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2025-03-31-accounts

RREGISTERED CHARITY NUMBER: 500497

CHAPEL-EN-LE-FRITH MOBILE PHYSIOTHERAPY SERVICE TRUSTEES’ ANNUAL REPORT AND ACCOUNTS

FOR THE YEAR ENDED 31 MARCH 2025

CHAPEL-EN-LE-FRITH MOBILE PHYSIOTHERAPY SERVICE

INDEX

Page
Chair’s Report 1
Report of the Trustees 2 - 5
Mobile Physiotherapist’s Report 6 - 7
Treasurer’s Report 8
Receipts and Payments Accounts 9
Independent Examiner’s Report 10
Notes to the Accounts 11 - 13
Supporters 14

CHAPEL-EN-LE-FRITH MOBILE PHYSIOTHERAPY SERVICE

CHAIR’S REPORT

FOR THE YEAR ENDED 31 MARCH 2025

Chapel Mobile Physiotherapy Service has had another busy year. I would like to thank our Physio, Steve, and everyone on the Committee for all their hard work. We are only a small charity and punch well above our weight.

We have some generous donors. However, our costs are going up and our income is going down, even though we save the NHS a lot of money by keeping people safe and mobile in their own home. We only need funds to pay our employee and his expenses as the committee do the fundraising and take no remuneration.

Funding for day to day expenses is going down whilst the need is going up, as we are an ageing population. Chapel Mobile Physio are very appreciative of the support we are given, but we need more funding to support us on a regular basis.

Cllr Kath Sizeland – Chair

5 May 2025

Page 1

CHAPEL-EN-LE-FRITH MOBILE PHYSIOTHERAPY SERVICE

REPORT OF THE TRUSTEES

FOR THE YEAR ENDED 31 MARCH 2025

REFERENCE AND ADMINISTRATIVE DETAILS

Charity name

The full name of the charity is “Chapel-en-le-Frith Mobile Physiotherapy Service”.

It is also known as “Chapel Mobile Physio”.

Registered charity number

500497

Principal address

34 Hordens Park Road, Chapel-en-le-Frith, High Peak, SK23 9SY

Email address

ChapelMobilePhysio@outlook.com

Board of Trustees since the end of the previous financial year

Cllr Kath Sizeland Mrs Judith Aizlewood Dr Graham Brodie MB, BS, MRCGP Mrs Una Meagher

Executive Committee at the date of this report

President - Mayor of the Borough of High Peak Cllr Stewart Gardner Chair and Representative of the Borough of High Peak - Cllr Kath Sizeland Treasurer - Mrs Judith Aizlewood Secretary - Ms Sandra Higgins Minutes Secretary - Helen Young Medical Adviser - Dr Graham Brodie MB, BS, MRCGP Compliance Officer - Mrs Una Meagher Representative of the Borough of High Peak - Cllr Nigel Gourlay Co-opted Members –Mrs Pauline Turner, Mr Roger Turner

Patron

Mr Nick Pilling

Mobile Physiotherapist

Steve Davidson, Grad Dip Phys MCSP HPC

Independent Examiner

Mr Tim Mourne FCCA Mourne & Co Accountants, 10 Market Street, Chapel-en-le-Frith, High Peak, SK23 0HH

Website

www.ChapelMobilePhysio.org

Our website is hosted for free by Kualo.

Page 2

CHAPEL-EN-LE-FRITH MOBILE PHYSIOTHERAPY SERVICE

REPORT OF THE TRUSTEES - CONTINUED

FOR THE YEAR ENDED 31 MARCH 2025

STRUCTURE, GOVERNANCE AND MANAGEMENT

Governing document

The charity is controlled by its constitution, as amended on 20 November 2019.

Recruitment and appointment of new trustees

The trustees regularly review the skills, experience and knowledge of the Board in order to identify when a new trustee needs to be appointed. The existing trustees decide the attributes which are needed in a new trustee and look to recruit from people already known to them. A suitable candidate is chosen and approached to be invited to join the Board. Once the position has been accepted, the new trustee is appointed and recorded with the Charity Commission.

Induction and training of new trustees

New trustees are expected to have a good understanding of the aims and objectives of the charity and its governing document. They are provided with a copy of the Charity Commission Guidance “The essential trustee: what you need to know, what you need to do” and are given additional support as needed so that they can properly perform their duties as a trustee.

Organisational structure

The officers of the charity are:

At least one and up to three Medical Advisers, who are suitably qualified, are appointed annually at the Annual General Meeting to advise the Executive Committee on medical matters.

Remuneration policy

No remuneration is paid to any of the members of the Executive Committee. Expenses may be claimed for costs incurred directly and exclusively in the course of the activities of the charity.

Our physiotherapist is paid with reference to NHS payscale rates.

Wider network

The charity has a service contract with the NHS Derby and Derbyshire Clinical Commissioning Group.

Referrals for treatment are taken from the following GP practices in the High Peak:

Page 3

CHAPEL-EN-LE-FRITH MOBILE PHYSIOTHERAPY SERVICE

REPORT OF THE TRUSTEES - CONTINUED

FOR THE YEAR ENDED 31 MARCH 2025

STRUCTURE, GOVERNANCE AND MANAGEMENT (continued)

Risk management

The Executive Committee identifies and reviews the risks to which the charity is exposed to ensure appropriate controls are in place.

Safeguarding

We are committed to safeguarding the wellbeing of vulnerable service users. We ensure this through robust recruitment checks, appropriate training and clear procedures for reporting any concerns.

OBJECTIVES AND ACTIVITIES

Objectives and aims

The charity's objects as stated in its constitution are to promote, establish and maintain a mobile physiotherapy service in Parishes of the High Peak, as selected by the Executive Committee.

Significant activities

On the recommendation of a Medical Practitioner or as otherwise agreed by a majority of the Executive Committee on the advice of the Medical Adviser and Physiotherapist, physiotherapy treatment shall be made available in the home to elderly residents. Treatment is free of charge.

Public benefit

The trustees are aware of the guidance for the public benefit requirement in its charitable objectives, the running of the charity and its reporting responsibilities and have taken it into account when making a decision to which the guidance is relevant. A summary of the main activities undertaken by the charity to carry out its charitable purposes for the public benefit is included within this report. The trustees confirm that they have complied with their duty to have due regard to the commission’s public benefit guidance when exercising any powers or duties to which the guidance is relevant.

Volunteers

The members of the Executive Committee all provide their services for running the charity free of charge. The charity is supported by additional volunteers at its fundraising events.

ACHIEVEMENT AND PERFORMANCE

Charitable activities

Our service continues to be the provision of physiotherapy treatment in the home and related support for older residents of the rural High Peak. Derbyshire County Council is encouraging older people to continue to live independently in their own home and we provide an essential service supporting older residents in the rural high Peak.

Steve Davidson has completed his third full year as our Physiotherapist, and we continue to receive high praise and amazing feedback from our service users. The move to a full time position from April 2023 enabled him to provide many more appointments, but sadly, reduced funding has led to a reduction back to a four day week service from April 2025.

Community Access

We have started a Community Access Project where our Physiotherapist visits social group meetings and is available to talk to elderly residents about minor physical concerns they may have. This Community Access encourages older residents to seek advice at an earlier stage and enable them to take more preventative action before problems progress.

Fundraising activities

We have continued with our annual spring and autumn coffee mornings, three of which fell in this financial year. Our Treasurer has organised another RHS garden outing and a Christmas wreath workshop. We have continued to be supported by local Councils, groups and individuals, to whom we are extremely grateful for their donations, especially during such difficult times. We regret that Derbyshire County Council has significantly reduced their support for us this year, and has stopped their discretionary funding, which is so badly needed across the area.

Page 4

CHAPEL-EN-LE-FRITH MOBILE PHYSIOTHERAPY SERVICE

REPORT OF THE TRUSTEES - CONTINUED

FOR THE YEAR ENDED 31 MARCH 2025

FINANCIAL REVIEW

Reserves policy

The charity updated its reserves policy during the year to reflect changes in its obligations to its employee and patients. This is monitored throughout the year and adapted as circumstances change. Donations received specifically for any activity which has not yet been spent are set aside as restricted reserves.

In order to ensure continuity of service at the highest level, sufficient cash shall be kept in the bank accounts as designated reserves. The amount shall be determined as being equal to 12 months’ salary costs as this is the amount considered necessary to:

Financial activities

Details of the financial activities of the charity during the year, including principal funding sources, how expenditure has supported the key objectives of the charity and the financial position at the year-end is included in the Treasurer’s Report on page 8.

Investment policy and objectives

All funds are kept in instant access bank accounts.

FUTURE DEVELOPMENTS

Physiotherapist’s hours

From April 2025, our Physiotherapist has reduced his hours to four days a week, from five. It is sad that all our recent efforts to make this a full-time service have not been sustainable in the current financial climate. Our plan to take on an additional part time physiotherapist during the year to ensure continuity of the provision of treatment during periods of staff absence is on hold indefinitely.

Fundraising

Fundraising throughout the voluntary sector is becoming more and more challenging, and we have used a significant amount of our retained reserves to provide the service this year. The decision by Derbyshire County Council to stop discretionary funding, and the lack of increase and long term commitment in NHS funding make the future somewhat uncertain. At 31 March 2025 we have failed to meet our reserves target, but will be working hard in the following months to raise the money to replenish our reserves and continue to provide the service we are committed to.

Signed on behalf of the Board of Trustees:

Cllr Kath Sizeland – Chair

Mrs Judith Aizlewood – Treasurer

5 May 2025

Page 5

CHAPEL-EN-LE-FRITH MOBILE PHYSIOTHERAPY SERVICE

MOBILE PHYSIOTHERAPIST’S REPORT

FOR THE YEAR ENDED 31 MARCH 2025

Yet another great year!

2024/25 was my third year in post and has been one of further consolidation and development. The referrals have continued to flow in consistently, and the service has been working to capacity throughout the year, with an average waiting time of 2 weeks. As recorded in previous reports we have developed a good working relationship with Evelyn Medical Centre in the Hope Valley and Arden House Medical Centre in Hayfield.

In common with previous years the caseload is varied, and includes a range of musculo-skeletal disorders, neurological conditions and some post-operative rehabilitation. Falls prevention /management is also a common reason for referral. We have been accepting a number of patients from care homes, so management of issues occurring subsequent to dementia is often an important consideration. As always we adopt a holistic approach, and, in addition to mainstream physiotherapy, seek to ensure that additional psychological strategies are employed as appropriate, to engender a positive outlook and hopeful vision of the future. Examples of this might include breathing exercises to aid relaxation, reframing of challenges, or visualisation techniques.

On several occasions during the course of the year we have teamed up with volunteer groups based at the Methodist Church in Chapel, to offer drop-in advice sessions. These seem to have been popular, and further sessions are planned for the coming months.

The service offered by Medequip (with regards to supplying items of equipment) is invaluable, and where appropriate we refer on to other agencies such as the social prescribing team. The rich support network offered both by health and social services, and also other charities / volunteer groups, across the High Peak is impressive, and allows us to continue to offer a flexible and unique approach to the provision of physiotherapy.

Patient statistics for the year are as follows:

Patient statistics for the year are as follows:
2024/25 2023/24
Total number of patients referred 128 158
Total number of patients discharged 129 158
Caseload at 31 March 2025 29 30
Total number of appointments 819 909
Total mileage 4,134 4,390
Number of referrals per GP Surgery:
2024/25 2023/24
Thornbrook Surgery 73 90
Goyt Valley Medical Practice 39 42
Evelyn Medical Practice 13 21
Arden House Medical Practice 2 5

Page 6

CHAPEL-EN-LE-FRITH MOBILE PHYSIOTHERAPY SERVICE

MOBILE PHYSIOTHERAPIST’S REPORT

FOR THE YEAR ENDED 31 MARCH 2025

Breakdown by area:

Breakdown by area:
Number of Patients Number of Appointments
2024/25 2023/24 2024/25 2023/24
Bamford 3 6 17 25
Bradwell - - - 5
Buxworth - 1 - 15
Castleton 3 3 17 10
Chapel Milton 2 - 13 -
Chapel-en-le-Frith 68 78 423 448
Chinley 15 14 53 94
Combs 2 4 18 25
Dove Holes 1 2 10 11
Edale 1 - 2 -
Furness Vale 1 2 1 22
Furnilee 1 - 1 -
Hayfield 1 - 1 -
Hathersage 4 10 41 60
Hayfield - - 1 -
Hope 1 4 25 20
Kettleshulme 1 - 11 -
New Mills 3 - 40 -
Peak Dale 1 - 2 -
Peak Forest - - 4 -
Shatton 1 - 1 -
Whaley Bridge 26 25 138 142

Mandatory CPD requirements have all been fulfilled, and I have undertaken further training in various meditation techniques which can be adapted to help patients in some cases. I have also been studying Tai Chi, and the skills learned have proved transferrable to many patient interventions, significantly expanding the range of exercises taught to improve co-ordination and balance. We have also worked hard together to update a wide range of policies and procedures relating to data protection and lone-working to maintain full compliance with professional standards.

In 2005/26 I plan to undertake further post-graduate training in acupuncture, and hope to increasingly incorporate this into my practice. Aside from that I anticipate the service running largely unchanged, as feedback in the past 12 months has been 100% positive.

Finally, I would like to take this opportunity to thank the committee for their considerable administrative and professional support, without which I would not be able to work effectively, and the local surgeries, all of whom are a great pleasure to work with.

Steve Davidson Mobile Physiotherapist, MCSP, HCPC registered

5 May 2025

Page 7

CHAPEL-EN-LE-FRITH MOBILE PHYSIOTHERAPY SERVICE

TREASURER’S REPORT

FOR THE YEAR ENDED 31 MARCH 2025

Like most small charities we face challenges in raising the funds required to support our charitable aims and we are working hard to ensure that we remain lean and smart in our operations. Our main operating cost is the employment of the senior physiotherapist. We increased provision of the service from four days a week to full time to meet pent up demand after the pandemic but have now had to reduce provision to four days weekly to ensure financial stability. We regularly review our reserves policy to ensure we can meet all financial obligations. Our administration costs are kept to a minimum and none of the executive committee receives any payment. Sandra Higgins will process the payroll in future to save accountants costs and we thank Laytons for their past work and support. We have also decreased transport costs by paying mileage rather than providing a car. Our spending on Continuing Professional Development ensures that our physiotherapist meets his professional body’s registration requirements, remains current with good practice and makes links in what can be an isolated job.

Our key objective is the provision of physiotherapy in the home to enable older people to live independently. This is directly in line with the strategic objectives of Joined Up Care Derbyshire “To enable older people to live healthy, independent lives At their normal place of residence for as long as possible” and ..”to keep their independence and play an active part in society.” DCC aims to prioritise prevention and early intervention. We know from 100% positive service user feedback that the service we deliver provides this. People report renewed confidence and community engagement as well as physical improvement. We are also able to signpost service users to other types of community support. As part of our community access programme, our physiotherapist makes regular visits to local groups to ensure people are well informed about the type of service we provide and how they can access this; we aim to ensure equality of access for all sectors of the community in our target group.

Our fund raising events also help us to promote the service and provide a range of information leaflets. The NHS service contract provides less than 25% of our operating costs. We receive many donations from service users which are totally discretionary in line with their means. We also thank our regular donors and the businesses and organisations that continue to support us, these are listed at the back of the report. High Peak CVS have been supportive in providing ideas and information about available grants but these applications can be complex and time consuming and further help in this area would be appreciated.

Thanks also to Tim Mourne who examines our accounts.

Mrs Judith Aizlewood – Treasurer

5 May 2025

Page 8

CHAPEL-EN-LE-FRITH MOBILE PHYSIOTHERAPY SERVICE

RECEIPTS AND PAYMENTS ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2025

Unrestricted
funds
Restricted
funds

Notes
£
£
RECEIPTS AND PAYMENTS
Receipts
NHS service contract
11,194
-
Voluntary grants and donations
2
22,587
-
Fundraising activities
3
3,134
-
Sale of fixed assets
-
-
Bank interest
266
-
Total receipts
37,181
-
Payments
Physiotherapist employment costs
4
43,998
-
Service delivery expenditure
5
2,624
441
Fundraising costs
6
292
-
Administration costs
7
376
-
Total payments
47,290
441
Net receipts (payments)
(10,109)
(441)
Cash funds last year end
31,629
441
Cash funds this year end
21,520
-
STATEMENT OF ASSETS AND LIABILITIES AT THE END OF THE YEAR
Current assets
Instant access bank accounts and cash
14,070
-
Car Loan
7,450
-
Total current assets
21,520
-
Reserves
Designated continuity reserve
35,000
-
Undesignated free reserves
(13,480)
-
Restricted reserves
8
-
-
Total reserves
21,520
-		 31.03.25
31.03.24
£
£
11,194
9,472
22,587
28,437
3,134
3,263
-
185
266
292
37,181
41,649
43,998
39,633
3,065
4,657
292
1,184
376
2,517
47,731
47,991
(10,550)
(6,342)
32,070
38,412
21,520
32,070
14,070
22,820
7,450
9,250
21,520
32,070
35,000
42,000
(13,480)
(10,371)
-
441
21,520
32,070		 31.03.25
31.03.24
£
£
11,194
9,472
22,587
28,437
3,134
3,263
-
185
266
292
37,181
41,649
43,998
39,633
3,065
4,657
292
1,184
376
2,517
47,731
47,991
(10,550)
(6,342)
32,070
38,412
21,520
32,070
14,070
22,820
7,450
9,250
21,520
32,070
35,000
42,000
(13,480)
(10,371)
-
441
21,520
32,070
41,649
39,633
4,657
1,184
2,517
47,991
(6,342)
38,412
32,070
22,820
9,250
32,070
42,000
(10,371)
441
32,070
Current assets
Instant access bank accounts and cash
Car Loan
Total current assets
Reserves
Designated continuity reserve
Undesignated free reserves
Restricted reserves
8
Total reserves

Approved by the Board of Trustees and signed on their behalf:

............................................. Cllr Kath Sizeland – Chair

.............................................

Mrs Judith Aizlewood – Treasurer

5 May 2025

Page 9

INDEPENDENT EXAMINER’S REPORT TO THE TRUSTEES OF THE CHAPEL-EN-LE-FRITH MOBILE PHYSIOTHERAPY SERVICE (CHARITY NO 500497) ON THE ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2025

I report to the trustees on my examination of the accounts of the above charity (“the Service”) for the year ended 31 March 2025.

Responsibilities and basis of report

As the charity trustees of the Service, you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 (“the Act”).

I report in respect of my examination of the Service’s accounts carried out under section 145 of the 2011 Act and in carrying out my examination, I have followed the applicable Directions given by the Charity Commission under section 145(5)(b) of the Act.

Independent examiner’s statement

I have completed my examination. I confirm that no material matters have come to my attention in connection with the examination which gives me cause to believe that in, any material respect:

I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in order to enable a proper understanding of the accounts to be reached.

.............................................

Mr Tim Mourne FCCA

Mourne & Co Accountants, 10 Market Street, Chapel-en-le-Frith, High Peak, SK23 0HH

Date:

Page 10

CHAPEL-EN-LE-FRITH MOBILE PHYSIOTHERAPY SERVICE

NOTES TO THE ACCOUNTS

FOR THE YEAR ENDED 31 MARCH 2025

1. ACCOUNTING POLICIES

Basis of preparing the accounts

The accounts of the charity have been prepared under the receipts and payments method. Receipts and payments accounts contain a statement summarising all money received and paid out by the charity in the financial year, and a statement giving details of its assets and liabilities at the end of the year.

Fund accounting

Unrestricted funds can be used in accordance with the charitable objectives at the discretion of the trustees. Restricted funds can only be used for particular restricted purposes within the objects of the charity. Restrictions arise when specified by the donor or when funds are raised for particular restricted purposes. Further explanation of the nature and purpose of each fund is included in the notes to the financial statements.

2.

VOLUNTARY GRANTS AND DONATIONS


Restricted funds
High Peak Borough Councillor’s Initiative Fund
High Peak Health and Wellbeing Partnership
Grants from other charities
Unrestricted funds
Derbyshire County Council
Parish and Borough Councils
Grants from other charities
Donations from local businesses
Donations from local groups and individuals
Total voluntary grants and donations		 31.03.25

£

-
-
-
-
2,000
500
13,500
-
6,587
22,587
22,587		 31.03.24
£
777
500
1,200
2,477
8,000
200
10,000
2,960
4,800
25,960
28,437

£1,000 of funding was awarded through Foundation Derbyshire during the year ended 31 March 2025.

£1,500 of funding was awarded through High Peak CVS during the year ended 31 March 2025.

Page 11

CHAPEL-EN-LE-FRITH MOBILE PHYSIOTHERAPY SERVICE

NOTES TO THE ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2025

3. FUNDRAISING ACTIVITIES


Events and outings
Coffee mornings
High Peak Community Lottery
Donated items
Carnival
Sponsored events
Market stalls
Gift aid received		 31.03.25
£
1,522
1,403
182
27
-
-
-
-
3,134		 31.03.24
£
1,161
508
109
111
800
449
91
34
3,263

Our Treasurer, Judith Aizlewood, organises an annual outing to the RHS Garden Bridgewater in Salford, and we have been very well supported by members of the public raising funds through charity events. We have a JustGiving page for anyone wishing to hold a fundraising event for us.

The Committee was again able to run our usual two coffee mornings in Chinley, which are well supported by local residents. Dur to the timing around our accounting year end, takings from three of the last four coffee mornings are included in this year’s accounts, with only one in last year’s accounts.

We would like to thank everyone who has supported us through the High Peak Community Lottery. Tickets can be purchased at www.highpeakcommunitylottery.co.uk/support/chapel-en-le-frith-mobile-physiotherapy-service.

4. PHYSIOTHERAPIST EMPLOYMENT COSTS


Gross salary
Employer’s NI
Pension
5.
SERVICE DELIVERY EXPENDITURE

Travel costs
Equipment costs
Professional subscriptions and training
Insurance
Telephone		 31.03.25
£
43,998
-
-
43,998
31.03.25
£
1,872
574
253
294
72
3,065		 31.03.24
£
39,633
-
-
39,633
31.03.24
£
2,527
910
871
277
72
4,657

£441 (2024: £836) was spent on small equipment for service users using restricted income.

Page 12

CHAPEL-EN-LE-FRITH MOBILE PHYSIOTHERAPY SERVICE

NOTES TO THE ACCOUNTS – CONTINUED FOR THE YEAR ENDED 31 MARCH 2025

6. FUNDRAISING COSTS


Outing costs
Printing
Hall hire		 31.03.25
£
47
170
75
292		 31.03.24
£
1,135
31
18
1,184

Due to the timing of payments being made, the costs for the RHS outing in 2025 are included in the accounts for the previous accounting period.

7. ADMINISTRATION COSTS


Computer licence – 3 years
Laptop purchase
Payroll processing
Printing and postage		 31.03.25
£
-
-
263
113
376		 31.03.24
£
1,283
1,019
137
78
2,517

The laptop and contribution towards the computer licence were paid for from a restricted donation of £1,200.

8. RESTRICTED FUNDS

At 01.04.24
£
Small equipment for service users
441
441		 Receipts
Payments
At 31.03.25
£
£
£
-
441
-
-
441
-

While large items of equipment can be prescribed on the NHS, smaller items need to be purchased, and we had grant money from previous years brought forward which enabled us to provide high quality specific equipment to service users.

Page 13

CHAPEL-EN-LE-FRITH MOBILE PHYSIOTHERAPY SERVICE

SUPPORTERS FOR THE YEAR ENDED 31 MARCH 2025

We are enormously grateful to be supported by:

a PACKAGING HOPE [CJK] ene TESCO 9

The Barnabas Charitable Trust The Duke of Devonshire’s Charitable Trust

Vernon Robert Bowmer Charitable Trust The John Morton Trust

The Picnic Basket Café Whaley Bridge Allotment and Gardening Society Hathersage Society for the Prosecution of Felons

and all the individual donors who have given so generously.

Page 14