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2024-03-31-accounts

THE BRITISH GERIATRICS SOCIETY

(A Company Limited by Guarantee)

REPORT OF THE TRUSTEES

AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 March 2024

Charity registration number: 268762 Company registration number: 1189776 (England and Wales)

The British Geriatrics Society

Contents

For the year ended 31 March 2024

TABLE OF CONTENTS

ABLE OF CONTENTS
Page
Charity Reference and Administrative Details 2 - 3
Trustees’ Annual Report 4 - 25
Independent Auditor’s Report 26 – 29
Statement of Financial Activities (Group Consolidated) 30
Balance sheet 31
Cash flow statement 32
Notes to the Financial Statements 33 - 49

The British Geriatrics Society

Charity Reference and Administrative Details

For the year ended 31 March 2024

CHARITY REGISTRATION NUMBER 268762 COMPANY REGISTRATION NUMBER 1189776 (England & Wales) President Professor Adam Gordon President-Elect Professor Jugdeep Dhesi Honorary Secretary Dr Anne Hendry (demitted 17 November 2023) Dr Ruth Law (appointed 17 November 2023) Honorary Treasurer Professor Sarah Goldberg (demitted 17 November 2023) Dr Liz Lawn (appointed 17 November 2023) Chair BGS England Council Dr Mike Azad (demitted 14 February 2024) Dr Richard Biram (appointed 15 February 2024) Chair BGS Northern Ireland Council Dr Jan Ritchie (appointed 5 June 2023) Chair BGS Scotland Council Dr Rowan Wallace (demitted 17 November 2023) Dr Bob Caslake (appointed 17 November 2023) Chair BGS Wales Council Dr Sam Abraham (demitted 17 November 2023) Dr Karl Davis (appointed 17 November 2023) Co-Chairs BGS Trainees Council Dr Sangam Malani (demitted 17 November 2023) Dr Victoria O’Brien (appointed 17 November 2023) Dr Julianaa Raghu (appointed 17 November 2023) Chair BGS Nurses and AHPs Council Dr Esther Clift Lay Trustee Mr Nicholas Pahl Lay Trustee Ms Stephanie Harland (appointed 17 April 2023)

CHIEF EXECUTIVE OFFICER

Ms Sarah Mistry

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The British Geriatrics Society

Charity Reference and Administrative Details

For the year ended 31 March 2024

PRINCIPAL AND REGISTERED OFFICE Marjory Warren House
31 St John’s Square
London
EC1M 4DN
AUDITOR Sayer Vincent LLP,
110 Golden Lane,
London
EC1Y 0TG
BANKERS Santander UK plc
2 Triton Square,
Regent’s Place,
London
NW1 3AN
Flagstone Investment Management
Ltd Clareville House,
26-27 Oxendon St,
London
SW1Y 4EL
INVESTMENT ADVISERS CCLA Fund Managers Limited Senator
House
85 Queen Victoria Street
London
EC4V 4ET

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The British Geriatrics Society

Trustees’ Report

For the year ended 31 March 2024

The Trustees are pleased to present their annual report for the year ended 31 March 2024, under the Companies Act 2006 and the Charities Act 2011, together with the audited financial statements for that year, and confirm that they comply with the requirements of the Acts and the Charities SORP (FRS 102). The report and accounts have also been prepared to fulfil the requirements for a Director’s Report for the purposes of company law.

OBJECTS AND MISSION

Charitable Objects

The Society was established in 1947 to serve the healthcare needs of older people living with frailty - a large and increasing sector of the UK and world population. 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.’

Charitable mission

In line with the Objects, the Society’s charitable mission is to improve healthcare for older people.

We pursue our Objects and mission through the objectives and activities set out in the section below.

OBJECTIVES AND ACTIVITIES, INCLUDING PUBLIC BENEFIT

Our objectives, which we refer to as our ‘specific aims’ are to

These long-term aims are translated through a Strategic Plan into five strategic objectives. We describe achievements later in this report under these five areas.

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Principal activities

Our aims and objectives are met through delivery of a set of activities, as follows:

Below, we look at each of these in turn with reference to the ‘public benefit’ test.

Public benefit

The Society’s overall purpose is to improve healthcare for older people, chiefly by driving up standards of NHS healthcare for older people across the UK through the member services and activities described below. The ultimate beneficiaries of our work are older people with frailty and other complex health needs who benefit from improved NHS healthcare from the physicians, nursing staff and allied health professionals whose knowledge, understanding and confidence are being raised through the activities of the Society. This public benefit is accessible free of charge through NHS services for older people. Older patients are by far the largest population group using NHS services, whether in the community or in hospitals.

Almost 12 million people in the UK are currently of pensionable age and this is projected to rise to over 15 million by 2045. The fastest growing age group is the over 85 population which is projected to double by 2045. The fact that people are living longer lives is a great success story. It comes with many positive dimensions, which should be roundly celebrated, but also brings major challenges. Research published in January 2018 estimates that between 2015 and 2035, the prevalence of multi-morbidity (multiple diagnoses of chronic illness) is set to increase, with the proportion of those diagnosed with four or more illnesses almost doubling. Two thirds of those with four or more illnesses will have mental ill-health, such as depression, dementia, and other forms of cognitive impairment. Older people are more likely to have chronic conditions than any other age group – 58% of people over 60 have at least one chronic illness compared to 14% of those under 40. Around 10% of people aged over 65 and a quarter to a half of those over 85 live with frailty. Management of frailty costs UK healthcare systems £5.8billion per year. Older people account for around 40% of all admissions to acute hospitals in the UK and occupy around two thirds of hospital beds at any one time. The NHS is currently in crisis, having experienced continued pressure since the COVID pandemic, and the workforce is depleted and exhausted. In this context, the role of the BGS is more vital than ever, to lobby for health and social care services to be designed to meet the needs of the ageing population and to help ensure that the right people with the right skills are in place to ensure that older people can access the care they need, where and when they need it.

As we illustrate below, the trustees have had regard to the Charity Commission’s guidance on public benefit when reviewing the Society’s aims and objectives, overseeing the delivery of the service activities which flow from them, and planning its future activities:

National, regional, and special interest meetings

Our meetings are explicitly intended to improve patient care. They provide demonstrable benefit by improving the knowledge and skills of geriatricians and other healthcare professionals caring for older people, whether in NHS hospitals, in primary care settings or in the community. Each year the Society holds two major national conferences which provide Society members and other healthcare professionals with the opportunity to share their

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research and clinical best practice. All submitted abstracts are subject to rigorous peer review prior to acceptance as either platform presentations or posters. The meetings provide a forum for Continuing Professional Development (CPD), which follows a five-year cycle to ensure that all pertinent clinical topics within the speciality of geriatric medicine are regularly examined. Included in the meetings are guest lectures and sessions presented by the Society’s Special Interest Groups (SIGs). In addition to the national conferences, regional meetings and specialist conferences are held to address topical and/or sub-specialty issues. Some of these are undertaken through partnership working with other specialist societies and charitable organisations.

Publication of research and clinical guidance

The Society publishes best practice statements, guidance on clinical quality, tools, and resources, which are freely available on its website. This information is widely used as a source of authoritative guidance for healthcare professionals and lay people alike. Through the expertise of our 14 Special Interest Groups covering a wide range of topics related to geriatric 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 professionals in the UK and across the world benefit from peer-reviewed scientific papers, which the BGS publishes in its official journal, Age and Ageing. The journal is published in a hybrid format by Oxford University Press, which means authors have the option of an Open Access license (free to read immediately) or a standard license (subscriber-only for 12 months, then free). Currently 51% of content is published Open Access and the rest is available online to the Society’s members as part of their membership package, and also to paid subscribers. The journal is fully compliant with the Research Councils UK and the Wellcome Trust Open Access policies and belongs to major national and international Read & Publish Agreements, including the Joint Information Systems Committee (JISC), which covers most UK universities. In addition, we also grant a free access waiver to a number of key papers to allow the clinical community to have immediate free access to important work which might influence practice. Age and Ageing has a worldwide reputation for publishing refereed original articles and commissioned reviews on geriatric medicine and gerontology. It has become increasingly influential among geriatrics and gerontology publications.

Promotion of research, education, and training

Providing high-quality healthcare to older people with complex health needs relies upon keeping abreast of latest evidence regarding prevention, treatment, and care, and indeed adding to that evidence base. The promotion of academic and research activity in relation to older people and the translation of findings into clinical practice is one of the Society’s core aims. The Society delivers much of its education and training through scientific meetings. Following the COVID-19 pandemic, the BGS has been boosting its online offer. Our events are now all available for virtual participation, which has enabled busy healthcare professionals to have ready access to high-quality content, live and after the event.

An important part of the promotion of research, education and training is the Society’s funding of grants and fellowships to those who work in the field of geriatric medicine and more generally the healthcare of older people. These support 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 policy relevant to the care of older people

The Society aims to provide expert input to the development of policy at a national level within the four nations of the UK. The Society provides comment, responses, and information to a

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variety of agencies including Government and parliamentary bodies, NHS England and its equivalents in the other nations, the Department of Health and Care in each of the four countries of the United Kingdom, the National Institute for Health and Care Excellence (NICE), the Care Quality Commission and other professional bodies. Senior officers represent the Society’s positions in print and media. The Society has an active social media presence including a BGS blog, Twitter accounts for the Society and for Age and Ageing , a Facebook page and LinkedIn pages.

ACHIEVEMENTS AND PERFORMANCE

Our strategic planning cycle

The BGS has adopted a fixed, three-year planning cycle. For each year of the strategic plan, strategic objectives are flowed through into annual operational plans, and from there to committee workplans and individual staff members’ objectives so that Vice-Presidents and their committees and the staff team are aware of their specific contribution in achieving the organisation’s strategic objectives. The annual operational plan and accompanying annual budget are presented to the Trustee Board for approval before the start of each year and reported against at quarterly Trustee Board meetings.

Strategic Plan 2023/26

BGS members approved a new Strategic Plan for the three years from 1 April 2023 to 31 March 2026 at the AGM in November 2022. The Strategy set out five objectives in pursuit of the Society’s mission to improve healthcare for older people.

These are:

  1. Clinical quality and professional practice - To promote high standards of clinical quality in the healthcare of older people by developing knowledge and improving practice.

Intended outcome: By 2026, we will have contributed to the delivery of better healthcare for older people across all care settings by developing and sharing tools, guidance and examples which enable healthcare professionals to improve their practice.

  1. Workforce - To support recruitment, retention and development initiatives that increase numbers of specialists in the care of older people and help existing staff to have the appropriate skills and support to deliver good care for older people in the right place at the right time.

Intended outcome: By 2026, we will have worked with others to address the workforce crisis by helping to increase the size and skill base of the specialist workforce delivering care for older people, and by contributing to action on the workforce needed to provide care to an ageing population.

  1. Education and professional development - To support continuing professional development of those specialising and working in healthcare of older people.

Intended outcome: By 2026, we will have enhanced the BGS educational offering for multidisciplinary professionals working in older people’s healthcare across different care settings, providing a range of meetings and learning opportunities to enable their continuing professional development.

  1. Policy and communications - To influence the decisions, programmes and implementation of policymakers, commissioners, system partners and health professionals relating to older people’s healthcare across the UK.

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Intended outcome: By 2026, we will have increased our profile and voice, and will be successfully influencing the development, design and implementation of national and regional programmes and policy for older people’s healthcare.

  1. Research and evidence - To promote research into older people’s health and healthcare, and the application of evidence-based knowledge to clinical practice across the continuum of care.

Intended outcome: By 2026, we will have strengthened research opportunities, skills and impact through our research community and through the reputation and reach of our journal, Age and Ageing.

The Strategic Plan 23/26 affirms some key principles in the way the BGS works across all professions concerned with the healthcare of older people, across the four countries of the UK and across all care settings. It sets out values that inform how we work: we aim to be personcentres, inclusive, collaborative and proactive. The Plan also sets out how we will deliver our objectives over the three-year period: through BGS members and the staff team, by increasing and diversifying our income and making our money work harder, by strengthening our governance, by modernising our infrastructure and by reviewing progress and adapting to the changing context.

23-24 Context

The NHS has continued to struggle this year, with no let-up in the pressure on the workforce, which can be attributed to under-investment and the longer-term fallout from the COVID pandemic. In England, the new infrastructure of 42 Integrated Care Systems (ICSs) has begun to bed in but progress towards integration is patchy across the country. While the ambition of ‘care closer to home’ continued to drive evolution of primary and community care, the numbers of older people marooned in hospital remained stubbornly high at around 13,000 during 2023/24. Virtual wards for patients with respiratory conditions and with frailty have been promoted by NHS England, enabling some people to be cared for at home, where this was possible. However, implementation is variable across England. In Scotland, health and social care boards have been in existence longer and Hospital at Home is well-established in parts of the nation. Despite this, funding and workforce shortages have hindered more extensive roll-out of Hospital at Home. The introduction of a National Care Service in Scotland has also been delayed. In Wales, the Government has continued to implement the Age Friendly Wales Strategy which includes a commitment to improving access to primary care, supporting people out of hospital where possible and reviewing social care funding. A welcome development in Northern Ireland was the return of a functioning government, after a long absence, which it is hoped will help to revive the health system. Across all four countries, waiting lists remained stubbornly high. GP and dental appointments were in short supply and there was considerable strain on the system due to the backlog of people waiting for elective care, acute services being dangerously over-capacity and waits in Emergency Departments leading to harms, particularly for older patients.

Workforce shortages throughout the system continued to grow, with all professions affected. No solution to the social care crisis emerged and restrictions on pay and visas served to exacerbate the social care workforce shortfall. Pay disputes remained largely unresolved, particularly among junior doctors. The BGS’s analysis of workforce data revealed ongoing vacancies, people leaving for better-paid jobs elsewhere, and generally low morale.

Against this challenging backdrop, BGS members continued to demonstrate their commitment to providing the best care they could for older people. The BGS is extremely proud of the dedication of its multidisciplinary members working in acute, primary and community care. Membership numbers continued to rise past 5000 at the peak during 2023/24. We have seen

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growth in membership from all professions and are pleased that, thanks to the energy of our Trainees’ Council, we have established a new sub-group for medical students. The sense of community is as strong as ever, helped by a series of excellent national meetings. The BGS has been more visible, with senior leaders invited to speak at key NHS meetings (including a summit at 10 Downing Street), party conferences and in media appearances. Strong stakeholder relationships with the Royal College of Emergency Medicine in particular have provided opportunities to highlight the need for front door frailty services and the risks to older people of long waits in emergency departments. Building on the BGS Blueprint summary of what good care for older people should look like, published in March 2023, we produced several excellent reports this year, which are proving influential on service design and delivery at local, regional and national level.

BGS members, and in particular honorary office bearers, namely, the trustees, deputies, Vice Presidents, Council and committee members, and the officers of our Special Interest Groups, regions and nations, continue to contribute a huge amount to our mission. We are very grateful for their voluntary efforts, particularly given the other demands on them. 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 contribute their expertise to improving healthcare for older people across the UK through the work of the BGS. While this is a huge asset, restrictions on study leave, study budgets and external commitments have made it even harder for them to devote time to the BGS this year.

The BGS staff team grew to 16 during 2023/24, with extra capacity for events, digital learning, policy, marketing and finance. The staff team proudly supports the BGS’s membership, which passed the 5000 mark in the course of the year.

Geographically, BGS’s principal focus is the UK, and maintaining genuine UK-wide reach remains 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 perspectives of our members from across the UK and benefit from cross-country comparisons and shared learning.

The BGS has overseas members and its website resources are accessed by health professionals from across the globe. We continue to welcome delegates from many countries to BGS events online and in-person, and to host delegations and visitors. The Editorial Board of Age and Ageing has members from all over the world, reflecting the international nature of the journal’s content.

Performance against strategic objectives

In the rest of this section the Trustees describe achievements during 2023/24 against the Society’s strategic objectives.

Objective 1: Clinical quality and professional practice - ‘To promote high standards of clinical quality in the healthcare of older people by developing knowledge and improving practice’

One of the crucial roles played by the Society is to enable those working with older people to have access to information, resources, and expertise on good practice across the span of older people’s healthcare needs. The Vice President for Clinical Quality oversees the Clinical Quality Committee and the Society’s work in promoting high standards of clinical quality.

Dr Tom Downes stepped down from his role as VP of Clinical Quality to take up the NHS England post of National Clinical Director for Older people. Dr Tom Bartlett is now Vice President for Clinical Quality.

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The BGS has 15 Special Interest Groups (SIGs) serving as the Society’s source of clinical innovation, articulating and maintaining high standards of clinical care, and disseminating specialist knowledge. In 2023, we held two successful meetings for the Chairs of the SIGs, enabling them to share challenges, successes and ideas. During 2023, we held one-day conferences with the Bladder and Bowel, Falls and Bones, and Movement Disorders SIGs. For the BGS Spring conference 2023, the Sarcopenia and Frailty Research SIG, the Cardiovascular SIG, POPS SIG and Dementia SIG organised all-day sessions. At the BGS Autumn conference 2023, the Frailty and Urgent Care SIG and Oncology SIG organised parallel half-day sessions. Members of the Oncology SIG contributed to a report from the Royal College of Radiology on frailty assessment and management in cancer services.

The Community and Primary Care Group, which formed in 2022, planned and held a full day of sessions on Community Care for older people at the BGS Autumn meeting in November 2023.

The BGS has 54 pharmacists in membership who have now formed their own group and meet four times a year. This group has been very active and is currently writing guidance for BGS members on medicines optimisation in frailty, to be published in summer 2024. They have contributed to BGS conference sessions and are developing their own page on the BGS website. They collaborate with the Medicines Optimisation SIG on important issues such as deprescribing.

The CQ Committee held clinical quality sessions at the BGS national conferences. The topmarked abstracts were delivered as platform presentations, as a demonstration of how to write a good abstract. The Committee continues to promote QI practice and showcase good examples.

The BGS responded to the following consultations:

Objective 2: Workforce - ‘To support recruitment, retention and development initiatives that increase numbers of specialists in the care of older people and help existing staff to have the appropriate skills and support to deliver good care for older people in the right place at the right time.’

Many of the challenges surrounding older people’s healthcare have to do with the challenges facing the workforce. There are not enough healthcare professionals specialising in older people’s healthcare and the staff that are in post are exhausted and burnt out. In addition, many healthcare professionals outside the specialty lack the skills required to care for an ageing population with increasingly complex needs, despite older people being the biggest user group of health and social care services.

Our work in this area is overseen by the Vice President for Workforce, supported by the Workforce Committee. The committee’s priorities have been focused around gathering data about the workforce to better understand the situation facing our members and how we can help.

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In May 2023, we published The case for more geriatricians which used data from the Royal College of Physicians’ census and population projections to estimate how many geriatricians are needed to care for the ageing population. This report suggests that there should be one geriatrician per 500 people aged 85 and over. This figure was calculated based on areas of the country where there are sufficient geriatricians to provide innovative services such as perioperative care and virtual wards/hospital at home. The report showed that by 2030, 1,846 more geriatricians will be needed to care for the ageing population. This report focused on doctors because there is data available for doctors. We would like to be able to publish a similar analysis for nurses and allied health professionals working with older people but so far have been unable to access data on this group.

In early summer 2023, NHS England published the long-awaited NHS Long Term Workforce Plan, outlining plans for more medical school places and exploring new ways of training. We welcomed the plan and have volunteered to be involved in the ‘Train’ workstream (the other workstreams are ‘Retain’ and ‘Reform’). However, there has been relatively little progress on the plan since publication.

In autumn 2023, we surveyed the BGS membership to better understand our members’ experiences. We published a report from this survey in February 2024 which showed that BGS members work in services that are routinely under-staffed and that the pressures of working in under-staffed services are impacting upon their mental and emotional wellbeing.

Also in February, we published our analysis of the RCP census from the perspective of geriatric medicine. This analysis confirmed that there are not enough geriatricians to care for the ageing population and that the geriatricians we do have are not evenly distributed across the country, meaning that some areas are well-served and others are under-served. This analysis also showed that geriatric medicine is the largest medical specialty in the UK and, despite the challenges, most geriatricians are happy and satisfied in their work.

Plans are in place for a #ChooseGeriatrics campaign to start over the coming months to further promote older people’s healthcare and to resolve some of the challenges facing recruitment for trainees.

Objective 3: Education and professional development - ‘To support continuing professional development of those specialising and working in healthcare of older people and to influence their training and education.’

The Vice President for Education and Training oversees the BGS’s education and professional development work. This includes ensuring geriatric medicine training for doctors is delivered through the appropriate curriculum and supported by accessible learning opportunities in the form of meetings, e-learning and other resources. Our increasingly ageing population requires a larger number of geriatricians. The BGS has set out a recommended undergraduate medical school curriculum to ensure future doctors have a comprehensive understanding of older people’s specific healthcare needs. While promoting the recruitment, retention and development of trainee doctors, the Education and Training Committee’s remit also involves professional development for the wider multidisciplinary team. The growth of Advanced Clinical Practitioner roles, the recognition that older people’s care cannot rely on specialists alone and the provision for Less than Full Time 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. BGS delivered meetings in 2023/24 as hybrid meetings, with delegates able to attend in person or online on the day. Aiming for relevant, attractive content and excellent speakers, the meetings provided clinical education, research updates and service delivery based upon a rolling Continuing Professional Development (CPD) calendar and curricula for those specialising in older people’s healthcare.

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In 2023/24, the main meetings we delivered were our Spring and Autumn three-day conferences plus 4 stand-alone SIG conferences. In total we ran 17 hybrid meetings, and five online webinars for Trainees, Nurses and AHPs and wider audiences such as medical students. We also ran 4 events dedicated to training: IMT applications, G4J, G4E in Northern Ireland and Scotland Trainees’ meeting. We reached at total of 6510 registrations, with people still registering to watch this content on demand into 2024. This is in line with attendees in 2022/23. These hybrid and virtual meetings received overwhelmingly positive feedback and were successfully delivered live, and made available for 12 months after the event on demand.

We aim to ensure the substantial BGS events offer continues to deliver an excellent delegate experience, with a hybrid format as standard for the main meetings and virtual delivery of webinars and other learning opportunities. However, during 2023/24, access to delegates’ study leave and study budgets continued to be restricted. These restrictions were also compounded by workforce pressures and industrial action in the NHS, making it harder for people to attend live on the day. BGS will focus on making education available on demand.

The BGS continued to offer two e-learning modules, on Frailty identification and intervention, and on Perioperative Care of Older People undergoing surgery. In partnership with NHS England, the BGS agreed to update and provide free access to all NHS and Social care staff to the Frailty eLearning module. The new module saw 5541 participants sign up, compared to the 1084 people who accessed the course in its previous version. The completion rate as of March 2024 stood at 25%. The 2024 Perioperative care of older people e-learning module (POPs) course (711 signups, and 19% completion rate) is being reviewed by the SIG so that it can be given a major update and relaunch at the end of September. We have 3 other e-learning modules in development – delirium, oncology in older people and continence.

The BGS continued to collaborate with the Royal College of Physicians London (RCPL) on the Diploma in Geriatric Medicine (DGM), promoting this to a wider audience including nurses, allied health professionals, physician associates and other healthcare professionals. The RCPL confirmed their support for a further five-year agreement on delivery of the DGM with the BGS, which is positive, though numbers dipped again for the written exam in February 2024. We continue to collaborate with the Federation of Royal Colleges in the delivery of the Specialty Certificate Examination (SCE) in geriatric medicine. This has now moved to a ninemonthly rather than a yearly cycle. The BGS is contributing to the development of a European exam based on the UK SCE.

Objective 4:Policy and communications - ‘To influence the decisions, programmes and implementation of policymakers, commissioners, system partners and health professionals relating to older people’s healthcare across the UK.

The BGS has continued to build our policy influencing during 2023/24, making the most of the opportunities we have had. We were the only non-Royal College to be invited to a summit at Number 10 to discuss winter planning. This event was attended by the Prime Minister and the Secretary of State for Health and Social Care. We were also active at political party conferences in autumn 2023. We co-hosted a panel discussion at the Labour conference with the Royal College of Emergency Medicine and Parkinson’s UK. Despite this event being held on the Sunday afternoon of conference, it was an extremely successful event with standing room only. We were also invited to participate in a panel discussion at the Conservative conference hosted by Age UK and with a Health Minister on the panel.

BGS members continue to experience tough conditions in health systems across the country. In the lead-up to winter 23/24, we were concerned that the situation had not improved significantly since our winter statement in 22/23. We re-issued our statement in November

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2023, to sound the alarm in the lead-up to winter, once again with the support of 25 other organisations.

We hosted a meeting of stakeholders from across the UK and internationally to discuss the use of minimum datasets in care homes and domiciliary care, comparing models from different countries. As a result of this event, we published a report making 12 recommendations around the use of data to improve care.

While the COVID pandemic is mostly over, we have contributed to both the UK and Scotland COVID inquiries, highlighting the impact of the pandemic on older people and the healthcare professionals who cared for them. The UK COVID inquiry team attended our autumn 2023 meeting to speak to BGS members about their experiences during the pandemic.

In autumn 2023, we worked with a clinical fellow to publish a resource about front door frailty services, aimed at supporting BGS members to implement front door frailty services locally. This resource was very well received and the author of the resource has been invited to present the work to international conferences.

We were pleased when the Chief Medical Officer for England, Professor Sir Chris Whitty, chose to focus his annual report on the health of the ageing population. BGS senior officers were able to contribute to this report and we have developed good links with the CMO’s office as a result.

We continue to work in partnership with others on much of our work, especially the Royal College of Physicians London, the Royal College of Physicians of Edinburgh, the Royal College of Emergency Medicine and the Community Rehabilitation Alliance. This year we have joined with the Gold Standards Framework and Care England to form the End of Life Care Coalition, calling for all generalist staff to be trained in skills to support of end of life care.

The BGS’s media profile continued to grow during 23/24. Over the course of the year 771 articles were published mentioning BGS including in The Telegraph, ITV, Express, Daily Mail, MSN UK, Yahoo! News, Nature, the Carer and regional coverage in the Dover Express, Belfast Telegraph, The Northern Echo, Swansea Bay News and Glasgow Evening Times. Professor Gordon was interviewed on Greatest Hits London Radio and BGS Honorary Secretary Dr Ruth Law was interviewed by Professor Dame Jane Dacre for UCL’s ‘Medical Women Talking’ Podcast.

We have continued to have a high-profile X/Twitter presence, with over 37,400 followers. The BGS live tweeted from our national and regional conferences. We have also continued to promote our Facebook and LinkedIn presence.

The following press releases and statements were published :

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The BGS website has become ever more central to the way the Society delivers its core message, with total page views increasing year-on-year as healthcare professionals seek the latest up-to-date information on conditions affecting older people. It also provides access to all of our educational events, which can be streamed online live or on demand. The website is now attracting 1.6 million hits annually. During 23/24, we contracted with Drupology to build a new website, which will be launched in September 2024.

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Key resources available on the website include a series of ‘hubs’ which include the Frailty Hub, Delirium Hub, Quality Improvement (QI) Hub and the most recent addition, the Research Hub. These have become go-to resources for practitioners involved in the care of older people, helping to link up methodology, evidence, guidance and learning within the context of delivery of healthcare for older people. The website also provides access to all of the Society’s latest and past reports and publications. These span research and policy through to practice, and include topics such as virtual wards, front door frailty, urgent care, workforce, end of life care and many other pertinent themes.

The BGS member magazine, AGENDA, is a valued member benefit which is published in hard copy print format every second month and mailed to all members, offering a space to reflect, connect and unwind. It helps members to keep abreast of developments within the BGS, as well as more widely in the field of geriatric medicine. Themed issues over the past year have included medicines management, workforce, person-centred care, cognitive health, technology and sustainability. The magazine continues to provide an opportunity for Officers, SIGs, Councils and other BGS groups to highlight their areas of work and promote engagement with BGS activities including policy influencing, events and resources available via the website.

Objective 5: Research and evidence - ‘To promote research into older people’s health and healthcare, and the application of evidence-based knowledge to clinical practice across the continuum of care.’

The Vice President for Academic Affairs oversees the Society’s work to promote, enable, support, and communicate research which can ultimately improve the care of older people. Professor Miles Witham was appointed as Vice President for Research and Academic Affairs at the end of 2023.

We are currently looking at the next three years and how the BGS can support and encourage those who would like to undertake research in all the MDT. We have a small life working group looking at academic capacity-building in the health and wellbeing of older people. This also includes a Research Prioritisation and study development exercise which will involve the BGS SIGs . BGS is in a key position to ensure that the voice of clinicians is heard in setting research agendas. In particular, the BGS Special Interest Groups (SIGs) comprise large groups of experts who are able to contribute insights into what questions research should address, and how these questions should be addressed. The SIGs are in a position to help answer these questions and to ensure that new research evidence is taken up rapidly into practice. The current start date for surveying the SIG Chairs on this is July 2024.

The committee will also develop a pandemic research response strategic plan to delineate what key components of an effective research response for older people need to be in place. In partnership with workforce committee colleagues, they will develop guidance and examples for the allocation of job plan time for research with older people.

The research and clinical quality committees adjudicated the abstract submissions for the BGS national meetings. In autumn 2023, we had 13 platform presentations, 8 President’s round presentations and 119 posters. The Research and Academic Committee (RADC) ran sessions 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. There are ongoing discussions on how to ensure that the RADC produce a relevant programme for all researchers at each conference.

The BGS funded two systematic reviewers to work on a Delphi exercise to inform a new BGS research strategy. This systematic review of research prioritisation exercises in the field of older people’s healthcare and ageing was published in JAMDA in November 2023.

15

The British Geriatrics Society

Trustees’ Report

For the year ended 31 March 2024

The RADC oversaw development of a new Research Hub, which was launched in October 2023.

The Trustees agreed to co-fund a second round of three joint Clinical Fellowships with the Dunhill Medical Trust. Exceptionally, two Fellowships were awarded in 2023 .

The BGS’s high-impact journal, Age and Ageing, is published in monthly online issues, with occasional supplementary issues (including the WHO Measurements of Health Ageing supplement) and special themed collections throughout the year. The journal website and submission process offer a high-quality reader experience and a modern and attractive offering to authors.

Additional recruitments have been made to expand and diversify the Editorial Board, both to maintain expertise when Board members come to the end of their terms, and to build representation in emerging areas and novel methodologies. Equally our administrative resources are developing to meet the challenges of an ever-increasing workload and the potential risks of fraud and changing funding environments. Recruitment for a new Editor-inChief to succeed Professor Rowan Harwood took place in 2024, and Professor Roy Soiza started in post in June 2024.

The editorial process continues to perform well. In the period 1 April 2023 to 31 March 24, the journal received 2,379 submissions, which is slightly more than last year, and accepted 265 for publication, which is slightly less than last year. This low acceptance rate reflects the high quality of journal content and the need to make sustainable our editorial and production capacity.

The impact of the journal can be measured by a number of metrics.

After a thorough consultation and benchmarking process, the 2024-27 Publishing Agreement has been finalised with OUP. The Editorial Executive formed a strategy for Open Access and potential future publishing models. We remain in a strong position as a hybrid journal and are monitoring the triggers that would indicate that it is time to transition (flip) to a fully Open Access publishing model. The new Publishing Agreement is adaptable for that eventuality.

16

The British Geriatrics Society

Trustees’ Report

For the year ended 31 March 2024

Delivering the Strategic Plan

a. Membership

The number of BGS members has now passed the milestone of 5,000. Our membership consists of consultants, registrars, SAS grade doctors, nurses, physiotherapists, pharmacy professionals and many more. As the largest specialty, the impact we can have on older people’s healthcare as a multidisciplinary Society is more important than ever. The Nurses and AHPs Council now boasts more than 750 members and is well-represented on committees and groups across the BGS, ensuring the voice of the multidisciplinary team is incorporated throughout our work.

Retention in terms of BGS membership has been key and to do this, we ensured our member offer remained attractive, affordable and accessible. We offered good value for money through various streams such as e-learning resources, CPD accredited events, grants and awards and access to our scientific journal, Age and Ageing. Later this year, with the upgrade of the new website, the member journey will improve. It will provide a smoother access and better navigation to educational content and resources.

To aid recruitment in 2023/24, we continued to attend as many career fairs and healthcare events as possible to encourage students and trainees early access to the BGS. With membership being free to undergraduate students, foundation year doctors and preceptorship year nurses and AHPs, there are ample opportunities for learning and development, networking and staying abreast of BGS news and policy work. We are pleased to have new members joining the BGS at the start of their career in older people’s healthcare. We plan to use the upcoming campaign, #ChooseGeriatrics, to encourage multidisciplinary healthcare professionals to join and be active in the Society’s work at all career stages by celebrating its diversity, flexibility and rewards.

b. Inclusion and sustainability

The BGS has a sustainability policy and this year it became a member of the UK Health Alliance on Climate Change. We continue to promote messages to our members about sustainable healthcare and reduction of wastage and to ensure the way we deliver our meetings and run the organisation is as green as possible.

The BGS Equality, Diversity and Inclusion Group got underway this year. It is meeting regularly to develop an approach to EDI across the BGS’s activities and to advocate externally against ageism which is pervasive within healthcare. The EDI Group led a session at the Spring Conference 2024 based on Schwarz round principles.

c. Overview of achievements

The BGS produced an infographic in March 2024, which gives an overview of achievements during 2023/24.

17

The British Geriatrics Society Trustees. Report For the year ended 31 March 2024 5,500+', 40k Our blueprint document Joining the dots: A blueprint for preventing and managing frailty in older people viewed close 10 signups to our frailtf elearning ffiodule follower> on Twitter￿ 550 CPD hours 14,000 limes BGS members contributed valuable time and expertise to sit on BGS Councils, Commitiees. Groups. Narions and Regions of 2.5 million GS in Age and Ageing article downloads increase in nurse and AHP member5 during 2023 A total of eveni granr ,Iwarded In 2023 . 5,000 BGS members spanning all four UK nations 2nd acr055 the entire multidisciplinary team 6.5k 1.6m BGS website page views BGS event registration% 40% 18.5k op read blo Twenty minutes of dai exercise can help reverse frailry and build resilience in over 65-year-olds members of BGS Special Interest Groups ISIGS) since 2020 of delegates attended 8GS events in person workforce reports published: 47% in 2023 The state of the consultant geriatrician workforce The state of the olde people'5 healthcar workforc 25 BGS off icers contributed to England CMO Professor Chris Whitty S 2023 annual reporc, Health in an ageing society The ¢ase for more geriatricians healih and social care org3nisation5 supported our winter 5tstemenr Increase in membership In the last10 years 77%

The British Geriatrics Society

Trustees’ Report

For the year ended 31 March 2024

FINANCIAL REVIEW

Results for the year

Total income for 2023/24 was £1,789,463, (2022/23: £1,593,787) and expenditure was £2,064,136 (2022/23: £1,664,977). The Society achieved an overall deficit before net gains on investments of £274,673, (2022/23: £71,188 deficit).

Book gains on investments were £331,318 (2022/23: £175,077 losses).

Analysis of income

Analysis of income Analysis of income
2024 2023
£ % £ %
Donations 353 - 16,312 1
Membership
subscriptions		 580,308 32 558,588 35
Professional
development & events		 599,813 33 499,843 31
Age & Ageing journal 420,680 23 387,564 24
Education and research 58,316 3 13,363 1
Other 12,913 1 11,506 1
Investments 117,080 8 106,611 7
Total 1,789,463 1,593,787

The principal funding sources for the Society remain membership subscriptions, professional development and events and the surplus arising from the Age and Ageing Journal.

The Society is pleased to have been able to increase its income from membership subscriptions by a combination of increased membership numbers and a small increase in the subscription rates from 1 January 2024. Income from professional development and events has significantly recovered from the COVID-19 pandemic. Events in 2023/24 continue to be held in the hybrid online and in person format adopted in 2023.

Operational expenditure increased as events and other business activity such as face to face committee meetings began to return to pre-pandemic levels.

The Society achieved an overall deficit before net gains on investments of £274,673, (2022/23: £71,188 deficit). An analysis of the Society’s deficit is due to the following reasons;

i). Operational surplus has reduced as activity begins to return to pre-pandemic levels and, in line with the strategic plan, staffing has been increased. This has increased the Society’s capacity and campaigning influence.

ii). Designated and Restricted expenditure is applied against historic funds built up over previous years, it is the intention to reduce the level held in these funds and therefore expenditure will exceed income until this is met.

The analysis of the surpluses and deficits on the various funds which make up the Society’s total deficit are as follows:

19

The British Geriatrics Society

Trustees’ Report

For the year ended 31 March 2024

31 March 2024 31 March 2023
£ £
Designated (deficit) (21,201) (80,692)
Unrestricted(deficit)/surplus (138,459) 55,312
Restricted (deficit) (115,013)) (45,808)
Total (Deficit) (274,673) (71,188)

Future financial plans

In 2018/19 the trustees agreed to use the MK Dhole Income Fund for a series of three Doctoral Fellowship Scholarships jointly with Dunhill Medical Trust. In 2021/22 a second series of three Scholarships was agreed and during the year trustees increased this to four making seven scholarships in total. The cost is spread over several years to 2027/28 and will be around £877,000, £690,113 of which is still outstanding at 31 March 2024 (Note 20).

The upgrade of the operating system of BGS website started in March 2024. It will be completed in the 2024/25 financial year. Work to date is reflected as Assets in Progress in the balance sheet where £30,320 has been capitalised (Note 10). The work will be brought into use, and depreciated in line with the Society’s depreciation policy, when completed.

The Society continues to develop its business model to allow delivery of events via the hybrid format and to extend its E-Learning offer. In view of this, a contingency of £100,000 has been continued in the 2024/25 operational budget. Allowing for this the Society expects to have an operational deficit, before investment gains, of around £531,760 at 31 March 2025. The trustees have agreed that the Society is able to cover this potential additional cost out of reserves without impacting on delivery of the Strategic Plan.

Fundraising

The Society does not currently undertake public fundraising activities, but occasionally receives donations.

Investment Policy

The Memorandum and Articles of Association give the trustees the power to invest any surplus funds not immediately required by the Society in such investments, securities, or property as they think fit. The Trustees’ policy has been to balance the requirement for capital growth of the endowment investments with maximising income for the Society. Investments are reviewed annually.

The Society does not invest directly in any one individual company. All its investments are held in specialist multi-asset charity funds at CCLA and M&G investments. Both funds have ethical investment policies which seek to meet the needs of charities investing in them.

The Society held listed investments of £3,820,747 at 31 March 2024 (2023: £3,689,329). The total unrealised gains were £331,318 (2023: £175,077 loss).

Reserves Policy

The reserves policy of the Society is to hold unrestricted reserves (excluding designated funds), to a level representing at least one year’s unrestricted expenditure budgeted for the

20

The British Geriatrics Society

Trustees’ Report

For the year ended 31 March 2024

following year to ensure that it has an adequate buffer to protect against future uncertainties. Unrestricted reserves above this level, including the revaluation reserve, are available to further the Society’s strategic objectives.

The Trustees review the reserves of the Society as part of the budget-setting process to ensure they still meet the needs of the organisation and are sufficient to manage risks. The review involves an assessment of the income and expenditure streams, the Society’s strategic objectives and the uncertainties it faces and the level of reserves.

The Trustees have designated funds to identify those unrestricted funds which are earmarked for specific purposes and hence not freely available. The value of designated funds at 31 March 2024 was £1,382,121, (2023: £1,356,193). Included in designated funds is £839,770, (2023: £792,641) which is equal to the value of the Society’s fixed assets.

The Society finished 2024 with unrestricted reserves of £4,216,791 (2023: £4,129,362) as analysed below.

31 March 2024 31 March 2023 Increase/
(decrease)		 %
£ £ £
Designated expenditure 1,386,678 1,356,193 30,485 2
Required to cover budgeted
unrestricted expenditure for
the following year		 1,866,918 1,611,929 254,989 16
Available to further the
Society’s objectives		 963,361 1,161,240 (197,879) 17
Total unrestricted funds 4,216,957 4,129,362 87,595 2

Arrangements for reviewing staff salaries

The Society operates a spine point system which 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 five years using an independent HR agency to benchmark BGS staff salaries with the external market and ensure the Society’s pay levels are appropriate and competitive. A review was carried out in December 2021. Its recommendations were approved by Trustees and were implemented for all staff from 1 April 2022. The next review is due in 2026/27.

To protect the value of salaries from erosion due to inflation, a discretionary universal cost of living percentage increase may be awarded from the beginning of each new financial year on 1 April and the spine points adjusted accordingly.

Volunteers

The Society is reliant on the unpaid efforts of many of its members to achieve 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 policy matters). They provide countless hours of work in furthering the charitable objectives of the Society without remuneration, and we are grateful and indebted to them for their tireless work.

21

The British Geriatrics Society

Trustees’ Report

For the year ended 31 March 2024

Risk management

The Trustees are aware of their responsibility to ensure that the major risks to which the charity is exposed are identified and to establish systems to manage those risks. The Trustees have a policy on risk management and have procedures in place to mitigate risks. The task of identifying and monitoring the mitigation of the risks faced by the Society is delegated to the Finance and General Purposes Committee (Finance Committee). The Finance Committee reviews the risk register every other meeting. The Trustees consider the recommendations from Finance Committee meetings, and review the full risk register once a year.

The risk register identifies and assesses both internal and external business risks and has been continually refined since then. Forty risks have been identified, clustered under the following headings:

Under a rolling review process, the Finance Committee considered key sections of the risk register at every other meeting during the year. Internal control risks are mitigated by planning, systems of authorisation, budgeting, employment of suitably qualified staff, and established processes to support and manage the performance of staff members. External risks are identified by staff, officers and trustees, and assessed at staff, Finance Committee and Trustee Board meetings as appropriate, and major risks are also addressed in the Society’s periodic Strategic Reviews. The Trustees are satisfied that the major risks identified have been adequately mitigated where necessary and that the Society has systems and procedures in place that are appropriate to the Society’s size and nature of operations.

The most significant risks during 2023/24 related to pressure on the NHS workforce, making it more challenging for our members to attend BGS meetings, engage with it or take up roles within the Society. We sought to mitigate these risks by constantly evolving our events offer to enable flexible participation in the major meetings online or on-demand, and by adjusting the events calendar. The staff team provides as much support as it can to minimise the administrative load on committee and Board officers. Other risks during the year related to our contract for a new website, where we were uncomfortable with the outcome of the first tender process and decided to repeat it. As a major IT project, there are inevitably risks around scope, budget and timeline, which we are monitoring closely. The risks posed by cyber threats, fraud and data misuse are ongoing, and we aim to ensure we have safeguards in place for the work of the BGS and the journal. Reputational risks have been managed during the course of the year; these have arisen in connection with the role of physician associates. The BGS has worked hard to steer a sensible course here in representing the interests of its members. Finally, the risks to the BGS business model of transitioning our journal to being fully open access have been delayed until January 2026, after careful analysis of the opportunities and challenges.

STRUCTURE, GOVERNANCE AND MANAGEMENT

Governing Document

The Society is governed by its Memorandum and Articles of Association. The Memorandum and Articles of Association were adopted on 7 November 1974, and the Articles were last amended

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The British Geriatrics Society

Trustees’ Report

For the year ended 31 March 2024

on 24 November 2017. During the course of 2023, we updated the Articles to provide greater clarity on trustee roles and terms of office, on digital communications and various other minor aspects that needed modernising. This process was undertaken with the assistance of the BGS lawyers, and the revised Articles were approved by BGS members at the AGM in November 2023.

Governing Body

The Trustees are the governing body of the Society and the directors of the limited company. They comprise the President, President-Elect, Honorary Secretary, Honorary Treasurer, Chairs of the national Councils for England, Northern Ireland, Scotland and Wales, Chair of the Trainees Council, Chair of the Nurses and Allied Health Professionals Council, and two lay trustees who bring broader business planning expertise. The Trustees meet four times a year, including a full day facilitated workshop to explore long-term planning issues. The Trustees are familiar with the Charity Governance Code, and observe the principles of good governance set out in that document and in the BGS Board terms of reference.

The Society’s committees include Finance and General Purposes Committee; Policy and Communications Committee; Education and Training Committee and its sub-committee for Meetings and Events; Workforce Committee; Clinical Quality Committee; Research and Academic Development Committee, and the Age and Ageing Editorial Board and its Executive Committee. There are also committees for the Trainees Council, Nurses and AHPs Council, four nation councils, SIGs and England regions.

The current trustees are shown on page 2 above. The directors of the wholly owned subsidiary company, BGS (Trading) Limited, who served during the year were Professor Sarah Goldberg (demitted 17 November 2023), Dr Elizabeth Lawn, Dr Divya Tiwari (appointed on 17 November 2023), Dr Anne Hendry (demitted 17 November 2023), and Dr Ruth Law (appointed 17 November 2023).

Trustee recruitment and appointment

The President, Honorary Secretary and Honorary Treasurer are Society members who succeed automatically to their roles having previously been nominated and elected by the membership as President-Elect, Deputy Honorary Secretary and Deputy Honorary Treasurer respectively. They each serve a 2-year term with the exception of the Honorary Treasurer who serves for 3 years in order to ensure continuity. Chairs of National Councils are ex officio members of the Trustee Board appointed by the relevant nation. The Chairs of the Trainees Council and the Nurses and Allied Health Professionals Council are also ex officio and appointed by their Councils. The two lay trustees are recruited externally through an open process and serve for up to two 2-year terms.

Our Trustee Induction and Training policy guides the orientation process for new trustees. New trustees receive a comprehensive induction pack and meet with key officers and staff to acquaint them with the Society’s policies and practice, its aims and activities, management and governance, and also what is expected of them under charity law and company law. All trustees give their time voluntarily and receive no benefits from the Society. Any expenses reclaimed from the Society are disclosed in note 8.

A register of directors’ interests is maintained and updated annually, and declarations of any potential conflicts of interest are required at the commencement of each Trustee Board meeting. Any trustee/director with a potential conflict of interest with a particular topic within a

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The British Geriatrics Society

Trustees’ Report

For the year ended 31 March 2024

meeting declares it and takes no further part in the discussion or vote on that topic.

Group Structure

The Society has a wholly owned, non-charitable trading subsidiary, BGS (Trading) Limited, a company incorporated in England and Wales (No. 2013195). BGS (Trading) Limited accounts for the income and expenditure from scientific conferences and exhibitions. The subsidiary covenants its taxable profit at each year-end to the Society. Further details of BGS (Trading) Limited’s financial results for the year ended 31 March 2024 can be found in note 12.

REFERENCE AND ADMINISTRATIVE DETAILS

The name of the charity is the British Geriatrics Society, and it is frequently abbreviated as the BGS. The Society is a registered charity (No 268762) and is constituted as a company (No. 1189776) limited by guarantee. The trustees/directors, professional advisers and principal and registered office are set out on pages 2 - 3 above.

RESPONSIBILITIES OF THE TRUSTEES

The Trustees are required by law to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the Society and of its results for that period. In preparing those financial statements, the Trustees have undertaken, and will continue to undertake the following:

The Trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financial position of the Society and to enable them to ensure that the financial statements comply with the Companies Act 2006 and Charities Act 2011. The Trustees are satisfied that they have met, and they will continue to meet their responsibilities for safeguarding the assets of the Society and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. They can provide assurance that:

24

The British Geriatrics Society

Trustees’ Report

For the year ended 31 March 2024

STATEMENT OF DISCLOSURE OF INFORMATION TO AUDITORS

The Trustees, who are the directors of the Society, who held office at the date of approval of this Annual Report, confirm that:

AUDITOR

The auditor Sayer Vincent will be proposed for re-appointment in accordance with Section 485 of the Companies Act 2006.

SMALL COMPANY RULES

This report has been prepared in accordance with the special provisions relating to companies subject to the small companies regime within Part 15 of the Companies Act 2006.

It was approved by the Board of Directors and Trustees on 15 November 2024 and signed on its behalf:

Professor Adam Gordon President of the Society, Chair of the Directors and the Trustee Board

25

Independent auditor’s report

to the members of

The British Geriatrics Society

Opinion

We have audited the financial statements of The British Geriatrics Society (the ‘parent charitable company’) and its subsidiaries (the ‘group’) for the year ended 31 March 2024 which comprise the consolidated statement of financial activities, the group and parent charitable company balance sheets, the consolidated statement of cash flows and the notes to the financial statements, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 ‘The Financial Reporting Standard applicable in the UK and Republic of Ireland’ (United Kingdom Generally Accepted Accounting Practice).

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the group financial statements section of our report. We are independent of the group and parent charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Conclusions relating to going concern

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

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

Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.

Other information

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

26

Independent auditor’s report

to the members of

The British Geriatrics Society

In connection with our audit of the group financial statements, our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the group financial statements or our knowledge obtained in the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there is a material misstatement in the group financial statements or a material misstatement of the other information. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.

We have nothing to report in this regard.

Opinions on other matters prescribed by the Companies Act 2006

Matters on which we are required to report by exception

In the light of the knowledge and understanding of the group and the parent charitable company and their environment obtained in the course of the audit, we have not identified material misstatements in the trustees’ annual report,

We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 and Charities Act 2011 requires us to report to you if, in our opinion:

Responsibilities of trustees

As explained more fully in the statement of trustees’ responsibilities set out in the trustees’ annual report, the trustees (who are also the directors of the parent charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

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

27

Independent auditor’s report

to the members of

The British Geriatrics Society

Auditor’s responsibilities for the audit of the financial statements

We have been appointed auditor under the Companies Act 2006 and section 151 of the Charites Act 2011 and report in accordance with those Acts.

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud are set out below.

Capability of the audit in detecting irregularities

In identifying and assessing risks of material misstatement in respect of irregularities, including fraud and non-compliance with laws and regulations, our procedures included the following:

28

Independent auditor’s report

to the members of

The British Geriatrics Society

Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including those leading to a material misstatement in the financial statements or non-compliance with regulation. This risk increases the more that compliance with a law or regulation is removed from the events and transactions reflected in the financial statements, as we will be less likely to become aware of instances of non-compliance. The risk is also greater regarding irregularities occurring due to fraud rather than error, as fraud involves intentional concealment, forgery, collusion, omission or misrepresentation.

A further description of our responsibilities is available on the Financial Reporting Council’s website at: xwww.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report.

Use of our report

This report is made solely to the charitable company's members as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006 and section 144 of the Charities Act 2011 and regulations made under section 154 of that Act. Our audit work has been undertaken so that we might state to the charitable company's members those matters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and the charitable company's members as a body, for our audit work, for this report, or for the opinions we have formed.

Jonathan Orchard (Senior statutory auditor) 16 December 2024

for and on behalf of Sayer Vincent LLP, Statutory Auditor 110 Golden Lane, LONDON, EC1Y 0TG

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

29

The British Geriatrics Society

Consolidated statement of financial activities (incorporating an income and expenditure account)

For the year ended 31 March 2024

Unrestricted

£
353
580,308
599,813
420,680
58,316
12,913
100,624		 Restricted
£
-
-
-
-
-
-
16,456		 Endowment
£
-
-
-
-
-
-
-		 2024
Total
£
353
580,308
599,813
420,680
58,316
12,913
117,080		 Unrestricted
£
1,312
558,588
346,300
387,564
13,363
11,506
80,289		 Restricted
£
15,000
-
153,543
-
-
-
26,322		 Endowment
£
-
-
-
-
-
-
-		 2023
Total
£
16,312
558,588
499,843
387,564
13,363
11,506
106,611
1,773,007 16,456 - 1,789,463 1,398,922 194,865 - 1,593,787
207,353
849,410
216,275
337,100
322,529		 -
37,594
-
93,875
-		 -
-
-
-
-		 207,353
887,004
216,275
430,975
322,529		 141,461
622,783
166,178
312,525
181,355		 -
168,096
-
72,577
-		 -
-
-
-
-
-
-		 141,461
790,879
166,178
385,102
181,355
1,932,667 131,469 - 2,064,136 1,424,302 240,673 - 1,664,975
(159,660)
256,689		 (115,013)
44,022		 -
30,607		 (274,673)
331,318		 (25,380)
(141,789)		 (45,808)
(16,940)		 -
(16,348)		 (71,188)
(175,077)
97,029
(9,602)		 (70,991)
9,602		 30,607
-		 56,645
-		 (167,169)
161,280		 (62,748)
(161,280)		 (16,348)
-		 (246,265)
-
87,427 (61,389) 30,607 56,645 (5,889) (224,028) (16,348) (246,265)
87,427
4,129,364		 (61,389)
706,241		 30,607
311,527		 56,645
5,147,132		 (5,889)
4,135,253		 (224,028)
930,269		 (16,348)
327,875		 (246,265)
5,393,397

The notes on pages 32 onwards form part of these financial statements.

All of the above results are derived from continuing activities. There were no other recognised gains or losses other than those stated above. Movements in funds are disclosed in Note 17a to the financial statements.

30

The British Geriatrics Society

Company no. 1189776

Balance sheets

As at 31 March 2024

Balance sheets
As at 31 March 2024		 Balance sheets
As at 31 March 2024		 Balance sheets
As at 31 March 2024		 Company no. 1189776 Company no. 1189776
2024
2023
Note
£
£
Fixed assets:
10
839,770
792,641
11
3,820,647
3,689,329
4,660,417
4,481,970
Current assets:
Debtors
14
315,382
331,694
Short term deposits
505,908
415,000
354,939
671,261
1,176,229
1,417,955
15
(632,869)
(752,793)
543,360
665,162
5,203,777
5,147,132
17a
342,134
311,527
17a
644,852
706,241
17a
1,117,731
1,356,193
17a
205,337
205,337
17a
2,893,723
2,567,834
Total unrestricted funds
4,216,791
4,129,364
5,203,777
5,147,132
Creditors: amounts falling due within one year
Total Charity Funds
Funds:
Permanent Endowment
Unrestricted income funds:
Designated funds
Revaluation reserve
General funds
Restricted funds
Net current assets / (liabilities)
Total net assets / (liabilities)
Investments
Cash at bank and in hand
Tangible assets
The group		 2024
2023
£
£
839,770
792,641
3,820,747
3,689,429
4,660,517
4,482,070
252,075
315,718
505,908
415,000
289,667
496,855
1,047,650
1,227,573
(504,494)
(562,614)
543,156
664,959
5,203,673
5,147,029
342,134
311,527
644,852
706,241
1,117,731
1,356,193
205,337
205,337
2,893,619
2,567,731
4,216,687
4,129,261
5,203,673
5,147,029
Society
4,660,417
315,382
505,908
354,939		 4,481,970
331,694
415,000
671,261		 4,660,517
252,075
505,908
289,667		 4,482,070
315,718
415,000
496,855
1,176,229
(632,869)		 1,417,955
(752,793)		 1,047,650
(504,494)		 1,227,573
(562,614)
543,360 665,162 543,156 664,959
5,203,777 5,147,132 5,203,673 5,147,029
342,134
644,852
1,117,731
205,337
2,893,723		 311,527
706,241
1,356,193
205,337
2,567,834		 342,134
644,852
1,117,731
205,337
2,893,619		 311,527
706,241
1,356,193
205,337
2,567,731
4,216,791 4,129,364 4,216,687 4,129,261
5,203,777 5,147,132 5,203,673 5,147,029

The financial statements which have been prepared in accordance with the special provisions relating to companies subject to the small companies regime within Part 15 of the Companies Act 2006 , were approved and authorised for issue by the Board on 15 November 2024 and signed on their behalf by

Professor Adam Gordon

President of the Society, Chair of the Directors and the Trustee Board

The notes on pages 32 onwards form part of these financial statements

31

The British Geriatrics Society

Consolidated statement of cash flows

For the year ended 31 March 2024

Consolidated statement of cash flows
For the year ended 31 March 2024
Note
Net (expenditure)/ income for the reporting period
(as per the statement of financial activities)
Depreciation charges
(Gains)/losses on investments
Dividends, interest and rent from investments
(Increase)/Decrease in short term deposits
(Increase)/Decrease in debtors
Increase/(decrease) in creditors
Net cash provided by / (used in) operating activities
Proceeds from the sale of investments
a
Cash at bank and in hand
a
Total cash and cash equivalents
Dividends, interest and rents from investments
Cash and cash equivalents at the end of the year
Analysis of cash and cash equivalents and of net debt
Proceeds from the sale of fixed assets
Purchase of fixed assets
Net cash (used in) /provided by investing activities
Change in cash and cash equivalents in the year
Cash and cash equivalents at the beginning of the year
Change in cash and cash equivalents due to exchange rate
movements
Purchase of investments
Cash flows from operating activities
Cash flows from investing activities:		 £
£
56,645
39,099
(331,318)
(117,080)
(90,908)
16,312
(119,924)
(547,174)
117,080
200,000
-
-
(86,227)
230,853
(316,321)
671,262
-
354,941
At 1 April
2023
Cash flows
£
£
671,262
(316,321)
671,262
(316,321)
2024		 £
£
(246,265)
28,907
175,077
(106,611)
(75,342)
(93,971)
173,372
(144,833)
106,611
200,000
-
-
(49,362)
257,249
112,416
558,846
-
671,262
Other non-
cash changes
At 31 March
2024
£
£
-
354,941
-
354,941
2023
(547,174)
230,853		 (144,833)
257,249
At 1 April
2023
£
671,262		 Other non-
cash changes
£
-
(316,321)
671,262
-		 112,416
558,846
-
354,941 671,262
Cash flows
£
(316,321)		 At 31 March
2024
£
354,941
671,262 (316,321) - 354,941

32

The British Geriatrics Society

Notes to the financial statements

For the year ended 31 March 2024

1 Accounting policies

a) Statutory information

The British Geriatrics Society is a charitable company limited by guarantee and is incorporated in England. In the event of the charity being wound up, the liability in respect of the guarantee is limited to £1 per member of the charity. The address of the registered office is given in the charity information on page 3 of these financial statements. The nature of the charity’s operations and principal activities are detailed in the Trustees Report on page 5.

The registered office address and principal place of business is Marjory Warren House 31 St John’s Square, London, EC1M 4DN.

b) Basis of preparation

The financial statements have been prepared in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) - (Charities SORP FRS 102), the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) and the Companies Act 2006.

Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy or note. The presentation currency is GBP rounded to the nearest pound.

These financial statements consolidate the results of the charitable company and its wholly-owned subsidiary BGS (Trading) Limited on a line by line basis. Transactions and balances between the charitable company and its subsidiary have been eliminated from the consolidated financial statements. Balances between the two companies are disclosed in the notes of the charitable company's balance sheet. A separate statement of financial activities, or income and expenditure account, for the charitable company itself is not presented because the charitable company has taken advantage of the exemptions afforded by section 408 of the Companies Act 2006.

c) Public benefit entity

The charitable company meets the definition of a public benefit entity under FRS 102.

d) Going concern

The trustees consider that there are no material uncertainties about the charitable company's ability to continue as a going concern. The only income stream to be significantly affected by COVID -19 in previous years was professional development and event activities, the surplus from which is covenanted to the charitable company, from its trading subsidiary. However there has been a small surplus in the trading subsidiary in 2023/24 from these events and income in 24/25 is set to increase as in person attendance continues to rise.

The trustees do not consider that there are any sources of estimation uncertainty at the reporting date that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next reporting period.

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

e) Income

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

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

Legacies, entitlement is taken as the earlier of the date on which either: the charity is aware that probate has been granted, the estate has been finalised and notification has been made by the executor(s) to the charity that a distribution will be made, or when a distribution is received from the estate. Receipt of a legacy, in whole or in part, is only considered probable when the amount can be measured reliably and the charity has been notified of the executor’s intention to make a distribution. Where legacies have been notified to the charity, or the charity is aware of the granting of probate, and the criteria for income recognition have not been met, then the legacy is a treated as a contingent asset and disclosed if material.

f) Interest receivable

Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the charity; this is normally upon notification of the interest paid or payable by the bank.

g) Fund accounting

Restricted funds are to be used for specific purposes as laid down by the donor. Expenditure which meets these criteria is charged to the fund.

Unrestricted funds are donations and other incoming resources received or generated for the charitable purposes.

Designated funds are unrestricted funds earmarked by the trustees for particular purposes.

h) Expenditure and irrecoverable VAT

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

33

The British Geriatrics Society

Notes to the financial statements

For the year ended 31 March 2024

Expenditure on charitable activities includes the costs of delivering services, exhibitions and other educational activities undertaken to further the purposes of the charity and their associated support costs.

Other expenditure represents those items not falling into any other heading.

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

i) Grants payable

Grants payable are made to third parties in furtherance of the charity's objects. Single or multi-year grants are accounted for when either the recipient has a reasonable expectation that they will receive a grant and the trustees have agreed to pay the grant without condition, or the recipient has a reasonable expectation that they will receive a grant and that any condition attaching to the grant is outside of the control of the charity.

Provisions for grants are made when the intention to make a grant has been communicated to the recipient but there is uncertainty about either the timing of the grant or the amount of grant payable.

j) Allocation of support costs Support costs are costs related to those functions that assist the work of the charity but do not directly undertake charitable activities. Support costs include back office costs, finance, personnel, payroll and governance costs which support the Society’s programmes and activities. These costs have been allocated between cost of raising funds and expenditure on charitable activities. The basis on which support costs have been allocated are set out in notes 3a and 3b.

k) Operating leases

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

l) Tangible fixed assets

Items of equipment are capitalised where the purchase price exceeds £500. Depreciation costs are allocated to activities on the basis of the use of the related assets in those activities. Assets are reviewed for impairment if circumstances indicate their carrying value may exceed their net realisable value and value in use.

Where fixed assets have been revalued, any excess between the revalued amount and the historic cost of the asset will be shown as a revaluation reserve in the balance sheet.

Assets in Development is expenditure on assers that are being built and yet to be brought into use. No depreciation is charged against these assets until they are in use. The amount of £30,320 (2023:Nil) in Assets in Development at the year end relates to the costs of building the new website, expected to be launched in Autum 2024.

Depreciation is provided at rates calculated to write down the cost of each asset to its estimated residual value over its expected useful life. The depreciation rates in use are as follows:

Depreciation is not charged on the freehold property since it has an indefinitely long useful life and is maintained to a high standard.

m) Listed investments

Investments are a form of basic financial instrument and are initially recognised at their transaction value and subsequently measured at their fair value as at the balance sheet date using the closing quoted market price. Any change in fair value will be recognised in the statement of financial activities and any excess of fair value over the historic cost of the investments will be shown as a fair value reserve in the balance sheet. Investment gains and losses, whether realised or unrealised, are combined and shown in the heading “Net gains/(losses) on investments” in the statement of financial activities. The charity does not acquire put options, derivatives or other complex financial instruments.

Investments in subsidiaries are at cost.

o) Debtors

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

p) Short term deposits

Short term deposits includes cash balances that are invested in accounts with a maturity date of between 3 and 12 months.

q) Cash at bank and in hand

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

r) Creditors and provisions

34

The British Geriatrics Society

Notes to the financial statements

For the year ended 31 March 2024

1 Accounting policies (continued)

s) Financial instruments

The charity only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value with the exception of bank loans which are subsequently measured at amortised cost using the effective interest method.

t) Pensions

The Society operates a scheme to contribute a defined amount to individual employees’ pension schemes and the pension charge represents the amount payable by the Society to the various schemes in respect of the year.

2 Income from investments

Income from investments
Income from listed investments
Interest receivable on cash deposits		 Unrestricted
£
72,803
27,821		 Restricted
£
16,456
-		 2024
Total
£
89,259
27,821		 Unrestricted
£
77,408
2,881		 Restricted
£
16,456
9,866		 2023
Total
£
93,864
12,747
100,624 16,456 117,080 80,289 26,322 106,611

35

The British Geriatrics Society

Notes to the financial statements

For the year ended 31 March 2024

3a Analysis of expenditure (current year)

Analysis of expenditure (current year)
es to the financial statements
the year ended 31 March 2024
0
Staff costs (Note 6)
Membership costs
Event costs
E Learning
Grants, Fellowships, Awards & Prizes
Newsletters & Publications
Age & Ageing
BGS commissioned research
Communications
Website development & support
Trustee and other committee meeting costs
Premises costs
Office costs
ICT costs
Depreciation
Governance & Support costs
Total expenditure 2024
Total expenditure 2023		 Charitable activities Operational
Support
£
294,867
-
-
-
-
-
-
-
-
-
19,603
19,462
101,328
77,318
39,099		 2024
Total
£
988,900
3,620
521,736
24,853
109,453
63,945
65,814
5,313
23,692
-
19,603
19,462
101,328
77,318
39,099		 2023
Total
£
850,843
7,431
371,179
1,500
89,927
33,371
47,311
45,206
12,749
21,361
19,070
17,566
58,581
59,973
28,907
Membership
Services
£
113,507
3,620
-
-
-
-
-
-
-
-
-
-
-
-
-		 Professional
Development &
Events
£
203,505
-
521,736
-
-
-
-
-
-
-
-
-
-
-
-		 Digital & Print
Publications
£
120,495
-
-
-
-
-
-
-
-
-
-
-
-
-
-		 Education
& Research
£
92,992
-
-
24,853
109,453
63,945
65,814
-
-
-
-
-
-
-
-		 Policy
Influencing &
Communications
£
163,534
-
-
-
-
-
-
5,313
23,692
-
-
-
-
-
-
117,127
90,225		 725,241
161,763		 120,495
95,781		 357,057
73,918		 192,539
129,990		 551,677
(551,677)		 2,064,136 1,664,975
-
207,353 887,004 216,275 430,975 322,529 - 2,064,136
141,461 790,879 166,178 385,102 181,355 - 1,664,975

36

The British Geriatrics Society

Notes to the financial statements

For the year ended 31 March 2024

3b Analysis of expenditure (previous year)

es to the financial statements
the year ended 31 March 2024
Analysis of expenditure (previous year)
Staff costs (Note 6)
Membership costs
Event costs
E Learning
Grants, Fellowships, Awards & Prizes
Newsletters & Publications
Age & Ageing
BGS commissioned research
Communications
Website development & support
Trustee and other committee meeting costs
Premises costs
Office costs
ICT costs
Depreciation
Governance & Support costs
Total expenditure 2023		 Charitable activities Operational
Support
£
156,113
-
-
-
-
-
-
-
-
21,361
19,070
17,566
58,581
59,973
28,907		 2023
Total
£
850,843
7,431
371,179
1,500
89,927
33,371
47,311
45,206
12,749
21,361
19,070
17,566
58,581
59,973
28,907
Membership
Services
£
103,310
7,431
-
-
-
-
-
-
-
-
-
-
-
-
-		 Professional
Development &
Events
£
246,451
-
371,179
1,500
-
-
-
-
-
-
-
-
-
-
-		 Digital & Print
Publications
£
130,090
-
-
-
-
-
-
-
-
-
-
-
-
-
-		 Education
& Research
£
85,657
-
-
-
89,927
33,371
47,311
45,206
-
-
-
-
-
-
-		 Policy
Influencing &
Communications
£
129,222
-
-
-
-
-
-
-
12,749
-
-
-
-
-
-
110,741
30,720		 619,130
171,750		 130,090
36,088		 301,472
83,630		 141,971
39,383		 361,571
(361,571)		 1,664,975
-
141,461 790,879 166,178 385,102 181,355 - 1,664,975

37

The British Geriatrics Society

Notes to the financial statements

For the year ended 31 March 2024

For theyear ended 31 March 2024
4
Specialist Registrar Research Start Up Grants
Awards and prizes
BGS Conference Grants
Cost
Doctoral Fellowship Scholarship
Analysis of grants and prizes		 Grants to
individuals
£
-
(3,437)
10,539
4,229		 Grants to
individuals -
restricted
£
95,422
-
-
2,700		 2024
£
95,422
(3,437)
10,539
6,929		 Grants to
individuals
£
-
20,109
7,950
4,200		 Grants to
individuals -
restricted
£
54,086
1,932
-
1,650		 2023
£
54,086
22,041
7,950
5,850
11,331 98,122 109,453 32,259 57,668 89,927

5 Net income / (expenditure) for the year

This is stated after charging / (crediting):

Net income / (expenditure) for the year
This is stated after charging / (crediting):
2024 2023
£ £
Depreciation of tangible fixed assets 39,099 28,907
Auditor's remuneration (excluding VAT):
Audit 12,950 12,075
Tax advisory costs - 410
Analysis of staff costs, trustees' and key management personnel remuneration and expenses
Staff costs were as follows:
Salaries and wages
Social security costs
Employer’s contribution to defined contribution pension schemes
Other staff costs		 2024
£
817,341
82,502
89,057
-		 2023
£
684,676
70,546
75,895
19,726
988,900 850,843

One employee earned between £90,000 and £100,000 (2023: one), one employee earned between £80,000 and £90,000 (2023: none), and 2 employees earned between £60,000 and £70,000 (2023 two).

The total employee benefits (including pension contributions and employer's national insurance) of the 3 key management personnel were £237,715 (2023: £270,773).

The charity trustees were neither paid nor received any other benefits from employment with the charity in the year (2023: £nil). No charity trustee received payment for professional or other services supplied to the charity (2023: £nil).

Trustees' expenses represents the payment or reimbursement of travel and subsistence costs totalling £5,642 (2023: £5,074) incurred by 6 (2023: 9) members relating to attendance at meetings of the trustees.

38

The British Geriatrics Society

Notes to the financial statements

For the year ended 31 March 2024

7 Staff numbers

The average number of employees (head count based on number of staff employed) during the year was 16.5 (2023: 13).

Staff are split across the activities of the charitable company as follows (full time equivalent basis):

Staff are split across the activities of the charitable company as follows (full time equivalent basis):
Membership Services
Professional Development & Events
Digital & Print Publications
Education & Research
Policy Influencing & Communications
Operational Support		 2024
No.
3
3
1
1
3
3		 2023
No.
3
4
2
1
1
2
14 13

8 Related party transactions

There are no related party transactions other than those which took place with the trading subsidiary (BGS Trading Limited), these have been fully disclosed in Note 14. The balance outstanding due from BGS Trading at the year end was £109,655 (2023: £151,249).

There are no donations from related parties which are outside the normal course of business and no restricted donations from related parties.

9 Taxation

The charity is exempt from corporation tax as all its income is charitable and is applied for charitable purposes. The charity's trading subsidiary BGS Trading Limited gift aids available profits to the parent charity. Its charge to corporation tax in the year was: nil.

10 Tangible fixed assets

Tangible fixed assets
At 31st March 2024
Charge for the year
The Group/ Charity
At 1 April 2023
Cost
At 1 April 2023
Additions in year
At 31st March 2024
At 1 April 2023
Depreciation
Disposals in year
Eliminated on disposal
At 31st March 2024
Net book value		 Assets in
development
£
-
30,320
-		 Freehold
property
£
700,000
-
-		 Fixtures
and fittings
£
73,094
14,072
-		 Computer
equipment
£
386,957
41,834
-		 Total
£
1,160,051
86,227
-
30,320 700,000 87,166 428,791 1,246,278
-
-
-		 -
-
-		 34,355
6,499
-		 333,055
32,600
-		 367,410
39,099
-
- - 40,854 365,655 406,509
30,320 700,000 46,312 63,136 839,768
- 700,000 38,739 53,902 792,641

All of the above assets are used for charitable purposes.

39

The British Geriatrics Society

Notes to the financial statements

For the year ended 31 March 2024

11 Listed investments

Listed investments
The group Society
2024 2023 2024 2023
£ £ £ £
Fair value at the start of the year 3,689,329 4,064,405 3,689,329 4,064,405
Additions at cost - - - -
Disposal proceeds (200,000) (200,000) (200,000) (200,000)
Net gain / (loss) on change in fair value 331,318 (175,076) 331,318 (175,076)
3,820,647 3,689,329 3,820,647 3,689,329
Investment in Subsidiary - - 100 100
Fair value at the end of the year 3,820,647 3,689,329 3,820,747 3,689,429
Historic cost at the end of the year 3,391,335 3,591,335 3,391,335 3,591,335
Investments comprise:
The group Society
2024 2023 2024 2023
£ £ £ £
UK Common investment funds 3,820,647 3,689,329 3,820,647 3,689,329
Investment in Subsidiary - - 100 100
3,820,647 3,689,329 3,820,747 3,689,429

40

The British Geriatrics Society

Notes to the financial statements

For the year ended 31 March 2024

12 Subsidiary undertaking

The charity owns the whole of the issued ordinary share capital of BGS (Trading) Limited, a company registered in England. The company number is 02013195. The registered office address is Marjory Warren House, 31 St John's Square, London EC1M 4DN.

The subsidiary is used for non-primary purpose trading activities. All activities have been consolidated on a line by line basis in the statement of financial activities. Available profits are distributed under Gift Aid to the parent charity.

The trustees Dr Anne Hendry and Professor Sarah Goldberg together with the deputy treasurer Dr Elizabeth Lawn are also directors of the subsidiary.

A summary of the results of the subsidiary is shown below:


subsidiary.
A summary of the results of the subsidiary is shown below:
Turnover from sales to parent undertaking
Management charge payable to parent undertaking

Turnover
Cost of sales
Cost of sales related to purchases from parent undertaking
Gross profit/(loss)
Administrative expenses
Profit/(loss) on ordinary activities before interest and taxation
Total retained earnings carried forward
The aggregate of the assets, liabilities and reserves was:
Assets
Liabilities
Reserves
Interest receivable and similar income
Profit / (loss) on ordinary activities before taxation
Taxation on profit on ordinary activities
Profit / (loss) for the financial year
Retained earnings
Total retained earnings brought forward
Profit / (loss) for the financial year
Distribution under Gift Aid to parent charity		 2024
£
593,371
-
(482,461)
-		 2023
£
500,323
-
(345,544)
-
110,910
(995)
(102,886)		 154,779
(808)
(150,180)
7,029
-		 3,791
-
7,029
-		 3,791
-
7,029 3,791
-
7,029
(7,029)		 -
3,791
(3,791)
- -
203
-		 203
-
203 203

Amounts owed to/from the parent undertaking are shown in note 16.

13 Parent charity

The parent charity's gross income and the results for the year are disclosed as follows:

2024 2023
£ £
Gross income 1,305,747 1,103,186
Result for the year 56,645 225,157

14 Debtors

Debtors
Other debtors
Trade debtors
Amount due from subsidiary
Prepayments and accrued income		 2024
2023
£
£
61,475
101,709
7,383
16,988
246,524
212,997
-
-
315,382
331,694
The group		 2024
2023
£
£
1,055
2,005
7,383
16,988
134,250
142,754
109,387
153,971
252,075
315,718
Society
315,382 331,694 252,075 315,718

All debtors are due within the year.

41

The British Geriatrics Society

Notes to the financial statements

For the year ended 31 March 2024

15 Creditors: amounts falling due within one year

Creditors: amounts falling due within one year
The group Society
2024 2023 2024 2023
£ £ £ £
Trade creditors 16,827 95,761 11,372 71,205
Taxation and social security 40,450 56,140 22,043 28,834
Other creditors 10,833 3,729
Accruals 39,870 38,413 50,703 38,413
Deferred income 524,889 558,750 420,376 424,162
632,869 752,793 504,494 562,614

16

Deferred income comprises subscription and event income relating to 2023/24 received in advance.

The group The group The charity The charity
2024 2023 2024 2023
£ £ £ £
Balance at the beginning of the year 558,750 448,470 424,162 381,572
Amount released to income in the year (558,750) (448,470) (424,162) (381,572)
Amount deferred in the year 524,889 558,750 420,376 424,162
Balance at the end of the year 524,889 558,750 420,376 424,162

42

The British Geriatrics Society

Notes to the financial statements

For the year ended 31 March 2024

17a Fund reconciliation (current year)

(a)
(b)
(c)
(d)
(e)
(f)
(g)
Total restricted funds
(i)
(j)
(k)
(l)
(m)
Total designated funds
(n) Revaluation reserve
General funds
Non-charitable trading funds
(o)
Total funds
BGS Development fund
Charitable Trading fund
Fixed Asset fund
Designated funds:
Unrestricted funds:
Total Designated grant funds
Total unrestricted funds
Healthcare in Care Homes fund
Total research funds
Bulpitt
Rising Star fund (formerly Jim George
Memorial fund)
Research into Ageing
Frailty in Acute Settings Restricted Fund
Permanent Endowment
MK Dhole Bequest
Restricted funds:
Devolved nations
MK Dhole Income Fund:
Frailty Module
Total devolved nations
Scotland
Northern Ireland
Designated SIG Grant fund
Wales		 At 1 April
2023
£
311,527		 Income
£
-		 Expenditure
£
-		 Transfers
£
-		 Investment
gains/loss
£
30,607		 At 31 March
2024
£
342,134
475,741
68,356
14,750
27,241
16,709
-		 14,576
1,880
-
-
-
-		 (96,422)
(800)
(750)
3,947
-
-		 -
-
-
-
-		 37,970
6,052
-
-
-
-		 431,865
75,488
14,000
31,188
16,709
-
602,797 16,456 (94,025) - 44,022 569,250
50,620
5,821
47,003		 -
-
-		 (4,230)
(15,423)
(17,791)		 -
9,602
-		 -
-
-		 46,390
-
29,212
103,444 - (37,444) 9,602 - 75,602
706,241 16,456 (131,469) 9,602 44,022 644,852
792,641
76,598
62,515
269,703
154,736		 -
-
-
-
-		 -
(510)
(15,378)
(5,313)
-		 47,129
-
(264,390)
-		 -
-
-
-		 839,770
76,088
47,137
-
154,736
1,356,193 - (21,201) (217,261) - 1,117,731
205,337
2,567,731
103		 -
1,773,007
-		 -
(1,911,466)
-		 207,659
-		 -
256,689
-		 205,337
2,893,620
103
4,129,364 1,773,007 (1,932,667) (9,602) 256,689 4,216,791
5,147,132 1,789,463 (2,064,136) - 331,318 5,203,777

43

The British Geriatrics Society

Notes to the financial statements

For the year ended 31 March 2024

17a Fund reconciliation (current year continued)

The Permanent Endowment Fund relates to the Dr MK Dhole bequest which was provided to enable any investment income arising on the bequest to be applied for the provision of an award for the most deserving published work of medical research appertaining to the needs of aged people. Any remainder income is to be used for the provision, endowment and financing of scholarships, fellowships and lectureships of all kinds connected with research in the field of geriatric medicine.

Purposes of restricted funds

44

The British Geriatrics Society

Notes to the financial statements

For the year ended 31 March 2024

Purposes of designated funds

45

The British Geriatrics Society

Notes to the financial statements

For the year ended 31 March 2024

For theyear ended 31 March 2024
17b
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
Total restricted funds
(k)
(l)
(m)
(n)
(o)
Total designated funds
(p) Revaluation reserve
General funds
Non-charitable trading funds
(q)
Total funds
Unrestricted funds:
Designated funds:
Fixed Asset fund
Designated SIG Grant fund
Designated Grants fund
Healthcare in Care Homes fund
BGS Development fund
Charitable Trading fund
Total unrestricted funds
Devolved nations
Scotland
Northern Ireland
Wales
Total devolved nations
Total research funds
Frailty in Acute Settings Restricted
Fund reconciliation
Permanent Endowment
MK Dhole Bequest
Restricted funds:
MK Dhole Income
Bulpitt
BUPA
Rising Star fund (formerly Jim
George Memorial fund)
Research into Ageing		 At 1 April
2022
£
327,875		 Income
£		 Expenditure
£		 Transfers
£
-		 Investment
gains/loss
£
(16,348)		 At 1 April
2023
£
311,527
520,094
69,707
20,869
250
27,241
16,709		 24,442
1,880
15,000
-
-		 (55,086)
(14,909)
(500)
-
-		 (5,960) (13,709)
(3,231)		 475,741
68,356
-
14,750
27,241
16,709
654,870 41,322 (70,495) (5,960) (16,940) 602,797
57,016
9,295
53,143		 3,939
888
17,613		 (10,335)
(4,362)
(23,573)		 -
-
-		 -
-
-		 50,620
5,821
47,183
119,454 22,440 (38,270) - - 103,624
774,324 63,762 (108,765) (5,960) (16,940) 706,421
772,185
-
20,835
300,000
22,872		 -
-
-
-
-		 (32,259)
(30,297)
(18,136)		 20,456
76,598
73,939
150,000		 -
-
-
-
-		 792,641
76,598
62,515
269,703
154,736
1,115,892 - (80,692) 320,993 - 1,356,193
347,126
2,672,132
103		 -
1,398,922
-		 -
(1,343,610)
-		 (159,713)
-		 (141,789)
-		 205,337
2,567,731
103
4,135,253 1,398,922 (1,424,302) 161,280 (141,789) 4,129,364
5,237,452 1,462,684 (1,533,067) 155,320 (175,077) 5,147,312

46

The British Geriatrics Society

Notes to the financial statements

For the year ended 31 March 2024

17b Fund reconciliation (current year continued)

The Permanent Endowment Fund relates to the Dr MK Dhole bequest which was provided to enable any investment income arising on the bequest to be applied for the provision of an award for the most deserving published work of medical research appertaining to the needs of aged people. Any remainder income is to be used for the provision, endowment and financing of scholarships, fellowships and lectureships of all kinds connected with research in the field of geriatric medicine.

Purposes of restricted funds

47

The British Geriatrics Society

Notes to the financial statements

For the year ended 31 March 2024

Purposes of designated funds

48

The British Geriatrics Society

Notes to the financial statements

For the year ended 31 March 2024

18a Analysis of net assets between Funds (current year)

Fixed Assets
Investments
Cash
Other current assets / liabilities
Total		 Unrestricted
Funds
£
-
2,525,700
625,847
(317,487)		 Designated
Funds
£
839,770
546,908
-
-		 Restricted
Funds
£
-
405,905
235,000
-		 Endowment
Funds
£
-
342,134
-
-		 £
839,770
3,820,647
860,847
(317,487)
Total
2,834,060 1,386,678 640,905 342,134 5,203,777

18b Analysis of net assets between Funds (prior year)

Fixed Assets
Investments
Cash
Other current assets / liabilities
Total		 Unrestricted
Funds
£
-
2,635,762
143,508
(6,099)		 Designated
Funds
£
792,641
269,703
293,849
-		 Restricted
Funds
£
-
472,337
233,904
-		 Endowment
Funds
£
-
311,527
-
-		 £
792,641
3,689,329
671,261
(6,099)
Total
2,773,171 1,356,193 706,241 311,527 5,147,132

19 Legal status of the charity

The charity is a company limited by guarantee and has no share capital. The liability of each member in the event of winding up is limited to £1.

20 Doctoral Fellowship Scholarships

BGS and Dunhill Medical Trust agreed to share equally the costs of one Doctoral Fellowship Scholarship annually for a period of up to three years starting in 2019/20. All three fellowships have now been awarded with a total commitment to BGS of £276,946 of which £145,472 remains at 31 March 2024. Each fellowship is held at an appropriate UK research institution.

BGS and Dunhill Medical Trust agreed a second series of three Doctoral Fellowship Scholarships starting in 2022/23. The total cost to BGS will not exceed £450,000. In March 2023 BGS and Dunhill Medical Trust agreed to fund an additional scholarship in this series, making the total cost of the second series £600,000. £55,359 was paid in relation to these grants in the year leaving a year end creditor balance of £544,641.

Total remaining commitments are shown in the table below.

2024/25
2025/26
2026/27
2027/28		 Committed for
first series
£
52,023
46,725
46,724
-		 Committed
for second
series
£
119,929
187,500
137,500
99,712		 Total
Commitment
£
171,952
234,225
184,224
99,712
145,472 544,641 690,113

49