www.rcr.ac.uk
RCR
The Royal College of Radickngists
Trustees, report
and financial
statements
forthe year ended
31 December2022
August 2023

Contents
1 Trustees, report
Reference and administrative details of the
College, its trustees and admsew lor the year
ended 31 December 2022
StrLJCture, governance and management
Objects and activities
Strategic report
Financial report
Financi21 review
16
Responsibililies of the trustees
2 Independent auditor's report to the Iklembers of
The Royal College of Radiologists
3 Consolidated statement ol financial activities
19
22
25
4 Consolidated and charity balance sheets as at 31
December 2022
26
5 Consolidated statement ol cash flows as at 30
December 2022
28
6 Notes to the financial stalements fortheyear
ended 31 December2022
29

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Trusrees, reportand financial st81emenTS
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Reference and administrative details of the College, its trustees and advisers for
theyear ended 31 December2022
Trustees, report
Officers
On 31 Dec 2022
To31 August2022
President
Dr Katharine Halliday
Dr jeanette Dickson
Medical Director,
Membershipand
Business
Drjulian Elford
Drlulian Ellord
Vice-Presidents
DrWH R8m8den, clinical
radiology
DrTW RoqLJes, clinical
oncology
Dr WH Ramsden, clinical
radiology
Dr H Tharmalingam, clinical
oncology
Medical Director,
Education and Training
Dr R Cooper, clinical
oncology
Dr Priya SLJresh, clinical
radiology
Dr R Cooper, clinical
oncology
Dr Stephen Harden, clinical
radiolo
Medical Director,
Professional Practice
Dr Raman Uberoi, clinical
radiology
Dr NickyThorp, clinical
oncology
Dr Raman Uberoi, clinical
radiology
Dr NickyThorp, clinical
oncology
Charity number
211540
Registered office
and address
63 Lincoln's Inn Fields
LondonWC2A3JW
Key management roles
O Reichardt, Chief Executive
TE Vanburen, Execlrtive Director and Deputy Chief
Executive
DA Boih8, Executr4/e Director
G Malley, Executive Director
Independentauditor
H8ysmacintyre LLP
10 QLJeen Street Place, London EC4R 1 AG
Bankers
National Westminsler Bank
PO Box 2021
10 Marylebone High St￿e1, LondonW1A 1 FH
Solicitors
Shoosmiths
Witan Gate House
500-600 Witan Gate West, Milton Keynes MK9 1 SH
Investment managers
Sarasiri & Partners LLP
luxon House
100 St Paul's Churchyard, London Ec41￿ 8BU

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Trusrees, reportand financial st81emenTS
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The trustees presenttheir report and the audited financial statements forthe period ended
31 December 2022 lor the RCR group, consisting ol a lull year lor The Royal College of
Radiologists IRCRI and the first 11 months of its wholly owned subsidiary, RCR Education
Ltd. Reference and administrative inform8tion set out on pages 4-8 forms part ol thi8 report.
The financial statements complywith current statutory requirements. the Royal Charter
and By-laws ofthe RCR and the Charities Statement of Recommended Practice (Charities
SORPI applicable to charities preparing group accounts in accordance with Financi81
Reporting Standard IFRSI 102.
Structure, governance and management
The Council 18 the governing bodyofthe RCR made up of 18 trustees and fourco-opted
members.
The trLJslee8 of the RCR are the elected Off icer8 (President, Vice-Pre8idents, Medical
Director Education and Training, and Medical Director Professional Pr8¢ticel and the
appointed Medical Director Membership and BLJsiness plLJS five elected UK Fellows from
each faculty. Eligibility requirements and electoral arrangementslor all elected positions are
sel oul in the By-laws and Regulations.
The four co-opted members ofcouncil include the respective chairs of the RCR'S junior
Radiologists, Forum and Oncology Registrars, Forum and iwo lay members. The lay
members are appointed following adverlisemenl and an interview process and seNe on
Council and on each faculty board forthree years.
Council members are required to complete or update iheir entry in a mandatory register of
interests.
Council is responsible forihe governance of the RCR consistent with the objects defined in
the Royal Charter. Council sets the slrategyfor the RCR and delegates the decisions on and
implementation of specialty-specific policyto the appropriate faculty. Each faculty 18 lèd by
a team of Officers headed by a Vice-President and Is charged under the constitution with
developing its Specialty. The faculties are re8pon8ible to Council lor man8oing the affai￿ of
Iheirfaculiy through the boards and committees.
Trustees
8 Officers
SCR
Fellows
SCO
Fellows
Chalr
JRF
Chalr
2 Lav appointees
Council

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The RCR consulted with members on changes to the structure ofthe trustee board
and creation of an oversight board ol members. The proposals were considered at an
extraordinary general meeting in April 2023 and approved bythe membership on 10 f4lay.
His Majesty King Charle8 approved the Orders in Council on 14 lune 2023, to be effective
from 1 September 2023.
From 1 September 2023 we will create a smallertrustee board (the Board) consisting ol
the Officers and up to four lay trustee8 with specialist skills and experience to ensure the
Iruslees are enabled to lead the organisation. This will replace the existing Council and
Iruslee board. We will recruit up to four trustees in 2023 inclLJding the Treasurer, a new post
with specific experience in financial m*ters. The Board will retain equal representation
ol both faculties and will have ultimate responsibility for the activities and outcomes ol
the College. The College will retain 8 board ol members to scrutinise and constructively
challenge the tru8tee board. Thi8 board of memberg will be called Council.
Induction and training
Trustees are inducted with a combination ol training and briefings on the duties of trustees
and documentation specifitt lo the RCR and also from the Charity Commission leg The
Essentl81 Trustee.. whatyou need lo know ICC311', guidance on charitable purposes and
public benefit", 8 copy of the RCR Charter, ￿-laWS and Regulations., the most recent annual
review,. information on ihe RCR slructures,. the travel and expenses policy,. the RCR strategic
priorities,. and the Compact, the RCR'S statement ol behavioural valLJes.
In addition, the Officers have a tailored induction programme before the start ol the College
year and access to leadership training and coaching programmes throughoul their term of
off ice.
We revise this programme of induction and iraining from time to time to ensure trustees
are properlysupported in fulfilling their duties and kept informed on new requirements and
standards.
Board structure
Fixmd Structu￿8
Council
Faculty ICO & CRI
Finance 4nd Investment
Committe
I Professional Support
| and Standards Board
SpecialtyTraining Board
/Athsc¥y groups
Senior LeadÈ15hip
Te3m
Working Partie5
Other Cornmittee5

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Each faculty is led bya faculty board to which reports a specialtytraining board and a
professional support and standards board. Other committees and working groups are used
from time tolime.
The Finance and Investment Committee IFAICI is responsible on behalf of Council for
ensuring that resource and business planning and deliveryfor the RCR supports and
enables achievement of the RCR strategic priorities. The FAIC is led bythe Medical Director,
Membership and Business and inclLJdes two18y members with expertise in business
planning, risk management and performance. From 1 September 2023 the FAIC will be led
bytheTreasurer.
Senior leadership teams comprising the Off icers of each faculty and senior staff provide
operational leadership ofthe RCR. These three teams are focused on clinical oncology
8etivitie8. clinic81 radiology activitie8 and RCR-wide activities. The staff of the RCR, headed
bythe chief executive, support, advise and reportto Off icers, Council, the boards and
committees.
RCRgroup a¢tivitie$
RCR Education Ltd
RCR Education Ltd was established in February 2022 as a wholly owned subsidiary of the
charity. The RCR uses the entityto undertake areas 01 its work where thefft are financial
benefits lor the charity of operating a limited company as opposed to a charitable entity. Its
constitution was arranged to ensure thatthe charity retains tight control of the purposes
and operations of the enlityand limits trading to a narrow band ol activities agreed with ihe
charity. The directors of RCR Education are drawn from the employed senior managemenl
team, Officers and a lay member of the FAIC.
RCR Education Ltd will report the financial operations of the global exams and e-learning
activity for the RCR for11 months from l FebrLJ8ry2022.
IQI Ltd
The RCR operates a joint venture project, QSI Accreditation, with the College for
Radiographers ICORI and through this has 500/0 control of a dormant company limited by
guarantee, IQI Ltd. registration number 06799879. This form ofvehicle is recommended
practice as an effective risk-management strategy lor charitable joint ventures. As the
company is dormant, there are no accountslo record.
The company is likely io be activated as part of an expan8ion ofthe Quality St8ndard for
Imaging IQSII accreditation activity during the nexl 12 months and ils accounts will be
PLJblished independently of the RCR and COR groups.
Objects and activities
The objects ofthe RCR are to advance the science and practice of clinical radiologyand
clinical oncology, a8 818ted in ils Roy81 Ch8rler. These benefit patients by improving the
accuracy and speed of diagnosis and quality ol treatment, which will improve the quality ol
life lor patients.
Clinical oncologists are medical specialists skilled in cancertreatment with r8diother8Py,
chemoiherapy and other systemic therapies. Clinical radiologists are medical specialists

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who inform the detection, diagnosis and management of disease through use of imaging
techniques. Radiologists also use minimally invasive methods to treat disease.
As a charity, the RCR is independent ol the stale and not part of the National Health Service
in any ol the four UK nations. The RCR depends upon the skills and experience of its Fellows
and members to deliver its work.
The RCR has over 14,000 Fellows and members worldwide in the disciplines of clinical
oncology and clinical radiology. The very great majority are registered medical or dental
practitioners. About one quarter ol the total membership is based outsidethe UK.
Council's focus on delivering public benefit is through the work of the RCR in and forthe
specialties of clinical radiology and clinical oncology in the interest of and forthe benefit of
patients and the wider public. This includes..
Defining standards fortraining
Conducting the RCR Fellowship examin2tions
Offering lectureships and awarding prizes, scholarships and research fellowships
Diffusing inform8tion on matters affecting the specialties
Publi8hing papers, journals and otherdocuments
Holding meetings, conferences, seminars and courses
Publishing professional guidance and advice
Operating a continuing professional development ICPDI 8cheme
Acting as an authoritative bodyfor the purpose of consultation in matters of public and
professional interest
Furthering public education and information about the two specialties
Managing the RCR'S investments effectively.

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Strategic report
A¢hievement$. performance and next stsps
Throughout 2022 the RCR made significant progre8S tow8rd8 accomplishing its Strategic
priorities. As emerged from the COVID-19 pandemic, operations could slowly return to
normal and ambitious projects be18unched.
1. Workforce
Th8 RCRsupporls excellentpatientcare by working co118bor81ivelyon le8m-bvide standards
ndshapingsustainable workforce models forourpatients 8ndoursp&ci&lties.
In 2022 we..
Published ourjob-planning guidancefor consultant and specialty and associale
specialist doctor8 in both faculties
Secured final General Medical Council approval for our mechanic81 ihrombectomy
IMTI credential
Secured 11 O additional training postsfor clinical radiology in England
Celebrated the first graduates ofthe breast disease management credential
Published consensus stalements for head and neck cancer
Continued the development of our radiotherapy consent forms, which have been
downloaded over 25,000 times
Launched our new Exams Hub, giving candidates much greater flexibility and control
overtheir exam bookings, ol which over 6,800 bookings for 2023 have already been
made
Reformed the clinical oncology part 2B ex8m, enabling it to be held entirely online
Deliveod rolling quality improvements to 811 RCR exams and syllabuses
Introduced the iRefer clinical decision support to 34 NHS trusts in England, helping
clinicians request the most appropriate Imaging investigation
Launched the Quality Standard for Imaging Networks IQSINI guidance for best practice
for growing imaging networks.
2. Bethe experts
e highlightthe contribution ourspecialties make lo safe, evidence-basedandcost-
effective p8tientc2F, andwe contribute to the debate on the future ofheglthcgre in the UK
andoverseas.
During 2022 we..
Published our 2021 censuses, both ol which received a 1000/0 response rate, and which
highlighied, in 480 pieces of media coverage, the dire need fora sustainable workforce
plan for our specialties
Re8ponded to over 40 consultation8 from government, clinical regulators and
stakeholders on various subjects, including artificial intelligence IAII and workforce
Developed Strong relations with major media OLJtlels, with Officers making multiple
expertappearanceson Sky Newsandthe Todayprogramme, and in newspapers like
The Guardian and The Sunday Times

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Grew ourcandidate numbers in the clinical radiology global venues in India and Egypt,
and held the clinical oncology final p8rl B exam In India for the first time
Supported Colleagues oveweas, including the Malaysian On¢ologi¢al Society with
Learning Hub access and the Egyptian Ministryof Health and Population in developing
its own radiology CLJrriculum.
3. Profe$$ional learning
The RCR strives to develop oureducstion8lofferto supportourdoctors to meet the
challenges ofpractice.
We developed our profession81 learning offer by..
Publishing essential training documents, including standards for training reporting
practitioners in musculoskeletal, nuclear medicine, radiotherapytarget volume
definition and more
Holding ourfirst ever global congre88 in Dubai, Wlth 763 delegate8 from 29 countries
attending, during which we offered two CPD courses
Hosting our 2022 annual conference, the first lo be fully hybrid, which was attended by
over 800 delegates
Supporting our two journals, Clinical Oncologyand Clinical Radiology, lo growtheir
impact factors by19010 and 440/0 respectively
Continuing to release leaming malerialsvia our Learning Hub at pace, including a
question bank for clinical oncology FRCR candidates, e-learning on cancer genomics
and the'my lightbLJlb moments, video series for r8diologists.
4. Membershipvalue
Wosupport2llFellowsandmembers to deliver the bostca￿ forp8tionts forthoirentire
careerandregardless ofwheE orhowtheypractice.
2022 saw LJS..
Admit over400 new Fellowstothe RCR
Hold the firgt in-person admi8sion8 tteremonies sintte the p2ndemic began and
celebrate those who became Fellows during COVID-19
Launch our Insight Panel, a group of members who respond lo short suNeys on topics
such as stress and burnout, Al and more,. the results allow uslo learn from the expertise
of our members and ensure we are focused on their needs and aims.
5. Ourcollege
Weshape a College Ihatis agile, responsiv8, 8ccountébl8andop8n.
In 2022 we..
Welcomed a new President, Dr Katharine Halliday, as well a8 the newVice-Pre8ident
for clinical oncology, Dr Tom Roques, and the new Medical Directorfor Education and
Training, clinical radiology, Dr Priy8 Suresh
Expanded ourRadReach mentoring schemeto 52 mentors and mentees,which also
won an award from the NHS for Championing Ethnic Diversity

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Published our 2022 aclion plan for equality, diversityand inclusion IEDII and appointed
six Fellows for FairerTraining Outcomes
Coated a new professional practice and quality improvementte2m, to build and
develop nelworks across our Fellows and members that support their practice
wherever theyare and at all 8tage8 oftheir careers.
2023 and beyond
Thi8 year will see the RCR maintain our focLJS on our keyslrategic priorities, with particular
attention given lo maximising ourworkforce, providing the tools and working conditions
needed for optimum patient care and supporting new ways of workn"ng. Some ol the
projecls thal will continue into or complete during 2023 include..
Our brand refresh project, which will position the RCR as an authoritative, inclusive and
dynamic organisation and will enable us to better communicate what our Fellows and
members do and whytheirvoice is so important
Growing the RCR brand to become a global presence in our specialties
The new RCR website, which will improve Ljser experience and make our resources
easier to find for all stakeholders
Implementing the changes lo our governance structures that members have agreed,
which aim to make the RCR fit for the future by improving our agility and widening the
expertiseWe￿n draw upon.
A new website for iRefer, to ensure this flagship product remains competitive and e8siIy
2c¢essible
Further guidance documents, including for multidisciplinaryteams IMDTS) and
radiotherapy dose fractionation
The support and input we will provide to the newAII Paty Parliamentary Group IAPPGI
for diagnostics
In-depth ènoagementwith the reforms to thè certificate of eligibility for speciali8t
registration ICESRI, with the aim to simplify and speed up the process
The exploration of methods ol closerworking between clinical oncology and medical
oncology.
The College relies on the time, support and contribution of huge numbers of our members.
We knowthat lime is an incrediblyvaluable asset and we are deeply grateful to the many
individuals who do so much for us.
We are deeply indebted to our audit leads,job plan advisors, AAC Representatives, Mentors,
conference speakers and panel members, e-learning authors, Global Ambas88dors, iRefer
expert panellists,'hero photography volunleers and insight panel members.
We would also likelo thank deeply those Fellows and members and lay volunleers who
lead the College throLigh our governance and committee structure, and also our examiners
who ensure that our standards forclinical radiologyand clinical oncologyare world leading
and help bLJild the fLJture workforce. These roles are challenging, time consuming 8nd so
important.
Thankyou.
Dr Katharine Halliday, President

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Financial report
Risk management
CoLJncil holds ultimate responsibilityforthe management of risk but delegatesthe oversight
of risk-m8nagement strategy and process lo the FAIC. The senior leadership team identifies
and manages the strategic risks, and the senior management team manages the strategic
and operational risks day to day through programmes focused on income diversification,
business process Improvement and the application of newtechnology. The FAIC oversees
these activities, scrutinises the risk register and advises these teams and Council
accordingly.
Council h88 reviewed the ri8k8 and h88 ideniified the following as the most significant
Ihreals to delivery ofthe RCR'S strategic aims.
Risk
Mitigation
We do not knowwhateffectthe current
NHS workforce crisis and working
culture will have on the avai18bility and
appetite of our UK doctors to engage
with the RCR in the long term. This may
lead to changes in ihe nature ofihe
relationships and arrangements that the
RCR operates to plan and delwerour
strategic priorities.
We continue to promote and monitor
wellbeing across all staff and doctor
resources and seek to ensurethe
relationship and arrangements for
engaging doctor8 meettheir long-term
needs.
The College is exposed to an increase in
cyberihreats, which risks compromising
access to, orthe quality of, our data,
operations and communications.
We have identified the major
vulnerabilities in our infraslructure
and have either updated or plan to
replacethose components that cause
the risk. In 2022 we have undertaken
8 thorough independent review of our
cyber risk, appointed a role to oversee
and enforce operational cybersecurity
and implemented measures to improve
cybersecurity.
Conslrainls inherent in the governance
structure hamper Dur ability or agilityto
anticipate or meetihe evolving needs of
ourmembers.
Changes to the governance struclure
have been agreed and are being
implemented for1 September 2023. An
interim team Is In place to manage the
transition.

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Unmet overseas demand lor exams
discoLJrages candidates from seeking
FRCRand encouragescommitmenlsto
alternatives.
We are building exam capacity in the UK
and internationallyto increase the number
of opportunilies available.
Wearedeveloping newmodels of
examinalionstoaccommodatedemand
and make it easierfor candidates to
participate.
An increased global focus from the RCR
improves OLir commLJnication at local
level.
Short8ge ol national training numbers,
coupled with increasing anticipated
retirements, leads to a drop In
membership numbers, incomeand
capacity.
We haveexpanded ourcampaign
forworkforce improvements,
adding additional resources to our
communications and policy area.
We will continue to contribute to NHS and
government plans and policy.
We will increase our membership
overseas and have increased the
resources and support for CESR.
Going concern
The accounts are prepared based on ihe RCR being a going concern. Council assesses the
financial circumstances and outlook lor the College and takes the advice of the FAIC when
considering the accounls.
The FAIC regularly scrutinises financial management and performance information and
provide8 advice to Council on the 8tstutoryaccounts, budget8 8nd resenjes policies. This
information includes..
Regular managemenl accounts and commentaries
Budgets forthe nextyear
Financial forecasts beyond the end of the current fin8nci81 year, the three-year plan
Regular reviews of risks and mitigation steps
Reviews ol investment performance
Reviews of the financial policies, controls and cashflow m8n8gemenl reporting
exercised bythe business.
Confidence ingoing concern
Council has considered and accepled the advice and recommendalion ofthe FAIC, which,
after scrulinising the financial reports and resource8 of the College, h88 recommended
approval of the accounts on the basis of going concern.
The main points considered bythe FAIC in ils recommendation to Council are..
The College is following a three-year plan that returns the RCR to making a surplus and
the early 2023 outcomes and outlook remain on plan

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There are high levels of cash liquidity in the business model and there is access to
additional cash lor shorl-term and long-term need
The RCR follows good practice in reporting and fin8ncial planning.
ImpactofCOVID-19
Through 2022 the College's activities were largèly unaffècted by any residual COVID
reslriclions Imposed by authorities that had affected 2021, and we were able to continue
enhancing the post-COVID operating mode18 we had adopted the previou8 year.
We experienced lew disruptions to our planned activilies. Examination sittings planned
lor lanuaryand February2022 in Singapore and Hong Kong were postponed lo later in the
year, but other exams and events went on as intended. Some preparatorywork developing
educational content was delayed by doctors t)eing unavailable In the first quarter while the
N HS de21t with flu and COVID pèaks.
We delive￿ d our UK exams as planned and fully reinstated global exams. We continued
with ihe majority of face-to-lace events and in-person admi8sion ceremonies lor ihe first
lime since 2020, with members enthusiastic to return to thislormat.
We have adopted different ways ol working post-COVID. Our staff work most of the time
from home, but we retain a regular pattern ol days when all staff are together in the off ice to
enhance the sense of community. Most committees meetvirtually, wilh in-person meetings
once peryear. Our CPD events are 8 combination of hybrid and live, tailored to suit the
audience's needs.
In April 2022 we began repayments of and interest payments on the £900,000 Coronavirus
Business Interruption Loan that had been taken out in early 2021.
Policie$
Employee rem￿ne￿tI0npol1cY
The College carries out regular remuneration reviews to ensure employee remuneration is
competitive in the market and that we can recruit and retain high-quality staff. The College
operates a structure that links pay progression to the achievement of objectives, learning
and development expectations and CO￿ competencies.
The Remuneration Committee exercises responsibilityon behalf of Council forihe review ol
the remuneration of key management personnel and any remuneration of Fellows.
The College implemented a 29/0 increased pay aw8rd for all staff from january 2022. In
October 2022 the College made an exceptional one-off contribution of £500 to all staff to
mitigate against greater energy costs. A pay award of 5,/0 was ag￿ed in November 2022
and applied to salaries from 1 January 2023.
Ethicalandsustainable inveslmentpolicy
The RCR investment policyexpects a sustainable and ethical inveslment strategy.
Investments may only be made in organisations demonstrating adherence to strategic
plans consistent with the Paris Climate Accord goals of limiting the average glob81
temperature rise by 2050 to 1.5'C. It also excludes companies whose principal purpose is
in tob2c¢o, armaments, alcohol, gambling or pornography, or extraction and production of
Ihermal coal and tar sands. As a result ofthis policy, the RCR does not invest in companies
that undertake fossil fuel extraction.

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The RCR uses the Sarasin Climate Active Endowmeni Fund thattakes a strong stance
on ethical and social stewardship matters and uses positive and ethical screening in the
investments. The trustees are contentthat this positive screening approach is an effective
way ol demonstrating the RCR'S support for climate change initiatives and is consistent with
the RCR'S charitable objectives.
The objectives of the investment policyare to maximise total returnsvia growth in capital
and income to enable the College to carry out its purposes consislentlyyear by yearwith
due and properconsideralion forfuture needs. The College expects the invested funds to
match or exceed the portfolio benchmark return and it has a moderate riskappetite.
The RCR agreed 8 total returns poliry in 2021 to fix the income return to the equivalent
of 4Q/D of fund value by selling a portion of capital. This policy is exercised annually al the
discretion of the FAIC considering the level of growth of the capit81 fLJnd8. In 2022 the FAIC
decided not to applythe policy because the capital values had fallen.
In 2022 the portfolio relLJrned a reduction 0110.80/0 against the benchmark of a 6.90
reduction. The returns overthree and five years respectivelywere 30/0 (against a benchmark
of 4.10/0) and 4.7 % (against a benchmark o14.90kn1. Comparisons against the peer group
were more favourable.
Perlormance to 31 Dec 22
1 year
3years
annualised
5 years
annualised
Portfolio
3.09/0
4.7 /0
Inflation (UK CPI- one
month lagged)
5.3D/o
Portfolio benchmark
Peergroup
-9.50/0
Environmentalpolicy
The RCR recognises thal its operations can have a harmful effect on the local and global
environment and that these effects will adversely impact global health issues and health
inequality. The RCR commits to redLJcing the long-lerm environmental impact of its
operations.
Since 2020 the RCR has made changes lo its suppliers and ways of working that have
resulted in a significant reduction in its carbon footprint for scope 1 and scope 2 activities
from Its 2019 benchmark of 108 tonnes CO e annuallyto almost nil in 2021. The details
of this programme and its achievements are at vvww.rcr.ac.uk/college/rcr-commitment-
lackling-climate-change.
We have extended our carbon footprint monitoring to include the effect of scope 3 acliviiie8
and inlend to agree a strategy in 2023 to achieve nel zero and to embed ihis commilment in
a wide-ranging sustainability strategy.

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The RCR aimsto..
Reduce Its carbon lootprinl, eliminate unnecessarycarbon generated from the RCR'S
operations and aspire to netzero
Reduce the quanlityofwaste produced and increase the proportion of thal wasle that is
recycled
Reduce the quantities of raw materials including water, paper and plastics used in ils
operations and eliminate unnecessary usage.
Resewespolicy
The RCR has a policy lo have suff Icient general reserves to fund a minimum offive months
of operating expenses to coverthe financial implications of 8 significant and permanent
reduction in income and manage a controlled contraction ofthe business to sustainable
levels.
Council has consideffd ihe advice ofthe FAIC on the reserves policyand agrees that the
free general reseNes are suff Icient to meet the College's foreseeable needs and that the
policy requirements are satisfied.
The College relains £5.5m ol general reserves including £4.4m set aside byihe reserves
policy. le8ving £1.1 m of free reserves.

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Financial review
The results forihe year are set out in the statements on pages 25 to 27.
Summaryofresults
The RCR completed its recoveryfrom the effects of COVID in 2021 and continued tts
investments to deliver an improved communications function and lo build a strong platform
lor growth of the busines8. Thi8 buginess growth is sèt out in the three-year plan12022 to
20251, bul its foundation is the strong showing in 2022.
Group results
Income grew£1.3m, 170/0 to £9.Om12021-. £7.8ml as we reinstated exams in all territories,
g￿wou[ UK exams c8pacily8nd added over 1,200 newmember8 IFigureAI. We saw
growth in income from our CPD and educational offers lup 130/0, £60kl but the economic
conditions meant our inve8tment income fell £84k against the prioryear from not exercising
Ihe total returns policy. Charitable income rose by £0.6m to £7.9m and income reported in
the trading subsidiary was £1.3m12021". nil as this is the first period of operation).
60
103
9.132
280
247
728
7.797
Figure A. Revenue growth {£OOOsl from 2021 to 2022 is driven by reinstatement of
exam capacity in all jurisdictions and growrth in membership subsGriber$
Expenditure increased 210/0, including a £1.9m investment in creating a mature
communications and marketing function, we grew our exams and continued the investment
lo support the growth potential of iRefer. We also recognised ihe need to accelerate the
depreciation on our existing customer relationship management ICRMI system before its
replacement in 2023124, which added £0.5m of costs. Charitable expenditure increased by
£0.4m to £9.3m. Expenditure in RCR Education was £1.6m12021.' nill.
The group made an operating108s of £1.8m12021.. £1.2ml. In addition, we reported £2.4m
of unrealised losses.. a £0.9m reduction in the value ol land at 63 Lincoln's Inn Fields and
8 £1.5m reduction in the value ol the investment portfolio. In 2021 we reported £1.5m of
unrealised gains including a £0.9m gain in the value of investmenls. The group reseNes
were reduced by £4.2m12021.' a £0.3m gain).

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Trusrees, reportand financial st81emenTS
fortheyearended 31 December 2022
17
Reserves closed at £26.3m12021.' £30.4ml and general reserves, which include
uncommitted designated reserves, closed at £5.4m. Of this. £4.4m is notionally covered by
Ihe reserves policy and ihe remainder of £1.1 m is free reserves.
This was the first period of trading for RCR Education Ltd covering the 11 months from 1
Febru8ryto 31 December2022. Incomewas£1.3m, spendwas£1.6m and the 8ub8idiary
made a loss of £0.3m. The charity recognises that the 2022 trading plans forglobal exams
and e-learning were challenging,, global exams were expected to make a small surplus and
Ihe latter a small loss,. and RCR Eclucation expected to make a loss overall. Expenditure in
global exams was greater than expected 8nd e-learning met financial expectations. The
overall loss wasiherefore greaterthan expected. The directors and the truslees expect
global exams lo generate a surplus In 2023 and ongoing but e-learning activities will
continue to be financially challenging. The oharitytrustees have agreed to support RCR
Education financially in 2023 and through the three-year plan period.
Keyactivities
Membership continues to make upthe largest part ol the RCR'S income IFigure Bl, 500/0
in 202212021.. 540/01, and will rèmain the most significant single component of income for
Ihe foreseeable future. Subscribers grew lo 14,000, with strong growth from new global
members seeking examinations during the last quarter, and we 8re keen to en8Lire that we
retain these membersihrough Fellowship and beyond. Global membership makes up 280/0
ol total membership numbers.
Exams
£2.6m
28Y.
Membership
£4.Sm
50%
CPD & Learning
£0.5m
202
£1.6m
21%
2021..
£4.3m
54%
iRefer
£0.6m
Investments
£0.4m
Royalties
Other
£0.3m
Figure B. The majority olthe RCR'S income comesfrom membership subscriptions
and exams

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Trusrees, reportand financial st81emenTS
fortheyearended 31 December 2022
18
We grew our UK exams capacity by 110/0 to offer over 3,700 places and doubled the global
exams capacityto over 2,550 places. In 2022 we planned lo support the UK trainees by
maintaining fee levels close to 2021 levels and incurred losses of £1 m in that support.
Global exams incLJrred Some Ljnplanned costs and incurred a loss of£60k. Since 2020 we
have supported UK candidates by changing how we deliver our exams and minimising the
value offee rises. Since 2021 we have invested £2m in supporting those UK trainees. We
aim to ensure that we achieve breakeven from UK trainees, exam fees and have set future
lee levels accordingly.
Professional learning and e-learning income rose by130/010 £530k but remains belowthe
levels achieved priorto COVID. In 2022 we trialled hybrid models ol deliveryforthe annual
conference and oiher events to test effectiveness ol this medium for our Fellows and
membew. CPD activities made a loss of £1.1 m12021.. £1 ml.
The iRefer programme saw some significant success with the start ofthe rollout ofthe
iRefer CDS Iclinic81 decision supportl product 8cross English trusts. This is 8 three-year
programme of rollout following five years of investment in a partnership with Medcurrent,
our technical partner. Income was up £60k, 12 %. Our investment in iRefer capacity
continued through 2022 resulting in an increased spend and giving a loss of £0.1 m12021..
surplus of £0.1 ml.
Investment income fell £84k to £370k12021.' £450kl from not exerci8ing the discretionary
lop-uplrom selling capital.
Other income was £0.5m, £44k18 % I greater than 2021.
Restricted reserves
Total restricted reserves were £2.4m12021'. £2.9ml.
In 2022 the RCR spent £282k ol restricted funds, with the largest component being £187k
against the QSI Accreditation programme, a joint venturewith the SCOR.This balance is
now £20k1£2021.' £191 kl.
The most signific2nt balaneeg are..
£2.Om12021.. £2.4ml in the four funds created in 2021 from the former education funds.
We spent £128k in 2022 and incurred a revalualion loss from a fall in investmentvalues
of £230k.
£311 k held towards e-learning supportfor 2023 onwards12021'. £317kl. £13kwas spenl
in 2022.
Research fijnds
The College invites applications for its research grant schemes annuallyand makes awards
based on scientific merit. Grants are to foster research into medical imaging (clinical
radiology) and the investigation and treatment of cancer Iclinical oncology).
The College has allocated £1.2m12021'. £1.4ml ol re8tricled and unrestricted funds towards
future research grants forclinical r8diologyl£O.7m, unrestricted) and clinical oncology
1£0.5m, reslrictedl lo coverthe next seven to ten years of demand. This InclLJdes the residual
funds set aside from the clinical oncology and clinical radiology research funds created in
2013. In 2022 the RCR awarded £52k in grants12021'. £80kl. The RCR also recognised a
£142k reduction due to a fall in the values ol the investmentwhere these funds are held.

w.rcr.ac.uk
Trusrees, reportand financial st81emenTS
fortheyearended 31 December 2022
19
Designated funds
The College ret8ins £2.5m of unrestricted funds that are shown as designated. Some ofthe
component parts are included in the computation of general and free reseNes'.
Building maintenance fund of £0.5m12021.. £500kl to cover uninsured repair,
reinstatement or development costs forthe off ice building at 63 Lincoln's Inn Fields
£0.4m12021'. £0.4ml towards the cost of major projects including exams reform and
systems development
£84k12021'. £84kl representing the ff sidue of clinical oncologyand clinical radiology
research fLJnding designated prior to 2018 and with no ILJrther claims expected.
Other de8ign8ted funds that are not included in the computation of general and free
reseNes include..
£162k12021'. £181 kl to support the Cyclotron Trust learning programme. The fund
benefited from £4k of investment income, £2k was spent and an unrealised loss of £21 k
was recorded due to a fall in the value ol the underlying investments.
A£757k clinical radiology Kodak re8earch fLind12021.' £867kl created in 2021. £28k of
grants were paid out in 2022. Unrealised losses of £81 k are recognised.
£569kwiihin the Wormald lund12021.' £630kl. An unrealised loss of£61 k has been
recognised.
Tangible fixedassets
The RCR revalued the buildings and land at its offices, 63 Lincoln's Inn Fields, following
a formal valualion consistent with the existing policy. Thevalue of buildings increased
£750kto £7.6m, unwinding all the 8ccumulated depreciation since 2018, £548k. The value
of land was reduced by £1.6m. Both adjustmentsare included in the 2022 accounts. The
accounting policy is set out in the noleslo the accounts, page 29.
The RCR had no fundraising 2Ctivities requiring disclosure under S162A of the Charities Act
2011.
Responsibilities of the trustees
The trustees 8re responsible for poparing the oport ofthetrustees and thefinancial
statements in accordance with applicable lawand United Kingdom accounting standards
(United Kingdom Gener8llyAccepted Accounting Practice).
The law appIl￿blet0 charities in England and Wales requiresthe trustees to prepare
financial statements for each financial year that give a true and fair view of the situation of
the College and ofihe incoming resources and application of resources ofthe RCR forthal
period. In preparing these financial statements, the trLJStees are required to..
Select suitable accounting policies and then apply them consistently
Observe the methods and principles in the Charities SORP
Makejudgements 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
Preparethe financial statements on the going concern basis unless it is inappropriate to
presume that the RCR will continue in operation.

w.rcr.ac.uk
Trusrees, reportand financial st81emenTS
fortheyearended 31 December 2022
20
The trustees are responsible for keeping proper accounling records that disclose with
reasonable accuracy ai any lime the financi81 position of the RCR and enable them io
ensure that the financial statements complywith the Charities Act 2011, the Charities
SORP IFRS 1021 and the provisions of the Royal Charter and 8g-law8. Legislation in the
UK governing the preparation and dissemination ol financial statements may differ from
legislation in otherjurisdictions. The IrLJslees are also responsible for safeguarding the
assets ofthe RCR and hence fortaking reasonable steps for the prevention and detection of
Iraud and oiher irregularilies.
All charitable cOm￿nieS have a duly lo act in accordance with Section 172 01 the
Companies Act 2006 (Dutyto promote the success of a company). The trustees consider
Ihat they have complied with their duties in Section 172 by promoting the charity's success
in achieving its charitable purpose of improving the science and practice of clinical
radiologyand clinical oncology.
In so lar as each ol the trustees at the time the report is approved 8re 8ware'.
Theff is no relevant audit information ofwhich the auditors are unaware
They have taken all the stepsiheyoughtto have taken to make themselves aware
of any relevant 8LJdit inform8tion and to establish that the aLJditors are aware of that
information.
The trustees are responsible forthe maintenance and integrity of the RCR and financial
information inclLJded on the RCR'S website.
The trustees
[￿eMberS ol the CoLincil who 8eNed a8 charitytrustees during the year and LJP to the date
of this report were as follows.
èx offioio members olCounGiland trustees
From 1 Jan 2022 10 31 Aug 2022
From 1 Sep2022to31 Dec2022
Drj Dickson, President
Dr K Halliday, President
Dr J Elford, Treasurer
Dr l Elford, Treasurer
DrWH Ramsden, Dean, clinical radiology
Dr WH Ramsden, De8n, clinical radiology
Dr H Tharmalingam, Dean, clinical
oncology
Dr T Roques, Dean, clinical oncology
Dr SP Harden, Warden, clinical radiology
Dr P Suresh, Warden, clinical radiology
Dr R Cooper, Warden, clinical oncology
Dr R Cooper, Warden, clinical oncology
Dr R Uberoi, Registrar, clinical radiology
Dr R Uberoi, Registrar, clinical radiology
Dr N Thorp, Registrar, clini￿1 oncology
Dr N Thorp, Registrar, clinical oncology

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Trusrees, reportand financial st81emenTS
fortheyearended 31 December 2022
21
Elecledmembers of Council8nd trustees
From 1 Jan 2022 to 31 Aug 2022
From 1 Sep 2022to31 Dec2022
DrAKB8hl
DrJA Holemans
DrG Hanna
DrFYuille
Dr MJ Rolles
Dr Nl Screalon
Dr A Taylor
DrG Horan
DrJH Miller
DrCACoyle
Dr A lain
Prof M Callaway
Dr E Loney
Dr S Sundar
Dr E Loney
Drs Sundar
DrA Taylor
DrJQ Gildersleve
Dr R Wade
Dr D Chand
Non-trustee co-optedmembers ofcouncil
From 1 Jan 2022 to 31 Aug 2022
From 1 Sep 2022to31 Dec2022
Msl Ord, laymember
Msl Ord, laymember
I￿rTjoneS, lay member
MrTlones, lay member
Dr F Rathore, Junior Radiologists, Forum
representative
Dr F Raihore, Junior Radiologists, Forum
representative
Dr S Hindocha, Oncology Registrars,
Forum representative
Dr TG Charlton, Oncology
Regi8tr8rs' ForLJm representative
The trustees and other Council members have no beneficial interest in the RCR.
Auditors
Haysmacintyre LLPwere appointed asihe charity's auditors during theyear8nd have
expressed their willingness to conlinLJe in that capacity.
The report ofthe trustees has been approved bythe trLJStees on 29 June 2023 and signed
on their behalf by.
Dr K Halliday
President
Dr J Elford
Treasurer

w.rcr.ac.uk
Trusrees, reportand financial st81emenTS
fortheyearended 31 December 2022
22
Opinion
We have audited the financial slalemenls of the Royal College of R8diologisls for theyear
ended 31 December 2022, which comprise the Consolidated Statement of Financial
Activities, the Group and Charity Balance Sheets, Ihe Consolidated Cash Flows Statement
and notes to the financial statements, including a summaryol significant accounting
policies. The financial reporting framework that has been applied in their preparation is
8pplicable18w and United Kingdom Accounting Standards. inclLJding Financial Reporting
Standard 102 The FinancialReporting Standardapplicable in the UKand Republic of
Irel8ndlUnited Kingdom Generally Accepted Accounting Praclicel.
In our opinion, the fin8nci81 statements..
Independent auditor's
reportto the Members
ofThe Royal College
of Radiologists
give a true and lairview of the state of the group's and of the parent charity s affairs as at
31 December 2022 and ofthe group's net movemenl in funds fortheyearthen ended.,
have been properly prepared in accordance with United Kingdom Generally Accepted
Accounting Practice., and
have been prepared in accordance with the requirements ol the Charities Act 2011.
Basis for opinion
We have been appointed as auditor under section 144 ofthe Charities Act 2011 and report
in ac¢ordance with the Act and relevant regulations made or having effect thereunder. We
conducted our audil in accordancewith Internalional Standards on Auditing IUKI IISAS
IUKII and applicable18w. Our responsibilities underthose stand8rd8 are further described
in the Auditor's responsibilities for the audit of the financial statements section of our
report. We are independent of the group in accordance with the ethical reqLJirement8 that
are relevantto our audit of the financial statements in the UK, including the FRC'S Ethical
Standard, and we have fulfilled our other ethical responsibilities in accordance with these
requirements. We believe that the audit evidence we have obtained is sufficient and
appropriate to provide a basis forour opinion.
Conclusions relating to going concern
In auditing the financial slatemenls, we have concluded that the trustees, use of the going
concern basis of accounting in the preparation of the financi218tatemÈnts is appropriate.
Based on the work we have performed, we have not identified any material uncertainties
relating to events or conditions that, Individually or collectively, may ca818ignificanl doubl
on the grouplcharily's abilityio Continue as a going concern fora period of at least 12
months from when the financial statements are authorised lor IS8LJe.
Our responsibilitie8 and the responsibilities of the trustees with respect to going concern
are described in the relevant sections of this report.
Other information
The trustees are responsible forthe other information. The other information comprises
the information included in the Truslee8' Annual Report. OLJr opinion on the financial
statements does not coverthe other information and, except to the extent othenwise
explicitly staled in our report. we do not express anyform ol assurance conclusion thereon.
In connetttion with our audit ol the financial statement8, our responsibility 18 to read the
other information and, in doing so, considerwhether the other information is materially

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Trusrees, reportand financial st81emenTS
fortheyearended 31 December 2022
23
inconsistent with the financial statements or our knowledge obtained in the audit or
otherwise appears to be materially misstated. If we identify such material inconsistencies
or apparent material misstalements, we are required to determine whether there is a
material misstatement in the financial 818temenls or a material misstatement ol the other
information. If, based on the work we have performed, vve Conclude that there is a material
misstatement ol this other information, we are required to report that fact. We have nothing
to report in thi8 reoard.
Matters on which we are Trquired to ￿pOrt by exception
We have nothing to report in fftspect ofthe following matters in relation to which the
Charities (Accounts and Reports) Regulations 2008 require us to report to you if, in our
opinion..
adequate accounting records have not been kept bythe p8rent charity., or
suff icient accounting records have not been kept., or
the parent charityfinancial statements are not in agreement with the accounting
records and returns., or
we have not received all the informalion and explanalions we requireforour audit.
Responsibilities of trustees forthe financial statements
As explained more lully in the trustees, responsibilities statement set OLJt on page 19,
Ihe trustees are responsible for the preparation ol the financial statements and for being
saiislied that they give a true and fairview, and for such internal control as the trustees
determine is necessaryto enable the preparation of financial stalements that are free from
material mi88tatement. whetherdue to fr8ud or error.
In preparing the financial statements, the trustees are responsible for8ssessing the group s
and the parent charity's abilityto continue as a going concern, disclosing, as applicable,
matters related to going concern and using the going Concern basis ofac¢ounting unless
Ihe trustees either intend to liquidate the group or the parent charity orto cease operations,
or have no ￿alIStiC alternative butto do so.
Auditor's ￿spOnSibl11t1es for the auditof the finanoial statements
Our objectives areto obtain reasonable assurance aboutwhether the financial statements
as a whole are free from material misstatement, whether due to fraud orerror, and to issue
an auditor's report thai includes OLiropinion. Re880n8ble assurance is a high level of
assurance, but is not a guarantee that an audit conducted in accordancewith ISAS IUKI will
always detect 8 material misstatementwhen it exists. Mi881atementS Can arise from fraud or
error and are considered material if, individually or in the aggregate, they could reasonably
be expected to influence the economic decisions of users taken on the basis of these
financial statements.
Irffgularities, including Iraud, are instances of non-compliance with laws and regulations.
We design procedures in line with our responsibilities, outlined above, to detect material
misstatements in respect of irregularities, including fraud. The exlent to which our
procedLJres are capable ol detecting irregularitie8, including fraud, is detailed below..
Based on our understanding ol the group and the environment in which it operates, we
considered ihose laws and regulations that have a direct impact on the preparation of the

nww.rcr.ac.uk
Trusrees, reportand financial st81emenTS
fortheyearended 31 December 2022
24
financial statements such as the Charities Act 2011, the charity's Royal Charter, payroll tax
and sales lax.
We evaluated management's in¢èntive$ and opportunities for fraudulent manipulation
ol the financial statements Iincluding the risk ol override of controls) and determined
that the principal risks wefft related to posting in8ppropriatejournal entries to income
and management bias in accounting estimates. Audil procedures performed bythe
engagement team included..
Inspecting correspondence with regLJlators',
Discussions wilh management including consideration of known or suspecled
instances ol non-compliance with laws and regulation and fraud.,
Evaluating management'8 contro18 de8igned to pfftvent and detect irfftgularities.,
Identifying and testing journals, in particul8rjourn81 entries posted with unusual
account combinations, postings by unusual users or with unusual descriptions., and
Challenging asgumptions and judgements made by management in their accounting
estimates.
Because ol the inherent limitations of an audit, there 18 a risk that we will not detect all
irregularitie8, including those leading to a material misstatement in the financial 8t8tement8
or non-compliance with regulation. This risk increases the more that compliance with a
law or regulation is removed from the events and transactions reflected in the financial
statements, as we will be less likelyto become aware of instances of non-compliance. The
risk is also greater regarding irregularities occurring due to fraud rather than error, as fraud
involves intentional concealment, forgery, collusion, omission or misrepresentation.
A further description ol our responsibilities for the audit of the fin8ncial statements
is located on the Financial Reporting Council's website at.. wvvw.frc.org.uk/
auditorsresponsibilities. This description forms part of our auditor's report.
Useofourreport
This report is made solelyto the charity's trustees, as a body, in accordance with section
144 of the Charities Act 20118nd regulations made Ljnder section 154 of th81 Act. Our audit
work has been undertaken so that we might state lo the charity'struslees those malters we
are required lo state to them In an Auditor's report and for no other purpose. To the fullest
extent permitted by law, we do not accept or assume responsibilityto anyone otherthan
Ihe charity's trustees as a bodyfor our audit work, forthis report orlor the opinions we have
Haysmacintyre LLP
10 Queen Street Place
London EC4R 1AG
Statutory Audilors
Date".
30th August 2023
Hay8macintyre LLP is eligible to act ag an auditor in terms of section 1212 of the Companies
Act 2006

w.rcr.ac.uk
Trustees, report8nd financial st81emenTS
fortheyearended 31 December 2022
25
The consolidated statement ol financial activities InclLJdes all gains and losses recognised in
the year. The notes on pages 28 10 49 form part ol these financial statements.
Consolidated
statement of
f inancial activities
Restricted
funds 2022
Unrestricted
funds2022
Total funds
2022
Totslfunds
2021
Note
Income from:
Donations and legacies
59,612
400
60,013
7 1,373
Charitable activities
15,659
7,425,060
7,440,719
5,843,466
Trading subsidiary
1,257,410
1,257,410
482,693
Investments.
56,442
312,847
369,289
453,252
Other income
4,482
4,482
6,709
Total income
131,714
9,000,199
9,131,913
7,797,493
Expenditure on:
Charitable activities
281,510
9,069,177
9,340,687
8,990,412
Otherexpenditure
1,579,614
1,579,614
Total expenditure
281,510
10,638,791
10,920,301
8,990,412
Net expenditure
(149,796)
{1,638,592) (1,788,388)
Gains/llossesl on revaluation ol
fixed assets
1850,0001
1850,0001
605,0(
Gains/llosse81 on investments
15
1330,2421
11.187,3891
11,517,631)
863,880
Transfers between funds
146,5391
46,539
Netmovement infunds
(526,577)
{3,629,4421 14156,019)
275,961
Reconcilialion of funds:
Total fund8 brought forward
2,930,624
27,498,544
30,429,168
30, 153,207
Net movement in funds
1526,5771
13,629,442)
14,156,019)
275,961
Total funds ¢arried forvoard
2,404,047
23,869,102
23,273,149
30,429, 168

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Trusrees, reportand financial st81emenTS
fortheyearended 31 December 2022
26
The notes on pages 28 10 49 form part ol these financial slalemenls.
Consolidated and
charity balance
sheets as at 31
December 2022
Consolidated
Thecharity
2022
2021
2022
2021
Note
Fixed assets
Intangible assets
1,684,694
7,324,265
1,684694
1,324,265
T8ngible assets
15,203,561
15,457,415
15,203,561
15,457,415
Investment property
14
2,680,01)0
4,005,000
2,680,000
4,005,000
Investments
10,202,889
17,718,520
10,202,889
11, 718,520
29,771,144
32,505,200
29,771,144
32,505,200
Current assets
Debtors
733,508
495,822
1,001,623
495,822
Cash at bank and in hand
2,932N67
7,502,643
1,250,747
1,502,643
3,665,975
1,998,465
2,252,370
1,998,465
Liabilities
Creditors.. amounts falling due within
one year
{6,241,4771
(3,284,497) (4,556,807)
(3,284,497)
Net current assets
12,575,502)
(1,286,032)
(2,304N37)
(1,286,032J
Creditors.. amounts falling due more
than oneyear
19
1922,493)
1790,OOOJ
1922N93)
(790,000)
Total net assets
26,273,149
30,429, 168
26.544,214
30,429, 168
Charityfunds
Restricted fLJnds
21
2,404,047
2,930,624
2NO4047
2,930,624
Unrestricted funds
21
23,869,102
27,498,544
24,140,167
27,498,544
Total funds
26,273,149
30,429,168
26,544,214
30,429, 165
The trustees aCknO￿edge their responsibilities for complying with the requirements ofthe Actwith respect to accounting
records and preparation offinancial statements.The financial statements were approved and authorised for issue bythe
trustees and signed on their behalf by.
Dr Kath Halliday
29 June 2023

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Trusrees, reportand financial st81emenTS
fortheyearended 31 December 2022
27
The notes on pages 2• •to 49 form parl ol thèse financial slalemenls.
Consolidated
statement of cash
flowsas at 30
December 2022
Note
2022
2021
Cash flows from operating aGtivities
Nel cash used in operating activities
22
1N96,968
1163,296)
Cash IIow8 from investing activitie8
Dividends, interesls and rents from
inveslmenls
369,289
391,442
Purchase ol tangible fixed assets
1437,2031
1363,279)
Purchase ol Intangible fixed assets
11,040,476)
(575,828)
Purchase of investments
11,007,893)
Sale of investments
922,801
144,000
Sale of investment property
1,287,188
Net cash used in investing activities
93,706
(403,665)
CBIL loan repayment
I125,0￿)
900,000
CBIL loan interest
125,8501
Net cash used from financing activities
1160,850)
goo,000
Change in ¢a$hand ¢a$h equivalentsin
the year
1 N29,824
333,039
C88h and cash equivalents at the beginning
of the year
1,502,643
1, 169,604
Cash and ¢ash equivalents at the end of
the year
2,932,467
1,502,643

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Trusrees, reportand financial st81emenTS
fortheyearended 31 December 2022
28
1 General information
The Royal College of Radiologists is a public benefit entity registered as a charity in
England and W81es Icharity number.. 2115401 and a Royal Charter company IRCo￿854). Its
regISte￿d off Ice is 63 Lincoln's Inn Fields, London, WC2A 31W.
Notes to the financial
statements for
theyearended 31
December 2022
The trading subsidiary is RCR Education Ltd,13941872. a whollyowned subsidi8ryofthe
RCR and registered in England and Wales with ihe registered off ice at 63 Lincoln's Inn
Fields, London, WC2A31W.
2 Accounting policies
2.1 Basis of preparation ol financial ststements
The consolidated financi218tatement8 have t￿en prepared in accord8nce MAth the
Charities SORP applicable to charities preparing their accounts in accordance with the
Financial Reporting Standard 8pplicable in the UK 8nd Republic of Ireland IFRS 1021
(effective 1 january 20191.
The charity meets the definition of a public benefit entity under FRS 102. Assels and
liabilities are initially recognised at historical cost ortransaction value unless otherwise
stated in the relevant accoLJnling policy notes.
2.2 Going concern
The trustees considerthatthere are no material uncertainties about the College's abilityto
continue as a going concern.
2.3 Income
Income is recogni8ed when the College has entitlement to the funds, any performance
conditions attached to the income have been mel, it is probable thatihe incomewill be
received and the amount can be measured reliably.
Subscriptions are included on a receivable basis. Income is deferred forthe proportion of
the 2022123 subscriptions applicable to the College's accounting period lo 31 December
2023.
Examinalion income is recognised in the period that the exam sitting takes place. Income
lor 2023 sittings is deferred at the balance sheet dale grossed LJP for the fees deducted by
Ihe payment provider. The income and spend are recognised in the period to which they
relate.
Voluntary income is received by ol donations and gifts and is included in full in the
statement ol financial activities and is recognised on receipt or when entitlement lo receipt
is probable.
Income from other grants, whether capital grants or ￿vernue grants, is recognised when
Ihe charity has entitlement to the funds, any performance conditions attached lo the grants
have been met, it is probable that the income will be received, the amount Can be measured
reliablyand it is not deferred.
Income received in advance ol the provision 018 specified seNice is deferred until the
criteria for in¢ome recognition a￿ met.

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2.4 Expenditure
Expenditure is recognised once the￿ is a legal or constructive obligation to make a
paymentto a third party, it is probable that settlement will be reqLJired and the amoLJnt of the
obligation can be measured reliably.
Expenditu￿ on charitable activities includes ihe costs of delivering services to members,
examin8tion8, training and other edLJcational activities undertaken to furtherthe purposes
of the College and the associated support costs.
Irrecoverable VAT is charged as a cost againstlhe aclivityforwhich the expenditure was
incurred.
Allocgtion ofsupportcosts
Resource8 expended are allocated to the aciivitywhere the c081 relates directlyto that
activily. However, the cosl of overall direction and administration of each activity, comprising
the salary and overhead costs ol the central function, Is apportioned on the following basis.
which is an estimate, based on staff time, of the amount altribulable to each activity.
UKexams programme
Specialtytoining
Professional learning and development
[￿ember support and professional services
iRefer
220
160/0
2.5 Intangible assets and amortisation
Intangible a88ets are stated at cost, less accumulated amorlisation. Intangible asset8
costing more than £500 are capilalised and recognised when future economic benefits are
probable and the cost orvalue ol the asset can be measured reliably.
Intangible fixed assets are initially recognised at cosl. After recognition, underthe cost
model, intangible fixed assets are measured al cost less accumulated amortisation. All
costs incurred to bring an intangible fixed asset into its intended working condition should
be included in the measuremenl of cost.
The intangible assets capitalised during the year are under constrLJCtion and not in Ljse,
Iherefore no amortisation has been charged in the period.
Asset Irves are reviewed annually and may be shortened and ihe accelerated deprecialion
recognised 88 8 Cost.
2.6 Tangiblelixed assets and depreciation
Individual tangible fixed assets costing £500 or more are eapit2lised and rècognised when
future economic benefits are probable and the cost or value ofthe asset can be measured
reliably.
Tangible fixed assets are initialw recognised at cost. After recognition, underthe cost
model, tangible fixed assets are measured at cost less accumulated depreciation and any
accumul8ted impairment losses. All costs incurred to bring a tangible fixed 8sset into its
inlended working condition should be included in the measurement of cost.
Land and freehold property are held at lairvalue atthe reporting date. ValLJations are
performed periodically with 8 maximum interval offiveyears, and more frequently if open

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marketvalues are considered to be volatile, to ensure thatihe fairvalue of a revalued
building does not differ materially from its carrying amount. In any accounting period where
a revaluation is nol underlaken an impairment reviewwill be conducted and provision
WOLJld be made lor any impairment.
Any revaluation gurplug or10s8 18 charged to the statement of financial activities in the year
of revaluation. Accumulated depreciation as at the ￿valUation date is eliminated against
the gross carrying amount of the buildings and the net 8mounl is restated to the revalued
amount of the buildings.
The estimated useful lives are as follows..
Building infr88tructLJre
Membershipd8tabase
iRefer guidelines
Intangible assets
Furniture
Computerhardw8re
10 years
4 years
4 years
4-7 years
5 years
3-5 years
2.7 Investment properties
Investment properties are measured initially al cost and subsequently inclLJded in the
b818nce sheet at18irvalue. Investment properties are not depreciated. The valu8tion
method used to determine fair value will be staled in the notes to the financial statements.
2.8 Investments
Investments are a form of basic financial instrument and are initially recognised attheir
transaction value and subsequently measured at their fairvalue as at the b21ance sheet
date using the closing quoted markel price. Any change in fairvalue will be recognised
in the statement of financial activities. Investment gains and1088es, whether reali8ed or
unrealised, are combined and shown in the heading 'Gains/llossesl on investments, in the
staiement ol financial activities. The College doe8 not acqLiire put options, derivative8 or
other complex financial instruments.
2.9 Debtors
Trade and other debtors are recognised al the settlement amount after any trade discount
offered. Prepayments are valued al the amount prepaid net ol any trade discounts due.
2.10Cash at bankand in hand
Cash al bank and in hand includes cash and short-term highly liquid investments with a
short maturity ofihree months or less from the date of acquisition or opening ol the deposit
or similar account.
2.11 Liabilities and provisions
Liabilities are recognised when there is an obligation al the balance sheet date because of
8 past èvent, it is probable that a transfer of economic benèfit will be requifftd in settlement
and ihe amount ofihe settlement can be estimated reliably.
2.12 Operating leases
Rental charges are charged on a straighi-line basis overthe term of the lease.

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2.13 Pensions
The College operates 8 defined contribution pension scheme for employees. The assets of
the scheme are held separatelyfrom those of the College in an independently administered
fund. The pension CO￿ charge represents contributions payable underihe scheme by
Ihe College to the fund. The College has no liability underihe scheme otherthan for the
payment of those Contributions.
2.14 Fund a¢¢ounting
Unrestricted funds are donations 2nd other incoming ￿sOUrceS ￿te1Ved Dr generated lor
Ihe charitable purposes.
Designated fLJnds are unrestricted funds that are allocated by trustees for particular
purposes.
Restricted funds and expendable endowment funds are lo be used for specific purposes as
laid down by the donor. Expenditure that meets these criteria is charged lo the funds.
2.15 Basis of consolidation
The finanttial statements consolid8tè the accounts ofthe College and the wholly owned
subsidiary, RCR EdU￿tIOn Ltd, on a line-by-line basis.
3 Critical accounting estimates and areas of judgement
Trustees are required to make judgements, estimates and assumptions about the carrying
values ol assets and liabilities that are not readily apparentlrom other sources. The
estimates and underlying 8ssumptions are based on historic81 experience and other factors
that are relevant. Actual results may differ from these estimates.
The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions
to accounting estimates are recognised in the period in which the estimate is revised if
the revision affects only that period, or in the period of the revision and future periods if the
revision 8ffecls the current and future period8.
Critical accounting estimates and assumptions
The College'8 land, bLJildings and investment properties are 81ated at their estimated fair
value based on management estimates as disclosed in note 13.

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4. Income from donations and legacies
Restricted Unrestricted
funds2022
funds 2022
Total
2022
Total
2021
Donation$
Roentgen Professorship
8,113
8,113
7,873
D￿Te￿ncevVhee1e
400
400
NHS England
50,000
50.000
David Skeggs Lecture
1,500
1,500
1,500
Dr Norman Howard
2,000
Total 2022
59,613
400
60,013
7 1,373
5. Income
Reslricled Unrestricted
funds2022
funds 2022
Total
2022
Total
2021
[￿eMberShip
subscriptions
4,535,413 4,535fv13
4,255,879
UK examination lees
1,361,572 1,361,573
1,160,422
Global examination fees.
1,237,946 1,237,946
463,667
Event income
506,705
506,705
446,873
E-learning programme.
19,464
19,464
19,026
Royalties and publications
371,032
371,032
715,064
Service lees
15,659
650,338
665,997
265,228
Total 2022
15,659
8,682,470 8,698,129
7,326, 159
Tota12921
122,228
7,203,937
7,326, 159
'Global ex8mination fee8 8nd e-learning programme are fftported within RCR Education Ltd
in 2022 and were reported in the charity lor 2021. Sponsorship and delegate fees has now
been reclasiff led as event income, £506,705 in the year12021.. £446,873).

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6. Investment income
Reslricled
funds2022
Unrestricted
funds2022
Total
2022
Total
2021
Properties income- Rent
Bank intere81
64,303
64,303
5,243
91,866
5,243
206
Investment income-
Dividends
56,442
243,301 299,743
351, 180
Tolal 2022
56,442
312,847 369,289
453,252
Total 2021
77,758
387,495
453,252
7. Other income
Unrestricted
funds 2022
Unrestricted
funds 2021
Facilities income
4,482
2,050
FLJrloLJgh income
4,659
4N82
6, 709

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8. Resources expended forthe period ended 31 December 2022
Profe88fjonal
UK exam
affairs8nd programme
support
Global
exam
programme
Sp6cl81ty Pmfèsslonal
E408rnlng
trainiTr9 learningand programme
development
IR•fer
Total
Direcisiaff costs
1,569,515
423.717
312.330
464,515
425.117
148,008
241.334 3,584,536
DirettÈx*nsÈs
840,024
1,089,618
73,082
337.667
72,955
218,231
3,476,421
Depreciation
B.679
50.75B
$9,437
4409,539
1,522N14
1,157,174
537,597
762,784
220,963
510,323 7,120,394
Supportcosrs 88
1,378,140
689.070
136.381
413,442
505.318
62,146
137.814
3,322,311
Governance cosis8a
209,403
104.701
2.W2
62,821
78.781
20.940
477,596
2022total$
4997,082
2￿15,785
1,295,557
1,013,860
1W4883
284,057
669,077 10020,301
Average headcount
30
2022 he8dcoun1è11ocation 0/0
44%
22Yo
0%
13%
4Yo
R•wurca8•xp8ndedtyluNI
un￿st[l￿ted
3,738,622
2.315,785
1.010.260
1,325,433
669,D77
9.059.177
Restncted
258,460
3.6
19,450
291.510
Charitable3Ctivrties
4997,082
2,315,785
1,013,860
1,3H885
669,077 9,340,687
RCR EducationLid
1,295.557
284,057
1,579,614
8a. Support activities
Financ8
Facilities
HR Infomiation
technology
SMT
Subtotal Gov?rnanc8
of support
cost
Total
Direet818ff costs
232,969
172.8r
135.010
306,456
520.015
1,367,259
243.701
1,610,980
DirectÈxpenses
179,588
526,317
233.ffl8
532,925
21,547
1,493,385
233,895 1,727,280
Depreciation.
1331.8441
343,511
11,667
ImpairmentolCRM IAdjl
450,0
450,000
Totslsupportcost
412,557
367,281
368018
1,632,892
541.564
3,321311
477.596 3,799,907
'Depreci8tion credit of £411,OCK) was released following revaluation of the building in theyear.

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8b. Resources expended 2021
Profe88fjonal
UK exam
affairs8nd programme
support
Global
exam
programme
Sp6cl81ty Pmfèsslonal
E408rnlng
trainiTr9 learningand programme
development
IRafer
Total
Direcisiaffcosis
460.066
159.201
366,519
542.158
116.473 2,980,535
Dirette¥pÈnses
421,394
1,057,201
535.443
76,000
4￿.470
153.810 2,724,318
Depreciation
723
723
Subtotal resources
expended
1,757,512
1,517*90 694644
442,519
1,022,628
270,283 5,705,576
Supportcosts 80
1,387,276
471.149
163.036
369,YO
422.789
105.697 2,919,886
Governance cosis8c
173,393
58.888
20.377
46,238
52.843
364,950
Totalr•8ourc8$8xp8nd6d
4318,180
2,048,027
878057
858,697
1A98,260
389.191 8,990,412
AvÉr89È headcouni
26
55
2022headcountallocation%
47%
16%
6%
120
15%
4%
8c. Support activities
Finance
Facilities
HR Inforniation
technology
SMT
Subtotal Governance
ol $upport
ryist
Total
Directstaff GQSts
168,690
147.592
151.967
290,228
582.450
1,340,928
200.309 1,541,237
Direciexpenses
126,526
2W.230
227.349
400,191
27.696
164.641 1,236,632
D8preciaiion
216.5
2W,372
506,966
506,966
Totalsupportcost
295,216
654,416
379J16
980,791
610,146
2,919,885
364950 3,284,835
9. Auditor's remur)eration
2022
2021
Fees payable to the College'$ auditor for the audit of
the College's annual accounts
24,950
14,359
Other fee8 payable to the College's aLiditor.'
3,695
2,878

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10. Staff costs
2022
2021
Wages and salaries
3,905,010
3,443,661
Social security cosls
422,653
345,831
Contribution to defined contribution pension 8chemes
533,388
472,534
4,861,051
4,262,026
The average number of persons employed bythe College during the year was as follow￿..
No. 2022
No. 2021
Professional affairs and support
30
26
Exams
12
Specialtytraining
Professional learning and development
iRefer
Organisational support
21
22
89
77
The number of employees whose employee benefits (excluding employer pension costs)
exceeded £60,000 was..
No. 2022
No. 2021
In the band £60,00(F£69,999
In the band £70,000 -£79,000
In the band £80,000-£89,999
In the band £90,000 -£99,999
In the band £120,000-£129,999
In the band £130,000 -£139,999
Employer's pension ¢ontribLrtions were paid at a rate of 15°/o. Total employer's pension
contributions lor employees earning more than £60,000 was £86,12012021.' £84,247).
The total employee benefi18 including pension and employers, Nl contributions ol the key
management personnel We￿ £519,09112021.. £769,125)

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11.Trustees' remuneration and expenses
During the year, a total of £19,796 was paid to 11 trustees as reimbursement oftravel expenses for RCR activities and
£7,4C(J in the form of a technology allowance. In 2021 £28,914 to 21 trustees to reimbLJrse travel costs and £5,800 as a
technology8llowance. Payments made offset the cost of personally owned electronic devices and service lor charity need.
During the year ended 31 December 2022, no trustees received any remuneration or other benefils12021.' £NILI. There are
no other related party transactions.
12 Int8nqible assets
Database
ICRM1)
Database
ICRM21
Development
and research
Intangible
asset
Total
Cost
Ai 1 lanu8ry2022
1,162M69
167,011
201,080
1,530,560
Additions
34,308
220,347
250,604
535,217
1,040,476
Transfers
Di8P0881
Ai 31 December2022
1,196,777
220,347
417,615
736,297
2,571,036
Depreciation
Ai 1 lanuary2022
185,081
21,214
206,295
Charge fortheyear
170,610
59,437
230,047
On disposals
Impairment of assw.
450,WO
450,WO
Ai 31 December 2022
805,691
80,651
886,342
Net bookvalue
Al 31 December 2022
391,086
220,347
417,615
655,646
1,684,694
At37 December2021
977,388
167,017
7 79,866
7,324,265
°Impairment of asset relates to the existing database ICRM11. This intangible asset's usefLJI economic life has been
assesed and the decision was taken to acceleratethe write down overthree years.

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13. Tangible f ixed assets
Freehold
Freehold Building Fumiture Computers Network Artwork
land buildings
infra- fixtures &
structure
fittings
Totsl
Cost or
valuation
Al 1 Janu8ry
2022
8,500,000 6,850,000
96,431
599,646
652,415
5,500 16,703,992
Additions
93.889
51,430
105,150 182,720
4,014
437,203
Transfer
Disposa18
Revaluations
11,600,000)
750,000
(850,0001
At31
December
2022
6.900,000 7,600.000 190,320 651,076
757,565 182,720
9,514 16,291,194
Depreciation
Al 1 January
2021
411.000
30,700
386,112
418,765
1,246,577
Charge for the
year
137,000
10.276
68,880
144,043
28,858
389,057
Transfer
On disposals
RevalLJations
1548,OCK)I
1548,0001
At31
December
2022
40,976
454,992
562,808 28,858
1,087,634
Net bookvalue
At31
December
2022
6,900,000 7,600,1)00 149,344
196,084
194,757 153,862
9,514 15,203,561
At31
December
2021
8,500,000
6,439,000
65,737
213,534
233,650
5,500
15,457,415
The book value ofihe freehold property at 63 Lincoln's Inn Fields is £14.5 million, which is based on the revalualion made
byway ol Clutlons, external valuers, 88 defined in RICS ValLiation- Global Standards 2020 IThe Red Bookl, as at December
2022.

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14.1 nvestment property
Investment properties
Valuation
At 1 lanu8ry2021
4,1)05,000
(1,325,OlXI)
Disposal
At31 December2022
2,680,000
Independent external valuations for each investment prOpertYwe￿ obtained from property
agents. The results of the valuation as of 31 December 2022 showthatihere has been no
net gain/llo8sl on the investment propety. The Trustees are satisfied with the valuation.
15. Fixed asset investments
Listed investments
2022
2021
Cost orvaluation
At1 lanuary2022
11,718,520
10,998,639
Additions
1,007,893
Disposals
1922,8011
11,600,723)
(118,080)
Revaluations
837,961
10,202,889
17,718,520
2022
2021
Sarasin ClimateAclive
Endowment fund units
10,192,744
7 7, 17 7,572
Cash
10,145
1,008
10,202,889
11,718,520
Inveslments are lodged with Sarasin Partner's Climate Active fund.
16. E)ebtors
2022
2021
Charity£
Group£
Trade debtors
190,325
190,325
146,921
Other debtors
188,894
112,670
36,431
Amountsowed bygroup undertakings
Prepayments and accrued income
319,253
303,151
430,513
312,470
620,838
733.508
495,822

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17.Analysis ofcash and cash equivalents
2022
2021
Cash In hand
2,616,394
1,502,643
Cash in transit- Stripe
316,073
Total cash and cash equivalents
2,932N67
1,502,643
18. Creditors- amoLints falling due within one year
2022
2021
Charity£
Group£
Subscriptions and
fees in advance
1,780,570
1,780,570
1,638,407
Trade creditors
523,021
523,021
889,773
Othertaxation and
social security
178,783
178,783
164,345
Accruals and
deferred income
1,894,433
3,579,103
441,972
CBIL loan
180,000
180,000
150,000
4,556,807
6,241,477
3,284,497
2022
2021
Charity£
Group£
Deferred income at
1 lanuary2021
376,842
376,842
733,499
Resources deferred
during the year
1,776,450
3,458,170
376,842
Amounts rele88ed
from previous
periods
1376,8421
1376,8421
(133,499)
1,776M50
3,458,170
376,842
Deferred income relates to funds collected in advance for the future delivery ofexams,
iRefer licence subscription and events. This liability represents the obligation to provide
these services In the future.

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19. Creditors- amounts falling due after one year
2022
2021
CBILS108n
585,000
750,000
Royaliies contract bonus
30,0
40,000
iRefer royalities
307,492
922,493
790,000
CBILS unsecured loan is £900,000 over sixyears from March 2021 at a fixed interest rate. rep8y8ble from the first
anniversary.
Royally contract bonus was paid on signing new contract and will be 8morii8ed over the live-year life of the contracifrom I
January2022.
iRefer royalties provision relates lo licence subscription fee paid in 2022, for 2024 and 2025.
20. Statement offunds- current year
Balance at
1 January
2022
Income
Expenditure
Transfers
inlout
Gainsl
Balance at
(losses) 31 December
2022
Restricted funds
E-learnino projects
Qsl accreditation
prograrnme
207.680
18.5941
1140.4311
199,086
191,311
15,659
146,5391
20,000
NHS England
Other restricted
funds
60,000
50,000
109,1)05
8,113
14,4821
112,635
Prize fund
68,482
16,2681
62,214
Lecture fund
121.701
1,500
11061
123,1801
123,095
Research CO
490,682
467,502
Education fund
1,741,763
56,446
198,4491
1330,2421
1,369,514
2,930,624
131,714
1281,510)
(46,539) 1330,242)
2,404,047

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Balance at
1 January
2022
Income
Expenditure
Transfers
inlout
Gainsl
Balance at
(losses) 31 December
2022
Unrestricted funds
General funds
8,056,796
8,995,989
110,087,732) 11,431,140) 11,023.8011
4510,112
Designatedfunds
Building
maintenance lund
500,000
500,000
Major projects fLJnd
397,848
397,848
Clinical oncology &
r8diology R&D fund
Cyclotron
CR research fund
(Kodak)
83,984
12101
83,774
180,862
4,210
11,9641
121,3031
161,805
867.002
127,7811
1142,2851
696,936
Worm8ld fund
630.374
630,374
Fixedassetfunds
Freehold propety
Fixed asset fund
14,939,000
411,000
1850,0001
14500,000
518,415
1252,0571
437,203
703,561
Intangible assets
1,324263
27,498,544 9,000,199 110,638,791)
30N29,168 9,131,913 110,920,301)
1680,0471
1,040,476
1,684,692
46,539 (2,037,389) 23,869,102
0 12,367,631) 26,273,149
Total of funds
Purposes of restricted funds
81 E-learning projects.. funds held in connection with e-le8rning projects including R-ITI.
bl QSI accreditation project.. funds used to help develop the Quality Standards in Imaging accreditalion programmejoinily
with SCOR. £75,000 was trarnsfer￿d from the general fund to reflect RCR'S contribution to this programme in 2021.
CI NHS England.. grantlunding received towardsihe NG Tubes Project.
dl Other restricted funds.. includes funds set aside to support the development of professional development initiatives and
new credentials.
el fl gl h) We reportfour newfunds aimed at supporting leJures, prizes, clinical oncology research initiatives and other
education purposes.

w.rcr.ac.uk
Trusrees, reportand financial st81emenTS
fortheyearended 31 December 2022
43
Purposes of designated funds
il Building maintenance fund held against uninsured risk of damage to or need for development of 63 Lincoln's Inn Fields,
or against the costs ol a move to a new propertywhen the need arises.
j) M2jor projects fund held to 8upportthe clinical oncology planning project and the exams reform projects, which started
in 2022.
kl Clinical oncologyand clinical radiology research and development funds are Ljsed to support research and leaching
initiatives in those specialties.
11 Cyclotron.. funds held io promote awareness, Iraining and application of Cyclotron in the treatment of cancer.
ml Clinical r8diology research fund donated by Kodak and reclassified as designated by agreement in 2021.
nl Wormald fund held to support global education actiiqties of the RCR cfft2tèd from the reclassification of £630,374 of
funds identified as designated In 2021.
Fixed assetfunds
ol Freehold property.. this represents the value relating to the combined land and buildings at 63 Lincoln's Inn Fields,
LondonWC2.
pl Fixed asset fund.. this is the book value of the unrestricted tangible fixed assets other than property held bythe College,
of which tangible IS assets represent the largest proportion.
ql Intangible asset fund.. represents the v21ue of the intangible assets including iRefer guidelines, Exams Hub platform and
CRM application.
Transfers between funds
rl £46,539 was transferred Irom the general fund to the accreditation scheme restricted fund forthe 2022 RCR contribution
to the scheme12021.. £75,000).
SI £437,203 was transferred from general fund to the fixed asset fund to represent the addition of assets purchased in the
year.
t) £1,040,476 ￿preSentS intangible assets purchased in year.

w.rcr.ac.uk
Trusrees, reportand financial st81emenTS
fortheyearended 31 December 2022
21a. Summaryoffunds-currentyear
Balance at 1
January2022
Income
Expenditure
Transfers,
gains/llosses}
Balance at 31
December 2022
Designated funds
19,441,748
4,210
1551,0591
464,091
19,358,990
General funds
8.056,796
8,995,989
110.087,7321
12,454,941)
4,510.112
Restricted funds
2,930,624
131,714
1281,5101
1376,7811
2NO4047
30,429,168
9.131,913 110,920,301)
{2,367,6311
26,273,149
21 b. Summaryoffund8- prioryear
Balance at 1
January2021
Income
Expendilure
Transfers,
Gainslllosses)
Balanceal 31
December2021
Design8ted funds
17,610,880
5,359
(75,560)
1,511,042
79,051,721
General funds
8,484, 101
7,586, 175
(8, 707,308)
I,￿￿5,255
8,456,823
Endowmentfunds
153,228
(151, 128)
Restricted funds
3,904,998
250,359
(205,443)
1974,290)
2,930,624
30, 753,207
7,797,493
(8,990,4 11)
1,468,879
30,429, 768

w.rcr.ac.uk
Trusrees, reportand financial st81emenTS
fortheyearended 31 December 2022
45
22a. Analysis of netassets between funds- current year
Unrestricted Total funds 2022
funds 2022
Restricted
funds2022
Tangible fixed assels
15,203,561
15,203,561
Intangible fixed asset8
1,684,694
1,684,694
Fixed asset irwestments
1,369,514
8,833,376
10,202,889
Investment propety
2,680,000
2,680,000
Current assets
3,665,976
3,665,975
C￿dItorS due within 1 year
16,241,477)
16,241,477
Creditors due more than 1
ye8r
1922.4931
(922,4931
Total
1,369,514
24,903,635
26,273,149
22b. Analysis of net assets between funds- prioryear
Restricted
funds2021
Unrestricted Total fund$ 2021
funds 2021
Tangible fixed assets
15,457,415
15,457,415
Intangible fixed assets
1,324,265
7,324,265
Fixed asset investments
2,930,624
8, 787,896
11, 718,520
Investment property
4,(D5,000
4,005,000
Current assets
1,998,465
1,998,465
Creditors due wiihin 1 year
13,284,497)
13,284,497J
Creditors due more than I
(790,000)
1790,000)
year
Totsl
2,930,624
27,498,544
30,429,168

w.rcr.ac.uk
Trusrees, reportand financial st81emenTS
fortheyearended 31 December 2022
23. Reconciliation of net movement in fundsto net cash flowfrom operating
activities
2022
2021
Nel income forthe year las per Statement of
financial activitiesl
14156,019)
275,961
Adjustments for..
Dep￿cIatION charges
619,104
507,689
Impairment ol CRM
450,000
Revaluation of investment properlies
850,000
1605,OOOJ
IGainsl/losses on investments
1.361,598
(883,880)
Dividends, interesls and rents from inveslmenls
1349,0091
1397,442)
Loss on the sale ol fixed a8set8
2,000
16,607
Ilncreasel/decrease in debtors
1237,6861
133,848
Increase/ldecre8sel in creditors
2,956,980
762,921
Net cash provided byoperating activities
1,496,958
(163,296)
24. Analysis of debt
At 1 January
2022
Ca8h flow
At 31 December
2022
C88h in hand
1,502,643
1,429,824
2,932,467
Tolal cash and cash
equivalents
1,502,643
1.429.824
2,932N67

w.rcr.ac.uk
Trusrees, reportand financial st81emenTS
fortheyearended 31 December 2022
47
25. RCR Education Ltd- statement of comprehensive incomeforthe period
ended 31 December 2022
Total 2022
TURNOVER
1,257,410
Cost of sales
(1,342,330)
Gross Ilossl
(84,920)
Administralive expenses
1183,2WI
Interest receivable / p8yable
12,9451
(LOSS) ON ORDINARY ACTMTIES BEFORE TAXATION
{271,065)
Taxation of profit on ordinary activities
(LOSS) FOR THE PERIOD
(271,065)
STATEMENT OF RETAINED EARNINGS
Total retained earnings broughtfotward
(Lossl forthe period
1271,0651
Distribution under Gift Aid to parent charity
Tolal retained Ilosses) al 31 December 2022
(271,065)

w.rcr.ac.uk
Trusrees, reportand financial st81emenTS
fortheyearended 31 December 2022
26. RCR Education Ltd - statement of f inancial position at 21 E)ecember 2022
Total 2022
CURRENT ASSErs
Debiors
315,367
Cash at bank
1,424,348
1,739,715
CREDITORS
Amounts falling due within one year
12,010,779)
N￿CuRRE1wLIABILITlEs
(271,064)
Amouni falling due after morethan oneyear
LIABILITIES
{271,064)
CAPITALAND RESERVES
C811ed-up share capital
Retained earnings
1271,0651
Shareholders, fund
{271,064)
RCR Education Ltd is a wholly owned trading subsidiary, RCR Education Ltd, was
incorporated on 25 February 2022, company registration 13941872.
The operating loss lorihe year ended 31 December 2022 was £271 k.
The purpose ol the trading company is to carry on business as a general company forthe
benefit of The Royal College ol Radiologists ag it sole member. The principal activities
of the company in the period were the delivery of non-UK examinations and e-learning
programmes.
RCR Education Ltd's results are included in the consolidated financial statements.
Haysmacintyre LLPwas appointed asthe company s auditor during the year.

w.rcr.ac.uk
Trusrees, reportand financial st81emenTS
fortheyearended 31 December 2022
49
27. Consolidated statement of financial activities for the year ended 31 December 2021
Endowment
funds2021
Restricted
funds 2021
Unrestricted
funds 2021
Totsl
funds
Note
Income and endowmentsfrom:
Donations and legacies
11,372
11,373
Charitable activities
122,228
7,203,931
7,326,159
Investments
71,757
381,495
453,252
Other income
6,709
6,709
Total in¢ome and endowment$
205,358
7.592,135
7,797N93
Expenditure on:
Charitable activities
2,100
205,442
8,782,870
8,990,412
Total expenditure
2,100
205,442
8,782,870
8,990,412
Gains/llossesl on revaluation of
fixed 8ssets
605,000
605,000
Gains/llossesl on investments
296,958
566,922
863,880
Transfers
1151,1281
11,271,248)
1,422,376
Netmovement infunds
(153,2281
1974,374)
1N03,563
275,961
Reconciliation of funds:
Total funds broLJght forward
153,228
3,904,998
26,094,981
20,153,207
Net movement in funds
1153.2281
1974,3741
1,403,563
275,961
Total funds ¢arried forvoard
2.930,624
27N98,544
30N29.168

RCR
The Royal C(l￿geOf RadI￿OgIstS
The Royal College of Radiologists
63 Lincoln's Inn Fields
London VVC2A 3JW
+4410120 7405 1282
enquiries@rcr.ac.LJk
wvvw.rcr.8c.uk
@RCRadiologists
The Royal College ol Radiologigts.Trustees' reportand financial
statements lor the year ended 31 December 2022. London.. The
Royal College of Radiologists, 2023.
The Royal College ol Radiologists is a Charity regisiered
wilh the Charitycommission No. 211540.
The Roy81 College of Radiologists, August 2023.
This rnateria1 has been produced byThe Royal College of
Radiologists IRCRlfor use internallywithinthe speci81ties
of clinical oncologyand clini￿1 radiology In the United
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professionals. and the making olanydecision regarrjing the
8pplicabiliiyand suit8biliiyof the material in any particular
Circumstance is subieci tothe user's profession8ljudgement.
While every reasonablecare has been iaken toensureihe
accLJracyof ihe ma1erial, RCR cannot accepi any responsibiliiy
foranyaction taken. or not taken, on ihe b8sisof it As publisher.
RCR shall not be liableto any personfor aryloss ord8mage.
which may8risefrom the use of8ryofthe rnaterial. The RCR
does ntst exelude or limit liabilitylordeath or personal Iniuryto
the exteni onlythatthe same arisesas a iesuli olthe negligence
of RCR. lis employees. Officers, members and Fellows, orary
other person contributing toiheformulaiion of the materi81.