MAY 2026 

## Trustees’ report and financial statements for the year ended 31 December 2025 





Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

## **Contents** 

|**1. Trustees’ report**|**3**|
|---|---|
|**2. Financial report**|**11**|
|Responsibilities of the trustees|20|
|**3. Independent auditor’s report to the members of the RCR**|**22**|
|Consolidated statement of financial activities of The Royal College of||
|Radiologists for the year ended 31 December 2025|26|
|Consolidated and charity balance sheet as at 31 December 2025|27|
|Consolidated statement of cash flows as at 31 December 2025|28|
|**4. Notes to the financial statements for the year ended 31 December 2025**|**29**|



2 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

## 01 

## **Trustees’ report** 

Reference and administrative details of The Royal College of Radiologists (the RCR), its trustees and advisers for the year ended 31 December 2025 and to the date of signing these accounts. 


**----- Start of picture text -----**<br>
Officers and trustees<br>**----- End of picture text -----**<br>


||**On 31 December 2025**|**To 31 August 2025**|
|---|---|---|
|**President**|Dr Stephen Harden|Dr Katharine Halliday|
|**Medical Director**|Dr Qaiser Malik|Dr Qaiser Malik|
|**Membership and**|||
|**Business**|||
|**Vice-presidents**|Prof Amaka Ofiah, Clinical|Dr Stephen Harden, Clinical|
||Radiology|Radiology|
||Dr NickyThorp, Clinical Oncology|Dr Tom Roques, Clinical Oncology|
|**Medical Director**|Dr David Little, Clinical Radiology|Dr Priya Suresh, Clinical Radiology|
|**Education and Training**|Dr Louise Hanna, Clinical Oncology|Dr Louise Hanna, Clinical Oncology|
|**Medical Director**|Dr Robin Proctor, Clinical Radiology|Dr Robin Proctor, Clinical Radiology|
|**Professional Practice**|Dr Petra Jankowska, Clinical|Dr Petra Jankowska, Clinical|
||Oncology|Oncology|
|**Treasurer**|Mr AnthonyCarey|Mr AnthonyCarey|
|**Lay Trustee**|Sir James Duddridge|Sir David Sloman|
||Mr John Coughlan||
||||
|**Charity Number**|211540||
|**Address**|63 Lincoln’s Inn Fields London WC2A|3JW|
|**Key management roles**|Oliver Reichardt, Chief Executive||
||Tania Vanburen, Executive Director and Deputy Chief Executive||
||David Botha, Executive Director||
||Gemma Malley, Executive Director||
|**Independent Auditor**|**HaysMac LLP**||
||10 Queen Street Place, London EC4R|1AG|
|**Bankers**|**National Westminster Bank**||
||PO Box 2021, 10 Marylebone High Street, London W1A 1FH||
|**Solicitors**|**Bates Wells LLP**||
||10 Queen Street Place, London EC4R|1BE|
|**Investment managers**|**Sarasin & Partners LLP**||
||Juxon House, 100 St Paul’s Churchyard, London EC4M 8BU||



The trustees present their report and the audited financial statements for the period ended 31 December 2025 for the RCR group, consisting of the charity, The Royal College of Radiologists, and its wholly owned subsidiary, RCR Education Ltd. The reference and administrative information set out on pages 3–10 forms part of this report. The financial statements comply with current statutory requirements, the Royal Charter and By-laws of the RCR and the Charities Statement of Recommended Practice (SORP) (Financial Reporting Standard [FRS] 102) applicable to charities preparing group accounts after 2019. 

3 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

01 **Trustees' report** 

## Structure, governance and management 

The trustee board is the ultimate governing body of the RCR and comprises up to 12 trustees. The trustees are: the seven elected officers (President, two Vice-presidents, two Medical Directors Education and Training, and two Medical Directors Professional Practice), the appointed Medical Director Membership and Business, and up to four appointed lay trustees including the Treasurer. Eligibility requirements and electoral arrangements for all elected positions are set out in the By-laws and Regulations. 

## **Main governance boards in the RCR** 


**----- Start of picture text -----**<br>
Clinical Oncology Clinical Radiology<br>Faculty Leadership Trustee Board Faculty Leadership<br>team team<br>Clinical Oncology Clinical Radiology<br>Council<br>Faculty Board Faculty board<br>Equality, Diversity  Devolved Nations Finance and<br>Remuneration<br>and Inclusion Standing  Investment<br>Committee<br>Committee Committees Committee<br>Fellowship without<br>Honours Journals<br>Examination<br>Committee Board<br>Committee<br>Feedback and challenge<br>**----- End of picture text -----**<br>


The trustee board is responsible for the governance of the RCR consistent with the objects defined in the Royal Charter. The board sets the strategy for the RCR and delegates the decisions on and implementation of specialty-specific policy to the appropriate faculty. Each faculty is led by a team of officers headed by the Vice-president and is charged under the constitution with developing its specialty. The faculties are responsible to the trustee board for managing the affairs of their faculty through the boards and committees. 

Each faculty is led by a faculty leadership team to which a number of committees report, including a Specialty Training Board, a Professional Support and Standards Board, an Academic Committee and a Strategic Learning Committee. From time to time other committees and working groups are set up to help deliver the affairs of the faculty. Other committees and working groups are used from time to time. 

The Finance and Investment Committee (FAIC) is responsible to the trustee board for ensuring that resource and business planning, delivery and risk for the RCR supports and enables achievement of the RCR’s strategic priorities. The FAIC is led by the Treasurer and includes the President, both Vice-presidents and the Medical Director Membership and Business and two non-trustee lay members with expertise in business planning, risk management and performance. 

4 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

01 **Trustees' report** 

The senior management team (SMT), headed by the Chief Executive, provides operational leadership of the RCR and management of all staff. The SMT and staff of the RCR support and advise officers, trustees, the boards and committees. 

The RCR has an elected Council, a board of elected members to scrutinise, challenge and feed back members’ views and needs to the trustees. The Council is responsible for appointing the lay trustees and Treasurer. 

Trustees and SMT members must maintain and keep up to date their entry in a published Register of Interests. 

## Induction and training 

Trustees are inducted with a combination of training and briefings on the duties of trustees and documentation specific to the RCR and also from the Charity Commission (eg The Essential Trustee: what you need to know (CC3)); guidance on charitable purposes and public benefit; a copy of the RCR Charter, By-laws and Regulations; information on the RCR governance and reporting structures; the travel and expenses policy; the RCR Strategic Priorities; and the Compact, the RCR’s statement of behavioural values. 

In addition, the officers have a tailored induction programme on election and access to training and coaching throughout their term of office. 

We revise this programme of induction and training from time to time to ensure trustees are properly supported in fulfilling their duties and kept informed on new requirements and standards. 

## The RCR group activities 

The RCR owns a subsidiary company, RCR Education Ltd, and this financial report is for the group, which includes that company. The RCR also has a 50% stake in Imaging Quality Improvement Limited (IQI) as part of a joint venture. 

## **RCR Education Ltd** 

RCR Education Ltd was established in February 2022 as a wholly owned subsidiary of the charity. The RCR uses the entity to undertake areas of its work where there are financial benefits for the charity of operating a limited company as opposed to a charitable operation. 

Its constitution ensures that there is tight control of the purposes and operations of the entity and limits trading outside of a narrow band of activities agreed with the charity. The directors of RCR Education Ltd are drawn from the employed SMT and officers. 

RCR Education Ltd reports the financial operations of the global exams and e-learning activities for the RCR group for the year ending 31 December 2025. 

5 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

01 **Trustees' report** 

## **Imaging Quality Improvement Limited (IQI)** 

The RCR operates a joint venture with the Society and College of Radiographers (SCoR) and through this has 50% control of a company limited by guarantee, IQI. This form of joint venture vehicle is recommended practice as an effective risk management strategy for charitable joint ventures. 

IQI commenced trading in July 2024 and generates income through Quality Mark in Standards for Imaging and membership of the Quality Standard for Imaging (QSI) hub. The company has a September year end and so information contained in these accounts is based upon management information as at 31 December 2025. We reflect our share of losses in these accounts. 

The full financial accounts for IQI Ltd will be published independently of the RCR and SCoR because neither group has majority control. Both parties have equal numbers of directors. 

## Objects and activities 

The objects of the RCR are to advance the science and practice of clinical radiology and clinical oncology, as stated in its Royal Charter. These benefit patients by improving the accuracy and speed of diagnosis and the quality of treatment, which will improve the quality of life for patients. 

Clinical oncologists are medical specialists skilled in cancer treatment with radiotherapy, chemotherapy and other systemic therapies. Clinical radiologists are medical specialists who inform the detection, diagnosis and management of disease through the use of imaging techniques. Radiologists also use minimally invasive methods to treat disease. 

As a charity, the RCR is independent of the state and not part of the National Health Service in any of 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 18,000 Fellows and members worldwide in the disciplines of clinical oncology and clinical radiology. 

## **RCR membership – 2025** 


6 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

01 **Trustees' report** 

The trustees deliver public benefit through the work of the RCR in and for the specialties of clinical radiology and clinical oncology in the interest of patients and the wider public. This includes: 

- Defining standards for training. 

- Conducting the RCR Fellowship examinations. 

- Offering lectureships and awarding prizes, scholarships and research fellowships. 

- Diffusing information on matters affecting the specialties. 

- Publishing papers, journals and other documents. 

- Holding meetings, conferences, seminars and courses. 

- Publishing professional guidance and advice. 

- Operating a continuing professional development scheme. 

- Acting as an authoritative body for the purpose of consultation in matters of public and professional interest. 

- Furthering public education and information about the two specialties. 

- Managing the RCR investments effectively. 

- Managing overall finances of the RCR effectively. 

## Achievements and next steps 

Throughout 2025, the RCR made significant progress towards accomplishing its strategic priorities. The following sections set out our achievements by key business area. 

## **1. Workforce** 

_We support excellent patient care by working collaboratively on team-wide standards and shaping sustainable workforce models for our patients and our specialties._ 

In 2025 we: 

- Expanded our suite of clinical guidance to support safe, effective and consistent practice across clinical radiology and clinical oncology, including guidance on imaging standards, workforce planning, clinical pathways and consent. Key updates included revised standards for imaging reporting and screening and symptomatic breast imaging and new guidance supporting decision-making in emergency and oncology settings. 

- Strengthened support for local quality improvement by helping members use the growing volume of high-quality data and publishing eight reports from the RCR audits. 

- Continued to embed the QSI programme, supporting departments to work towards recognised standards for safe, effective, patient-centred imaging services. 

- Awarded 25 services the QSI Quality Mark, a recognised hallmark of quality within imaging services. 

- Continued our sustained investment in exam quality and enhanced the candidate experience – delivering our highest volume of Fellow of the Royal College of Radiologists (FRCR) exams in one year (9,141). 

- Strengthened confidence in exam results by commissioning an independent review of the FRCR results-awarding processes. 

7 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

01 **Trustees' report** 

- Expanded our support for career development and shared learning by matching 171 mentees across our mentoring programmes, including both traditional and reverse mentoring. 

- Strengthened local support by developing peer-led networks and recruiting 12 trained champions to our Support and Wellbeing Champions scheme across radiology and clinical oncology departments. 

- Provided targeted development opportunities for our Fellows and members at key transition points in their careers, including mentoring and leadership development. 

- Supported increased applications to clinical oncology training through our Choose Oncology workforce campaign. 

- Improved access to clinical decision support by launching an iRefer app to make the guidelines more easily accessible. 

## **2. Be the experts** 

_We highlight the contribution our specialties make to safe, evidence-based and cost-effective patient care, and contribute to the debate on the future of healthcare in the UK and overseas._ 

During 2025 we: 

- Submitted evidence to and played a key role in shaping the National Cancer Plan for England ahead of its publication in 2026 and, as part of this work, will lead the reform of multidisciplinary team meetings to ensure that changes allow clinicians to deliver faster and more effective patient care. 

- Saw our sustained advocacy secure government investment in computed tomography (CT), magnetic resonance imaging (MRI) and linear accelerator (LINAC) capacity, addressing long-standing funding pressures on services. 

- Helped deliver a new national commissioning model for stereotactic ablative radiotherapy through our advocacy, removing barriers to access from 2026. 

- Demonstrated the impact of our 2024 censuses, both of which received a 100% response rate, with our recommendations directly informing NHS England’s new 10-Point Plan to improve resident doctors’ wellbeing. 

- Ensured our clinical insight continues to shape a sustainable future for our specialties by publishing 10 policy papers and submitting expert input to 29 national consultations. 

- Extended our influence and visibility in the media by achieving over 1,300 mentions both nationally and locally. 

- Strengthened key relationships with national system partners, including the Medicines and Healthcare products Regulatory Agency (MHRA) and NHS Providers. 

- Reinforced our position as a trusted voice through invitations to roundtables, panel discussions and working groups. 

- Actively contributed to policy discussions and the development of national plans, engaging directly with 39 Members of Parliament, including senior decision-makers. 

8 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

01 **Trustees' report** 

## **3. Professional learning** 

_We strive to develop our educational offer to support our doctors to meet the challenges of practice._ 

In 2025 we developed our professional learning offer and: 

- Delivered 68 live RCR Learning courses and events, engaging over 3,200 learners across the profession with access to high-quality development opportunities. 

- Hosted our inaugural Global AI Conference in partnership with the NHS, bringing together over 1,000 attendees from 54 countries to explore the role of artificial intelligence (AI) in healthcare. 

- Supported radiology resident doctors in their local core training through our National Subspecialty Lecture Series, highlighting how early subspecialty learning builds essential skills in interventional radiology, head and neck imaging and paediatric radiology. This series was delivered in collaboration with three special interest groups: BSPR, BSHNI and BSIR. 

- Expanded our learning programme with new events aligned to member priorities, including a pilot for exam preparation and courses covering AI fundamentals. 

- Welcomed over 300 attendees from the UK and internationally to our sixth annual REALM Conference (radiology events and learning meetings), exploring challenges and pitfalls across multiple radiology special interest areas. 

- Continued development of digital learning resources to improve accessibility and support flexible learning across our global membership. 

- Achieved strong growth in journal readership, reflecting their value to international readers, with full-text usage up 51% for _Clinical Radiology_ and 12% for _Clinical Oncology_ . 

## **4. Membership value** 

_We support all our Fellows and members to deliver the best care for patients for their entire career, regardless of where or how they practise._ 

In 2025 we: 

- Celebrated the admission of 731 new Fellows to the RCR. 

- Hosted three admissions ceremonies, bringing together members from 28 countries to celebrate their achievement and receive their certificates. 

- Saw our membership magazine, _Wave_ , shortlisted for a Memcom Award for ‘Best Magazine Launch or Relaunch’, reflecting our commitment to covering the issues that really matter to our membership. 

- Gathered direct insight from our Fellows and members through our biennial survey, using feedback to shape our future direction and ensure we deliver the support our membership needs. 

- Continued to enhance member engagement through more targeted communications – including a new bimonthly resident doctor newsletter – and improved digital channels that help members access the resources and information they need. 

9 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

01 **Trustees' report** 

## **5. Our College** 

_We shape a College that is agile, responsive, accountable and open._ 

In 2025 we: 

- Updated our strategic priorities to guide the RCR’s work over the coming years and set a clear direction for how we will support our Fellows and members: 

   - **Advancing the profession:** Supporting our doctors to deliver excellent, up-to-date patient care. 

   - **Expertly advocating:** Ensuring our voice is central to debates to shape current and future healthcare. 

   - **Delivering lifelong learning:** Creating world-leading learning to support our doctors throughout their career. 

   - **Increasing member engagement:** Understanding the needs and views of our members to provide the best possible member experience. 

- Welcomed four new officers: our President, Dr Stephen Harden; our Vice-president for Clinical Radiology, Professor Amaka Offiah; our Vice-president for Clinical Oncology, Dr Nicky Thorp; and our Medical Director for Education and Training, Clinical Radiology, Dr David Little. 

- Benefited from the valuable insights and expertise of over 3,600 Fellows, members and supporters who actively contribute to our work through a wide variety of roles, including committee members, examiners, authors, reviewers, mentors and more. 

- Ensured the embedding of updated governance structures to support effective decisionmaking, transparency and accountability. 

- Developed and launched a new equality, diversity and inclusion (EDI) plan, building on the progress made so far and setting the direction for the next three years for continued improvement. 

- Strengthened our commitment to neurodiversity by publishing an action plan to guide our work over the next 18 months across key areas, including producing guidance on neurodiversity in the workplace. 

- Reinforced our position as a trusted voice on the role of AI in the future of radiology and oncology by bringing together senior clinical and policy leaders to support safe, effective deployment of AI in the NHS. 

- Directly informed the work of the National Commission on AI Regulation through expert engagement and evidence. 

All these achievements provide a strong foundation for delivering our strategic priorities in the year ahead across both our specialties. 

10 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

## 02 

## **Financial report** 

## Risk management 

The trustee board holds ultimate responsibility for the management of risk but delegates the oversight of risk management strategy and process to the FAIC. The FAIC and the SMT identify the strategic and operational risks, which the SMT manages day to day through programmes focused on income diversification, business process improvement and the application of new technology. The FAIC oversees these activities, scrutinises the risk register and advises the trustees accordingly. 

The trustee board has reviewed the risks and has identified the following as the most significant threats to delivery of the RCR’s strategic aims. 

## **Risk** 

The RCR depends on UK doctors to design and deliver content and services to other members and Fellows, but the environment of competing workplace pressures (workload, culture, workforce) threatens the availability, capacity and appetite of those contributors to provide this support. 

This creates uncertainties in relationships, delivery and plans for our strategic priorities. 

## **Mitigation and monitoring** 

We have agreed and implemented a Contributor Strategy through 2025. We have been working on simplifying processes and improving the experience for contributors. We have a campaign to raise the profile and attractiveness of contributor roles and ensure effective reward and recognition. We survey the cohort annually, to understand their motivations and likeliness to continue giving their time voluntarily, and act upon the results. Faculty leadership teams monitor, and trustees have oversight through reporting. 

We continue to advocate for, and lobby National Health Service England and the Department of Health and Social Care on, the importance of doctors developing their specialties through RCR activities. 

Unmet overseas demand, especially for CR2B (the final clinical radiology exam), discourages candidates from seeking FRCR, leading to declining funding and damage to the RCR’s reputation and unwittingly boosting other qualifications. This is linked to time commitment from examiners, who may be unable to find time to cope with the increased volumes. 

Our 2026 programme includes significant increase in capacity at CR2B to reduce wait times. We continue to build exams and examiner capacity in the UK and internationally. 

We are developing new models of examinations to accommodate demand and make it easier for candidates to participate. 

This impacts significantly on our ability to fund exams and subsidise other activities that the RCR undertakes for members, or leads to excessive exam price rises to compensate for lower volumes. 

11 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

02 **Financial report** 

## **Risk** 

As for all organisations, the RCR is exposed to an increase in cyber threats, which risks compromising access to, or the quality of, our data, operations and communications. 

## **Mitigation and monitoring** 

We have implemented changes to our information services consistent with a Cyber Assessment Framework (CAF) strategic framework, including comprehensive policies and processes to enhance protection, a cyber response plan and associated measures to enhance our response. 

We intend to complete the full programme of change in 2026 and will resource to maintain and enhance the protections in future. 

We carry out regular testing of our infrastructure and services, employ specialist knowledge in our governance and IT teams and strive to maintain the Cyber Essentials Plus standards. 

The shortage of national training places, coupled with increasing anticipated demand for workforce improvements and retirements, may lead to a drop in membership numbers, income and capacity. 

We have expanded our campaign for workforce improvements, adding additional resources to our communications and policy areas. 

We will continue to contribute to NHS and government plans and policy. 

We will increase our membership overseas. 

Discussions between resident doctors and government have indicated the potential for government paying for member and/or exam fees in future years. This could create downward financial pressure and limit our ability to fund key activities. 

Failure to deliver financial sustainability may require us to promote a short-term response (significant cost reduction or fee increases) over medium-term priorities. 

We continue to monitor government communications with residents on this issue, discuss this with government and diversify through expansion of global activities to reduce reliance on this income stream. 

Comprehensive regular financial reporting and a multi-year financial planning regime, along with targets and regular discussions and transparency, ensures that trustees have visibility of and ability to influence out-turns. 

## Going concern 

The accounts are prepared based on the RCR being a going concern, which means being able to operate for a period of at least 12 months from the date of signing these accounts. The trustee board assesses the financial circumstances and outlook for the RCR and takes the advice of the FAIC when considering the accounts. 

The FAIC regularly scrutinises financial management and performance information and provides advice to the trustee board on the statutory accounts, budgets, forecasts and reserves policies. This information includes: 

- Budgets for the next year. 

- Financial forecasts beyond the end of the current financial year, the three-year plan. 

- Regular management accounts and commentaries. 

- Cash flow management. 

- Reviews of investment performance. 

- Reviews of the financial policies and controls. 

- Regular reviews of risks and mitigation. 

12 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

02 **Financial report** 

- Audit findings. 

## **Confidence in going concern** 

The trustee board has considered and accepted the advice and recommendation of the FAIC, which, after scrutinising the financial reports and resources of the RCR, has recommended approval of the accounts on a going concern basis. 

The main points considered by the FAIC in its recommendation to trustee board are: 

- The RCR is making a surplus in the current year and is budgeted to make a surplus in 2026 from operating activities and when including restricted fund payouts (excluding unrealised losses on investments if applicable). 

- The RCR is following a three-year plan that shows growth and profitability going forward. 

- There are reasonable levels of cash liquidity in the business model and there is access to additional cash as required. Analysis shows that the RCR will remain solvent even when financially stressed. 

- The RCR follows good practice in reporting and financial planning, giving good visibility of risks and out-turn and time to manage challenges. 

## Policies 

## **Employee remuneration policy** 

The RCR 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 RCR operates a pay progression structure that links pay progression to the achievement of objectives, learning and development expectations and core competencies. 

The Remuneration Committee exercises responsibility on behalf of the trustee board for the review of the remuneration of key management personnel and any remuneration of Fellows. 

The RCR had a pay budget of 3% to allocate salary increases to employees, with uplifts taking effect from 1 January 2025. This was 1% lower than the 4% rises in January 2024. The distribution of the budget was informed by the results of our annual pay benchmarking exercise that took place in October 2024, which highlighted some pay grades were being paid above the median rate within the market and others were being paid below the market rate. To recognise this, varied pay rates were applied to each grade to ensure salaries remained competitive and continued to align with the RCR’s pay principles. All adjustments to pay rates were made within the 3% budget approved by trustees. 

13 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

02 **Financial report** 

The Remuneration Committee also assesses the need for executive bonuses annually. 

## **Ethical and sustainable investment policy** 

The RCR uses the Sarasin Climate Active Endowment fund, which takes a strong stance on ethical and social stewardship matters and uses positive and ethical screening in the investments. This excludes companies whose principal purpose is in tobacco, armaments, gambling, pornography, extraction or production of thermal coal and tar sands and fossil fuels extraction. The trustees are content that this positive screening approach is an effective way of demonstrating the RCR’s support for climate change initiatives and is consistent with the RCR’s charitable objectives. 

The objectives of the investment policy are to maximise total returns via growth in capital and income to enable the RCR to carry out its purposes consistently year by year with due and proper consideration for future needs. Its key strategic measure is to achieve at least Consumer Prices Index (CPI) plus 4% over the time frame of five to seven years. It also compares performance with similar funds using the ARC Steady Growth Charity Index. 

During the year the RCR opened a liquidity fund to help diversification and in response to volatility in global markets, which was impacting other investments. This returns circa 4% a year. 

The portfolio returns over different periods are shown below. The FAIC has explored the performance with the fund manager and is satisfied with the performance of the investment manager in achieving the fund aims in the long term but is disappointed with the short-term returns. The CPI measure is impacted significantly by 2022, when markets performed poorly yet CPI was at circa 10%. As can be seen in the three-year measure, performance is again above benchmarks. The trustees will monitor short-term performance in 2026 and assess the portfolio manager against peers. 


**----- Start of picture text -----**<br>
To 31 December 2025 1 year  3 years  5 years  7 years<br>% (annualised) % (annualised) % (annualised) %<br>**----- End of picture text -----**<br>


|The Royal College of Radiologists|4.3|8.3|4.7|7.6|
|---|---|---|---|---|
|(net of costs)|||||
|Long-term target: CPI + 4%|6.7|6.9|8.6|7.3|
|(net of fees)|||||
|ARC Steady Growth Charity Index|8.6|8.1|5.1|6.3|
|(net of fees)|||||



## **Environmental policy** 

The RCR recognises that its operations can have an impact on the local and global environment and that these effects will adversely impact global health issues and health inequality. 

The RCR has made changes to its suppliers and ways of working that have resulted in a significant reduction in its carbon footprint for scope 1 and 2 activities from its 2019 benchmark of 108 tonnes CO2e annually to less than 25% of that now. Over the period 2021 to 2024, the RCR has reduced its carbon intensity (per £m turnover and per full-time equivalent 

14 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

02 **Financial report** 

[FTE]) by over 50% and the RCR’s carbon footprint for all three scopes is the lowest since 2021. 

## **Reserves policy** 

The RCR has a policy to have sufficient general reserves to fund a minimum of five months of operating expenses to cover the financial implications of a significant reduction in income and managing a controlled contraction of the business to sustainable levels. 

In 2022 trustees agreed a financial strategy that would cause the level of general reserves to dip below the policy threshold of five months’ activity in 2023 and 2024 and then begin to climb from 2025 to achieve the policy goal in 2026. This plan remains on track. 

This plan is monitored regularly by the FAIC and the SMT and approved annually by the trustee board. The trustee board reaffirmed the plan in 2025. 

Trustees have considered the advice of the FAIC on the reserves policy and agree that the free general reserves are sufficient to meet the RCR’s immediate needs. 

General reserves, which includes general reserves, the building maintenance fund, the major projects fund and the revaluation reserve, was £4.8m (2024: £4.7m). For the purposes of determining reserves cover we ordinarily exclude the revaluation reserve of £0.7m. Based upon annual general fund expenditure, the current level is circa 4.9 months of cover compared with the policy threshold of 5. 

## Financial review 

The results for the year are set out in the statements on pages 26 to 47. 

## **Summary of results** 

The RCR grew strongly due to growth in global examination candidates and in global membership. At the end of 2025 membership stood at over 17,600 members, up 6% during the year, 57% of which are based in the UK and the remaining 43% are spread across over 100 countries. 

We expanded exams delivery from 8,700 to over 9,200 exam sittings, with 55% of these held at global venues. Around 30% of all candidates are UK resident doctors ("UK Resident"), and mindful of the economic environment we sought to maintain exam fees at reasonable levels, with members benefiting from priority booking and cheaper rates. Strategically, we aim to operate exams for UK residents at break even after covering their share of overheads, albeit in the short term these exams are loss making. In the long term we would aim to break even on UK resident exams. Some 61% of all members are Fellows, with over 25% of all members having been so for more than 16 years, thus demonstrating that members remain after 

15 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

02 **Financial report** 

passing their exams, which is important to the RCR. 

The income of the RCR has grown considerably since 2020, particularly from increased exam places and membership. 

## **Income by business area (£'000)** 


Membership fees form a key part of our income and it is important that we demonstrate membership value in terms of where the fees are used. The majority of the fees are used for professional practice activities, including professional standards, networks, website and other marketing-related activities. External affairs includes lobbying government, the census and various campaigns aimed at driving funding and explaining the need for more radiologists and oncologists. 

Admission ceremonies are a key milestone for members who pass their exams, and we rightly ensure these are delivered at a standard that gives the requisite recognition to those achieving their FRCR. 

Beyond that we must maintain solvency and use some of the funds to build reserves and support delivery in other areas of the business such as exams and our events programme, where members receive reduced prices for activity as part of their membership benefits. 

16 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 


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02<br>Financial report<br>**----- End of picture text -----**<br>



Therefore a standard UK Fellow fee of £622 broadly equates to being used as below. 

|Admission ceremonies|£43.86|
|---|---|
|Renewals/joiners|£34.32|
|E-learning|£27.82|
|Workforce development|£101.95|
|Professionalpractice|£276.11|
|Journals|£10.83|
|External afairs|£78.08|
|AI|£5.35|
|Global development|£8.06|
|Buildingreserves and subsidy|£35.62|
|**Total income**|£622.00|



UK members are still  the majority of our membership. They make up 57% of our full membership, with over 8,000 UK Fellows at the end of 2025, out of 18,720 members. While the number of global Fellows has grown, of our 11,500 Fellows approximately 73% are UK based. The fees graph shows in percentage terms how we use membership fees. In many areas we supplement these activities with third-party funding or reserves. 

Looking further forward, the trustee board has set distinct policies to ensure membership fees and fees for UK resident doctors are set fairly and proportionately. For UK fees, these are set in line with CPI plus or minus 2% based upon circumstances. We expect the fees in 2026 to be set broadly in line with CPI (3.4% as at December 2025) rather than at the top of the scale. Global fees are set separately, again according to the wider budget need and recognising the value of priority booking and discounts available for members taking exams. 

17 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

02 **Financial report** 

UK resident doctor exam fees are set with the intention of breaking even on their delivery across the UK. This subset of exam delivery is costed to ensure we keep these fees as low as possible. In 2025, as described above, we actually delivered these at a loss, meaning in hindsight we should have set fees higher, but we have managed to offset this through global growth to make it financially viable. We understand the financial pressures on UK residents and try to balance this with ensuring we remain financially viable overall. This balance can prove challenging and any fees rises are only implemented where necessary. 

## **Group results** 

Income grew £2.0m to £15.2m (2024: £13.2m) with the largest growth contributions coming from exams (£1.1m), membership subscriptions (£0.5m) and RCR Learning events (£0.8m), offset by falls in iRefer and investments. 

Expenditure rose from £13.6m to £14.8m, an increase of £1.2m. This arose from increased costs of exam delivery and an increase in our events activities delivered via RCR Learning, including the Global AI Conference in June 2025. There were new or expanded activities across the RCR, including additional support for specialty training and recruitment, iRefer and support for membership and our website. Staffing costs make up approximately 50% of our cost base, and these rose by £0.5m due to additional headcount as we continued to support growth areas. 

The group made an operating surplus of £0.4m (2024: £0.4m loss) as income grew at a faster rate than costs of delivery. 

We also reported losses of £150k on our joint venture, IQI, which was in its first year of operation. 

We made investment gains of £0.2m in the managed investment portfolio despite the impact of US tariffs in early 2025. At that time the portfolio lost £0.8m but has since recovered to deliver year-on-year growth. The portfolio reduced in value overall due to withdrawals exceeding deposits by £1m during the year. 

Overall the RCR reports an increase in reserves of £0.4m (2024: £0.4m). Reserves closed at £26.0m (2024: £25.6m). Unrestricted funds closed at £6.9m (2024: £6.9m) including general reserves of £5.0m (2024: £4.8m). Restricted reserves closed at £1.5m (2024: £1.7m). 

This was the fourth period of trading by RCR Education Ltd covering the 12 months to 31 December 2025. The organisation made a profit of £417k (2024: £40k) because the income grew while costs were managed around global exams and due to overhead allocations. RCR Education Ltd also gift aided £170k to the RCR, with the payment being due in 2026. The charity trustees recognise that many of the costs of RCR Education Ltd are the shared costs of the charity and are not incremental. Therefore they have agreed to support RCR Education Ltd financially in 2026 and beyond. 

18 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

02 **Financial report** 

## **Designated and restricted reserves** 

The RCR holds funds in restricted and designated reserves for specified purposes. The main funds are shown below. Many of these funds are invested, and dividend income is used to top them up or they feel the effect of unrealised gains and losses. 

## **Designated funds** 

Two funds are set aside to support projects by the RCR, and these are included under the reserves policy: £500k in a building maintenance fund to cover uninsured emergency repairs on Lincoln’s Inn Fields and a major project fund to support the write-down of the old customer relationship management (CRM) asset in early 2025. 

## **Restricted funds** 

Total restricted reserves were £1.5m (2024: £1.7m). In 2025 the RCR spent £0.26m of restricted funds, with the largest component being on education activities including e-learning. 

The education fund’s purpose is to support any educational activity within the RCR’s remit. It is a restricted fund with a clear and defined purpose to support education activities (year end value £907k). 

The clinical oncology research fund is used to foster research into the investigation and treatment of cancer (see below; year end value £392k). 

## **Research funds** 

The RCR invites applications for its research grant schemes annually and makes awards based on scientific merit. Grants are to foster research into medical imaging (clinical radiology [CR]) and the investigation and treatment of cancer (clinical oncology [CO]). 

The RCR has funds allocated for research grants and spent £230k in 2025. A balance of £0.7m remains across both funds, with future grants beyond that coming from other funds or general funds. 

## **Other funds** 

The RCR retains unrestricted funds separate from the general funds considered under the reserves policy: 

- £181k (2024: £181k) to support the Cyclotron Trust learning programme. 

- £840k within the Wormald fund (2024: £839k) for CO educational activities. 

Both funds are supported by dividend income to offset costs. 

19 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

02 **Financial report** 

## **Tangible fixed assets** 

The RCR retains its buildings at the prevailing valuation and the trustees believe no change in value of land or buildings is required. The accounting policy is set out in the notes to the accounts. 

## **Cash** 

Cash balances fluctuate significantly during the year based upon receipts from members for their annual subscriptions and payments by candidates for exam bookings. Expenditure remains relatively stable over the months, driven by consistent payments for staff costs and regular supplier payments. We manage this through disinvesting and reinvesting funds from our investment portfolio, which allows us to maximise returns on free cash at times of the year when receipts are high. 

## **Fundraising** 

The RCR had no fundraising activities requiring disclosure under S162A of the Charities Act 2011. 

## Responsibilities of the trustees 

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

The law applicable to charities in England and Wales requires the trustees to prepare financial statements for each financial year that give a true and fair view of the situation of the RCR and of the incoming resources and application of resources of the RCR for that period. 

In preparing these financial statements, the trustees are required to: 

- Select suitable accounting policies and then apply them consistently. 

- Observe the methods and principles in the Charities SORP. 

- Make judgements and estimates that are reasonable and prudent. 

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

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

The trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financial position of the RCR and enable them to ensure that the financial statements comply with the Charities Act 2011, the Charities SORP (FRS 102) and the provisions of the Royal Charter and By-laws. 

Legislation in the UK governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions. Trustees are also responsible for safeguarding the assets of the RCR and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. 

20 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

02 **Financial report** 

All charitable companies have a duty to act in accordance with Section 172 of the Companies Act 2006 (duty to promote the success of a company). The trustees consider that they have complied with their duties in Section 172 of the Companies Act 2006 by promoting the charity’s success in achieving its charitable purpose: improving the science and practice of clinical radiology and clinical oncology. 

In so far as each of the trustees at the time the report is approved are aware: 

- a. There is no relevant audit information of which the auditors are unaware; and 

- b. They have taken all the steps they ought to have taken to make themselves aware of any relevant audit information and to establish that the auditors are aware of that information. The trustees are responsible for the maintenance and integrity of the RCR and financial information included on the RCR’s website. 

## **The trustees** 

Individuals who served as charity trustees during the year and up to the date of this report were as follows. 


**----- Start of picture text -----**<br>
1 January 2025 to 31 August 2025 1 September 2025 to 31 December 2025<br>**----- End of picture text -----**<br>


|Dr K Halliday, President|Dr S Harden, President|
|---|---|
|Dr Q Malik, Medical Director, Membership and|Dr Q Malik, Medical Director, Membership and|
|Business|Business|
|Dr S Harden, Vice-president, Clinical Radiology|Prof A Ofiah, Vice-president, Clinical Radiology|
|Dr T Roques, Vice-president, Clinical Oncology|Dr N Thorp, Vice-president, Clinical Oncology|
|Dr P Suresh, Medical Director, Education and|Dr D Little, Medical Director, Education and|
|Training, Clinical Radiology|Training, Clinical Radiology|
|Dr L Hanna, Medical Director, Education and|Dr L Hanna, Medical Director, Education and|
|Training, Clinical Oncology|Training, Clinical Oncology|
|Dr R Proctor, Medical Director, Professional|Dr R Proctor, Medical Director, Professional|
|Practice, Clinical Radiology|Practice, Clinical Radiology|
|Dr P Jankowska, Medical Director, Professional|Dr P Jankowska, Medical Director, Professional|
|Practice, Clinical Oncology|Practice, Clinical Oncology|
|Mr A Carey, Treasurer|Mr A Carey, Treasurer|
|Sir David Sloman, Trustee|Sir James Duddridge, Trustee|
||Mr John Coughlan, Trustee|



## **Auditors** 

HaysMac LLP were re-appointed as the charity’s auditors during the year and have expressed their willingness to continue in that capacity. The report of the trustees has been approved by the trustees on 8 May 2026 and signed on their behalf by: 


**Dr Stephen Harden, President** 


**Anthony Carey, Treasurer** 

21 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

## **Independent auditor’s report to the members of the RCR** 03 

## Opinion 

We have audited the financial statements of The Royal College of Radiologists for the year ended 31 December 2025, which comprise the consolidated statement of financial activities, the group and charity balance sheets, the consolidated cash flows statement and the notes to the financial statements, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including FRS 102, the Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice). 

In our opinion, the financial statements: 

- Give a true and fair view of the state of the group’s and of the parent charity’s affairs as at 31 December 2025 and of the group’s net movement in funds for the year then ended; 

- Have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; and 

- Have been prepared in accordance with the requirements of the Charities Act 2011. 

## **Basis for opinion** 

We have been appointed as auditor under section 144 of the Charities Act 2011 and report in accordance with the Act and relevant regulations made or having effect thereunder. We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards 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 requirements that are relevant to our audit of the financial statements in the UK, including the Financial Reporting Council (FRC) 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 for our opinion. 

## **Conclusions relating to going concern** 

In auditing the financial statements, we have concluded that the trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate. 

22 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

03 **Auditor'sreport** 

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the group’s ability to continue as a going concern for a period of at least 12 months from when the financial statements are authorised for issue. 

Our responsibilities 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 for the other information. The other information comprises the information included in the trustees’ report. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. 

In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, consider whether the other information is materially 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 misstatements, we are required to determine whether there is a material misstatement in the financial statements or a material misstatement of the other information. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact. We have nothing to report in this regard. 

## **Matters on which we are required to report by exception** 

We have nothing to report in respect of the following matters in relation to which the Charities (Accounts and Reports) Regulations 2008 require us to report if, in our opinion: 

- Adequate accounting records have not been kept by the parent charity; or 

- Sufficient accounting records have not been kept; or 

- The parent charity financial statements are not in agreement with the accounting records and returns; or 

- We have not received all the information and explanations we require for our audit. 

## **Responsibilities of trustees for the financial statements** 

As explained more fully in the trustees’ responsibilities statement set out on pages 20–21, the trustees are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error. 

In preparing the financial statements, the trustees are responsible for assessing the group’s and the parent charity’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the group or the parent charity or to cease operations, or have no realistic alternative but to do so. 

23 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 


**----- Start of picture text -----**<br>
03<br>Auditor'sreport<br>**----- End of picture text -----**<br>


## **Auditor’s responsibilities for the audit of the financial statements** 

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements 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. 

Irregularities, including fraud, 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 extent to which our procedures are capable of detecting irregularities, including fraud is detailed below. 

Based on our understanding of the group and the environment in which it operates, we considered the extent to which non-compliance might have a material effect on the financial statements. We also considered those laws and regulations that have a direct impact on the preparation of the financial statements such as the Charities Act 2011, the charity’s Royal Charter, payroll and sales tax. 

We evaluated management’s incentives and opportunities for fraudulent manipulation of the financial statements (including the risk of override of controls) and determined that the principal risks were related to posting inappropriate journal entries to income and management bias in accounting estimates. Audit procedures performed by the engagement team included: 

- Inspecting correspondence with regulators; 

- Discussions with management including consideration of known or suspected instances of non-compliance with laws and regulation and fraud; 

- Evaluating management’s controls designed to prevent and detect irregularities; 

- Identifying and testing journals, in particular journal entries posted with unusual account combinations, postings by unusual users or with unusual descriptions; and 

- Challenging assumptions and judgements made by management in their accounting estimates. 

Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including those leading to a material misstatement in the financial statements 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 likely to 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. 

24 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 


**----- Start of picture text -----**<br>
03<br>Auditor'sreport<br>**----- End of picture text -----**<br>


A further description of our responsibilities for the audit of the financial statements is located on the FRC’s website at: www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report. 

## **Use of our report** 

This report is made solely to the charity’s trustees, as a body, in accordance with section 144 of the Charities Act 2011 and regulations made under section 154 of that Act. Our audit work has been undertaken so that we might state to the charity’s trustees those matters we are required to 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 responsibility to anyone other than the charity’s trustees as a body for our audit work, for this report or for the opinions we have formed. 

HaysMac LLP, 10 Queen Street Place, London, EC4R 1AG 

## **Statutory auditors** 

## **Date** 

HaysMac LLP is eligible to act as an auditor in terms of section 1212 of the Companies Act 2006 

25 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

## Consolidated statement of financial activities of The Royal College of Radiologists for the year ended 31 December 2025 


**----- Start of picture text -----**<br>
Restricted funds  Unrestricted  Total funds  Total funds<br>2025 funds 2025 2025 2024<br>**----- End of picture text -----**<br>


||_Note_|||||
|---|---|---|---|---|---|
|||£’000|£’000|£’000|£’000|
|Income from:||||||
|Donations and legacies|_4_|9|9|18|10|
|Income from activities|_5_|-|11,415|11,415|10,083|
|Tradingsubsidiary|_5_|-|3,421|3,421|2,565|
|Investments|_6_|38|291|329|510|
|Other income|_7_|-|32|32|26|
|**Total income**||**47**|**15,168**|**15,215**|**13,194**|
|||||||
|Expenditure on:||||||
|Charitable activities|_8_|260|11,775|12,035|11,063|
|Other activities|_8_|-|2,834|2,834|2,495|
|**Total expenditure**||**260**|**14,609**|**14,869**|**13,558**|
|||||||
|**Net income/(expenditure)**||**(213)**|**559**|**346**|**(364)**|
|||||||
|Share of losses injoint venture|_14_|-|(150)|(150)|-|
|Gains/(losses) on revaluation of fixed assets|_15_|-|-|-|(50)|
|Gains/(losses) on investments|_16_|34|181|215|855|
|**Net movement in funds**||**(179)**|**590**|**411**|**441**|
|||||||
|Reconciliation of funds:||||||
|Total funds brought forward||1,686|23,881|25,567|25,126|
|Net movement in funds||(179)|590|411|441|
|Transfers between funds||12|(12)|-|-|
|**Total funds carried forward**||**1,519**|**24,459**|**25,978**|**25,567**|



The notes on pages 26 to 47 form part of the financial statements. 

26 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

## Consolidated and charity balance sheet as at 31 December 2025 


**----- Start of picture text -----**<br>
Consolidated The charity<br>**----- End of picture text -----**<br>


|||**2025**|**2024**|**2025**|**2024**|
|---|---|---|---|---|---|
|||£’000|£’000|£’000|£’000|
||_Note_|||||
|**Fixed assets**||||||
|Intangible assets|_12_|3,756|2,887|3,756|2,887|
|Tangible assets|_13_|14,546|14,818|14,546|14,818|
|Investment injoint venture|_14_|-|-|150|-|
|Investmentproperty|_15_|1,950|1,950|1,950|1,950|
|Listed investments|_16_|10,448|11,253|10,448|11,253|
|||**30,700**|**30,908**|**30,850**|**30,908**|
|||||||
|**Current assets**||||||
|Debtors|_17_|1,600|1,429|1,607|1,429|
|Cash at bank and in hand|_23_|1,347|1,042|1,342|1,037|
|||**2,947**|**2,471**|**2,949**|**2,466**|
|||||||
|**Liabilities**||||||
|Creditors: amounts fallingdue within oneyear|_18_|(7,531)|(7,439)|(7,533)|(7,017)|
|**Net current assets**||**(4,584)**|**(4,968)**|**(4,584)**|**(4,551)**|
|||||||
|Creditors: amounts fallingdue more than oneyear|_19_|(138)|(373)|(138)|(373)|
|**Net assets**||**25,978**|**25,567**|**26,128**|**25,984**|
|||||||
|Charityfunds||||||
|Restricted funds|_21_|1,519|1,686|1,519|1,686|
|Unrestricted funds|_21_|24,459|23,881|24,609|24,298|
|**Total funds**||**25,978**|**25,567**|**26,128**|**25,984**|



The notes on pages 26 to 47 form part of the financial statements. 

The report of the trustees has been approved by the trustees on 8 May 2026 and signed on their behalf by: 


**Dr Stephen Harden, President** 


**Anthony Carey, Treasurer** 

27 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

## Consolidated statement of cash flows as at 31 December 2025 


**----- Start of picture text -----**<br>
2025 2024<br>**----- End of picture text -----**<br>


||_Note_|£’000|£’000|
|---|---|---|---|
|**Cash flows from operating activities**||||
|Net cashgenerated byoperatingactivities|_22–24_|772|134|
|||||
|**Cash flows from investing activities**||||
|Dividends, interest and rent from investments||329|510|
|Purchase of tangible fixed assets|_13_|(117)|(309)|
|Purchase of intangible fixed assets|_12_|(1,359)|(1,197)|
|Purchase of investments||(750)|(500)|
|Sale of investments||1,770|862|
|**Net cash used in investing activities**||**(127)**|**(634)**|
|||||
|CBILS* loan repayment||(180)|(180)|
|Loan tojoint venture||(150)|-|
|CBILS loan interest||(10)|(15)|
|**Net cash used in financing activities**||**(340)**|**(195)**|
|||||
|**Change in cash and cash equivalents in theyear**||**305**|**(695)**|
|Cash and cash equivalents at the beginningof theyear||1,042|1,737|
|**Cash and cash equivalents at the end of theyear**|_24_|**1,347**|**1,042**|



* Coronavirus Business Interruption Loan Scheme 

The notes on pages 26 to 47 form part of the financial statements. 

28 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

## **Notes to the financial statements for the year ended 31 December 2025** 04 

## 1. General information 

The Royal College of Radiologists is a Public Benefit Entity registered as a charity in England and Wales (charity number: 211540) and a Royal Charter company (RC000854). Its registered office is 63 Lincoln’s Inn Fields, London WC2A 3JW. 

The trading subsidiary is RCR Education Ltd, 13941872, a wholly owned subsidiary of the RCR and registered in England and Wales with an office at 63 Lincoln’s Inn Fields, London WC2A 3JW. 

## 2. Accounting policies 

## **2.1 Basis of preparation of financial statements** 

The consolidated financial statements have been prepared in accordance with the Charities SORP (FRS 102) – Accounting and Reporting by Charities: 

- Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019). 

The charity meets the definition of a public benefit entity under FRS 102. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy notes. 

## **2.2 Going concern** 

The trustees consider that there are no material uncertainties about the RCR’s ability to continue as a going concern, ie to operate for a period of at least 12 months from the date of signing these accounts. The RCR’s main revenue streams of exams revenue and membership subscriptions are well established, and with payment for most being well in advance we have visibility to make changes should the need arise. The trustees regularly review forward cash flows and the RCR has an investment portfolio from which it can draw down money at times of the year when needed. This portfolio is in excess of £10m at the balance sheet date. 

29 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 


**----- Start of picture text -----**<br>
04<br>Notes<br>**----- End of picture text -----**<br>


## **2.3 Income** 

Income is recognised when the RCR has entitlement to the funds, any performance conditions attached to the income have been met, it is probable that the income will be received and the amount can be measured reliably. 

Membership subscriptions are recognised on an accruals basis, with the element relating to 1 January 2025 to 31 May 2025 being shown as deferred income on the balance sheet. 

Examination income is recognised in the period that the exam sitting takes place. Income and costs related to the delivery of the exams for 2026 sittings are deferred until the date of the exam. 

Income for events bookings is recognised in the period the event takes place along with the costs of delivery. 

Voluntary income is received by way of donations and gifts and is included in full in the statement of financial activities and is recognised on receipt or when entitlement to receipt is probable. 

Income from other grants, whether capital grants or revenue grants, is recognised when the charity has entitlement to the funds, any performance conditions attached to the grants have been met, it is probable that the income will be received and the amount can be measured reliably and is not deferred. 

Income received in advance of the provision of a specified service is deferred until the criteria for income recognition are met. 

## **2.4 Expenditure** 

Expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party, it is probable that settlement will be required and the amount of the obligation can be measured reliably. 

Expenditure on charitable activities includes the costs of delivering services to members, examinations, training and other educational activities undertaken to further the purposes of the RCR and the associated support costs. 

Irrecoverable VAT is charged as a cost against the activity for which the expenditure was incurred. 

30 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

04 **Notes** 

## **Allocation of support costs** 

Resources expended are allocated to the activity where the cost relates directly to that activity. However, the cost of overall direction and administration of each activity, comprising the salary and overhead costs of the central function, is apportioned on the following basis, which is an estimate, based on staff time, of the amount attributable to each activity. 

|Professionalpractice and member support|44%|
|---|---|
|UK exams|9%|
|Global exams|12%|
|Specialtytraining|13%|
|Professional learningand development|11%|
|E-learning|5%|
|iRefer|6%|



No allocation is made directly to restricted reserves; some costs are funded or subsidised by use of restricted reserves but no overheads are allocated to these. 

## **2.5 Intangible assets and amortisation** 

Intangible assets are stated at cost, less accumulated amortisation. Intangible assets costing more than £500 are capitalised and recognised when future economic benefits are probable and the cost or value of the asset can be measured reliably. 

Intangible fixed assets are initially recognised at cost. After recognition, under the cost model, intangible fixed assets are measured at cost less accumulated amortisation. All costs incurred to bring an intangible fixed asset into its intended working condition are included in the measurement of cost. 

The intangible assets capitalised during the year are under construction and not in use, therefore no amortisation has been charged in the period. Asset lives are reviewed annually and may be shortened and the accelerated depreciation recognised as a cost. 

The useful economic lives are as follows. 

|iReferguidelines|5.5years|
|---|---|
|iReferproduct asset|6years|
|Intangible assets|4–7years|
|CRM2|6years (commencingJanuary2026)|



31 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

04 **Notes** 

## **2.6 Tangible fixed assets and depreciation** 

Individual tangible fixed assets costing £500 or more are capitalised and recognised when future economic benefits are probable and the cost or value of the asset can be measured reliably. 

Tangible fixed assets are initially recognised at cost. After recognition, under the cost model, tangible fixed assets are measured at cost less accumulated depreciation and any accumulated impairment losses. All costs incurred to bring a tangible fixed asset into its intended working condition are included in the measurement of cost. 

Land and freehold property are held at fair value at the reporting date. In accordance with FRS 102 freehold land is not depreciated. Depreciation is charged on freehold buildings over 50 years on a straight-line basis. 

Valuations are performed periodically with a maximum interval of five years, and more frequently if open-market values are considered to be volatile, to ensure that the fair value of a revalued building does not differ materially from its carrying amount. In any accounting period where a formal revaluation is not undertaken a desktop impairment review will be conducted. 

Any revaluation surplus or loss is charged to the statement of financial activities in the year of revaluation. Accumulated depreciation as at the revaluation date is eliminated against the gross carrying amount of the buildings and the net amount is restated to the revalued amount of the buildings. 

The estimated useful lives are as follows. 

|The estimated useful lives|are as follows.|
|---|---|
|Freeholdproperty|50years|
|Buildinginfrastructure|10years|
|Fixtures and fittings|5years|
|Computer hardware|3–5years|



## **2.7 Investment properties** 

Investment properties are measured initially at cost and subsequently included in the balance sheet at fair value. Investment properties are not depreciated. The valuation method is based upon use of market data and where relevant expert third-party information. 

## **2.8 Investments** 

Investments are a form of basic financial instrument and are initially recognised at their transaction value and subsequently measured at their fair value as at the balance sheet date using the closing quoted market price. Any change in fair value will be recognised in the statement of financial activities. Investment gains and losses, whether realised or unrealised, are combined and shown in the heading ‘Net gains/(losses) on investments’ in the statement of financial activities. 

The RCR does not acquire put options, derivatives or other complex financial instruments. 

32 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 


**----- Start of picture text -----**<br>
04<br>Notes<br>**----- End of picture text -----**<br>


## **2.9 Debtors** 

Trade and other debtors are recognised at the settlement amount after any trade discount offered. Prepayments are valued at the amount prepaid net of any trade discounts due. 

## **2.10 Cash at bank and in hand** 

Cash at bank and in hand includes cash and short-term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the deposit or similar account. 

## **2.11 Liabilities and provisions** 

Liabilities are recognised when there is an obligation at the balance sheet date because of a past event, it is probable that a transfer of economic benefit will be required in settlement and the amount of the settlement can be estimated reliably. 

## **2.12 Operating leases** 

Rental charges are charged on a straight-line basis over the term of the lease. 

## **2.13 Pensions** 

The RCR operates a defined contribution pension scheme for employees. The assets of the scheme are held separately from those of the RCR in an independently administered fund. The pension cost charge represents contributions payable under the scheme by the RCR to the fund. The RCR has no liability under the scheme other than for the payment of those contributions. 

## **2.14 Fund accounting** 

Unrestricted funds are donations and other incoming resources received or generated for the charitable purposes. Designated funds are unrestricted funds earmarked by the trustees for purposes. 

Restricted funds and expendable endowment funds are to be used for specific purposes as laid down by the donor. Expenditure that meets these criteria is charged to the funds. 

## **2.15 Basis of consolidation** 

The financial statements consolidate the accounts of the RCR and the wholly owned subsidiary, RCR Education Ltd, on a line-by-line basis. 

33 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

04 **Notes** 

## **2.16 Accounting for joint ventures** 

The financial statements use the equity method of accounting for joint ventures including the group’s share of profits or losses for the year within the statement of financial activities under income or expenditure, and the share of assets or liabilities within the investment section of the balance sheet in line with the statement of financial activities. 

The investment in the charity-only balance sheet is recognised at cost less impairment. 

## **2.17 Gift aid from trading subsidiary** 

The trading subsidiary pays its taxable profits for the reporting period to its parent charity under the gift aid scheme where there are distributable reserves available to do so. These gift aid payments are recognised as distributions to owners in equity within retained earnings. 

At the reporting date there was no legal obligation in place for the trading subsidiary to make this gift aid payment, although prior to the reporting date the board had indicated its intention to pay the taxable profits to the parent charity in respect of the reporting period. The payment is expected to be made within nine months of the end of the reporting date. 

The gift aid payments result in the trading subsidiary recognising a taxation charge on its profits for the year up to the level of its distributable reserves. However, the application of the exception under paragraph 29.14A of FRS 102 provides relief in respect of the accounting for the tax charge. This results in an overall nil charge for tax in the income statement. This exception is only applicable as it is probable that the gift aid payment will be made by the company to the parent charity within nine months of the reporting date. 

In the consolidated accounts of the group there is no direct impact on the consolidated numbers or balance sheet with these transactions being consolidated out. On the companyonly balance sheet the gift aid receipt is shown within other debtors. 

## 3. Critical accounting estimates and areas of judgement, estimates and assumptions 

Trustees are required to make judgements, estimates and assumptions about the carrying values of assets and liabilities that are not readily apparent from other sources. The estimates and underlying assumptions are based on historical 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 affects the current and future periods. 

## **Critical accounting estimates and assumptions** 

Valuation of land and buildings and investment properties – the RCR’s land, buildings and investment properties are stated at their estimated fair value based on management estimates as disclosed in note 13. 

34 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

## 4. Income from donations and legacies 


**----- Start of picture text -----**<br>
Restricted funds Unrestricted  Total Total<br>funds<br>**----- End of picture text -----**<br>


||**2025**|**2025**|**2025**|**2024**|
|---|---|---|---|---|
||£’000|£’000|£’000|£’000|
|David Skeggs lecture|-|-|-|1|
|Rontgen Professorshipfund|9|-|9|9|
|Clinical management – CR related|-|9|9|-|
|**Total income**|**9**|**9**|**18**|**10**|
|_Total 2024_|_10_|_-_|_10_||



## 5. Income from activities 


**----- Start of picture text -----**<br>
Restricted  Unrestricted funds –  Unrestricted  Total Total<br>funds – charity RCR Education Ltd funds – charity<br>**----- End of picture text -----**<br>


||**2025**|**2025**|**2025**|**2025**|**2024**|
|---|---|---|---|---|---|
||£’000|£’000|£’000|£’000|£’000|
|Membershipsubscriptions|-|-|6,482|6,482|5,971|
|UK examination fees|-|-|2,054|2,054|1,950|
|Global examination fees|-|3,359|-|3,359|2,453|
|Event income|-|-|1,263|1,263|477|
|E-learning programme|-|62|-|62|112|
|Royalties andpublications|-|-|393|393|349|
|Service fees|-|-|1,223|1,223|1,336|
|||||||
|**Total income**|**-**|**3,421**|**11,415**|**14,836**|**12,648**|
|_Total 2024_|_123_|_2,565_|_9,960_|_12,648_||



## 6. Investment income 

||**Restricted funds**|**Unrestricted**<br>**funds**|**Total**|**Total**|
|---|---|---|---|---|
||**2025**|**2025**|**2025**|**2024**|
||£’000|£’000|£’000|£’000|
|Properties income – rent|-|83|83|67|
|Investment income – bank interest|-|28|28|28|
|Investment income – dividends|38|180|218|277|
|Investment income – realisedgain|-|-|-|138|
|**Total investment income**|**38**|**291**|**329**|**510**|
|_Total 2024_|_117_|_393_|_510_||



35 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

## 7. Other income 


**----- Start of picture text -----**<br>
Unrestricted funds 2025 Unrestricted funds 2024<br>**----- End of picture text -----**<br>


||£’000|£’000|
|---|---|---|
|Facilities income|**32**|26|
|Total other income|**32**|26|



## 8. Resources expended 2025 


**----- Start of picture text -----**<br>
Professional  UK  Global  Specialty  Professional  E-learning  iRefer Restricted* Total<br>affairs and  exam  exam  training learning and  prog.<br>support prog. prog. development<br>**----- End of picture text -----**<br>


||£’000|£’000|£’000|£’000|£’000|£’000|£’000|£’000|£’000|
|---|---|---|---|---|---|---|---|---|---|
|Direct staf costs|1,904|444|552|616|785|85|347|189|4,922|
|Direct expenses|971|1,214|1,275|129|729|88|153|71|4,630|
|Depreciation|85|144|-|-|-|-|160|-|389|
|**Total**|**2,960**|**1,802**|**1,827**|**745**|**1,514**|**173**|**660**|**260**|**9,941**|
|Support costs|1,876|403|503|572|456|223|260|-|4,293|
|(8a)||||||||||
|Governance|278|59|75|85|67|33|38|-|635|
|costs (8a)||||||||||
|**Total 2025**|**5,114**|**2,264**|**2,405**|**1,402**|**2,037**|**429**|**958**|**260**|**14,869**|
|Average|35.4|7.6|9.5|10.8|8.6|4.2|4.9|-|81.0|
|headcount||||||||||
|2025 headcount|44%|9%|12%|13%|11%|5%|6%|0%||
|allocation||||||||||



*Note: Some staff costs are allocated to reserves but for the purposes of allocating support activities these are allocated against the business unit. 

## **Resources expended by fund** 

|Unrestricted|**Professional**<br>**afairs and**<br>**support**<br>5,114|**UK**<br>**exam**<br>**prog.**<br>2,264|**Global**<br>**exam**<br>**prog.**<br>-|**Specialty**<br>**training**<br>1,402|**Professional**<br>**learning and**<br>**development**<br>2,037|**E-learning**<br>**prog.**<br>-|**iRefer**<br>958|**Restricted**<br>-|**Total**<br>11,775|
|---|---|---|---|---|---|---|---|---|---|
|Restricted|-|-|-|-|-|-|-|260|260|
|**Charitable**|**5,114**|**2,264**|**-**|**1,402**|**2,037**|**-**|**958**|**260**|**12,035**|
|**activities**||||||||||
|RCR Education|-|-|2,405|-|-|429|-|-|2,834|
|Ltd||||||||||



36 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

## 8a. Support activities 2025 


**----- Start of picture text -----**<br>
Support costs Governance Total<br>**----- End of picture text -----**<br>


||£’000|£’000|£’000|
|---|---|---|---|
|Indirect staf costs|1,765|344|2,109|
|Indirect expenses|2,105|291|2,396|
|Depreciation|423|-|423|
|**Total**|**4,293**|**635**|**4,928**|



## 8b. Resources expended 2024 


**----- Start of picture text -----**<br>
Professional  UK  Global  Specialty  Professional  E-learning  iRefer Restricted Total<br>affairs and  exam  exam  training learning and  prog.<br>support prog. prog. development<br>**----- End of picture text -----**<br>


||£’000|£’000|£’000|£’000|£’000|£’000|£’000|£’000|£’000|
|---|---|---|---|---|---|---|---|---|---|
|Direct staf costs|1,666|438|489|502|750|131|351|303|4,630|
|Direct expenses|755|1,004|1,201|89|269|71|116|227|3,732|
|Depreciation|121|123|-|-|8|-|209|-|461|
|**Total**|**2,542**|**1,565**|**1,690**|**591**|**1,027**|**202**|**676**|**530**|**8,823**|
|Support costs|1,622|376|419|503|604|122|281|318|4,245|
|(8c)||||||||||
|Governance|187|44|48|58|70|14|32|37|490|
|costs (8c)||||||||||
|**Total 2024**|**4,351**|**1,985**|**2,157**|**1,152**|**1,701**|**338**|**989**|**885**|**13,558**|
|Average|30.6|7.1|7.9|9.5|11.4|2.3|5.3|6.0|80.1|
|headcount||||||||||
|2024 headcount|38%|9%|10%|12%|14%|3%|7%|7%||
|allocation||||||||||



## **Resources expended by fund** 

|Unrestricted|**Professional**<br>**afairs and**<br>**support**<br>4,351|**UK**<br>**exam**<br>**prog.**<br>1,985|**Global**<br>**exam**<br>**prog.**<br>-|**Specialty**<br>**training**<br>1,152|**Professional**<br>**learning and**<br>**development**<br>1,701|**E-learning**<br>**prog.**<br>-|**iRefer**<br>989|**Restricted**<br>-|**Total**<br>10,178|
|---|---|---|---|---|---|---|---|---|---|
|Restricted|-|-|-|-|-|-|-|885|885|
|**Charitable**|**4,351**|**1,985**|**-**|**1,152**|**1,701**|**-**|**989**|**885**|**11,063**|
|**activities**||||||||||
|RCR Education|-|-|2,157|-|-|338|-|-|2,495|
|Ltd||||||||||



37 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

## 8c. Support activities 2024 


**----- Start of picture text -----**<br>
Support costs Governance Total<br>**----- End of picture text -----**<br>


||£’000|£’000|£’000|
|---|---|---|---|
|Indirect staf costs|1,584|302|1,886|
|Indirect expenses|2,089|188|2,277|
|Depreciation|540|-|540|
|Write-of of fixed assets|32|-|32|
|**Total**|**4,245**|**490**|**4,735**|



## 9. Auditor’s remuneration 


**----- Start of picture text -----**<br>
2025 2024<br>**----- End of picture text -----**<br>


||£’000|£’000|
|---|---|---|
|Feespayable to the RCR’s auditor for the audit of the RCR’s annual accounts|29|24|
|Other feespayable to the RCR’s auditor|6|2|
|**Total**|**35**|**26**|



## 10. Staff numbers and costs 

The aggregate costs of all staff including temporary staff are as follows. 


**----- Start of picture text -----**<br>
2025 2024<br>**----- End of picture text -----**<br>


||£’000|£’000|
|---|---|---|
|Wages and salaries (includingtemporarystaf)|5,688|5,247|
|Social securitycosts|657|530|
|Pension costs|653|714|
||**6,998**|**6,491**|



The above costs include all employment costs for permanent and temporary staff but exclude the RCR’s payment of the apprenticeship levy. 

The average number of persons employed by the RCR during the year is below. 

||**No. 2025**|**No. 2024**|
|---|---|---|
|Examinations|17|17|
|Specialtytrainingand events|9|11|
|Professional learningand development inc. e-learning|15|11|
|iRefer|5|5|
|Professional afairs and support inc. CRM development|40|41|
|QualityStandards for Imaging(recharged to IQI)|7|3|
|Support and administration|25|26|
|**Total**|**118**|**114**|



38 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

The number of employees whose employee benefits (excluding employer pension costs) exceeded £60,000 was: 


**----- Start of picture text -----**<br>
2025 2024<br>**----- End of picture text -----**<br>


|C1|In the band £60,000 to £69,999|8|8|
|---|---|---|---|
|C2|In the band £70,000 to £79,999|5|3|
|C3|In the band £80,000 to £89,999|2|-|
|C4|In the band £90,000 to £99,999|1|2|
|C5|In the band £100,000 to £119,999|2|1|
|C6|In the band £150,000 to £159,999|-|1|
|C7|In the band £180,000 to £189,999|1|-|



The total employee benefits including pension and employer’s NI contributions of the key management personnel were £655,398 (2024: £625,751). 

## 11. Trustees’ remuneration and expenses 

During the year, no trustees received any remuneration or other benefits (2024: £NIL). 

During the year ended 31 December 2025, expenses totalling £27,397 were reimbursed or paid directly to trustees (2024: £24,487). Expenses were in connection with travel and accommodation costs. 

## 12. Intangible assets 


**----- Start of picture text -----**<br>
Database  Database  Intangible  Assets under  Total<br>CRM1 CRM2 assets construction<br>**----- End of picture text -----**<br>


|**Cost**|£’000|£’000|£’000|£’000|£’000|
|---|---|---|---|---|---|
|At 1 January2025|1,197|1,240|2,285|73|4,795|
|Additions|-|1,101|227|31|1,359|
|Transfer|-|-|73|(73)|-|
|Disposals|-|-|(2)|-|(2)|
|**At 31 December 2025**|**1,197**|**2,341**|**2,583**|**31**|**6,152**|
|||||||
|**Amortisation**||||||
|At 1 January2025|**1,132**|-|**776**|-|**1,908**|
|Charge|65|-|423|-|488|
|Disposals|-|-|-|-|-|
|**At 31 December 2025**|**1,197**|**-**|**1,199**|**-**|**2,396**|
|||||||
|Net book value||||||
|**At 31 December 2025**|**-**|**2,341**|**1,384**|**31**|**3,756**|
|At 1 January2025|65|1,240|1,509|73|2,887|



The intangible assets column includes assets linked to iRefer product development and guidelines, our learning management system, our exams management system, website and AI registry. 

39 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

## 13. Tangible fixed assets 


**----- Start of picture text -----**<br>
Land and  Building  Fixtures and  Computers Network Artwork Total<br>buildings infrastructure fittings<br>**----- End of picture text -----**<br>


||£’000|£’000|£’000|£’000|£’000|£’000|£’000|
|---|---|---|---|---|---|---|---|
|Cost or valuation||||||||
|At 1 January2025|14,500|243|706|1,018|183|9|16,659|
|Additions|-|35|24|55|-|3|117|
|Disposals|-|-|-|(254)|-|-|(254)|
|**At 31 December 2025**|**14,500**|**278**|**730**|**819**|**183**|**12**|**16,522**|
|||||||||
|Depreciation||||||||
|At 1 January2025|304|68|576|791|102|-|1,841|
|Charge for theyear|152|25|61|114|37|-|389|
|Disposals|-|-||(254)|-|-|(254)|
|**At 31 December 2025**|**456**|**93**|**637**|**651**|**139**|**-**|**1,976**|
|||||||||
|Net book value||||||||
|**At 31 December 2025**|**14,044**|**185**|**93**|**168**|**44**|**12**|**14,546**|
|At 1 January2025|14,196|175|130|227|81|9|14,818|



## 14. Investment in joint venture – group 


**----- Start of picture text -----**<br>
2025 2024<br>**----- End of picture text -----**<br>


||£’000|£’000|
|---|---|---|
|At 1 January|-|-|
|Investment made in theyear|150|-|
|Share of losses in theyear|(150)|-|
|**At 31 December**|**-**|**-**|



The company has a 50% ownership in IQI, a joint venture between the RCR and SCoR. We use the equity method to account for IQI, which started trading on 1 July 2024. In the period 1 July 2024 to 31 December 2024, IQI had net liabilities of £136k. By 31 December 2025, the balance sheet date, IQI’s net liabilities were £390k. The RCR’s share of net liabilities is £185k. In line with FRS 102, losses can only be recognised to an extent that there are assets to offset them and the carrying value cannot fall below £nil. The RCR therefore recognises losses capped at £150k, with the balance of £35k to be recognised in 2026 against future loans. 

Both joint venture partners have committed funding of up to £400,000 each, which can be drawn down on request. At the balance sheet date £150,000 has been drawn down. Staff of IQI are employed by the RCR and recharged at cost. 

40 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

## **Investment in joint venture – charity** 


**----- Start of picture text -----**<br>
2025 2024<br>**----- End of picture text -----**<br>


||£’000|£’000|
|---|---|---|
|At 1 January|-|-|
|Loans made duringtheyear|150|-|
|Impairment|-|-|
|**At 31 December**|**150**|**-**|



## 15. Investment property 

||**Investment properties**<br>**2025**|**Investment properties**<br>**2024**|
|---|---|---|
|**Valuation**|£’000|£’000|
|At 1 January|1,950|2,000|
|Loss on revaluation|-|(50)|
|**At 31 December**|**1,950**|**1,950**|



## 16. Fixed asset investments 

|16. Fixed asset investments|||
|---|---|---|
|**Listed investments**|**2025**|**2024**|
|**Cost or valuation**|£’000|£’000|
|At 1 January|**11,253**|10,759|
|Additions|**750**|500|
|Disposals|**(1,770)**|(862)|
|Revaluations|**215**|856|
|At 31 December|**10,448**|11,253|
||||
|**Breakdown:**|||
|Sarasin Climate Active Endowment fund units|**9,683**|10,983|
|(prev. Ex-Energy)|||
|Sarasin LiquidityFund|**765**|-|
|Cash|**-**|270|
||**10,448**|11,253|



During the year, funds of £9.686m were transferred from the Sarasin Climate Active Endowments Ex-Energy fund to the Sarasin Climate Active Endowments fund. This was due to the Sarasin Climate Active Endowments fund applying the same energy exclusion and the two funds were merged by Sarasin for all clients. 

41 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

## 17. Debtors 


**----- Start of picture text -----**<br>
Charity Group Charity Group<br>**----- End of picture text -----**<br>


||2025|2025|2024|2024|
|---|---|---|---|---|
||£’000|£’000|£’000|£’000|
|Trade debtors|114|114|414|414|
|Other debtors|388|223|226|226|
|Prepayments and accrued income|1,105|1,263|789|789|
|**Total debtors**|**1,607**|**1,600**|**1,429**|**1,429**|



## 18. Creditors – amounts falling due within one year 


**----- Start of picture text -----**<br>
2025 2024<br>**----- End of picture text -----**<br>


||£’000|£’000|£’000|£’000|
|---|---|---|---|---|
||Charity|Group|Charity|Group|
|Subscriptions and fees in advance|2,267|2,267|2,348|2,438|
|Trade creditors|501|501|726|726|
|Other taxation and social security|279|279|65|65|
|Accruals and deferred income|2,284|4,304|2,278|4,120|
|CBILS loan|180|180|180|180|
|Intercompanycreditor|2,022|-|1,420|-|
|**Total creditors**|**7,533**|**7,531**|**7,017**|**7,439**|



## 19. Creditors – amounts falling due after one year (charity and group) 

||**2025**|**2024**|
|---|---|---|
||£’000|£’000|
|CBILS loan|**45**|225|
|Royalties contract bonus|**-**|10|
|iRefer royalties|**93**|138|
|**Total creditors**|**138**|373|



42 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

## 20. Statement of funds – current year 


**----- Start of picture text -----**<br>
Balance at  Income Expenditure Share of  Transfers  Gains/ Balance at<br>1 January  losses in joint  in/(out) (losses) 31 December<br>2025 venture 2025<br>**----- End of picture text -----**<br>


||£’000|£’000|£’000|£’000|£’000|£’000|£’000|
|---|---|---|---|---|---|---|---|
|**Restricted funds**||||||||
|E-learning projects|38|-|(144)|-|106|-|-|
|QSI accreditation|-|-|-|-|-|-||
|programme||||||||
|NHS England|39|-|(15)|-|-|-|24|
|Prize fund|109|-|(4)|-|(12)|-|93|
|Lecture fund|65|-|-|-||-|65|
|Research CO|438|-|(21)|-|(25)|-|392|
|Education fund|967|38|(75)|-|(57)|34|907|
|Other restricted funds|30|9|(1)|-|-|-|38|
|**Total restricted funds**|**1,686**|**47**|**(260)**|**-**|**12**|**34**|**1,519**|
|**Unrestricted funds**||||||||
|General funds|4,852|15,154|(13,484)|(150)|(1,475)|136|5,033|
|||||||||
|**Designated funds**||||||||
|Buildingmaintenance fund|500|-|-|-|-|-|500|
|Majorprojects fund|73|-|(69)|-|-|-|4|
|Cyclotron|181|3|(7)|-|-|4|181|
|CR research fund(Kodak)|529|9|(209)|-|-|-|329|
|Wormald fund|838|2|(28)|-|(11)|41|842|
|**Fixed asset funds**||||||||
|Freeholdproperty|14,196|-|(152)|-|-|-|14,044|
|Fixed asset fund|582|-|(237)|-|156|-|501|
|Intangible assets|2,860|-|(423)|-|1,318|-|3,755|
|Revaluation reserve|(730)|-|-|-|-|-|(730)|
|**Totalgeneral funds**|**23,881**|**15,168**|**(14,609)**|**(150)**|**(12)**|**181**|**24,459**|
|**Total funds**|**25,567**|**15,215**|**(14,869)**|**(150)**|**-**|**215**|**25,978**|



Transfers out of restricted funds shown above are not transfers out but reflect expenditure in the previous year that should have been allocated to restricted funds. 

43 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

## 21. Summary of funds – current year 


**----- Start of picture text -----**<br>
Balance at Income Expenditure Transfers, Balance at<br>1 January 2025 gains/(losses) 31 December 2025<br>**----- End of picture text -----**<br>


||£’000|£’000|£’000|£’000|£’000|
|---|---|---|---|---|---|
|Designated funds|19,029|14|(1,125)|1,508|19,426|
|General funds|4,852|15,154|(13,634)|(1,339)|5,033|
|Restricted funds|1,686|47|(260)|46|1,519|
|**Total**|**25,567**|**15,215**|**(15,019)**|**215**|**25,978**|



## **Summary of funds – prior year** 


**----- Start of picture text -----**<br>
Balance at Income Expenditure Transfers, Balance at<br>1 January 2024 gains/(losses) 31 December 2024<br>**----- End of picture text -----**<br>


||£’000|£’000|£’000|£’000|£’000|
|---|---|---|---|---|---|
|Designated funds|18,826|9|(1,245)|1,439|19,029|
|General funds|4,136|12,935|(11,478)|(741)|4,852|
|Restricted funds|2,164|250|(885)|157|1,686|
|**Total**|**25,126**|**13,194**|**(13,608)**|**855**|**25,567**|



## 21a. Analysis of net assets between funds – current year 

||**Restricted funds**|**Unrestricted**<br>**funds**|**Total funds**|
|---|---|---|---|
||2025|2025|**2025**|
||£’000|£’000|£’000|
|Tangible fixed assets|-|14,546|**14,546**|
|Intangible fixed assets|-|3,756|**3,756**|
|Fixed asset investments|1,519|8,929|**10,448**|
|Investmentproperty|-|1,950|**1,950**|
|Current assets|-|2,947|**2,947**|
|Creditors due within oneyear|-|(7,531)|**(7,531)**|
|Creditors due after more than oneyear|-|(138)|**(138)**|
|**Total**|**1,519**|**24,459**|**25,978**|



44 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

## 21b. Analysis of net assets between funds – prior year 


**----- Start of picture text -----**<br>
Restricted funds Unrestricted  Total funds<br>funds<br>**----- End of picture text -----**<br>


||2024|2024|**2024**|
|---|---|---|---|
||£’000|£’000|£’000|
|Tangible fixed assets|-|14,818|**14,818**|
|Intangible fixed assets|-|2,887|**2,887**|
|Fixed asset investments|1,905|9,348|**11,253**|
|Investmentproperty|-|1,950|**1,950**|
|Current assets|-|2,471|**2,471**|
|Creditors due within oneyear|-|(7,439)|**(7,439)**|
|Creditors due after more than oneyear|-|(373)|**(373)**|
|**Total**|**1,905**|**23,662**|**25,567**|



## 22. Reconciliation of net movement in funds to net cash flow from operating activities 


**----- Start of picture text -----**<br>
Notes 2025 2024<br>**----- End of picture text -----**<br>


|||£’000|£’000|
|---|---|---|---|
|Net income for the year||411|441|
|(asper statement of financial activities)||||
|**Adjustments for:**||||
|Depreciation and amortisation charges|_12–13_|878|1,001|
|Revaluation of investmentproperties|_15_|-|50|
|(Gains)/losses on investments|_16–17_|(215)|(855)|
|Share of losses injoint venture|_14_|150|-|
|Dividends, interests and rents from investments||(329)|(510)|
|Loss on the sale of fixed assets||2|41|
|(Increase)/decrease in debtors||(171)|853|
|Increase/(decrease) in creditors||37|(902)|
|CBILS loan||9|15|
|**Net cashprovided by operating activities**||**772**|**134**|



45 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 

## 23. Analysis of cash and cash equivalents 


**----- Start of picture text -----**<br>
2025 2024<br>**----- End of picture text -----**<br>


||£’000|£’000|
|---|---|---|
|Cash in hand|1,326|1,013|
|Cash in transit|21|29|
|**Total cash and cash equivalents**|**1,347**|**1,042**|



## 24. Analysis of net debt 


**----- Start of picture text -----**<br>
At 1 January  Cash flow At 31 December<br>2025 2025<br>**----- End of picture text -----**<br>


||£’000|£’000|£’000|
|---|---|---|---|
|Cash at bank and in hand|1,042|305|1,347|
|Borrowings – due within oneyear|(180)|-|(180)|
|Borrowings – due after oneyear|(225)|180|(45)|
|**Net debt**|**1,042**|**305**|**1,347**|



Total loans of £225k (2024: £405k) relate to CBILS loan as at 31 December. 

## 25. Capital commitments 

As at 31 December 2025 the group has no capital commitments (2024: £165k in relation to a CRM project). 

As at 31 December the group had a £400k loan facility agreement with IQI Limited, the group’s joint venture. At the balance sheet date funds of £150k were drawn down from this agreement. Repayments are due from September 2030. 

## 27. RCR Education Ltd – statement of comprehensive income for the period ended 31 December 2025 

||**2025**|**2024**|
|---|---|---|
||£’000|£’000|
|Turnover|3,421|2,565|
|Cost of sales|(2,001)|(1,892)|
|**Grossprofit**|**1,420**|**673**|
|Administrative expenses|(834)|(632)|
|**Profit/(loss) on ordinary activities before taxation**|**586**|**41**|
|Taxation ofprofit on ordinaryactivities|-|-|
|Profit for theyear|416|41|
||£’000|£’000|



46 



Trustees’ report and financial statements for the year ended 31 December 2025 

**The Royal College of Radiologists** 


**----- Start of picture text -----**<br>
2025 2024<br>**----- End of picture text -----**<br>


|**Statement of retained earnings**|||
|---|---|---|
|Total retained earnings brought forward|(416)|(457)|
|Profit for theyear|586|41|
|Distribution undergift aid toparent charity|(170)|-|
|Total retained losses carried forward|-|(416)|



## RCR Education Ltd – statement of financial position at 31 December 2025 


**----- Start of picture text -----**<br>
2025 2024<br>**----- End of picture text -----**<br>


||_Note_|£’000|£’000|
|---|---|---|---|
|||||
|**Current assets**||||
|Debtors|_9_|2,185|1,420|
|Cash||5|5|
|||2,190|1,425|
|||||
|Current liabilities||||
|Amounts fallingdue within oneyear|_10_|(2,190)|(1,841)|
|||||
|**Net current liabilities**||**-**|**(416)**|
|||||
|||||
|**Capital and reserves**||||
|Called upshare capital|_11_|-|-|
|Retained earnings||-|(416)|
|**Shareholders’ funds**||**-**|**(416)**|



47 



The Royal College of Radiologists 63 Lincoln’s Inn Fields London, WC2A 3JW, UK 


The Royal College of Radiologists is a Charity registered with the Charity Commission No 211540. 

+44  020 7405 1282 enquiries@rcr.ac.uk rcr.ac.uk 


@RCRadiologists 

The Royal College of Radiologists. _Trustees’ report and financial statements for the year ended 31 December 2025_ . London: The Royal College of Radiologists, 2026. 

The Royal College of Radiologists is a Charity registered with the Charity Commission No. 211540 © The Royal College of Radiologists, May 2026. 

This material has been produced by The Royal College of Radiologists (RCR) for use internally within the specialties of clinical oncology and clinical radiology in the United Kingdom. It is provided for use by appropriately qualified professionals, and the making of any decision regarding the applicability and suitability of the material in any particular circumstance is subject to the user’s professional judgement. 

While every reasonable care has been taken to ensure the accuracy of the material, RCR cannot accept any responsibility for any action taken, or not taken, on the basis of it. As publisher, RCR shall not be liable to any person for any loss or damage, which may arise from the use of any of the material. The RCR does not exclude or limit liability for death or personal injury to the extent only that the same arises as a result of the negligence of RCR, its employees, Officers, members and Fellows, or any other person contributing to the formulation of the material. 

