Company number: 2239250
Charity number.. 299123
OSCR number.. SC039683
Action against Medical
Accidents
Report and financial statements
For the year ended 31 March 2022
SA YER
V I NCENT

Artion against Medical Accidents
Contents
For the year ended 31 March 2022
Reference and administrative details
Report of the Board of Trnstees
Independenr auditor's report
Statement of financial activities
Balance sheet
Sratement of cash flows
Notes to the financial statements
-22
-23
-24
.25

Actlon against Medical Accidents
Reference and adminlstrative detai15
For the year ended 31 March 2022
Action agalnst Medical Accidents lalso known as "AVMA")
Company number
Country of Incorporatton
2239250
United Kingdom
Charity number
Country of registration
299123
England & Wales
OSCR number
SC039683
Registered and principal
office address
Freedman House
Christopher Wren Yard, 117 High Street
CROYDON, CIO I QG
Patrons
Peter Ransley (Honorary Presiderjtl
Baroness Masham of Iiton
Ume5h Prabhu
Jame5 Badenoch QC
Dame Professor Donna Kinnair
Honorary officers
Jocelyn Cornwell
Nigel Holland
Caroline Browne
Chair lelecred December 20211
Treasurer (elected December 20211
Senior Independent Director l July 20221
Trustees
Moi Ali
Michael Andersson
Angela Brown
Caroline Browne
Janine Collier
Jocelyn Cornwell
Maggie Davies
Jonathan Hazan
Nigel Holland
Linda Kenward
Amrat Khorana
Bill Kilvington
Mary Smith
(resigned December 20211
(retired October 20211
(resigned December 2021)
(resigned October 2021)
(appointed December 20211
(appointed December 20211
Key management personnel Peter Walsh
Nathan Bacon
Nicky Rushden
Chief Executive
Iriternal Resources Manager
Finance Manager

Action agalnst Medical Accldents
Reference and administratlve details
For the year ended 31 March 2022
Bankers
Co-operative Bank plc
Delf House. Southway
SKELMERSDALE. WN8 6NY
Tavi5tock Private Client Ltd
The Barn. Downing Park
Station Rd, Swaffham Bulbeck
CAMBRIDGE, CB25 ONW
Independent financial
advisors
Casrlefield Advisory Partners Ltd
4-6 Staple Inn, High Holborn
LONDON, WCIV 7QH
Audltor
Sayer Vincenl LLP
Chartered Accouncanrs and SraELJrory Audiior5
nvicia House, 108-114 Golden Lane
LONDON. ECI Y OTL
Solicitor5
Tees Law
Tees House
95 London Road
Bishop's Storrford
HERTFORDSHIRE, CM23 3GW

Action Against Medical Accidents
Report of thè Board of Trustees
For the year ended 31 March 2022
The Board of Trustees presents irs reporr and the alsdited financial statements for (he year ended
31 March 2022.
Reference and administrative information Sei out on pages l and 2 forms part of thi5 report. The
financial statements comply with curreni siatuiory requirements, Ihe memorandum and articles of
association and the Statement of Recommended Practice - Accounting and Reporting by Charities..
SORP applicable to charities preparing their accounts in accordance with FRS 102.
iv
s and Activities
The chief objects of the charity described in the memorandum of association are..
he relief of sickness and condition5 of need. hardship and distress arising as a result of medical
accidents. and-,
"To advance public education in the care of victims of medical accidents and in the law relating to
such accidents".
In ordinary language trustees believe our purpose can best be described as 'lo support people
affected by avoidable harm in healthcare- to help them achieve justice-, and to promote better
patient safety for all".
Our beneficlarles
AVMA'S beneficiaries are people who have been affected by avoidable harm in healthcare and who
are directly helped by our services., and others who benefit from the change5 in policy and practice
we bring about through our public education and influencing work. Below we describe how we
help our beneficiaries through our main activities.
utshell- Our ke
actlvltles Includln
rformance in 2021
The achievements of panicular note during the year were=
We started 2021-22 with a refreshed board of trustees Wlth four new trustees with impressive
background5 appointed in March 2021 . We also took the innovative step of recruiting two
'trainee trustees. to help attract new talent without formal board experience so that they can
gain governance experience before taking on the full trustee role. Both went on to be
appointed as full trustees In December 2021, when we also appointed a new Chair, Jocelyn
Cornwell.
We took the lead in making the case for the 'lndependent Senior Advocates. (recommended by
Donna Ockenden in her review of Shrewsbury and Telford
NHS Trust maternity failures) needing to be genuinely independent, rather than employed by
the NHS itself.
We continued to get excellent feedback on the quality of advice provided to people affected by
healthcare harm and Increased the number of people we helped direcrly

Artion Agalnst Medical Accidents
Report of the Board of Trustees
For the year ended 31 March 2022
Our work on the 'Harmed Patient Care Pathway, received widespread recognition, with several
NHS trusts offering to pilot the approach and elements of the Pathway being adopted by the
Patient Safety Incident Response Framework.
Advice Information and Su ort
The advice and sUPPOrt we provide to people affected by avoidable harm in healthcare is at the
very heart of what AvK4A does, and the experience of our clients informs everything we do. In
2021-22 we directly helpecl 2,717 people lup from 2,590 in 2020-21 I, with many others
benefirring from our self-help guides and online information. There were 13,705 download5 of
these lup from 11,500 in 2020-211.
Our Helpline provides specialist, sympathetic support to people when they are coping with the
trauma of their experience. It reassures rhem that an organisation exists which understands their
plight and is here to help them. Our helpline staff and VDlunteers explain people's rights. how
different med ico-legal proces5e5 and procedures work, and they put people in touch with other
5pecialisr support where needed. We trained 50 new volunteers in the year. We are grateful co our
team of 97 trained volunteers who enable us to make this service available Monday to Friday
l Oam-3.30pm. In 2021 -22 we advised on 2.052 calls lup from 1.894 in 2020-21). These are
often exirernely serious and complex cases. AVMA is the only charity providing a specialisr
medico-legal helpline in the UK and it can get very busy.
AVMA'S caseworkers, who are all experienced professionals and are either medically andlor legally
qualified, often provide in-depth advice that would not be available from any other agency.
Sometimes, the referral of a healthcare professional to their regulator may be recommended, or
rhe case may have broader lesson5 for patient safery, or link with one of AVMA'S campaign
priorities. In 2021-22 we opened S 5 S new casework files.
IMPAcf- Caller5 to our helpline and recipients of our written casework service feel understood and
supported at a time of extreme stress and anxiety. They are enabled to make better infomied
decisions about what ￿ do next through our specialist advice and are better equipped to make
use of the procedures available to them. Often. this enables them to acce55 a specialist solicitor
and eventualty obtain cornpensation- andlor. to have their complaint5 or concerns properly
addressed and resolved-, andlor to achieve mea5ure5 to protect other patients/improve patient
safety.
An important part of our casework is the SLtpport we provide to families involved in healthcare
relared inquests. This empowers familles and maximises the opportunity for the right questions to
be asked and learning to come from the inquest. Whereas NHS bodies and individual health
professionals are usually legally represented at inquesis, bereaved families are often not. We try to
address this uneven playing field through our inquest support service. Often this involves AVMA in
intensive work instructing counsel to represent the family. This service is made possible by
barristers, giving their time, advocacy ski115 and expertise freely. It also involves a huge
investmeni of time and effort in our caseworkers considering. researching and investigating the

Acrion Against Medical Accidents
Repor[ of the Board of Trustees
For the year ended 31 March 2022
issues (medical and circumstantiall believed to be relared EO rhe death and where appropriate
Ill5trurting the barrister, supporting the family. and attending the inquests. We helped five families
in this way over the year, involving multiple hearings. A nurnber of important conclusions have
been arrived at in inquests where we arranged representation for families, including
recommendations for improving patient safety, via Prevention Future Death IPFDI reports which
may not have been achieved had we not been involved. In some circumstances Serious
Investigation Reports (SIRI or equivalent processes were instigated as a direct result of AvMA's
involvement. these processes would likely have been avoided without that involvement. Some of
the SIR offered up Action Plans which may obviate the need for a PFD. Arguably where a trust
offers up its own action plan it may be just as influential for improving patient safety as a
PFD. Thls Is because the impetus for change comes from the trust itself. it is not imposed on it by
direction of the coroner. Families gained a better insight iTrto the circumstances leading to their
family member's death. In addition we gave advice and information to a further 95 families who
were facing a forrhcoming inquest. to help them prepare and lor to get legal representarion at the
inquest lup from 76 in 2020-21). Some of these cases are very complex and time consuming.
Supporting families at inquest5 was made more challenging due ro the pandemic, as coroners.
courts closed for a period- travel was not always possible,. and some hearings and pre inquest
reviews had to be held online {via Teamslzoomlsimilar) or phone, this approach was referred to
as remote or partial remote hearings . Demand for rhe inque5r Service exceeds what we can supply
by way of representarion 50 we have written criteria for the cases we will take on, all applications
for representation are judged against these criteria, which ensures equality and fairne55 in the
process. All applications are read by caseworkers and then discussed at a weekly allocation
meeting where views on rhe merits of rhe case are shared. We have noticed a trend in inquests
becoming more complex and taking Knore time (more often than not being listed for a minimum of
3 days, and in one of our inquests lasting 6 days). This reduces the number of inquests we can
take on with existing resources. We assisted through the pandemic by preparing families and
helping to manage their expectations about remote and partial remote hearing5 a5 well as the
coronial process more generally. Remotelpartial remote hearings are likely to be part of the
future. We were able to do this because our IT was able to facilitate participation in remote
hearings and our professionally qualified caseworkers were able to accommodate the challenge
and uncertainty created by this change in process.
IMPA￿. Families who have105t a family member as a result of avoidable harm are all given
information and advice on the coronial process, on limitation and on the terms of the pro bono
inquest service. The beneficiaries we are able to provide assistance to at the healthcare inquest
hearlng are represented by qualified barristers and feel empowered by havlng a legal
representative raise relevant point5 of law (for example. Article 2 arguments- neglect as a rider to
a conclusion) and pose questions to the coroner and other witnesses attendlng to give evidence at
inquests. The coroner is sometlmes helped to recognise issues that need to be addressed to
protect future patlentslimprove patient safery and to Issue a 'prevention of future deaths.
letter. It can also encourage the coroner to seek independent medical expert evldence before the
full hearing thereby contributlng to the coroner holdlng a full and fearle55 enquiry and ensuring
that the evidence is available to be consldered when the coroner arrives at their conclusion. Early

Attion Agalnst medic￿ Accidents
Report of the Board of Trustees
For the year ended 31 March 2022
involvement before the full hearing can enable famllies to Invlte the coroner to call relevant
witnesses to glve evldence at the hearlng which they may have omltted to do wlthout our
involvement.
Poli
relatlons
Inftuencin Poli
Whilst the direct supporr we provide to our beneficiarie5 - people whose lives have been affected
by safety failures
IS Vltally important in its own right, it also informs our policy and campaigns
work. It fuels our passion to bring abour changes that will benefit many more people than we can
ever reach ourselves. 2021-22 was another busy year for AVMA in contributing to important policy
initiatives and debates, which fell full-square in our area of concern and expertise. Increasingly
AVMA is expected to take a lead on issues around patient safety and acces5 to justice on behalf of
Parients due to its unique role.
The initial report by Donna Ockenden in 2021 into maternity service failures at Shrewsbury and
Telford NHS Trust included a recommendation for the role of Independent Senior Advocates to be
developed. The advocates would support women and families who experience adverse incidents
and face investigations. We participated in a 'stakeholder group. to advise NHS
Englandllmprovement on taking this fonvard but the group only met once before the group was
suddenly informed in November 2021 that a decision had been taken that the 'lndependent
Advocates. would be employed by the NHS. We worked with other stakeholder5 to try to persuade
NHS England that this would nor be 'independent' or enjoy the confidence of harmed women or
their families. We continue to try ro find a solution and avoid what would be a missed opportunity
to provide much needed support to these people.
Our work around Just culture. in healihcare and Ihe work we did with our beneficiaries on
understanding the harmed patient's journey led us to recognise the need to look at how the NHS
should deal with the holistic needs of harmed patients and their families. Together with colleagues
in the new organisation Harmed Patients Alliance, we developed the concept of a 'Harmed Patient
Care Pathway, _ an acknowledgement of a specific duty of care for patients who experience harm,
and their families, and a set of different kinds of support which should be made available to them.
This has been very well received by many stakeholders in healthcare and our beneficiaries. Our
hope is that following furEher development of the concepr and piloting of the approach thi5 will
lead to a rnuch better defined and resourced approach to supporting harmed patients and their
families.
Government proposals for fixed recoverable costs in clinical negligence continued to be a key area
of concern. Proposals from Government have been delayed. probably due to the pandemic, bur are
experted to emerge in 2022-23 and may now include even more radical proposals. We continued
to make the case for full access to justice for harmed patientsltheir families., that this is a vital
part of a 'just culture, and also important for ensuring lessons are learnt for patient safety. In
particular, we gave evidence to the Health and Social Care Committee investigation looking at NHS
Litigation Reform and developed a comprehensive response to the formal consultation on fixed

Artion Against Medlcal Accidents
Report of the Board of Trustees
For the year ended 31 March 2022
recoverable cost in clinical negligence. We also convened a 'Legal Think Tank. of lawyers to help
plan and prepare for further experted leg31 reform proposals for clinical negligence.
We were pleased that the Justice Committee's review of the Coroners, service rook on board
evidence from ourselves and others and made a recommendation for legal aid to be available for
families who face inquests into public disasters or deaths where public bodies are legally
represented. Sadly. the Minisrry of Justice is still not accepting thls recommendation. but our work
goes on to try to address Ihis clear injustice.
We continued to work with NHS Resolution and other5 building on Ihe 5ucce55ful co-operaiion
over a legal protocol for clinical negligence cases during the covid pandemic.
As well as work that grabs the headlines. AVMA continued to bring an expert patient perspective to
patient safety and justice issues through ongoing relationships with public bodies, policy makers
and fellow patients, groups and participation in various meetings and working groups Staff and
trustees were also represented on several advisory groups for relevant research projects. In 2021-
22 we also made formal responses to the following consultations..
"Regulating Health Professionals,. protecting the Public"
Department of Health & Social
Care
"Duty of Candour in Northern Ireland" Department of Health, Northern Ireland
"Review of the Parliamentary and Health Service Ombudsman"
the Public Administration &
Constitutional Affairs Committee
-NHS Litigation Reform evidence to Health & Social Care Committee
"Pre-Action Protocol" Civil Justice Council
IMPA￿.
Our work on the duty of candour wlll mean that more people get to hear the truth about
what happened and are told in a compassionate way.
Our work on 'fixed recoverable costs. Jaccess to justice should mean that more people
retain the ability to access justice and ensure health providers recognise they have made a
mistake.
Conferences and t
21
readin
Awaren
d Practlce
In spite of disruption due to the covid pandemic continuing to disrupt events in 2021 a total of
788 delegates attended AVMA'S four physical 'face to face. events in 2021-22 (Court of Protection,
Panel Meeting, Christmas Drinks Reception, and our Annual Clinical Negligence Conference). A
further 469 joined the two online conferences live. with 2 58 accessing the content on demand
after the event. 262 delegates joined our live webinars, with a further 201 accessing the content
on demand. This means a total of 2,040 people benefitted from our training and events in 2021-
22 compared with 740 in 2020-21 and I ,123 in 2019-20. Despite having to postpone some
events due to Covid during the 2021-22 financial year we still comfortably surpassed budger due
to the success of the Annual Conference and the three other physical events that we were able to
run in September and December and the popularity of online events earlier in the financial

Actlon Against Medlcal Accidents
Report of the Board of Trustees
Forthe year ended 31 March 2022
year. The 32nd Annual Clinical Negligence Conference {ACNCI took place on 24-25 March 2022 in
Leeds, after a three-year hiatus due ro Covid. The event was a great success, with delegate
bookings nearly reaching the same levels as 2019. a record number of exhibirion bookings and a
healthy profit well ahead of budget.
I 00% of attendees who completed evalLiation forms for our events replied 'Yes" when asked "Do
you expect that you will use the learning from thi5 conference in your work?.
ImpA￿-. Enhancing the 5ki11s and knowledge of legal and health professionals results in our
beneficiaries receiving good quality advice and representation from them.
Medi
al services
Although rhe majority of people AVMA helps do not take legal action, some of the mosr vulnerable
people AVMA seNes rely on the services of solicitors. In addition to awarding our quality mark
where appropriate. AVMA continued to run a Lawyers. Service which helps law firms provide the
best POS5ible services in this specialist area. We recommend medical experts from our
comprehensive database, keep lawyers up to date on case law and policy, and help with
interpreiing medical issues. Law firms subscribe to this service, which provides AvMA'5 single
biggest income stream. Most of the services continued to be provided uninterrupted by the
pandemic, wirh staff working from home. However, our regional Lawyers, Service Group meetings
had to move ro an online format. These meetings usually involve a medical and a legal speaker as
well as an AVMA update and provide an opportuniry for networking. The online meetings were well
received in the circumstances. but we are exploring how besi to arrange these meetings going
foNard.
IMPAcf- Our 5UPPQrt services for solicitors pratti5ing in clinical negligence m&7ns that our
beneficiaries are more likely to experience a good service and successful result.
We continued to assess and accredit clinical negligence solicitors for our specialist clinical
negligence panel. AVMA'S quality mark is the best indicator available that the 501icitors have the
necessary expertise, experience and integrity ro do a good job for people affected by clinical
negligence. Our panel members also usually have supervisory responsibilities in their firms,
thereby helping assure quality in the firms as a whole. We See the importance of being able to
recogni5e a genuine specialist as all the more important as a result of current upheaval of the legal
sysrem. In spite of the difficult environment for clinical negligence solicitors, interest in bein9 on
AVMA'S panel remained strong. We made 5 new appointments to the panel during the year and
reaccredited 15 panel members. These figures are down from I l and 29 respectively in 2020-21 .
which may be a reflection of the pandemic. We also had 5 panel members retire during the year.
so we are conscious of the need to recruit more. However, we are re-assured by feedback
suggesting the AVMA panel accrediiatioll IS Still held in very high regard.
One of the key aims in the operation of the AVMA Panel is improving standards of clinical
negligence practice by sharing best practice. Best practice benchmarks are drawn from
applications to rhe panel, particularly from the most experienced senior lawyers. as well as the

Attion Agalnst Medical Accidents
Report of the Board of Trustees
For the year ended 31 March 2022
contribution of external inteNiewers, but always with a focus on what is in clients. best
inrerests.
Those benchmarks are continually changing as standards improve. We always
interview new applicants. including those who have been advised they do not meet the required
standard, as this enables us 10 offer advice on how they can improve. We do this as they will be
providing clinical negligence advice with or without U5, $0 we wish to ensure that their clients
receive the best service. We are very grateful to David Kerry, an experienced former panel member.
who helps us on a voluntary basis with assessing and interviewing applicants.
IMPA￿. Our panel. and the quality mark denoting membership of it, makes it easier for our
beneficiaries who need to take legal action to find a genulnely specialist solicitor with the
approprlate quaiities. knowledge and skills. This re5uIt5 in our beneficiaries receiving more expert
advice and representatlon and. in our opinion. greater likelihood of a successful outcome.
AVMA'S work in Scotland
As a charity registered in Scotland las well as England and Wales) our activities north of the border
include our Helpline and Casework Service. which can be accessed by people in Scotland. We
coniinued to liaise with bodies such as Scottish Government, NHS Improvement Scotland, Ihe
Scottish Public Services Ombudsman and the Patient Advice and Support SeNice Scotland and
contributed to discussions about patierbt safety and justice. In particular, we continued to engage
about implementation of the Duty of Candour in Scotland.
Public Benefit
The Board of Trustees has referred to the guidance contained in the Charity Commission's general
guidance on public benefit when reviewing the charity's aims and objectives and in planning its
fuiure activities. In particular, the Board considers how planned activiries will contribute to the
aims and objectives thar have been set.
Fundraising
AVMA is a member of the Fundraising Regulator Scheme and follows its code of conduct. Chief
fundraising responsibility is held by the Markering & Communications Manager, in conjunction
with rhe Chief Executive. However, other departmenrs also source sponsorship for events and may
hold a fundraising acrivity at events. AVMA'S main fundraising comes from donations from
supporters,. fundr315ing event5 held by other organisations benefitting AvMA-, our own fundraising
events,. corporate sponsorship., and occasional bequests. AVMA does not employ or commission
external fundraising professionals or companies. AVMA does not make unsolicited approaches to
individuals. No complaints have been received about AVMA'S fundraising.
Assuring the quality of our work
The charity has a Quality and Outcomes sub-committee to help take forward its work on quality
and impact measurement. Part of its remit is to review any complaints made about AVMA'S work
and be sure that any learning points are acted upon. We received no formal complaints about
AVMA during the year. However. we continue to monitor feedback and look into any concerns

Action Against Medical Accidents
Report of the Board of Trustees
For the year ended 31 March 2022
expressed. We introduced a "you said. we did" section to our Newsletter to demonstrate we take
such feedback seriously.
We have developed a range of different ways in which people can give us feedback on our seryices
and all commenrs, positive and negative, are reviewed regularly. Where possible, we contact
people who leave negarive feedback to see if we can resolve the problem they raise.
Plans for the future
Our five-year strategic plan sets out our strategic objectives for five years from 2019-2024 and
our plans for achieving them. We held a mid-term review of our strategy in October 2021 .
AVMA'S plan5 for 2022-23 include-
Full implementation a new CRM Idatabasel the biggest infrascructure investment AVMA has
ever made, which will greatly improve our efficiency
The recruitment and Induction of our new chief executive. Peter Walsh retires at the end of
2022 and is being replaced by Paul Whiteing.
Further development of a 'Harmed Patient Care Pathway'i seeking to ensure a consistent
approach is taken to meet the needs of harmed patients and their families
Renting out three floors of our property. retaining just one for our own use
Intensive policy and influencing work around the Government's expected legal reforms.
including proposals for 'fixed recoverable costs, in clinical negligence and other legal reforms
which we fear may be injurious to access to justice and patient safety.
The launch of a new 'junior solicitor, cerrificaiion scheme to acknowledge and develop
solicitors to become full panel members in the future.
Continuing to work hard to try to diversify income streams and generate new income to
address the forecasr operational deficit and enable maintenance of services and meeting
charitable objectives long term.
Obtaining accrediiation of our advice services.
Commissioning a new website
ANK YOU-
AVMA provides all of its services to the public for free and receives no State funding. It has to rely
on its own fundraising and income generation activities to keep going. We are very grateful to all
of our supporters., donors., paying customers-, and business partners for making this happen. We
would like to say a special thank you to the following companie5 who Supported us in 2021-22..
Partners in C05ts (Our Platinum medico-legal sponsor and organiser of famous curry nightsll
BD lour PlatillUTn 'Partners for Patient Safety, corporate member)
Radar Healthcare {our Gold 'Partners for Patient Safety. corporate member)
Pentland Medical lour Silver 'Partners for Patient Safety. corporate member)

Action Against Medlcal Accidents
Report of the Board of Trustees
For the year ended 31 March 2022
cruRE GOVERNANCE
The organisation is a charitable company limited by guarantee, incorporated on 4 April 1988 and
registered as a charity on 17 April 1988. The organisation changed its name to Action against
Medical Accidents IAVMAI on 3 December 2003.
The company was established Ltnder a memorandum of association which established the objects
and powers of the charitable company and is governed under its articles of association.
Trustees collectively form the Board of Trustees.
Board of Trustees and appointment of Board members
Individual trustees {members of the Board) are appointed by the Board of Trustees. Not less rhan 6
nor more than 20 Board members may be appointed. The Board may co-opt persons to fill casual
vacancies provbded the maximum of 20 is not exceeded. Approximately one third of the Board
must reiire each year, those being the longest serving since their previous election. Reiiring
members are eligible for re-elecrion, which takes place at the annual general meeting.
Recruitment of new trustees takes place as and when the Board believes this 15 necessary to add to
or complement the experience. knowledge and skills available to the Board. Usually 'vacancies" for
new trustees are advertised. Potential new trustees are inteNiewed by at least trustees usually
including the Chair, and the Chief Executive. Based on objective criteria, the recommendations to
appoint a new trustee are put to the full Board together with the candidate's background details
for a decision. During 2021-22 four trustee5 resigned or retired and our 'rrainee trustees
were appoinied as full trustees, bringing the total number of trustees to nirke at the year end.
There have been no changes since the year end.
All new rrustees receive an induction into the work of the charity and their roles and
responsibilities as trustees. Trustees are asked to declare any conflicts of interest or matters which
may disqualify them as a trustee. Trustees are also encouraged to attend furrher training where
appropriate.
Members of the charitable company guarantee to contribute an amount not exceeding £ I to the
assets of the charitable company in the event of winding up. The total number of such guarantees
at 31 March 2022 was 912021 1 I l. Members of the Board of Trustees have no beneficial interest
in the charitable company.
The Board of Trustees met four times during the year. AVMA has adopted a five year strategic plan
for 2019-20 onwards. This is accompanied by annual operational plan. Progress on meeting
sirategic objecrives is reviewed regularly. A 'Finance and Investment Committee. and 'Quality &
Outcomes Committee, meei between Board meetings.
AVMA has a trading company. AVMA Services Ltd, which is Used when there has been non-
charitable trading beyond the amouni permissible by the Charity Commission. AVMA Services Ltd
has been inactive in 2021-22.

Attion Against Medical Accidents
Report of the Board of Trustees
For the year ended 31 March 2022
Honorary Offlcers
The charity has adopted the practice of electing a Chair, Vice-chair and Treasurer for a one year
term at the charity's AGM. December 2021 saw the appointment of Jocelyn Cornwell as Chair and
Nigel Holland as Treasurer. The charity has decided not to coniinue to elecr a vice-chair and
instead to create a position of Senior Independent Director. to which Caroline Browne was
appointed in July 2022.
Delegation of day to day running of the charity
Trustees delegate the day to day running of the charity to the Chief Executive {currently Peter
Walshl. Peter Walsh is due to retire in December 2022.
Patrons
The role of patron does not involve any legal or governance responsibilities. Patrons act as
ambassadors for the charity and help by providing advice, taking part in events, making
introductions and generally spreading the word about AVMA and its work.
Remuneration of key management personnel
The Board of Trustees has a remuneration policy covering all employees. All personnel are paid
within a defined salary band with annual increments until the top of the band 15 reached. Salary
bands are set and reviewed through trustees, review of pay scales available in comparable
organisations Ifor example by reviewing job advertisements and lor speaking to recruitment
agencies) and by reference to the NJC and NHS Pay Scales. Annual cost of living increments are
awarded ar rhe discrerion of the Board of Trustees, with reference to the Consumer Price Index for
the previous calendar year and bearing in mind the charity's finances and the financial climate
generally. AVMA'S full remuneration policy is published on the charity's website.
Financial
Our Medico-Legal departmenE made a contribution (calculated by income less direct costs from
note 61 of £222,53 7 in the year. Other Charirable Trading generated £13 2.102 and Conferences
and Training recovered after Covid-19 to generate £164.618. Fundraising wa5 Still subdued and
generated a contribution of £36.830. Overall this covered the net C05t of our public-facing Advice
and Information Service of £229,617, our Policy & External Relation5 Costs of £38, 592 and our
support cost5, giving an overall net expenditure of £48.801 for rhe year. In addition, we had
unrealised gains on investmerits of £8.224 in a challenging year.
vi
AVMA receives no ongoing funding from NHS or government agencies and is therefore very reliant
on its own income generation activities and the generosity of rhe people we have helped, other
supporters and sponsors. For this we are extremely grateful.
The receipt of the Judith Freedman legacy in 201 I means that the charity has been abse to invest
for its future. The single most significant use of the legacy was the purchase of "Freedman House"
on a 999 year lease. Thi5 was revalued at £1,780,000 as at 31 March 2022. an increase of

Artion Against Medical Accidents
Report of the Board of Trustee5
For the year ended 31 March 2022
£180.000 in the year,. this is £573.341 higher than the original cost. We also currently hold
£1 ,194.199 in an invesrment portfolio Isee note141.
As well as no longer paying rent. we are letting out some of the office space ro provide us with
additional income. We have also been able 10 operare a deliberaie deficii operating budget in order
to provide maximum impact to our beneficiaries from our services and operations and invest in
new ideas for business developmeni.
Princ
tle
The main risk facing the charity continues to be the uncertainty facing the future of clinical
egligence litigation. Most of the charity's income is generated through the provision of services
to clinical negligence lawyers. both through rhe Lawryers, Setvtce and the provision of conferences
and training. Recent legal reforms including the removal of legal aid for the vast majority of
clinical negligence cases have already created difficulties for law firms wishing to practice in
clinical negligence, which is beginning to see mergers or firms dropping out of clinical negligence
work. This is resulting in a decline in income from lawyers, service subscriptions and conference
delegate places. Government proposals for the introduction of a 'fixed recoverable costs, regime
could have a much larger impact {as well as threatening access to justice for AVMA'S beneficiaries
and the likelihood of the NHS learning from errors). The charity is addressing this risk by
attempting to diversify and develop new sources of income and also planning for managing an
anticipated fall in income by reducing expenditure in a carefully planned and staged way. The
situation is kept under constant review.
Another principal risk facing the charity 15 the impatt of the current high levels of inflation. The
charity may not be able to increase income in all areas sufficient to cover higher costs. Also. using
estimates of future inflation poses a challenge to the accuracy of the financial planning process.
The charity is addressing this risk by keeping it under constant review and remaining flexible in its
financial planning, together wirh analysing inflation informaiion from the best sources, to include
the most appropriate rates in the planning.
A further principal risk is the uncerrainty in financial markets which may affect the charity's
investments. In the light of this, the trustees have reviewed the charity's investment strategy, de-
risking the short-term element of the portfolio and assuming medium risk for the long-term part.
AVMA relies on part of it5 income coming from rent and seNice charges received for two floors of
Freedman House. The economic situation yneans that that office space has become harder to let.
There is therefore a significant risk income fr05n this SOL5rce will drop. One floor has been leased
for ten years, one floor has been leased since the year end and one further floor is being vacated
by AVMA and marketed for lease.
Trustees consider known significant risks and strategies for mitigating them through a risk
register which is reviewed regularly by the Finance & Investment Committee and Quality &
Outcomes Committee, which report to the Board of Trustees. The risk register is also reviewed
annually by the full Board at the charity's AGM.

Action Agalnst Medical Accidents
Report of the Board of Trustees
For the year ended 31 March 2022
Reserves and I
Background and financial strategy
As set out above, we are in a period when income fro￿ our traditional revenue sources is declining
significantly, against a background of the current deliberate deficit budget. Current trend5 and
ullcertainties lead us to expect this fall to conrinue in the coming few years.
The trustees have worked hard ro develop a long-range financial strategy to address the siiuation
on a timely and considered basis. Our financial strategy is to move to a sustainable balanced
budger over a period of l O years to 2026127, against the background of anticipated contraction of
our Eraditional revenue streams. through developing new sources of Income and making cost
effticiencies in a carefully planned manner. This is reviewed each year on a rolling basis. and this
year was extended by a further 3 years to 2029130.
We plan to utilise our current rese￿e5 to fund the (reducing) shonfall each year. to continue to
provide maximum impact to our beneficiaries, and also to continue to invest carefully in new
development activities as appropriate. This is expected to reduce reserves to the target level by
the end of the strategy period. These reserves are held as a separate designated fund, and I I l O is
released each year to general funds, as per note 20.
Reserves policy
We own our office building, Freedman House, outrighr. This provides cover for catastrophic
events. and also for an orderly wind down should thi5 ever be necessary. as well as generating an
income and savings on what would be spent on rent.
The trustees have a policy to retain sufficient free resetrves to cover working capital requirements
and realistic contingencies. This is calculated as..
Working capital.. 3 months. running costs including salaries, and 75% of conference venue
Costs.
Contingency reserve £1 00.000.. to cover the risk of a short-term fall in income over committed
expenditure. together with operational risks and exceptional costs.
At current activity levels this amounis io target reserves of £464,984.
Level of reserves
We have free reserves of £838,878 ar the year end. This is an excess of £373.894 agalnst the
above year-end target. due primarily to the receipt of the legacy of £450,000 in the year (which
was accrued at 3113121 l. Liquidity is carefully managed and the balance is in line with our long-
range financial strategy as explained above.

Actlon Against Medical Accidents
Report of the Board of Trustees
For the year ended 31 March 2022
Inve5trnent policy
The trustees have agreed to invest the reserves in an ethical invesrment porrfolio, to achieve
returns that enable the funding of AVMA'S requirements borh in the short and the long-term.
Short-term requiremenis {up to 3 years) are placed on deposit to achieve some return whilst
ensuring appropriate liquidity. using a specialist cash management service where possible. The
remaining reseNes are held within a long-term investment portfolio managed by Castlefield. The
total investment ponfolio including the cash is conservatively structured with an emphasis on
capital preseNation. bLtt also likely to achieve an overall return in the region of 2.5%.
Management and trustees monitor the financial plan. reserves levels and investment policy closely
in the light of changing circumstances.
Statement of Res
onslbllltles of the Board of Trustees
The Board of Trustees (whose members are also directors of Actlon against Medical Accidents for
the purposes of company lawl is responsible for preparing the trustees, reporr and the financial
statements in accordance with applicable law and United Kingdom Accounting Standards Iunlted
Kingdom Generally Accepted Accounting Practice).
Company law 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 charitable company and the group and of the
incoming resources and application of resources, including the income and expenditure, of the
haritable company and the group for that period. In preparing these financial statements, the
Board of Trustees are required to..
Select suitable accounting policies and then apply them consistently..
ObseNe the methods and principles in the Charities SORP-
Make judgemenrs and estimates that are reasonable and prudent.,
State whether applicable UK Accounting Standards have been followed, subject to any
material departure5 disclosed and explained in the financial statements., and
Prepare the financial statements on the going concern basis unless it is inappropriate to
presume that the charitable company will continue in operation.
The Board of Trustees is responsible for keeping adequate accounting records which disclose with
reasonable accuracy at any time the financial position of the charitable company and enable them
to ensure that the financi31 statements comply with the Companies Act 2006, the Charitie5 and
Trustee Investment (Scotlandl Act 2005 and the Charities Accounts (Scotland) Regulations 2006 (as
amended). li is also responsible for safeguarding the assets of the charitable company and the
group and hence for raking reasonable steps for the prevention and dereccion of fraud and other
irregularities.
In so far a5 the Board of Trustees is aware-
There is no relevant audit information of which the charitable company's auditor5 are
unaware.. and

Action Agalnst Medical Accidents
Report of the Board of Tru5tee5
For the year ended 31 March 2022
The Board's members have taken all steps that they ought to have taken to make themselves
aware of any relevant audit information and to establish that the auditors are aware of that
information.
The Board of Trustees is responsible for the maintenance and integrity of the corporare and
financial information included on the charitable company's websire. Legislation in the United
Kingdom governing the preparation and dissemination of financial 51atements may differ from
legislation in OTher jurisdicEions.
Auditor
Sayer Vincent LLP was re-appointed as the charitable company's auditor during the year and has
expressed its willingrke55 to continue in that capacity.
Approved by the Board of Trustees on 13 December 2022 and signed on its behalf by
Peter Walsh
Company Secretary

Independent auditor's report
To the members of
Action Against Medical Accidents
Opinion
We have audited the financial statements of Actlon against Medical Accidents (the 'charltable
company'l for the year ended 31 March 2022 which comprise the statement of financial acriviries.
balance sheet, statement of cash flows and notes ro the financial starements, including significant
accounting policies. The financial reporting framework that has been applied in their preparation
is applicable law and United Kingdom Accounting Standards, including FRS 102 rhe Financ131
Reporting Standard applicable in rhe UK and Republic oflre/and (United Kingdom Generally
Accepted Accounting Practice).
In our opinion, the financial statements..
Give a true anLI fair view of the state of the charitable company's affairs as at 31 March 2022
and of its i ncoming resources and application of resources. including its income and
expenditure, for the year then ended
Have been properly prepared in accordance with United Kingdom Generally Accepted
Accounring Practice
Have been prepared in accordance with the requirements of the Companies Act 2006. the
Charities and Trustee Investment (Scotlandl Act 2005 and regulation 8 of the Charities
Accounis Iscorlandl Regulations 2006 las amended)
Basis for opinion
We conducted our audit in accordance with International Standards on Audlting (UKI IISAS IUKI)
and applicable law. Our responsibilities under Ihose standards are further described in the
Auditor's responsibilities for the audit of the financial statements section of our report. We are
independenr of the charitable company in accordance with the ethical requirements that are
relevant ro our audit of the financial statements in the UK, including the FRC'S Erhical 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 rhar, individually or collectively, may cast significant doubt on Action against
Medical Accidents. ability to conrinue as a going concern for a period of at least twelve months
from when the financial statements are authorised for issue.

Independent audltor's report
To the members of
Action Against Medical Accidents
OLtr responsibiliries and the responsibilitles of the trustees with respect to going concern are
described in the relevant sections of this report.
Other Information
The other information comprises the information included in the trustees, annual repon, other
than the financial statement5 and our auditor's report thereon. The trustees are responsible for
the other information contained within the annual report. Our opinion on the financial statements
does not cover the other information and, except to the extent othenvise explicitly stated in our
report. we do not express any form of assurance conclusion thereon. Our responsibility is to read
the other information and, in doing so, consider whether the other information is maierially
inconsistent with the financial statements or our knowledge obtained in rhe course of 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 statemenrs themselves. If, based on rhe work we have
performed, we conclude that there is a material misstatement of this other information, we are
required 10 report that fact.
We have nothlng to report in this regard.
Opinions on other matters prescribed by the Companies Act 2006
In Ouf opinion. based on Ihe work underEaken in the course of the audit..
The informaiion given in the Erusrees, annijal report for Ihe financia5 year for which the
financial 51atemenis are prepared 15 con5iSteni with Ihe financial statements., and
The trusrees, annual repon has been prepared in accordance wilh applicable legal
requiremenis
Matters on which we are required to report by exception
In the light of the knowledge and understanding of the charitable company and its environment
obtained in the course of the audit, we have not identified material mi55tatements in the tru5tee5'
annual report,
We have nothing to report in respect of the following marrers in relation to which the Companies
Act 2006 and the Charities Account5 (Scotlandl Regulations 2006 las amended) require us to
report to you if, in our opinion=
Adequate accounting records have not been kept. or returns adequate for our audir have not
been received from branches not visited by us., or
The financial statemenrs are not in agreement with the accounting records and returns- or
Certain disclosures of trustees, remuneration specified by law are not made., or
We have not received all the informarion and explanations we require for our audit., or

Independent auditor's report
To the member5 of
Artion Against Medlcal Accidents
The directors were not entitled to prepare the financial statements in accordance with rhe
small companies regime and take advantage of the Small companies, exemptions in
preparing the trustees. annual report and from the requirement to prepare a strategic report.
Re5pon5ibilities of trustees
As explained more fully in the sratemenr of trustees, responsibilities set out in the tru5tees' annual
report, the trustees {who are a150 rhe directors of the charirable company for the purposes of
company lawl are responsible for the prepararion of the financial statements and for being
satisfied that they give a true and fair view, and for such internal control as the trustees determine
is necessary to enable the preparation of financial statements that are free from material
misstatement. whether due to fraud or error.
In preparing the financial statements. the trustees are responsible for assessing the charitable
company's ability to continue as a going concern, disclosing, as applicable, matters related to
going concern and using the going concern basis of accounting unless the trustees either intend
to liquidate the charitable company or to cease operations, or have no realistic alternative but to
do so.
Auditor's responsibilities for the audit of the financial statements
We have been appointed as auditor under section 44{1 Ilcl of the Charities and Trustee Investment
(Scotlandl Act 2005 and under the Companies Act 2006 and report in accordance with regulation5
made under those Acts.
Our objectives are to obtain reasonable assurance about whether the financial statements as a
whole are free from material misstatement, whether due ro fraud or error. and to issue an
audiror'5 repon that includes our opinion. Reasonable a55vrance is a high level of assurance, but
is not a guaraniee Ihat an audit conducted in accordance wilh ISAS (UK) will always detect a
material misstatemeni when it exists. Missiatements 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.
Irregularities, including fraud, are instances of non-compliance with laws and regulation5. We
design procedures in line with our responsibilities. outlined above, to detect material
misstatements in respect of irregularities, including fraud. The extent EO which our procedures are
capable of detecting irregularities. including fraud are set out below.

Independent auditor's report
To the members of
Attlon Against Medical Accidents
Capability of the audit in detecting irregularities
In identifying and assessing risks of material misstatement in respect of irregularities, including
fraud and nors-compliance with laws and regulations, our procedures included the following:
We enquired of managemenr, finance committee, which included obtaining and reviewing
supporting documentation. concerning the charity'5 policies and procedures relating to..
Identifying, evaluating, and complying with laws and regulations and whether they we
aware of any instances of non-compliance.
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 related to fraud or non-compliance
with laws and regulations.
We inspected the minutes of meetings of those charged with governance.
We obtained an understanding of the legal and regulatory framework thar the chariry
operate5 in, focusing on those laws and regulation5 thar had a material effect on the
financial statements or that had a fundamental effecr on the operations of the charity from
our professional and sector experience.
We communicated applicable laws and regulations throughout the audit team and remained
alen to any indications of non-compliance throughout the audit.
We reviewed any repon5 made to regularors.
We reviewed the financial statement disclosures and tested these to supponlng
documentation to assess comp5iance with applicable laws and regulations.
We performed analytical procedures to identify any unusual or unexpected relationships that
may indicate risk5 of material misstatement due ro fraud.
In addressing the risk of fraud through management override of controls. we tested the
appropriatene55 of journal entries and other adjusimenrs, assessed whether the judgements
made in making accounting estimares are indicarive of a potential bias and tested significant
tran5action5 that are unusua5 or those outside the normal course of business.
Because of the inherent limitations of an audit, there is a risk that we will not detect all
irregularities, including those leading to a material rnisstatement in the financial statements or
non-compliance with regulation. This risk increases the more that compliance with a law or
regulation is removed from the events and transactions reflected in the financial statements, as we
will be less likely to become aware of instances of non-compliance. The risk is also greater
regarding irregularities occurring due to fraud rather than error, as fraud involves intentional
concealment, forgery, collusion, omission or misrepresentation.
A further description of our responsibilities is available on the Financial Reporting Council's
website at.. www.frc.or
.uk audiioisres
-￿0()51b141[les. This description forms part of our auditor's
report.
20

Independent audltor's report
To the members of
Action Against Medlcal Accidents
Use of our report
This reporr is made solely to the charitable company's members as a body, in accordance with
Chapter 3 of Part 16 of the Companies Act 2006 and section 4411 Ilc) of rhe Charities and Trustee
Investmeni (Scotlandl Act 2005. Our audit work has been undertaken so that we might state to the
charitable company's members those matters we are required to state to them in an audiror's
report and for no other purpose. To the fullesi extent permitted by law. we do not accept or
assume responsibility to anyone other than the charitable company and the charitable company's
members as a body, for our audit work, for this report, or for the opinions we have formed.
Noelia Serrano (Senior statutory auditor)
Date L5 December 2022
for and on behalf of Sayer Vincent LLP, Statutory Auditor
Invicta House. 108-114 Golden Lane, LONDON, ECI Y OTL
Sayer Vincent LLP is eligible to act as auditor in terms of section 1212 of the Companies Act 2006

Actlo* &g￿n5r Mediol Acclderrts
Statement of financial activities lincorporaiing an income and expenditure account)
Forthe
ended 31 March 2022
2022
Total
2021
Total
Restriaed Unre51ricted
Restricted Unrestricted
Nore
l#coThe fraTh:
Donaiions and legacies
Charitsble all1￿￿e5
Conferentes and training
Medico-le9al servios
Advice, inforrnarion and 5UPPOrt
(Xher trading activitiÈ5
Investments
Other
72.277
72,277
518.898
518.898
437.348
392.909
785
1 62.630
56,096
437.348
392.909
785
162.630
56.096
82.675
394.370
796
140.353
50,391
228
82.675
394.370
796
140.353
50.391
228
Total I￿ome
1,122.046
1,122,046
1,187.711
Expenditure on..
ising fund5
Charitable a¢TTvr¢ies
Conferences and irainjng
Medico-legal servlces
Adwce, informaiièn and supporr
PoliLy and exTernal rel&ion5
Charitable tradlng acrivitios
TO￿ ¢xpendiwr¢
46.937
46,937
46.619
46.619
368,468
281.528
378.478
55.482
39,954
368,468
281,528
378,478
55,482
39.954
236,766
317.979
403.290
62.743
34.646
236.766
317.979
403.452
62.743
34.646
162
1,170,847
I.I70.847
162
1,102,043
1,102,205
Net (expenditure) lincome before net galns on
investments
148.801)
85,668
85,506
Nei gains Qrt invesTTnents
lQeT Qainsll50sses1 on iDve5tment property
Revalualion gainllimpairrnent10551 on leasehdd
proper
Net income I (ex￿ndIt￿re) for the year
8,224
90,000
90.000
8,224
90,000
90,000
214.533
1150.000)
1150.0001
214.533
1150.0001
{150.0001
13b
13a
139.423
139,423
1162)
201
39
Reconciliation of funds..
Total funds brou9hr forbvard
TO￿ funds carrled
20
3.890,800
3,890,800
162
3.890,599
3,890.761
20
4.030.223
4,030,223
3.890,800
3,890.80Q
l ofthe abwe results are derwÈd from c¢ntihuing actrrfffies. There were no oiher reco9nised 9ains or l¢sses otherr￿ thos¢ sr*Èd abtsve. m￿MentS in fund5
are di5c105ed In Note 20 thÈ financial statements.
22

Attion against Medical Accidents
Balance sheet
Company no. 2239250
As at 31 March 2022
2022
2021
Note
Fixed a55ets=
Tangible assets.- other
Tangible assets.. leasehold property
Investment property
Inve51ments
142.716
890,000
890,000
1.194,298
4.362
800,000
800,000
1,183,806
13a
13b
3.117.014
2.788,168
Current assets=
Debtors
Cash at bank and in hand
147.244
1.188.531
605.254
1,038,455
1.335.775
1.643.709
Ltabilities-.
Creditors.. amount5 falling due within one year
422,566
541,077
Net current assets
913,209
1,102,632
Total net assets
4,030.223
3.890,800
The funds of the charity.
Restricted income funds
Unrestricted income funds..
Designated funds
Fair value reserve
General funds
20a
3.157,483
33.862
838.878
2.786,690
304,417
799.693
Total unresrricted funds
4.030.223
3.890,800
Total charity funds
4,030,223
3,890.800
Approved by the trustees on 13 December 2022 and signed on their behalf by
Dr Jocelyn Cornwell
Chair
Nigel Holland
Treasurer
23

Artton agalnst Medlcal Acadents
Statement of cash flows
Forthe
ear ended 31 March 2022
Reconciliation of net income / lexpenditurel to net cash flow from operating acuvities
2022
2021
Net income for the reportln9 perlod
las per the statement of financsal activities)
Depreciation charges
(Gains) on investments
IGainlllos5 on property revaluarion
Dividends. interest and rent from investments
Decreasel Ilncreasel in debiors
(Decreasellincrease in creditors
139.423
39
2.984
(8.2241
(180.0001
156.0961
458,010
(718.510)
11,930
1214,5331
300,000
150.3911
1509,9771
203,856
Net cash froml(used inl used In operatln9 acrlvities
237.587
1259.0761
2022
2021
Cash flows from operdting attivitie5
Net cash provided byl (used inl operating activÉties
237,587
{259.076}
Cash flows from investing artivities=
Dividend5, interest and rents from investments
Purchase of fixed assets
Proceeds from sale of investments
Purchase of fixed asset investments and cash
invesied into portfolio
Net sale of curreni asset investments
56,096
1141,3381
1,016,152
50.391
12,2901
99,980
(1.018.421)
2,191
240,000
Net cash from investing aaivities
187.511}
390.272
Change In cash and cash equ(valents in the year
I SO.076
131.196
Cash and cash equivalents ai ihe beginning of the
vear
1.038.455
907.2 59
Cash and cash equlvaients at the end of the year
7,188.531
1,038.455
Analysis of cash and cash equivalents and of net debt
At l April
2021
At 31 March
2022
Cash flows
Cash at bank and In hand
Notice deposits (less than three months)
301,962
736,493
149,044
1.032
451.006
737.525
Total cash and cash equlvalents
1,038,455
150,076
l.T88.531
Total
.038.455
150.076
1,188,53T
24

Artion agaln5t Medical AccidÈnts
Notes to the financial statements
For the
ar ended 31 March 2022
l Accounting poliaes
a) Statutory infomiation
Action against Medical Accidents is a charitable company limited by guarantee and is incorporated in England.
The registered office address and principal place of business is Freedman House, Christopher Wren Yard, 117
High Street. Croydon CRO I QG.
b) Basis of preparation
The financial statements have been prepared in accordance with Accounting and Reporting by Charities".
Statement of Recommended Practice applicable to chariries preparing their accounts in accordance with the
Financial Reporting Standard applicable in the UK and Republic of Ireland IFRS 102) (Charities SORP FRS
1021, the Financial Reporting Standard applicable in the UK and Republic of Ireland IFRS 1021 and the
Companies Act 2006.
Assets and liabilities are initially recognised at historical cost or transaction value unles5 Otherwise stated in
the relevant accounting pcilicy or nore.
c) The charitable company meets the defjnition of a public benefit entthty under FRS 102.
d) Golng concern
The trustees consider that there are no material uncertainties about the charitable company's ability to
continue as a going concern.
The trustees do not consider that there are any sources of estimation uncertainty at the reporting date thar
have a 5ignificani risk of causing a material adjustment tci the carrying amounts of assets and liabilities within
the next reporting period. including the impact of covid on the charity within the year and going fo￿ard.
e) Income
Income is recognised when the charity has entitlement to the fund5, any performance conditions attached to
the income have been met, it is probable that the income will be received and that the amount can be
measured reliably.
Income from govÈrnment and othèr grants. whether 'capital' grants or 'revenue' grants. is recognised when
rhe charity has entitlement to the funds, any performance conditions attached to the grants have been met. it
is probable rhat the income will be received and the amount can be measured reliably and is not deferred.
For legacies, entitlement is taken as the earlier of the date on which either.. the chariry is aware that probate
has been granted, the estate has been finalised and notification has been made by the executorlsl to the
charity that a distribuiion will be made, or when a disiribuiion is received from the estate. Receipt of a legacy,
in whole or in part, is only considÈred probable when the amount can be rne￿ured reliably and the chariiy has
been notified of the executor's intention to make a distribution. Where legacie5 have been ntstified to the
charity. or the charity is aware of the granting of probate, and the criteria for income recognition have nor
been met, then the legacy is a treated as a contingent asset and disclosed if material.
Income received in advance of the provision of a specified service is deferred until the criteria for income
recognirion are met.
25

Action ag￿n$t Medical Accidents
Notes to the financial statements
For the
ear ended 31 March 2022
l Accounting policies Icontinuedl
Donatlons of gifts, seThices and facilities
Donated professional services and donated facilities are recognised as income when the charity has control
over the item or received thÈ service, any conditions associated with the donation have been met, the receipt
of economic benefir from the use by the charity of the item is probablo and that economic benefit can be
measured reliably. In accordance with the Charities SORP IFRS 1021. volunteer time is not recognised so refer
to the Irustees, annual report for more informarion about their contribution.
On receipt. donated gifts. professional services and donated facilities are recognised on the basis of the value
of the gift to the charity which is the amount the charitrl would have been willing ro pay to obtain services or
facilities of equivalent economic benefit on the open market,. a corresponding amount is thèn reco9nised in
expenditure in the period of receipt.
gl Interest receivable
Intèrest on funds held on deposit is included when receivable and the amount can bé measured reliably by the
charity., this is normally upon notification of the interest paid or payable by the bank.
h) Fund accounting
Restricted funds are to be used for specific purposes as laid down by the donor. Expenditure which meets
these criteria is chargèd to the fund. Restritted funds are set out in note 20 below.
Unrestricted funds are donations and other incoming resources received or generated for the charitable
purposes.
Designated funds are unrestricted funds earmarked by the trustees for particular purposes.
i) Expenditure and irrecoverable VAT
Expenditure is recognised once thére is a legal or constructive obligation to make a payment to a third party. it
15 probable that Settlement will be required and the amount of the obligation can be measured reliably.
Expenditure is classified under the following activity headings..
Costs of raising funds relate to the costs incurred by the charitable company in inducing third parties to
make voluntary contributions to it, as well as the cost of any activities with a fundraising purpose
Expenditure on charitable artivitie5 includes the costs of delivering services, events and other educational
activities undertaken to further the purposes of the charity and their associated support costs
Irrecoverable VAT is charged as a cost against the activity for which the expenditure was incurred.
j) Allocation of support costs
Resources expended are allocated to the particular actiViD/ where the cost relates directly to that activity-
Support and governance costs are re-allocated ro each of the attivitie5 on the following basis which is an
estimate, based on Staff time, of the amount attributable to each activity..
Raising funds
Conference5 and training
Medico-legal service5
Advice. information and sijpport
Policy and external relations
Charitable trading attivities
24%
38%
4%
Governance costs are the costs associated with the governance arrangements of the charity. These costs are
associated with constitutional and SEatutory requirements and include any costs associated with the Strategic
management of the charity's artivities.
26

Attlon against Medlcal Accldents
Note5 to the flnancial statements
For the
ear ended 31 March 2022
l Accounting policies (continued)
k) Operating leases
Rental charges are charged on a straight line basis over the term of the lease.
11 Tangible fixed assèts
Items of equipment are capitalised where the purchase price exceeds £200. Depreciation costs are allocated to
activitie5 on the basis of the use of the relaied assets in rh05e activities. Assets are reviewed for impairment if
circumstances indicate their carrying value may exceed Iheir nei realisable value and value in use.
Where fixed assèts have been revalued, any excess between the revalued amount and the historic cost of the
asset will be shown a5 a revaluation reserve in rhe balance sheet. Properly revaluation is included within the
property designated fund.
Depreciation is provided at rates calculated to write down the cost of each asset to its estimated residual value
over irs expected useful life. The depreciation rates in use are as follows..
Computer equipment and website development
3 years
Office equipment and furniture
5 years
Databases
l O years
The leasehold property is valued under the revaluation model. No depreciation is charged on the leasehold
property on the grounds of immaterially due to a long expected life and high residual value.
m) Llsted investments
Investments are a form of basic financial instrument and are initially recognised at their transaction value and
subsequently measured at thÈir fair value a5 at the balance Sheet date using the closing quotod market price.
Any change in fair value will be recognised in the statement of financial attivities and any excess of fair value
over the historic cost of the investments will be shown as a fair value reserve in the balance sheet. Inve5trnent
gains and losses, whether realised or unrealised, are combined and shown ITh the heading "Net oainslllossesl
on investments" in the statement of financial activities. The chariry does not acquire put options, derivatives or
other complex financial instruments.
Investments in subsldiaries
Investments in subsidiaries are at cost.
Investment properrle5
Investment properties are measured inirially at cost and subsequenily included in the balancè sheet at fair
value. Investment properties are not depreciated. Any change in fair value is recognised in the starement of
financial artivities. The valuation method used to determine fair value will be stared in the notes ro the
accounts.
ny Debtors
Trade and othèr debtors are reco9nised at the settlement amount due after any trade discount offered.
Prepayrnents are valued at the amount prepaid net of any trade discounts due.
o) Cash at bank and in hand
Cash at bank and cash in hand includes cash and short term highly liquid investments with a short maturity of
three months or le55 from the date of acquisition or opening of the deposit or similar account. Cash balances
exclude any funds held on behalf of service users.
pl Creditors and provislons
Creditors and provisions are recognised where the charity has a prÈsent obligation resulting from a past event
that will probably result in the transfer of funds to a third pany and the amount due to setrle the obligation
can be measured or estimated reliably. Creditors and provisions are normally recognised at their settlement
amount after allowin9 for any trade discounts due.
27

Artion against Medlcal Accidents
Notes to the financial statements
For the
ear ended 31 March 2022
l Accounting policies (continuÈdl
q) Finan0￿ instruments
The charity only has financial assets and financial liabilities of a kind that qualify as basic financial
instruments. Basic financial instruments are initially recogni5ed at transattion value and subsequently
measured at their settlement value with the exception of bank loans which are SL4bsequently measured at
amortised cost Using the effective interest method.
r) Pensions
The charitable company offers all staff a stakeholder pension scheme in accordance with auto enrolment
requirements. The charitable company pays an agreed contribution to this scheme on their behalf. The assets
of the pension fund are independent from the company and the pension cost charge represents contributions
payable. The charitable company has no additional liability other than for the payment of those contributions.
2 Income from donations and legacies
2022
Total
2021
Total
Experts, donations
Corporate donations
Unclaimed clienis. money
Legacies
Other donations
Corporate sponsorship
Sponsored leaflet5
Other fundraising
11.121
7.315
14.113
11,496
556
19,242
456,327
9,185
7.500
13.605
987
12.670
4.750
15.552
6,756
72.277
518,898
All funds for 2022 and 2021 were unrestricted.
28

Actron against Medical Acddents
Notes to the financial statements
For the
ear ended 31 March 2022
3 Income from charitable actlvltles
2022
Total
2021
Total
Delegate. sponsor and webinar income
437.348
82,675
Tot￿.. conferences and tralnlng
437,348
82.675
Subscription fees
Referral panel fees
379,709
13,200
381,920
12,450
Total: medlco-legal services
392.909
394.370
Other
785
796
Total: admce. infomiation and support
785
796
Totat income from charitable actiwtie5
831.042
477,841
All funds for 2022 and 2021 were unrestricted.
4 Income from other trading activities
2022
Total
2021
Total
AVMA events
Web51te subscriptions
Lawyers, service dirertory
Publi￿tIOnS
Fees earned
2.230
108,230
10,502
12.512
29,156
101.532
11,040
12.714
15.066
162,630
140.353
All funds for 2022 and 2021 were unrestricted.
5 Income from investments
2022
Total
2021
Total
Dividends and interest
Rent
14.516
41.580
8.811
41,580
56.096
50,391
All funds for 2022 and 2021 were unrestricted.
29

-ttOOUIUIty
IP
r￿f￿￿￿-¢)*vr+1
ID I * i
I m I
o I

* rq
o I I I
i o tfj I
o I
ce
io 1 1 * 1
CO0&0￿5

Acdon against Medlcal Accidents
Note5 to the financial statement5
For the ear ended 31 March 2022
Net incomin9 resources for the year
This is stated after charging I (crediting)..
2022
2021
Depreciation
Audiror's remuneration {excluding VAn-.
Audit - current year
Foreign exchange lossesllgainsl
2,984
11.930
7,675
7.300
102
An￿yS1$ of staff costs, trustee remuneration and expenses. and the cost of key management personnel
Staff costs were as follows."
2022
2021
Salaries and wages
Social security costs
Employer's contribution to defined contribution pension schemes
760.479
73.229
17,704
786,315
68,506
17.311
851,412
872,132
The following number of employees received employee benefits (excluding employer pension cosis and
national insurancel during rhe year berween-.
2022
No.
2021
No.
£70.000- £79.999
£60,000- £69.999
The total employee benefits including pension conrributions and ernployer's naiional insurance of the key
managerneni personnel were £184,706 12021.. £141,628). The increase is due to a change in staff
responslbilities since the retiremeni of Ihe deputy chief executive.
The charity trustees were not paid or received any other benefits from employment with the charity in the year
12021.. £nill. No charity trustee received payment for professional or other services supplied to the charity
12021.. £nill.
Trustees, expenses represents the payment or reimbursement of travel, subsistence and accommodaiion costs
totalling £970 {2021- £551 incurred by 6 (2021.. 1 I members relating to attendance at trustee meetings and
events and telephone costs.
32

Action agalnst Medlcal Accldents
Note5 to the financial statements
For the
ear ended 31 March 2022
stsff numbers
The average number of employees (head count based on tota number of stsff employed) during Ihe year wa5
as follows..
2022
No.
2021
No.
Raising funds
Conferences and training
Medico-legal Services
Advice, information and suppon
Policy and external relations
Charitable trading activities
Support
Governance
22.2
24.6
The average number of employees (based on equivalent number of full-time staff employed) during the year
was as follows..
2022
No.
2021
No.
Raising funds
Conferences and training
Medico-le9al services
Advice, information and support
Policy and external relations
Charitable trading activities
Support
Governance
18.5
18.0
l O Related party transactions
There are no related party transattions to disclose for 202212021: none).
There are no donarions from related parties which are ourside the normal course of business and no restricted
donations from related parties (2021.. none).
I l Taxation
The charitable company is exempt from corporarion tax as all its income 15 charirable and 15 applied for
charitable purposes.
33

Attlon against Medlcal Accldents
Notes to the financlal statements
For the
r ended 31 March 2022
12 Tangible fixed assets
Office
equipment
and
furniture
Computer
equipment
and website
MS Dynamics
CRM
database
EMIS
database
Total
Cost or valuation
At the start of che year
Additions in year
93,069
61,372
20,000
174,441
141,338
141,338
At the end of the year
93,069
61.372
20,000
141.338
315.779
Depreciation
At the start of the year
Charge for the year
89,726
2,580
60.353
404
20,000
170.079
2.984
At the end of the year
Net book value
At the end of the year
92,306
60,757
20,000
173.063
763
615
141.338
142,716
At the start of the year
3.343
1.019
4,362
All of the above assets are used for charitable purposes. The leasehold property is disclosed separately, see
note 13. The Microsoft Dynamics CRM database was still in development at the year end and so no
depreciation has been charged in the year.
13 Property
The charity owns the leasehtsld to Freedman House which comprises 4 floors. The ground and first floor are
currently occupied by the charity and disclosed as tangible fixed assets. The second and third floors are rental
and disclosed a5 investment properry. The original cost in 2013 was £1.206,6S9.
The value for the total property was £2,050,000 at 3113118, £1,900,000 at 3113119 and 3113120,
£1,600,000 at 3113121. The trustees obtained an informal valuation at 31 March 2022 from a property
consultant, OvingtOn5. based on potential resale value. The value has increased by £180,000 10 £1.780.000 in
the year as a result of adjustments in the market. This 15 £573,341 hi9her than the ori9inal cost.
34

Artion against Med1￿ Accidents
Notes to the financial statsments
For the
ear ended 31 March 2022
13a Tangible fixed assets.. Leasehold property (ground and first floors)
2022
2021
Valuation
At the start of the year
1.025.000
1 ,025.000
At the end of the year
1.025.000
1.025,000
Depreciation
At the srarr of the year
Impairment gains Illosses written backl
225.000
(90.000)
75,000
150,000
At the end of rhe year
Net book value
At the end of the year
135.000
225,000
890.000
800,000
13b Investment property (second and third floors)
2022
2021
Fair value at the start of the year
Revaluation during the year
800.000
90,000
950.000
1150,0001
Fair value at the end of the year
890,000
800,000
35

Actlon against Medlcal Accidents
Notes to the financial statements
For the
ar ended 31 March 2022
14 Investments
2022
2021
Fair value at the start of the year
Additions at cost
Disposal proceeds
Nei gain on change in fair value
Movements in cash element of portfolio
1,183.707
1,042.575
(1.016.152)
8.224
(24,155)
1.071,345
199,9801
214.533
12,191)
Fair value at the end of rhe year
1.194.199
1,183,707
Hisrorlc cost at rhe end of the year
1.160.337
879.290
Investments compri5e=
Investment TrustslOEICslREITslSICAVs
Cash
1.185.509
8,690
1,150,863
32,844
1,194.199
99
1,183.707
99
Share in subsidary undertaking {see below)
1,194.298
1.183,806
The tota] value of the investments have reduced to £l,114.471 as at 25111122, partly as a result of the effett
on the global downiurn and volarility of the markets. There is no immediate requirement for the
investments, so they will be held until value recovers.
bshdiary undertiknng
The charitable company owns the whole of the issued ordinary share capiial of AVMA Services Limited, a
company registered in England. The company did not trade in this or the prior financial year. The subsidiary's
net assets are £99 12021.. £991.
15 Detrtors
2022
2021
Trade debtors
Other debtors
Prepayments
Accrued income
87.189
22.028
30.815
7.212
47,467
17,686
84,729
455,372
147.244
605,254
16 Credltors= amounts falllng due wirhin one year
2022
2021
Taxation and social security
Other creditors
Accruals
Deferred income (note 171
40,902
39,895
39,113
302,656
50,038
18,908
37,921
434,210
422.566
541.077
36

Actlon against Iledical Accidents
Notes to the finanaal statements
For the
ear ended 31 Marth 2022
17 Deferred income
Deferred income comprises subscriptions. conference fees and other income received in advance
2022
2021
Balance at the beginning of the year
Amount released ro income in the year
Amount deferred in rhe year
434,210
{434.2101
302.656
270.335
1270,3351
434,210
Balance at the end of the year
302.656
434.210
18 Pension scheme
The charity contributes to a defined contribution siakeholder pension scherne for its employees.
ConEriburions are set out in note 8 above. Theie were no arnounts owed at 3 1 March 2022 12021 .. £nill.
19a Analy515 of net assets be￿een funds (current year)
General
Restricted unrestricted
Fair value
reserve
Total
fund5
Designated
Tangible fixed assets - other
Tangible fixed assets - database
Tangible fixed assets - leasehold
Investment property
Fixed asset investments
Net current assets
1.378
141.338
890,000
890,000
1.160,436
74,331
1.378
141.338
890.000
890,000
1,194.298
913.209
33.862
838,878
Net assets at 31 March 2022
838.878
33.862
3.1 57.483
4.030.223
19b An￿y515 of net assets be￿een funds {prior year)
General
unrestricted
Fair value
reserve
To
fund5
Restricted
Designated
Tangible fixed assets - other
Tangible fixed assets - leasehold
Investment property
Fixed asset investments
Accrued income
Other net current assets
4,362
800,000
80Q,000
703,981
4.362
800,000
800,000
1.183,806
455.372
647.260
175.408
455.372
168,913
304,417
478,347
Net assets at 31 March 2021
799,693
304.417
2,786,690
3,890.800
37

Actlon against Medlcal Accidents
Notrs ts• the financiaj statements
For the
ear ended 31 March 2022
20a Movements in funds (current yearl
At l April
2021
Income &
gains
Expenditure
& losses
At 31 March
2022
Transfers
Unrestricted funds-
Designated funds:
Fixed assets - property
Fixed assets CRM database
Fixed assets - other
Major repairs and maintenance
ICT replacement
Transitional fund
CRM replacement
Business developmeni projects
New website and finance software
Laptop replacement
1,600,000
180,000
141.338
1.780.000
141.338
1,378
200.000
10.328
700.000
58.812
175.000
65.627
25.000
4,362
200,000
10.328
500.000
202,000
175,000
70,000
25,000
(2.9841
200.000
1141.3381
11.8501
14,3731
Total designated fund5
2.786,690
19.2071
380.000
3,157,483
Fair value reserve
304.417
1270.5551
33.862
General funds
799.693
1.310,270
11 161.6401
1109.4451
838.878
TO￿ unrestricted funds
3,890,800
1,310,270
11, 170,8471
4.030,223
Total funds
3.890,800
1,310,270
{1,170.847)
4.030,223
38

Action against Medical Accidents
Notes to the financi￿ 5tatementS
For the
ear ended 31 March 2022
20b Movements in funds {prlor year)
At l April
2020
Income &
gains
Expenditure
& losses
At 31 March
2021
Transfers
Restricted funds:
Access audir
162
(1621
Total restricted funds
162
{162)
Unrestricted funds:
Designated funds..
Fixed assets - property
Fixed a55ets other
Major repairs and maintenance
ICT replacement
Transitional fund
Connect Asslst project
CRM replacemeni
Busine55 development projects
New website and finance software
Laptop replacement
1,900,000
14,002
200,000
12,618
600,000
6,055
1300,0001
2,290
1.600.000
4.362
200.000
10.328
soo.000
111,9301
12.2901
(i 00,0001
12.8051
202,000
175.000
70,000
25,000
13.2501
202,000
175,000
70,000
25,000
Total designated funds
2,732,67S
115.1801
69,195
2.786,690
Fair value reserve
77,363
227.054
304.417
General fund5
1.080.561
1,402,244
(1.386.863)
{296.2491
799.693
Total unrestricted funds
3.890,599
1,402,244
11.402,0431
3,890,800
Total furtds
3.890.761
1,402,244
11,402,205)
3.890.800
Purpose5 of restricted funds
Access audit= received from City Bridge Trust to carry out an access audit of Freedman House. The balance
was spenr on similar work in 2020121.
39

Actlon ag￿nst Medld Accidents
Note5 to the financial statements
For the ear ended 31 March 2022
Purposes of deslgnated funds
Fixed as5et- propety. the charity purchased the leasehold to Freedman House on 2 May 2013 for £1.2
million. This ha5 been carried at valuation since 31 March 2018. and is split 50'.$0 bettveen functional fixed
asset5 (ground & I st floors) and investment property12nd & 3rd floors).
Fixed asset- CRM databa5e- reflects the development cost to date of the new CRM database, Microsoft
Dynamics. The development was noi compleie by the year end. Depreciarion will be charged ro thi5 fund in
future years.
Other fixed assets- reflect5 rhe reducing net book value of the ICT, website, furniture and office equipment.
The transfer represents rhe cost of assets purchased in the year.
Major repair5 and maintenance= for major works to maintain the value of the property in the future.
I￿ replacement: to cover programme of Icf replacement. Transfers reflett Icr equipment which has been
purchased during the year.
Transitional fiJnd- to allow the charity ro continue to meet its charitable objects at as near a5 Possible the
level of activity and impact as the year 2015116 whilst new sources of income are explored and where
necessary expendsture reduced. movin9 toward a sustainable balanced budget in 2026127 in accordance with
our long range financial plan. The funds are released on a straight line basis over l O years. This ha5 been
rolled forward for a further 3 years 10 2029130.
Connect Assist project.. to implement recommendations of Connect Assist report on data, website an(S
helpline. including employment of temporary IT worker and softyvarelwebsite development Costs. The balance
was spent in 202012 1 on helpline and CRM developmenr.
CRM replacementr. to ctsmplete the project to replace our legacy CRM system Seneca. Includes development
costs and project management.
Bu5ine55 development projects-. to invest in projects to develop new recurring income streams for the future.
New website and finance software= EO irnplemenr new finance software Iplicit and develop new website for the
organisatlon.
Laptop replacement. one-off project to replace the laprops used by all staff.
Fair value reserve. this represents the unrealised gainsl1055es on fixed asset investments.
21 CapStat Ccsmmltments
At the balance 5heei dare, the charity had capiial commitments of £12,729 for the balance of the CRM
development work12021.. £nill.
22 Contingent assets and liabilities
At the balance sheet date the charity had no contingent11abilities.
23 Legal Status of the charity
The charity is a company limited by guarantee and has no share capital. The liability of each member in the
event of winding up is limited ro £1.
40

Actlon agalnst Medical Accidents
Notes to the financial statements
For the
ear ended 31 March 2022
24 Post Balance Sheet events
As slated in note 13 above. the ground and first floor are currently occupied by the charity. the second and
third floors are rental. ThTS gives a 50-. 50 split between tangible fixed assets and inve5tmenr property. Due 10
the impact of the pandemic and the uptake in remote working, since the year end ir has been decided ro free
up the firsr floor which we currently occupy and market it for rental. This will make the split 25=75. and this
will be reflecred in rhe 2023 accounts.
41