2024-03-31-accounts - Scannappeal

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REGISTERED CHARITY NUMBER: 296291

REPORT OF THE TRUSTEES AND

FINANCIAL STATEMENTS

FOR THE YEAR ENDED 31 MARCH 2024

FOR

SCANNAPPEAL

Seymour Taylor Limited, Statutory Auditor First Floor North 40 Oxford Road High Wycombe Buckinghamshire HP11 2EE

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CONTENTS OF THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

		Page
Report of the Trustees	1	to	9
Report of the Independent Auditors	10	to	12
Statement of Financial Activities		13
Statement of Financial Position		14
Statement of Cash Flows		15
Notes to the Statement of Cash Flows		16
Notes to the Financial Statements	17	to	28
Detailed Statement of Financial Activities	29	to	30

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SCANNAPPEAL

REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2024

The Trustees present their report and the audited financial statements of the charity for the year ended 31 March 2024.

The accounts have been prepared in accordance with the accounting policies set out in note 1 to the accounts and comply with the Charity's governing document, the Charities Act 2011 and "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 2019)."

OBJECTIVES AND ACTIVITIES

Objectives

The object of the charity is set out in the Deed of Variation dated 23 February 2012. This is to apply the Trust Fund towards the relief of sickness, in particular by the purchase, maintenance and other running expenses (including the training and salaries of staff) of medical equipment and associated facilities, as may be appropriate at the time of purchase. This may include the building of premises on a site within, adjoining or near to any hospital or health care delivery centre within Buckinghamshire and adjacent counties, designed to provide all the facilities required by the housing and operating of such equipment. The payment or application of funds shall only be made in or towards such of these objects as shall be exclusively charitable.

Public Benefit Statement

The Trustees have paid due regard to the Charity Commission's guidance on public benefit when deciding what activities, the charity undertakes.

By providing funds to the Buckinghamshire Healthcare NHS Trust for the acquisition of advanced medical equipment the charity meets the public benefit requirement through this process. All members of the public within the catchment areas are equally likely to benefit from the investments made in new equipment.

Payments

Payments to Buckinghamshire Healthcare NHS Trust for equipment purchased amounted to £288,433 (2023: £1,072,121) during the year.

Appeal	Equipment	Hospital	Price
Best for Bucks	Mammography Chairs x2	Community	£5,400
Best for Bucks	Hand-held Pulse Oximeters x15	Community	£12,089
Best for Bucks	VeinSight Vein Finder x5	Multi-sites	£16,858
Spinal Appeal	C-Arm	Wycombe	£139,500
MRI Appeal	MRI Anaesthesia Workstation	Wycombe	£23,900
Best for Bucks	Maternity Foetal Monitors	Stoke Mandeville	£18,920
Best for Bucks	GE Venue Go Ultrasound	Community	£22,720
Best for Bucks	Dermlite Foto 11 x2	Amersham	£3,508
Best for Bucks	Premium Elite Lung Function	Multi-sites	£45,538
			£288,433

The advanced medical equipment for which the charity raises funds, guarantees that a current service can be enhanced, or a new service will be established. The equipment is used to diagnose and treat patients in Buckinghamshire and surrounding areas, and it is estimated that the use exceeds over 100,000 patients per year.

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REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2024

ACHIEVEMENT AND PERFORMANCE

Charitable activities

In the year that the NHS celebrated its 75th anniversary, we were proud to reflect on the significant contributions Scannappeal has made in supporting Buckinghamshire NHS hospitals. The economic climate remained challenging for many charities throughout 2023/24. Scannappeal worked hard to navigate these unpredictable conditions, focusing on areas that resonate strongly with our supporter community.

Interest in events continued to grow, with a diverse calendar providing the charity team valuable opportunities to engage with supporters and donors. Throughout the year, we introduced new events and expanded the reach of regular ones, such as our popular Open Garden Programme.

Key successes of the year included income from our hospital bookshops, which are 100% staffed by volunteers, and our Annual Appeal, which surpassed expectations by raising £36,000 against a budgeted target of £15,000. Legacy income was also significantly higher than anticipated, and we extend our heartfelt thanks to those who generously chose to leave gifts to Scannappeal.

The year was one of considerable change for Scannappeal. In October 2023, Keith Wilson was appointed Chair Designate following the sudden passing of our Chair and dear friend, William Baxter CBE. As William's deputy, Keith received unanimous support to formally take on the role of Chair in November. In January 2024, Karen Shardlow was appointed Director (later updated to Chief Operating Officer) following the resignation of Lisa Trivett.

Our impact on Buckinghamshire NHS Hospitals

Best For Bucks

The Best For Bucks fund enables Scannappeal to prepare for future equipment needs within our local NHS hospitals. New appeals will benefit from a stronger financial start, as well as allowing us to react quickly to often urgent needs to purchase lifesaving medical equipment straightaway, benefiting local patients quicker.

By having funds readily available we can act immediately to put in place state of the art medical equipment, both funded directly from this appeal and also by utilising this fund to boost other Scannappeal specific equipment appeals towards completion. This medical equipment would otherwise not be funded by the NHS alone and can therefore be in place quicker, helping to diagnose and treat patients in Bucks faster, crucially helping to save more lives.

Clinicians working within Buckinghamshire Healthcare NHS Trust may apply for funding from Scannappeal for equipment which will either bring about a step change to an existing service for patients; or allow a new service to be introduced. Our aim is to ensure local hospitals are well equipped, enabling diagnosis and treatment to be accessible locally, including the repatriation of services which may not currently be available within our hospitals- we want the best for Bucks, in Bucks.

Throughout the year we have actively fundraised for five small projects under the Best For Bucks umbrella:

Project name	Equipment	Target (£)
Cancer Fighting Fund - Breast	Contrast Enhanced Mammography (CEM) is an	£55,000
	innovative technique for imaging the breast, small
	cancers can be detected which may not be visible in
	standard mammograms.
Cancer Fighting Fund - Kidney	Cryoablation is a minimally invasive procedure used	£25,000
	in the treatment of kidney and liver cancer.
Digital Eye	Anterior segment cameras provide high resolution	£33,000
	digital photographs of the front surface of the eye.
Vein Finder	Accuvein is a device which uses red light source to	£19,000
	painlessly map patients veins to assist with inserting
	cannulas prior to surgery.
Arthritis	Venue Go is a portable ultrasound machine to	£23,000
	support the expansion of rheumatology outpatients
	service.

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REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2024

Spinal Surgery Appeal

In April 2023 we launched a new £1.1 million appeal to fund a revolutionary spinal navigation platform to benefit patients who need corrective spine surgery. The funding of this cutting-edge equipment will springboard Buckinghamshire Healthcare NHS Trust to another level and make Wycombe hospital one of only a handful of sites in the UK to offer this procedure. The appeal is a combination of three pieces of state-of-the-art medical equipment. The three pieces include: The ExcelsiusGPS® Robotic Navigation platform, the Joimax Spinal Endoscopy system, and the 3D C-arm. All of which have their own high-tech innovations for developing spinal healthcare.

In January 2024 we fulfilled our pledge to purchase each piece of equipment individually as soon as funds are secured, and were able to authorise purchase of the 3D C-Arm. Further, to speed up patient access to this revolutionary equipment, a payment plan for the robotic navigation platform has been agreed and as a result, both the 3D C-arm and the robotic navigation platform have been delivered to Wycombe Hospital, and robotic surgery is already available to patients.

Fundraising efforts are now ongoing to cover the five-year payment plan for the robotic navigation platform and to purchase the endoscopy system, which is the final component needed to fully meet the appeal's goals.

Lung Cancer Biopsy Appeal

In October 2023 we launched a £150,000 Lung Cancer Biopsy Appeal to introduce the innovative use of Peripheral Navigational Bronchoscopy at Stoke Mandeville hospital. Navigational bronchoscopy is performed using the latest, advanced technology which works like a GPS system. A three-dimensional roadmap of the lungs is created which allows clinicians to reach much deeper into the lungs. Clinicians can access the most distant regions of the lungs to detect and biopsy even the smallest lesions. Currently these suspected cancers are difficult to biopsy and patients may be referred to hospitals outside of Bucks for biopsy, which could lead to a delay in diagnosis.

William Baxter Memorial Fund

In March 2024 we launched a new appeal in memory of our late Chairman William Baxter CBE. The fund has been set up to not only honour the memory of William, but also to continue his legacy of wanting to make a lasting impact on the hospitals in Bucks. William was committed to our vision of providing local patients with access to the best possible diagnostic and medical equipment available today, and our goal is that the memorial fund will enable us to have a strategic impact, on the provision of healthcare across Buckinghamshire Healthcare NHS hospitals, for years to come.

In partnership with Buckinghamshire Healthcare NHS Trust, we will identify a project that best reflects William's passion for innovation. This project will encapsulate the values he held dear, focusing on innovative medical equipment to support diagnosis and treatment for as many people as possible.

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REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2024

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ACHIEVEMENT AND PERFORMANCE

Highlights from the 2023/24 financial year

2023 marked the 75th Anniversary of NHS. Born on the 5 July 1948 to provide free healthcare services to all, our NHS now sees an average of 1.3 million people each day. In Bucks, hospitals saw a significant increase in inpatient admissions during 2022/23 with 63,188 compared to 55,708 in the previous year. Scannappeal are proud to have supported our local NHS since 1987 and in this time to have raised over £20 million to provide state-of-the-art medical equipment for every major department. We are thankful to the local community for their continued support of our work. Every donation we receive is instrumental in ensuring we can continue to fund life-saving and life changing state-of-the-art medical equipment for the local NHS hospitals in Buckinghamshire.

In May we were delighted to host a private garden opening and afternoon tea at chequers, the country home of Prime Minister Rishi Sunak. The event in celebration of the 75th Anniversary of the NHS, had a quintessential nod to an English Summer with afternoon tea served on the lawn.
We were pleased to work in partnership with Wycombe Air Park and Elite Events to stage an outdoor film screening of Top Gun, Maverick. The Air Park provided a perfect backdrop to the film and the event was well received by the local community.
In July we launched our Annual Appeal to coincide with the 75th Anniversary of the NHS. The appeal featured quotes from our Patron Lady Elizabeth Howe, patient Lyndsey Chapman who had benefited from robotic surgery with equipment funded by Scannappeal and Karen Bonner, Chief Nurse, Buckinghamshire Healthcare NHS Trust.
The Scannappeal team and family were deeply saddened that our dear Chairman, friend and supporter, William Baxter CBE, passed away in October 2023. Our annual Christmas Concert, held at St Mary's Church, Old Amersham, was dedicated to William, giving staff, volunteers and supporters, the opportunity to reflect on his incredible achievements and remember a very special man.
In March we introduced Scannappeal Shine Week, a chance to celebrate all those that help make Scannappeal shine across Buckinghamshire. Shining Star Awards were given to recognise individuals and groups for their outstanding contribution. Winners included: Community Group - Kimble Knitters; NHS Team - Breast Unit at Wycombe Hospital; Business - Tesco Amersham Superstore and Fundraiser - Ana Brown.
Our Open Garden Programme for 2023 was once again a great success raising over £16,000. We are so grateful to those who visited and our sincere thanks to the garden owners of Angling Springs, Dundridge Manor, Lords Wood, Magnolia House, Pipers, Red Kites, The Chilterns and Tythrop Park.
Scannappeal has been fortunate to receive support from many Charitable Trusts this year, including Caron Keating Foundation; Heart of Bucks; King Cullimore Charitable Trust; The Amar Family Charitable Trust; The Bulldog Trust; The Family Rich Charities Trust; The Roger and Jean Jefcoate Trust; Wooburn, Bourne End and District Relief in Sickness Charity.

FINANCIAL REVIEW

Reserves policy

Reserves are held in both designated funds for specific appeals and an undesignated fund. The Trustees regularly review the reserves in order to ensure they are appropriate to allow the charity to meet current and long-term objectives of purchasing state of the art medical equipment. We hold two additional funds, the Sustainability Fund (reserves for 6 months) and the IT Development Fund (IT infrastructure).

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REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2024

Designated and Restricted Funds

At year end, 31 March 2024, the Designated and Restricted Funds totalled £742,895 across seven projects:

	Starting	Total net		Paid to the	Paid to the	In the fund
Appeal	balance	income	Transfer	NHS in year		at year end
	£	£	£		£	£
MRI	23,900	-	-		(23,900)	-
Cardiac Appeal	125,000	126	-		-	125,126
Spinal Surgery	200,000	34,824	120,000		(139,500)	215,324
William Baxter Memorial	-	2,171	-		-	2,171
Lung Cancer Biopsy	-	7,454	-		-	7,454
Breast Biopsy	-	(216)	216		-	-
Best for Bucks	153,628	199,225	-		(125,033)	227,820
Sustainability	140,000	-	-		-	140,000
IT Improvement	25,000	-	-		-	25,000
Total designated and
restricted	667,528	243,584	120,216		(288,433)	742,895
			Allocation		Paid to the
		In the fund	from Best for		NHS	Left to
Appeal	Target	at year end	Bucks Fund		already	raise
	£	£	£		£	£
MRI	1,160,000	-		-	(1,036,534)	-
Cardiac Appeal	125,000	125,126		-	-	-
Spinal Surgery	1,100,000	215,324		-	(139,500)	745,176
William Baxter Memorial	-	2,171		-	-	-
Lung Cancer Biopsy	-	7,454	15,000		-	-
Breast Biopsy	-	-		-	-	-
Best for Bucks	-	227,820	(15,000)		-	-
Sustainability	-	140,000		-	-	-
IT Improvement	-	25,000		-	-	-
Total designated and
restricted	3,385,000	742,895		-	(1,176,034)	745,176

Undesignated Fund (General)

The Undesignated fund is used to meet any immediate/small project requests from Buckinghamshire Healthcare NHS Trust for funding, as well as supporting the designated appeals. Trustees seek new projects with the Trust so that these funds can be utilised and are mindful that funds received are for investment into advanced equipment.

The Trustees consider equipment requests under £100,000 to be classed as small projects and will allow, with approval by the charity Bids Committee and Trustees, for these items to be purchased from undesignated and Best for Bucks funds immediately.

At the Trustees meetings current commitments and appeal totals are reviewed. When appropriate, the Trustees may transfer funds between the undesignated fund and designated funds to meet objectives.

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REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2024

STRUCTURE, GOVERNANCE AND MANAGEMENT Governing document

The charity is controlled by its governing document, a deed of trust and constitutes an unincorporated charity.

The charity's Trust is an unincorporated Trust, constituted under a Trust Deed dated 2 March 1987 and is a registered charity, No. 296291. The charity was originally called Wycombe Imaging Appeal. A Deed of Variation, which is supplemental to the original Deed, was created on 1 July 2002. This included a change of name to Scannappeal. A further Deed of Variation was created on 23 February 2012.

Management and administration

The day to day operation of the charity and the implementation of the strategy is delegated to the Director, with the support of a small team who are employed to work from the office in Amersham.

In December 2023 Lisa Trivett stepped down as Director after 8 years in post. Karen Shardlow (previously Head of Fundraising) was appointed as incoming Director from 2 January 2024.

The Trustees would like to record thanks to the charity team for their hard work and dedication shown over the year. The charity has a small working team of six employees, including the Director (5 part time /1 full time), equivalent to 5 full time staff. Following a review of the skills needed within the team and to meet our ambition to grow income, especially around major events, a Fundraising Officer and Summer Internship were advertised to provide extra support during the busy summer period.

Volunteers

We are extremely grateful to the 140 volunteers who have supported us throughout 2023/24. The enthusiasm and dedication to support us in wide variety of roles including within our bookshops, fundraising events and with administration in the fundraising office is incredible. During the year we were pleased to welcome a student to our volunteer team who was completing her Gold DofE volunteering module. Scannappeal is committed to supporting volunteers, without whom we could not meet our fundraising objectives in support of Buckinghamshire Healthcare NHS Trust.

Trustees

The Charity is controlled by the Trustees. The Trustees meet quarterly with the Director to review the status of fundraising and the progress of the current Appeals. Future Appeals are considered after submissions from the relevant NHS representative. The financial position of the funds, and the charity overall, are reviewed based on quarterly accounts. Decisions are taken by the Trustees at the meetings and recorded in minutes. Matters concerning fundraising and administration are passed to the Director for implementation. To facilitate effective operations the Director has authority, within terms of delegation approved by the Trustees, for operational matters including fundraising, administration and employment.

Appointment of Trustees

Under the terms of the Trust Deeds, a maximum of 20 Trustees may be appointed at any one time. New Trustees are appointed by a unanimous resolution at a meeting of Trustees.

New Trustees are sought from the community on the basis of their ability to add value to Scannappeal and to maintain a balanced governing body.

Trustees may hold office for a period of five years and may be reappointed for further periods of three years thereafter by majority vote. The exception to this rule is that medical specialists, for whose department's funds are being raised, are normally appointed for the period of those Appeals. New Trustees meet with the Chair and Director, including a visit to the office, to ensure a full understanding of the work of the charity is obtained. Each Trustee is referred to the publication 'The Essential Trustee: What you need to know'. Trustees are also asked to self-certify that they are 'of fit and proper status' to be a Trustee.

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REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2024

STRUCTURE, GOVERNANCE AND MANAGEMENT

The Trustees who have served during the year and since year end, were as follows:

TRUSTEE	OCCUPATION
Keith Wilson (Chair)
Dr Vaishali Gada	Consultant Radiologist (Bucks Healthcare NHS Trust)
John Gardner (Co-opted February 2024)
Grant Hatrick (Treasurer)
John Leggett (Retired February 2024)
Neil MacDonald	NHS Trust Director (Bucks Healthcare NHS Trust)
Penelope Moore
Philip Robertson
Sarah Vickers
Dr Chris Wathen	Consultant Physician (Bucks Healthcare NHS Trust)
Emma Wood
William Baxter (deceased October 2023)
Susie Weisz (resigned May 2023)

John Leggett stepped down from the board this year. We are extremely grateful to John for his contribution to the charity. John used his legal experience to support the trustee board and fundraising team.

Susie Weisz stepped down from the board this year. We are extremely grateful to Susie for her contribution to the charity.

John Gardner joined in February 2024 bringing extensive commercial experience and will join Sarah Vickers in heading up the William Baxter Memorial Fund events.

William Baxter CBE sadly passed away during October 2023. Scannappeal will remember William not just as our Chair but as our friend. He was always driving us to innovate and fundraise in new ways. Pushing us to be our best and do our best, but most of all, encouraging and supporting us in all that we did. He was a very well respected and dedicated Chairman who will be greatly missed by all his colleagues who shared his passion for the work of the charity. Everyone loved working with him on so many projects over his long and distinguished leadership of the team.

Related Parties

A number of the Trustees are clinicians in the National Health Service, primarily within the Buckinghamshire Healthcare NHS Trust.

Risk Management

The charity raises funds from a wide range of sources, which reduces the risk of not meeting the Appeal targets. There is no liability to meet these targets by the charity, since fundraising for equipment purchases are on a 'best efforts' basis. The charity takes out insurance to cover liability risks of the charity.

Insurance

The charity has taken out Trustees Indemnity insurance cover in addition to Public and Employee liability insurance.

Investments

Cash funds are held with NatWest Bank Plc. The charity operates a current account that does not receive interest for the day to day transactions of the charity. Any surplus funds are transferred daily to a Special Interest-Bearing Account. Three further bank accounts are held with Shawbrook Bank, Hampshire Trust and Redwood Bank which are held to take advantage of better interest rates. There are no other significant assets.

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REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2024

REFERENCE AND ADMINISTRATIVE DETAILS Registered Charity number 296291

Principal address Amersham Hospital Whielden Street Amersham Buckinghamshire HP7 0JD

Trustees Mr William Baxter CBE (deceased 16/10/2023) Dr Vaishali Gada Mr Grant Hatrick Mr John Leggett (resigned 1/2/2024) Mr Neil MacDonald Mrs Penelope Moore Mr Philip Robertson Dr Chris Wathen Mrs Susie Weisz (resigned 11/5/2023) Mr Keith Wilson Miss Emma Wood Mrs Sarah Vickers Mr John Gardner (appointed 22/2/2024)

Principal Patron

Robert Lindsay

Patrons

The Countess of Buckinghamshire JP DL The Countess Howe DL, HM Lord-Lieutenant of Buckinghamshire Mr Tom Kerridge

Auditors

Seymour Taylor Limited, Statutory Auditor First Floor North 40 Oxford Road High Wycombe Buckinghamshire HP11 2EE

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REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2024

STATEMENT OF TRUSTEES' RESPONSIBILITIES

The Trustees are responsible for preparing the Trustees' Report and the accounts in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice). Including Financial Reporting Standard 102 "The Financial Reporting Standard applicable in the UK and Republic of Ireland".

The law applicable to charities in England and Wales, the Charities Act 2011, Charity (Accounts and Reports) Regulations 2008 and the provisions of the trust deed requires the Trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the charity and of the incoming resources and application of resources, including the income and expenditure, of the Charity for that period. In preparing those financial statements, the trustees are required to:

select suitable accounting policies and then apply them consistently;
observe the methods and principles in the Charities SORP;
make judgements and estimates that are reasonable and prudent;
state whether applicable accounting standards have been followed, subject to any material departures disclosed and explained in the accounts;
prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in business.

The trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financial position of the charity and to enable them to ensure that the financial statements comply with the Charities Act 2011, the Charity (Accounts and Reports) Regulations 2008 and the provisions of the trust deed. They are also responsible for safeguarding the assets of the charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

Approved by order of the board of trustees on 15 January 2025 and signed on its behalf by:

Mr Keith Wilson - Trustee

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REPORT OF THE INDEPENDENT AUDITORS TO THE TRUSTEES OF SCANNAPPEAL

Opinion

We have audited the financial statements of Scannappeal (the 'charity') for the year ended 31 March 2024 which comprise the Statement of Financial Activities, the Statement of Financial Position, the Statement of Cash Flows 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 (United Kingdom Generally Accepted Accounting Practice), including Financial Reporting Standard 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland'.

In our opinion the financial statements:

give a true and fair view of the state of the charity's affairs as at 31 March 2024 and of its incoming resources and application of resources, for the year then ended;
have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice, including Financial Reporting Standard 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland'; and
have been prepared in accordance with the requirements of the Charities Act 2011.

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 Auditors' responsibilities for the audit of the financial statements section of our report. We are independent of the charity 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 charity's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.

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

Other information

The trustees are responsible for the other information. The other information comprises the information included in the Annual Report, other than the financial statements and our Report of the Independent Auditors thereon.

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 this gives rise to a material misstatement in the financial statements themselves. 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.

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REPORT OF THE INDEPENDENT AUDITORS TO THE TRUSTEES OF SCANNAPPEAL

Matters on which we are required to report by exception

We have nothing to report in respect of the following matters where the Charities (Accounts and Reports) Regulations 2008 requires us to report to you if, in our opinion:

the information given in the Report of the Trustees is inconsistent in any material respect with the financial statements; or
sufficient accounting records have not been kept; or
the financial statements are not in agreement with the accounting records and returns; or
we have not received all the information and explanations we require for our audit.

Responsibilities of trustees

As explained more fully in the Statement of Trustees' Responsibilities, the trustees are responsible for the preparation of the financial statements which 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 charity'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 charity or to cease operations, or have no realistic alternative but to do so.

Our responsibilities for the audit of the financial statements

We have been appointed as auditors under Section 144 of the Charities Act 2011 and report in accordance with the Act and relevant regulations made or having effect thereunder.

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 a Report of the Independent Auditors that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below:

Identifying and assessing potential risks related to irregularities

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

the nature of the sector, control environment and charity performance;
results of our enquiries of management about their own identification and assessment of the risks of
irregularities;
any matters we identified having made enquiries of management about their policies and procedures relating to:
identifying, evaluating and complying with laws and regulations and whether they were aware of any instances of noncompliance;
detecting and responding to the risks of fraud and whether they have knowledge of any actual, suspected or alleged fraud;
the internal controls established to mitigate risks of fraud or non-compliance with laws and regulations; - the matters discussed among the audit engagement team regarding how and where fraud might occur in the financial statements and any potential indicators of fraud.

As a result of these procedures, we considered the opportunities and incentives that may exist within the charity for fraud. In common with all audits under ISAs (UK), we are also required to perform specific procedures to respond to the risk of management override.

We also obtained an understanding of the legal and regulatory frameworks that the charity operates in, focusing on provisions of those laws and regulations that had a direct effect on the determination of material amounts and disclosures in the financial statements. The key laws and regulations we considered in this context included the UK Charities Act and local tax legislation.

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REPORT OF THE INDEPENDENT AUDITORS TO THE TRUSTEES OF SCANNAPPEAL

In addition, we considered provisions of other laws and regulations that do not have a direct effect on the financial statements but compliance with which may be fundamental to the charity's ability to operate.

Audit response to risks identified

As a result of performing the above, our procedures to respond to risks identified included the following:

reviewing the financial statement disclosures and testing to supporting documentation to assess compliance with provisions of relevant laws and regulations described as having a direct effect on the financial statements;
enquiring of management concerning actual and potential litigation and claims;
performing analytical procedures to identify any unusual or unexpected relationships that may indicate risks of material misstatement due to fraud;
held discussions with management to understand the basis of recognition or non-recognition of provisions; and
in addressing the risk of fraud through management override of controls, testing the appropriateness of journal entries and other adjustments; assessing whether the judgements made in making accounting estimates are indicative of a potential bias; and evaluating the rationale of any significant transactions that are unusual or outside the charity's normal activities.

We also communicated relevant identified laws and regulations and potential fraud risks to all engagement team members and remained alert to any indications of fraud or noncompliance with laws and regulations throughout the audit.

A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council's website at www.frc.org.uk/auditorsresponsibilities. This description forms part of our Report of the Independent Auditors.

Use of our report

This report is made solely to the charity's trustees, as a body, in accordance with Part 4 of the Charities (Accounts and Reports) Regulations 2008. Our audit work has been undertaken so that we might state to the charity's trustees those matters we are required to state to them in an auditors' report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charity and the charity's trustees as a body, for our audit work, for this report, or for the opinions we have formed.

Seymour Taylor Limited, Statutory Auditor First Floor North 40 Oxford Road High Wycombe Buckinghamshire HP11 2EE

15 January 2025

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STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 MARCH 2024

Unrestricted funds Notes £ INCOME AND ENDOWMENTS FROM Donations and legacies 3 664,305 Other trading activities 4 56,700 Investment income 5 20,558 Total 741,563 EXPENDITURE ON Fund raising expenditure 6 100,668 Charitable activities 7 Funding of equipment - Governance costs 12,000 Office costs 113,321 Finance costs 8,092 Total 234,081 NET INCOME/(EXPENDITURE) 507,482 Transfers between funds 16 (120,216) Net movement in funds 387,266 RECONCILIATION OF FUNDS Total funds brought forward 395,358 TOTAL FUNDS CARRIED FORWARD 782,624	Designated £ 817 2,794 - 3,611 2,290 104,000 - 42 - 106,332 (102,721) 120,216 17,495 365,000 382,495	Restricted funds £ 163,495 130,176 - 293,671 50,322 184,433 - 959 85 235,799 57,872 - 57,872 302,528 360,400	2024 Total funds £ 828,617 189,670 20,558 1,038,845 153,280 288,433 12,000 114,322 8,177 576,212 462,633 - 462,633 1,062,886 1,525,519	2023 Total funds £ 262,192 258,814 8,175 529,181 148,021 1,072,121 10,640 129,182 11,063 1,371,027 (841,846) - (841,846) 1,904,732 1,062,886

The notes form part of these financial statements

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STATEMENT OF FINANCIAL POSITION 31 MARCH 2024

Unrestricted funds Notes £ CURRENT ASSETS Stocks 13 618 Debtors 14 420,890 Cash at bank and in hand 399,719 821,227 CREDITORS Amounts falling due within one year 15 (38,603) NET CURRENT ASSETS 782,624 TOTAL ASSETS LESS CURRENT LIABILITIES 782,624 NET ASSETS 782,624 FUNDS 16 Unrestricted funds Restricted funds TOTAL FUNDS	Designated £ - - 382,495 382,495 - 382,495 382,495 382,495	Restricted funds £ - - 360,400 360,400 - 360,400 360,400 360,400	2024 Total funds £ 618 420,890 1,142,614 1,564,122 (38,603) 1,525,519 1,525,519 1,525,519 1,165,119 360,400 1,525,519	2023 Total funds £ 954 25,085 1,069,790 1,095,829 (32,943) 1,062,886 1,062,886 1,062,886 760,358 302,528 1,062,886

The financial statements were approved by the Board of Trustees and authorised for issue on 15 January 2025 and were signed on its behalf by:

Mr Keith Wilson - Trustee

Mr Grant Hatrick - Trustee

The notes form part of these financial statements

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STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 31 MARCH 2024

Notes Cash flows from operating activities Cash generated from operations 1 Net cash provided by/(used in) operating activities Cash flows from investing activities Interest received Net cash provided by investing activities Change in cash and cash equivalents in the reporting period Cash and cash equivalents at the beginning of the reporting period Cash and cash equivalents at the end of the reporting period	2024 £ 52,266 52,266 20,558 20,558 72,824 1,069,790 1,142,614	2023 £ (556,288) (556,288) 8,175 8,175 (548,113) 1,617,903 1,069,790

The notes form part of these financial statements

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NOTES TO THE STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 31 MARCH 2024

1. RECONCILIATION OF NET INCOME/(EXPENDITURE) TO NET CASH FLOW FROM OPERATING ACTIVITIES

ACTIVITIES
Net income/(expenditure) for the reporting period (as per the Statement of Financial Activities) Adjustments for: Interest received Decrease/(increase) in stocks (Increase)/decrease in debtors Increase in creditors Net cash provided by/(used in) operations	2024 £ 462,633 (20,558) 336 (395,805) 5,660 52,266	2023 £ (841,846) (8,175) (56) 287,191 6,598
		(556,288)

2. ANALYSIS OF CHANGES IN NET FUNDS

Net cash Cash at bank and in hand Total	At 1.4.23 £ 1,069,790 1,069,790 1,069,790	Cash flow £ 72,824 72,824 72,824	At 31.3.24 £ 1,142,614
			1,142,614
			1,142,614

The notes form part of these financial statements

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NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

SCANNAPPEAL

1. GENERAL INFORMATION

Scannappeal is an unincorporated trust, constituted under a Trust Deed dated 2 March 1987 and is a registered charity in England and Wales . The principal address of the charity is Amersham Hospital, Amersham, Buckinghamshire, HP7 0JD. The registered charity number is 296291.

The nature of the charity's operations and principal activities are set out in the Deed of Variation dated 23 February 2012. This is to apply the Trust Fund towards the relief of sickness, in particular by the purchase, maintenance and other running expenses (including the training and salaries of staff) of medical equipment and associated facilities, as may be appropriate at the time of purchase. This may include the building of premises on a site within, adjoining or near to any hospital or health care delivery centre within Buckinghamshire and adjacent counties, designed to provide all the facilities required by the housing and operating of such equipment. The payment or application of funds shall only be made in or towards such of these objects as shall be exclusively charitable.

The presentation currency of these financial statements is Sterling (£), being the currency of the primary economic market in which the entity operates. All amounts in these financial statements have been rounded to the nearest pound unless stated otherwise.

The significant accounting policies applied in the preparation of these financial statements are set out below. These policies have been consistently applied to all years presented unless otherwise stated.

2. ACCOUNTING POLICIES

Basis of preparing the financial statements

The financial statements of the charity, which is a public benefit entity under FRS 102, have been prepared in accordance with the Charities SORP (FRS 102) '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 2019)', Financial Reporting Standard 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland' and the Charities Act 2011. The financial statements have been prepared under the historical cost convention.

Going concern

The trustees have considered projections and budgets for the next twelve months in order to assess the charity's going concern status. Following this review, the trustees consider there to be little impact on the charity's ability to act as a going concern.

The trustees have considered the substantial net assets of the charity and the cash resources available as well as the funding possibilities and charity's commitments. The trustees consider that the charity has adequate resources in place to continue in operation for a period of at least twelve months from the date of approval of the financial statements and therefore continue to adopt the going concern basis in preparing these financial statements.

Critical accounting judgements and key sources of estimation uncertainty

The preparation of the financial statements requires management to make estimates and assumptions that affect the reported amounts of income, expenses, assets and liabilities, and the disclosure of contingent liabilities at the date of the financial statements. If in the future, such estimates and assumptions, which are based on the management's best judgment at the date of the financial statements, deviate from the actual circumstances, the original estimates and assumptions will be modified as appropriate in the year in which the circumstances change.

Income

All income is recognised in the Statement of Financial Activities once the charity has entitlement to the funds, it is probable that the income will be received and the amount can be measured reliably.

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2. ACCOUNTING POLICIES - continued

Income

Cash donations are recognised on receipt. Income tax recoverable in relation to donations received under Gift Aid or deeds of covenant is recognised at the time of the donations.

Expenditure

Liabilities are recognised as expenditure as soon as there is a legal or constructive obligation committing the charity to that expenditure, it is probable that a transfer of economic benefits will be required in settlement and the amount of the obligation can be measured reliably. Expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all cost related to the category. Where costs cannot be directly attributed to particular headings they have been allocated to activities on a basis consistent with the use of resources.

All expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to the category. Expenditure is recognised where there is a legal or constructive obligation to make payments to third parties, it is probable that the settlement will be required and the amount of the obligation can be measured reliably. It is categorised under the following headings:

Costs of raising funds includes costs generating voluntary income, principally mailshots and costs directly attributable to the holding of fundraising events;
Expenditure on charitable activities includes the purchase of medical equipment for Buckinghamshire Healthcare NHS Trust Hospitals. The supply of equipment is not a contractual arrangement with the Trust and therefore expenditure is recognised as the equipment is supplied; and
Other expenditure represents those items not falling into the categories above.

Grants are payable to the Buckinghamshire Healthcare NHS Trust for specific items of equipment on receipt of an invoice from the Trust. Where unconditional grants are offered, this is expensed once the grant is received by the recipient. Where grants are conditional relating to performance then the grant is only accrued when any unfulfilled conditions are outside of the control of the charity.

Grants authorised for payment to Buckinghamshire Healthcare NHS Trust which are subject to conditions that have not been met at the year end date are noted as a commitment but not accrued as at the statement of financial position date.

Support costs are those that assist the work of the charity and include office costs, governance costs, administrative payroll costs. They are incurred directly in support of expenditure on the objects of the charity.

Fund-raising costs are those incurred in seeking voluntary contributions and do not include the costs of disseminating information in support of the charitable activities.

Staff have been apportioned in accordance with the duties to which they relate.

Stocks

The charity holds a small stock of Christmas cards and soft toys. This stock is valued at the lower of cost and selling price less costs to complete and sell, after making due allowance for obsolete and slow moving items.

Taxation

The charity is exempt from tax on its charitable activities.

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2. ACCOUNTING POLICIES - continued

Fund accounting

Unrestricted funds, including designated funds, can be used in accordance with the charitable objectives at the discretion of the trustees.

Restricted funds can only be used for particular restricted purposes within the objects of the charity. Restrictions arise when specified by the donor or when funds are raised for particular restricted purposes.

Further explanation of the nature and purpose of each fund is included in the notes to the financial statements.

Pension costs and other post-retirement benefits

The charity operates a defined contribution pension scheme. Contributions payable to the charity's pension scheme are charged to the Statement of Financial Activities in the period to which they relate.

Financial instruments

The company has applied the provisions of Section 11 "Basic Financial Instruments" and Section 12 "Other Financial Instrument Issues" of FRS 102 to its financial statements.

Financial instruments are classified and accounted for, according to the substance of the contractual arrangement, as either financial assets, financial liabilities or equity instruments. An equity instrument is any contract that evidences a residual interest in the assets of the company after deducting all of its liabilities.

3. DONATIONS AND LEGACIES

Donations Gift aid Legacies Trusts and grants income 4. OTHER TRADING ACTIVITIES Fundraising activities Bookshop, christmas cards and merchandise	2024 £ 204,298 27,796 522,923 73,600 828,617 2024 £ 139,412 50,258 189,670	2023 £ 116,222 29,365 52,001 64,604
		262,192
		2023 £ 213,697 45,117
		258,814

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NOTES TO THE FINANCIAL STATEMENTS - continued FOR THE YEAR ENDED 31 MARCH 2024

5. INVESTMENT INCOME

Deposit account interest 6. FUND RAISING EXPENDITURE Raising donations and legacies Staff costs Event and appeal costs

7. CHARITABLE ACTIVITIES COSTS Grant funding of activities (see note 8) £ Funding of equipment 288,433 Governance costs - Office costs - Finance costs - 288,433 8. GRANTS PAYABLE Funding of equipment The total grants paid to institutions during the year was as follows: MRI Appeal Surgical Robot Appeal Fund Best for Bucks Baby NICU Spinal Surgery Appeal		Support costs (see note 9) £ - 12,000 114,322 8,177 134,499 2024 £ 288,433 2024 £ 23,900 - 125,033 - 139,500 288,433	Totals £ 288,433 12,000 114,322 8,177 422,932 2023 £ 1,072,121	Totals £ 288,433 12,000 114,322 8,177
				422,932
			2023 £ 795 1,000,000 45,736 25,590 -
			1,072,121

All grants payable are to Buckinghamshire Healthcare NHS Trust for the acquisition of advanced medical equipment.

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NOTES TO THE FINANCIAL STATEMENTS - continued FOR THE YEAR ENDED 31 MARCH 2024

9. SUPPORT COSTS

Governance costs Office costs Finance costs	Office costs £ - 114,322 - 114,322	Governance Finance costs £ £ - 12,000 - - 8,177 - 8,177 12,000	Totals £ 12,000 114,322 8,177
			134,499

Analysis of support and governance costs

The charity initially identifies the costs of its support function. It then identifies those costs which relate to the governance function. Having identified its governance costs and support costs these are apportioned between the key charitable activities undertaken in the year. Please refer to the table below for the basis of apportionment and the key analysis of support.

	Office costs	Governance costs	2024	Basis of 2023 allocation
	£	£	£	£
Audit costs	-	12,000	12,000	10,640 Actual basis
Wages and salaries	95,866	-	95,866	104,986 Time spent
Other office costs	26,633	-	26,633	35,259 Actual basis

	122,499	12,000	134,499	150,885

10. AUDITORS' REMUNERATION

Fees payable to the charity's auditors for the audit of the charity's financial statements	2024 £ 12,000	2023 £ 10,640
Fees payable to the charity's auditors for other non-audit services	1,970	1,767

11. TRUSTEES' REMUNERATION AND BENEFITS

There were no trustees' remuneration or other benefits for the year ended 31 March 2024 nor for the year ended 31 March 2023.

Trustees' expenses

There were no trustees' expenses paid for the year ended 31 March 2024 nor for the year ended 31 March 2023.

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NOTES TO THE FINANCIAL STATEMENTS - continued FOR THE YEAR ENDED 31 MARCH 2024

2024 £ 168,719 10,721 8,236 187,676	2024 £ 168,719 10,721 8,236 187,676	2023 £ 178,880 11,650 10,381 200,911

	2024	2023
	£	£
	48,683	46,365


2024 3 3 6 2024 £ 618 2024 £ 400 10,464 410,026 420,890		2023 3 3 6 2023 £ 954 2023 £ 156 5,245 19,684 25,085

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NOTES TO THE FINANCIAL STATEMENTS - continued FOR THE YEAR ENDED 31 MARCH 2024

15. CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR

Trade creditors Social security and other taxes Accruals and deferred income Included within accruals and deferred income is the following deferred income:	2024 £ 4,091 4,123 30,389 38,603		2023 £ - 6,323 26,620 32,943
			£
Deferred income at 31 March 2023			11,513

Released in the year			(11,513)

Deferred in the year			12,998


Deferred income at 31 March 2024			12,998

16. MOVEMENT IN FUNDS

Unrestricted funds General fund Designated IT Improvement Fund Designated Sustainability Fund Designated Breast Biopsy Appeal Designated Spinal Surgery Appeal Designated William Baxter Memorial Fund Restricted funds MRI Appeal Cardiac Appeal Best for Bucks Lung Cancer Biopsy TOTAL FUNDS	At 1.4.23 £ 395,358 25,000 140,000 - 200,000 - 760,358 23,900 125,000 153,628 - 302,528 1,062,886	Net movement in funds £ 507,482 - - (216) (104,676) 2,171 404,761 (23,900) 126 74,192 7,454 57,872 462,633	Transfers between funds £ (120,216) - - 216 120,000 - - - - - - - -	At 31.3.24 £ 782,624 25,000 140,000 - 215,324 2,171
				1,165,119 - 125,126 227,820 7,454
				360,400
				1,525,519

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NOTES TO THE FINANCIAL STATEMENTS - continued FOR THE YEAR ENDED 31 MARCH 2024

16. MOVEMENT IN FUNDS - continued

Net movement in funds, included in the above are as follows:

Unrestricted funds General fund Designated Breast Biopsy Appeal Designated Spinal Surgery Appeal Designated William Baxter Memorial Fund Restricted funds MRI Appeal Cardiac Appeal Best for Bucks Spinal Surgery Appeal Lung Cancer Biopsy TOTAL FUNDS Comparatives for movement in funds Unrestricted funds General fund Designated IT Improvement Fund Designated Sustainability Fund Designated Breast Biopsy Appeal Designated MRI Appeal Designated Cardiac Appeal Designated Best for Bucks Designated Surgical Robot Appeal Fund Designated Spinal Surgery Appeal Restricted funds MRI Appeal Cardiac Appeal Best for Bucks TOTAL FUNDS	At 1.4.22 £ 722,393 25,000 120,000 - 113,332 70,380 199,364 654,263 - 1,904,732 - - - - 1,904,732	Incoming resources £ 741,563 - - 3,611 745,174 - 126 250,085 36,006 7,454 293,671 1,038,845 Net movement in funds £ 85,226 - - (33) - - - (894,783) - (809,590) (795) 14,275 (45,736) (32,256) (841,846)	Resources expended £ (234,081) (216) (104,676) (1,440) (340,413) (23,900) - (175,893) (36,006) - (235,799) (576,212) Transfers between funds £ (412,261) - 20,000 33 (113,332) (70,380) (199,364) 240,520 200,000 (334,784) 24,695 110,725 199,364 334,784 -	Movement in funds £ 507,482 (216) (104,676) 2,171 404,761 (23,900) 126 74,192 - 7,454 57,872 462,633 At 31.3.23 £ 395,358 25,000 140,000 - - - - - 200,000 760,358 23,900 125,000 153,628 302,528 1,062,886

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NOTES TO THE FINANCIAL STATEMENTS - continued FOR THE YEAR ENDED 31 MARCH 2024

16. MOVEMENT IN FUNDS - continued

Comparative net movement in funds, included in the above are as follows:

Unrestricted funds General fund Designated Breast Biopsy Appeal Designated Surgical Robot Appeal Fund Restricted funds MRI Appeal Cardiac Appeal Best for Bucks Baby NICU TOTAL FUNDS	Incoming resources £ 366,522 (33) 121,992 488,481 - 15,110 - 25,590 40,700 529,181	Resources expended £ (281,296) - (1,016,775) (1,298,071) (795) (835) (45,736) (25,590) (72,956) (1,371,027)	Movement in funds £ 85,226 (33) (894,783) (809,590) (795) 14,275 (45,736) - (32,256) (841,846)

The charity had the following designated and restricted funds during the current year or prior year:

IT Improvement Fund (Designated) - The purpose of this fund is for the redesign and update of a brand new website, database and IT infrastructure.

Sustainability Fund (Designated) - The purpose of this fund is assist with our sustainability and is based on 6 months operational co st.

Breast Biopsy Appeal (Designated) - The purpose of this fund is to raise funds to fully equip a dedicated breast biopsy suite with 3D mammography technology. This appeal closed during this financial year as all funds were utilised to purchase equipment.

Spinal Surgery Appeal (Designated and Restricted) - In April 2023 we launched a new £1.1 million appeal to fund a revolutionary spinal navigation platform to benefit patients who need corrective spine surgery. The funding of this cutting-edge equipment will springboard Buckinghamshire Healthcare NHS Trust to another level and make Wycombe hospital one of only a handful of sites in the UK to offer this procedure. The appeal is a combination of three pieces of state-of-the-art medical equipment. The three pieces include: The ExcelsiusGPS® Robotic Navigation platform, the Joimax Spinal Endoscopy system, and the 3D C-arm. All of which have their own high-tech innovations for developing spinal healthcare.

The designated fund relates to transfers made from undesignated reserves to seed fund the appeal.

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16. MOVEMENT IN FUNDS - continued

William Baxter Memorial Fund (Designated) - In March 2024 we launched a memorial fund in memory of our late Chairman William Baxter CBE. The fund has been set up to not only honour the memory of William, but also to continue his legacy of wanting to make a lasting impact on the hospitals in Bucks. William was committed to our vision of providing local patients with access to the best possible diagnostic and medical equipment available today, and our goal is that the memorial fund will enable us to have a strategic impact, on the provision of healthcare across Buckinghamshire Healthcare NHS hospitals, for years to come.

MRI Appeal (Restricted) - The purpose of this fund is to purchase two state of the art, world class MRI scanners for the main local hospitals. This appeal closed during this financial year as all funds were utilised to purchase equipment.

Cardiac Appeal (Restricted) - At the heart of this appeal is a dedicated cardiac ultrasound system which generates detailed, real time moving images of the heart. This allows clinicians to assess the structure and function of the heart in patients with coronary artery disease, valve disease, heart failure, congenital heart disease an d stroke.

Clinicians can obtain incredibly lifelike images which improve the accuracy of diagnosis even in the most difficult of cases. This, in turn, helps the surgeons decide the best way in which to repair the heart. Most significant is TrueVue with virtual light source (similar technology is used in Pixar animation to produce more realistic 3D characters) which creates improved visualisation of cardiac structure making it easier to identify the location of defects. Detailed observation of tissue and 3D ultrasound imaging will enhance diagnostic confidence by providing exceptional images with greater clarity, sharpness and, most critically, in a much quicker time. This appeal has closed since the end of the period as all funds were utilised to purchase equipment.

Best for Bucks (Restricted) - Best For Bucks is a fund that enables Scannappeal to prepare for future equipment needs within our local NHS hospitals. New appeals will benefit from a stronger financial start, as well as allowing us to react quickly to often urgent needs to purchase lifesaving medical equipment straighta way, benefiting local patients quicker.

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16. MOVEMENT IN FUNDS - continued

Lung Biopsy Appeal Fund (Restricted) - In October 2023 we launched A £150,000 Lung Cancer Biopsy Appeal to introduce the innovative use of Peripheral Navigational Bronchoscopy at Stoke Mandeville hospital. Navigational bronchoscopy is performed using the latest, advanced technology which works like a GPS system. A three-dimensional roadmap of the lungs is created which allows clinicians to reach much deeper into the lungs. Clinicians can access the most distant regions of the lungs to detect and biopsy even the smallest lesions. Currently these suspected cancers are difficult to biopsy and patients may be referred to hospitals outside of Bucks for biopsy, which could lead to a delay in diagnosis.

Fund closed in comparative year

Surgical Robot Appeal (Designated) - The £1 million Robot Appeal was fundraising to deliver the very latest innovation in robotic surgery for patients in Bucks and the surrounding areas. The Da Vinci XI model provides the most advanced equipment, vision and features and will initially be used for cancer treatment in the areas of colorectal, urological and gynaecological cancer. This appeal closed during the previous financial year as all funds were utilised to purchase equipment.

Baby NICU (Restricted) - Neonatal intensive care unit at Stoke Mandeville hospital. Appeal was created to purchase a Fuji FDR Nano Digital Mobile X-Ray machine for £57,000 which means that the neonatal babies can be x-rayed in the incubator and do not need to be moved from the neonatal intensive care unit (N ICU).

17. CAPITAL COMMITMENTS

CAPITAL COMMITMENTS
	2024	2023
	£	£
Contracted but not provided for in the financial statements	998,500	173,779

As at 31 March 2024, Scannappeal had open ATI's (Authority to Invest) totalling £998,500 (2023: £173,779). This commitment is in relation to the following:

Contrast enhanced imaging software and Guerbet Optivantage Injector for Wycombe Hospital - Anterior segment cameras for Stoke Mandeville Hospital and Wycombe Hospital
Renal tumour ablation equipment for Stoke Mandeville Hospital
Robotics platform for Wycombe Hospital - this will be paid in 5 annual instalments from Jul 2024 - EPIC CVx Cardiology scanner for Wycombe Hospital

18. RELATED PARTY DISCLOSURES

The charity was under the control of the trustees throughout the current and previous year.

The charity operates out of offices provided free of charge at Amersham Hospital, being part of the Buckinghamshire Healthcare NHS Trust who benefit from equipment purchased from funds provided by the charity.

A number of the Trustees are employees of Buckinghamshire Healthcare NHS Trust.

During the year, the charity received an amount of £10,177 (2023: £Nil) from its trustees in respect of donations and other trading activities income.

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19. CONTINGENT ASSET

At the statement of financial position date, the charity had been informed of four legacies which have not been recognised in these financial statements on the basis that they do not meet the income recognition criteria as per the Charities SORP (FRS 102).

Based on the information available at the date of signing this report, it is not possible to make a reliable estimate of the fair value of these legacies, other than one which has been received since the year end and amounts to £50,000. The income for all four legacies will be recognised during the year ended 31 March 2025.

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DETAILED STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 MARCH 2024

INCOME AND ENDOWMENTS Donations and legacies Donations Gift aid Legacies Trusts and grants income Other trading activities Fundraising activities Bookshop, christmas cards and merchandise Investment income Deposit account interest Total incoming resources EXPENDITURE Raising donations and legacies Wages Social security Event and appeal costs Charitable activities Grants to institutions Support costs Office costs Wages Social security Pensions Insurance Telephone Postage and stationery Sundries Accountancy Travel and subsistence Staff training Staff Recruitment Carried forward	2024 £ 204,298 27,796 522,923 73,600 828,617 139,412 50,258 189,670 20,558 1,038,845 86,284 5,526 61,470 153,280 288,433 82,435 5,195 8,236 2,760 452 2,393 1,959 - 803 375 668 105,276	2023 £ 116,222 29,365 52,001 64,604
		262,192 213,697 45,117
		258,814 8,175
		529,181 90,056 5,869 52,096
		148,021 1,072,121 88,824 5,781 10,381 3,280 376 1,956 1,536 4,756 657 1,842 - 119,389

This page does not form part of the statutory financial statements

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SCANNAPPEAL

DETAILED STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 MARCH 2024

Office costs Brought forward Volunteers costs Computer costs Legal costs Auditors' remuneration for non audit work Finance Bank charges Governance costs Auditors' remuneration Total resources expended Net income/(expenditure)	2024 £ 105,276 - 6,765 311 1,970 114,322 8,177 12,000 576,212 462,633	2023 £ 119,389 1,197 6,452 377 1,767 129,182 11,063 10,640 1,371,027 (841,846)

This page does not form part of the statutory financial statements

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