
## **Trustees’ Annual Report for the period** 

## **From  1 April 2024 To 31 March 2025** 

## **Charity name: Preoperative Association** 

## **Charity registration number: 1200997** 

## **Objectives and Activities** 

||SORP reference||
|---|---|---|
|Summary of the purposes of<br>the charity as set out in its<br>governing document|Para 1.17|Charitable objects<br>The objects of the society are:<br>The advancement of health for the public<br>benefit through improvements to patient<br>safety by:<br>(a) Education, information and support<br>including the production of<br>evidenced-based guidelines for<br>inter-professional healthcare teams<br>involved in preoperative<br>assessment health checks and<br>ensuring patients fitness for surgery<br>(b) Education in the science and<br>practice of preoperative assessment<br>and medicine by the conduct of a<br>conference, meetings, study days<br>and training events<br>(c) Promoting best practice through<br>research, and the publication of the<br>results such research, audit and<br>consensus|
|Summary of the main<br>activities in relation to those<br>purposes for the public<br>benefit, in particular, the<br>activities, projects or<br>services identified in the<br>accounts.|Para 1.17 and<br>1.19|1) Annual national conference<br>2) The leading providers of preoperative<br>assessment education courses for nurses<br>and AHPs in the UK. We previously ran two<br>foundation courses annually at Chichester<br>and Cheltenham, an additional venue<br>(Cardiff) has been added for 2025 and<br>2026.<br>3) Collaboration with University of West<br>England and launch of the first university<br>accredited level 7 Masters module in<br>preoperative assessment in October 2024.<br>This was successfully delivered, all except<br>1 student passed. The course will run<br>annually, with the next module planned for<br>September 2025.|





|||4) Provision of educational resources<br>through website links, guidelines, and<br>nursing guideline handbooks.<br>5) Launch of the first dedicated course for<br>pharmacists working in preoperative<br>assessment in January 2026<br>6) Launch of online webinars to support<br>education and training, with investment in<br>the digital systems to support delivery of<br>these.<br>7) Formation of an Education Faculty<br>comprising of anaesthetists, nurses and<br>pharmacists to support with the delivery of<br>all courses provided<br>8) Development of an expense policy for<br>transparency and robust financial<br>management<br>9) Marketing strategies to boost<br>membership numbers which has<br>progressively grown to 666 members<br>10) Website development to support<br>membership benefits and engagement,<br>with dedicated members access to<br>guidelines, resources, webinar and<br>conference recordings and presentations.<br>11) Fostering partnerships and continued<br>collaboration with bodies such as The<br>Royal College of Anaesthetists (RCoA),<br>Centre of Perioperative Care (CPOC),<br>Getting It Right First Time (GIRFT),<br>Paediatric Perioperative Care (PPOC) and<br>British Association Of Day Surgery (BADS)<br>12) Building new partnerships with<br>societies such as Welsh Perioperative<br>Medicine Network (W-POMS) and Scottish<br>Perioperative Medicine Society (SPOMS)|
|---|---|---|
|Statement confirming<br>whether the trustees have<br>had regard to the guidance<br>issued by the Charity<br>Commission on public<br>benefit|Para 1.18|Information from GOV.UK website on roles<br>and responsibilities of a charity trustee<br>shared with all trustees including the 5-<br>minute guide for charity trustees.|



**Additional information (optional)** You may choose to include further statements where relevant about: 

||SORP reference||
|---|---|---|
|Policy on grant making|Para 1.38|We don’t currently offer grants, however<br>due to our current financial position we will<br>be looking to offer research and education<br>grants in 2025, subject to a ratified policy<br>on grants. Agreement to offer up to £5,000<br>in grants, expected to launch September-<br>October 2025.|
|Policy on social investment<br>including program related<br>investment|Para 1.38|NA|





||||
|---|---|---|
|Contribution made by<br>volunteers|Para 1.38|All trustees hold voluntary positions<br>including attending regular board meetings,<br>AGM, organising and running the annual<br>conference, teaching on study days,<br>webinars, educational days and the<br>everyday running of the charity such as<br>those tasks undertaken by secretary and<br>treasurer.|
|Other||Payments may be made to Board members<br>to facilitate delivery of educational courses<br>at the discretion of the Board of Trustees|



## **Achievements and Performance** 

||SORP reference||
|---|---|---|
|Summary of the main<br>achievements of the charity,<br>identifying the difference the<br>charity’s work has made to<br>the circumstances of its<br>beneficiaries and any wider<br>benefits to society as a<br>whole.|Para 1.20|Partnership agreement with Centre of<br>Perioperative Care (CPOC); working<br>together we can support advanced multi-<br>professional training in perioperative<br>medicine and developing and updating<br>national guidelines<br>Masters module launched and successfully<br>delivered in October 2024<br>Pharmacist course launch in January 2025<br>Expansion of the foundation course to 3 UK<br>sites; new site Cardiff from 2025<br>Launch of online webinars to support<br>education and training initiatives|



## **Additional information (optional)** You may choose to include further statements where relevant about: 

|Achievements against<br>objectives set|Para 1.41|We have achieved all current objectives as<br>above.|
|---|---|---|
|Performance of fundraising<br>activities against objectives<br>set|Para 1.41|Meeting fundraising targets which will allow<br>further reinvestment into educational<br>resources and grants.|
|Investment performance<br>against objectives|Para 1.41|From the profits, investments have been<br>made e.g. developing and upgrading our<br>educational resources and purchasing an<br>expense management software to|





streamline our financial operational processes. Other 



## **Financial Review** 

|**Financial Review**|||
|---|---|---|
|Review of the charity’s<br>financial position at the end<br>of the period|Para 1.21|See summary of end of year accounts|
|Statement explaining the<br>policy for holding reserves<br>stating why they are held|Para 1.22|Any monies above the FSCS limit £85K will<br>be held in a savings account/reinvested.<br>An account with Shawbrook was opened in<br>May 2025. Further investment will be made<br>into an additional savings account.|
|Amount of reserves held|Para 1.22|See summary of end of year accounts|
|Reasons for holding zero<br>reserves|Para 1.22|NA|
|Details of fund materially in<br>deficit|Para 1.24|NA|
|Explanation of any<br>uncertainties about the<br>charity continuing as a going<br>concern|Para 1.23|NA|



|**Additional information (optional)**<br>You may choose to include further statements|**Additional information (optional)**<br>You may choose to include further statements|where relevant about:|
|---|---|---|
|The charity’s principal<br>sources of funds (including<br>any fundraising)|Para 1.47|As above para 1.19|
|Investment policy and<br>objectives including any<br>social investment policy<br>adopted|Para 1.46|As above para 1.22; 1.38; 1.41|
|A description of the principal<br>risks facing the charity|Para 1.46|Competition from external organisations<br>conflicting with our delivery of nurse<br>education – available as chargeable and<br>free courses<br>All trustees are volunteers<br>Lack of resilience for delivery of education<br>courses therefore forming and expanding<br>an education faculty|
|Other|||





## **Structure, Governance and Management** 

|Description of charity’s<br>trusts:|||
|---|---|---|
|Type of governing document<br>(trust deed, royal charter)|Para 1.25|CIO constitution|
|How is the charity<br>constituted?<br>(e.g unincorporated<br>association, CIO)|Para 1.25|CIO|
|Trustee selection methods<br>including details of any<br>constitutional provisions e.g.<br>election to post or name of<br>any person or body entitled<br>to appoint one or more<br>trustees|Para 1.25|Advert<br>CV – distributed to board for review<br>Shortlist<br>Interview by 2 members of board|



## **Additional information (optional)** You may choose to include further statements where relevant about: 

|Policies and procedures<br>adopted for the induction<br>and training of trustees|Para 1.51||
|---|---|---|
|The charity’s organisational<br>structure and any wider<br>network with which the<br>charity works|Para 1.51||
|Relationship with any related<br>parties|Para 1.51||
|Other|||



## **Reference and Administrative details** 

|Charity name|The Preoperative Association|
|---|---|
|Other name the charity uses|N/A|
|Registered charity number|1200997|
|Charity’s principal address|Unit 9, Hydra Business Park, Nether Lane, Sheffield, S35<br>9ZX|
|||





## **Names of the charity trustees who manage the charity** 

|1<br>2<br>3<br>4<br>5<br>6<br>7<br>8<br>9<br>10<br>11<br>12<br>13<br>14<br>15<br>16<br>17<br>18<br>19<br>20|**Trustee name**|**Office (if any)**|**Dates acted if not for whole**<br>**year **|**Name of person (or body) entitled**<br>**to appoint trustee (ifany)**|
|---|---|---|---|---|
||Anjna Patel|President||Preoperative Association<br>board|
||Henry Murdoch|Past President||Preoperative Association<br>board|
||Cathryn Eitel|Secretary||Preoperative Association<br>board|
||Claire Robards|Treasurer||Preoperative Association<br>board|
||Simon Lewis|Trustee||Preoperative Association<br>board|
||Rob Hill|Trustee||Preoperative Association<br>board|
||Christina Reihill|Trustee||Preoperative Association<br>board|
||Sarah Tinsley|Trustee|04.06.25-to date|Preoperative Association<br>board|
||James Durrand|Trainee<br>Representative|01.04.24-01.10.24|Preoperative Association<br>board|
||Nisha Sriram|Trainee<br>Representative|24.09.24-to date|Preoperative Association<br>board|
||||||
||||||
||||||
||||||
||||||
||||||
||||||
||||||
||||||
||||||



– Corporate trustees names of the directors at the date the report was approved 

**Director name NA** 

Name of trustees holding title to property belonging to the charity 

|**Trustee name**|**Dates acted if not for whole year**||
|---|---|---|
|**NA**|||
||||
||||
||||
||||





## **Funds held as custodian trustees on behalf of others** 

|Description of the assets<br>held in this capacity|NA|
|---|---|
|Name and objects of the<br>charity on whose behalf the<br>assets are held and how this<br>falls within the custodian<br>charity’s objects|NA|
|Details of arrangements for<br>safe custody and<br>segregation of such assets<br>from the charity’s own<br>assets|NA|



## **Additional information (optional)** 

## **Names and addresses of advisers (Optional information)** 

|**Names and addresses of advisers (Optional information)**|**Names and addresses of advisers (Optional information)**|**Names and addresses of advisers (Optional information)**|
|---|---|---|
|**Type of**<br>**adviser**<br>**Name**<br>**Address**|||
|Accountant|Prime<br>Accountants<br>Group.|5 Argosy Court, Scimitar Way, Whitley Business Park,<br>Coventry, CV3 4GA|
||||
||||
||||



**Name of chief executive or names of senior staff members (Optional information)** 

## **Exemptions from disclosure** 

Reason for non-disclosure of key personnel details 

**NA** 

## **Other optional information** 

**NA** 



## **Declarations** 

**The trustees declare that they have approved the trustees’ report above.** 

**Signed on behalf of the charity’s trustees** 

**Signature(s) Full name(s)** Anjna Patel **Position (eg Secretary,** President **Chair, etc) Date** 06/11/2025 




**The Preoperative Association 1200997 Receipts and payments accounts For the period** 1.4.24 31.03.25 **To from** 

## **CC16a** 

## **Section A Receipts and payments** 

|**A1 Receipts**|**Unrestricted**<br>**funds**<br>**to the nearest**<br>**£**<br>**36,915**<br>**72,260**<br>**10,077**<br>**38,038**<br>**849**<br>**990**<br>**14,224**<br>**1,305**<br>**-   # **<br>**-**<br>**-**<br>**1,264**<br>**175,922**|**Restricted**<br>**funds**<br>**to the nearest £**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br> **-**<br>**-**<br>**-**<br>**-**|**Endowment**<br>**funds**<br>**to the nearest £**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**|**Total funds**<br>**to the nearest £**<br>**36,915**<br>**72,260**<br>**10,077**<br>**38,038**<br>**849**<br>**990**<br>**14,224**<br>**1,305**<br>**-**<br>**-**<br>**-**<br>**1,264**<br>**175,922**|**Last period**<br>**to the nearest £**|
|---|---|---|---|---|---|
|Foundation course delegate fees|**36,915**||||**55,011**|
|Conference delegate fees|**72,260**||||**20,733**|
|Conference trade stand fees|**10,077**||||**12,100**|
|EMD reconcilliation|**38,038**||||**59,894**|
|Interest|**849**||||**463**|
|Miscellaneous income|**990**||||**-**|
|Stripe membershipincome|**14,224**||||**5,802**|
|Sale nursing guidelines|**1,305**||||**311**|
|Insurance for cancelled conference|**-**||||**34,041**|
|AAGBI|**-**||||**8,572**|
|Consultingcosts|**-**||||**440**|
|Refunds|**1,264**|||||
||**175,922**||||**197,367**|
|||||||



## _**Sub total** (Gross income for AR)_ 

|**_Sub total_**_(Gr_|_oss income for AR)_||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|||**-**||**-**|||**-**|||**-**|||
|**A2 Asset and investment sales,**|||||||||||||
|**(see table).**||**-**||**-**|||**-**|||**-**||**-**|
|||**-**||**-**|||**-**|||**-**||**-**|
||||||||||||||
||**_Sub total _**|**175,922**|||**-**|||**-**||**175,922**||**197,367**|



## _**Total receipts**_ 

## **A3 Payments** 

|**A3 Payments**||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|Foundation course expenses|**12,028**||**-**||||**-**||||**12,028**||**3,463**|
|Website & marketing|**18,076**||**-**||||**-**||||**18,076**||**11,441**|
|AAGBI admin invoices|**5,207**||**-**||||**-**||||**5,207**||**8,695**|
|EMD monthlyconference invoices|**8,276**||**-**||||**-**||||**8,276**||**11,532**|
|MSc course expenses|**4,243**||**-**||||**-**||||**4,243**||**3,661**|
|EMD course fees|**3,924**||**-**||||**-**||||**3,924**||**9,704**|
|Board member expenses|**55**||||||||||**55**||**210**|
|Conference board & speaker expenses|**2,711**||||||||||**2,711**||**4,055**|
|Stripe|**-**||**-**||||**-**||||**-**||**21**|
|Conference Invoices|**31,123**||||||||||**31,123**||**119,598**|
|Refunds|**275**||**-**||||**-**||||**275**||**-**|
||**85,918**||**-**||||**-**||||**85,918**||**172,380**|
|||||||||||||||
|||||||||||||||
|**_Sub total_ **|**-**||**-**||||**-**||||**-**|||
||**-**||**-**||||**-**||||**-**|||
|**A4 Asset and investment**||||||||||||||
|**purchases, (see table)**|**-**||**-**||||**-**||||**-**||**-**|
|||||||||||||||
|||||**-**||||**-**|||||**172,380**|
|**_Sub total_**||||||||||||||
|**_Total payments_**|**85,918**||||**-**||||**-**||**85,918**||**24,987**|
||**-**||||**-**||**-**||||**-**||**-**|
||**-**||||**-**||**-**||||**-**||**-**|
|**_Net of receipts/(payments)_**|**90,004**||||**-**||||**-**||**90,004**||**24,987**|
|**A5 Transfers between funds**|**-**||||**-**||**-**||||**-**||**-**|
|**A6 Cash funds last year end**|**183,741**||||**-**||**-**||||**183,741**||**158,754**|



CCXX R1 accounts (SS) 

30/09/2025 

1 



|**_Cash funds this year end_**|**273,745**||**-**||**-**||**273,745**||**183,741**|
|---|---|---|---|---|---|---|---|---|---|
||||||**Unrestricted**||**Restricted**||**Endowment**|
||**Details**||||**funds**||**funds**||**funds**|
||||||**to nearest £**||**to nearest £**||**to nearest £**|
|**Section B Statement ofa**|||||**-**||**-**||**-**|
|**Categories**|||||**-**||**-**||**-**|
||||||**-**||**-**||**-**|
|**B1 Cash funds**|**_Total cash funds_**||||**273,745**||**-**||**-**|
||(agree balances with receipts and payments|||||||||
||||account(s))||OK||OK||OK|
||||||**Unrestricted**||**Restricted**||**Endowment**|
||||||**funds**||**funds**||**funds**|
||**Details**||||**to nearest £**||**to nearest £**||**to nearest £**|
||||||**-**||**-**||**-**|
||||||**-**||**-**||**-**|
||||||**-**||**-**||**-**|
|**B2 Other monetary assets**|||||**-**||**-**||**-**|
||||||**-**||**-**||**-**|
||||||**-**||**-**||**-**|
||**Details**||||**Fund to which**<br>**asset belongs**||**Cost (optional)**||**Current value**<br>**(optional)**|
||||||||**-**||**-**|
||||||||**-**||**-**|
||||||||**-**||**-**|
|**B3 Investment assets**|||||||**-**||**-**|
||||||||**-**||**-**|
||**Details**||||**Fund to which**<br>**asset belongs**||**Cost (optional)**||**Current value**<br>**(optional)**|
||||||||**-**||**-**|
||||||||**-**||**-**|
||||||||**-**||**-**|
|**B4 Assets retained for the**|||||||**-**||**-**|
|**charity’s own use**|||||||**-**||**-**|
||||||||**-**||**-**|
||||||||**-**||**-**|
||||||||**-**||**-**|
||||||||**-**||**-**|
||||||**Fund to which**||**Amount due**||**When due**|
||**Details**||||**liability relates**||**(optional)**||**(optional)**|
||||||||**-**|||
||||||||**-**|||
||||||||**-**|||
|**B5 Liabilities**|||||||**-**|||
||||||||**-**|||
||Signature||||Print|Name|||Date of<br>approval|
||||||Anjna Patel (President)||||06/11/2025|
|||||||||||



CCXX R2 accounts (SS) 

30/09/2025 

2 




## **Independent examiner's report on the accounts** 

## **Section A                        Independent Examiner’s Report** 

**Report to the trustees/** Charity Name **members of** Preoperative Association **On accounts for the year** 31 March 2025 **Charity no** 1200997 **ended (if any)** 

I report to the trustees on my examination of the accounts of the above charity (“the Trust”) for the year ended 31 / 03 / 2025. 

**Responsibilities and** As the charity trustees of the Trust, you are responsible for the preparation **basis of report** of the accounts in accordance with the requirements of the Charities Act 2011 (“the Act”). 

I report in respect of my examination of the Trust’s accounts carried out under section 145 of the 2011 Act and in carrying out my examination, I have followed the applicable Directions given by the Charity Commission under section 145(5)(b) of the Act. 

## **Independent examiner's statement** 

I have completed my examination.  I confirm that no material matters have come to my attention in connection with the examination which gives me cause to believe that in, any material respect: 

- accounting records were not kept in accordance with section 130 of the Act or 

- the accounts do not accord with the accounting records 

I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in order to enable a proper understanding of the accounts to be reached. 

**Signed: Date:** 15 December 2025 **Name:** Jeremy Kitson **Relevant professional** FCA **qualification(s) or body (if any):** 

**Address:** Prime Chartered Accountants Corner Oak, 1 Homer Road Solihull West Midlands B91 3QG 

**October 2018** 

**IER** 

1 

