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British Liver Trust Annual Report and Accounts for the year ended 31 March 2021

The British Liver Trust is a company limited by guarantee Company registration number: 02227706 Charity registration number: 298858 (England and Wales), SC042140 (Scotland)

Reference and administrative details

Chairman

Wim Bushell

�� Pamela J Healy OBE

Trustees

Wim Bushell (Chair of Trustees) Sally Benatar (Appointed 15 February 2021) Diana Gornall Abigail Jesson (Appointed 15 February 2021) Alastair King (Appointed 18 May 2020) Toby McMaster David Meek �� Dr Steve Ryder Victoria Sheriff (Appointed 15 February 2021) Professor Douglas Thorburn (Appointed 17 May 2021)

��

6 Dean Park Crescent Bournemouth Dorset BH1 1HL

Company Registration Number

02227706

Charity Registration Number

298858 (England & Wales), SC042140 (Scotland)

Bankers

CAF Bank PO Box 289 �� Kent ME19 4TA

NatWest 2 Tavern Street �� Suffolk IP1 3BD

Auditors

Francis Clark LLP Chartered Accountants & Statutory Auditors �� 2-8 Parkstone Road Poole Dorset BH15 2PW

2

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Chairman’s welcome

��

Liver disease is the biggest cause of death in adults aged 35-49 yet it is often overlooked ��

�� this opportunity to thank every member of the British Liver Trust team, staff and trustees alike, �� virtual events, physical challenges and campaigns, and the many organisations that have so ��

Wim Bushell Chairman

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Trustees’ report
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90 % of liver disease is preventable

Trustees’ report

About the British Liver Trust

The British Liver Trust is the leading charity for adults with liver disease and liver cancer in the UK. We provide information and support to patients and their families, raise awareness of liver health and the risk factors for liver disease, and campaign at a national level to improve standards of care and policy.

Our vision is a world without liver disease.

Our mission and goals

Our mission is to transform liver health through ��

Our goals are to:

Provide information and support to everyone affected by liver disease and liver cancer
��
Campaign for earlier detection and better treatment of all types of liver disease
Work in partnership to drive up standards of care and encourage more research
��
Work effectively by having a clear mission, ��

About liver disease

�� the biggest cause of death in people aged 35-49 years old in the UK and the third leading cause of ��

Too often, liver disease is diagnosed at a stage �� in the UK and shockingly, almost a quarter of ��

The Covid-19 pandemic and in particular, lifestyle ��

Liver disease is the biggest cause of death in people aged - 35 49

years old

Alcohol-related liver deaths increased by

21 %

��

Almost a quarter of patients admitted to hospital with liver disease will die within 60 days

Our helpline and email service saw a 40 % increase in demand compared to 2019/20

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Our activities in 2020/21
��
achievements during 2020/21, and outlines how these have made a difference to
people with liver disease, their families and the general public.
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Thank you so much for your kind and invaluable support... I felt listened to and was given great advice which left me feeling able to cope with my husband’s diagnosis of decompensated cirrhosis, armed with knowledge, support and encouragement. Having someone to actually speak to is absolutely invaluable and a fabulous resource. Thank you so much for providing this service. It really is a lifeline. - Helpline caller

Trustees’ report

Providing support and connections

No one should face liver disease alone. We employ specialist nurses to ensure people with a new diagnosis have somewhere to turn, and that those living with liver disease �� with liver disease to connect with others, including peer-to-peer support groups and a moderated online community.

Nurse-led helpline service

Our nurse-led helpline provides practical and emotional support to anyone affected by liver �� isolated, often unable to access the usual support available to them, so our specialist liver nurses ��

Our team provided support and signposting on questions relating to Covid-19, including shielding, �� liver conditions, and provided a much-needed ��

�� increase in demand compared to 2019/20, as �� for help and information (compared to 3,852 in ��

�� total experience of our specialist nurses to over ��

You have all been so helpful in helping me understand this terrible sickness and I want to thank you all for being such gems. This truly is a brilliant site, with many uplifting, caring and encouraging people.

Lindsay joined our team of specialist nurses in 2021

Online community

Our online community provides a space for �� community is moderated by our specialist �� sure discussions and information shared are ��

�� members than a year before, from 19,877 at the end of March 2020 to 25,290 at the end of March ��

- Online community user

Virtual support groups

��

The enforced suspension of our face-to-face patient support groups in March 2020 gave us the opportunity to test, expand and measure ��

Plans already in place to host virtual support ��

�� continued to expand and add groups to meet ��

�� support groups across the course of the �� to discuss topics ranging from the lifestyle impact of liver conditions, to practicalities such as prescriptions and food support during ��

1,780 attendees at virtual support groups

Trustees’ report

Supporting patients in Scotland and Wales

�� needed, and played a key role in implementing ��

�� healthcare professionals and leaders, including �� and Health Improvement Scotland, to improve �� opportunities for the Trust to promote and provide �� supported an important hepatitis C eradication ��

�� implementation of the Welsh Government Liver Disease Delivery Plan, a key project that seeks ��

�� included sleep hygiene, emergency planning, getting the most out of healthcare appointments, ��

Our outreach teams support patients in many �� needed during the pandemic

��

Trustees’ report

��

I live on the Isle of Lewis; we are a tight-knit community and I feel very lucky. I went to my GP because of what seemed to be a skin condition. I was itching all over, my skin was broken from scratching so much, and on top of that my joints were really, really painful. Routine blood tests had shown that my liver function was deteriorating, and possibly had been for some time. That was scary. I was fortunate that a visiting locum to Stornoway was a retired professor of hepatology and he agreed to see me. He immediately suspected that I had Autoimmune Hepatitis (known as AIH) a rare condition where the immune system starts attacking the liver. This was serious and things started to happen quickly.

Following a liver biopsy, I was diagnosed with AIH. I truly believe that my diagnosis came just in time, and that I had been at real risk of developing cirrhosis of the liver if it had gone on much longer.

It was a liver nurse who called to tell me about the new online support group, set up during Covid-19, run by the British Liver Trust, just for people in the Highlands and Islands with Autoimmune Hepatitis. She said, ‘I think this group will be ideal for you’. I said, ‘Sign me up straight away!’ As the group meeting came around, I was a bit apprehensive. Did I want to share my experiences with people who �� meeting and we just understood each other straight away!

�� can say – this is a tough day, I am struggling. The other people in the group already know exactly how you are feeling. I can ask, does anyone else feel like this, or someone will say, have you had these symptoms – and I will say – yes! And it’s such a relief to know that it’s not all in your head; that you aren’t losing yourself.

�� groups will continue online, even after the pandemic is over. They are already so important to us. It will be nice one day to meet other members of the group face to face, but for now I just feel really lucky to have found this support without having to leave home!

Trustees’ report

Providing information

We know from our own research that 90% of patients with liver disease look for more �� their families have access to digital and printed information on a wide range of liver �� anyone who needs it, in a format that works for them.

Publications and digital information

The British Liver Trust is a leading source of �� manage a library of over 45 patient information �� range of digital information materials such as ��

�� in a format that is easy for patients to access ��

Primary Liver Cancer: The Care To Expect sets �� care and treatment, and suggestions for questions ��

Eating Well For A Healthy Liver offers tips and ideas for managing diet to improve liver health, ��

This factsheet forms part of our expanding suite of �� the fact that one in three people have a fatty liver, and a second longer video outlining the simple steps people can take to improve their diet and ��

�� to Covid-19, an increasing number of patients �� information and support pages, and over 100,000 unique visitors to our information on Covid-19 for ��

Our health information on diet is extremely �� video and factsheet

Trustees’ report

Online support and information

�� the previous year (2,369,015 unique visitors in ��

The site became a critical source of information for liver patients during the pandemic, providing information on shielding and changing guidance, �� bodies including the Department of Health and NHS England to ensure that the voices of liver �� (including the British Society of Gastroenterology – BSG, the British Association for the Study of the Liver – BASL, and NHS Blood & Transplant – NHSBT) to provide the most up-to-date advice for ��

Our helpline nurses regularly referred patients to our Covid FAQ page for support navigating the ��

��

��
Update on the Covid-19 vaccine for liver ��
��
�� on mental health advice from a cognitive ��

2,369,015 unique visitors to our website

Having used the website and helpline, it is evident how the Trust is the true backbone in ongoing support for patients and families experiencing liver disease. For that – a huge thank you. - Helpline caller

��

Page	Unique
	page views
Symptoms of liver disease	154,524
��
liver disease and liver transplant
patients	106,798
Liver blood tests	117,210
��
disease on the Covid-19 vaccine	90,834
Cirrhosis information	85,410

Over 38,000 people took our online liver health �� had taken the screener, including tips to help keep ��

Keeping in touch

�� In Touch �� patients, family members and supporters up-to��

It is sent to a mailing list of over 13,000 people each month, and has high open and click-through �� number of additional emails to our supporters �� providing timely and accessible information for ��

Trustees’ report

Increasing awareness

�� that. Through wide-ranging media coverage, shareable social media content, real-life ��

Liver health in the media

�� of 1,432 pieces of media coverage that mentioned the British Liver Trust, averaging 119 pieces of ��

�� guidance for people shielding, highlighted the �� disease, promoted the support available to those ��

�� national and regional print, broadcast, and digital �� audience reach, from 53 million in 2019/20 to ��

166 %

increase in audience reach through media coverage

Media highlights included:

Over 350 pieces of national and broadcast coverage regarding shielding, including the �� supporters
Coverage on the BBC about the impact of the ��
��
Coverage on the risk factors for liver disease, including a story in the Daily Telegraph online ��

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Social media

�� of audiences including patients, fundraisers �� highlight all forms of liver disease, including ��

�� us on our social media channels (Facebook, ��

Our social media reach on Facebook and ��

Highlights included:

�� the Department of Health and Social Care including a liver case study encouraging �� reached over 400,000 people
�� over 1,000 people and resulted in nearly 200 engagements during the live event, including at least one donation
�� Facebook page about a liver disease �� Facebook – the post reached over 4,000 ��

17 % increase in followers

Trustees’ report

Love Your Liver hits the virtual highway

��

Covid-19 meant our popular Love Your Liver �� a range of activities under the Love Your Liver ��

�� public about liver health risks and to drive screener sign-ups
Launched a set of online and digital assets ��
Got people talking about liver health during Love Your Liver month…

��

Love Your Liver month

��

�� on the three main risk factors for liver disease ��

We ran a series of social media posts and Facebook adverts to encourage people to take �� diet factsheet, hosted a dedicated campaign �� health:

of people reported drinking more during lockdown

28 % 42 %

believe they have gained weight during the past year

��are thought to be at risk due to either being overweight or drinking too much alcohol

The campaign resulted in coverage in broadcast, national and regional media, including BBC Points ��

We also had 13,337 screener completions in ��

Our Love Your Liver month activities included a ��

Trustees’ report

Campaigning for change

Our work to support patients and raise awareness is critical but it is only by campaigning for change at a national level that we can achieve the shifts in culture and policy needed to combat the liver disease crisis. Partnership working is at the heart of this activity – our voice is much louder when we work together.

Calls for better support during pandemic

��

We campaigned heavily on behalf of people �� being included in the shielding list and being able ��

�� of Health and Social Care and Joint Committee on Vaccination and Immunisation to ensure ��

We need the Government to lead on combatting the UK’s drinking culture and obesity crisis, which has worsened during the Covid-19 pandemic. Urgent actions should �� to reduce alcohol consumption and obesity and improving legislation on marketing and labelling.

Campaigning on alcohol policy

Around 5,800 people in the UK die every year �� changes such as the introduction of minimum unit pricing in Scotland and Wales, but more must be ��

In August 2020, the British Liver Trust called for the Government to adopt a joined up alcohol ��

�� an increase in enquiries to our nurse-led helpline �� existing alcohol-related liver disease and those �� adopt joined up public health measures across the UK including addressing the affordability of alcohol through taxation and putting in place stronger controls on the marketing and labelling of ��

�� Government to take responsibility for alcohol �� Drinking in the Dark �� information to make healthy decisions about their ��

�� Duty To Recover campaign for a fairer alcohol ��

Pamela Healy OBE, Chief Executive, British Liver Trust

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��

Obesity is one of the biggest risk factors ��

�� organisations to advocate for evidence-based, population-level policy and practice, and �� This calorie reduction programme is set to run until 2024 and aims to encourage the food industry to reduce the amount of calories and ��

�� support the development of a national strategy �� to the Prime Minister urging him to tackle ��

�� comprehensive package of measures to help ��

�� organisations such as the Wales Obesity ��

Trustees’ report

Sound the Alarm

Sound the Alarm is a three-year campaign calling for the implementation of 10 key changes that ��

Liver disease is a public health emergency, so in �� on improving early detection, to demand faster ��

�� support, access to testing and manage referral �� and treatment they need to prevent further liver ��

10 key changes to improve the liver disease crisis

�� up and managing, and referring to secondary ��
�� and other regular checks across the devolved ��
�� in primary care to identify those at risk of liver disease, to include the correct blood tests and ��
��
��
��
��
��
��
��

Trustees’ report

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�� channels to urge people to sign our online petition �� also invited people to donate to support our vital ��

The petition had the backing of over 14,000 people and as a result, MPs from both Labour and Conservative parties asked questions of the Health Minister in Parliament on behalf of liver ��

Over 2020/21, our Sound the Alarm campaign reached 490,000 people on Facebook, and led to:

��
�� Support page

Improving early detection

As part of our Sound the Alarm campaign, �� disease and put them on the right treatment ��

�� and management of chronic liver disease �� there are pockets of good practice, but that there are also many areas that do not have a consistent approach to identifying those at risk, testing for and treating chronic liver ��

Using Freedom of Information requests, �� to investigate the status of planning and commissioning across Clinical Commissioning Groups (CCGs) in England and equivalent bodies in Wales, Northern ��

The project aims to make early diagnosis routine by increasing the number of effective ��

�� highlight the different patterns of service provision and provide a benchmark of �� the focus of future British Liver Trust ��

��

��

��

Find out more at www.britishlivertrust.org.uk/sta

Trustees’ report

Only 6 out of 10 patients admitted to hospital with liver disease are seen by a liver specialist

Trustees’ report

Working with healthcare professionals

�� healthcare professionals and organisations to �� 2,000 healthcare professionals via our quarterly ��

�� of the group took place on 25 November 2020, as a virtual meeting, and covered the British Liver ��

�� report, led by the Foundation for Liver Research �� Trust, leading hepatology consultants and senior ��

The New Dimensions for Hospital Services and Early Detection of Disease report underlines �� statistic that almost a quarter of patients admitted �� These patients are admitted as an emergency, and only six out of ten of these patients are seen ��

The report outlines the critical steps needed to address the liver disease crisis in the UK, including:

Training for primary care professionals

�� format and opened up registrations to GPs ��

�� step in expanding our support and resources ��

�� opening presentations highlighting the ��

The event included presentations from senior liver specialists including Dr Helen Jarvis, Royal College of GPs Clinical Champion for Liver Disease and Dr Leanne Stratton and Dr Roger McCorry, Consultant Hepatologists at ��

Over 160 GPs attended our primary care training event

Establish a Liver Disease Lead and Deputy Liver Lead in every acute hospital
Increase the number of training posts in hepatology
Improve community access to FibroScan and include liver disease in the over 40s health checks
Prioritise public health by extending the soft ��

Trustees’ report

Better care for liver cancer patients

In Scotland, cases of hepatocellular carcinoma �� other charities and the Scottish Government to improve care and support for all HCC patients in the country as part of the Less Survivable ��

In February 2021, the Scottish Government �� recommendations include having a single point of contact for each HCC patient, to join up sections ��

In March 2021, the British Liver Trust signed a statement urging Governments across the UK to take urgent steps to support cancer patients, �� leading health charities as part of One Cancer Voice, urged the Government to take steps including:

Direct resources to clear the cancer backlog as quickly as possible
�� symptoms of cancer to seek help from their GP
Expand the number of staff in key cancer professions
Drive earlier and faster diagnosis
Ensure personalised care and support for all
�� development base to accelerate improvements in cancer outcomes
Resource high quality end of life care

Supporting research

�� researchers and scientists to encourage research ��

We support researchers to ensure that patient involvement is integrated at all points in the �� the right questions and prioritise topics that are important to liver disease and liver cancer patients and their loved ones, and ultimately achieve outcomes that are meaningful to them ��

�� more people to take part in research studies or ��

Covid-19 research

�� the disease and the risks – particularly for those �� needed to understand as quickly as possible �� needed to collect data so that they could alert patients (as compared to the general population) ��

�� a universal and collaborative registry project to �� risk to liver disease patients much more quickly and provided an evidence-based approach to ��

Be bolder in measures to prevent cancer
��

Trustees’ report

ID Liver

Integrated Diagnostics for Early Detection of Liver Disease (ID Liver) is a research and innovation �� liver disease in patients much earlier than is �� experts and industry partners across the UK �� healthcare challenge that no individual team could ��

The British Liver Trust sits on the steering group to ensure patients are at the heart of this ��

Routine blood tests to support early diagnosis

The British Liver Trust supported and part-funded �� people silently developing potentially fatal liver ��

The researchers, led by Professor Nick Sheron of the Foundation for Liver Research, developed an �� freely installed on any clinical computer, making �� scale screening using patient data they already ��

Trustees’ report

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Our fundraising approach
��
a wide range of sources to ensure sustainability for the long term. While the
pandemic had a major impact on our community and events fundraising, other
income remained steady, and thanks to our amazing supporters and a number
of key corporate and trust and foundation grants, we were able to ensure the
continuation of essential patient services through this incredibly challenging year.
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Trustees’ report

We are especially grateful in this pandemic year for the support of our donors, trust and foundation ��

��

�� cycling challenges – often at home on running or cycling machines – community income ended the year having raised £86,000 against a revised ��

Individual donors came together in April and gave generously to our Covid-19 emergency appeal, ��

�� challenge not just of adapting our patient services �� moving fundraising events online, and increasing �� our fundraising decisions, and is critical to ��

�� Champion Funding from the Reed Foundation, �� achieved the target in just three days, raising over ��

�� make the decision to name the British Liver Trust �� our helpline and patient support services, fund ��

Our corporate supporters include pharmaceutical �� very grateful for grants and donations from these �� the Association of British Pharmaceutical Industry (ABPI) Code of Practice, and all such grants have ��

�� contribution to unrestricted income, supporting ��

�� supporters and funders this year, for helping us to �� need us but also, crucially, to campaign for much needed improvements in diagnosis, treatment and ��

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Trustees’ report
British Liver Trust
supporters took part
in an array of activities
during 2020/21
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Fundraising Regulator and Fundraising Policies

�� Regulator and our fundraising complies �� of the team are individual members of the Chartered Institute of Fundraising, and the �� We use third party providers and agencies to ��

Our complaints policy and processes are �� received no complaints about our fundraising in ��

Trustees’ report

Thank you

Covid-19 emergency funding

Adint Charitable Trust
Bristol Myers Squibb
Dr Falk Pharma
Gilead CARES Global Fund
Julia and Hans Rausing
National Lottery Community Fund

Increasing awareness, Love Your Liver health screening events and patient support work in Wales

Simon Gibson Charitable Trust
Waterloo Foundation
Welsh Assembly through Public Health Wales
��
SCVO Wellbeing Fund
Talbot Village Trust

Liver disease awareness-raising and advocacy, and the expansion of patient support groups in Scotland

Core work to reduce the incidence and impact of liver diseases

Bank of Scotland Foundation
Souter Charitable Trust
Betty Baxter Charitable Will Trust
Edith Murphy Foundation
Henry Lumley Charitable Trust
The Hugh Fraser Foundation
The National Lottery Community Fund Scotland
Norgine
Violet M Richards Charity

Love Your Liver campaign and roadshow (when rescheduled)

Patient information and support services, including the helpline and publications

Harry Cureton Charitable Trust
Paul Bassham Charitable Trust
Astellas Pharma Ltd
Bayer
Eisai
February Foundation
Gilead
Intercept
Ipsen

��

Shionogi

Trustees’ report

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Our future plans
In April 2021 we launched our new strategy, Towards a World without Liver Disease ,
which sets out our strategic priorities for the next three years. The strategy outlines
how we will tackle the liver disease crisis and raise awareness among the general
public, healthcare professionals, politicians and the media.
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Trustees’ report

�� will set in motion over the next three years. Our key activities for 2021/22 under each of our strategic priorities include:

1. Support everyone affected by liver disease and liver cancer

�� our helpline opening hours, and develop a ��
Continue our successful virtual support groups alongside face-to-face support groups ��
�� liver disease conditions led by healthcare professionals, providing clear and easy to understand guidance and the opportunity to ��
��

2. Increase awareness and improve �� and liver cancer and reduce stigma

�� them the opportunity to hear from members of the British Liver Trust team on key projects ��
Increase the number of Love Your Liver ��
Plan and implement a coordinated communications campaign for Liver Cancer ��
��
Engage patients at an early stage to create patient information materials that meet their needs and develop a co-creation strategy for ��

Trustees’ report

3. Improve early detection so more people are diagnosed at a stage when the damage can be reversed

��
�� results for each ICS and Health Board on our ��
Send a mailing to every ICS and Health Board ��
�� representing areas that do not currently have ��
��

4. Campaign for policy changes that make it easy for everyone to be healthier

�� parliamentary group for liver disease and liver ��
��
Increase our campaigning and policy capacity ��
Campaign for improvements in the treatment of alcohol misuse including more alcohol care teams in hospitals and measures to change ��
�� bodies to address the underlying causes of preventable liver disease (alcohol and obesity) by campaigning for joined up strategies �� taxation, MUP, marketing, advertising, ��
��
Send a mailing to every GP surgery in the UK ��

Trustees’ report

5. Drive up standards of care and improve outcomes for people affected by liver disease

�� BSG, Getting it Right First Time programme) to make the case for improvements in care, including better alcohol treatment services, ��
�� (IQIL) programme to ensure more hospital liver services meet accreditation criteria and that services are benchmarking against each other to drive improvement, and publicise this to ��
�� the National Institute of for Health and Care ��
Increase the number of British Liver Trust ��

6. Work in partnership to support research and ensure patients are part of the conversation

�� Alliance, to bring together those involved in ��
early detection, diagnosis and primary care, ��
reducing the variation in hospital care across all four nations
ensuring that hospital liver units have ��
��
�� Hospital on an exciting project that looks at �� disease can clear up infections that are ��
�� for Health Research (NIHR) and Cancer Research UK to stimulate investment and ensure research meets patient needs through ��
Apply for funding for, and carry out, at least ��
Provide patient and public involvement in ��

Trustees’ report

Financial review

Year end position and reserves

�� 31 March 2021, as outlined in the reserves and �� budget is dependent on meeting goals for the ��

Income

��

�� expected prior to the Covid-19 pandemic, and the initial reforecast at the start of the pandemic �� Trust has increased during the year, resulting in �� necessary during the pandemic resulted in a ��

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450000
400000
350000
300000
250000
200000
150000 2020/21
100000 2019/20
50000 2018/19
0 2017/18
Publications Trusts Corporate Community Individuals Legacies Statutory Income
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Trustees’ report

Expenditure

�� activities of supporting those affected by liver �� reduction in expenditure on delivery costs due to the pandemic, making fundraising a larger �� deliberate strategy to develop our fundraising ability in order to ensure long term sustainability ��

�� Raising public �� campaigning for liver ��

��
�� Finance and operations ��

Reserves

At 31 March 2021 the charity held £1,094,310 �� restricted in their use by the donor (£5,000 of �� the reserves policy, the Board of Trustees have designated £486,926 of the unrestricted reserves ��

strategy, but this investment, and the use �� and have set aside funds of £434,072 for this ��

Legacy Equalisation Fund Historically the charity has not budgeted for legacies as the income from this source has �� greater contributor in recent years and further �� for legacies, but recognises this as a point of �� of £52,854 from legacy income in the past year as a foundation for a Legacy Equalisation �� unrestricted legacies for the year exceeded ��

�� 2021 the non-designated unrestricted reserves ��

Going Concern

As outlined, the Trust has both the reserves and the strategic planning to be able to assure its ��

Investment Policy

Growth Investment Fund The charity has a three-year strategy for �� sustainable level beyond the three-year

��

Trustees’ report

Structure, Governance and Management

�� Directors of Finance and Operations, Alison Orman, and Communications and Policy, Vanessa ��

��

Risk

��

Wim Bushell Chair of Trustees

Date: 20th September 2021

Statement of Trustees’ Responsibilities

�� United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice) and ��

��

��
��
��
��
��

�� charitable company and hence for taking reasonable steps for the prevention and detection of fraud ��

Approved by the trustees of the charity on and signed on its behalf by:

Wim Bushell Chair of Trustees Date: 20th September 2021

Independent Auditor’s Report to the Members of British Liver Trust

Opinion

��

•��
•��
•�� and Trustee Investment (Scotland) Act 2005 and Regulation 8 of the Charities Accounts (Scotland) ��

Basis for opinion

��

Conclusions relating to going concern

��

Independent Auditor’s report to the Members of British Liver Trust

Other information

��

Opinion on other matters prescribed by the Companies Act 2006

��
•��
•��

Matters on which we are required to report by exception

��

�� Charities Accounts (Scotland) Regulations 2006 (as amended) requires us to report to you if, in our opinion:

adequate accounting records have not been kept, or returns adequate for our audit have not been ��
•��
•��
•��

Responsibilities of Trustees

��

�� 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 ��

Independent Auditor’s report to the Members of British Liver Trust

��

•��
•��
•��

Independent Auditor’s report to the Members of British Liver Trust

•��
•��
•��
Audited the risk of management override of controls, including through testing journal entries and other ��
•��

��

Use of our report

�� and Trustee Investment (Scotland) Act 2005 and Regulation 10 of the Charities Accounts (Scotland) ��

Anne-Marie Gates FCA FCCA (Senior Statutory Auditor) For and on behalf of Francis Clark LLP, Statutory Auditor ��

Date: 12th October 2021

Statement of Financial Activities for the Year Ended 31 March 2021

(Including Income and Expenditure Account)

		Unrestricted	Restricted	Total	Total
		funds	funds	2021	2020
	Note	£	£	£	£
Income and Endowments from:
Donations and legacies	2	821,859	343,830	1,165,689	910,575
Charitable activities	3	16,128	141,815	157,943	112,603
Investment income	4	4,708	-	4,708	9,654
Total Income		842,695	485,645	1,328,340	1,032,832
Expenditure on:
Raising funds		(229,728)	-	(229,728)	(180,070)
Charitable activities	5	(370,157)	(410,109)	(780,266)	(833,589)
Total Expenditure		(599,885)	(410,109)	(1,009,994)	(1,013,659)
Net movement in funds		242,810	75,536	318,346	19,173
Reconciliation of funds
��		535,078	240,886	775,964	756,791
��	18	777,888	316,422	1,094,310	775,964

��

Balance Sheet as at 31 March 2021

Company registration number: 02227706

Note Fixed assets Tangible assets 11 Current assets Stocks 12 Debtors 13 Cash at bank and in hand Creditors: Amounts falling due within one year 14 Net current assets Net assets Funds of the Charity: Restricted funds Unrestricted income funds Board Designated Funds Unrestricted funds Total funds 18	2021 £ 2020 £ 26,900 37,431 4,554 5,744 251,402 207,486 906,230 683,559
	1,162,186 896,789 (94,776) (158,256)
	1,067,410 738,533
	1,094,310 775,964
	316,422 240,886 486,926 150,317 290,962 384,761
	1,094,310 775,964

��

�� on their behalf by:

�� Treasurer/Trustee

Date: 20th September 2021

Statement of Cash Flows for the Year Ended 31 March 2021

Note
��
Net cash income/(expenditure)
��
Depreciation
Investment income
4
Working capital adjustments
Increase in stocks
12
Increase in debtors
13
Decrease in creditors and deferred income
14
��
��
Interest receivable and similar income
4
��
11
��
Net decrease in cash and cash equivalents
Cash and cash equivalents at 1 April
Cash and cash equivalents at 31 March

2021
£
2020
£
318,346
19,173
17,485
27,729
(4,708)
(9,654)
331,123
37,248
1,190
-
(43,916)
(96,600)
(63,480)
(3,027)
224,917
(62,379)
4,708
9,654
(6,954)
(14,971)
(2,246)
(5,317)
222,671
(67,696)
683,559
751,255
906,230
683,559

��

Notes to the Financial Statements for the Year Ended 31 March 2021

1. Accounting policies

��

Statement of compliance

British Liver Trust is a registered charity, registration number 298858 (E&W), SC042140 (Scotland), ��

�� Charities: Statement of Recommended Practice applicable to charities preparing their accounts in �� 102) issued on 16 July 2014, the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102), the Charities and Trustee Investment (Scotland) Act 2005, the Charities Accounts (Scotland) Regulations 2006 (as amended) the Charities Act 2011 and UK Generally ��

Basis of preparation

��

Going concern

�� the level of funds held and the expected level of income and expenditure for 12 months from authorising ��

Income and endowments

Voluntary income including donations, gifts, legacies and grants that provide core funding, or are of a ��

Grants

��

Donations and legacies

��

Investment income

��

Charitable activities

Income from charitable activities includes income recognised as earned (as the related goods or ��

Notes to the Financial Statements for the Year Ended 31 March 2021

Expenditure

All expenditure is recognised once there is a legal or constructive obligation to that expenditure, its ��

Raising funds

��

Charitable activities

Charitable expenditure comprises those costs incurred by the charity in the delivery of its activities and ��

Governance costs

��

Irrecoverable VAT

��

Taxation

The charity is considered to pass the tests set out in Paragraph 1 Schedule 6 of the Finance Act �� Accordingly, the charity is potentially exempt from taxation in respect of income or capital gains �� 256 of the Taxation of Chargeable Gains Act 1992, to the extent that such income or gains are applied ��

��

Depreciation and amortisation

��

Asset class	Depreciation method and rate
��	��
��	��

Stock

��

Notes to the Financial Statements for the Year Ended 31 March 2021

Trade debtors

Trade debtors are amounts due from customers for merchandise sold or services performed in the ��

��

Cash and cash equivalents

Cash and cash equivalents comprise cash on hand and call deposits, and other short-term highly liquid ��

Trade creditors

Trade creditors are obligations to pay for goods or services that have been acquired in the ordinary �� does not have an unconditional right, at the end of the reporting period, to defer settlement of the ��

Fund accounting

��

Leases

��

Pensions and other post retirement obligations

��

Notes to the Financial Statements for the Year Ended 31 March 2021

2. Income from donations and legacies

Donations and legacies: Legacies Government Grants Other donations	Unrestricted funds £ Restricted funds £ Total 2021 £ Total 2020 £ 152,854 70,000 222,854 110,776 2,867 - 2,867 - 636,128 273,830 909,968 799,799 821,859 343,830 1,165,689 910,575

��

3. Income from charitable activities

Sale of publications Contract income Health events	Unrestricted funds £ Restricted funds £ Total 2021 £ Total 2020 £ 4,998 - 4,998 10,835 - 141,815 141,815 90,967 11,130 - 11,130 10,801 16,128 141,815 157,943 112,603

��

4. Investment income

	Unrestricted	Restricted	Total	Total
	funds	funds	2021	2020
	£	£	£	£
Interest receivable on bank deposits	4,708	-	4,708	9,654

��

Notes to the Financial Statements for the Year Ended 31 March 2021

5. Expenditure on charitable activities

Research Other direct costs Employment costs �� IT costs Printing, posting and stationery Training, subscriptions and conferences Cleaning Travel and subsistence Legal and professional costs Communications and advertising Bank charges �� Governance costs	Total 2021 £ Total 2020 £ - 1,200 9,787 78,419 606,507 491,198 47,812 85,387 34,774 37,782 4,666 30,223 6,822 5,831 1,372 1,810 85 37,110 3,325 12,274 31,940 8,976 444 557 17,485 27,729 15,247 15,093 780,266 833,589

��

6. Analysis of governance costs

Governance costs

Governance costs
	Unrestricted	Restricted	Total	Total
	funds	funds	2021	2020
	£	£	£	£
Audit fees
��	10,025	-	10,025	9,000
Auditor fees in respect of other services	3,250	-	-	4,077
Bookkeeping fees	-	-	-	2,016
Annual Report production	1,942	-	1,942	-
Trustee Board Expenses	30	-	30	-
	15,247	-	15,247	15,093

Notes to the Financial Statements for the Year Ended 31 March 2021

7. Net incoming resources

Net (outgoing)/incoming resources for the year include:

Net (outgoing)/incoming resources for the year include:
	2021	2020
	£	£
Audit fees	10,025	9,000
Other non-audit services	3,250	4,077
��	17,485	27,367

��

9. Staff costs

��

The monthly average number of persons (including senior management team) �� �� Wages and salaries Social security costs Pension costs	2021 £ 2020 £ 650,232 537,112 60,060 51,419 52,145 39,996 762,437 628,527
One employee received emoluments of more than £60,000 during the year Charitable activities	2021 No 2020 No 24 21

The monthly average number of persons (including senior management team) ��
	2021	2020
	No	No
Charitable activities	24	21
One employee received emoluments of more than £60,000 during the year

��

		2021	2020
		No	No
£70,001	- £80,000	1	1

��

Notes to the Financial Statements for the Year Ended 31 March 2021

10. Taxation

��

Cost At 1 April 2020 Additions Disposals At 31 March 2021 Depreciation At 1 April 2020 Charge for the year Eliminated on disposals At 31 March 2021 Net book value At 31 March 2021 At 31 March 2020	Furniture and equipment £ Software £ Total £ 167,311 37,302 204,613 6,954 - 6,954 8,270 31,428 39,698 165,995 5,874 171,869 130,628 36,554 167,182 17,111 374 17,485 8,270 31,428 39,698 139,469 5,500 144,969 26,526 374 26,900 36,683 748 37,431

12. Stock

Stocks 13. Debtors Trade debtors Prepayments Accrued income Other debtors	2021 £ 2020 £ 4,554 5,744 2021 £ 2020 £ 5,689 46,736 36,697 45,303 193,663 110,000 15,353 5,447 251,402 207,486

Notes to the Financial Statements for the Year Ended 31 March 2021

14. Creditors: amounts falling due within one year

Trade creditors Other taxation and social security Other creditors Pension scheme creditor Accruals	2021 £ 2020 £ 22,388 105,800 17,698 14,282 517 821 8,122 9,829 46,051 27,524 94,776 158,256

15. Pension and other schemes

��

�� represents contributions payable by the Charity to the scheme and amounted to £52,145 (2020 - ��

��

16. Charity status

The charity is limited by guarantee, incorporated in England & Wales, and consequently does not ��

17. Commitments

Operating Lease Commitments

��

Notes to the Financial Statements for the Year Ended 31 March 2021

18. Funds

Unrestricted funds General Unrestricted income fund Designated Board Designated Funds Total unrestricted funds Restricted funds General research PSC / Cholangiocarcinoma research �� Love Your Liver Trailer Unit HCP Engagement Helpline Patient information �� Scotland Projects Wales Project Total restricted funds Total funds	Balance at 1 April 2020 £ Incoming resources £ Resources expended £ Transfers £ Balance at 31 March 2021 £ 384,761 839,828 (597,018) (336,609) 290,962 150,317 - - 336,609 486,926 535,078 839,828 (597,018) - 777,888 14,963 - - - 14,963 21,564 - - - 21,564 82,674 15,738 - - 98,412 10,000 - (5,000)- 5,000 30,850 - (33,229) 2,379 - 1,716 112,707 (94,955) - 19,468 - 118,950 (40,553) 78,397 5,000 5,000 71,815 86,435 (91,866) - 66,384 7,304 146,815 (144,506) (2,379) 7,234 240,886 485,645 (410,109) - 316,422 775,964 1,325,473 (1,007,127) - 1,094,310
	240,886 485,645 (410,109)
	775,964 1,325,473 (1,007,127)

Unrestricted funds
General
Unrestricted income fund
Designated
Board Designated Funds
Total unrestricted funds
Restricted funds
General research
PSC / Cholangiocarcinoma
research
��
Love Your Liver Trailer Unit
HCP Engagement
Helpline
Patient information
��
Scotland Projects
Wales Project
Total restricted funds
Total funds

Balance at
1 April 2020
£
Incoming
resources
£
Resources
expended
£
Transfers
£
Balance at
31 March 2021
£
384,761
839,828
(597,018)
(336,609)
290,962
150,317
-
-
336,609
486,926
535,078
839,828
(597,018)
-
777,888
14,963
-
-
-
14,963
21,564
-
-
-
21,564
82,674
15,738
-
-
98,412
10,000
-
(5,000)-
5,000
30,850
-
(33,229)
2,379
-
1,716
112,707
(94,955)
-
19,468
-
118,950
(40,553)
78,397
5,000
5,000
71,815
86,435
(91,866)
-
66,384
7,304
146,815
(144,506)
(2,379)
7,234
240,886
485,645
(410,109)
-
316,422
775,964
1,325,473
(1,007,127)
-
1,094,310

240,886
485,645
(410,109)

775,964
1,325,473
(1,007,127)

Notes to the Financial Statements for the Year Ended 31 March 2021

18. Funds (continued)

Unrestricted funds *General* Unrestricted income fund *Designated* Board Designated funds Total unrestricted funds Restricted funds General research Liver cancer research PSC / Cholangiocarcinoma research Nurse intervention project �� Love Your Liver Trailer Unit Fibroscan Patient information HCP Engagement Helpline Scotland Projects Wales Project Total restricted funds Total funds	Balance at 1 April 2019 £ Incoming resources £ Resources expended £ Transfers £ Balance at 31 March 2020 £ 347,894 635,975 (542,791) (56,317) 384,761 94,000 - - 56,317 150,317 441,894 635,975 (542,791) - 535,078 14,963 - - - 14,963 1,412 - (1,412) - - 23,013 - (1,449) - 21,564 65,286 - (65,286) - - 12,844 120,680 (50,850) - 82,674 15,008 - (5,008) - 10,000 8,296 - (8,296) - - 15,239 325 (15,564) - - 26,850 30,850 (26,850) - 30,850 13,441 54,390 (66,115) - 1,716 37,600 99,648 (65,433) - 71,815 80,945 90,964 (164,605) - 7,304 314,897 396,857 (470,868) - 240,886 756,791 1,032,832 (1,013,659) - 775,964
	441,894 635,975 (542,791)
	14,963 - - 1,412 - (1,412) 23,013 - (1,449) 65,286 - (65,286) 12,844 120,680 (50,850) 15,008 - (5,008) 8,296 - (8,296) 15,239 325 (15,564) 26,850 30,850 (26,850) 13,441 54,390 (66,115) 37,600 99,648 (65,433) 80,945 90,964 (164,605)
	314,897 396,857 (470,868)
	756,791 1,032,832 (1,013,659)

Notes to the Financial Statements for the Year Ended 31 March 2021

Explanation of restricted and designated reserves

Restricted

��

PSC / Cholangiocarcinoma research – This represents donations for research into a Quality of Life tool for people ��

Nurse intervention project – This represented donations for research into early detection of liver disease, through ��

��

Helpline – Donations have been provided for the provision of information and support, through a telephone and email helpline and an online peer forum, to anyone affected by liver disease including patients, carers and health ��

Patient Information – This represents funding for the production and dissemination of information on liver health ��

Wales Cross-party Working Group – This funding has been provided to facilitate the functioning of a cross-party ��

Scotland Projects – Donations have been received, largely from charitable trusts, for the promotion and ��

Wales Projects – Funding provided by the Welsh Government for the promotion and development of support ��

Notes to the Financial Statements for the Year Ended 31 March 2021

19. Analysis of net assets between funds

�� Current assets Current liabilities Creditors over 1 year Total net assets	Unrestricted funds £ Restricted funds £ Total funds at 31 March 2021 £ 21,901 5,000 26,901 850,764 311,422 1,162,186 (94,777) - (94,777) - - - 777,888 316,422 1,094,310

20. Analysis of net funds

	At 1 April		At 31 March
	2020	��	2021
	£	£	£
Cash at bank and in hand	751,255	(67,696)	683,559

21. Related party transactions

��

Wim Bushell

��

Pamela Healy

(Pamela Healy is the CEO for British Liver Trust)

��

Alison Orman

��

Vanessa Hebditch

(Vanessa Hebditch is the Director of Communications and Policy for British Liver Trust)

��

The British Liver Trust is the largest UK liver charity for adults and leads ��

�� improved care and treatment, support research, and provide information and ��

��

2021-03-31-accounts

British Liver Trust Annual Report and Accounts for the year ended 31 March 2021

Reference and administrative details

Chairman

Trustees

���������������

Company Registration Number

Charity Registration Number

Bankers

Auditors

2

3

35

36

39

40

41

42

Chairman’s welcome

About the British Liver Trust

Our vision is a world without liver disease.

Our mission and goals

About liver disease

Providing support and connections

Nurse-led helpline service

Online community

Virtual support groups

Supporting patients in Scotland and Wales

�������������

Providing information

Publications and digital information

Online support and information

Keeping in touch

Increasing awareness

Liver health in the media

166 %

Media highlights included:

Social media

Love Your Liver hits the virtual highway

Love Your Liver month

Campaigning for change

Calls for better support during pandemic

Campaigning on alcohol policy

Pamela Healy OBE, Chief Executive, British Liver Trust

���������������������������

Sound the Alarm

10 key changes to improve the liver disease crisis

Improving early detection

Working with healthcare professionals

Training for primary care professionals

Better care for liver cancer patients

Supporting research

Covid-19 research

ID Liver

Routine blood tests to support early diagnosis

Fundraising Regulator and Fundraising Policies

Thank you

Covid-19 emergency funding

Increasing awareness, Love Your Liver health screening events and patient support work in Wales

Liver disease awareness-raising and advocacy, and the expansion of patient support groups in Scotland

Core work to reduce the incidence and impact of liver diseases

Love Your Liver campaign and roadshow (when rescheduled)

Patient information and support services, including the helpline and publications

1. Support everyone affected by liver disease and liver cancer

Financial review

Year end position and reserves

Income

Expenditure

Reserves

Going Concern

Investment Policy

Structure, Governance and Management

Risk

Statement of Trustees’ Responsibilities

Independent Auditor’s Report to the Members of British Liver Trust

Opinion

Basis for opinion

Conclusions relating to going concern

Other information

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