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|Charity Number:|277964|
|---|---|
|Principal Office:|Second Floor, 1 The Square, Temple Quay, Bristol, BS1 6DG|



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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|
|Banker:|CAF Bank Ltd|
||Kings Hill|
||West Malling|
||**Kent**|
||ME19 4JQ|
|Auditor:|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 ofNew York Europe Limited|





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|||**2022**|**2021**|
|---|---|---|---|
|**Number of awards granted**|**Note 6**|6|10|
|**Total value of awards granted**|**Note 6**|£218,716|£529,781|
|**Total investment value**|**Note 9**|£17,769,176|£17,319,378|



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11 January 2023 



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|||**Unrestricted**|**Expendable**||**Unrestricted**|**Expendable**||
|---|---|---|---|---|---|---|---|
|||**Distribution**|**Endowment**|**Total**|**Distribution**|**Endowment**|**Total**|
|||**Fund**|**Fund**||**Fund**|**Fund**||
|||**2022**|**2022**|**2022**|**2021**|**2021**|**2021**|
|||£|£|£|£|£|£|
|**Income from:**||||||||
|Investments|**2**|611,765||611,765|616,513||616,513|
|Other|**2**|34||34|227||227|
|**Total**||611,799||611,799|616,740||616,740|
|**Expenditure on:**||||||||
|Raisingfunds|**3**||86,646|86,646||78,025|78,025|
|Charitable activities|**4**|260,116||260,116|568,348||568,348|
|**Total**||260,116|86,646|346,762|568,348|78,025|646,373|
|**Net income/**||||||||
|**(expenditure) before**||351,683|(86,646)|265,037|48,392|(78,025)|(29,633)|
|**gains/(losses)**||||||||
|Netgains on<br>investments|||285,005|285,005||2,913,599|2,913,599|
|**Net income and net**<br>**movement in funds**|**13**|**351,683**|**198,359**|**550,042**|**48,392**|**2,835,574**|**2,883,966**|
|**Reconciliation of**||||||||
|**funds:**||||||||
|Totalfunds brought<br>forward|**13**|1,126,364|16,081,378|17,207,742|1,077,972|13,245,804|14,323,776|
|**Total funds carried**<br>**forward**|**13**|1,478,047|16,279,737|17,757,784|1,126,364|16,081,378|17,207,742|





14 December 2022 



## 

|||**2022**|**2021**|
|---|---|---|---|
||**Notes**|£|£|
|**Cash flow from operating activities:**||||
|Netcash used in operating activities|**16**|(401,484)|(788,985)|
|**Net cash used in operating activities**||(401,484)|(788,985)|
|**Cash flows from investing activities:**||||
|Dividends, interestand rentsfrom investments||547,006|586,798|
|Proceedsfrom sale ofinvestments|||576,000|
|Purchase ofinvestments||(100,000)|(427,715)|
|**Net cash provided by investing activities**||447,006|735,083|
|**Change in cash and cash equivalents in the year**||45,522|(53,902)|
|**Cash and cash equivalents at the beginning of the**|17|80,667|134,569|
|**reporting period**||||
|**Cash and cash equivalents at the end of the reporting**|**17**|126,189|80,667|
|**period**||||





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||**Unrestricted**<br>**Distribution**<br>**Fund**|**Total**<br>**2022**|**Unrestricted**<br>**Distribution**<br>**Fund**|**Total**<br>**2021**|
|---|---|---|---|---|
||£|£|£|£|
|Dividends received|611,765|611,765|616,513|616,513|
|Interestreceived|34|34|227|227|
||611,799|611,799|616,740|616,740|





## 

## 

||**Expendable**<br>**Endowment**<br>**Fund**|**Total**<br>**`2022`**|**Expendable**<br>**Endowment**<br>**Fund**|**Total**<br>**`2021`**|
|---|---|---|---|---|
||£|£|£|£|
|Investmentmanagement fees|86,530|86,530|77,922|77,922|
|Bankcharges|116|116|103|103|
||86,646|86,646|78,025|78,025|



||**Grants to**|**Support**|**Total**|**Grants to**|**Support**|**Total**|
|---|---|---|---|---|---|---|
||**institutions**|**costs**|**`2022`**|**institutions**|**costs**|**`2021`**|
||£|£|£|£|£|£|
|Funded from unrestricted|218,716|41,400|260,116|529,781|38,567|568,348|
|distributionfund|||||||
||218,716|41,400|260,116|529,781|38,567|568,348|



## 

||**Other**<br>**support**<br>**costs**|**Governance**<br>**costs**|**Total**<br>**allocated**<br>**`2022`**|**Other**<br>**support**<br>**costs**|**Governance**<br>**costs**|**Total**<br>**allocated**<br>**`2021`**|
|---|---|---|---|---|---|---|
||£|£|£|£|£|£|
|Accountancy|17,490|17,490|34,980|16,216|16,216|32,432|
|Audit fees||6,420|6,420||6,135|6,135|
||17,490|23,910|41,400|16,216|22,351|38,567|





## 

## 

|**6**|**Analysis of grants payable**||||
|---|---|---|---|---|
|||**Research**|**Total**|**Total**|
|||**costs**|**2022**|**2021**|
|||£|£|£|
||**Reconciliation of grants payable:**||||
||Commitments at 1 April|185,116|185,116|331,181|
||Commitmentsmade during the year:||||
||Antibiotic Research UK|||15,000|
||University ofCambridge|||264,000|
||Royal College ofSurgeons|55,000|55,000|75,000|
||Royal College ofAnaesthetists|||53,220|
||Northamptonshire Rape Crisis|||10,000|
||INSPIRE Foundation|||22,252|
||Stroke Association|||38,309|
||The Royal Hospital for Neuro Disability|30,000|30,000|30,000|
||DKMS (Delete Blood Cancer)|||2,000|
||Care forVeterans|||20,000|
||British HeartFoundation|50,000|50,000||
||Well Being ofWomen- Barts Cancer||||
||Institute|21,550|21,550||
||Bowel Cancer LIK|42,591|42,591||
||The Migraine Trust|19,575|19,575||
||Total commitmentsmade in year|218,716|218,716|529,781|
||Total commitments made|403,832|403,832|860,962|
||Grants paid during the year|(278,802)|(278,802)|(675,846)|
||**Commitments at 31 March**|125,030|125,030|185,116|



||**2022**|**2021**|
|---|---|---|
||£|£|
|Within one year|78,030|91,116|
|Between two and five years|47,000|94,000|
||125,030|185,116|





## 

|This isstated aftercharging:|||
|---|---|---|
||**`2022`**|**`2021`**|
||`£`|`£`|
|Auditors' remuneration|6,420|6,135|
|**Investments**|||
||**`2022`**|**`2021`**|
||£|£|
|Marketvalue at 1 April|17,243,664|14,478,350|
|Acquisitions atcost|117,812|427,715|
|Disposal proceeds||(576,000)|
|Netrealised and unrealised gains/(losses) in the|285,005|2,913,599|
|year|||
||17,646,481|17,243,664|
|Cash held on investment|122,695|75,714|
|At31 March|17,769,176|17,319,378|
|Historiccostvalue atend ofyear|13,228,897|13,111,085|





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||**Level 1**|**Total**|
|---|---|---|
||£|£|
|Investments listed on stock exchange|17,646,481|17,646,481|
|Cash held in the portfolio|122,695|122,695|
||17,769,176|17,769,176|
|The analysis at 31 March 2021 was as follows:|||
||**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|



## 




## 

|**INVESTMENTS**|**`2022`**|**`2021`**|**Direct**||**Indirect**|
|---|---|---|---|---|---|
||£|£||||
|Fixed Income|1,976,535|2,621,746|Credit|Other,|Interest|
|UK Equities|3,590,015|3,244,272|Credit|Other||
|Global Equities|8,039,193|8,544,513|Credit|Other,|Currency|
|Property|906,637|386,552|Credit|Other||
|Alternative Investments|2,269,499|1,384,429|Credit|Other||
|Liquid Assets|1,100,453|1,205,095|Credit|Interest||



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|||**2022**|**2021**|
|---|---|---|---|
|||£|£|
||Accrued income|31,937|31,937|
|||31,937|31,937|
|**11**|**Creditors**|||
|||**2022**|**2021**|
||Amountsfalling due within one year:|£|£|
||Accruals|44,488|39,124|
||Grants payable (note 6)|78,030|91,116|
|||122,518|130,240|
||Amountsfalling due afterone year:|||
||Grants payable (note 6)|47,000|94,000|
||Total creditors|169,519|224,240|
|**12**|**Financial instruments**|||
|||**2022**|**2021**|
|||`£`|`£`|
||Financial assets measured atfairvaluethrough statementof|17,646,481|17,243,664|
||financial activities(note 9)|||





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||**Balance**<br>**b/fwd**<br>**`2022`**|**Income**<br>**`2022`**|**Expenditure**<br>**`2022`**|**Gains/**<br>**(losses) and**<br>**transfers**<br>**`2022`**|**Balance**<br>**e/fwd**<br>**`2022`**|
|---|---|---|---|---|---|
||£|£|£|£|£|
|**Expendable endowment funds**||||||
|Expendable endowmentfunds|16,081,378||(86,646)|285,005|16,279,737|
|Total expendable endowmentfunds|16,081,378||(86,646)|285,005|16,279,737|
|**Unrestricted distribution funds**||||||
|Unrestricted distributionfunds|1,126,364|611,799|(260,116)||1,478,047|
|Total unrestricted distributionfunds|1,126,364|611,799|(260,116)||1,478,047|
|Totalfunds|17,207,742|611,799|(346,762)|285,005|17,757,784|
||**Balance**<br>**b/fwd**<br>**`2021`**|**Income**<br>**`2021`**|**Expenditure**<br>**`2021`**|**Gains/**<br>**(losses) and**<br>**transfers**<br>**`2021`**|**Balance**<br>**e/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 distributionfunds|1,077,972|616,740|(568,348)||1,126,364|
|Total unrestricted distribution funds|1,077,972|616,740|(568,348)||1,126,364|
|Totalfunds|14,323,776|616,740|(646,373)|2,913,599|17,207,742|





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||||**Net current**|||
|---|---|---|---|---|---|
||||**assets/**|**Non-current**||
|||**Fixed assets**|**(liabilities)**|**liabilities**|**Total**|
|||**`2022`**|**`2022`**|**`2022`**|**`2022`**|
|||£|£|£|£|
|Expendable|endowmentfunds|16,724,468|(444,731)|-|16,279,737|
|Unrestricted|distributionfunds|1,044,708|480,339|(47,000)|1,478,047|
|||17,769,176|35,608|(47,000)|17,757,784|



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



||**`2022`**|**`2021`**|
|---|---|---|
||£|£|
|Net income forthe year (as perthe statementof|550,042|2,883,966|
|financial activities)|||
|**Adjustments for:**|||
|Dividends, interestand rentsfrom investments|(611,799)|(616,740)|
|Netrealised and unrealised gains in the year|(285,005)|(2,913,599)|
||(346,762)|(646,373)|
|Increase in debtors||(4,682)|
|Decrease in creditors|(54,722)|(137,930)|
|Netcash used in operating activities|(401,484)|(788,985)|





## 

|||**1 April 2021**|**Cash flows**|**31 March 2022**|
|---|---|---|---|---|
|||£|£|£|
|Cash|atbankand in hand|13,438|(404)|13,034|
|Cash|held by investmentmanagers|67,229|45,926|113,155|
|||80,667|45,522|126,189|



