, associate and student members travelling overseas, support enhancement of physiotherapy through international education and development projects, and to assist pre-registration physiotherapy students undertaking an elective clinical placement or similar educational exchange 


**----- Start of picture text -----**<br>
Award ref  Awardee name  Funding value  Cancellation value<br>EDP 3167  Hebe Henderson  £2,000.00<br>EDP 3169  Daisy Holden Craufurd  £2,000.00<br>EDP 3170 Sinéad Murtagh £2,000.00<br>EDP 3172 Francesca Binning £2,000.00<br>EDP 3174 Laura Clements £2,000.00<br>EDP 3203 Zoe Hall £2,000.00<br>EDP 3209 Alice Bastick-Ruiz £2,404.00 £2,404.00<br>EDP 3211 Nicole Kerroum £2,000.00<br>EDP 3240 Georgia Allen £2,000.00 £2,000.00<br>EDP 3259 Kathryn Lynch £2,000.00<br>EDP 3260 Sophie Murtagh £2,000.00<br>EDP 3263 Chloe Meehan £2,389.00<br>EDP 3265 Lara Church £2,000.00<br>EDP 3273 Ruth Sellar £2,000.00<br>EDP 3286 Iona Bateman £2,000.00<br>EDP 3291 Andrea Dominguez Carvalho £2,950.00<br>EDP 3292 Seren James-Williams £2,000.00<br>**----- End of picture text -----**<br>


## _**Application Writing Support**_ 

The Education Awards Panel planned and started delivery of further measures designed to provide applicants with support throughout the application process. Applicants have access to a range of online resources in written and video formats, which provide enhanced guidance on using the scoring criteria to produce a good quality submission. The first of a series of webinars was held during the year, giving applicants direct access to members of the awarding Panel and the Awards Administrator for responses to specific questions about eligibility, tips on writing a funding application and processes and procedures. 5 of the webinar attendees went on to apply for awards and were all successful in receiving funding, demonstrating the effectiveness of enhanced writing support. 

13 



REPORT OF THE TRUSTEES 

Year ended 31 December 2023 

## The Chartered Society of Physiotherapy Charitable Trust 

c 

## **7.3 CSPCT funded projects** 

## **7.3.1 CSP Leadership Development Programme (LDP)** 

and the project closed, with a final report being submitted to the CSPCT in November 2023. 

No cohorts ran at either HEI (University of Hertfordshire and University of Central Lancashire) as the final portion of CSPCT funding was allocated for evaluation. 

Phase one of the evaluation, which was carried out internally, was completed in Q1 2023. This looked at the impact of the LDP on alumni, their careers and the wider physiotherapy profession, and whether there were any differences in experience for alumni who identified as White and Black, Asian and Minority Ethnic. Phase one used a mixed-method approach and approximately 16% of those who took part in the LDP responded. A summary of the findings are as follows: 

- The overall impact of the LDP on individuals who complete the course, the physiotherapy profession and their patients is considerable and positive. 

- The overall experience of completing the course is positive and beneficial in terms of confidence, knowledge, skills and career progression. 

- The difference in experience between those who identify as white and Black, Asian and Minority Ethnic (BAME) is significant in some areas and overall has a more positive impact on people who identify as BAME. 

- However, awareness overall of the place of EDB 

- Very few alumni would have funded themselves through a course like this. 

- locally, but not so compared with higher- 

Phase two used CSPCT funding and following a tender exercise, the company Hedway were contracted to evaluate the LDP with the objectives of: 

- analysing the impact of the LDP overall on its alumni, their careers, and the wider physiotherapy profession 

   - -2027 could be progressed 

- informing the CSP agenda for advocating for wider changes in the healthcare landscape, including the indirect influence it has via its members and initiatives. 

Phase two evaluation also used a mixed-method approach and was sent to 15,000 CSP members. There were 520 responses, of which 61 respondents were LDP alumni. 

Some of the findings include: 

- Overall, the LDP curriculum as designed in 2017 is a fitting and well-designed product of its time. As evidenced from the survey, most participants rate its effectiveness highly, both in terms of personal 

- Members felt formal leadership development is less relevant to achieving personal and organisational aims than other, more targeted leadership development op 

   - means of working towards a leadership position, suggesting that deeper, more 

14 



c 

## The Chartered Society of Physiotherapy Charitable Trust 

## REPORT OF THE TRUSTEES 

## Year ended 31 December 2023 

- definitions, perceive 

- that they are significantly underorganisations, and that this would 

- The LDP is a relatively expensive way of achieving initial leadership awareness (especially when example, the NHS Leadership 

- The benefits of the LDP will be muted without system / structural support in the workplace or as an leadership positions, 

- establishing mechanisms to ensure fairer recruitment panels to promote more equal 

- The CSP Leadership offer must, in future, take account of the digitisation of service. Such as social media, integrated care records and how digital solutions to person- 

Feedback was also collated from the LDP alumni in their end of programme surveys each year. As stated in the CSPCT end of project report, feedback from the alumni showed a high satisfaction rate in the LDP, with 98% saying they would recommend it to a colleague. They reported an increase in confidence, self-awareness, ability to influence and enable change. 

In 2023, two alumni online events were held: How to have difficult conversations in the workplace and Leadership of Equity, Diversity and Belonging in the workplace - 

An additional award of £67,801 was made in 2023, to provide total funding of £490,435 for this project. 

## **7.3.2 Transforming Community Rehabilitation to Improve Quality, Impact and sustainability and Community rehabilitation standards** 


**----- Start of picture text -----**<br>
Title  Project Start  Project End  Funding Value  Cancellation Value<br>Date  Date<br>Transforming  02.01.2020   26.04.23   £197,175  (No<br>Community  new funding<br>Rehabilitation to Improve  awarded in 2023)<br>Quality, Impact and<br>Sustainability, and<br>Community<br>**----- End of picture text -----**<br>


To achieve the primary outcome of the project, the work was separated into four smaller elements, with individual focused objectives. The remaining element that was completed in early 2023 was the Quality Standards Project. The aim of which was to develop some best practice recommendations for the delivery of high-quality multidisciplinary rehabilitation. Deliverables to include a published set of recommendations, underpinned by the vision for Community Rehabilitation (developed as the Consensus statement by Community Rehab Alliance), which will include one version of the rehab prescription, which works across sectors and setting. 

15 



## The Chartered Society of Physiotherapy Charitable Trust 

REPORT OF THE TRUSTEES 

## Year ended 31 December 2023 

c 

The outcome to this project was that the standards were disseminated with presentations and engagement activity with key stakeholders and CRA partners in 2023. 

The full standards document, as well as audit tools are available to download via the CSP website, here: https://www.csp.org.uk/professional-clinical/improvement-innovation/community-rehabilitationrecovery/important-reading/standards. 

Since being uploaded to the CSP website the webpage containing the standards resources has seen in excess of 5,000 unique views and continues to be rolled out and disseminated through our countries and regional teams. 

The contribution that the CSPCT funded has had a measurable impact with the standards being introduced and shared across regions and nations. Its reach is amplified as a result of its co production and the way it reaches across professional and patient groups and has demonstrated the sizable role the physiotherapy profession has leading the movement for rehab. 

It has supported multi-disciplinary work with physiotherapy leading the calls for the transformation of rehab in the community. 

## **7.3.3 Transforming Quality in Pre-registration Physiotherapy Education** 

Following the funding award of £70,456.50 from the CSPCT in August 2023, the project team has worked with the CSPCT Scientific Panel to develop a tender to procure a consultant (individual or group) to conduct multistakeholder research address the project aims & objectives. 

This research project will inform the update of the CSP Learning and Development Principles and also identify and propose enhancements to CSP quality assurance processes of physiotherapy education which in turn will impact the design and delivery of pre-registration physiotherapy education in the UK. 

The Learning & Development principles form the basis of quality assurance activity within pre-registration physiotherapy education and are a key document to which physiotherapy education programme teams must align to achieve CSP accreditation status. 

Following the latest CSPCT Scientific Panel feedback, the tender is due to be launched in February 2024 with the aim of the project beginning in July. 

## **7.3.4 Widening Participation** 

£11,900 was awarded in 2023 for a pilot award scheme with a twofold purpose: 

1) To reduce financial barriers to attending CSP Annual Conference 2023. 

2) To widen participation of attendees from groups previously under-represented at conference, including those who self-identify as Black, Asian and Minority Ethnic, Disabled or LGBTQIA+ 

CSP Annual Conference 2023 was held in five locations across the UK for in-person delegates, and as part of increasing accessibility all events could be attended virtually from anywhere. 

After promotion in Frontline, our member magazine, our website, via email and to specific target groups, we received a total of 53 applications and our panel awarded financial support to 49 individuals; 23% identified as disabled, 32% BAME and 4% as LGBTQIA+. 

As this was a pilot scheme, we set-up new processes to support this award including providing information, ticket booking, travel and accommodation arrangements and processing post-event expenses. We learned that some awardees, specifically those who are disabled, required additional one-on-one support to plan their in-person attendance and facilitate accessibility. 

16 



c 

## The Chartered Society of Physiotherapy Charitable Trust 

REPORT OF THE TRUSTEES 

## Year ended 31 December 2023 

We conducted a specific evaluation of the award from Nov 23 to Jan 2024 to gain further insight about experiences of the award and views on any future work in this space.  The evaluation methods included a survey to all awardees, a series of semi-structured interviews with awardees and a focus group with staff to evaluate processes.  Our analysis found recipients viewed the WP award as a positive CSP initiative, it was seen as supportive, inclusive, good value and important.  All reported that it had provided them with an opportunity for learning and professional development that they would have not otherwise been able to access.  Most awardees highlighted the importance of not having to pay conference costs up-front as claiming back costs was a barrier for those facing financial stress.  All recipients wanted to see it continued into future conferences. The application process and booking system were reported to be straightforward by recipients, staff highlighted some process that could be streamlined if it were to run in the future. 

## **7.4 Financial Results** 

The financial statements show a net decrease in retained funds of £742,478 (2022: £819,714) driven by a planned and budgeted increase in grants awarded over income received.  Income increased from 2022 due to improved investment performance - £144,195  (2022: £122,593) was received from dividends, royalties and interest income from cash and investments, and £13,133 (2022: £13,823) was received as a Gift in Kind from CSP.  Charitable expenditure included grants authorised of £857,823 (2022: £148,467) and operating and governance costs of £159,715 (2022: £156,068). 

The investment portfolio valuation decreased by £392,157 to £4,812,274 (2022: £5,204,431).  This decrease was due to the withdrawal of cash to meet ongoing commitments and is offset by an increased valuation at year end 7 to £347,874 (2022: £141,497) due to the cash withdrawal from the investment portfolio. 

Total unrestricted funds decreased by £822,082 to £1,271,463 (2022: £2,093,545). 

## **8. IMPROVEMENTS AND FUTURE DEVELOPMENTS** 

The assets and liabilities of the CSPCT, registered charity: 279882 were transferred to the CIO at the end of 2022. In 2023 the CIO has continued the work of charity 279882, in line with its own objectives, as set out in this report. 

Historically, charity: 279882 was able to maintain its spending from financial reserves and receiving investment income and occasional bequests and legacies from members, member groups and external organisations. In recent years these latter sources of income had dwindled and so the Trustees of the current charity have decided to uphold the decision of the previous charity and will close once all reserves have been utilised. 

In the me continue its activities as long as possible, whilst generating capital growth. Investment performance is reviewed annually and returns are compared against the appropriate industry benchmarks. 

In 2024, the CIO will look to develop a research strategy for 2025-29, to guide funding in this period. 

## **9. FUNDRAISING** 

Section 162a of the Charities Act 2011 requires charities to make a statement regarding fundraising activities. Although we do not undertake widespread fundraising from the general public, the legislation defines fund raising presented in 

In relation to the above we confirm that all solicitations are managed internally, without involvement of commercial participators or professional fund-raisers, or third parties. The day to day management of all income generation is delegated to the executive team, who are accountable to the trustees. 

17 



## The Chartered Society of Physiotherapy Charitable Trust 

## REPORT OF THE TRUSTEES 

## Year ended 31 December 2023 

c The charity is not bound by any undertaking to be bound by any regulatory scheme and the charity does not consider it necessary to comply with any voluntary code of practice. 

We have received no complaints in relation to fundraising activities. Our terms of employment require staff to behave reasonably at all times; as we do not approach individuals for funds we do not have particularise this  to  fundraising activities nor do we consider it necessary to design specific procedures to monitor such activities. 

## **10. PREPARATION OF ACCOUNTS ON A GOING CONCERN BASIS** 

The financial statements have been prepared on a going concern basis. The decision to adopt this basis arises Trustees have undertaken a strategic initiative to transition towards closure over the next five years. The CIO will manage the orderly wind-down of operations, ensuring the fulfilment of outstanding commitments, and the responsible distribution of assets in accordance with the charitable objectives. At 31 December 2023 the CIO has a strong balance sheet to support its operation over the next 2-3 years. The CIO holds significant reserves in the form of its total investment portfolio. A forecasting exercise has shown that these reserves would be sufficient to continue current levels of expenditure in the short term at least until the end of 2025 even with a significant fall in portfolio value. 

Signed on behalf of the Board of Trustees 


**Jo Jackson** Chair of Trustees Date:  13 June 2024 

18 



c 

## The Chartered Society of Physiotherapy Charitable Trust 

REPORT OF THE TRUSTEES 

## Year ended 31 December 2023 

## **BILITIES** 

The Trustees are responsible for preparing the Report of the Trustees and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice). 

The law applicable to charities in England & Wales 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: 

- Select suitable accounting policies and then apply them consistently; 

- Observe the methods and principles in the Charities SORP; 

- Make judgements and estimates that are reasonable and prudent; 

- State whether applicable accounting standards have been followed, subject to any material departures disclosed and explained in the financial statements; and 

- Prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in business. 

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 Charity (Accounts and Reports) Regulations 2008 and the provisions of the Trust deed. They 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. 

19 



The Chartered Society of Physiotherapy Charitable Trust INDEPENDENT EXAMINER S REPORT TO THE TRUSTEES 

## Year ended 31 December 2023 

f 

I report to the Trustees on my examination of the accounts of the Chartered Society for Physiotherapists Charitable Trust for the year ended 31[st] December 2023 which are set out on pages 21 to 33. 

## **Respective responsibilities of trustees and examiner** 

The trustees are responsible for the preparation of the accounts in accordance with the requirements of the under section 144(2) of the Charities Act 2011 (the 2011 Act) and have chosen instead to have an independent examination. 

Act and section 145 of the 2011 Act. In carrying out my examination I have followed the requirements of the applicable Directions given by the Charity Commission under section 145(5)(b) of the 2011 Act. 

Since the charity has prepared its accounts on an accruals basis your examiner must be a member of a body listed in (the 2011 Act), I can confirm that I am qualified to undertake the examination because I am a registered member of the Institute of Chartered Accountants for England and Wales which is one of the listed bodies. 

I have completed my examination. I confirm that no matters have come to my attention giving me cause to believe that in any material respect: 

1. accounting records were not kept in respect of the charity as required by section 130 of the 2011 Act; or 

2. the accounts do not accord with those records; or 

3. the accounts do not comply with the applicable 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. 


Richard Weaver, Haysmacintyre LLP, Institute of Chartered Accountants for England and Wales 10 Queen Street Place London EC4R 1AG 

17 June 2024 

20 



## The Chartered Society of Physiotherapy Charitable Trust 

## STATEMENT OF FINANCIAL ACTIVITIES 

## Year ended 31 December 2023 

f 

|**Note**<br>**Income from:**<br>Donations<br>Investments<br>2<br>**Total**<br>**Expenditure on:**<br>Charitable activities<br>3<br>Research<br>Education<br>Innovation<br>**Total**<br>**Gains / (Losses) on**<br>**investment assets**<br>5<br>**Net Income /**<br>**(expenditure)**<br>**Transfers between funds**<br>9<br>**Net movement in funds**<br>**Funds brought forwards**<br>9<br>**Funds carried forwards**<br>9|**Unres-**<br>**tricted**<br>**funds**<br>**Restric-**<br>**ted funds**<br>**Endow-**<br>**ment**<br>**funds**<br>**Total**<br>**funds**<br>**Total**<br>**funds**<br>**2023**<br>**2023**<br>**2023**<br>**2023**<br>**2022**<br>£<br>£<br>£<br>£<br>£<br>13,133<br>-<br>-<br>13,133<br>13,823<br>103,418<br>40,777<br>-<br>144,195<br>122,593|
|---|---|
||116,551<br>40,777<br>-<br>157,328<br>136,416<br>(273,984)<br>(791)<br>(648)<br>(275,423)<br>(163,944)<br>(572,287)<br>-<br>-<br>(572,287)<br>(121,082)<br>(169,828)<br>-<br>-<br>(169,828)<br>(19,509)<br>-<br>-|
||(1,016,099)<br>(791)<br>(648)<br>(1,017,538)<br>(304,535)<br>75,973<br>34,101<br>7,658<br>117,732<br>(651,595)|
||(823,575)<br>74,087<br>7,010<br>(742,478)<br>(819,714)<br>1,493<br>(1,493)<br>-<br>-<br>-|
||(822,082)<br>72,594<br>7,010<br>(742,478)<br>(819,714)|
|||
||2,093,545<br>2,074,419<br>325,638<br>4,493,602<br>5,313,316|
||1,271,463<br>2,147,013<br>332,648<br>3,751,124<br>4,493,602|



21 



## The Chartered Society of Physiotherapy Charitable Trust 

## BALANCE SHEET 

## Year ended 31 December 2023 

|**Note**<br>**Fixed assets:**<br>Investments<br>5<br>**Current assets:**<br>Bank and cash<br>Debtors<br>6<br>**Current liabilities:**<br>Creditors falling due within<br>one year<br>7<br>**Net current liabilities**<br>Creditors falling due in more<br>than 1 year<br>7<br>**Total assets less liabilities**<br>**The funds of the charity:**<br>9<br>Unrestricted funds<br>Restricted funds<br>Endowment funds<br>**Total funds**|c<br>**Total funds**<br>**Total funds**<br>**2023**<br>**2022**<br>£<br>£<br>4,812,274<br>5,204,431<br>347,874<br>141,497<br>12,822<br>113,265|
|---|---|
||360,696<br>254,762<br>(1,148,762)<br>(493,230)|
||(788,066)<br>(238,468)<br>(273,084)<br>(472,361)|
||3,751,124<br>4,493,602<br>1,271,463<br>2,093,545<br>2,147,013<br>2,074,419<br>332,648<br>325,638|
||3,751,124<br>4,493,602|



The financial statements on pages 21 to 33 were approved on behalf of the Board and authorised for issue on 13 June 2024 

On behalf of the Board of Trustees 


Jo Jackson Chair of Trustees 

22 



## The Chartered Society of Physiotherapy Charitable Trust 

## NOTES TO THE FINANCIAL STATEMENTS 

## Year ended 31 December 2023 

f 

## 1. **Accounting policies** 

## **Basis of accounting** 

The financial statements are prepared under the historical cost convention as modified by the inclusion of investments at market value. In preparing the financial statements the charity follows best practice as laid down accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS102) and the Charities Act 2011. 

The Charitable Trust constitutes a public benefit entity as defined by FRS 102. 

## **Going Concern** 

The financial statements have been prepared on a going concern basis. The decision to adopt this basis arises from The Trustees have undertaken a strategic initiative to transition towards closure over the next 3-4 years. The CIO will manage the orderly wind-down of operations, ensuring the fulfilment of outstanding commitments, and the responsible distribution of assets in accordance with the charitable objectives. At 31 December 2023 the CIO has a strong balance sheet to support its operation over the next 2 years. The CIO holds significant reserves in the form of its total investment portfolio. A forecasting exercise has shown that these reserves would be sufficient to continue current levels of expenditure in the short term at least until the end of 2025 even with a significant fall in portfolio 

## **Donations and other income** 

Donations and other income are accounted for when the Trust is entitled to receipt of the funds, receipt is probable and the amount can be measured reliably. 

## **Investment income** 

Investment income is accounted for in the period in which the Trust is entitled to receipt of the funds, receipt is probable and the amount can be measured reliably. 

## **Expenditure** 

Costs of raising funds are accrued on the basis of the terms of the agreement with the fundraising contractor. 

Grants payable are payments made to third parties in the furtherance of the charitable objects of the Trust and are charged in the year when the offer is conveyed to the recipient and any conditions attached to the grant have been met.  Grant liabilities are reversed when a recipient confirms that they no longer intend to draw down remaining funds.  Grant liabilities are reflected as due within one year or greater than one year based on expected drawdown as set out in grant agreements. Grants offered without condition are reflected when the offer has been agreed by the trustees and conveyed to the recipient.  Amounts due within greater than one year are not discounted because the timing element is not enforceable. 

Management & Administration costs comprise the costs incurred by the charity in its day-to-day operations.  This primarily consists of the costs of CSP sta 

objects. 

## **Investments** 

Investments are included at closing bid-price at the balance sheet date. Any gain or loss on revaluation is taken to the Statement of Financial Activities. 

23 



## The Chartered Society of Physiotherapy Charitable Trust 

## NOTES TO THE FINANCIAL STATEMENTS (Continued) 

## Year ended 31 December 2023 

c 

## **Fund accounting** 

The details of the nature and purpose of each fund are set out in note 9. 

## **Financial instruments** 

full to its financial instruments. 

## **Financial assets and liabilities** 

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

A financial asset or financial liability that is payable or receivable in one year is measured at the undiscounted amount expected to be received or paid net of impairment, unless it is a financing transaction. 

|**2**<br>**Investment income**<br>Deposit interest<br>Royalty income<br>Dividend income<br>**Prior period**<br>Deposit interest<br>Royalty income<br>Dividend income|**Unrestricted**<br>**Restricted**<br>**Endowed**<br>**2023**<br>£<br>£<br>£<br>£<br>1,755<br>-<br>-<br>1,755<br>109<br>-<br>-<br>109<br>101,554<br>40,777<br>-<br>142,331|
|---|---|
||103,418<br>40,777<br>-<br>144,195<br>**Unrestricted**<br>**Restricted**<br>**Endowed**<br>**2022**<br>£<br>£<br>£<br>£<br>69<br>-<br>-<br>69<br>67<br>-<br>-<br>67<br>87,523<br>34,934<br>-<br>122,457|
||87,659<br>34,934<br>-<br>122,593|



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24 



## The Chartered Society of Physiotherapy Charitable Trust 

NOTES TO THE FINANCIAL STATEMENTS (Continued) 

## Year ended 31 December 2023 

c 

## **3 Expenditure** 

|**Expenditure**||
|---|---|
|Research<br>Education<br>Innovation|**Grants**<br>**Governance and**<br>**support**<br>**2023**<br>£<br>£<br>£<br>195,565<br>79,858<br>275,423<br>512,394<br>59,893<br>572,287<br>149,864<br>19,964<br>169,828|
||857,823<br>159,715<br>1,017,538|



|**Grants**<br>**Prior period**<br>£<br>Research<br>85,910<br>Education<br>62,557<br>Innovation<br>-<br>148,467<br>**Governance and support**<br>Examination fee<br>Other fees payable to the Examination firm<br>Legal and professional<br>Management & Administration<br>Governance costs<br>**Movement in grants**<br>Brought forward<br>Authorised<br>Cancelled<br>Paid<br>Carried forward|**Grants**<br>£<br>85,910<br>62,557<br>-|**Governance and**<br>**support**<br>**2022**<br>£<br>£<br>78,034<br>163,944<br>58,525<br>121,082<br>19,509<br>19,509|**Governance and**<br>**support**<br>**2022**<br>£<br>£<br>78,034<br>163,944<br>58,525<br>121,082<br>19,509<br>19,509|
|---|---|---|---|
||148,467||156,068<br>304,535|
||||**2023**<br>**2022**<br>£<br>£<br>3,521<br>6,000<br>1,800<br>3,600<br>954<br>6,576<br>149,815<br>137,697<br>3,625<br>2,195|
||||159,715<br>156,068<br>**2023**<br>**2022**<br>£<br>£<br>869,531<br>1,182,010<br>936,727<br>153,525<br>(78,904)<br>(5,058)|
||||1,727,354<br>1,330,477<br>(358,746)<br>(460,946)|
||||1,368,608<br>869,531|



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25 



## The Chartered Society of Physiotherapy Charitable Trust 

NOTES TO THE FINANCIAL STATEMENTS (Continued) 

## Year ended 31 December 2023 

|r ended 31 December 2023||
|---|---|
|Grants expended can be analysed as follows:<br>to institutions<br>to individuals|c<br>**2023**<br>**2022**<br>**£**<br>**£**<br>662,258<br>85,910<br>195,565<br>62,557|
||857,823<br>148,467|



Grants are made to institutions and individuals in two broad categories: education and research.  The beneficiaries of grants awarded are ultimately those who will receive services and treatment from a chartered physiotherapist. Those services may be indirectly or directly provided. These Grants are awarded on the basis that applications are 

Grants are acknowledged in the Statement of Financial Activities upon approval by the Trustees and notification to beneficiaries. They are divided into amounts due within one year and those due after more than one year, based on the anticipated payment schedule. In the event of grant cancellations, approved cancellations are reflected in the Statement of Financial Activities. 

The charity has taken the exemption available under charity law from providing the names of grant recipients and the amounts of such grants during the lifetime of the settlor who donated the funds from which the grants are paid or during the lifetime of any spouse or civil partner of the settlor. 

During the year grants totalling £531,868 (2022 - £89,324) were awarded f or the Physiotherapy Research Foundation. 

Education awards of £195,565 were made to 62 individuals (2022 - £62,557 were made to 53). 

## **4 Employees and Trustees** 

No staff are employed directly by the Trust. All management and administrative activities are undertaken by CSP and recharged to the Trust. 

No Trustees were reimbursed travel and accommodation expenses from the Trust (2022 £195 for two Trustees). 

No Trustee received remuneration from the Trust in 2023 or 2022. 

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26 



## The Chartered Society of Physiotherapy Charitable Trust 

## NOTES TO THE FINANCIAL STATEMENTS (Continued) Year ended 31 December 2023 

c 

## **5 Investments** 

Listed investments: fair value 

|Market Value at 1 January<br>Disposals/ transfers<br>Management fee<br>Cash withdrawals<br>gain / (loss) on revaluation<br>Market Value at 31 December<br>Of which was cash<br>Of which was listed shares<br>Historical Cost at 31 December<br>**6**<br>**Debtors**<br>Accrued income<br>Other debtors<br>Prepayments<br>**7**<br>**Creditors**<br>Amounts falling due in less than one year:<br>Trade creditors<br>Grants payable<br>Accruals<br>Amounts falling due in more than one year<br>Grants payable||**2023**<br>**2022**<br>£<br>£<br>5,204,431<br>5,866,934<br>-<br>(2,170)<br>(9,869)<br>(10,908)<br>(500,020)<br>117,732<br>(649,425)|
|---|---|---|
|||4,812,274<br>5,204,431<br>126<br>504,217<br>4,812,148<br>4,700,214<br>3,049,938<br>4,450,614<br>**2023**<br>**£**<br>**2022**<br>**£**<br>12,614<br>49,024<br>-<br>64,241<br>208<br>-<br>12,822<br>113,265<br>**2023**<br>**£**<br>**2022**<br>**£**<br>34,503<br>1,923<br>1,095,525<br>397,171<br>18,734<br>94,136<br>1,148,762<br>493,230<br>273,084<br>472,361<br>273,084<br>472,361|
||||



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27 



## The Chartered Society of Physiotherapy Charitable Trust NOTES TO THE FINANCIAL STATEMENTS (Continued) Year ended 31 December 2023 


**----- Start of picture text -----**<br>
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## **8 Financial instruments** 

The carrying amount of the entity's financial instruments at 31 December were: 

||**2023**|**2022**|
|---|---|---|
||**£**|**£**|
|Financial assets held at fair value|5,160,148|5,345,929|
|Financial assets held at amortised cost|12,822|113,265|
|Financial liabilities held at amortised cost|1,421,846|965,591|



Financial assets held at fair value comprise fixed asset investments and cash, for which market value is taken as fair value. 

Income, expenses and changes in fair value relating to fixed asset investments are given in the Statement of Financial Activities. 

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## The Chartered Society of Physiotherapy Charitable Trust 

## NOTES TO THE FINANCIAL STATEMENTS (Continued) 

## Year ended 31 December 2023 

c 

## **9 Funds** 

|||||Gains on||**At 31**|
|---|---|---|---|---|---|---|
||At 1 January|||investment|Inter-fund|**December**|
||2023|Income|Expenditure|assets|transfers|**2023**|
||£|£|£|£|£|**£**|
|**Unrestricted funds**|||||||
|General fund|2,093,545|116,551|(1,016,099)|75,973|1,493|**1,271,463**|
|**Restricted funds**|||||||
|Nancie Finnie<br>Research Fund|1,830,917|40,777|(2,284)|34,101|-|**1,903,511**|
|Chartered Society of|||||||
|Physiotherapy -|||||||
|Regional|243,502|-|-|-|-|**243,502**|
|Physiotherapy|||||||
|Projects|||||||
|Other restricted funds|||1,493||(1,493)||
|**Total restricted**<br>**funds**|2,074,419|40,777|(791)|34,101|(1,493)|**2,147,013**|
|**Endowment funds**|||||||
|Mary Gibson Fund|325,638|-|(648)|7,658|-|**332,648**|
|**Total funds**|**4,493,602**|**157,328**|**(1,017,538)**|**117,732**|**-**|**3,751,124**|



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## The Chartered Society of Physiotherapy Charitable Trust 

## NOTES TO THE FINANCIAL STATEMENTS (Continued) 

## Year ended 31 December 2023 

c 

## **9 Funds (continued)** 

|Prior period|||||||
|---|---|---|---|---|---|---|
||At 21|||Gains on||At 31|
||December|||investment|Inter-fund|December|
||2021|Income|Expenditure|assets|transfers|2022|
||£|£|£|£|£|£|
|**Unrestricted funds**|||||||
|General fund|2,698,665|101,482|(304,954)|(401,648)|-|2,093,545|
|**Restricted funds**|||||||
|Nancie Finnie<br>Research Fund|1,998,991|34,934|1,105|(204,113)|-|1,830,917|
|Chartered Society of|||||||
|Physiotherapy -|||||||
|Regional|243,502|-|-|-|-|243,502|
|Physiotherapy|||||||
|Projects|||||||
|**Total restricted**<br>**funds**|2,242,493|34,934|1,105|(204,113)|-|2,074,419|
|**Endowment funds**|||||||
|Mary Gibson Fund|372,158|-|(686)|(45,834)|-|325,638|
|**Total funds**|**5,313,316**|**136,416**|**(304,535)**|**(651,595)**|**-**|**4,493,602**|



## **Unrestricted funds** 

Unrestricted funds comprise those funds which the Trustees are free to use in accordance with the charitable objects. 

## **Restricted funds** 

Restricted funds are those funds which must be spent as income on the particular purposes specified by the donor. 

Nancie Finnie Research Fund provides research into effective physiotherapy treatments for the relief of children suffering from brain damage or other mental or physical handicap at birth and the dissemination of the results to the public. 

The Chartered Society of Physiotherapy Project Funds are restricted funds received from the CSP to fund Regional Physiotherapy Projects. As at 2023 these funds have not been committed to specific projects. 

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30 



c 

## The Chartered Society of Physiotherapy Charitable Trust 

NOTES TO THE FINANCIAL STATEMENTS (Continued) 

## Year ended 31 December 2023 

## **Endowment funds** 

Endowment funds represent those assets, which must be held permanently by the charity, principally investments. Income arising on the endowment fund can be used in accordance with the objects of the charity and is included as unrestricted income. 

The Mary Gibson Fund provides an annual award to supplements to amounts available for Physiotherapy Research Foundation. 

Any capital gains or losses arising on the investments form part of the fund. Investment management charges and legal advice relating to the fund are charged against the fund. 

## **10 Analysis of net assets between funds** 

|**Current year**<br>Investments<br>Current assets<br>Current liabilities<br>Non-current liabilities|**Unrestricted**<br>**£**<br>**Restricted**<br>**£**<br>**Endowment**<br>**£**<br>**2023**<br>**£**<br>2,998,429<br>1,481,197<br>332,648<br>4,812,274<br>(431,804)<br>792,500<br>-<br>360,696<br>(1,023,278)<br>(125,484)<br>-<br>(1,148,762)<br>(271,884)<br>(1,200)<br>-<br>(273,084)|
|---|---|
||1,271,463<br>2,147,013<br>332,648<br>3,751,124|



|**Prior period**<br>Investments<br>Current assets<br>Current liabilities<br>Non-current liabilities|**Unrestricted**<br>**£**<br>**Restricted**<br>**£**<br>**Endowment**<br>**£**<br>**2022**<br>**£**<br>3,428,812<br>1,449,981<br>325,638<br>5,204,431<br>(472,185)<br>726,947<br>-<br>254,762<br>(422,125)<br>(71,105)<br>-<br>(493,230)<br>(440,957)<br>(31,404)<br>-<br>(472,361)|
|---|---|
||2,093,545<br>2,074,419<br>325,638<br>4,493,602|



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31 



NOTES TO THE FINANCIAL STATEMENTS (Continued) Year ended 31 December 2023 

## The Chartered Society of Physiotherapy Charitable Trust 

c 

## **11 Prior period comparative Statement of Financial Activities** 

|**Income from:**<br>Donations<br>Investments<br>**Total**<br>**Expenditure on:**<br>Charitable activities<br>Research<br>Education<br>Innovation<br>**Total**<br>**Gains on investment assets**<br>**Net (expenditure) / income**<br>**Transfers between funds**<br>**Net movement in funds**<br>**Total funds carried forward**|**Unrestricted**<br>**funds**<br>**Restricted**<br>**funds**<br>**Endowment**<br>**funds**<br>**Total**<br>**funds**<br>**2022**<br>**2022**<br>**2022**<br>**2022**<br>£<br>£<br>£<br>£<br>13,823<br>-<br>-<br>13,823<br>87,659<br>34,934<br>-<br>122,593|
|---|---|
||**101,482**<br>**34,934**<br>**-**<br>**136,416**<br>(164,363)<br>1,105<br>(686)<br>(163,944)<br>(121,082)<br>-<br>-<br>(121,082)<br>(19,509)<br>-<br>-<br>(19,509)|
||**(304,954)**<br>**1,105**<br>**(686)**<br>**(304,535)**<br>(401,648)<br>(204,113)<br>(45,834)<br>(651,595)<br>(605,120)<br>(168,074)<br>(46,520)<br>(819,714)<br>-<br>-<br>-<br>-|
||**(605,120)**<br>**(168,074)**<br>**(46,520)**<br>**(819,714)**|
|||
||2,093,545<br>2,074,419<br>325,638<br>4,493,602|



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32 



c 

## The Chartered Society of Physiotherapy Charitable Trust 

NOTES TO THE FINANCIAL STATEMENTS (Continued) 

## Year ended 31 December 2023 

## **12 Related party transactions** 

|**Related party transactions**|||
|---|---|---|
||**2023**|**2022**|
||£|£|
|Value of Services provided by the Chartered Society of Physiotherapy|||
|(CSP) to the Charity|129,999|126,023|
|Grants paid to the CSP by the Charity|11,900|233,563|
|Amounts owed to the CSP by the Charity at year end|110,854|94,136|



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33 

