OpenCharities

This text was generated using OCR and may contain errors. Check the original PDF to see the document submitted to the regulator.

2023-03-31-accounts

Report and Accounts 31 March 2023

The National Hospital for Neurology and Neurosurgery Development Foundation

Financial Statements for the year ended 31 March 2023

Contents

Trustees’ Report 03
— Introduction 04
— Review of the Year 05
— Our Strategy 06
— #1 Inspiring funding programmes 08
— #2 Sector-leading insight
and impact measurement 15
— #3 Ambitious fundraising 16
— #4 Building national awareness 18
— Donors 20
— Reserves and Risks 21
— Trustees 21
Independent Auditor’s Report 23
Financial Statements 27
— Statement of Financial Activities 28
— Balance Sheet 29
— Statement of Cash Flows 30
— Notes to the Financial Statements 31

The National Hospital for Neurology and Neurosurgery Development Foundation (also known as The National Brain Appeal)

A company limited by guarantee

Chair Jackie Ashley

Treasurer

Richard Blakey

Chief Executive/ Company Secretary Theresa Dauncey (left 30 June 2023)

Charity Registration Number 290173

Company Number 01844281

Principal Address and Registered Office

The National Hospital Queen Square London WC1N 3BG

Statutory Auditor

Trustees’ Report

Moore Kingston Smith LLP 6th Floor 9 Appold Street London EC2A 2AP

Solicitors

Charles Russell Speechlys LLP 5 Fleet Place London EC4M 7RD

Bankers

Royal Bank of Scotland 127-128 High Holborn London WC1V 6PQ

Investment Managers

Cazenove Capital 1 London Wall Place London EC2Y 5AU

The National Brain Appeal | Report and Accounts | 31 March 2023 | 3

2 | The National Brain Appeal | Report and Accounts | 31 March 2023

Introduction

Review of the year

The Trustees, who are the directors of the charitable company, present their report and the audited accounts for The National Hospital Development Foundation (the Foundation) for the year ended 31 March 2023.

The Charity’s working name is The National Brain Appeal. The financial statements comply with current statutory requirements, the memorandum and articles of association and the Statement of Recommended Practice (SORP) “Accounting and Reporting by Charities”.

Status and Objects

The Foundation was incorporated on 29 August 1984 and is a company limited by guarantee with charitable status. It is registered as a charity in England and Wales, number 290173.

The Foundation has been established to promote the relief and prevention of diseases of the nervous system. Funds raised are to be used for the erection and maintenance of buildings, the purchase and maintenance of medical equipment, for education and for clinical research.

Public Benefit

We have referred to the guidance contained in the Charity Commission’s general guidance on public benefit when reviewing our aims and objectives and in planning our future activities. The Charity supports a range of activities to advance treatment of and research into neurological conditions.

Governance

The Trustees determine the direction and policy of the Charity in response to requests from The National Hospital for Neurology and Neurosurgery (‘the Hospital’) and the Queen Square Institute of Neurology. Trustees are appointed to serve for an initial period of three years (after which they may be re-elected) and are unremunerated. There are currently 15 Trustees and they are recruited by recommendation, advertisement and interview. Ad hoc committees, which include the Trustees, are formed to run periodic special events. The full board of Trustees, who meet for official board meetings at least four times a year, have delegated the day-to-day administration of the Charity to the Chief Executive,. The Chief Executive has regular meetings with the Chair and Treasurer. The Chair determines the salary of the Chief Executive.

Investment powers

Under the memorandum and articles of association, the Charity has the power to make any investment the Trustees see fit.

A Sub-Committee of the Trustees monitors the Charity’s investments.

The policy for invested funds focuses on maximising income. The aim is to achieve inflation+4% over the long term through investment in the Charity Multi-Asset Fund, a diversified Common Investment Fund designed specifically for charities.

Charitable aims

Our vision is to transform the lives of millions of people affected by neurological conditions. We achieve this by funding pioneering research, providing access to the best technology for expert diagnosis and treatment, and training tomorrow’s leading clinicians.

The mission of The National Brain Appeal (‘the Charity’) is to drive world-class neurological innovation, treatment and advancement through bold and ambitious fundraising and investment. By focusing its efforts on the Hospital and the Institute of Neurology (known jointly as Queen Square), it is funding the leaders in the field – whose work has both national and international impact.

The Trustees select projects that will have the biggest benefit for people with neurological conditions and are innovative in nature. The Charity supports work for a wide range of neurological conditions but the main focus is on major capital and research projects which will have a transformative effect on the services provided.

Since the Charity was formed, 39 years ago, it has had a huge impact on the development of Queen Square, providing almost £50m of funding for capital infrastructure, service redevelopment and translational research initiatives.

This financial year saw total voluntary income increase to £3,656,228 from £2,954,285 in 2022. With the exception of legacies, there was increased income from all activities, but especially from grant-making trusts and corporates supporting the two capital projects.

The cost of raising these funds was £878,178 compared to £649,107 in 2022. This increase was mainly due to recruitment of additional staff to support the delivery of increased fundraising requirements and strategic plan.

Our total funds currently stand at £9,809,129 with:

£5,557,405 ring-fenced in restricted funds and £3,210,000 designated for specific projects as described on pages 37-39 and detailed within the designated and restricted funds sections of the accounts. £1,041,724 of free reserves.

This year was the first year of new growth strategy for 2022-27 to enable greatly increased funding for new innovative projects in the future. Major steps forward were made against all strategic goals for this period.

You will see over the following pages that there has been a lot of positive progress in all areas of our strategic plan. We have refined and developed our grant giving; increased our insight into the needs of people with neurological conditions; improved our impact reporting; introduced new fundraising activities; embraced large-scale opportunities, seen growth in awareness levels of our work and achieved extensive media coverage. We have continued to invest in digital solutions to underpin our work and improve efficiency and effectiveness, and the staff team has been increased to provide more specialist skills across the organisation. All of this will enable us to continue to fund some of the most exciting projects in the field of neurology, moving the field forward for the benefit of people affected.

----- Start of picture text -----
We launched our Open Gardens fundraisers this year
----- End of picture text -----

The Trustees would like to thank everyone who has supported The National Brain Appeal over this year. It has been an exciting year with positive developments in all areas of our work and some high-profile activity with our first large-scale corporate partnership with the supermarket chain, Iceland Foods, and The National Brain Appeal’s Rare Space Garden at the RHS Chelsea Flower Show.

Our supporters have made it possible for us to continue supporting new initiatives that not only directly move the field forward in terms of new treatments, support and research but also provide incredible motivation to those working on these new initiatives and discoveries. We are so grateful.

4 | The National Brain Appeal | Report and Accounts | 31 March 2023

The National Brain Appeal | Report and Accounts | 31 March 2023 | 5

Our strategy

The National Brain Appeal transforms the lives of the millions of people living with neurological and neuromuscular conditions.

Our 2022-27 strategy sets out how we plan to scale our impact, through the delivery of inspiring and impactful grant funding into pioneering research, innovative treatments and world-class facilities. It includes objectives for the coming years and how they will help us achieve our ambition to deliver a further £100m of investment by 2032.

Our ambition

We are proud of the impact we have had so far, investing more than £50m since the Charity’s inception in 1984. But, with the increasing incidence of neurological conditions, we need to rise to that challenge and grow our impact.

Our ambition is to invest more than £100m over the next 10 years to improve outcomes for even more people living with brain conditions.

Our 2022-2023 period was the first year of our new five-year strategy and considerable progress has been made.

This report focuses on headline areas of the strategy and details the projects, initiatives and achievements that have been made.

A full list of all the restricted funds is set out in the notes section on pages 38-39 and information about our other projects can be found on our website and in our bi-annual newsletter The National .

Our digital transformation

One of the key overarching strategic aims was to implement a robust and innovative digital strategy to overhaul our digital operations to make the Charity ready for all-round growth. Since January 2022, a comprehensive digital roadmap was rolled out to transform systems, processes, communications, data, and marketing. The roadmap is the backbone of the Charity’s ambitions. In this first year of the strategy, there has been major improvements in website infrastructure, data and insight, social media engagement, and culture.

The next four sections explain how we have worked towards achieving our strategy goals over the last year.

Strategy goal #1 Strategy goal #2 Inspiring funding Sector-leading insight and programmes impact measurement

Strategy goal #3 Strategy goal #4 Ambitious fundraising Building national awareness

Alongside this, the shop platform has been relaunched, there is improved donor experience with automated user journeys and contactless donation points, a business intelligence tool has been implemented, a grant management system introduced and an augmented reality experience launched in partnership with Meta. This holistic approach has greatly improved the Charity’s overall digital maturity, enabling it to scale up its impact.

6 | The National Brain Appeal | Report and Accounts | 31 March 2023

The National Brain Appeal | Report and Accounts | 31 March 2023 | 7

Strategy goal #1 Inspiring funding programmes

In line with our strategy, we aim to deliver charitable projects that are well-known, accessible and understood by the leading players in the neurological community.

We have moved to focus more on three specific areas of funding, in order to make funding as accessible as possible to a diverse range of projects from small to large and encompassing all types of neurological conditions.

— Capital Fund

Capital Fund: A new home for neuroscience

The Charity has committed to raising £7m towards the creation of UCL’s new, state-of-the-art neuroscience centre on Gray’s Inn Road.

Bringing together research scientists, clinicians and patients, the centre will be home to three organisations – the UCL Queen Square Institute of Neurology (IoN), the Dementia Research Institute Hub and the National Hospital for Neurology and Neurosurgery. One of the most ambitious capital projects UCL has ever embarked on, this will bridge the gaps between existing research, academia and healthcare.

The first-of-its-kind centre will bring together clinical work and research, with an on-site outpatient facility, allowing clinicians and researchers to work closely with people with neurological disorders, alongside their families, doctors and researchers.

The facility will house up to 1,000 scientists, clinicians and patients and enable advances to translate from bench to bedside and back again.

Our commitment of funding will go towards the following three key facilities and services:

1) Patient research hub

A dedicated hub promoting patient-oriented research from their first clinic appointment onwards. This crucial facility will accelerate research, with the ultimate goal of discovering breakthroughs for a variety of neurological and neuromuscular conditions.

2) Stem-cell facility

The new labs will enable researchers to study diseases in a petri dish using stem cells taken from skin biopsies. The cells can then be used to test treatments more rapidly and develop new therapies for patients.

“This Neuroscience Centre will revolutionise how clinicians, scientists and patients can work together to transform diagnosis, care and research for people living with neurological conditions. The National Brain Appeal is proud to be fundraising for such an incredible initiative.”

Jackie Ashley, Chair of Trustees, The National Brain Appeal

(L-R) Construction firm ISG's CEO Matt Blowers, Dr Micol Falabella and Trustee Prof Mike Hanna at the 'topping out' ceremony

This year saw the physical ‘topping out’ of the New Home for Neuroscience on Gray’s Inn Road where construction reached its highest point. This marks a significant milestone for the multi-million pound project. It is fully on track to open in autumn 2024.

Left column: Artist impressions of UCL’s new neuroscience centre in central London. © All rights reserved by UCL. Above photo: Kirsten Holst

3) MRI scanners suite

We will fund two MRI scanners, part of a suite of scanners located in the basement. This will create one the largest research-focused neuroradiology scanning facilities in the world.

8 | The National Brain Appeal | Report and Accounts | 31 March 2023

The National Brain Appeal | Report and Accounts | 31 March 2023 | 9

An abstract representation of project aspirations, capturing ambitions while final designs are developed. (Helena Howard, Hawkins\Brown)

----- Start of picture text -----
RDS meetings are helpful to connect people going through
similar experiences
© Thomas S.G. Farnetti /Wellcome
----- End of picture text -----

Capital Fund: Rare Dementia Support Centre

The Charity has supported Rare Dementia Support (RDS) since the first meetings in 1994. RDS offers specialist social, emotional and practical support services for individuals living with, or affected by, a rare dementia diagnosis.

As a natural extension to the growth of RDS, we have committed to raise up to £7m to create the world’s first centre of excellence for rare dementias near Queen Square, at the heart of the neurological research and healthcare community.

The Centre will provide a calm, inviting and comfortable space, centred around the ‘kitchen table’. It will be designed for and by people with a range of needs. Hybrid technology will enable support, education and training to be delivered in person and online to increase its national and global reach.

This UCL Institute of Neurology-led collaborative Rare Dementia Support Centre will be a leader in how best to support those living with a rare dementia.

A location for the new Centre has now been identified within walking distance of Queen Square.

The new centre has three key aims:

Over recent months, stakeholder engagement sessions have been held and feasibility studies completed, resulting in a pre-construction schedule, initial RIBA stages and timeline to purchase being put in place to realise the vision of this world-first project.

10 | The National Brain Appeal | Report and Accounts | 31 March 2023

The National Brain Appeal | Report and Accounts | 31 March 2023 | 11

Small Acorns Fund

The Small Acorns Fund enables front-line staff at Queen Square to apply for funding small-scale projects that will have a positive impact on patients’ care and lives and can be implemented quickly.

It’s now been 10 years since the fund was launched; we’ve funded 150 projects in this way, each costing less than £5,000. Championed by a wide range of clinicians across many different departments, projects have varied from purchasing practical equipment and producing information materials for patients, to setting up condition-specific support groups and developing new technology for rehabilitation.

In our two rounds this year, we received 40 applications for funding – a record number.

Two of our recent projects included:

1) Undercurrent – Stroke Dance Project

In autumn 2022, the Small Acorns Fund awarded £4,690 to Nicole Walmsley, Clinical Specialist Occupational Therapist on the David Ferrier Stroke Rehabilitation Ward to facilitate a live dance and music performance project on the ward.

Run in collaboration with the Luminelle Dance Company, who work with people affected by neurological disorders or trauma, the project has offered all inpatients on the ward the opportunity to participate to the extent that they are able to, be that through dancing, contributing to choreography ideas, or simply enjoying a performance at their beside.

Engagement levels with the project have been very good, with staff, patients and their families reporting a positive impact on patients’ emotional expression and wellbeing. One patient described the sessions as “the best physio I’ve had”, while another said “I thoroughly enjoyed it. I always used to be on the dance floor; I can’t be now, but I could dance lying down here. I’m so glad I was here; it was a little adventure.”

2) iPads for ultrasound: improving injection-based treatment for neurology patients

The Hospital’s focal spasticity service offers targeted injections of botulinum toxin (Botox), to ease pain and muscle stiffness in patients with neurological conditions including stroke, MS, Cerebral Palsy and brain injury. For patients who do not respond well to Botox injections, alternative injections to block the tibial nerve with anaesthetic can help maintain walking.

Both procedures can help patients maintain mobility and independence and can be done more safely and accurately when ultrasound is used to identify which muscles to inject and/or locate the right nerve to target with anaesthetic. Ultrasound also helps identify patients for whom nerve blocking will be more effective than Botox, thus reducing unnecessary injections.

The department has two mobile ultrasound scanners, but these do not have an in-built screen and must be connected to a mobile device. A Small Acorns grant of £1,416 has helped to fix this issue by purchasing two iPads for use with the scanner.

Innovation Fund

The Charity’s Innovation Fund provides vital seedfunding for cutting-edge projects led by worldleading researchers and clinicians at Queen Square.

We know it is essential to invest in the latest technology and innovation to achieve change for those people living with a neurological condition. There is a huge demand for the Innovation Fund: for every project funded we receive around 20 applications. September 2023 will mark five years of The Innovation Fund with a focused drive to attract new Ambassadors with a special campaign and event.

Two of the most recent projects funded are:

1) Using Extended Reality to aid neurorehabilitation for stroke patients

In September 2022, Nick Ward, professor of clinical neurology and neurorehabilitation at UCL and honorary consultant neurologist at the Hospital, was awarded an Innovation Fund grant of £145,000 to create the next generation of video-game-based neurological rehabilitation for arm and hand recovery for people who have suffered a stroke or brain injury. The project will research and design ways that Extended Reality, or XR (an umbrella term for computer altered reality), can support arm and hand recovery by enabling patients to do more effective physical therapy at home.

The project brings together expertise from the UCL Institute of Neurology, and from the fields of computer science and game design (working with the Bartlett UCL School of Architecture), with insight from patients recovering from strokes. The initial stage involves classification of individual upper limb impairments, which vary depending on the area of the brain affected, the time since stroke and other factors. The information gathered will then be used to create, by 2025, a prototype for an XR tool that offers a tailored, immersive training environment to encourage optimal movement for recovery.

“We need to find new ways to allow stroke survivors to practise movement in their own homes. This type of project needs clinicians, neuroscientists, computer scientists, architects, designers to work with stroke survivors to develop the right solutions. We are all so grateful to The National Brain Appeal for recognising the value of our work and supporting this truly innovative approach to helping millions of people worldwide.” Professor Nick Ward, project leader

12 | The National Brain Appeal | Report and Accounts | 31 March 2023

The National Brain Appeal | Report and Accounts | 31 March 2023 | 13

Strategy goal #2 Sector-leading insight and impact measurement

2) Making brain surgery more widely available and more successful for people with epilepsy

There are 600,000 people living with epilepsy in the UK, and poorly controlled epilepsy results in 100,000 hospital admissions each year. For those who do not respond to medication, brain surgery can be a viable treatment, but this requires precise brain imaging systems to be widely available. In March 2023, UCL Senior Research Fellow Tim Tierney was awarded a £59,000 Innovation Fund grant to design a low-cost, spatially-precise brain imaging system.

Magnetoencephalography is an imaging technology that measures the magnetic fields produced by electrical activity in the brain. It is an effective tool for identifying patients who will benefit from surgery but can currently only be operated in expensive, magnetically shielded rooms that no UK hospital has access to.

Tim aims to design a system that can be used at the patient’s bedside without the need for magnetic shielding. He plans to build electromagnetic coils that produce magnetic fields that are both equal and opposite to the electromagnetic interference in the environment.

----- Start of picture text -----
The portable brain-imaging system will look similar to this device
----- End of picture text -----

“We are really excited to be embarking on this project, which could have a substantial impact on the lives of those living with epilepsy locally, nationally and internationally.”

Other projects

We fund a range of projects throughout the year and the summary above is not comprehensive.

One project that has now been completed is our Aphasia Appeal. The Charity raised £600,000 to fund the twoyear programme. It saw 90 people with speech and language difficulties following stroke, traumatic brain injury or brain tumours undergo an intensive comprehensive aphasia programme (ICAP). These patients benefitted from a high dose of 100 hours of therapy, compared to the average 12 hours patients would normally receive. Thanks to our support, the data from our two years of Queen Square ICAP have now helped generate the evidence for ICAPs to be included in the newly published (2023) UK national clinical guidelines for people with aphasia caused by stroke.

For more details on other projects funded, visit nationalbrainappeal.org or follow us on social media to find out more.

Our aim is to measure and communicate effectively the impact of our work so that we can inspire more people to support us and change the lives of those with neurological disorders.

Development of case studies

Shining a light on real people affected by neurological conditions is a vital tool in demonstrating the impact of the funding we provide. Alex Elliott joined the team in 2022 as in-house writer and has been working with PR and Press Consultant Marie Mangan to develop a comprehensive bank of case studies. These have been used on our website, in direct mail campaigns, across UCLH Trust Communications (the trust within which the Hospital sits) and also across wider, mainstream media.

One example of this was full-length article in the Evening Standard on John Whittingham, a patient at the Hospital. John has cerebellar ataxia, which is affecting his speech, and was able to bank his voice using equipment funded by a Small Acorns grant. We also provided a case study piece for the i Newspaper about the lack of appropriate care facilities for people living with a young-onset dementia.

----- Start of picture text -----
John Whittingham
----- End of picture text -----

Photo: Jane Ferguson Photography

----- Start of picture text -----
NT COVER OF CONCERTINA
n
p
The National Brain Appeal wants to transform the lives of n
millions of people living with neurological conditions. Without
for patients, we won’t see the advances in diagnosis or
treatments that the neurological community desperately
needs. The key to finding new solutions is to invest in more
research and see greater numbers of people taking part.
There are more than 15m people who make up the UK
neurological community, and we believed that there would
be a huge appetite among them to take part in research,
the barriers?so conducted a survey to get a snapshot of what is being
offered around the country today. Are patients being asked
to participate? What is the level of take up? And what are
sai
Nearly 1,000 of you shared your views – thank you! offerepa
THE RESULTS
a step change in the approach towards research opportunities
OUR NEURO PATIENT
RESEARCH SURVEY
----- End of picture text -----

Survey data

The Charity has been building awareness of its work within Queen Square via a number of different routes. One of the most successful has been the introduction of a dedicated Hospital/Institute of Neurology-wide monthly e-letter, which details funding that has been recently awarded and events for staff to attend. A Queen Square staff survey conducted to gauge awareness of the Charity’s work saw an increase in awareness levels since last year.

The Charity also ran its first nationwide public survey across the UK neurological community, which aimed to examine attitudes towards research participation. This fed into a campaign that highlighted the New Home for Neuroscience Appeal. The campaign showcased the way research participation will be transformed by the creation of the new Patient Research Hub, which the Charity will be funding as part of our £7m commitment.

Tim Tierney, project leader

14 | The National Brain Appeal | Report and Accounts | 31 March 2023

The National Brain Appeal | Report and Accounts | 31 March 2023 | 15

Strategy goal #3 Ambitious fundraising

This year has seen a lot of progress in implementing a diverse and sustainable fundraising strategy, which will set up the Charity to deliver on its ambitious target of £15m per year by 2027.

High-profile opportunities

A partnership was formed with Project Giving Back, a unique grant-making charity that provides funding for gardens for good causes at the RHS Chelsea Flower Show. This provided the Charity a high-profile national – and international – platform to help grow awareness and income opportunities.

The National Brain Appeal’s Rare Space Sanctuary Garden was designed by award-winning landscape designer Charlie Hawkes, to be enjoyed by people living with rare forms of dementia, particularly visual and spacial forms of the condition. Initially opened at the RHS Chelsea Flower Show 2023, it was the only garden at the show to win three awards, a coveted RHS Gold medal plus awards for Best Sanctuary Garden and Best Construction Award (Sanctuary Garden). It has since been moved to Exbury Gardens in Hampshire and will, in due course, be relocated to the new Rare Dementia Support Centre.

The RHS Chelsea Flower Show offered a number of opportunities to create bespoke events on our garden for major donors, corporate supporters, trusts, philanthropists and celebrities. The week-long event helped to open conversations about the Charity and the vital funding we are providing to support a specialist service, and our goal to raise £7m to open the world’s first Rare Dementia Support Centre.

----- Start of picture text -----
© Britt Willoughby Dyer/ Project Giving Back
----- End of picture text -----

In addition, we have developed an exciting partnership with Meta and immersive reality agency Arcade. The resulting augmented reality experience opened up the Rare Space Garden at the RHS Chelsea Flower Show to a new audience by enabling people to interact and ‘build’ a virtual garden in their own home and then take a selfie in the 360 O virtual environment.

Corporate support

We also secured our first major supermarket corporate partner, in the form of Iceland Foods. In connection with its own charity, Iceland Foods Charitable Foundation, a charity partnership was established to raise up to £1m for the Rare Dementia Support Centre. Richard Walker, Executive Chairman climbed Mount Everest with Kenton Cool in May 2023. Fundraising also took place across the 1,002 Iceland Food stores nationwide and the 30,000 Iceland ‘colleagues’ created their own fundraising events during the company’s charity week.

----- Start of picture text -----
Richard Walker (centre) climbing Mount Everest
----- End of picture text -----

Different approaches

This year the Charity began to test and introduce new income streams to keep revenue sources as broad and sustainable as possible.

----- Start of picture text -----
sustainable as possible.
In August 2022 we launched a lottery, with a view to
growing our individual giving stream. To date, we have You could win a and help millions living with
120 players enrolled with 194 chances. Out of those £25,000 prize… a neurological condition!
we have had 33 winners, raising £5,849 to date. We
will continue to promote our lottery in opportunities
around the hospital and in all communications sent to
our supporters, in addition to maintaining a paid-for
advertising campaign on Facebook.
Only
£1 per
We regularly experiment with new approaches to entry!
community fundraising, for example through Facebook How it works We’ve had a winner each week,
Challenges. Our first challenge was called 3k a day and 1 Visit nationalbrainappeal.org/lottery could you be the next lucky one?
participants could decide how they would do their 3k to choose your numbers and how many lines you’d like to play. Guaranteed prizes drawn every Friday
a day, making the event more accessible. This resulted 2 Fill in your details and your payment information. £25,000 £1,000
in 1,200 people joining the Facebook group, 980 3 That’s it! We’ll send you your unique
people registering and receiving emails, and 138 people lottery numbers and the welcome info. £20 x5 £10 x10 £5 x20
actively fundraising.
Visit nationalbrainappeal.org/lottery or scan the code to play!
----- End of picture text -----

----- Start of picture text -----
Visit nationalbrainappeal.org/lottery or scan the code to play!
----- End of picture text -----

We also have increased our focus on direct cash appeal mailings for the New Home for Neuroscience Appeal and the Small Acorns Fund in order to build income from individual supporters.. As part of the Small Acorns campaign, we also trialled reaching out to new potential supporters who had a similar profile to current National Brain Appeal supporters.

This year saw a welcome return to pre-Covid levels of participation in The National Brain Appeal’s sporting challenges. There were record numbers of participants and record funds raised in both the October 22 and April 2023 London Marathons.

Investment in the Philanthropic Partnerships team has enabled a much greater focus on grant-making trusts, corporate supporters and major gifts. All with the ultimate aim of rapidly increasing income to meet the strategic targets.

16 | The National Brain Appeal | Report and Accounts | 31 March 2022

The National Brain Appeal | Report and Accounts | 31 March 2022 | 17

Strategy goal #4 Building national awareness

The fourth section of our strategy outlines our goal to ‘raise awareness of The National Brain Appeal so that even those who haven’t been personally affected by neurological conditions understand the importance of our work and the need for funding in this area’. A series of highly successful events and partnerships, detailed below, have helped us to make excellent progress towards this goal – enabling us to engage with new audiences and build our profile.

We have worked hard to ensure that our coverage of these areas and of our other work is targeted and timed in a way that dovetails with wider media, and therefore the direction of the nation’s attention on any given day or week. Supporting this approach, the quality and volume of our social media content has developed exponentially in the past year, with our daily use of multiple platforms boosting organic interactions. Overall, our engaged online audience grew by 65% between 2022 and 2023.

A Letter in Mind

Our 2022 A Letter In Mind (ALIM) event was our biggest ever, with 770 artworks submitted. Our social media coverage of the event was instrumental in raising our profile, blending vibrant reels, videos and content created by participating artists. This user-generated content – often consisting of artists sharing their sold artworks and visits to the gallery – enabled us to create a tangible buzz around the event and introduce a new, wider audience to our brand. Print media coverage included articles in the FT , Evening Standard , Metro , Londonist and magazines Artists and Illustrators , The Artist and Leisure Painter . We are now building momentum and interest in advance of ALIM’s 10-year anniversary later this year, which looks set to be a record-breaking event for the Charity.

----- Start of picture text -----
Monty Don with Rare Space Garden designer Charlie Hawkes
----- End of picture text -----

Rare Space Garden

The Charity’s multi-award-winning Rare Space Garden generated a huge amount of media attention including articles and mentions in the Daily Telegraph , The Sunday Times , Evening Standard , Country Living , Gardens Illustrated , House & Garden , Homes & Garden , The English Garden , House Beautiful , Country Life , Wildflower Magazine and Homes and Interiors Scotland , plus features in specialist press Lancet Neurology and Fundraising Magazine .

A special highlight was the primetime BBC coverage in their RHS Chelsea Flower Show programming across the week, which featured Dame Joanna Lumley talking about the garden, presenter Nicki Chapman interviewing designer Charlie Hawkes on the garden and presenters Monty Don and Joe Swift exploring the garden. One of these shows included these glowing words from Monty Don: “With Chelsea, there are one or two things you know you are going to remember for the rest of your life, and inform you as a gardener. This is one of them.”

----- Start of picture text -----
Richard Walker on Good Morning Britain
----- End of picture text -----

Iceland Foods

Our partnership with Iceland Foods prompted extensive print and media coverage, including a full-page feature in the Daily Mail ’s Good Health section, stories in the Sunday Telegraph , The Times , Daily Express and the Mirror . Iceland executive chairman Richard Walker was interviewed on ITV Good Morning Britain , BBC Breakfast , Sky News and LBC radio, mentioning the Charity’s fundraising for the world’s first Rare Dementia Support Centre.

An interview between Richard and the Princess of Wales created an even bigger spotlight and prompted a further article in the Daily Mail . Associated events included Iceland’s Big Lunch, which generated a good deal of positive feeling and boosted awareness of RDS regional groups across the UK.

In the news

Other mainstream media coverage of the Charity’s work has included a 15-minute piece in BBC Radio 4’s All in The Mind covering the TNBA-funded Intensive Comprehensive Aphasia Programme (ICAP). We also secured an exclusive news story and editorial with the Evening Standard about our £7m New Home for Neuroscience Appeal and worked with The Times on a prominent news story about the need for more brain cancer trials, referencing the immunotherapy clinical trial that we funded.

When the family of Bruce Willis announced he was living with frontotemporal dementia, we set up an interview with Professor Sebastian Crutch for the BBC One News at Six and News at Ten and BBC Radio 4’s S ix O’Clock News . A BBC Radio 4 documentary series, Dementia: Unexpected Stories of the Mind , that aired in the spring included details of Rare Dementia Support in an episode on primary progressive aphasia (PPA).

From left to right: Author Abi Morgan, Jenny McDonald, Jacob Krichefski, Penny Elmsly and Richard Horne

Award-winning screenwriter, Abi Morgan, whose husband Jacob was a patient at the Hospital, held a fundraising event for the Charity to mark the publication of her book This is Not a Pity Memoir . The Charity and the event were mentioned in the Observer , Daily Express , the Big Issue and Broadway World and in an interview Abi gave on Tonight with Andrew Marr on LBC.

18 | The National Brain Appeal | Report and Accounts | 31 March 2023

The National Brain Appeal | Report and Accounts | 31 March 2023 | 19

Reserves and risk

Donors

Trustees

Without the support of so many donors, alongside a number of companies and grant-making trusts and foundations, the Charity would be unable to fund such a wide range of projects. Our grateful thanks to all who have supported this year.

These include:

Reserves policy

Total reserves held at the year end by the Charity amounted to £9,809,129 (2022: £8,915,868), of which £5,557,405 were held as restricted funds (2022: £3,804,876) and a further £3,210,000 were designated for specific purposes (2022: £3,629,498).

The Trustees of the Charity who served during the year were:

Jackie Ashley (Chair)

Richard Blakey (Treasurer)

Caroline Church

General Fund

Action For Neurological Disorders Danny Sullivan Group Ennismore Foundation Freemasons’ Grand Charity James Ellis Charitable Trust James Hambro & Partners Joseph Strong Frazer Trust JP McManus Charitable Foundation Oldhurst Trust The Clarkindell Charitable Trust The Stansmore Charitable Trust Viscountess Blakenham’s Charitable Trust

Rare Dementia Support and Rare Dementia Support Centre

Asian Media Group The Galen and Hilary Weston Foundation Girdlers’ Company Charitable Trust Iceland Foods Charitable Foundation Kirby Laing Foundation Mercers’ Company Mildred Duveen Charitable Trust October 09 Charitable Trust Rosetrees Trust

GIR/ New home for neuroscience

A.B. David Charity The PF Charitable Trust

Innovation Fund

Ambrose & Ann Appelbe Trust C A Pilgrim 3 Ltd Q Charitable Trust Rosetrees Trust The RDJ Foundation (in memory of Sue Judah)

Small Acorns

A.B. David Charity

Brain Cancer Research

Susie Steiner - Happen Creative James Clifford Campling Trust

Education & Staff Development Fund

The Bryan Guinness Charitable Trust

Neurosurgery Fund

Gillham Charitable Trust

Dementia Research

Q Charitable Trust

The Trustees have established a policy whereby the unrestricted funds not committed or invested in tangible fixed assets (“the free reserves”) held by the Charity should be sufficient to meet between 9 and 15 months staff and office costs. Therefore, the target for free reserves is between £960,000 and £1,880,000. Total free reserves as at 31 March 2023 were £1,041,724. The Trustees consider that they would be able to continue the current activities of the Charity in the event of a drop in funding as a sufficient proportion of the designated funds will not be required in the next 12 months.

Risk exposure

The Trustees have addressed the major risks to which the Charity is exposed, in particular those relating to its operations and finances, and are satisfied that the systems in place are sufficient to manage the exposures identified. As the Charity does not directly provide charitable services, the main risks are being unable to deliver promised funding on time. However, Trustees are careful not to overcommit and pledges are considered in relation to assets held and predicted cash flow. A risk register has evolved to detail risks and the controls and mitigations in place to manage this risk. The risk register was reviewed by the Finance and Investment committee during September 2022 following a review by the Executive team. In addition, the Trustees approved a risk appetite statement during the financial year that helped to underpin strategic decision making.

Joanna David

Professor John Duncan

Jules Foster

Joan Grieve

Professor Mike Hanna

James Knight

Suzanne Millar

Diarmid Ogilvy

Michael Powell

(resigned December 2022)

Dame Elizabeth Slade

Michael Smith

Professor Alan Thompson

Dr Chris Turner

The President of the Charity is

Edward Datnow FRCS

Key management personnel remuneration is charged directly from University College London Hospitals NHS Foundation Trust who determine the salary rates.

20 | The National Brain Appeal | Report and Accounts | 31 March 2023

The National Brain Appeal | Report and Accounts | 31 March 2023 | 21

Statement of Trustees’ Responsibilities

The Trustees (who are also directors of The National Hospital for Neurology and Neurosurgery Development Foundation for the purposes of company law) are responsible for preparing the Trustees’ Report (incorporating the Directors’ Report) and the financial statements in accordance with applicable law and regulations.

Company law requires the Trustees to prepare financial statements for each financial year. Under that law the Trustees have elected to prepare the financial statements in accordance with United Kingdom Generally Accepted Accounting Practice (United Kingdom Accounting Standards and applicable law). Under company law the Trustees must not approve the financial statements unless they are satisfied that they give a true and fair view of the state of affairs of the charitable company and of the income and expenditure of the charitable company for that period. In preparing these financial statements, the Trustees are required to:

The Trustees are responsible for keeping adequate accounting records that are sufficient to show and explain the charitable company’s transactions and disclose with reasonable accuracy at any time the financial position of the charitable company and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

In so far as the Trustees are aware:

The Trustees are responsible for the maintenance and integrity of the corporate and financial information included on charitable company’s website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislations in other jurisdictions.

Auditor

A resolution to re-appoint the auditor, Moore Kingston Smith LLP will be proposed at the annual general meeting.

Small company provisions

The report has been prepared in accordance with the special provisions for small companies under Part 15 of the Companies Act 2006.

By order of the Trustees

Independent Auditor’s Report

Jackie Ashley Chair

Date: 28 September 2023

22 | The National Brain Appeal | Report and Accounts | 31 March 2023

Independent Auditor’s Report

Opinion

We have audited the financial statements of the National Hospital for Neurology and Neurosurgery Development Foundation (‘the company’) for the year ended 31 March 2023 which comprise the Statement of Financial Activities, the Balance Sheet, the Cash Flow Statement and 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 FRS 102 ‘The Financial Reporting Standard Applicable in the UK and Republic of Ireland’ (United Kingdom Generally Accepted Accounting Practice).

In our opinion the financial statements:

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 financial statements section of our report. We are independent of the 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 charitable company’s ability to continue as a going concern for a period of at least 12 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 other information comprises the information included in the Annual Report, other than the financial statements and our auditor’s report thereon. The Trustees are responsible for the other information. Our opinion on the 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.

In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the 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 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

In our opinion, based on the work undertaken in the course of the audit:

Matters on which we are required to report by exception

In the light of the knowledge and understanding of the company and its 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 where the Companies Act 2006 requires us to report to you if, in our opinion:

Responsibilities of Trustees

As explained more fully in the Trustees’ responsibilities statement, the Trustees (who are also the directors of the 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 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 charitable company or to cease operations, or have no realistic alternative but to do so.

Auditor’s responsibilities for the audit of the financial statements

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 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 noncompliance 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 is detailed below.

Explanation as to what extent the audit was considered capable of detecting irregularities, including fraud

The objectives of our audit in respect of fraud, are; to identify and assess the risks of material misstatement of the financial statements due to fraud; to obtain sufficient appropriate audit evidence regarding the assessed risks of material misstatement due to fraud, through designing and implementing appropriate responses to those assessed risks; and to respond appropriately to instances of fraud or suspected fraud identified during the audit. However, the primary responsibility for the prevention and detection of fraud rests with both management and those charged with governance of the charitable company.

Our approach was as follows:

24 | The National Brain Appeal | Report and Accounts | 31 March 2023

The National Brain Appeal | Report and Accounts | 31 March 2023 | 25

As part of an audit in accordance with ISAs (UK) we exercise professional judgement and maintain professional scepticism throughout the audit. We also:

— Evaluate the appropriateness of accounting policies used and the reasonableness of accounting estimates and related disclosures made by the Trustees.

We communicate with those charged with governance regarding, among other matters, the planned scope and timing of the audit and significant audit findings, including any significant deficiencies in internal control that we identify during our audit.

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. Our audit work has been undertaken so that we might state to the 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 any party other than the charitable company and charitable company’s members as a body, for our audit work, for this report, or for the opinions we have formed.

Neil Finlayson TBC (Senior Statutory Auditor)

for and on behalf of Moore Kingston Smith LLP, Statutory Auditor: 6th Floor, 9 Appold Street, London EC2A 2AP

Financial Statements

Date: 3 October 2023

The National Brain Appeal | Report and Accounts | 31 March 2023 | 27

26 | The National Brain Appeal | Report and Accounts | 31 March 2023

Statement of Financial Activities

Balance Sheet

Unrestricted Restricted Total funds Total funds
funds funds 2023 2022
Notes £ £ £ £
Income
Donations and legacies 4 1,008,037 2,648,191 3,656,228 2,954,285
Investment income 5 357,462 - 357,462 289,069
Rental income 11,806 - 11,806 52,063
Total income 1,377,305 2,648,191 4,025,496 3,295,417
Expenditure
Costs of raising funds 6 875,258 2,920 878,178 649,107
Expenditure on charitable activities 7 583,948 964,729 1,548,677 1,720,078
Total expenditure 1,459,206 967,649 2,426,855 2,369,185
Net income before transfers (81,901) 1,680,542 1,598,641 926,232
Transfers between funds (71,987) 71,987 - -
Net income before gains and losses (153,888) 1,752,529 1,598,641 926,232
Realised gains (losses) on revaluation of investments
Unrealised gains (losses) on revaluation of investments 12 (705,380) - (705,380) 201,038
Net income/(expenditure) and net movement in funds (859,268) 1,752,529 893,261 1,127,270
Reconciliation of funds
Total funds brought forward at 1 April 2022 5,110,992 3,804,876 8,915,868 7,788,598
Total funds carried forward at 31 March 2023 4,251,724 5,557,405 9,809,129 8,915,868

All above amounts are derived from continuing operations. All gains and losses for the year are shown above. The notes on pages 31 to 42 form part of these financial statements.

2023 2022
Notes £ £ £ £
FIXED ASSETS
Investments 12 8,400,796 9,034,262
8,400,796 9,034,262
CURRENT ASSETS
Debtors 13 1,481,223 163,412
Bank balances and cash in hand 499,178 144,801
1,980,401 308,213
CREDITORS
Amounts falling due within one year 14 (572,068) (426,607)
NET CURRENT ASSETS 1,408,333 (118,394)
TOTAL ASSETS LESS CURRENT LIABILITIES 9,809,129 8,915,868
ACCUMULATED FUNDS
Unrestricted funds
General fund 15 1,041,724 1,481,494
Designated funds 15 3,210,000 3,629,498
Total Unrestricted Funds 4,251,724 5,110,992
Restricted Funds 16 5,557,405 3,804,876
TOTAL FUNDS 18 9,809,129 8,915,868

These financial statements have been prepared in accordance with the provisions applicable to companies subject to the small companies regime.

The financial statements were authorised for issue on 28/09/23 and were signed on their behalf by

Richard Blakey
Treasurer
Jackie Ashley
Chair

The National Hospital for Neurology and Neurosurgery Development Foundation

The National Hospital for Neurology and Neurosurgery Development Foundation

28 | The National Brain Appeal | Report and Accounts | 31 March 2023

The National Brain Appeal | Report and Accounts | 31 March 2023 | 29

Notes to the financial statements

Statement of Cash Flows

A. RECONCILIATION OF NET INCOMING RESOURCES

1. Company information

TO NET CASH INFLOW FROM OPERATING ACTIVITIES

A. RECONCILIATION OF NET INCOMING RESOURCES
TO NET CASH INFLOW FROM OPERATING ACTIVITIES
2023 2022
£ £
Net movement in funds 893,261 1,127,270
(Gain)/Loss on disposal of fxed assets/investments (unrealised) 705,380 (201,038)
(Gain)/Loss on disposal of fxed assets/investments (realised) - -
Decrease/(increase) in debtors (1,317,811) (34,131)
Increase/(decrease) in creditors 145,461 (128,813)
Investment income shown in investing activities (357,462) (289,069)
Net cash infow from operating activities 68,829 474,219

The National Hospital for Neurology and Neurosurgery Development Foundation is a charitable company limited by guarantee incorporated in England & Wales and domiciled in England.

The Registered Office is The National Hospital, Queen Square, London, WC1N 3BG.

The principal activity of the Charity is to promote the relief and prevention of diseases of the nervous system.

The Company’s registered number is 01844281. The registered Charity number is 290173.

The functional and presentation currency of these financial statements is GBP and the financial statements are rounded to the nearest £1.

2. Accounting policies

(a) Accounting basis

The financial statements cover the period 1 April 2022 to 31 March 2023.

STATEMENT OF CASH FLOWS

STATEMENT OF CASH FLOWS
Note 2023 2022
£ £
Net cash infow from operating activities A 68,829 474,219
Cash fows from investing activities
Financial investment (purchase) - (1,804,098)
Proceeds from disposal of investments (at opening market value) - -
Gain/(loss) on sale of investments (realised) - -
Investment income received 357,462 289,069
(Increase)/decrease in investment cash (71,914) 537,591
Cash (used in)/provided by investing activities 285,548 (977,438)
(Decrease)/increase in cash and cash equivalents in the year 354,377 (503,219)
Cash and cash equivalents at the beginning of the year 144,801 648,020
Cash and cash equivalents at the end of the year 499,178 144,801

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) (effective 1 January 2015) - (Charities SORP (FRS 102)), the Financial Reporting standards applicable in the UK and Republic of Ireland (FRS 102) and the Companies Act 2006.

The National Brain Appeal meets the definition of a public benefit entity under FRS 102. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant policy note(s).

They are prepared under the historical cost convention with the exception of fixed asset investments, which are recorded at market value.

(b) Going concern

The financial statements are prepared on a going concern basis which assumes the charitable company will continue in operational existence for the foreseeable future.

The Trustees have considered the going concern status of the Charity for a period of twelve months from the date of approval of these financial statements, and have specifically looked at the impact of Covid-19. A review of the budget and cash flow was undertaken and due to a large number of legacy notifications and a successful year in most areas of fundraising, the Trustees feel confident that the Charity has the resources to meet its commitments. It has been possible to continue funding all projects that have not been delayed or altered and sufficient funds are held to support all projects currently underway.

The Trustees do not believe there are any indicators why the going concern status of the Charity would not be supported and this is supported by the open market investments of £7,999,198 (2022: £8,704,578) and total funds of £9,809,129 (2022: £8,915,868). Outflows from the Charity are dependent on the income levels received by the Charity on an on-going basis.

Accordingly, the Trustees continue to adopt the going concern basis in the preparation of the financial statements.

(c) Incoming resources

All incoming resources are included in the Statement of Financial Activities when the Charity is legally entitled to the income and the amount can be quantified with reasonable certainty

30 | The National Brain Appeal | Report and Accounts | 31 March 2023

The National Brain Appeal | Report and Accounts | 31 March 2023 | 31

(d) Legacies

Legacies are included when the Charity is advised by the personal representative of an estate that payments will be made, is probable of its receipt, and the amount involved can be quantified.

(e) Incoming resources from activities to generate funds

3 Judgements in applying accounting policies and key sources of estimation uncertainty

In preparing the Financial Statements, management is required to make estimates and assumptions which affect reported income, expenses, assets, liabilities and disclosure of contingent assets and liabilities. Use of available information and application of judgement are inherent in the formation of estimates, together with expectations of future events are believed to be reasonable under the circumstances. Actual results in the future could differ from such estimates.

Income from activities to generate funds comprises amounts receivable from fundraising events for which tickets have been sold.

(f) Resources expended

All expenditure is accounted for on an accruals basis, inclusive of irrecoverable VAT, and is allocated to the appropriate heading in the accounts.

Costs of raising funds include the costs incurred in generating voluntary income and the costs of direct publicity intended to raise the profile of the Charity.

Charitable expenditure comprises services supplied and activities undertaken which are identifiable as wholly or mainly in support of the Charity’s objectives.

Governance costs included in charitable activities are those costs associated with the governance arrangements of the Charity, and these include audit, legal advice for Trustees, costs associated with Trustee meetings and the cost of the preparation of the statutory accounts.

Support costs are those costs which enable raising funds and charitable activities to be undertaken. Where activities are incurred relate to more than one cost category, it is apportioned on the most appropriate basis, predominantly with reference to staff time, and on a reasonable and consistent basis.

(g) Investments

Investments are accounted for at market value, which gives rise to unrealised gains/losses which are included in the Statement of Financial Activities. Realised gains/losses arising on the disposal of investments during the year are also included in the Statement of Financial Activities.

(h) Funds

The General fund is available to use at the discretion of Trustees in furtherance of the Charity’s objectives. Designated funds comprise funds which have been set aside by the Trustees for specific purposes. Restricted funds are funds received which are subject to specific restrictions as imposed by the donor or the nature of the appeal.

(i) Cash and cash equivalents

Cash is represented by cash in hand and deposits with financial institutions repayable without penalty on notice of not more than 24 hours. Cash equivalents are highly liquid investments that mature in no more that three months from the date of acquisition and that are readily convertible to known amounts of cash with insignificant risk of changes in fair value.

4 Donations and legacies Unrestricted Restricted 2023 2022
£ £ £ £
General donations 270,670 897,402 1,168,072 744,379
Donations from charitable trusts 74,072 1,308,000 1,382,072 431,138
Legacies 421,184 194,069 615,253 1,422,006
Sporting and challenge events 148,992 164,560 313,552 184,577
Special events & activities 93,119 84,160 177,279 172,185
1,008,037 2,648,191 3,656,228 2,954,285
5. Income from investments 2023 2022
£ £
Interest receivable from bank deposit accounts 8 12
Income from investment portfolio 357,454 289,057
357,462 289,069
6. Costs of raising funds Unrestricted Restricted 2023 2022
£ £ £ £
Direct costs 393,159 2,920 396,079 250,432
Support costs(note 8)
Staf costs 360,820 - 360,820 280,069
Rent & rates 42,039 - 42,039 79,964
Other costs 79,240 - 79,240 38,642
875,258 2,920 878,178 649,107

(j) Operating leases

Operating lease charges are recognised in the Income and Expenditure Account when due.

32 | The National Brain Appeal | Report and Accounts | 31 March 2023

The National Brain Appeal | Report and Accounts | 31 March 2023 | 33


7
Charitable activities Unrestricted Restricted 2023 2022
8 Support costs
2023 2022
£ £ £ £ £ £
Direct costs 40 964,729 964,769 1,298,686 Rent and rates 71,136 110,829
Governance costs (note 7a) 142,873 - 142,873 107,288 Staf costs 722,043 551,317
Other costs 192,789 104,270
Support costs (note 8)
Staf costs 314,455 - 314,455 231,677 985,968 766,416
Rent & rates 26,187 - 26,187 27,779
Other costs 100,393 - 100,393 54,648
The support costs shown above are further analysed in notes 6, 7 and 7a, in the categories in which they are reported on the
583,948 964,729 1,548,677 1,720,078 Statement of Financial Activities.
Grants by activity 2023 2022
£ £ 9 Staf
Neurodegeneration 632,869 635,393 There were 13.3 staf (2022:10.5) on average employed by University College London Hospitals NHS Trust contracted to work
Neurology 72,422 367,313 for the Charity. Staf costs are charged to the Charity on the basis of the time spent working for the Charity.
Neurosurgery 52,876 46,642
Education & Staf Development 1,839 - The total staf costs recharged were £722,043 (2022:£551,317).
Queen Square 61,775 30,693 In addition, temporary staf were paid a total of £95,149 (2022:£39,825).
Technology & Innovation 142,921 208,164
Other 67 10,481 There was one (2022:one) member of key management personnel directly employed by University College London Hospitals
NHS Trust during the year.. The recharge paid by the Charity to University College London Hospitals NHS Trust contributes towards
964,769 1,298,686 the cost of this individual providing a managerial service. As at 31st March 2023 there were no employees employed directly by
the Charity.
Grants by organisation 2023 2022 The Trustees receive no remuneration (2022:nil) and no reimbursement of expenses (2022:nil). There were no other contracts or
£ £ transactions with Trustees or connected parties except that the Charity is grateful for a number of charitable donations totalling
£4,375 (2022: £6,090) from 9 Trustees.
UCLH NHS Foundation Trust 558,258 585,936
University College London 346,578 346,387
Epilepsy Society - 130,792
Other 59,933 235,571 10 Related Party Transactions
964,769 1,298,686 During the year there was a transaction with a related party of the chief executive of £240 (2022: £300) and an amount
outstanding at the year end from the chief executive of £105, which has since been repaid.
No grants were made to individuals in the current or prior year.
7a Governance costs 2023 2022 11 Net incoming resources
£ £ 2023 2022
£ £
Audit fee 17,083 14,403 This is stated after charging:
Insurance 1,200 976
Other costs 61,756 38,272 Operating lease rental - premises 47,192 20,277
Support costs (note 8) Auditors’ remuneration - Audit fees 17,083 14,403
Staf costs 46,768 39,570
Rent and rates 2,910 3,087
Other costs 13,156 10,980
142,873 107,288
34 The National Brain Appeal Report and Accounts 31 March 2023

12 Fixed asset investments

12 Fixed asset investments
2023 2022
£ £
Market value of equities and bonds at 1st April 8,704,578 6,699,442
Additions at cost - 1,804,098
Disposals at opening market value - -
Net unrealised gains/(losses) on revaluation at 31st March (705,380) 201,038
Market value of equities and bonds at 31st March 7,999,198 8,704,578
Cash deposits 401,598 329,684
Market value at 31st March 8,400,796 9,034,262
Historic cost at 31st March 7,944,612 7,944,612
Portfolio at 31st March
2023 2022
£ £
Multi-asset fund 7,999,198 8,704,578
Cash - Sterling 401,598 329,684
Market value at 31st March 8,400,796 9,034,262

The above represents holdings greater than 5% of the total market value of the portfolio at year end.

The Charity's Multi-asset fund is invested with Cazenove in its SUTL Charity NURS Fund.

14 Creditors
2023 2022
£ £
Due within one year
University College London, Institute of Neurology 354,607 312,817
Other creditors and accruals 217,461 113,790
572,068 426,607
15 Unrestricted funds: movements in year
Balance Income Expenditure
Investment
Transfers Balance
1.4.22 gains/(losses) 31.3.23
£ £ £
£
£ £
Designated funds
National Hospital - small projects 48,578 - -
-
(38,578) 10,000
Neuro-oncology Flagship Programme 30,000 - -
-
(30,000) -
Neurorehab - high dose Aphasia 96,920 - -
-
(96,920) -
Stroke Project 700,000 - -
-
- 700,000
Operating Theatres 254,000 - -
-
(254,000) -
Neuroscience Centre - Gray’s Inn Road 2,500,000 - -
-
- 2,500,000
Total designated funds 3,629,498 - -
-
(419,498) 3,210,000
General fund 1,481,494 1,377,305 (1,459,206)
(705,380)
347,511 1,041,724
5,110,992 1,377,305 (1,459,206)
(705,380)
(71,987) 4,251,724

Unrestricted Funds have been specifically designated by The National Hospital for Neurology and Neurosurgery Development Foundation for the following purposes:

National Hospital - small projects

Funding for small projects. Two rounds of applications per annum in Spring and Autumn. Funds have been released as the designated reserve requirement going forward is not expected to be more than £10k.

13 Debtors 2023 2022
£ £
Prepayments 83,479 43,976
Accrued Income; Donations and Legacies 1,046,847 119,420
Other Debtors 350,897 16
1,481,223 163,412

Neuro-oncology Flagship Programme

Project is complete and funds released back to general funds.

Neurorehab - high dose Aphasia

Funds released back to general funds as no longer required for the Aphasia project fund.

Stroke Project

The fund is designated for the purchase of a neurointerventional biplane for Queens Square. It is equipment used to support the diagnosis and treatment of neurological disorders. Purchase expected December 2023.

Operating Theatres

This designated fund has been split and transferred between Neurosurgery Restricted funds for the completion of existing projects and the remainder to general funds.

Neuroscience centre - Gray’s Inn Road

An amount has been designated as the initial part of the commitment to raising the full £7m towards the creation of UCL’s new, state-of-the-art £281m neuroscience centre on Gray’s Inn Road. It is anticipated that the funds will be required between Feb 2024 and Oct 2024.

36 | The National Brain Appeal | Report and Accounts | 31 March 2023

The National Brain Appeal | Report and Accounts | 31 March 2023 | 37

16 Restricted Funds: movements in year

Restricted Funds: movements in year
Balance Income Expenditure Investment Transfers Balance
1.4.22 gains/(losses) 31.3.23
£ £ £ £ £ £
Neurodegeneration
Neurodegeneration - 7,373 (20,290) - 12,917 -
Centre for Neuromuscular Diseases 315,461 - (104,818)
-
- 210,643
CJD - Prion Fund 1,917 - (2,000)
-
83 -
Dementia Research 423,985 92,306 (30,081)
-
- 486,210
Posterior Cortical Atrophy 293,832 186,561 (80,660)
-
- 399,733
FTD - Picks Disease Support Group 31,304 - - - (31,304) -
FTD - Picks Disease Research Fund 218,723 94,847 (116,468)
-
- 197,102
Myrtle Ellis 90 - - - (90) -
Rare Dementia Centre 389,565 678,810 (18,191)
-
- 1,050,184
Rare Dementia Support Group 429,650 607,913 (224,032)
-
31,394 844,925
Dystonia Research 3,000 - - - - 3,000
Myotonic Dystophy Research 3,490 - - - - 3,490
Parkinson’s Disease 583 240 - - - 823
Neurosurgery
Neurosurgery 104,865 23,086 (22,629)
-
- 105,322
Acute Brain Injury 21,668 25 - - - 21,693
Brain Tumour Unit 196,115 15 - - - 196,130
Molly’s Fund 81,866 7,856 - - - 89,722
Medical Intensive Therapy Unit 9,008 - - - - 9,008
Neurocritical Care 1,965 - - - - 1,965
Neurosurgical Education 2,396 - - - - 2,396
Pituitary Surgery 29,427 - (29,472)
-
45 -
Sub Arrachnoid Haemorrhage 19,758 - (775)
-
- 18,983
Surgical Intensive Therapy Unit 167,595 - - - 82,405 250,000
Neurology
Neurology - 16,575 (39,955)
-
24,144 764
Mitochondrial Diseases (J Land) - - (36,237)
-
36,237 -
MS Fund 148,363 2,889 (21,436)
-
- 129,816
MS Primary Progressive 20,000 125 -
-
- 20,125
Neuro-ophthalmology 9,980 - -
-
- 9,980
Neuro-otology 21,251 - -
-
- 21,251
Neuro-rehabilitation 60,356 25 -
-
(60,381) -
Epilepsy Project - TMS - - (26,672)
-
26,672 -
NHDEPI Epilepsy Fund - 10,022 -
-
- 10,022
Neurorehab - high dose Aphasia - 2,995 20,638 - (23,633) -
Research Fund 37,600 - (3,355)
-
(26,800) 7,445
Stroke Project 234,957 5,236 (5,000)
-
- 235,193
Stroke Research 27,970 148,232 -
-
- 176,202
Balance Income Expenditure Investment Transfers Balance
1.4.22 gains/(losses) 31.3.23
£ £ £ £ £ £
Education and Staf Development
Education and Staf Development
- 1,042 (1,340)
-
298 -
Gorlov Prize 3,250 - (500) - - 2,750
Queen Square
Queen Square 79,608 24,988 (2,450)
-
- 102,146
Small Acorns Programme 17,753 81,993 (58,972)
-
- 40,774
Wards/Nursing 16,549 - - - - 16,549
Day Care Fund - - -
-
- -
Emergency Fund - - -
-
- -
Gray’s Inn Road 29,785 285,255 - - - 315,040
Technology and Innovation
Technology and Innovation - 3,804 -
-
- 3,804
Innovation Fund 152,474 120,229 (30,066)
-
- 242,639
Neuropsychology 56 - - - - 56
Neuroimmunology 146,754 9,000 (25,165)
-
- 130,589
T&INER Neuroresponse - - (87,725)
-
- (87,725)
Brain Cancer Research Fund 51,907 236,749 -
-
- 288,656
TOTAL RESTRICTED FUNDS 3,804,876 2,648,191 (967,649) - 71,987 5,557,405

Transfers to restricted funds occur when expenditure exceeds income, and the balance is made up from unrestricted funds. The Emergency Fund is now part of the general fund for Queen Square

38 | The National Brain Appeal | Report and Accounts | 31 March 2023

The National Brain Appeal | Report and Accounts | 31 March 2023 | 39

17 Restricted Funds: movements 2021-22

Balance Income Expenditure Investment Transfers Balance
1.4.21 gains/(losses) 31.3.22
£ £ £ £ £ £
Neurodegeneration
Neurodegeneration
33,024 11,489 (59,337) - 14,824 -
Centre for Neuromuscular Diseases 363,660 105,930 (154,129) - - 315,461
CJD - Prion Fund 1,917 15,000 (15,000) - - 1,917
Dementia Research 470,096 54,063 (100,174) - - 423,985
Posterior Cortical Atrophy 292,988 844 - - - 293,832
FTD - Picks Disease Support Group 30,739 565 - - - 31,304
FTD - Picks Disease Research Fund 145,677 73,046 - - - 218,723
Myrtle Ellis 90 - - - - 90
Rare Dementia Centre 219,447 170,418 (300) - - 389,565
Rare Dementia Support Group 509,567 172,894 (252,811) - - 429,650
Dystonia Research 3,000 - - - - 3,000
Myotonic Dystophy Research 3,490 - - - - 3,490
Parkinson’s Disease 151 432 - - - 583
Neurosurgery
Neurosurgery 89,238 48,340 (32,713) - - 104,865
Acute Brain Injury 21,668 - - - - 21,668
Brain Tumour Unit 195,292 823 - - - 196,115
Molly’s Fund 95,205 590 (13,929) - - 81,866
Medical Intensive Therapy Unit 9,008 - - - - 9,008
Neurocritical Care 1,965 - - - - 1,965
Neurosurgical Education 2,396 - - - - 2,396
Pituitary Surgery 29,427 - - - - 29,427
Sub Arrachnoid Haemorrhage 12,608 7,150 - - - 19,758
Surgical Intensive Therapy Unit 167,595 - - - - 167,595
Neurology
Neurology 3,264 35,461 (210,664) - 171,939 -
Epilepsy TMS - EEG - 11,250 (130,792) - 119,542 -
Mitochondrial Diseases 50,000 - (59,221) - 9,221 -
MS Fund 148,363 - - - - 148,363
MS Primary Progressive 20,000 - - - - 20,000
Neuro-ophthalmology 9,980 - - - - 9,980
Neuro-otology 21,251 - - - - 21,251
Neuro-rehabilitation 56,318 4,038 - - - 60,356
Neurorehab - high dose Aphasia 14,082 4,745 (20,638) - 1,811 -
Research Fund 37,600 - - - - 37,600
Stroke Project 234,342 615 - - - 234,957
Stroke Research 26,650 1,320 - - - 27,970
Balance Income Expenditure Investment Transfers Balance
1.4.21 gains/(losses) 31.3.22
£ £ £ £ £ £
Education and Staf Development
Education and Staf Development
(4,024) 2,388 (9,500) - 11,136 -
Gorlov Prize 3,750 - (500) - - 3,250
Queen Square
Queen Square 46,310 25,643 (1,358) - 9,013 79,608
Small Acorns Programme 27,643 19,445 (29,335) - - 17,753
Wards/Nursing 16,549 - - - - 16,549
Emergency Fund 9,013 - - - (9,013) -
Gray’s Inn Road 1,889 27,896 - - - 29,785
Technology and Innovation
Technology and Innovation (7,140) 5,839 (67,743) - 69,044 -
Innovation Fund 155,092 137,803 (140,421) - - 152,474
Neuropsychology - 56 - - - 56
Neuroimmunology 146,754 - - - - 146,754
Brain Cancer Research Fund 22,797 29,110 - - - 51,907
TOTAL RESTRICTED FUNDS 3,738,731 967,193 (1,298,565) - 397,517 3,804,876

Transfers to restricted funds occur when expenditure exceeds income, and the balance is made up from unrestricted funds. The Emergency Fund is now part of the general fund for Queen Square

40 | The National Brain Appeal | Report and Accounts | 31 March 2023

The National Brain Appeal | Report and Accounts | 31 March 2023 | 41

18 Analysis of net assets between funds
Fixed Net current Total Total
investments assets 2023 2022
£ £ £ £
General fund 457,646 584,078 1,041,724 1,481,494
Designated funds 3,210,000 - 3,210,000 3,629,498
Total unrestricted funds 3,667,646 584,078 4,251,724 5,110,992
Restricted funds 4,733,150 824,255 5,557,405 3,804,876
8,400,796 1,408,333 9,809,129 8,915,868

19 Operating lease commitments

At 31st March 2023 the Charity had total commitments under non-cancellable operating leases of land & buildings as set out below

Payable as follows: 2023 2022
£ £
Up to one year 45,720 20,277
Two – fve years 137,160 -
More than fve years - -

Lease payments expensed in the year are disclosed in note 11

The National Brain Appeal | Report and Accounts | 31 March 2023 | 43

42 | The National Brain Appeal | Report and Accounts | 31 March 2023

Contact us

To find out more, please visit nationalbrainappeal.org

@BrainAppeal

TheNationalBrainAppeal brain_appeal The National Brain Appeal

The National Brain Appeal 3rd Floor, Ormond House 26-27 Boswell Street London WC1N 3BG

T 020 3448 4724

Registered charity no. 290173

44 | The National Brain Appeal | Report and Accounts | 31 March 2023