British Geriatrics society Iinprovii Ix liealihoaie foi-older i!eople THE BRITISH GERIATRICS SOCIETY (A Company Limited by Guarantee) REPORT OF THE TRUSTEES AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 March 2022 Charity registration number: 268762 Company registration number; 1189776 (England and Wales) The British Gerlatri¢$ Soclety Content$ For the year ended 31 March 2022 TABLE OF CONTENTS Charlty Reference and Administrative Detalls Trustees, Annual Report 4-22 Independent Auditors Report 23-26 statement of Financlal Actlvltles (Group Consolidotedj 27 statement of Recognised Galn5 and Losses (Gmup Consolidated) 28 Balance Sheet 29 Notes to the Flnanclal Statements 30-43 The Brltlsh Geriatrics Soclety Charity Reference and Administrative Details For the vear ended 31 March 2022 CHARITY REGISTRATION NUMBER 268762 COMPANY REGISTRATION NUMBER 1189776 (England & Wales) TRUSTEES President Dr Jennlfer Burns PresSdent-Elect Professor Adam Gordon Honorary Secretary Dr Anne Hendry (appointed 20 November 2021} Dr Davld Attwood {demitted 20 November 2021) Honorary Treasurer Professor Sarah Goldberg Chair BGS England Councll Dr Mlke Azad Chair BGS Northern Ireland Councll Dr Mark Roberts (demitted 14 June 2022) Dr Gerrard Sloan (appointed 14 June 2022) Dr Rowan Wallace (appolnted 01 October 202 11 Dr Alan McKenzle Idemitted 13 September 202 1} Chalr BGS Scotland Council Chair BGS Wales Councll Dr Sam Abraham lappolnted 30 Aprll 2021) Dr Sandlp Raha (demitted 30 April 2021) Chalr BGS Tralnees Council Dr Sangam Malani (appointed 20 November 20211 Dr Carly Welch (demitted 20 November 20211 Chair BGS Nurses and AHPS Council Dr Esther Cllft (appointed 20 November 2021) Ms Lucy Lewis (demitted 20 November 2021) Lay Trustee Ms Rose Gray (demitted 28 July 20221 Mr Nlcholas Pahl (appointed 28 July 2022) Lay Trustee Mr Davld Crundwell (demitted 01 August 2022) CHIEF EXECUTIVE OFFICER Ms Sarah Mistry The Brltlsh Geriatrlcs Soclety Charity Reference and Admlnlstrative Detall$ For the year ended 31 March 2022 PRINCIPAL AND REGISTERED OFFICE Marjory Warren House 31 St John's Square London ECIM 4DN AUDITOR Sayer Vlncent LLP, Invltta House, 108-114 Golden Lane, London ECIY OTL BANKERS Santander UK plc 2 Trlton Square, Regerlt's Place, London NWI 3AN Flagstone Investment Management Ltd Clarevllle House, 26-27 Oxendon St, London SWIY 4EL INVESTMENT ADVISERS CCLA Fund Managers Llmlted Senator House 85 Queen Vlctorla Street London EC4V 4ET The Brltlsh Gerlatrlcs Society Trustees. Report For the ear ended 31 March 2022 The Trustees are pleased to present thelr annual report for the year ended 3 1 March 2022, under the Companles Act 2006 and the Charitles Act 2011, together wlth the audited flnanclal statements for that year, and confirm that they comply wlth the requlrements of the Acts and the Charlties SORP (FRS 1021. The report and accounts have also been prepared to fulfll the requlrements for a Dlrector's Report for the purposes of company law. BJECTS AND MIS Charltable Objerts The Society was established in 1947 to serve the healthcare needs of older people living wlth frailty - a large and Increasing sector of the UK and world populatlon. The Society's objects, as set out IN the Memorandum of Association, are 'the relief of suffering and distress amongst the aged and Infirm by the improvement of standards of medical care for such persons. Charltable mlsslon In line with the Objects, the Society's charitable mlssion 15 to improve healthcare for older people. We pursue our Objects and mlsslon through the objectlves and activlties set out In the section below. BJE TIVE AND ACTIVITIES INCLUDING PUBLIC BENEFIT Our objective5, whlch we refer to as our 'speclflc aims, are to Insplre students and tralnees to speclallse In the care of older people, and to support thelr educatlon. tralnlng, clinical effectivene55 and career development,. Promote hlgh standards of cllnlcal quality through conferences, meetings, informatlon, good practice guldance, and educational and training opportunities; Encourage the sharing of learning and best practice, both withln ènd across relevant dlsciplines. Promote research Into the healthcare of older people, facilitating access to research and opportunitie5 to 9enerate research; Act as the Informed policy voice regardlng educational curricula; cllnlcal standards. research,. effective commlssloning practlce and health policy regarding the treatment and care of older people across the UK,. Raise awareness among healthcare professlonals of the role of 'llving well, In preventlng dlsease In old age. These alms are translated through our 20-23 Strateglc Plan Into five strateglc objectlves. We describe achlevements later In thls report under these flve areas, The British Geriatrlcs Society Trustees, Report For the year ended 31 March 2022 Prlnclpal actlvitie$ Our aims and objectlves are met through delivery of a set of attivltles, as follows.. nation81, regional and special interest meetings to share research and clinical best practice; publlshi ng approved researth papers, cllnical guldance and resource5; promoting research, education and tralnlng in all aspects of healthcare for older people; provlding expert Input into the formulatlon of pollcy relevant to the care of older people. Below, we look at each of these in turn with reference to the 'public benefit, test, Public beneflt The Society's overall purpose Is to Improve healthcare for older people, chiefly by drlving up standards of NHS healthcare for older people across the UK through the member services and ctivities descrlbed below. The Ljltlmate beneficlarles of our work are older people with frailty and other complex health needs who benefit from Improved NHS healthcare f rom physician5, nursing staff and allied health professionals whose knowledge, understandlng and confidence are being raised through the activities of the Socbety. This public benefit is accessible free of charge through NHS services for older people. Older patlents are by far the largest populatlon group using NHS servlces, whether in the community or In hospitals. The fact that people are 1Svlng longer lives is a great success Story. It comes with many positlve dimensions, whlch should be roundly celebrated, but also brSngs major challenges. Research publlshed in January 2018 estimates that between 2015 and 2035, the prevalence of multi-morbidity (multlple diagnoses of chronic Illness) Is set to increase, wlth the proportion of those dlagr)osed with four or more Illnesses almost doubling; two thirds of those wlth four or more illnesses wlll have mental ill-health, such as depression, dementl3, and other forms of cognitive impairment. People over 65 al￿adY account for approximately two thlrds of the primary care prescrbbing budget, between a third and half of all NHS hospital admlssions, and two thlrds of all acute inpatlent bed days. For the foreseeable future, health professionals working with older people will see the complexlty of their patlents, health Issues Increase, with greater Incldence of frallty, multl-morbidity, 'polypharmacy' (multiple medlcatlon reglmons), physical dependency, and cognitlve Impairment. Achieving the right comblnation of soclal care and healthcare, at the rlght tlme 6nd in the right place, for the growlng numbers of older people wlth frallty and multi-morbidlty Is one of the definlng publlc 5ervlce Issues of our time. Our Society rlses to this challenge by unitlng specialists In all aspects of healthcare for older people. As such we believe we have a vital role to play as a source of expertlse and as an advocate and enabler of improved patlent care. As we illustrate below, the trustees have had rega rd to the Charity Commisslon's guidance on publlc benefit when revlewing the_ Society'5 aims and objettlves, overseelng the dellvery of the servlce activltles which flow from them, and plannlng its future actlvStie5.' National. regional. and speclal Interest meetings Our meetings are expllcltly Sntended to Improve patient care. They provlde demonstrable benefit by Improvlng the knowledge and skllls of geriatricians and other healthcare professionals caring for older people, whether in NHS hospitals, in prlmary care or in the community. Each year the Society holds two major natlonal conferences whlch provide Society members and other hea Ithcare professionals with the opportunity to share thelr research and clinical best prattl￿. All submltted abstrarts are subject to rigorous peer revlew prior to acceptance as either platform presentations or posters. The meetlngs provlde a forum for Contlnulng Professional Development (CPDI, whlch follows a flve-year cycle to ensure that all The Brltlsh Gerirltrics Societv Trustees. Report For the year ended 31 March 2022 pertlnent cllnlcal toplcs wlthin the 5pecSality of gerlatrbc medlcine are regularly examlned. Included in the meetings are guest lettures and se5sion5 presented by the Soclety's Speclal Interest Groups (SIGS), In additlon to the natlonal conferences, regional meetings and speclalist conferences a re held to address toplcal and/or sub-speclallst Issues. Some of these are undertaken through partnershlp worklng wlth other specialist socbeties and charftable organbsatlons. Publlcatlon of research and cllnlcal guldance The Soclety publishes best practice statements, guidance on clinical quality, tools, and resources, whlch are freely avallable on its webslte. Thls informatlon Is widely used as a source of authorltative guidance for healthcare professionals and lay people alike. Through the expertise of our 16 Special Interest Groups covering a wlde range of toplcs related to gerlatric medicine, we keep these resources up to date in order to meet the needs of our members and others With an Interest in current developments and evidence on the healthcare of older people. Healthcare professlonals in the UK and across the world beneflt from peer-revlewed scientlfic papers, whlch the BGS publlshes in its official journal. Age and Ageing is published by Oxford Universlty Pre55 and is made available online to the Society's members as part of their membership package, and also to pald subscribers. We operate an optional open access model, sometimes cal led Green Open Access, and the journal is fully compliant with the Research Councils UK and the Wellcome Trust open access pollcies. Our practice Is to make a number of key papers from each edltlon avallable as free downloads, and after one year, all articles on the Journal website become free to access and download. Age and Ageing has a worldwide reputatlon for publishlng refereed original articles and commissioned reviews on ger18t￿C medicine and gerontology. It has become Increaslngly Influential among geriatrics and gerontology publlcations. Promotion of research, educationi and training Providing high-quallty healthcare to older people wlth complex health needs relies upon keeplng abreast of latest evldence regardlng prevention, treatment, and care, and indeed addlng to that evidence base. The promotion of academlc and research activity in relation to older people and the translatlon of findings into clinical practlce is one of the Society's core aims. The Society dellvers much of its education and trainlng through sclentlfic meetings. Durlng the last year, the COVID-19 pandemic has ne￿ssItated moving these events wholly onllne, whlch has enabled busy healthcare professlonals to have ready acce55 to high-quality content, Ilve and after the event. An Important part of the promotion of research, educatlon and tralnlng Is the Society's funding of grants and fellowshlps to those who work in the fleld of geriatric medicine and more generally the healthcare of older people. These SLJPPOrt healthcare professionals to acquire new knowledge and skills, which are then shared and applied to the care of the older population across the UK. Providing expert Input into the formulation of pollcy relevant to the care of older people The Society aim5 to provide expert input to the development of policy at a n3tion81 level within the four nations of the UK. The Soclety provldes comment, responses, and information to a variety of agencies Includlng Government and parllamentary bodles, NH S England and Its equivalents in the other natlons, the Department of Health and Care in each of the four countrles of the Unlted Klngdom, the National Institute for Health and Care Excellence INICEI, the Care Quallty Commlsslon and other professional bodles. Senlor offlcers represent the Soclety's posltlons In prlnt and medla. The Society has an actlve social media presence The Brltish Geriatrics Society Trustees. Report For the year ended 31 March 2022 including a BGS blog, Twitter accounts for the Soclety and for Age and Ageing, a Facebook page and Linkedln pages. ACHIE ENTS Our strategic planning cycle BGS has adopted a fixed, three-year plannlng cycle. For each year of each strategic plan, strategic objectives are flowed through Into annual operational plans, and from there to individual staff members. objectlves SO that everyone in the staff team is aware of thelr specific contribution to achlevlng the organlsatlon's vision for its future. The annual operatlonal plan and accompanying annual budget are presented to the Trustees Board for approval before the start of each year and reported against at quarterly Trustee Board rneetlngs by means of key performance indicators. 20-23 strategy The current BGS Strateglc Plan runs for three years from l Aprll 2020 to 3 1 March 2023. The Strategy sets out five objertlves in pursuit of the Society's mlssion to Improve healthcare for older people. These are.. l. To promote hlgh standards of clinical quallty In the healthcare of older people by developlng knowledge and Improved practice. Intended outcome.. By 2023, we will have contributed to better healthca￿ for older people by developing and promoting tools, guidance and standards whlch are widely used and shared by clinicians and other healthcare professionals in their practlce. 2. To support continulng professlonal development of those $peclall$ing and worklng in healthcare of older people and to Influence thelr tralning and education. Intended outcome.. By 2023, we will have contrlbuted to ￿levant curricula, and developed new courses and learnlng opportunltles to enhance the uptake, quallty and relevance of education and training In geriatrlc medlclne and healthcare for older people. 3. To promote research Into older people's health and healthcare, and Its applicatlon to clinical settings. Intended outcome: By 2023, we wlll be a recognised convener for research opportunltles, research skills and dissembnation of research evidence into practice, and wlll be publlshlng ovr high-impact journal, Age and Agelng, via a sustalnable model. 4. To influence pollcymakers, commlssloners. and health professionals by being an informed advocate and authorlty on older people's health¢are. Intended outcome: By 2023, we wlll be known for our authorltative policy volce whlch wlll have influenced the development of older people's healthcare policy at natlonal and regional level across the NHS In the UK. 5. To ensure the BGS Is a robust, dynamlc, sustainable oryanlsatlon. Intended outcome: By 2023, we wlll be a strong. collaborative charlty and medical soclety of more than 4,500 members wlth a financlally sound business model and a thriving multi- dlsclpllnary ethos. The Brltl$h Geriatrics Society Trustees. Report For the year ended 31 March 2022 The Strategic Plan also includes three cross-cutting themes,. a) stronger reglons,. b) stronger dlgltal,. c) stronger community. These three themes are applied across the different objectlves. The Trustees revlewed the Strategic Plan at thelr awayday in July 2021, at roughly the midpoint of the three-year Strategy. They discussed a rebalancing of priorlties in Ilght of the COVID-19 pandemic, and agreed that workforce should be added as a fourth cross-cuttlng theme. 21122 Context The year 2021122, covered In this report, continued to be dominated by Ihe global COVID- 19 panderllic. The number of deaths In the UK of people over 65 declined, thanks to an effective vaccination campaign, Infectlon control and better treatments. But older people recovering from COVID- 19 continued to suffer from its after-effects. Many of those who were shlelding or 1501ated at home became less mobile, had worsening frailty and experienced mental 111-health. Famlly visits for residents of care homes and in-patient5 continued to be restricted for much of the year, and COVID- 19 outbreaks occurred periodlcally with the rise of new variants and relaxation of public protection measures. BGS members were at the frontline, managing those with the infectlon, whether admitted to hospital or cared for elsewhere, and also respondlng to older people's ongoing health issues associated wlth frallty and mLJItI-morbidlty. The backlog of delayed appolntments and electlve care has created a slgniflcant challenge for the NHS as it seeks to rebuild services. During 21122, delayed dlscharges from hospital owing to staff 5hortage5 in social care caused capacity problems In acute care. Long waiting times, overcrowded Emergency Department5 and older people stuck in hospital desplte beir)g medically fit for discharge continued despite the implementatlon of a 'discharge to assess, pol icy and investment in community services. All this has created an immensely challenglng operatlng envlronment for an exhausted workforce. The BGS contlnues to be extremely proud of the comrnitment and dedication of it5 multidisciplinary member5 working in acute, primary and community care. Showing both profe55i0nalism and corn passlon, they cared tlrelessly for large numbers of older people with COVID-19, provided much of the physiclan cover for the general medical take In hospitals, and Implemented new models of commLJnity care. Many were redeployed from their usual roles and had training and educatlon programmes disrupted. Thelr experlences are captured in two BGS workforce reports, 'Throllgh the visor l and 2, which underllne the pressure felt by our members, and the toll on their wellbeing. The Soclety acknowledges the ur15tlntlng efforts of our members to provide high-quality care throughout the pandemic and beyond, and to support older people and their families at such a challenglng tlme. As reported prevlously, the COVIO- 19 pandemic has served to brlng our comrnunlty closer together. The BGS'S role in offering practical support and resources, spaces for peer support, and an authoritative voice providing expert information to professionals and the public and speaking out against agelst policles has grown over the last year, and the Soclety's proflle Is hlgher than ever before. Membership number5 Continued to rise past 4600 at the peak during 2021122. We have seen diversification with more people joining from the care home settor, physlcian associates and pharmaclsts, as well as growth from our more traditional member sectors, including trainee doctors and GPS, nurses and Allied Healthcare Professionals IAHPS). BGS members, and In particular honorary office bearers, narnelyi the trustees, deputies, Vlce Presidents, Council and commlttee mernber5, and the officers of our Special Interest Groups, continue to contribute a huge amount to our mlsslon. We are very grateful for their voluntary efforts, partlcularly given the other demands on them during the pandemic. Much of the detailed work carried out by the Society is led and delivered by them, and we are deeply Indebted to them for finding the time and energy to contrbbute thelr expertise to improving healthcare for older people across the UK through the work of the BGS. While this is a huge The Britlsh Geriatrics Soclety Trustees. Report For the year ended 31 March 2022 asset, restrictions on study leave, study budgets and external commltments have made It even harder for them to devote time to the BGS thls year. The BGS also has a strong and committed staff team of twelve, which supports the membership and coordinates the artivities set out below. Geographically, BGS's prlnclpal focus Is the UK, ènd maintaining genuine UK-wlde reach remalns one of our core concerns, particularly as health Is a devolved responsibility and health and social care services therefore vary between England, Scotland, Wales, and Northern Ireland. We value the different perspertlves of our member5 from across the UK and work hard to Share learning, foster connectlons, and benefit from cross-country comparlsons. The BGS has overseas members and Its website resources are accessed by health profe5slonals from acr05S the globe. The BGS developed a bid to host the European Gerlatric Mediclne Soclety (EUGMSI Congress in Septernber 2021 and were successful in securing the opportunity to be the local host. In light of the COVID- 19 pandemlc, the decision was made by the ELJGMS to delay the Congress in London by one year, to 28-30 September 2022. This 15 a prestiglous opportunlty, and the Trustees have been keen to ensure that risks and beneflts are well-managed, and that the partnership arrangements are approprfate for the capaclly of the BGS. Durlng 21122, past BGS President Prof Tash Ma5ud has been leading work to develop the academic programme, and the BGS has been supportlng the EUGMS and its conference provider, Aristea, to prepare for the London Congress as a hybrld meeting, combinlng in- person and online attendance. Performance against strategic objectlves In the rest of this sertlon the Trustees describe achlevements during 2021122 against the Society's strategic objectlves, as demonstrated by results and feedback. Objective I: 'To promote high standard$ of cllnlcal quallty In the healthcare of older people by developlng ènd promoting knowledge and improved practi¢e' One of the crucial roles played by the Society is to enable those worklng with older people to have access to information, resources, and expertise on good practlce across the span of older people's healthcare needs. The Vice President for Cllnical Quallty oversees the Clinlcal Qual Ity Commlttee and the Society's work in promotlng high standards of cllnical quality. The BGS has 16 Special Interest Groups ISIGS) serving as the Society's source of cllnical innovatlon, articulating and malntaining high standards of clinical care, and dlssemlnatlng specialist knowledge. During 202 1 there were three successful one day-conferences held by the Cardiology, Falls and Bones, and Oncology SIGS, the latter co-badged wlth the Chrlstle Hospital. For the BGS Spring conference 202 1, the Dementla SIG organSsed a whole day's programme and the Medicines Optlmisation SIG organised two sesslons. At the BGS Autumn conference 2021, the Cardlology, Movement Disorders and Community Gerlatrlcs SIGS organised all-day sessions and the Falls and Bones SIG organlsed falls and orthogeriatric sesslons. Members of the then Community Gerlatrlcs SIG submltted vldeo case studies. 28 of these were shown at the Autumn Meetlng and have subsequently been used by NHS EnglandlDHSC to promote Ageing Well successes. These are avallable or) the BGS website. The Community Geriatrlcs SIG has now merged vvith the BGS Gerl-GP group to fomi a new BGS group, the Communlty ar)d Primary Care Group. A new Trauma group has been established wlth 80 members as a subgroup of the Falls and Bones SIG. The SIGS responded to 13 consultation5 from various bodles Including the Natlonal Institute for Health and Care Excellence {NICE), Royal College of Nurses, the Medlclnes and Healthcare The British Geriatrics Socletv Trustees. Report For the year ended 31 March 2022 Products Regulatory Agency, the Royal College of Physiclans and All-Party Padlamentary Groups. The Centre for Perloperatlve Care, working in collaboration wlth the BGS POPS SIG, published guldance in September 2021 for the care of people living wlth frailty Ljndergoing electlve and emergency surgery, which encompasses the whole perioperative pathway. New and popular onllne resources supporting high quallty care for older people were developed this year with the help of the SIGS and the Clinical Quality Cofnmittee. These include the Delirium Hub, whlch was deslgned to help cllnicians and carers navigate and contextualise evidence, guidance and best praclice in Ihe management of acute confuslon In older people. In the first six months since Its launch it has been accessed more than 6,000 times. Our page on COVID-1g vacclnatlons for older people has been regularly updated to reflect current programmes and advice across the four nations, and has seen more than 4,000 vlslts since the first vacclnatlon Informatlon was made available In November 2020. Providing a vital bridge between research and practice, links to relevant digital papers frorn Age ond Ageing journal now appear across the BGS webslte to enable visltors to better access and understand the1atest findings on topics which interest them. Objective 2: 'To support continuing professional development of those specialising and worklng In healthcare of older people and to Influence thelr tralnlng and education, The Vice President for Education and Tralnlng oversees the BGS'S education and professional development work. This includes ensuring geriatric medicine training for doctors is delivered through the approprlate currlculum ènd supported by accesslble learning opportunities In the form of meetings, e-lea ming and other resources. Whlle promotlng the recruitment, retentlon and development of trainee doctors, the Educatlon and Training Commlttee's remit also Involves professiorial development for the wlder multldlsciplinary team. The growth of Advanced Clinical Practitioner roles, the recognition that older people's care cannot rely on specialists alone and the provSsion for Less tha n Full Tlme working arrangements are all examples of ways in which workforce shortages are being overcome. The BGS has a reputation for delivering high-quality educational meetings. Owlng to the COVID-19 pandemic, these have taken place during 202 1122 by live-streaming to online participants. Almlng for relevant, attractive content and excellent speakers, the meetlngs provide clinical education, research updates and service delivery based upon a rolling Continulng Professlonal Development {CPDI calendar and curricula for those specialising in older people's healthcare. We have adapted the tradltional meetlng format given COVID- 19 restrlctions and study leave constralnts. In 202 1/22, we dellvered our Sprlng and Autumn rlleetlngs, two Special interest Group meetlngs, three natlonal meetlngs, a conference for foundation year and internal medicine trainees and 12 reglonal meetings all vlrtually. We also ran several free-to-access weblnars. These vlrtual meetirTrgs recelved overwhelmingly p051tive feedback and were successfully dellvered live, as well as made available for 12 months after the event on demand. Over 5,500 attendees attended BGS events in thls year. We aim to ensure the substantial BGS events offer contlnues to dellver an excellent delegate experience, with a hybrid format as standard for the main meetings and virtual delivery of webinars and other learning opportunities, However, we anticipate there will continue to be knock-on effects from the COVID- 19 pandemic to delegates, study leave and study budgets in 2022123. 10 The Britlsh Gerlatrlcs Society Trustees. Report For the year ended 31 March 2022 The BGS contlnues to offer two e-learnlng module5, on Frallty Identlflcatlon and Intervention, and on Perioperative Care of Older People undergoing surgery. The Frallty eLearning module has had 776 people access the course, with Klng's College requesting access for 100 of their nurses starting in early 2022. 385 people have accessed the Perioperatlve care of older people e-learning module, The BGS contlnued to collaborate wlth the Royal College of Physicians on the Diploma in Gerlatric Medicine IDGM), promoting thi5 to a wider audlence Including nurse5, allied health professionals, physlcian assoclates and other heelthcare professionals. We continue to collaborate with the Federation of Royal Colleges in the delSvery of the Specialty Certiflcate Examination ISCE) In geriatric medicine, In February 2022, 298 candidates sat the SCE exam {in 202 1, there were 202 candidates). The Federatlon and BGS are part of inltlal talks about the UK SCE being the basi5 of a European exam. Objective 3: 'To promote research Into older people's health and healthcare, and its application to clinical settings. The Vice Presldent for Academlc Affalrs oversees the Soclety's work to promote, enable, support, and communicate research whlch can ultimately improve the care of older people. The research and clinlcal quallty commlttees adjudlcate the abstract submlsslons for the BGS bi-annual meetings. In autumn 202 1, we had 15 platform presentatlons, 10 President's round presentatlons and 73 posters. The Research and Academic Cowmlttee {RADC) maintalns a presence at the bi-annLJal conferences with sesslons to help promote research and offer advice on subjects such as how to get started in research, how to write a research paper, and where to look for funding. The BGS is fundbng two systematlc reviewers to work on a Delphl exerclse to Inform a new BGS research Strategy. This work started in late 2021 and Is progresslng well. It is hoped that we have a finallsed strategy by Summer 2022. The BGS co-funded Its third Doctoral fellowship wSth the Dunhlll Medical Trust in October 2021. These prestigious fully-funded fellowships enable cllnicians to unijertake doctoral research In topics relevant for older people's healthcare. The Trustees also agreed to co-fund a second round of three Fellowships from 2022. The BGS'S high-lmpact journal, Age and Ageing, hacl a highly successful year. It completed Its transitlon to fully onllne publication and to monthly (from bi-monthly) online issues. In the last flnènclal year, new digltal features and functlonality were deployed, and the journal webslte has benefited from a redeslgn whlch Improves the reader experience and modernlses the Journal's offering to authors. In the perlod l April 2021 to 3 1 March 22, the Journal recelved 2,272 submlsslon5, whlch Is a 170/0 increase on the previous year. The Journal accepted 274 artlcles for publlcation, whlch is a 5010 decrease. This indicates that the Increased output of Volume 50 {2021) wlll be sustalned In Volume 51 {20221 but not increase further. Careful consideratlon has been given to ensure that standards of quallty are malntalned. The Edltorial Board has met the challenge of this recent rapld growth In volume wlth an expènsion and dlversification of Board membership to Increase capaclty and build resS1ience. Changes in the last year include the appointment of Nathalie van der Velde as Deputy Edltor (remunerated role) and the creation of a new tier of slx Senlor Editors (honorary roles) who are sharing hlgher-level editorlal dec15Ion making. The Brltlsh Gerlatrlcs Soclety Trustees. Report For the year ended 31 March 2022 The Impact of materlal publlshed in the Journal ha5 also Increased slgnlflcantly followlng a record number of high-quality submlssions. The Impact Factor for the period to 31 March 2022 was 10.668 (up from 4.902). The usage rate In this period was 2. 3 million article downloads, which Is the same as last year. The subscriptlons at 31 March 2022 were 7, 149 {up from 6,851). 2022 Is Age and Ageing's 50th year and to rllark this achlevement It Is publlshing a serles of 24 expert commentarles on the development of healthcare for older people In the slx different global reglons and explorlng 18 major illnesses and clinlcal problems faced by older people. Objectlve 4: 'To Influence pollcymakers, commlssloners and healthcare professlonals by belng •n informed advocate and authority on older people's healthcare, 2021122 was another turbulent year in terms of the policy landscape, thanks to the ongoing COVID-19 pandemlc, and the need for the NHS to begin the process of recovery and rebullding of services. The BGS has contlnued to campaign for older people to receive high-quality Joined- up care and to ensure that they do not miss Oijt in the competition for post-pandemic NHS resources. We have continued to meet regularly with the National Clinical Director for Older People and have been pleased to see three BGS rnembers appointed to key advisory roles at NHS England. Over the year there have been some promising developments, but equally a reductlon In the funding for the Agelng Well (NHSE) programme. The failure of government to commit to a SLJStainable solution to the social care crisis means that many or the workforce Issues remain a barrler to older people recelving the care and rehab they need at home. During 2021122, elections were held In both Scotland and Wales and we produced manifestos for each election. As a result of this, we met wlth Julie Morgan MS, Deputy Minister for Social Services In Wales, and Ms Morgan recorded a message for our Wales meeting in Autumn 2021, The COVID- 19 pandemlc exposed some of the challenges facing the delivery of healthcare In care homes. In response to thls, we publlshed Ambltlons for Change, setting out what good healthcare in case home5 should look like. The Trustee Board also approved funding of £300,000 for a three-year strateglc project focusing on healthcare for older people In care homes and we recrulted a Care Homes Fellow to lead thls project. The impact of the pandemic on the workforce has continued to be significant and in July 2021 we published our second 'Through the Visor. report, detailing a further survey of our members about thelr experlences in the second wave of the pandemic. Thls report highlighted the Impact of the pandemic on the emotlonal and mental health of our members and thel r families. One of the big challenges this year has been the delayed discharge of older people who get stuck in hospltal even though they are medically fit for (Jischarge because care is not avallable to them in the community. We sought to highlight th15 issue through a 'Tlmely Dlscharge, blog series, about which we wrote to the Secretary of State for Health and Social Care. The pollcy focus In all four countrles of the UK has been on strengthening community and primary care services and developing alternatlves to hospital. The BGS contributed to the deslgn of NHSE'S Urgent Communlty Response programme and in August 2021, we publlshed 'Right Tlme, Rlght Place, to help our members to navlgète thls new landscape of care. Subsequently there has been an announcement of signlflcant funding for virtual wards, some of which Is Intended for older people with frailty to receive acute care whlle based at home. The BGS will publish a report on frailty virtual wards in June 22, built from the experience of our members in delivering Hospital@home services across the UK and analysis of the chhllernges and opportunities they are encounterl ng in seeking to reduce avoidable hospital dmissions or to facllltate timely dlscharge from hospltal. As a small society, the BGS works collaboratively with others to achieve its goals. The BGS is part of the Health Inequallties Alliance, led by the RCP. It is an actlve member of the 12 The Brltish Geriatrl¢s Society Trustees. Report For the year ended 31 March 2022 Community Rehabilitatlon Alliance, and contributes to the Health for Care Alliance, pushing for a social care solution. BGS members revlewed and contributed to reports produced by other health bodies during 21122, such as NHS Benchmarking and GIRFT. We are mindful that the different needs of older people with frailty and multi-morbldity are sometlmes overlooked In a medical Infrastructure designed around single conditions. Durlng 21122, BGS spokespeople appeared on a number of high-profile media outlets including BBC London News, BBC'YOU and Yours, programme, BBC Radlo 4 '1nslde Health,, the Guardian, the Daily Masl and the GM Journal, The 8GS was mentloned 425 times in the medla between l Aprll 202 1 and 31 March 2022. Duri ng this perlod @gerisoc saw a 15Wo Increase In Its number of followers on Twitter from 26.6k to 30.6k. The top tweet durlng thls period earned 136,533 Impressions, 5,03 1 engagements, 599 Ilkes and 429 retweets. The traffic to the BGS blog received 113,091 unique page vlews. The top performing BGS Blog durlng thls perlod was 'Atypical COVID- 19 presentations in older people vigilance, wlth 7,903 page views. the need for continued The BGS website has become ever more central to the way the Society delivers its core message, wlth trafflc remalning high as healthcare professionals seek the latest up-to-date information on conditions affecting older people, and access our events, streamed online. This continLJes to be important with the pressures of the pandemlc and Its recovery, whlch is reflected in the 1.2 mlllion website hits the website Is now attracting annually. Key resources available on the website Include the BGS Frallty and Delirium Hubs, whSch have become go-to resources for practitloners Involved i n the Care of older people, helplng to link up evidence, guidance, health services and learning. The Sllver Book 11, a multi-dlsclplinary and international collaborétlve publlcatlon focuslng on urgent care in older people with frailty, Is avallable in an interactive formèt vla the BGS Wf,.bslte. Other popular resources include the End of Llfe Care in Frallty serie5, made up of more than 20 chapters addressiF)g and Providing guldance or) the flnal stages of Ilfe of older people wlth frallty. Resources offerlng support and inforniatlon on the pandemic recovery, including regularly-LJpdated pages on vaccination and rehabllitatSon, have a150 proved popular. The BGS Newsletter Is a valued member beneflt whlch is published in hard copy prlnt format every second month and malled to all members, offering a space to reflect, connert and unwind. It helps member5 to keep abreast of development5 wlthln the BGS, as well as rnore wldely In the ffield of gerlatric medicine. In late 202 1 the publication underwent a rebrand a redesign, with a new name AGEnda - reflecting the move towards themed Issues and a focus on bringlng together some of the key topics and 155ues In gerlatric medicine. It also continues to provide an opportunity for Officers, SIGS, Councils and other BGS groups to hlghllght their areas of work and promote engagement with BGS artivStles including pollcy Influencing, events and resources available via the webslte. Some of the Society's key publicatlons and resources during this period have Included: Delirlum Hub • Through the vlsor 2.. Further leaming from member experiences durlng COVID-19 Our manlfesto for the Northern Ireland Assembly election 2022 Ambitlons for change- improvlng healthcare In care homes Right Time, rlght place.. Vrgent communlty-based care for older people COVID-19.' Vaccinations and older people COVID- 19.. Preventlng n050cornial infection In older people COVID- 19.. Health and care staff wellbelng 13 The Brltlsh Gerlatrl¢$ Society Trustees, Report For the year ended 31 March 2022 Keeplng older people safe and well at home The BGS ￿SpOnded to the followlng consultations: Royal College of Emergency Medicine- Acute Behavioural Dlsturbance Guidance Electronic Palllative Care Coordination Systems information standard.. update Medicines and Healthcare product5 Regulatory Agency - Invltation to review and feedback on haloperidol communication Call for wrftten evldence All-Party Parllamentary Groups on Hosplce and End of Life Care National Institute for Health and ca￿ (NICE) Research.. Multlple long-term conditions should not be a barrber to hlp replacement surgery NICE draft guideline consultatlon.. Multldlsclpllnary Team Decision Making - Heart Valve Dlsease Guldelines NICE consultation.. Antidepressant prescribing and dementla NICE consultation: Long COVID-19 NLCE consultatlon: Medlcines a550ciated wlth dependence or wlthdrawal symptoms: safe prescribing and withdrawal management for adults NICE draft guldeline consultatlon.. Hypertension In adults.. dlagnosls and management NICE draft guldel Ine consultatlon.. Stroke and transient ischaemic attack in over 16s The following press releases and statement5 were published: 14 April 2021.. BGS launches COVID-19 second wave survey 22 April 202 1.. Our manifesto for the 202 1 Scottish Parllament election 22 Aprll 202 1.. Our manlfesto for the Senedd elertion 202 1 25 April 202 1.. Interview wlth BGS Special Medal Winner Bex Townlev 25 Aprll 202 1.. Doctoral Tralning Fellowship offers fronlline health professionals the opportunlty to undertake age-related research 11 May 2021.. BGS responds to the Queen's Speech 2021 26 May 2021: Professor Adam Gordon awarded prestigious Wllllam Farr Medal by the Worshipful Soclety of Apothecaries 3 June 2021.. BGS supports change to 14-day Isolation policy for care home resldents l July 2021: BGS urges new Health Secretary to conslder cornplex health needs of older people 2 July 2021.. Age and Ageing's 'Journal Impact Fartor, more than doubles following a record number of hlgh-quality Submissions 20 July 202 1.. BGS calls for publlc support of #NotTooMuchToMask campalgn 22 July 2021. Through the vlsor 2, second report highlights continuing toll of the COVID-19 pandemic on healthcare professionals 31 July 202 1.. BGS responds to assertlons Sn Telegraph artlcle 10 August 2021.. 'Ambitions for change, Report on Improvlng healthcare in care homes launched 17 August 2021.. 'Rlght tlme, rlght place: Urgent community-ba5ed care for older people, new BGS report launched 8 September 2021: BGS responds to Prlme Mlnister's announcement on health and social care fundlng 15 September 2021.. 8GS volces support for prlmary care following criticism 24 September 2021.. BGS responds to report'Good for you, good for us, good for everyone, 24 September 2021.. Call for examples of Iran5formation, Innovation and improvement 6 October 2021.. BGS responds to GIRFf's natlonal report on geriatrlc mediclne 14 The Britlsh Geriatrlc5 Society Trustees. Report For the year ended 31 March 2022 13 Ottober 2021.. BGS responds to report 'Coronavirus.' lessons learned to date, 21 October 2021.. Age and Ageing Journal publlshes new care homes collectlon 28 October 2021.. BGS responds to Budget 2021 I l November 2021.. BGS responds to ftndings of internatlonal study on health outcome5 for older people 18 November 2021.. BGS leads coalition of charitles calling on Health Secretary to take Immedlate action on hospltal (iischarge 24 November 2021.. BGS Rislng Star Award Winners-, Dr Jenn5 Burton and Dr Mary Nl Lochlainn 24 November 2021.. Dr Shelagh O'Rlordan appointed as Professional Advlser to Discharge and Community Services team at NHS England 24 November 2021.. BGS launches new comprehenslve delirium resource 24 November 2021: Second series of Doctoral Training Fellowshlps announced for frontline health profession81s to undertake ageing-relèted research 24 November 2021.. Professor John Starr posthumously awarded Marjory Warren Lifetime Achievement Award 3 December 2021.. BGS responds to 'People at the Heart of Care: Adult Soclal Care Reform White Paper, 14 January 2022.. Prestigiou5 Dhole-Eddlestor)e Memorial Prize awarded to 'Recurrent dellrium over 12 months predlct5 dementia.. results of the Dellrlum and Cognitive Impact in Dementia IDECIDEI study, 3 1 January 2022.. 8GS supports RCP'S call for investment in healthcare at home In Wales 4 February 2022.. Second round of BGSIDunhill Medlcal Trust Doctoral Fellowships for age-related research now open 3 March 2022.. BGS welcomes RCP call for action against 'crlsls In care, for older people 16 March 2022.. New research published in Age and Agelng shows link between delirlum and increased mortality 18 March 2022.. BGS statement on the Ilftlng of all COVTD- 19 restrictions 25 March 2022.. BGS statement on family and friends visltlng older people in care homes and hospitals Objective S.. 'To ensure the BGS Is a robust, dynamlc, sustainable organlsation. The BGS continued to support Its members through the second year of the pandemic, aiming to provide a strong community, prattlcal information and learning opportunitles, and an authoritative external volce to protett the interests of older people. Membershlp numbers rose to the￿r hlghest level ever, 4684 at December 2021. Two new groups were establlshed, for SAS dottors and for healthcare professionals working In Commur)ity and Prlmary Care (through a merger of the Community Geriatrics SIG and the GerlGPs Group). The Nurses and AHPS CoLJncil continued to grow in numbers ènd dive￿ ity, supporting their membership with three Communitle5 of practice.. for Advanced Clinical PrattitlOne￿, Researchers and Leaders. A pilot scheme enabled nLJrses and AHPS to sample the benefbts of BGS rnembershlp through thebr employer signing up for BGS group membership. During 21122, we continued the programme of modernlsSng the BGS, taking forward a projett to streamline grants and prlzes. The BGS moved to cloud-based document storage and sharing. A green policy wa5 instigated, wlth regular newsletters to members. The Board discussed equallty, Inclusion and dlversity, recognising the unequal effects of the pandemSc on older people and on the workforce. A project to document 'what good looks Ilke, through a blueprlnt for older people's healthcare got underway. Technical work to enable us to livestream events through our websbte, rather than relying on an external platform, was cornpleted In time for the Sprlng Meetlng 2022. 15 The British Geriatrlcs Society Trustees. Report For the year ended 31 March 2022 We achleved good progress agalnst the Operatlonal Plan for 21122, the second year of our 2020123 Strategic Plan, desplte the challenges of the operatlng envlronment. Preparations were begun for the development of the 2023126 Strateglc Plan. FINANCIAL REVIEW Results for the year Total income was £1,331,426, (2020121: £1,163,935) and expendlture was £ 1,207,067, (2020121.. £ 1, 133, 141). The Soclety achieved an overall surplus before net gains on Investments of £124,359, (202020121: £30,794), Book galns on investments were £357,042, {2020121.' £712,838). Analysis of income 31 March 2022 31 March 2021 Membershlp Subscrlptlons Professlonal Developmeni & Events Age & Ageing Journal Other I nvestment Income 540,989 41 % 286,041 21% 383,583 29% 36.270 3% 84543 6% 518.231 45% 208,087 18% 357,825 31% 25,826 53,966 5% 1.331.426 100% 1,163,935 100% The prlnclpal funding sources for the Society remain membershlp subscriptions, professlonal development and events and the surplus arising frotn the Age and Ageing Journal. The Society is pleased to have been able to Increase its income from membershlp subscriptions for the last two years whllst not raislng subscrlption rates. Income from professional development and events is still significantly impacted by the COVID- 19 pandemic. No in- person events were held durlng the year. The COVID-19 pandemlc contlnued to reduce planned spend across rnany areas, especiallv professlonal development and events, office and premises expenses and commlttee member travel reimbursement. Future financlal plans The trustees have agreed to use the MK Dhole Income Fund for a second series of three Doctoral Fellowship Scholatships jointly wlth Dunhill Medical Trust, startlng In 2022123. The total cost wlll be around £450,000. The trustees have agreed that £300,000 should be designated to fund 'Healthcare in Care Homes" a three-year project focuslng on improving healthcare for care home residents. The Soclety contlnues to develop Its buslness model to allow delivery of events vla a hybrid format of face to face and vlrtual meetings. In view of thls, a contlngency of £ 100,000 has been included In the 2022123 budget. Allowlng for thi5 the Society expects to have an operational deficit of around £99,000 at 31 March 2023. The trustees have agreed that the Society Is able to cover thls potential additional cost out of reserves without impacting on delivery of the Strateglc Plan. The Socbety expects to return to a break-even posltion on operatlonal income and expenditure in 2023124. 16 The Brltish Gerlatrlcs Soclety Trustees. Report For the year ended 31 March 2022 Fundralslng The Society does not currently undertake public fundraising attlvltles, but occasionally recelves donations. Investment Policy The Memorandum aiid Articles of Association glve the trustees the power to invest any surplus funds not Immediately required by the Society in such investments, securbtles, or property as they think fit. The Trustee5' policy has been to balaiice the requirement for capltal growth of the endowment Investments with maxlmlslng income for the Soclety. Investments are reviewed annually. The Soclety does not Invest directly In any one Indlvldual company. All Its Investments are held n specialist multl-asset charlty funds at CCL4 and M&G i nvestments. Both Funds have ethlcèl Investment policles whlch seek to meet the needs of charities Investlng in them. On l July 202 1, after taklng professionhl advice the Society further strengthened the envlronwental and ethical objectlves of its holdings at CCLA by transferrbng all its holdings from the COIF Charltles Investment Fund to the COIF Charitles Ethlcal Investment Fund. This fund has the same long- term investment objective as the maln fund but benefits from tighter ethical objettlves. The Soclety held listed investments of £4,064,405 at 31 March 2022 12021.. £3,792,363). The total unreallsed gain was £357,042 (202 1.. £712,838). Reserves Pollty The reserves policy of the Society Is to hold unre5trTCted reserves (excluding designated fund51, to a level representing at least one year's Ljnrestricted expenditure budgeted for the following year to ensure that It hès an adequate buffer to protect against future uncertalntle5. Unrestrlcted reserves above this level, inclLJding the revaluatlon reserve, are avallable to further the Society's strategic objectlves. The Trustees review the reserves of the Sodety as part of the budget-setting process to ensure they still meet the needs of the organisatlon and are sufflcient to manage rSsk5. The review involves an assessment of the income and expenditure streams, the Society's strateglc objectlve5 and the uncertalntie5 It faces and the level of reserves, The Trustees have deslgnated funds to identlfy those Ljnrestricted funds whlch are earniarked for specific purposes and hence not freely avè ilable. The value of deslgnated funds at 31 Marth 2022 was £ 1, 115,8901202012 1.. £877,689). Included in deslgnated funds is £772, 183 (2020121.. £773, 194) whSch is equal to the value of the SocSety'5 flxed assets. Durlng the year all investments held at CCLA in the COIF Charities Investment Fund were sold and proceeds were immediately used to purchase equlvalent COIF Charitbes Ethlcal Investment Fund units. As a result, the revaluation reserve relating to CCLA unlts - £ 1.055,921- wa5 realised and transferred into general funds. The Society flnlshed 2021122 with unrestricted reserves of £4,135,253, (20121: £3,703,549) as analysed below. 17 The British Geriatrics Society Trustees. Report For the year ended 31 March 2022 Analysls of unrestrlcted reserves 31 March 2022 31 March 2021 Increase Oes ignated expenditure 1,115,890 877.689 238,201 27 Required io cover budgeied unrestricted expendlture for the following year 1,415,650 1 .290,000 125,650 10 Available to further the Soclety's Strategic objectives 1,603.713 1.535,860 67.853 Toral unrestricted funds 4.135.253 3,703,549 431,704 Arrangements for reviewing staff salarie$ All staff are pald above the minimum livlng wage. The Soclety operates a splne point system whlch provides for automatic salary progression for each staff member until the top of the relevant scale Is reached. Pay for all staff is reviewed every flve years uslng an Independent HR agency to compare BGS staff salaries wlth the external market and ensure the Society's pay levels are appropriate and competitive. A revlew was carried out in December 2021. Its recommendatlons were approved by Trustees and will be Implemented for all staff from l Aprll 2022. The next revlew is due In 2026127. To protect the value of salaries from eroslon due to Inflation, a dlscretionary unlversal cost of living percentage Increase may be awarded from the beginning of each new flnanclal year on I April and the splne polnts adjusted accordingly. Volunteers The Soclety is rellant on the unpaid efforts of many of its member5 to achleve Its objectives. These volunteers serve in many capacities (for example, as trustees, as officers of our regional committees, nation committees and Special Interest Groups,. on internal committees and external working parties,. as expert spokespeople, and as advisers on pollcy matters). They provlde countless hours of work in fLJrthering the charitable objectSves of the Soclety without remuneration, and we are grateful and indebted to them for their tireless work. Risk management The Trustees are aware of their responsibility to ensure that the major rlsks to whlch the charlty Is exposed are identified and to establish systems to manage those rlsks. The Trustees have a policy on rlsk management and have procedures In place to mltigate rlsks. The task of identlfying and monitoring the mitlgatlon of the risks faced by the Society is delegated to the Finance and General Purposes Committee (Finance Committee). Trustees consider the minutes of each Flnance Commlttee meeting, and revlew the full risk register once a year. A risk reglster was establlshed In 2014 to Identlfy and a55ess both Internal and extemèl buslness rlsks and has been continually reflned slnce then. Forty risks have been identified, clustered under the following headlngs., 18 The British Geriatrl¢$ Society Trustees, Report For the year ended 31 March 2022 Governance and management Income Services and Impact Resource management Financlal strategy and management Reputational risk Regulatory and legal obligation5 Under a rolllng review process, the Flnance Committee considered key sections of the rlsk register at every other meetlng during the year. Internal control rlsks are mitigated by planning, system5 of authorlsatlon, bLJdgetlng, employment of suitably qualifled staff, and established processes to support and manage the performance of staff members. Extemal risks are identlfied by staff, officer5 and trustees, and assessed at staff, Finance Committee and Trustee Board meetings as appropriate, ènd major risks are also addressed in the SocietV'5 periodic Strategic Reviews. The Trustees are satlsfied that the ma jor rlsk5 identlfled have been adequately mitigated where necessary and that the Society has systems and procedures in place that are approprlate to the Society's size and nature of operations. The rnost signlficant risks dLirlng 202 1122 remained those arising from the effects of the global COVID- 19 pandemic. Older people were particularly badly affected by the pandemic and although the death rate dropped considerably durlng 21122 thanks to vacclnations, infertion prevention and better treatments, there were ongoing effects for older people of mental and physical decondltlonlng, and delayed care for chronlc conditbons. BGS members were at the forefront of the response and continued to play a vltal role not only in care for older people but in respondlng to the general medical take in hospitals. An already exhausted workforce was under pressure to resume servlces and develop new ones, and all of thls took place in an envlronment of staff shortages, NHS restructuring and a cooling of political and public support. In terms of risk for the Society, the Trustees were mindful of the need for the Society to stay relevant and valuable to its members at this tlme of crisls,. to manage any flnancial rlsks from a loss of Income,. and to ensure the BGS had a strong voice to challenge the marglnalisatlon of older people's needs In thls competitive resource envlronment. The Indlcatlons are that the Soclety contlnues to weather the sltuation well thanks to the stable Income of membershlp fees and Journal revenue. Events costs have tjeen much reduced thanks to online delivery (though some cancellation charcJes were incurred), off5ettlng the loss of income. The 8G5 has produced helpful resources, mairitained Its edLJcational offerings, had a visible pollcy atTrd medla presence and enabled a strong Sense of communlty. Risks noted by the Trustee5 are the pressures on NHS staff, making it harder for them to commit to the additbonal demands of BGS work,. and some vulnerability of the staff team through sickness absences. Mltlgatlons for both of these issues have been explored. ST UCT VE AN GEMENT Governing Document The Soclety is governed by its Memorandum and Articles of Associatlon. The Mernorandum and Articles of Assoclatlon were adopted on 7 November 1974, and the Articles were last amended on 24 November 2017. Governing Body The Trustees are the governlng body of the Society and the dlrectors of the Ilmlted company. They corllprlse the President, President-Elect, Honorary Secretary, Honorary Treasurer, Chalrs of the riatlonal Councils for England, Northern Ireland, Scotland and Wales, Chair Df the Trainees Counc51, Chair of the Nurses and Allied Health Professionals Councll, and two lay trustees who bring broa(Jer business planning expertlse. The Trustees meet four tlmes per aNnum, including a full day facilltated workshop to explore long-term plannlng issues. The 19 The Britlsh Geriatrics Society Trustees. Report For the year ended 31 March 2022 Trustees are familiar with the Charity Governance Code, and observe the prlnciples of good governance set out In that document and in the BGS Board terms of reference. The Society's commlttees include Flnance and General Purposes Commlttee,. Policy and Communlcations Committee,. Education ènd Trainlng Committee, and Its sub-committees for Meetlngs and Events and for Workforce,. Clinical Quality Committee,. Research and Academic Development Commlttee, and the Age and Ageing Editorial Board and its Executive Committee. There are also commlttees for the Tralnees Council, Nurses and AHPS Councll, nation counclls, SIGS and England regions. The current trustees are shown on page 2 above. The directors of the wholly-owned subsldlary companyi BGS (Trading) Limlted, who served during the year were Dr David AttWQgd (resigned 20 November 202 11, Professor Sarah Goldberg, Dr Elizabeth Lawn, and Dr Anne Hendry (appointed 20 November 2021). Trustee re¢ruitrnent and appointment The Presldent, Honorary Secretary and Honor3ry Treasurer are Soclety members who succeed automatlcally to theSr roles havlng prevlously been nominated and elected by the membership as Presldent-Elect, Deputy Honorary Secretary and Deputy Honorary Treasurer respectlvely. They each serve a 2-year term wlth the exceptlon of the Honorary Treasurer who serves for 3 years In order to ensure continulty. Chairs of NatSonal Councils are ex offic50 members of the Trustee Board appointed by the relevant nation. The Chairs of the Trainees Council and the Nurse5 and Allied Health Professionals Council are also ex offlcio and appointed by thelr Councils for a 2-year term. The two lay trustees are recrulted externally through an open process and serve for up to two 2-year terms. Our Trustee Induction and Tralnlng pollcy guldes the ortentation process for new trustees. New trustees recelve a comprehenslve inductlon pack and meet with key officers and staff to acquaint them with the Society's policies and practice, its aims and activities, management nd governance, and also what is expected of them under charity law and company law. All trustees give their time voluntarlly and receive no beneflts from the Society. Any expenses reclaimed from the Soclety are dlsclosed In note 8. A register of directors, interests is maintained and updated annually, and declarations of any potential conflicts of interest are requlred at the commencement of each Trustee Board meeting. Any trusteeldirector with a potential conflict of interest with a particular topic within a meeting declares It and takes no further part In the discussion or vote on that toplc. Group Structure The Soclety has a wholly owned, non-charltable trading subsidlary, BGS (Tradlng) Llmlted, a company incorporated in England and Wales {No. 2013195). BGS (Trading) Llmbted accounts for the Income and expenditure from sclentlflc conferences and exhibltions. The subsldiary covenants Its taxable profit at each year-end to the Society. Further details of BGS (Tradlng) Llmbted's flnanclal results for the year ended 31 March 2022 can be found In note 12. REFERENCE AND ADMINISTRATIVE DETAILS The name of the charlty is the British Geriatrics Society, and it is frequently abbreviated as the BGS, The Society is a registered charlty l No 2687621 and is constltuted as a company l No. 1189776) limited by gLJarantee. The trustees/directors, professional advisers and principal and registered office are set out on pages 2 - 3 above. 20 The Brlti$h Geriatrl¢$ Soclety Trustees. Report For the year ended 31 March 2022 EE The Trustees a￿ required by law to prepare fi nancial staterllents for each flnanclal year whlch glve a true and falr view of the state of affalrs of the Society and of its results for that perlod. In preparlng those fi nancièl statements, the Trustees have undertaken, and wlll contlnue to undertake the following.. selected suitable accountlng policies and then applied them consistently. made Judgements and estimates that are reasonable and prudent. prepared the flnanclal statements on a going concern basls unless It Is inappropriate to assume that the Socbety will continue I n buslness. The Trustees are responslble for keeplng proper 8ccountlng records that disclose with re8sonable accuracy at any time the financial positlon of the Soclety and to enable them to ensure that the financial statements comply with the Companles Act 2006 and Charities Act 2011. The Trustees are satisfied that they have met, and they wlll contlnue to meet their responsibilities for safeguarding the assets of the Soclety and hence for takbng reasonable steps for the prevention and detettion of fraud and other Irregularftles. They can provlde ssurance that.. the Society is operatlng efflclently and effectlvely. its assets are safeguarded against unauthorised use or dlsposltlon. proper records are maintained, and flnanclal informatlon used wlthin the Soclety or for publication Is reliable. the Society complles wlth Its Memorandum and Articles of Assoclatlon. the Soclety has attively pursued all of Its objettlves and policles throughout the year. NF MATI TO The Trustees, who are the dlrectors of the SocSety, who held offlce at the date of approval of this Annual Report, confirrn that.. so far as they are aware, there Is no relevant audit Information, informatlon needed by the SocSety's auditors In connertSon with preparing their report, of whlch the Soclety's auditors are unaware,. and they have taken all the steps that they ought to have taken as directors In order to make themselves aware of any relevant audit Informatlon and to establish that the Society's auditors are aware of that information. DITO The auditor Sayer Vincent will be proposed for re-appolntment In accordance wlth Sectlon 485 of the Companles Act 2006. 21 The Brltlsh Geriatrics Soclety Trustees. Report For the year ended 31 March 2022 Thls report has been prepared in accordance with the spec131 provisions relating to companles subject to the small companies regime within Part 15 of the Companies Att 2006. It was approved by the Board of Dlrectors and Trustees on 29 October 2022 and slgned on its behalf.. Dr Jennifer Burns Presldent of the $￿Iety• Chalr of the Dlrectors and the Trustee Board 22 Independent auditorfs report to the members of The Britlsh Geriatrlcs Society Opinlon We have audited the fi nancial statements of The British Geriatrlcs Soclety (the 'parent charltable company'l and its subsidiaries {the 'group'} for the year ended 3 1 March 2022 which comprlse the consolldated statement of financial actlvitles, the group and parent charitable company balance sheets, the consolidated statement of cash flows and the notes to the flnancSa1 statements, includlng a summary of slgnificant accountlng pollcies. The financial reporting framework that has been applled in their preparatlon is appllcable law and United Kingdom Accounting Standards, including Flnanclal Reportlng Standèrd 102 'The Financial Reporting Staridard applicable in the UK and Republic of Treland, {United Kingdom Generally Accepted Accountlng Practice). In our opinlon, the financial statement5'. Give a true and falr vlew of the state of the group's and of the parent charitable company's affairs as at 31 March 2022 and Df the group's incomlng resources and application of resources, includbng its incorne and expenditure, for the year then ended Have been properly prepared in accordance wlth United Kingdom Generally Accepted Accounting Practice Have been prepared In accordance with the requirements of the Companies Att 2006 and the Charities Act 2011 Basls for opinion We conducted our audlt in accordance wlth International Standards on Audltlng (UK) (ISAS (UK)) and applicable law. Our responsibillties uiider those standards are further described in the Auditor's responsibilitles for the audlt of the group flnancial statements settlon of our report. We a re independent of the group and parent charltable company In accordance wlth the ethical requi rements that are relevant to our audlt of the flnanclal statements In the UK includlng the FRC'S Ethlcal Standard, and we have fulfilled OLir other ethical responsbblllties In accordance with these requlrements. We believe that the audit evidence we have obtained is sufficlent and appropriate to provlde a basis for our oplnion. Concluslons relating to goln9 concern In auditing the flnanclal statements, we have concludecl that the trustees, use of the going concern basis of accounting in the preparation of the financial statements is appropriate. Based on the work we have performed, we have not Identifled any mateflal uncertalntles relating to events or conditions that, individually or collectlvely, may cast signSflcant doubt on The Brltlsh Gerlatrics Soclety '5 abillty to contlnue as a going concern for a perlod of at least twelve months from when the nnancial statements are authorlsed for issue. Our responsibilities and the responsibllities of the trustees wlth respect to golng concern are described In the relevant sections of this report. Other informatlon The trustees are responslble for the other information. The other Information comprlses the information included In the trustee5' annual report, other than the group flnanclal statements and our audltor's report thereon. Our opinion on the group flnancial statements does not cover the other Informatlon and, except to the extent otherwise expllcitly stated In our report, we do not express any fomi of assurance concluslon thereon. 23 Independent audltor's report to the members of The Brltl$h Geriatrics Society In connectlon with our audit of the group financial statements, our responslblllty Is to read the other informatlon and, i n doing so, consider whether the other Informatlon is materlally inconsistent with the group financial statements or our knowledge obtained In the audlt or otherwise appears to be materlally misstated, If we identify such material Inconsistencles or apparent material misstatements, we are required to determine whether there is a materlal mlsstatement In the group financial statements or a materlal mlsstatement of the other Information. If, based on the work we have performed, we conclude that there Is a materlal misstatement of this other Infomiatlon, we are requlred to report that fact. We have nothing to report in this regard. Oplnlons on other matters prescrlbed by the Companles Act 2006 In our opinion, based on the work undertaken in the course of the audit., The Information given In the trustee5' annual report, for the Financlal year for which the flnancial statements are prepared is consistent with the financial statemenls • The truslees, annual report, has been prepared in accordance with applicable legal requirement5 Matter$ on which we are required to report by exception In the Ilght of the knowledge and understandlng of the group and the parent charitable company and thelr envlronment obtalned in the course of the audit, we have not Identlfled materlal misstatements in the trustees, annual report, We have nothing to report In respett of the following matters in relation to which the Companles Act 2006 and Charlties Act 2011 requires us to report to you if, in our opinion.. Adequate accountlng ￿cordS have not been kept by the parent charitable company, or returns adequate for our audlt have not been received from branches not vislted by LJS; or The parent charitable company flnancial statements are not in agreement with the accountlng records and returns,. or Certaln dlsclosures of trustees, remuneration speclfled by law are not made,. or We have not recelved all the Informatlon and explanations we requlre for our audlt., or The trustees were not entitled to prepare the flnanclal statements In accordance wlth the smèll companles regime and take advantage of the small companies, exemptlons In preparlng the trustees, annual report and from the requirement to prepare a strateglc report. Responslbllltles of trustees As explained more fully in the statement of trustees, responsibilitles set out In the trustees, annual report, the trustees (who are also the dlrectors of the parent charltable company for the purposes of company law) are responslble for the preparation of the financial statements and for being satisfied that they give a true and falr vlew, and for such I nternal control as the trustees determlne Is necessary to enable the preparation of financlal statements that are free from rnaterlal misstatement, whether due to fraud or error. In preparlng the financial statements, the trLJStees are responsible for assessing the group's and the parent charitable company's ability to continue as a going concern, disclosing, a5 applicable, matters related to golng concern and uslng the going concern basis of accountlng unless the trustees either intend to liquidate the group or the parent charltable company or to cease operation5, or have no realistic altemative but to do so. 24 Independent auditor's report to the members of The British Geriatrics Societv Auditor's responsibllltles for the audlt of the flnancial statements We have been appolnted audltor Ljnder the Companies Act 2006 and section 151 of the Charites Act 2011 and report in accordance with those Acts, Our objectives are to obtaln 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 èn audit conducted in accordance with ISAS IUKI will always detect a material mi55tatement when it exist5. Mlsstatements can a rlse from fraud or error and are considered material If, ind Ividually or in the aggregate, they could reasonably be expected to Influence the economic decisions of users takers on the basls of these financlal statements. Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to delect material misslalements in respect of irregularities, including fraud. The extent to which our proceduies are capable of detecting irregularities, including fraud are set out below. Capablllty of the audlt in detecting Irregularities In Identlfylng and assessing risks of materlal mi5Statement in respert of Irregularlties includlng fraud and non-compliance wlth laws and regulations, our procedures included the followlng.. We enquired of management and the audlt and risk commlttee, whlch included obtalnSng and reviewing supportlng documentation, concerr)Ing the group's policies and procedures relating to: Identlfying, evaluating, and complying with laws and regulations and whether they were aware of any Instances of non-compllance; Detectlng and responding to the ￿Sk5 of fraud and whether they have knowledge of any actual, suspected, or alleged fraud,. The Intemal controls established to mitigate rlsks related to fraud or non-compllance with laws and regulations. We inspected the mlnutes of meetings of those charged wlth governance. We obtained an understanding of the legal and regulatory framework that the group operates In, focuslng on those laws and regulatlons that had a materlal effect on the financial statements or that had a fundamental effect on the operatlons of the group from our professlonal and sector experience. We communlcated appllcable laws and regulatlons throughout the audlt team and remained alert to any Indlcatlons of non-compliance throughout the audlt. We revlewed any reports made to regulators, We revlewed the flnancial statement dlsclosures and tested these to supportlng documentation to assess compliance with applicable laws and regulations. We performed analytical procedures to identify any unusual or unexpected relatlonshlps that may indlcate rlsks of materlal m15Statement due to fraud. In addresslng the rlsk of fraud through management override of controls, we tested the approprlateness of Journal entrles and other adjustments, assessed whether the judgements made in maklng accountlng estimates are indicative of a potential blas and tested signlficant transactions that are unusual or those outside the normal course of business. 25 Independent audltor'$ report to the members of The Brltlsh Gerlatrlcs Society Because of the Inherent Ilmbtatlons of an audSt, there Is a rlsk that we wlll not detert all irregularlties, Including those leading to a materlal mlsstatement in the flnancial statements or non-compllance wbth regulatlon. This risk increases the more that compliance wlth a law or regulation Is removed from the events and tran5artlons reflected in the flnanclal statements, as we will be less li kely to become aware of Instances of non-compliance. The risk is also greater regardlng irregularitles occurring due to fraud rather than error, as fraud involves Intentlonal concealment, forgery, collusion, omission or misrepresentation. A ftjrther description of our respon5ibllities is available on the Financial Reporting Council's website at.. xwww. rsr This descriptlon forms part of our auditor's report. Use of our report Thls report Is made solely to the charltable company's members as a body, In accordance wlth Chapter 3 of Part 16 of the Companle5 Act 2006 and sectlon 144 of the Charitles Act 2011 and regulations made under sectlon 154 of that Art. Our audlt work has been undertaken so that we might state to the charltable company's members those matters we are requlred to state to them In an audltor's report and for no other purpose. To the fullest extent permltted by law, we do not accept or a55uffle responsibility to anyone other than the charltable company and the charltable company's members as a body, for our audlt work, for this report, or for the opinlons we have formed. Jonathan Orchard (Senlor statutory auditor) Date 310ctober 2022 for and on behalf of Sayer Vlncent LLP, Statutory Auditor Invicta House, 108-114 Golden Lane, LONDON, ECIY OTL Sayer vIn￿nt LLP is eligible to act as auditor in terms of 5ectSon 12 12 of the Companies Act 2006 26 Thè Br111sh Gerlitrlu Socltty CoThi0llda￿d ot Trnan,845 Incom• I lexpÈndltur•l befort Nh*r 23,520 64).430 48,534 743,632 N•t mov•rnent ITr fuhds 23,520 481,401 643.43Q 51,668 743.632 Total lunds brovghr ftsrwAid Total funds eirrl•d lo￿4vd 3,703.549 906.749 301.698 250.030 430.2b9 5,393,397 3.703.549 906,749 All of abaw rpsulli alè dorrlod From t¢nlinulty 4Ctkndts. were llo othfT rocognssed 9alns or losse5 0th•r than those stll•d 4btyt. k4LvÈments In lund5 are 27 Tht 8rltlsh Gerlatrlcs Soclety Balance sheets Company no. 1189776 A5 at 31 March 2022 The group 2022 Soclety 2022 2021 2021 Note Flxed assets.. Tangible assets Investments 772.186 4,064.405 773,194 3,792,363 772.186 4.064,505 773.194 3.792,463 4,836.591 4.565.557 4,836,691 4,565,657 Current assets: Debtors Short term deposiis Cash ai bank and in hand 237.723 339,658 5 58.846 236,882 269,716 339.658 449.724 235,808 608,246 562,022 1.136.227 845,128 1,059,098 797,830 Crediior5'. amount5 falllng due within one year (579.421) 1498.6891 1502,49SI 14SI.5931 Net cu￿ent assets l (Ilabllltles) 556.806 346.439 556.603 346,237 Total net assets I Illabllltles) 5,393.397 4,911,996 5.393,294 4,911.893 Funds.. Permanent Endowmeni Resiricred fund5 Uniestricied income fund5'. Designated funds Revaluation reserve General funds 17a 17a 327.875 930.269 301 .698 906.749 327.875 930.269 301.698 906,749 17a 17a 17a 1,115.892 347,126 2,672.235 877,689 ,117,537 1,708,323 1.115.892 347,126 2.672.132 877,689 1 117,537 1,708,220 Total unrestricted funds 4,135,253 3,703,549 4.135.150 3,703.446 Total Charity Fund5 5,393,397 4.911.996 5,393,294 4,911,893 The flnancial staremenrs which have been prepared in accordance wilh the special provision5 relating to corn panies subject to ihe small companies regime wlthln Parr 15 of ihe Companies Act 2006 were approved and authori5ed for i$5ue by the Board on 29 October 2022. Signed on behalf of the board of trustees by Dr Jennlfer Burns President of the Society, Chalr of the Directors and the Trustee Board The notes on page5 30 onward5 form part of these financial statements 28 The Èrltlsh Gerlatrlcs Soflety Consolldated statement of cash flows For the ear ended 31 March 2022 Note 2022 2027 Cash flows from operatlng acti￿rIeS Nei lexpendiiurell income for the reporring period 481.401 743,632 Depreciatlon charges (Gainslllosses on invesrment5 Dividend5. interest and reni from invesimenis Ilncrea5ellOecrease in short term deposir5 IlncreasellDecrea5e In debtors Increaselldecreasel in Creditors 34,743 13S7.0421 184.5431 1339,6581 18411 80,732 49,089 1712,8381 153.9661 11,457 39,024 Net cash prO￿ded by I (used Inl operatlng acrlvllles Cash flows from Investing attivlties.. Dividends, Interest and rents from inve5rment5 Proceeds from the Sale of Investmenrs Purchase of Invesrrnent5 Proceeds from the sale of flxed assets Purchase of fixed asset5 1185,2081 76,398 84,543 3,676.335 13.S91.3351 53,966 133.7351 117.6841 Net tash (used Inl Iprovlded by Investlng actlvltles 135.808 36,282 Change In cash and cash equlvalents In the year 149.4001 112,680 Cash and cash equivalenis at the beginning OF the year Change In cash and cash equlvalent5 due to exchange rate movernen15 608,246 49S,566 Cash and cash equlvalents ar rhe end of the year 558.846 608.246 Analy515 of cash and cash egulvalents and of net debt At l April 2021 At 31 March 2022 Other non- Cash flow5 cash changes Cash at bank and in hand 608,246 149,4001 558.846 a Total cash and cash equlvalents 608,246 149.4001 558,846 29 The Brltlsh CerSatrlcs Sorlety 14otes to rhe financlal 5tarements For thÈ veay ended 31 March 2022 1 14¢rountlng pollile5 a) Statutory Informario The Brirish Geriairic5 Socieiy is a charitable company limited by guarantee and is Incorwraied In England. In the oveni of the charitv being wound up. Ihe liabiliiy in respeii of ihe guarantee is limited 10 £ I per mernber of ihe charity. The addre55 of the reglsiered ofFice is given in the charity Informarion on pa9e 3 OF these flnancial siaiemenis. The naiure of the Iharlty's operaTiom5 and principal actlvllies are detailed in the Trustees Report on page 5. The registered office addre55 and principal place vf buslnoss Is Marjory Warren House 31 Stjohn's Square, London, ECI M 4DN. bl Ba515 of preparatlon ThE financial 51atemenis have been prepared in accordanie wiih Accouniing and Reportin9 by Chariiies. Statemeni of Reiomrnended Practice applicable to charltles preparino Iheir accounts in actordance with Ihe Financial Reporting Standard applicable In ihe UK and Republic of Ireland IFRS 1021- Icharllles SORP FRS 1021, Ihe Finaniial Reporting Standard appllcable In the UK and Republic of Ireland IFRS 102) and rhe Companles Act 2006. policy or note. The presentaiion curreniy Is G8P rounded lo the nearesi pound. These financlal 51aiemenrs consolldare the re5u115 of Ihe rharltable company and Its wholly-owned subsldiary BCS (TTadingl Lirnited on 1Sne by line ba515. Transactions and balances between rhe charitable iompany and ils subsidiary have been eliminaied from Ihe consolidated financlal statements. Balances btrween the two companies are di5c105ed in the note5 of the chariiable companls balance sheet. A sepaiaie statement of finan£lal actlvllles, or income and expendirure account, for the chariiable company Iiself is not presenied beiau5e the charltable company has taken advaniage ef Ihe exempiion5 afforded by 5ectlDn 408 of the Companies Acr 2006. tl Publlr beneflt Ehtlty The ch8rirable iompany meers ihe definltion of a publlt benÈfli eniity under FRS 102. dl Colng concern The rru51ee5 Consider that Ihf re are no maierlal uncertainties abour rhe chariiable company'5 ability lo ioDlinue as a going concern The only WDrk 5trearn to have been 51gnificanlly affected by COVID is piofesslonal development and events, the 5urplu5 fTUtn whith Is covenanted lo the charitable cornpany, fiorn Its trading 5ubsldiar¥. Following a cornprehensive risk asse55rnent in tonsultaiiofi wlth tht Soclety's Tru51ees, all BGS evenis will be delivered via a virtual formal Until ai leasi May 2022 when evenr5 will transition to a hybrid model 11 Is expecred rhar Income will ar least rover expendiiure. The trustees do not consider that therE are any sources of esiimaiion uncerralnry ai Ihe reporiing dale that have a slgniflcanr rlsk of causlng a maierlal adiustmÈnt to the carrying amounts of assets and liabiliiie5 Vllthln the next feporling perlod. Income reteived iri advance of the provlsion of a spÈcifled sérvice is deferred until rhe criteria for Income recognition are met. el Inrome Income Is recognised when the charllv has enrstlement io the Funds, any perfDrmanie condiiion5 attached lo the income ha¥e been mei. It Is probable Ihai Ihe income wlll be recelved and that Ihe amount can be Measured reliably. Income received In advance of ihe pro¥lslon of a Specified servlce is deferred uniil the ciiierla for Income recognltion are mel. Interest receivable Iniere51 on fund5 held on dep05il 15 included when recelvable and Ihe amounr can be measured reliably by the charity,. Ihls Is normally upon notincalioD of the Inieresi paid or payable by rhe bank. l Fund accountlng Re51ricied funds are to be used for specSfic purposes as lald down by rhe donor. Expendirure which meet5 Ihe5e crilr.ria Is charged le rhe fund. Unresiricled fund5 are doThation5 and Dther Sncumlng resources received or generated for the charitable purposes. Designated funds are unresiilcied funds earmarked by rhe trusiee5 foi pariicular PUiPDses. h) Expendilyre and irTerover8ble VAT Expendirure 15 recognlsed once ¢here 15 a legal or IDllSlrtsctlve obll9aiion io make a paymeni io a third party, il 1% probable thai seiilemeni will be required and the amount of the obligation can be measured rellably. Expendiiure Is cla55ified under ihe following Expenditure on charitable ailivllle5 iniludes the CD515 of deliwerlng Services. e¥hibitions and other educational acllvilses underiaken ro funher Ihe purpose5 of the charlty and thelr a550clatEd suppori cosis. Other expendiiure represents rh05e Item5 nor falllng Inro any other headSng. Irrecoverable VAT is charged as a cosi against the aciivlty for which Ihe expendirure was incurred. 30 The Irltlsh Cerlairlc5 SotlEty NDles ro the flnanclal sktements For 20 l Accountlng pollcles Icontlnued) 11 Crants P4yable Cranls pav4blo dre made r() third parties in Iijrtherance of the chJiiiy's objecis. Single or mulii.year grants arE accounted foF when eiihpr Ihe rtr.cipieni ha5 a rcason4blo expecialion Ihal they wlll receivo a grani and the trusiee5 have agreed lo pay the grani wiihoul condition. or Ihe reclpioni ha5 a I'easonable expeciallon that they wlll recelve a grani and thai any comdillDn attaching 10 ihe grant IS Prov15ions for granis are made when the inteniion to make a grant has been communicated to the reciplent bul there Is uncertainty abuul elther the timing of the grani or the amount of grani payable. il Allocarion of support costs SuDpori (0515 afe CD5ts relaied lo those functions thai a551S1 the work of rhe charity hui do not dlrecily underiake Ilarltable activiries. 5tspporl cvs15 Includc back offic¥ (0515. IlnLiniE, personnel, payroll and g¢vernance costs whlch suppori the Socieiy's pro4ratnines and aciivities. Thc5C Cnsls have allocaied hL'rween cost of ra551ng Funds and expendllure on chariiable acTivilles. The bas[5 on which support (0515 have been allocaied are sei OLJE In noie S. kl Operatlng leases Renial charges are charged on a 5rraight Ilne basis over the term of rhe lease. 11 Tanglble fixed a$5ets Itpms ol equipmeni are capiialispd where the purthase prlcÈ exceed5 1500. Depreciation c0515 are allocaied 10 aCllville5 On the ba515 of Ihc use of tho related asset5 in Ih05e Ocilviiies A5sers are reviewed for Impairment if clrcum5tances Indlcate their carryin9 value May excpod Iheir npt realisablÈ value antj volue in use. Where fixed assets have been revalued, any excess between the revalued amount and the historic cosi of the 4s5et wlll be shown as a revaluation reserve In the bal4ntp sheet. Depreciation 15 provlded at raiÈs calculated 10 write down the c05t of each asset to irs tstimaled residual value over Irs expected useful Office Equipmoni Cornpuier Equipment l O years 5 years 3 years DepreclaiiDn 15 not rharged on the freehold propErly 51nce li has an indefinitely long useful Ilfe and 15 maintained lo a hi9h 51andard. ml LSsted Investments InvesimL'nls are a (Drm of ba51f financial Insirtsmeni and are 1n1ll￿111¥ recogn15ed ai Iheir transaction value and sub5oquenily measuied ai Ihelr fJir valu? as al the halante sheet dale uslng the c1051n9 quolod market prl￿cL0Ua rh¢ Britlsh Gerlatrlc5 Socltty Nores to ifve flnanclal statemehtj For the year ehded 31 March 2022 Analy51s of grants and prlzes Grant$ 10 Grants to Gran15 ro 2022 re51ricied 2021 C05t 16,919 4.539 33,554 16,919 38,093 20,406 22,284 1,703 3,000 2.250 20,406 22.284 1.703 3,000 4.2BO Grani In SUPPOrt of 'Later Life" Awards and pr12e5 3,200 3,450 6,650 2,030 36.754 24.908 61,662 29,237 22,436 51.673 Ner Income I lexpendlture) ltsr ihe year 2022 2021 34,743 49,089 AudltoPs remuneration (Èxiluding VATI.. Tax advlsory costs 10,500 3.305 48,548 9,900 6.105 65.094 Analy$15 of staff c05tS, trustÈes' 4nd key managèment personnel remunetatlon and *xpen5e5 51aff costs were as follows. 2022 2021 Salarles and wages 615,281 64,626 66,6B6 6,444 609,822 64,381 65,246 Employer's COnTributlon io deflned contriburion pension Schemes 753,237 735.938 One employ¢E earned more than E80.000 durlw the year12021.. none). No employee bersveen £70,000 and £80,000 1202 1'.onel and one emplDyee between E60.000 and £70,000 12021.. one). The iotal ernployee benefir5 Ilncludlng pen51on collrrlbutlons and employer's national Insurancel of the 3 key managemeht personnel were £253,262 12021.. E249.383}. The chaTITV Iru5tees were neirher paid nor rÈ¢elved any oiher benef115 from employment wlth the charlty In the year (2021.. £niii. No chadty Trusioe5' expenses represents Ihe paymenl or reimbursement of iravel and 5ub515tence ¢05ts iotalling El,631 12021. £1431 Incurred by 7 12021 one) tnembers relaiing io attendAnct Al meetlng5 of tht trtsstec5. 35 The Brlllsh Gerlatrlc$ 5ocl¢ty 01¢$ to rhe flnanclal statement5 For rhe year ehded 31 March 2022 Staff numbtrs The average number of employee5 (head count based on number of staff ÈMployÈdl durln9 the year was 12 (202 1.. 121 One $13ff mtmbei was employed part Ilme for Lhree monrhs Staff are 5pIIt acr055 Ihe activlile5 Of the charltable company as follDws Ifull Ilme tqulvalent ba5isI'. 1022 No. 2021 No. Member5fvip Servlce5 Professlonal DevelopfflenT & EvenES Educaiii)n & Research Pollcy Infiuenclng & CommunlcarlDns Operatlonal Sypport Related party trdnsaciions There are no related party iransaciion5 other than those which took place with ihe tradlng sub51dlary 18CS Tradlng Umlte41. thÈse have been fully d15clo5ed In Note 14. The balance outsiandlng dup from ÈGS Tradlng at the year end wa5 £151.249 IROEI..£ 116.455). There art no donatlons fiom related partle5 whlch are oUr5￿C the normal course of busine55 and no restrioed donatlons from relaied Taxatlon The charity Is exempt from iorpuration lax a5 all It5 Incomè Is charltable and Is applied for charitable purposes. The charily'5 Iradlng subsid￿ary BGS Trading Limiied glfl alds avallable profiis to ihe parent charlty. 11$ charge to corporaiion lax In Ihè year was.. nll. 10 Tanglble nxod ass•ts Freehold propErtv CompLJier equipment The Groupi Charlty Total Cosi 700,000 74,087 326.916 33.735 Additions In y¢ar DIsp05als In year 33.735 At 1151 March 2022 700,000 63.894 348,529 Deprecl*tlon 34,090 293.719 29.587 327.809 34.743 Charge for the year Al 31 $1 March 2022 29,053 340,237 Net book value Al 31 st March 2022 7DO.DOO 34,841 37,345 772.186 700.000 39.997 773.194 All of the above asset5 are used for charitable purposes. The Brltlsh Gerl4irlcs Sorlety Noie5 to the flnanc141 $tatement5 For the year ended 31 M•rch 2022 I l U5ted Investments The group 2022 2021 Soclety 2022 2021 Falr value ai the 5rari of rhe year D15posal proceeds Nei galn i Ilossl on change Sn falr value 3.792,363 3,591,335 13.676.335) 357.042 3,079,52S 3,792,363 3.591,335 13.676,3351 357,042 3.079,525 712.838 712.838 4,064,405 3,792.363 4.064.405 3.792,363 Inve5tmehi In 5ub51dldry Fair value at Ihe end of the year loo 100 4,064,405 3,792.36Y 4,064.505 3,792.463 Hlstoric cosi ai ihe end of the year 3.791,335 3,791,335 Invtsimeni$ comprlse. The group 2022 Soclety 2022 ?021 2021 UK Common investmenr funds Investment in Subsidlalv 4,064.405 3.792,363 4.064,40S loo 3.792,363 100 4,064.405 3.792,363 4,064,505 3,79R,463 37 The B¥ltlsh GÈriatrl¢s Socltty Noles ro tho flnancl41 statèménts For ihe year ended 31 March 2022 12 Subsldlary undenaklng The charlty owns ihe whole of ihe Issued ordlnary share capital of BG5 ITradlng1 Limiied, a company regisiered In En9land. The iompany umber 1$ 02013195. The registered offlce address 15 Marjofy Warren House, 31 Sl John'$ 54uare. London EC I M 40N. The irustÉes Dr Anne Hendry lappointed 20 Novèmb@r 20211, Dr Davld Attwood (re5igDed 20 November 20211 and Professor Sarah Goldbery iogeiher wirh the deputy ireasurer Dr E112abeTh Lawn are also dlrectors of ihe 5ubsldlary. A 5umrllary of ihe re5ulis of ihe Subs￿lary￿S shawn belokY-. 2022 2021 Turnover Turnover frDm sales io parEnl underiaklng 294,191 215.146 1139.326 197,2971 C051 of sales related 10 pur£hases from parent underiaklng Gross profltllloss) 154.865 117,849 Admlnlsiraiive expenses Managernenr charge payable ID parent undertaklng 12,30S) Profllillossl on ordlnary 4C¢lYltles befor4 IntÈrest and taxatlon 26,126 727 Profll I (Ios51 on Drdlnary acilvltles before taxitlon 28.143 854 Ta¥atlon on profit on ordlnary actlvllle5 Proflt l Oossl fDr the flnanclal year 28,143 854 Retalned earnlngs Total Teta5ned earnlngs brought forward 28.143 128,1431 854 1854) Total retalned earnlngs cartied forward The aggrègate of the assets, Ilabllltles and re5erve5 wa5.. 203 203 Rtsarvès 303 203 AmouDlS owed Iolfrom the parent undertaking are shown in note 16. i a Parent charlty The parent charlty's gross Income and the resulls for the year are dlsilosed as follow5-. 2022 2021 Gr055 Incorne Result for ihe year 1.037,21 128.222 30,833 14 OEbtors The groiJp 2022 Socleiy 202Z 2021 2021 Trade debEQT5 Other debiors Prepayrnents and accrued Income Amount due from 5ubsSdiary 40.170 1,064 196,489 7.498 218.134 1,064 117,403 151.249 7,498 116,455 237,723 236,882 269,716 235,808 All debior5 are due within Ihe yea< 38 The Brltlsh Gerlatrlcs Socltty Not•s to the Nnanclal statemtht5 For the year ended 31 Mirch 2022 1 S Crodiiors.. amounti falllhg due wlthln one yo•r The grou E022 Soclery 2022 2021 2021 Trade Cr￿l￿or$ 47.883 37.137 4,805 41,126 448,470 9,359 19,696 4,818 24.g74 439,842 46.051 Z8,941 4.805 41.126 38T,572 9,484 25.212 4,818 22,929 389,150 Oeferted income S79,421 498,689 502,495 451.593 16 Defeirtd Income Deferred Income compr15es subscrlpiion eveni Income relatlng to 2022123 recelved In advance. The group 2022 The eharfly 2022 2021 2021 sala￿[e al th¢ beglnnlng of the year Amouni released to Income In the year deIerr￿ In the year 8alance at the end of the year 439.842 1439.8421 448.470 398,463 1398,463 439,842 389,150 1389,1501 381,572 344,823 (344.8231 389,150 448.470 439,842 381.572 389,150 39 The Brii15h Gerlatrics Soclety Noies to the flnanclal statemtfits For the ear ended 31 Maich 2022 17a Fund reconclllatlon (current year) Invesimeni At 31 March gain511oss 2022 2021 Income Expenditure Tran5fer5 lal Permaneni Endowment MK Dhole Bequest 301.698 26.177 327,875 Restrlcted funds.. Ibl MK Dhole Income 483.137 63.528 29,296 7SO 27,241 16,709 14.696 1,804 117.9191 18001 18,427) 15001 40,180 5,175 520.094 69.707 20.869 250 27.241 16,709 Idl BUPA lel Jim George Mernofial Fund If) Research Into Ageln4 Iql Frailry In Acute Seiiings Re5tflcted Total research lunds 620,661 16,500 127,6461 45.355 654.870 Ihl Specla1 Inierest Groups ISIGSI.. Cardiovascular Falls and BDne Healrh Movement Disorder5 Frailty in Urgent Care Serrings 8ladder & Bowel Plealih Proactive care of older people Dernentia and Relared Mental Oncologv 6,986 32.082 27,764 3,309 11.443 4,499 1,337 7.499 110.769> 114,0531 15,5391 7.3SI 36,000 22.225 3.309 11,443 17.971 13841 1.337 7,499 Total SIGS 94,919 29.105 130.745) 93.279 ljl Oevolved natlons Scotland Northern Ireland Wales 59.077 12,4)3 56.881 2,773 206 2.865 14.8341 13.3241 16.6031 S7,016 9.295 S3.143 Total devolved natlon5 128.371 5.844 114,7611 119.454 lil Total Enollsh reglons 62.798 112.0831 62.666 Toial resirlcted funds 906,749 63.400 185.2351 45.355 930.269 Unrestrlcted funds.. Deslgnated funds.. Ikl Fixed A55et fund 111 M A Kuck research fund Iml Deslgnaied grants fund Inl Healrhcare in Care Homes fund lol BGS Developmeni fund 773,194 9.505 48,084 (1.0091 772.185 19.5051 127,2491 20.835 300.000 22.871 300.000 46.905 124,0341 Total desl9nated funds 877.689 160.7881 298.991 1.115.892 Ipl Revaluatlon reserve 11,055.9211 285.510 347.126 General funds 1,708,220 1.268,026 11,061.0441 756.930 2.672.132 Non-charltable tradlng funds Iql Charirable Trading fund 103 103 Total unresiilcttd funds 3,703.549 1.268.026 11.121.832) 285.510 4.135.253 Toial funds 4,911.996 1.331,426 11.207,0671 357.042 5,393.397 40 The 8rllish Gerlatrlcs Socletv Notes to the flnanclal 5tarements For the ear ended 31 March 2022 17a Fund reconclllatlon Icurreni year contlfiuedl (al The Dholt Permaneni End(wneni Fund The Permanenr EndowrneDt Fund relaie5 to the Dr MK Dhole bequ@S1 which wa5 provided to enable any Investment incorne arising On the bÈque51 10 be applied for ihe provision ol an award lor the most deserving published work of medical research appertaining 10 the needs of agEd people. Any remainder Income 15 ro be used fur the provlslon. endowmeni and financing of scholarships, fellow5hlps and leciure5hips of all klnd5 connectÈd Wilh research In the fleld of gerlatric medlclne. Jrposes tsf restrlcted tunds Ibl The M K Dhole Income Fund 15 a restricted fund thai receives the income from the Dhole Permaneni Endowmenr Fund. It Is Used to fund the annual Dhole..Eddle51one Memorlal Prize of £ 1.000 for cl papor published in Age and Ageing éurlng rhe previDU5 caleridar yÈar. From 2020121 it has a150 been used io fund the loini Dunhill Meclical Trust BGS Docroral Training Feiiow5hip Scholarship. (Noie 201. The iotal awarded by 31 March 2022 bui nof paid was £2 39.620, 131 March 2021 Icl The Bulpitl Fund 15 Used to fund up 10 e55ay prlzes of £400 Each awarded every year by Ihe Cardlova5cular Seaion. Iijl The BUPA Fund 15 Used to.. la) Produce and publlsh clinlcal guidance on the assessment and management of pain In older people. Ibl oiher clinical 9uidante relating to rhe healthcare of older people wlth frallty. and Icl remainlng funds to be Spent on BG5 research grants. From 2021122 it 15 being used to fund a Delphi exerc15e to inform a new BGS research strategy. lel The Jim George Memorial Fund was established using a donation in memoriam receSvÈd during the year. It is to be used to fund the iwo annual winners of the BGS Risln9 Star Award5, Inltlally for five years. £500 was awarded in 2021122 12020121 £5001. If) Research Into Ageing Fund funds research which informs and Influences the ageing research agenda to make it Illnlcally relevant and meaningful to Ihe Ilves of older people. Igl The Frailty In Acute Setllng5 Fund was esrablishod using money donated by a Fnember who wishes to be consulted before 519nificani Spending Is made. li was used ta support rhe Frailsafe projecr, now complete. There wa5 no movement on this fund In 2021122 1202012021.. NIII. Ihl The Special Interest Groups ISIG'5 are restrlcied In so far a5 they are 10 be used by the relevani SIG for charitable purposes in Ihe parricular special interest field. FLJnds from SICS which are no lon9er actlve are Iransfe¥red inio the designated grants fund. 111 The devolved nation funds are re5trlcted in 50 far as they are to be used by the relevant devolved natlon for charitabl purp05e5. ) The English reglons ftsnds are restricred in so far a5 they are to be used by the BGS English regions for charitable purpose5. Purposes of de51gnated fvnds Ikl The Fixed Asset Fund. wa& degignared to a5515t in Identlfylng those fund5 that are not free funds. It represents the nei book value of rangible a55ets and Includes Marlory Warren House, the Society'5 reglstered offlce. The M A Kuck Research Fund, wa5 designated to rEcognise the monles received from Ihe estate of the late Dr M A Kuck, a former member. for research fellowship5. It has latterly been used ro fund Specialisi Registrar Research Starl ljp Grani5. £9.505 was awarded in 2021122, 12020121 £29.2371. The fund was fully pald out by 31 March 2022. The desSgnated gian15 fund was established to fund grants. prizes and awards The overall aim of gran15 15 10 enable parllcipation. learning and development, whilst prixes and award5 recognise and reward COntr￿but1On. expertise or achlevement,. The Society's grant5. prize5 and awards programmÉ will be relaunched In 2022123. HealihcarÈ In Care Homes funds. This is a three year project beginnlng In April 2022 on the delivery of healthcare In care home5, building on ihe Soclery's publicaiion, AmbiElon5 for Change. It will be a cr055-organ15ational project ranging from influencing policy decisions to workforce and curriculum developmeni to promotlng BG5 membership 10 care home staff. Iml The BGS developmeni fund was esiablished for fuiure prolecis. such a5 further development of the BGS websiie, eLearnlng and oiher'cloud" resources to support members. During the previous year 12020121 I rhe member services and communication5 dovelopment fund and Ihe ICT upgrade capital fund wero con501idated Into thi5 fund. (pl The revaluation re5Erve fund represenr5 Ihe accumulated unrea115ed galn ner of losses on the Society's Iisied general investrnent5. All investments held at CCLA in #ccumulaiion and income units of the COIF Charities Investmeni Fund were sold on 2 July 2021 and proceeds were Immedlaiely used to purchase equivalent COIF Charlties Ethical Investment Fund units. As a result. Ihe revaluaiion reserve relating to CCLA un115 was reallsÈd and the balance Iransferred Into general funds. This then has had a knock on ilnpact on ihe level of general funds held - Inflaiing the balance by £1,055,921 the previou5 level of the revaluaiion fund which related to CCLA unlts. Iql The chariiable tradin9 fund is the general fund of the trading company. 41 Th¢ Brtrish Gtrlitrlcs So¢ltty NoTe5 to the nnanilal 51aiernents •r ￿nded 31 Mar¢h 2022 Investment At 31 March 2021 Incorn Éxpondliur (al Pormanlnt Endpwrnent MK Dhole Beque51 250.030 51.66B 301,698 Restrlcted funds.. Ibl MK OholE Intvm* 419.776 13,506 483,137 63,5Z4 29.296 7SO 27.241 16.709 Idl BUPI4 (*) George Memorial Fund If) Research Into Ageing 29,296 Total research fundj 545,&44 15.248 81.475 620,661 7,579 6.986 32.D82 27.764 3,309 31,638 140 14.8931 Mwement Disorder5 42.779 3.309 6.585 9.997 708 640 374 9.889 2,B96 4,883 Care Home Bladder & Bowel Health Ethlts ahd Law Proa¢iiV¢ ¢ar¢ of oldtr pÈtyple DErneniia aDd Relaied Mental Oncology 17.0001 4,499 7,499 Total SIG5 119.854 43.487 155.933) 94.91g {11 Dpvolveé nodon5 59.54 16.082 59.077 92 Wales 56.881 TDW dtvolvté n4tlons 132,739 8,602 19,058 Ul Total Efflg115h regloffls 59.778 61,798 Total restrlcitd fvDds 656,215 70,518 159.845) 81.475 906,749 Investment At 31 Maith 2022 Income 0osl9naled funds.. (kl Fixed Asset fund 804.598 38,742 26,884 773,195 9,5Q5 46,084 Iml De51gnaied granis fund Member servlces and lol communications deYÈlopment lund 21.200 38.513 124.7771 9.086 15.649 lol BG5 Developmeni fund 46.905 Total deslgnattd f￿ndS 955.654 167,7921 B77.689 (pl ReV￿￿4110n reserve 537.842 579,695 General 1,566.489 1.093,417 70.048 1.706,220 Non-ch•rltablt Iraolng funds 103 3,060,I 16 1,093,417 11,OB9.5271 59.845 579,695 3,703,549 Totol funds 4.168,363 712,&38 4,911.996 The narratlve to explain tht purpose of tach fund has been given In Noie 17a 42 The Brltlsh Gerlatrlc5 Soclety Notes to th* flnancial statemènts For the ear ended 31 March 2022 18a Analysls of net assets betMeen Funds Icurreni yeart Unrestricied Funds Designated Funds Resiricted Funds Endowfflent Funds Toial Fixed Assets Invesiments Cash Oiher current a55eis 1 liabilities 772.186 3,247,252 74,149 12,0401 772.186 4,064,405 558.846 12,0401 489,2 78 440.991 327,875 43.706 Total 3,319,361 815,892 930,269 327,875 5,393.397 18b Analysls of net assets betsveen Funds Iprlor yearl Unrestrlcted Funds De5ignaied Funds Restricted Funds Endowmeni Fund5 Total F￿Ked Asset5 Invesimen15 Cash Oiher current assets I liabllities 773,194 3,046,743 40,924 1261,8071 773.194 3.792.363 608.246 1261,8071 443,922 462,827 301.698 104,495 Total 2.825.860 877,689 906,749 301.698 4,911.996 T 9 Legal 5¢atus of the charlty The charity is a company Ilmlted by guarantee and has no share capital. The Ilabiliry of each member in the event of winding up is Ilmited to £ I 20 Doctoral Fellowshlp Scholarshlp5 BGS and Ounhill Medital Trust agreed to Share equally ihe c05t5 of one Docioral Fellowship Scholarship annually for a period ol up to three years starling in 2019120. All thre.e fellowshlps have now been awarded with a total commitrnent to BCS of £276,946 of which £239.620 remains at 31 March 2022. Each fellowship 15 held at an appropriare UK research institution. BGS and Dunhlll Medical Tiusl agreed a second serie5 of Ihiee Docioral Fellowship Scholarshlps startin9 In 2022123. The toial c05t io BGS wlll noi exceed £450,000. Commiired Comrnitted for second Total series Commliment serles 2022123 89.789 12,500 102,289 2023124 53.283 62,500 115,783 2024125 54,108 112,500 166,608 2025126 21,316 137,500 158.816 202612 7 21.125 87.500 108,625 2027128 37,500 37.500 239,621 450,000 689,621 43