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|Trustees:|Mr S R Cannon MBE, MCh, FRCS|
|---|---|
||Mr D I S Sweetnam FRCS|
||Mr J L Williams, CBE, FRCS, FDSRCS|
||Mr M J W Rushton|
|Administrator:|Ben Haines|
|Banker:|CAF Bank Ltd|
||Kings Hill|
||West Malling|
||Kent|
||ME19 4JQ|
|Auditor:|MHA Monahans|
||Fortescue House|
||Court Street|
||Trowbridge|
||Wiltshire|
||BA14 8FA|
|Investment Manager:|Sarasin & Partners LLP|
||Juxon House|
||100 St Paul's Churchyard|
||London|
||EC4M 8BU|
|Custodian Trustee:|The Bank of New York Europe Limited|





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|||**2021**|**2020**|
|---|---|---|---|
|**Number of awards granted**|**Note 6**|10|6|
|**Total awards**|**Note 6**|529,781|£466,626|
|**Total investment value**|**Note 9**|17,319,378|£14,524,122|



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# 13 January 2022 



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# 24 January 2022 



## 

## 

|||**Unrestricted**|**Expendable**||**Unrestricted**|**Expendable**||
|---|---|---|---|---|---|---|---|
|||**Distribution**|**Endowment**|**Total**|**Distribution**|**Endowment**|**Total**|
|||**Fund**|**Fund**||**Fund**|**Fund**||
|||**2021**|**2021**|**2021**|**2020**|**2020**|**2020**|
|||£|£|£|£|£|£|
|**Income from:**||||||||
|Investments|**2**|616,513||616,513|612,188||612,188|
|Other|**2**|227||227|4,578||4,578|
|**Total**||616,740||616,740|616,766||616,766|
|**Expenditure on:**||||||||
|Raising funds|**3**||78,025|78,025||75,811|75,811|
|Charitable activities|**4**|568,348||568,348|508,086||508,086|
|**Total**||568,348|78,025|646,373|508,086|75,811|583,897|
|**Net income/**||||||||
|**(expenditure) before**||48,392|(78,025)|(29,633)|108,680|(75,811)|32,869|
|**gains/(losses)**||||||||
|Net gains/(losses) on<br>investments|||2,913,599|2,913,599||(759,897)|(759,897)|
|**Net income/**||||||||
|**(expenditure) and net**|**13**|**48,392**|**2,835,574**|**2,883,966**|**108,680**|**(835,708)**|**(727,028)**|
|**movement in funds**||||||||
|**Reconciliation of**||||||||
|**funds:**||||||||
|Total funds brought<br>forward|**13**|1,077,972|13,245,804|14,323,776|969,292|14,081,512|15,050,804|
|**Total funds carried**<br>**forward**|**13**|1,126,364|16,081,378|17,207,742|1,077,972|13,245,804|14,323,776|





13 January 2022 



## 

## 

|||**`2021`**|**`2020`**|
|---|---|---|---|
||**Notes**|£|£|
|**Cash flow from operating activities:**||||
|Net cash used in operating activities|**`16`**|(788,985)|(257,398)|
|**Net cash used in operating activities**||(788,985)|(257,398)|
|**Cash flows from investing activities:**||||
|Dividends, interest and rents from investments||616,740|616,766|
|Proceeds from sale of investments||576,000||
|Purchase of investments||(457,657)|(774,041)|
|**Net cash provided by investing activities**||735,083|(157,275)|
|**Change in cash and cash equivalents in the year**||(53,902)|(414,673)|
|**Cash and cash equivalents at the beginning of the**||134,569|549,242|
|**reporting period**||||
|**Cash and cash equivalents at the end of the reporting**||80,667|134,569|
|**period**||||





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## 

||**Unrestricted**<br>**Distribution**<br>**Fund**|**Total**<br>**2021**||**Un restricted**<br>**Distribution**<br>**Fund**|**Total**<br>**2020**|
|---|---|---|---|---|---|
||£|£||£|£|
|Dividends received|616,513|616,513||612,188|612,188|
|Interest received|227||227|4,517|4,517|
|Other investment income||||61|61|
||616,740|616,740||616,766|616,766|





## 

## 

||**Expendable**<br>**Endowment**<br>**Fund**|**Total**<br>**`2021`**|**Expendable**<br>**Endowment**<br>**Fund**|**Total**<br>**`2020`**|
|---|---|---|---|---|
||£|£|£|£|
|Investment managementfees|77,922|77,922|75,717|75,717|
|Bank charges|103|103|94|94|
||78,025|78,025|75,811|75,811|



## 

||**Grants to**|**Support**|**Total**|**Grants to**|**Support**|**Total**|
|---|---|---|---|---|---|---|
||**institutions**|**costs**|**`2021`**|**institutions**|**costs**|**`2020`**|
||£|£|£|£|£|£|
|Funded from unrestricted|529,781|38,567|568,348|466,626|41,460|508,086|
|distribution fund|||||||
||529,781|38,567|568,348|466,626|41,460|508,086|



||**Other**<br>**support**<br>**costs**|**Governance**<br>**costs**|**Total**<br>**allocated**<br>**`2021`**|**Other**<br>**support**<br>**costs**|**Governance**<br>**costs**|**Total**<br>**allocated**<br>**`2020`**|
|---|---|---|---|---|---|---|
||£|£|£|£|£|£|
|Accountancy|16,216|16,216|32,432|15,900|15,900|31,800|
|Audit fees||6,135|6,135||5,880|5,880|
|Other costs|||||3,780|3,780|
||16,216|22,351|38,567|15,900|25,560|41,460|





## 

|**6**|**Analysis of grants payable**||||||
|---|---|---|---|---|---|---|
||||**Other**|**Buildings**|||
|||**Research**|**charitable**|**and**|**Total**|**Total**|
|||**costs**|**endeavours**|**equipment**|**2021**|**2020**|
|||£|£|£|£|£|
||**Reconciliation of grants payable:**||||||
||Commitments at 1 April|331,181|||331,181||
||Commitments made during the year:||||||
||Antibiotic Research UK|15,000|||15,000|15,000|
||Bloodwise|||||10,000|
||University of Cambridge|264,000|||264,000|235,000|
||King's College London|||||110,521|
||The Royal Marsden Cancer Charity|||||92,105|
||The Row UK Foundation|||||4,000|
||Royal College ofSurgeons|75,000|||75,000||
||Royal College ofAnaesthetists|53,220|||53,220||
||Northamptonshire Rape Crisis||10,000||10,000||
||INSPIRE Foundation|22,252|||22,252||
||Stroke Association|38,309|||38,309||
||The Royal Hospital for Neuro Disability|30,000|||30,000||
||DKMS (Delete Blood Cancer)|2,000|||2,000||
||Care for Veterens||20,000||20,000||
||Total commitments made in year|499,781|30,000||529,781|466,626|
||Total commitments made|830,962|30,000||860,962|466,626|
||Grants paid during the year|(645,846)|(30,000)||(675,846)|(135,445)|
||**Commitments at 31 March**|185,116|||185,116|331,181|





## 


## 

||**`2021`**|**`2020`**|
|---|---|---|
||£|£|
|Within one year|91,116|146,065|
|Between two and five years|94,000|185,116|
||185,116|331,181|



## 

## 

|This is stated after charging:|||
|---|---|---|
||**`2021`**|**`2020`**|
||£|£|
|Auditors' remuneration|6,135|5,880|
|**Investments**|||
||**`2021`**|**`2020`**|
||£|£|
|Marketvalue at 1 April|14,524,122|14,509,978|
|Acquisitions at cost|457,657|774,041|
|Disposal proceeds|(576,000)||
|Net realised and unrealised gains/(losses) in the|2,913,599|(759,857)|
|year|||
|Marketvalue at 31 March|17,319,378|14,524,122|
|Historic costvalue at end ofyear|13,111,085|13,210,455|





## 

## 

||**Level 1**|**Total**|
|---|---|---|
||£|£|
|Investments listed on stock exchange|17,243,664|17,243,664|
|Cash held in the portfolio|75,714|75,714|
||17,319,378|17,319,378|
|The analysis at 31 March 2020was as follows:|||
||**Level 1**|**Total**|
||£|£|
|Investments listed on stock exchange|14,478,350|14,478,350|
|Cash held in the portfolio|45,772|45,772|
||14,524, 122|14,524,122|
|**Investment risks**|||





## 

## 

|**INVESTMENTS**|**2021**|**2020**|**Direct**||**Indirect**|
|---|---|---|---|---|---|
||£|£||||
|Fixed Income|2,621,746|2,655,934|Credit|Other,|Interest|
|UK Equities|11,788,785|2,414,618|Credit|Other||
|Global Equities|-|6,694,978|Credit|Other,|Currency|
|Property|386,552|427,147|Credit|Other||
|Alternative Investments|1,384,429|1,393,666|Credit|Other||
|Liquid Assets|1,205,095|937,779|Credit|Interest||



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## 

||**2021**|**2020**|
|---|---|---|
||£|£|
|Accrued income|31,937|27,255|
||31,937|27,255|
|**Creditors**|||
||**2021**|**2020**|
|Amounts falling due within one year:|£|£|
|Accruals|39,124|30,989|
|Grants payable (note 6)|91,116|146,065|
||130,240|177,054|
|Amounts falling due after one year:|||
|Grants payable (note 6)|94,000|185,116|
|Total creditors|224,240|362,170|
|**Financial instruments**|||
||**2021**|**2020**|
||£|£|
|Financial assets measured at fair value through statement of|17,319,378|14,524,122|
|financial activities (note 9)|||





## 

## 

||**Balance**<br>**b/fwd**<br>**`2021`**|**Income**<br>**`2021`**|**Expenditure**<br>**`2021`**|**Gains**<br>**`2021`**|**Balance**<br>**c/fwd**<br>**`2021`**|
|---|---|---|---|---|---|
||£|£|£|£|£|
|**Expendable endowment funds**||||||
|Expendable endowmentfunds|13,245,804||(78,025)|2,913,599|16,081,378|
|Total expendable endowment funds|13,245,804||(78,025)|2,913,599|16,081,378|
|**Unrestricted distribution funds**||||||
|Unrestricted distribution funds|1,077,972|616,740|(568,348)||1,126,364|
|Total unrestricted distribution funds|1,077,972|616,740|(568,348)||1,126,364|
|Total funds|14,323,776|616,740|(646,373)|2,913,599|17,207,742|
||**Balance**<br>**b/fwd**<br>**`2020`**|**Income**<br>**`2020`**|**Expenditure**<br>**`2020`**|**Losses**<br>**`2020`**|**Balance**<br>**c/fwd**<br>**`2020`**|
||£|£|£|£|£|
|**Expendable endowment funds**||||||
|Expendable endowmentfunds|14,081,512||(75,811)|(759,897)|13,245,804|
|Total expendable endowment funds|14,081,512||(75,811)|(759,897)|13,245,804|
|**Unrestricted distribution funds**||||||
|Unrestricted distribution funds|969,292|616,766|(508,086)||1,077,972|
|Total unrestricted distribution funds|969,292|616,766|(508,086)||1,077,972|
|Total funds|15,050,804|616,766|(583,897)|(759,897)|14,323,776|





## 

## 

|||||**Net current**|||
|---|---|---|---|---|---|---|
|||||**assets/**|**Non-current**||
||||**Fixed assets**|**(liabilities)**|**liabilities**|**Total**|
||||**`2021`**|**`2021`**|**`2021`**|**`2021`**|
||||£|£|£|£|
|Expendable|endowment|funds|16,407,731|(326,353)|-|16,081,378|
|Unrestricted|distribution|funds|911,647|308,717|(94,000)|1,126,364|
||||17,319,378|(17,636)|(94,000)|17,207,742|



|||||**Net current**|||
|---|---|---|---|---|---|---|
|||||**assets/**|**Non-current**||
||||**Fixed assets**|**(liabilities)**|**liabilities**|**Total**|
||||**`2020`**|**`2020`**|**`2020`**|**`2020`**|
||||£|£|£|£|
|Expendable|endowment|funds|13,722,255|(476,451)|-|13,245,804|
|Unrestricted|distribution|funds|801,867|461,221|(185,116)|1,077,972|
||||14,524,122|(15,230)|(185,116)|14,323,776|



||**`2021`**|**`2020`**|
|---|---|---|
||`£`|`£`|
|Net income/(expenditure) forthe year (as perthe|2,883,966|(727,028)|
|statement offinancial activities)|||
|**Adjustments for:**|||
|Dividends, interest and rents from investments|(616,740)|(616,766)|
|Net realised and unrealised gains/(losses) in the|2,913,599|(759,857)|
|year|||
||(646,373)|(583,897)|
|(lncrease}/decrease in debtors|(4,682)||
|(Decrease)/ Increase in creditors|(137,930)|326,499|
|Net cash used in operating activities|(788,985)|(257,398)|





## 

|||**1 April 2020**|**Cash flows**|**31 March 2021**|
|---|---|---|---|---|
|||£|£|£|
|Cash|at bank and in hand|1,333|12,105|13,438|
|Cash|held by investment managers|133,236|(66,007)|67,229|
|||134,569|(53,902)|80,667|



