Docusign Envelope ID". BM3FE63-B8DE-4651-9052-36F83A7AEBCE British Geriatrics Society Improving healthcare forolder people THE BRITISH GERIATRICS SOCIETY (A Company Limited by Guarantee) REPORT OF THE TRUSTEES AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 March 2025 Charity registration number: 268762 Company registration number: 1189776 (England and Wales) Docusign Envelope ID". BM3FE63-B8DE-4651-9052-36F83A7AEBCE The British Geriatrics Society Contents For the year ended 31 March 2025 TABLE OF CONTENTS Pa Charity Reference and Administrative Details Trustee5' Annual Report 4-26 Independent Auditor'5 Report 27-30 Statement of Financial Activities (Group Consolidated) 31 Balance Sheets 32 Statement of cash flows 33 Note5 to the Financial Statements 34-48 Docusign Envelope ID". BA43FE63-B8DE4651-9052-36F83A7AEBCE The British Geriatrics Society Charity Reference and Administrative Details For the year ended 31 March 2025 CHARITY REGISTRATION NUMBER 268762 COMPANY REGISTRATION NUMBER 1189776 (England & Wales) President Professor Adam Gordon (demitted 15 November 2024) Professor Jugdeep Dhesi {appointed 15 November 20241 President-Elect Professor Jugdeep Dhesi (demitted 15 November 2024) Dr Amit Arora (appointed 15 November 2024) Honorary Secretary Dr Ruth Law Honorary Treasurer Dr Liz Lawn Chair BGS England Council Dr Richard Biram Chair BGS Northern Ireland Council Dr Jan Ritchie Chair BGS Scotland Council Dr Bob Caslake Chair BGS Wales Council Dr Karl Davis Co-chairs BGS Trainees Council Dr Victoria O'Brien Dr Julianaa Raghu Chair BGS Nurses and AHPS Council Dr Esther Clift (demitted 15 November 2024) Lyndsey Dunn (appointed 15 November 2024) Lay Trustee Mr Nicholas Pahl Lay Trustee Ms Stephanie Harland CHIEF EXECUTIVE OFFICER Ms Sarah Mistry Docusign Envelope ID". BA43FE63-B8DE-4651-9052-36F83A7AEBCE The British Geriatrics Society Charity Reference and Administrative Details For the year ended 31 March 2025 PRINCIPAL AND REGISTERED OFFICE Marjory Warren House 31 St John's Square London ECIM 4DN AUDITOR MHA, Building 4, Foundation Park, Roxborough Way Maidenhead, SL6 3UD BANKERS Santander UK plc 2 Triton Square, Regent's Place, London NWI 3AN Flagstone Investment Management Ltd Clareville House, 26-27 Oxendon St, London SWIY 4EL INVESTMENT ADVISERS CCLA Fund Managers Limited Senator House 85 Queen Victoria Street London EC4V 4ET Docusign Envelope ID". BA43FE63-B8DE-4651-9052-36F83A7AEBCE The British Geriatrics Society Trustees. Report For the year ended 31 March 2025 The Trustees are pleased to present their annual report for the year ended 31 March 2025, 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. AND MI 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. Charltable mlsslon 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 Inspire students and trainees to specialise in the care of older people, and to support their education, training, clinical effertiveness and career development- Promote high standards of clinical quality through conferences, meetings, information, good practice guidance, and educational and training opportunities. Encourage the sharing of learning and best practice, both within and across relevant disciplines; Promote research into the healthcare of older people, facilitating access to research and opportunities to generate research. Act as the informed policy voice regarding educational curricula. clinical standards- research,. effective commissioning practice and health policy regarding the treatment and care of older people across the UK. Raise awareness among healthcare professionals of the role of 'living well, in preventing disease in old age. 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. Docusign Envelope ID". BA43FE63-B8DE-4651-9052-36F83A7AEBCE The British Geriatrics Society Trustees. Report For the year ended 31 March 2025 Principal activities Our aims and objectives are met through delivery of a set of activities, as follows.. national, regional and special interest meetings to share research and clinical best prartice. publishing approved research papers, clinical guidance and resources,. promoting research, education and training in all aspects of healthcare for older people. providing expert input into the formulation of policy relevant to the care of older people. 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 g rowing 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 impai rment. Older people are more likely to have chronic conditions than any other age group - 580/0 of people over 60 have at least one chronic illness compared to 140/0 of those under 40. Around IOO/o 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 400/0 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. The challenge of meeting rising demand for healthcare in an economic environment of increasing costs and workforce shortages has plagued successive governments. 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 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 Docusign Envelope ID". BA43FE63-B8DE-4651-9052-36F83A7AEBCE The British Geriatrics Society Trustees. Report For the year ended 31 March 2025 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 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 specialty 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 andlor 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 prartice 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 16 Special Interest Groups covering a wide range of topics related to geriatric medicine, we keep these ￿sOurCeS 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 joumal, 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 510/0 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 IJISC), 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 artivity in relation to older people and the translation of findings into clinical prartice 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 strengthened its online offer. Our events are now all available for vi rtual participation, which has enabled busy healthcare professionals to have ready access to high-quality content, live and after the event. The Society supports the education and training of those members who may not be able to afford to attend our conferences through a system of free places for our national conferences. Since 2019, we have run a Fellowship scheme with Vivensa Foundation (formerly Dunhill Medical Trust), which provides full funding for one doctoral training Fellowship per year. Applicants, research topics must be clinically relevant to the care of older people and there is a rigorous competitive process for this prestigious award. We are embarking on a further partnership with Vivensa to support undergraduates to gain Docusign Envelope ID". BA43FE63-B8DE-4651-9052-36F83A7AEBCE The British Geriatrics Society Trustees. Report For the year ended 31 March 2025 experience of research into ageing through 6-week placements in university departments. 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 variety of agencies including Government and parliamentary bodies, N HS 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, X accounts for the Society and for Age and Ageing, a Facebook page and Linkedln pages. HIEVEMENT AND PERF RMAN 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 Strategic Plan for the three years from l 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.. l. 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, gu idance and examples which enable healthcare professionals to improve their practice. 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. 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. 3. 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 Docusign Envelope ID". BA43FE63-B8DE-4651-9052-36F83A7AEBCE The British Geriatrics Society Trustees. Report For the year ended 31 March 2025 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. 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. 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. 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. 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 countrie5 of the UK and across all care settings. It sets out values that inform how we work.. we aim to be person- centred, inclusive, collaborative and proartive. The Plan also sets out how we will deliver our objertives over the three-year period: through BGS members and the staff team, by increasing and diversifying our income and making OLJr money work harder, by strengthening our governance, by modernising our infrastructure and by reviewing progress and adapting to the changing context. 24-25 Context This has been another challenging year for the NHS across the four countries of the UK. A new Labour government won the July 2024 election. In England, the incoming Secretary of State for Health and Social Care, Wes Streeting, immediately commissioned a review of the NHS, which was led by Lord Darzi. While commenting on the impressive commitment of staff, the report's hard-hitting message was that the NHS was broken and needed significant reform. The Darzi Review set the scene for a NHS Ten Year Plan, which will be published in June 2025. While governments across the four countries sought to strengthen care c105er to home by investment in community and primary care services, there remained major problems of overcrowding in emergency departments and hospital beds. The BGS sounded the alarm again about the risk to older people's health and wellbeing of long waits on arrival in hospitals, sub- standard care and deconditioning arising from prolonged hospital stays, particularly during the prolonged period of winter pressures. 'Corridor care, appeared to be normalised, a situation highly detrimental to the most vulnerable, including older people, and far from the standard of care NHS professionals would wish to provide. Discussion of palliative and end of life care achieved new prominence in 2024/25, thanks to the debate surrounding a Private Member's Bill on Assisted Dying, with similar moves towards Possible legislation in Scotland. The BGS published an updated position statement reaffirming our opposition to assisted dying. Our statement was Cited by many, though the BGS was not called to give evidence. Meanwhile the BGS President was appointed as a Commissioner for the Palliative and End of Life Care, and various BGS members spoke as witnesses. The BGS has been actively campaigning for better public and professional Ljnderstanding around end of life. Nearly 700/0 of the 670,000 people who die in the UK each year are over 75, and the majority of these do not have specialist palliative care but are supported at the end of life by specialists Docusign Envelope ID". BA43FE63-B8DE-4651-9052-36F83A7AEBCE The British Geriatrics Society Trustees. Report For the year ended 31 March 2025 in older people's care and generalist staff. There is a long way to go in ensuring that everyone has access to honest conversations and supportive, compassionate care at the end of life. The BGS convened a roundtable event in June 24 for senior leaders in the NHS, Royal Colleges, charities and thinktanks, highlighting the need for a policy focus on older people as the group who use healthcare services the most, and the need for preparation for an ageing population. Sir Chris Whitty reiterated the themes from his 2023 Chief Medical Officer's report, stressing the gains that could be made in terms of healthy longevity. The BGS feels there is indeed greater recognition of the importance of meeting the complex needs of older people with frailty, dementia and long-term conditions. We have been encouraged by the plans and early implementation at national and regional level of integrated strategies which reflect the age-attuned care we described in the BGS Blueprint.. Joining the Dots. Nevertheless, the workforce is thinly stretched and there are too many examples of older people suffering avoidable harms due to delays, fragmentation or duplication in parts of the system. 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 ènd community care. Membership number5 continued to rise past 5300 during 2024125, consisting of 4800 fee paying members and a further 500 retired and non-contributory members. We have seen growth in membership from all professions. The sense of community is as strong as ever, helped by a series of excellent national meetings and active contributions by more than 500 committee members and officers. The BGS has continued to be visible and assertive, with senior leaders invited to speak at key NHS meetings, 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. We continue to bui Id on the BG5 Blueprint summary of what good care for older people should look like, published in March 2023, with reports on rehabilitation and proactive care. We have established a group of frontrunners from Integrated Care Systems (Icssl in England who are implementing integrated approaches to care for older people with frailty and multimorbidity, and over the next year will be sharing learning from their experience in practical forms for the benefit of other regions across all four countries. 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, nations and jou rnal, continue to contribute a huge amount to our mission. We are very grateful for their voluntary efforts, particularly given the other demands on them. They lead and deliver much of the detailed work carried out by the Society, 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. Professor Adam Gordon completed his term as BGS President in November 2024 and handed over to Professor Jugdeep Dhesi. continuing the BGS tradition of highly visible, articulate leadership speaking up for older people's care. The BGS staff team stabilised at 16 people during 2024125, with the extra capacity for events, digital learning, policy, marketing and finance helping to increase our output. The staff team proudly supports the BGS'S membership, which stands at its highest ever level. 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. Docusign Envelope ID". BA43FE63-B8DE-4651-9052-36F83A7AEBCE The British Geriatrics Society Trustees. Report For the year ended 31 March 2025 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. Performance against strategic objectives In the rest of this section the Trustees describe achievements during 2024125 against the Society'5 Strategic objectives. Objective I: 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 (CQ Committee) and the Society's work in promoting high standards of clinical quality. During 24/25, Dr Tom Bartlett (Vice President for Clinical Qual ity) and colleagues focused on improving the BGS'S relationship with NICE. The programme leads at NICE are open to a more strategic focus on the implications of their guidelines for older people, and this has opened the door to greater involvement by the BGS at an earlier stage of developi ng their recommendations. Relationships with benchmarking/audit bodies such as Get It Right First Time (GIR￿) and NHS Benchmarking offer the chance for strategic influence and we continue to develop those. The curation and re-development of our resources on Comprehensive Geriatrics Assessment (CGA) took place this year, with a view to publishing in May 2025. This should help re- establish BGS as the go-to place for resources and information on thi5 Vital tool. The BGS has 16 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. Meetings of the Chairs of the SIGS, convened by our SIG lead, enable them to share challenges, successes and ideas, and highlight the range of ways in which their expertise informs BGS policy positions. It also feeds into reports and meetings from other specialties, ensuring that the different needs of older people with frailty, dementia and long-term conditions are propedy reflected. During 2024125, we held one-day conferences with the Cardiology, Falls and Bones, Movement Disorders and POPS 51Gs. The Sarcopenia and Frailty Research SIG organised a series of three 3 succe55ful webinars, with a final one due i n June 2025. For the BGS Spring Conference 2024, the Dementia and Nutrition SIGS and Bladder and Bowel SIGS organised parallel all-day sessions on the first day. For the remainder of the conference, the Medicines Optimisation, Ethics and Law, and Cardiology SIGS contributed to the sessions. At the BGS Autumn Conference 2024, the Dementia, Delirium, and Brain Health SIG and the Movement Disorder SIG contributed to sessions. Members of the End of Life Care SIG were highly active, responding to reports and attending external meetings on behalf of the BGS, including the Commission, an Inquiry established by the Health and Care Select Committee and NHSE events. The Ethics and Law SIG Chairs formed a committee to review and update the BGS position on Assisted Dying. 10 Docusign Envelope ID". BA43FE63-B8DE-4651-9052-36F83A7AEBCE The British Geriatrics Society Trustees. Report For the year ended 31 March 2025 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 2024, which has led to some excellent engagement with leaders of community initiatives. The BGS has 90 pharmacists in membership who formed a committee and meet four times a year. This group is very active; they have contributed to BGS conference sessions, to information on the BGS website and to external reports. 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 top- marked abstratts were delivered as platfom) presentations. The Committee continues to promote QI practice and abstratt-writing and to showcase good examples. The BGS responded to the following consultations: I ) NICE decision aid on stable angina Stakeholder review- Cardiology SIG 2) ICENI (Improving care in elderly neu rosurgery initiative working group) chronic subdural haematoma (CSDH) consensus guideline - Peri-operative Care SIG 3) Non-ambulatory Fragility Fracture (NAFF) Pathway, GIR￿- Falls and Bones SIG. 4} NHSE ICB Delivering Acute Neurology Services - standards and outcomes-based acute neurology service commissioning guidance -movement Disorder SIG 5) NICE draft guideline consultation Falls- assessment and prevention in older people and people 50 and over at higher risk (update) -Falls and Bones SIG. 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. Workforce pressures continue to plague the NHS and older people's healthcare. There are not enoLJgh people with the skills needed to care for an ageing population with increasingly complex needs. Following the election of Dr Amit Arora as President Elect, Dr Claire Copeland was appointed to take over from Dr Arora as Vice President for Workforce. In autumn 2024, we launched the #ChooseGeriatrics campaign which celebrates the variety and rewards of working in older people's healthcare. This campaign aims to address some of the challenges of recruitment, including the bottlenecks faced by trainee doctors. The campaign also tells uplifting stories of careers in geriatric medicine and shares why people chose geriatrics. We currently have 152 #ChooseGeriatrics ambassadors who have committed to sharing their stories or representing BGS at a careers fair or similar. We have published the report from a survey of Training Programme Directors (TPDS), outlining the challenges faced in recruitment locally and solutions that TPDS have come up with. This report was presented as a poster at the BGS spring meeting in 2024. Having been continually frustrated by the lack of data regarding nurses and allied health professionals working with older people, we requested this data from NHS England through the Freedom of Information Act. This data was provided to us and, despite having significant concerns about the quality of the data, we published a report about it, highlighting the need for more nurses and AHPS in older people's healthcare and more consistent data about them. We are keen to secure data from the other countries to strengthen our call for recruitment, retention and support of the multidisciplinary workforce caring for older people. Docusign Envelope ID". BA43FE63-B8DE-4651-9052-36F83A7AEBCE The British Geriatrics Society Trustees. Report For the year ended 31 March 2025 There has been very little progress on the NHS Long Term Workforce Plan published in 2023. We expect a refreshed version of the plan to be published later this year. We continue to campaign for recognition of the workforce caring for older people, who are the group who use NHS services the most. The g rowth 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. 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. Dr lain Wilkinson took over as Vice-President for Education and Training. The remit 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 BGS has a reputation for del ivering high-quality educational meetings. We continued these in 2024125 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. In 2024125, the main meetings we delivered were our Spring and Autumn three-day conferences plus 4 stand-alone SIG conferences. In total we ran 16 hybrid meetings, and seven online webinars for Trainees, Nurses and AHPS and wider audiences such as medical students. We a150 ran a dedicated event for those in early-stage careers to consider the specialty, Geriatrics 4 Juniors. We reached a total of 7687 delegates, up from 6510 registrations the previous year. As healthcare professionals, ability to attend specific days decreases with work pressures, on-demand viewing means that people continued to register and watch this content after the live events. These hybrid and virtual meetings received overwhelmingly positive feedback. While 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, there remain challenges. During 2024125, access to delegates, study leave and study budgets continued to be restricted, as in previou5 years. BGS members and other would-be delegates reported a decrease in study budgets, and many experienced freezes or caps on spending their budget. 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. The BGS continued to offer e-learning modules, on Frailty identification and intervention, and adding two more on OncoGeriatrics and Delirium. We prepared another module, Continence in older people, for launch in late spring 2025. In partnership with NHS England, the BGS agreed to continue to provide free access to the Frailty eLearning module for all NHS and social care staff. The module now has 11,487 learners, up from 5541 last year. The completion rate as of March 2025 stood at 250/0. The 2024 Perioperative care of older people e-learning module (POPS) course is being reviewed by the SIG so that it can be given a major update and relaunch with current best practice information. There are over 15,000 sign-ups to these modules and over 20,000 CPD credit5 have been earned. 12 Docusign Envelope ID". BA43FE63-B8DE-4651-9052-36F83A7AEBCE The British Geriatrics Society Trustees. Report For the year ended 31 March 2025 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. We signed a further five-year agreement on delivery of the DGM with RCPL, which is positive, though numbers remain stubbornly at the same level for the written exam year on year. 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 nine-monthly rather than a yearly cycle. The BGS is contributing to the development of a European exam based on the UK SCE, which will see its first pilot in late April 2025. Objective 4 Policy and communications - 'To influence the decisionsi programmes and implementation of policymakers, commissioners, system partners and health professionals relating to older people's healthcare across the UK. During 2024/25, BGS continued to increase its voice and profile in the policy world, including meeting with more politicians and ensuring that we are represented in relevant groups and committees. Our policy work is led by the Honorary Secretary, Dr Ruth Law, supported by the Deputy Honorary Secretary. The President and President Elect are also closely involved in our policy work, representing the BGS in high-level meetings and media opportunities. During our Spring Meeting in May 2024. the then Prime Minister announced a general election to be held in summer, earlier than previously predicted. We announced our asks of parties contesting the election during the policy breakfast the following day and then published our election manifesto the following week. We engaged with the new Government Shortly after the election by attending the Labour Party conference. Our President participated in a panel discussion on end of life care with Ashley Dalton MP, one of the Secretary of State's Parliamentary Private Secretaries. We also hosted a roundtable discussion with the Royal College of Emergency Medicine and the Royal College of Psychiatrists, which was attended by Dr Zubir Ahmed MP, another Parliamentary Private Secretary. We have since followed up with Dr Ahmed and had a one-to-one meeting with him in late 2024. We also met with the Minister for Health for Scotland to discuss the BGS Blueprint, Joining the Dots, and other issues associated with older people's healthcare in Scotland. In summer 2024, we hosted a private roundtable event with Professor Sir Chris Whitty and Professor Sir Steve Powis to discuss how the ambitions set out in Professor Whitty's 2023 report should be achieved, using the principles set out in Joining the Dots. This event brought together leaders from across health and social care to discuss how to care for the ageing population. We published a report as a result of the event and plan to host a follow-up event in autumn 2025. Following the publication of Joining the Dots in 2023, in 2024 we published reports focused on two of the 'touchpoints' outlined. First, we published Reablement, Rehabilitation, Recovery which looks at the evidence behind rehabilitation services for older people and highlights examples of best practice. Following this, we published two reports about proactive care. One set out the evidence for proactive care in older people and the second set out how to deliver proactive care in a primary care setting. The BGS Ethics and Law SIG convened a working group to update our position on assisted dying. The updated position statement was published in October 2024 and retained our POSltion of being opposed to assisted dying. We have engaged in the parliamentary proce55 around assisted dying including providing written evidence to the committees considering the 13 Docusign Envelope ID". BA43FE63-B8DE-4651-9052-36F83A7AEBCE The British Geriatrics Society Trustees. Report For the year ended 31 March 2025 issue in both Westminster and the Scottish Parliament. An amendment to the Westminster bill was tabled based on our written evidence. We provided a briefing to the MP concerned and the amendment was passed. The public debate around assisted dying has skewed the debate about death and dying. We have set out to remind the public and decision makers that most people die in old age, with multiple long term conditions. Our President was appointed as a commissioner on the Palliative and End of Life Commission and we have submitted evidence to the Health and Social Care Select Committee Expert Panel considering this issue. We have also published the ffirst of a series of key messages focusing on end of life care. Our members continue to be under extreme pressure, especially during the winter months. We published the third version of our winter statement highlighting our concerns. This statement was supported by 23 other organisations and called on the new Government to make long term changes that would make a difference to older people. We also published 12 tips to help our members improve their services over the winter months. The BGS'S media profile continued to grow during 24125. Over the course of the year 1,208 articles were published mentioning BGS or our journal, Age and Ageing, with key coverage including Professor Jugdeep Dhesi being interviewed on BBC Breakfast, 4 pieces in the Telegraph online, 3 pieces in The Times Online, 3 pieces in iNews as well as many pieces in Nature, The BMJ and Dove Press for Age and Ageing. We have continued to have a high-profile X presence, with over 37.2k followers as well as growing our Linkedln page to 3.lk and Facebook followers to 2.3k. The following news storiesi press releases and statements were published: 03.04.25 - BGS welcomes new National Clinical Director 02.05.24 - Professor Roy Soiza announced as new Editor-in-chief of Age and Ageing 15.05.24 - BGS report finds lack of rehabilitation hinders older people's recovery from illness 22.05.24 - Dr Liam Barrett awarded 2024 BGSIDunhill Medical Trust Doctoral Fellowship 15.06.24 - Professor Adam Gordon awarded MBE in King's Birthday Honours 18.06.24 - His Majesty King Charles III remains patron of the BGS 18.07.24 - BGS, RCPE and RCPL call on Lord Darzi to prioritise older people's care 22.07.24 - BGS roundtable calls for transformation of older people's care 29.07.24 - Dr Amit Arora, creator of world-renowned reconditioning campaigns, to become next BGS President Elert 01.08.24- New Delirium elearning course 02.08.24 - BGS Age and Ageing increases rank in the Geriatrics and Gerontology category 08.08.24 - Lyndsey Dunn announced as Chair of the BGS Nurse and AHPS Council 27.08.24 - Joint statement.. 'Hospital at Home, not 'virtual wards, 29.08.24 - Dr Firdaus Hirii Adenwalla announced as winner of the Mariory Warren Lifetime Achievement Award 2024 30.08.24 - BGS responds to MHRA'S approval of Lecanemab for early stages of Alzheimer's disease 03.09.24 - BGS Rising Star Awards 2024.. Open for applications 10.09.24 - Dr Claire Copeland announced as new BGS Vice President Workforce 12.09.24 - BGS responds to Darzi Review 26.09.24 - BGS launches #ChooseGeriatrics 25.09.25 - Dr lain Wil kinson announced as new BGS Vice President Education and Training 25.09.24 - BGS responds to reports of Ageing Well cuts 14 Docusign Envelope ID". BA43FE63-B8DE-4651-9052-36F83A7AEBCE The British Geriatrics Society Trustees. Report For the year ended 31 March 2025 15.10.24- BGS Annual General Meeting (AGM) 2024 24.10.24 - BGS issues stark warning to the new government ahead of winter 30. 10. 24 - BGS publishes evidence in support of proactive care for older people 06. 11. 24 - Opportunity for healthcare professionals working with older people to apply for the Diploma in Geriatric Medicine 07. 11. 25 - New BGS Oncogeriatrics elearning course 08. 11. 24 - BGS issues updated position statement on Assisted Dying 14. 11. 24 - BGS publishes recommendations on how to deliver proactive care 15. 11. 24 - Angela Conlan wins 2024 BGS Special Medal for her creative work with older people 28.11.24 - BGS welcomes new President and President Elect 04.12.24 - Professor Ken Rockwood wins 2024 BGS President's Medal 13. 12. 24 - BGS and Dunhill Medical Trust announce Doctoral Training Fellowship for 2025 12.12.24 - BGS publishes #ChooseGeriatrics-themed 12 Days of Christmas 19.12.24 - BGS announces Rising Star Award Winners for 2024 01.01. 25 Joe Wicks encourages older people to get active in preparation for surgery 03.02,25 - BGS responds to the government's announcement of a social care commission 14.01. 25 - Prestigious Dhole-Eddlestone Memorial Prize 8warded to study on deprescribing blood pressure treatments in older adult5 Wlth dementia 22.01. 25 - BGS statement on the healthcare sector providing care in corridors 31.01.25 The BGS pushes to provide oral evidence to Assisted Dying committee 21.02.25 - BGS condemns MRCP{UK) Part 2 results error 25.02. 25 - BGS welcomes amendment to assisted dying bill that will safeguard older people with frailty 28.3. 25 - BGS publishes report on workforce data for nurses and allied health professionals working in older people's healthcare To adapt to the changing needs of our members and users, the BGS website was fully redeveloped and relaunched in February 2025. The new website offers a much more powerful and intuitive interface to help healthcare professionals to access the most relevant and current information, which was identified as an area for improvement in initial user experience research. It also include5 new features such as bookmarking, a 'portals' area bringing together curated content on specific topics, and gamified profile completion to incentivise users to keep their personal information up-to-date. This update also provides an upgrade to our content management system (CMS) from Drupal 7 to Drupal 10, allowing more secure integration with our Customer Relationship Management (CRM) database, improving the member journey and facilitating easier membership sign-up. It provides a smarter and more powerful system on which to run our online/hybrid events, poster submissions, elearning and other activities that the Society is increasingly delivering digitally. Some of the most frequently accessed areas of the website during 24/25 include our elearning modules, our End of Life Care in Frailty resource series, the Silver Book 11 and our 2023 report on Front Door Frailty. New pages which have seen the highest number of visitors include ou r frailty language guide, written in 2024, and our recent reports on rehabilitation and proactive care. The BGS member magazine, AGENDA, is published in hard copy format and sent to all BGS members every two months. Each issue is themed on a topic relevant to healthcare professionals working with older people, and in 24/25 these included cognitive and mental health, rehabilitation, proactive care and the charity sector. The magazine also provides updates on BGS activities, including reports, policy developments and clinical updates. 15 Docusign Envelope ID". BA43FE63-B8DE-4651-9052-36F83A7AEBCE The British Geriatrics Society Trustees. Report For the year ended 31 March 2025 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 Research and 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 leads this work, supported by the Research and Academic Development Committee (RADC). BGS 15 in a key p051tion 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 can contribute insights into what questions research should address, and how these questions should be addressed. The SIGS help to answer these questions and to ensure that new research evidence about ageing and older people's care are taken up rapidly into practice. The SIGS were asked for PICOS in July 2024 and 3 were submitted. The RADC 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. The nucleus of a working group is coming together for a first meeting of this group. 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 2024, we had 13 platform presentations, 10 President's round presentations and 129 posters. Planning has been underway during 24125 for a submitted research symposium slot at the BGS Autumn Meeting. It is hoped that this will allow showcasing of large, impactful, programmatic research which is likely to be of major interest to BGS members and is in many cases likely to change practice. The BGS jointly funds PhD Fellowships with Dunhill Medical Trust (now renamed Vivensa). Th BGS Board agreed to continue this funding partnership for a further 3 PhD Fellowship5 from 2025 onwards, with the next successful Fellow being announced at the Spring Meeting 2026. We a150 agreed to collaborate with Dunhill/Vivensa on a pilot scheme for undergraduates. Host institutions such as university departments will be funded to offer six-week placements in ageing research to give students from different courses exposure to academic work focused on issues relevant to the care of older people. The scheme was announced at the BGS Spring conference 2025. The BGS'S high-impatt journal, Age and Ageing, is published in monthly online issues, with occasional supplementary issues (including the WHO Measurements of Health A ein 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. Professor Roy Soiza succeeded Professor Rowan Harwood as Editor in Chief in June 2024 and has overseen a smooth transition. He has developed an Editorial Strategy with a focus on growth in impact and the retention of our strong reputation and standing as a society journal. The team of Associate Editors and Senior Editors, with the Deputy Editor and Editor in Chief now numbers 42. We give regular consideration to recruitment needs in order to maintain a team of this size, to ensure diversity of expertise and geographic rep￿SentatiOn, and to meet the challenges of an ever-increasing workload. Editorial processes and administration are supported by tools and training to protect against the potential risks of fraud. Regular analysis of the Journal's financial position and connections with professional networks help to keep us 16 Docusign Envelope ID". BA43FE63-B8DE-4651-9052-36F83A7AEBCE The British Geriatrics Society Trustees. Report For the year ended 31 March 2025 abreast of changes and trends in the funding environments. Our current position as a hybrid journal remains strong and gives us access to the widest and growing number of Read and Publish (R&P) agreements for the funding of authors wishing to opt for an Open Access licence, and retaining the option of a free standard licence for authors without funding. The editorial process continues to perform well and we benefit from a high and growing submission rate. In the period l April 2024 to 3 1 March 25, the journal received 3,150 submissions, which is a 320/0 increase on last year, and accepted 307 for publication, which is a 160/0 increase on last year. The maintenance of this low acceptance rate reflerts the continued high quality of journal content. The increased output is good for income and as an indicator of good reputation, but recruitment and careful succession planning are needed to ensure sustainability of our editorial and production capacity. The impact of the journal can be measured by the following metrics: Journal Impact Factor is scoted annually and in 2024 rose to 7.1. Age and Ageing rtmains a high-ranking (QI) journal and is 5/73in the Geriatrics and Gerontology category and within this is the hifhest ranking clinical geriatrics journal. The usage rate in this period remains static at was 2.5 million article downloads, which is the same as recorded last year. Subscriptions are agreed annually, and at the end of 2024 we had 8,092 subscriptions, an increase due to new Read & PLJblish agreements opening in South America. Open Access uptake remains at 5 10/0 in the reporting period. This results in a healthy additional income stream and is a good indicator for future financial sustainability. Journal income, as reflected in the 2024 financial report, was £596,910. Expenditure was £ 143,366, resulting in profit to the BGS of £453,544 (before salary and overheads). After a thorough consultation and benchmarking process, the 2024-27 Publishing Agreement has been finalised with OUP. The Editorial Executive developed a strategy for Open Access and potential future publishing models. We remain in a strong posltion 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. Delivering the Strategic Plan a. Membership During 2024125 we continued to surpass our 5,000 membership target and at the highest point of the year, achieved a record 5,300 members. Our membership continues to grow across all membership categories, in particular the category of membership for nurses and AHP. As a multidisciplinary Society, it is vital that we welcome all healthcare professionals involved in the care of older people come together to achieve our mission. The expansion of the elearning courses and events has driven the growth of our membership. Existing and new members can identify the member value in our educational content and resources, and this is evident in the membership signups. Our members join the Society and usually thereafter sign up to an elearning course as these are free for members of the Society. Or they register to attend an event which is discounted to members of the Society. With the new microlearning offer in 2025, we will only see an increase in our membership, as this is another useful free member benefit. Other than elearning and events, we have aided recruitment and retention through our #ChooseGeriatrics campaign. We have had over 150 enthusiastic members signing up to 17 Docusign Envelope ID". BA43FE63-B8DE-4651-9052-36F83A7AEBCE The British Geriatrics Society Trustees. Report For the year ended 31 March 2025 become ambassadors. They, along with many other members and professionals have been able to highlight the diversity and flexibility of roles across the multidisciplinary team. This helps people wishing to specialise in older people's healthcare to access the information they need to start on this journey and become part of the strong community providing high-quality care for older people. We continue to attend as many career fairs and external healthcare events as possible to reach those in their early years of study and career to provide an insight of geriatrics. b. Inclusion and sustainability The BGS has a sustainability policy and is a member of the UK Health Alliance on Climate Change. supporting their campaigns about sustainable healthcare and reduction of wastage. We aim to ensure the way we deliver our meetings and run the organisation is as green as possible. Professor Rowan Harwood is now our BGS Sustainability Lead, working alongside Florence Wedmore, our Trainees Council representative. The BGS Equality, Diversity and Inclusion Group met regularly, working to develop an approach to EDI across the BGS'S activities and to advocate externally against ageism which is pervasive within healthcare. Members of the EDI Group have been involved in a collaboration with RCGP which will produce a Core20Plus5 framework for older people, offering a strurtured approach to addressing the inequalities experienced by older people in accessing and using healthcare. c. Overview of achievements The BGS produced an infographic in March 2025, which gives an overview of achievements during 2024125. 18 Docusign Envelope ID". BA43FE63-B8DE-4651-9052-36F83A7AEBCE The British Geriatrics Society Trustees. Report For the year ended 31 March 2025 6th BGSIDunhill PhD Fellowship awarded to research projeuld bring the maximum commitment to £600,000. although the 2024 award was cancelled as the applicani secured other funding. To date £149.050 has been paid of these grants leaving a vear end commitment balance of £282,232. Total remaining commitrnents are shown in the table below. Committed for second Total series Commitment Committed for first series Within one year 26,765 27.522 54,287 Over one year S9,132 254,710 313,842 85,897 282.232 368,129 48