2020-12-31-accounts

chilterns mscentre care and 5UPPOrt for people with multiple sclerosis ANNUAL REPORT FOR 2020 rkiiiterts Iscenire Registeredcompany Number.. 02294557 (England & Wales) Registeiedcharity NumbeT'. 8W853

Frontcover photoihanksto Stevecookfrcm Swole Photojraphy Our Vision Our vision is to be a beacon of excellence and a lifeline to everyone affected locally by multiple sclerosis (MS). Our Mission We believe that local people affected by multiple sclerosis deserve to lead healthier and happier lives. Our mission is to empower them to achieve their goals through physical, practical and emotional support, for both themselves and their families, for as long as they need. ee GILLSSTORY I have had MS for many year5 and I started coming to the Centre In 2017.1 had been doing classes alternate Saturdays and Yoga on a Monday evening. When lockdown happened, my husband and I started working from home and I signed up to do the zoom exercise classes. The Centre did a brilliantjob and set thern up really quickly and they have been a real-life saver for me. There is a variety of classes and they cater for different abilities. I have seen a physical benefit from them too, like when one class moved from dolng spikey ball exercises, toe curl-ups and ankle movement exercises to stamping hard on the spot and I found I could lift my knees up much higher than I normally could when in a sitting position - I was amazed. It has spurred me on to do more feet exercises myself. The other benefit is emotionally connecting with the therapist and others doing the class- seeing all those friendly faces is a great lift. As I'm sat on a chair all day working from home, the zoom classes give me a reason to have a break and provide a structure to my day. I can't thank the Centre enoughl 99

Contents Page(s) Report of the Trustees (including Directors Report) Ito28 Report of the Independent Auditors 29to32 Consolidated Statement of Financial Activities (including Income and Expenditure account) 33 Consolidated Balance Sheet 34 Consolidated Cash Flow Statement 35 Notes to the Consolidated Cash Flow Statement 36 Note5 to the Consolidated Financial Statements 37to50 "I wanted to thank you all at the Centre for the support that you provided Mum and l over the years and in particularly the Sensory Group in recent times- a genuine highlight of my last few years with Mum and I know she really enjoyed attending. I know how much fun she had in physio too and how much the chance to get out of the house and socialise meant to her. It has been a tough year for everyone and she undoubtedly missed her trips to the Centre. So thank you and please do keep up the hard work and know it is so, so worthwhile. We loved the support packs too and l enjoyed those, particularly over the summerwhen I was able to spend more time with heroutside., Emma

WELCOME TO THE CHILTERNS MS CENTRE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 DECEMBER 2020 This has been one of the most challenging years in the Centre's 35 year history of supporting people with multiple sclerosis (MS). When we were planning ouranniversary celebrations at the start of the year we could not have imagined what lay ahead.The Impact of the COVID-19 pandemic is immeasurable. We had to close the doorstothe Centre and Stop offering face to face treatments, therapies and social groups. Instead, we faced months of financial uncertainty. Ll With manyof our member5 being vulnerable and shieldingi lockdown and social distancing presented potentially devastating impacts on both mental wellbeing and physical health. Our passion and drive to help people affected by MS meant we immediately offered as much of our support a5 possible remotely. We started Zoom exercise classes, telephone and online consultations and social medla groups and by connecting people to us, and each other, we continued to be a lifeline. The new remote services were well received and enabled us to further our objectiveto engage with the wider MS community. For some, the virtual Centre has presented new opportunities enabling them to engage more often and from the comfort oftheir own home. We have been ableto improve communication and strengthen relationshiDS WTrth a new-look member newsletter and brand new'centre Times, SUPFKJrter newsletter.we are luckythat so many of our members have forged such strong friendship5 With each other. As a result, our special community is thriving through social media and regular phone calls - connecting carers With each other as well as provldlng supportto member& Everyone was excited when we reopened in August. We were delighted to see members back at the Centre whose need5 could not be met remotely and a face to face inteNention was necessary. With strict protocols in place, this remains our policy as the pandemlc contlnues.

Following two years of financial deficit, a key objective for 2020 was to develop a strategy for a sustainable future and it was clear that action was needed to ensure long-term financial stability. It was critical that the Board of Trustees monitored the immediate and future financial impact of COVID on the charity. We set up a COVID-19 Committee which met at least every two weeks to ensure we held sufficient funds to meet expenditure, fulfil restricted funding obligations and take necessary actions. Our future financial stability will continue to be the main focus of 2021.

We had a tremendous response to our emergency appeal, our supporters raised funds for us and we had crucial financial assistance from various trusts in our time of need. This, combined with substantial income from the furlough scheme, has enabled the Centre to continue to operate through the challenging months of 2020 and into 2021, albeit in a very different way. We were also very fortunate to receive a very large capital grant for the renovation of our hydrotherapy pool and an upgrade of our IT system.

The charity had business interruption in our insurance policy. However, after initially being optimistic about making a claim, it became clear we could not rely on this income as the Financial Conduct Authority's (FCA)'s business interruption insurance test case was launched in the courts. Still facing financial hardship and a reduced ability to provide treatments, regrettably we had to take action to mitigate the impact of COVID as much as possible through restructuring. It was an extremely difficult time for all of us. A number of staff took the opportunity to take voluntary redundancy and another was unfortunately made redundant. We were very sad to say goodbye to these very loyal and talented members of our team. I would like to thank them for their immeasurable contribution during their time at the charity and wish them well for the future.

It is testament to the incredible hard work of all our staff and volunteers and the amazing support we have received from so many of our wonderful stakeholders that the charity has endured as a going concern through these unprecedented times. I give my heartfelt thanks to everyone involved for supporting us and in doing so, enabling us to continue the vital work we do in helping people with MS.

C A T H E R I N E G O L D S Chair ofTrustees

2

MS Is an unpredirtable, long-terni and often disabling condition that afferts the central neNous system. It (auses a wide range of symptoms including difficulties with walking, balance, impaired vision and bladder problems. 1 in 500 people in the UK have been diagnosed wlth the condition. Living with MS can be really tough. Who We Are We are a dynamic, local, independent charity positively changing the quality of dally life for people affected by multiple sclerosis (MS) and their families and friends. Ourvision is to be a beacon of excellence and a lifeline to everyone affected locally by MS. What We Believe We are an embracing communlty of supportto everyone affected by MS and we believe people with MS deserveto lead healthier and happier lives. Our mission 15 to help them achieve this by empowering them to manage their 5yrnPtom5 through long-term physicali practical and emotional support. Who We Support If people with MS want to use our services, they can become a member forjust £25 a year and we will welcome them into our Centre community. All we ask is that if our members are ableto. they make a donation towards the running of the Centre. Many members a150 make a significant contribution through volunteering and fundraising. 563 members with MS Our membership of 563 people with MS travel to us from across the whole of Buckinghamshire and the surrounding counties of Oxfordshire, Hertfordshire and Bedfordshlre. 51 carer members We recognisethe huge impact that MS can a150 have on the family and friends of peoplewith MS. We are supporting an increasing number of loved ones who are caring for someone with MS- we currently have 51 carers members. 5¥0 increase in members ave een atten Ing entre or over 5 years now an It Is a lifeline for me. When we went into lockdown, it was difficult at the beginning but the Zoom classes have been of major benefit, both in terms of having an exercise regime and the ability to see and speak with familiar faces on a regular basis, the social aspect being as important as the physical." Mark

How We Offer Support Zoom exercise classes & Yoga MS Members Staying Sane video clips & tips People with MS are at the heart of everything we do. Through our support. help and guldance, we aim to positively changethe quallty of their daily life and keep them independent for as long as possible. Video Iphone physio & coun5elling consultations Our range of services usually includes physiotherapy, hydrotherapy, exercise classes, counselling, complementary and occupational therapies We also supportthe wellbeing of our members through a numberof social, art and gardenlng groups as well as input from a dietitian. Virtual coffee momings, bingo & quizzes Postal artivity packs The COVID-19 pandemic meant we had to totally rethink how we SUPPOrt our rnembers through different and innovative ways. Our aim is to contribute to the maintenance of, and improvements in, their health, mobility, energy, independence and, criticallythrough these challenging and unsettling times, their mental wellbeing. Interartive worksho Ibeing Diet Through a range of online and telephone sessions, ourexpert theraplsts have continued to target and improve speclfic symptoms and help people to achievetheir goa15, whether big or small. It may be as simple as enabling them to do something that manytake for granted such as putting on a pair of socks in the morning. We have developed new services such as our Buddy Scheme where a simple call can make such a difference to a person with MS or their carer. Weight programme Art challenges On-line fatigue course Buddy scheme Outreach physio The charity was flrst started by people wlth MS 35 years ago with the ethos of self-help. 2020 was a yearwhen the emphasis on thi5 wa5 more Important than ever-we have continued to support, guide, help and advise our members even if we can't see them face to face at our Centre. You Tube Resources hand strength skin care good sleep breathing immune funrtion mstentfe

How We Offer Support Volunteers Ourwonderful volunteers are absolutely vital to the functioning of the charity- we simply wouldn't be able to operate withoutthem and they have continued to be hugely supportive during the pandemic. In March we launched our remote buddy schemewhich now supports membersand carers With a regular friendly phone call for social support and up to date information about the Centre. When we restarted face to face appointments in August, our volunteers were there to help us. They have supported us by running the Oxygen chamber, helping on reception and completing the necessary COVID-19 screening checks before members enterthe building. Volunteers have also worked behind the scenes with research for the fundraising department, supporting remote clinical initiatives and keeping the gardens looking bright and tidyfor those still able to visit the Centre. Carers The wellbeing of family and close friends isjust as importancespecially if their loved one relles on them for regular care. Itcan be very difficult and lonely being a carer, particularly during lockdown, so we continued to supportthem through the pandemic- a voice of someone who cares and understands their situation can be invaluable tothem. We have also arranged regular social gatherings on zoom for our carer community. ar asn een wor Ing an uck at home due to the pandemic. I'm fairly certaln hewould have sunk withoutthe upport on Zoom. I have really appreciated regular phone contact from my buddy enny, who'5 been a great sounding board. s good talking to someone who has faced imilar issues and has a real understanding of the ifficulties." een ' Being part of the MS Centre new Buddy scheme has been really positive for me as a volunteer as well as the person l am calling to support. I really enjoy having a chat and knowing that l am doing something to help and support one of the members in these really challenging times.. Charlotte, rer member Sue, Volunteer

Partnerships We continue to bulld productive worklng relatlonshlps wlth the local Clinical Commissioning Groups. General Practitioners and other bodies that support people with MS, to ￿SUre that they can carry outtheir core purposes and that the needs of their patient5 are fully understood and 5UPPOrted by this wider community. Paul's Story Lucktly my MS nurse told me aboutthe Centre and I'm so glad I went along. Thanksto their practlcal and emotional support, l am now learning to live with my MS and not let it define me. I no longerfeel isolated and l am heading in the rlghtdirection to get my life backon track But a few years ago, life was very different. I was a successful chemical engineer when I received the devastating diagnosis of Primary Progressive multiple sclerosis in 2013. My moblllty progressively got worse and everyday tasks became more difficult oreven impossible and my life began to fall apart. I had to retire from a job I loved, separate from my family and watch my independence disappear. I10st my confidence and sense of purpose. I had Ilttle soclal Interaction with others and felt worthles5. In a few short years, I had gonefrom living lifeto simplyexisting. All because I have multiple 5clerosis. Now I have amazing friends and a partner I met the Centre who I can be myself with and know I have a safe place that will support me whenever I need. 99 Our phys5otherapist Shazia said I saw Paul after the lockdown in September. His maln issues were increased weakness In his right leg and frequent falls. My treatment plan involved strengthening, activating his leg muscles and gait training. l also referred him tothe Buckinghamshire wheelchairservices and his GP for Paul to be assessed for a FUP (foot splint), which will i help his rightfootto clear the ground while walklng reducing the ri5kof fall5. Although Paul's condition is progressive, ouraim is to keep hlm independent with transfers, self-care and other daily activities as long as we can. 99

OBJECTIVE I FOR 2020 We prlde ourselves on béing one of the countrls leading MS Centres and it is importantto share information with other Centres through MSNTC (Multiple Scler05i5 National Therapy Centresl.This has been more critical forthe wider MS communitythat relied on their therapy centres during the unprecedented challenges of 2020. We have engaged in regular meetings with our colleagues up and down the country to Share and learn on topics such as COVID-19 protocols, equipment and remote seNices. At the beginning of lockdown, we were contacted by people with MS who usually use other therapy centres. We were one of the first to offer a range of vlrtual servlces and were delighted that we could 5UPPOrtthem in theirtime of need. Another way we measure how we engage with the wider MS community 15 by how many members join us. We saw a rlse in membership of 5% from 2019 to 2020 despite not being able to see new members in person for an assessment at the Centre for a large part of the year. Instead, we did video assessments with our new members so we could signpost them to the resources and treatments thatwould help them reach theirgoals. OBJECTIVE 2 FOR 2020 DEVELOP A LONGER TERM STRATEGY TO Following strategic reviews and researth in the preceding two years, the charity launched a project early in 2020 to ensure the longer-term financial stability of the Centre. The projett started to review further options to reduce costs to match income and to research other possible operating models that would enable further Income growth. We had started to communicate to members and g7ve them the opportunity to'Have Your Say, on the future directlon of the charty. The impact of Covid-19 meant resources had to be re-directed with the focusvery much on survival through 2020 and beyond. With a fall in the number of appointments due to the crisis and the pressure on income, the charitytookthe very difficult decision to restructure. Regrettably, this resulted in six redundancies. This relieved sorne of the financial pressure of 2020 and 2021, but ensuring thefuture financial stability of the charity remains a key priority. The trustees will continue to focu5 on a longer-term strategy in 2021. Whi15ttheCOVID pandemic ha5 undoubtedly raised challenges, our learning and 501utions have given u5 insight into new and in some cases, better ways of sUPPOrting people affected by MS which will help towards our sustainability objective.

OBJECTIVE 3 FOR 2020 IMPROVE OUR COMMUNICATIONS AND STREN THEN OUR RELATIONSHIPS 2020 was a strange year where, in particular. our online communications became even more important than before. We kicked off 2020 with a brand new look to our newsletters, designed in conjunction with our stakeholders. We changed our member newsletter to weeklyduring the height of the pandemic and grewthe number of people receiving itfrom 484 to 611. It is now fortnightly. We also launched a newe-newsletterfor our supporters- Centre fimes- which goes Out 4 times a year to 663 people. It has a 59.8% open rate and 18.5% click rate. These are marginally above the industry average for a non-profit organisation. In a very challenging environmenL we contlnued to build relatlonshlpswlth our stakeholders through mailshots. Atthe beginning of the lockdown, we made a special effort to contact each supporter with an update on our plans through the pandemic. We did the same at Christma5 a5 well as personalised thantyous. We also spread the new5 of our first-ever virtual event- Challenge 35-to our supporters. We contlnued to build our audience on social media. We increased ourfollowers across FaceboolTwitter, Instagram and Linkedln Social medla channels. The largest increase was In Instagram followers due to ourvery successful and well-attended Pop Up Art Weekend which was held in March ahead of the pandemic,. (* F•ns O Follower4 mscentre CENTRETIMES CEMfRE NEWS 1.8K 1.7K fans followers 61 Irom 1.7K 30 1.7K • Followe Followers parthmk.nellhHA 376 181 lollow¢rs followers IOfrorn2 JTr 60fr•rn 121

OBJECTIVES FOR 2021 DEVELOP A STRATEGY FOR A SUSTAINABLE Our main priorityfor 2021 is to secure thefinancial stabilty of the charity.Wewill resume our sustainability project and develop a longer-term strategy that ensures we are here to support people affected by MS for many years to come. We will contlnue our research of operating models to supportfuture income growth. BUILD A STAKEHOLDER-FOCUSED MARKETING STRATEGY We will create a compelling narrative to demonstrate the impact we have on the lives of our members. We will communicate this impact to OUT existing stakeholders to deepen our relationship with them. We will reach out to attract and engage new stakeholder5 to maximise all opportunities and support our key objectivesfortheyear. DEVELOP A MEMBER JOURNEY WITH SELF-MANAGEMENT AT ITS HEART Self-help was at the heart of how the Centre was founded: a group of people with MS had the vision and drive to raise money for an oxygen chamber where they could access this therapy to help improve their symptoms. This principle of self-management forms a key part of how we support our members. We want to truly embed this ethos into the holistic journey that our member5 take. We will build on our existing outcome measures so we can fully report the positive impact we have on people affected by MS and how we are meeting our mi55ion. CREATE A TEAM CULTURE WHICH ENGENDERS COMMITMENT AND WHERE OUR PEOPLE ARE VALUED We aim to create a supportive workplace culture where both our staff and volunteers feel engaged and valued by all theircolleagues and our members. We will initiate a wellbeing programme, reénergise our appraisal system for employees and support our people through the challenges that lie ahead to foster a happy, efficient and committed team.

Achievements and Performance Emergen(y Appeal The closing of the Centre and cancellation of our Ilve fundraising events and activities hit us hard, and the future looked uncertain as we were unable to bring in the funds required from our usual progiamme. Reacting to the sudden halt of funds, we set up an emergency appeal and shared this with all of our sUPPOrters, members, volunteers and staff. We're delighted thi5 raised over £34kwhich helped carry the charitythrough the initial phase of uncertainty.Thank you to everyone who donated tothe emergency appeal-this support means we are here today, supporting our members. 35th Anniversary The Centre celebrated its 35th birthday in 2020, and we ran ourfirst-evervirtual fundraising event- Challenge 35. Members, stsff, volunteers and supporters alike took on a challenge involving the number 35. and we saw sponsored running, waI￿ng, playing tennis, baking. jewellery making, abstaining and crocheting in aid ofthe Centre raising over £16k We may not have celebrated this momentous occasion in the way we planned but thls year has highlighted how lucky we are to have such a wonderful network of people in our comrnunity wi11Sng to get Involved and help us. Our supporters found so many different and inventive ways to raise moneyfor u5 and we are really grateful to each one of them for their efforts. Thankyou! New Services Thanks to the passion and ingenuity of the team at the Centre, our support of people with MS ha5 expanded into new directions as a result of the pandemic. The new services include a'Buddy scheme, for 35 of our members and 4 of their carers. In addition tothis scherne, we kept in touch with 121 members with our'centre support,. Due to difficultles wlth transport or because they were no longer able to transfer in and out of a car, some of our members were unable to reach us for much-needed phy5iOtherapy when we started to offer face-to-face appointments again. Therefore, we started our 'Outreach service, to help members rnost in need and travelled to their homes to treat them. io

Achievements and Performance 2020

Counselling

We were delighted when we welcomed a new counsellor to the team in May. With a good understanding of MS and the challenges it presents our members, she has been able to help and support 18 people navigate their way through these very difficult times.

Physiotherapy and Exercise Therapy

No. of members accessing each service

Physio and exercise therapy are key to maintaining, and in some cases improving, the physical health of people with MS. Physio appointments moved to video calls where possible, or by phone. From August, we resumed face-to-face appointments for those members who required hands-on intervention by our highly skilled and experienced team.

----- Start of picture text -----
Buddy Scheme -
Physio Outreach I
Oxygen --
Physio ----------­
Nutrition •
Complementary Therapy --
New Member Assessments -
OT & Therapeutic leisure Services ---­
Group Exercise ---­
Counselllng •
CentreSupport --- ■
carer �pport -
0 so 100 150 200 250 300 350 400
----- End of picture text -----

We also ran a number of physio classes for members to help specific symptoms such as core stability and balance. Our generic group exercise therapy classes have been immensely popular with 146 members benefiting from them. For a number of weeks in early autumn, some were held at the Centre but a majority of classes have been run via Zoom, with up to 27 participants. Classes are held for all abilities over the course of a week.

Oxygen Therapy

We reopened our chambers in September to members with strict COVID-19 protocols in place. Eighty-five of our members have accessed oxygen over the course of the year who primarily report benefits in their energy levels and bladder symptoms. We are only able to operate this service thanks to a dedicated team of trained volunteers.

Juliet's Story

I have been having weekly core strength exercises on Zoom with one of the physiotherapists. To make sure I got the most out - of my class, I received an exercise 'kit bag' for me to use

at home. Doing the classes has meant that I have maintained my core stability as much as possible during lockdown. It was remarkable how quickly the Centre got organised and started to offer as much as they could remotely. It has been such a difficult time and they really helped. ,,

11

Achievements and Performance 2020 Online Services and Resources Undoubtedly one of our biggest achlevements of 2020 is the speed at which we moved many of our services online.This included our popular FAC￿5 fatigue management programme. Delivering itthis way enabled us to double the numberof courses we would usually run. We have also delivered our weight management programme online. We have bullt up excellent resources on ourYouTube channel including videos on dietfor the immune system, skin care, hand strength and exercise classes. Occupational Therapy Ourvitsl OTsUPPOrt has also continued throughoutthe pandemlc with vldeo appointments for one to one and a range of online resources. The'tips for staying sane during isolation, were very popular along with suggestionsfor getting a good night's sleep. Our'Enrich programme, for members with complex need5 continued with activity packs belng posted for families to enjoy with their loved ones. Therapeutic leisure Grnups Our Centre is usually a lively social hub with a cafe in our atrium and a number of regular therapeutic leisure groups. We set up three very successful Facebook groups where our close community can keep in touch. There are 135 members in our Members Group and 123 of these are active which meansthey comment and reactto our posts, as well as create their own posts. The Social and Exercise Group has 117 members, 110 are active and many staff members also interact with this group. It Is the first year that staff have really got involved wlth soclal medla. 5harlng strategies for maintaining wellbeing and showing support to each other has been hugely valuable in connerting the Centre's community. We have also been holding Zoom activities, keeping in touch this way has helped keep our comrnunitythriving throughout the pandemic. Our most popular activity was a sunflower growing competition wlth many staff and members involved and posting photos of their prize specimens. Some of our members were not ableto access any online servtces or activities-a COVID grant helped us provlde tablets for those members that were keen to do so. For 25 other members, wlth the help of one of ourteam of brilliant volunteers, we have been sending them'activity packs, of crosswords, quizzes, other puzzle5 and recipes. Our Angell Art Group ha5 a150 kept in touch with their own Facebook group. There are 57 members, 48 of which are actlve members Posting pictures of their work, challenges and idea5.Two dedicated volunteers provide regular project suggestions and demonstrations on Facebook "One of the great thing5 about the Centre, especially during lockdown, has been the sense of community. Personally, I have found the Members Facebook page helpful and informative., Patricia

Income Generation The fundraising landscape changed rapidly in 2020 with the pandemic having a significant impact on some fundraising streams. The charlty's planned fundraislng Income usually Includes a programme of live events whlch had to be cancelled from the middle of March onwards. Sales from the cafe, greetings cards and other Items at the Centrewere also wiped out. Sponsorshlp, applicationsto grant-making trusts, corporate fundraising, individual and community donations thankfully contlnued throughouttheyear. AIS of the Centre's fundralslng activities are in line with the Code of Fundraising Practice set by the Fundraising Regulator, of which the Centre is a member. Income 2020 2,0% 1 O.OX Trusts and foundations 3.116 Corporate. other doThation5 and legacie5 Donations from meTh￿r$ 43% Major donors Capltal 8rant5 Furlough gTrnt t Sales ahiiol Commission1￿ Groups Glft aid othor fUndraI￿n￿ and ColkC￿Or Income from Oakwood Wellb*in¥ Umlted MeM￿r$hiP subscriptions ' Interest incorne Major Donors We are indebted to our major donors, whose philanthropy Is critical to the charity. We are truly thankful fortheir time, effort and generosity which enables us to support people to overcome some of the day-to-day challenges that MS presents. 13

Income Generation Trusts This year we were fortunate to receive a revenue income of £270,108 from 26 grant-makers. In a yearwhen other forms of fundraising were badly hit bythe pandemic, we are so grateful that this tremendous response enabled us to continue supporting vulnerable people with MS and theirfamilies through the crisis. The National Lottery Communlty Fund supported us not only with the £1 00,000 grant already pledged for our physlotherapy service in 2020 but also with a further £50.000 awarded this yearfrom theircoronavirus Community Support Fund, distributed on behalf of the Government. Our exercise therapy programme wa5 supported by previously-pledged funding from H52's Communityand Environment Fund and a new grant from the GarField Weston Foundation. Some of theTrusts and Foundations that support us regularly made additional giftsthis year to meet the costs of delivering seniices remotely or of buying PPE and making our Centre COVID-safe. Others helped us by d&restrlcting their gifts, making them earlier than pledged, or relaxing reportlng requirements.we would particularly like tothankthe Vale of Aylesbury Housing TrustThriving Community Fund in this regard. We also need to say a huge'thank you, to the Band Trust, whose incredible addltlonal £100,000 grant enabled us to delivertwo major capital projects that were vital for our charity but would not have happened without this gift; the major refurbishment of our hydrotherapy pool and the upgrade of our ageing IT system. This included the replacement of old Pcs with laptops that have helped our staff work remotelywhere lockdown rules have required home working. lI￿lI 14

Income Generation Corporate We have been humbled by the support and generosityfrom all our corporate partners thisyearwho continued to help us through a really challenging and difficult time for local businesses and would like to thank each and every one of them. Our corporate partners have supported us in many ways including being a Corporate Friend and making a monthly donation. choosing us as their charity of the year. making one-off donations or sponsoring our Popup Art Weekend or corporate events. We were also awarded funding to create a brand-new online fundraising platform which enabled us to run Challenge 35. Thanks also to all our corporates who tookon a personal challenge on behalf of their businessto raise funds for us. We ended the year wlth our first-ever virtual network event which was a real success. We will no doubt be runnlng more vlrtual networklng events in 2021 but we hope to welcome our business partners backfor face-to-face events when possible. Community As expetted, the Community fundraising programme looked very different in 2020. We were fortunate to run three events before lockdown started, Including ourflagship Pop-up Art Weekend. This event is only possible thanks to the wonderful committee of volunteers and we were able to make the Centre safe enough to hold this eventjust before the national lockdown started in March. A huge number of people tookon personal challenges for usthroughout the year. running, three sponsored head shaves and Patrick (pictured on the front cover) completed his #Walk4onehour challenge in September, raising over £6,0001 Thanks go to all the individuals, clubs and societies that have 5UPPOrted us this year by making donations, holding (safe) events, or encouraging othersto get involved in fundraising for us. Lockdown proved a challenge, as a very sociable person not being able to go out was a nightmare. I never imagined that I would be asking for help with my mental health but rtunately, the Centre's counsellor helped me workthrough my feellngs. I'm not ashamed to mit I struggled. All these services were provided remotely but achieved the same amazing esults had I been receivin them face-to-face. I cannot romote the Centre enou h., Julie 15

Income Generation Personal Donations We've been very fortunate to receive donations from individuals throughout this turbulent year, whether that's a one-off donation or a regular gift. These donations have ensured we made itto our 35th birthday and beyond. They have also kept our seNices running and allowed us to better plan the future. Member Donations All our services are offered free of charge to our members, however, many choose to donate both time and money when they are able-for this, we are trulythankful. We're especially grateful to our members who have continued donating, even when our services are so different at the moment. Social Media as Fundraising Channel A sum of £4,694 was raised through Facebook and Instagram In 2020- an Increase of £868 on 2019. Most donations were through blnhdayfundraisers that our members set up. Oakwood Wellbeing Limited Oakwood Wellbeing Limited (OWLI, a Wholly￿wned subsidiary of the Chilterns MS Centre, wa5 set up in 2016 to generate income for the Centre from its main resources: the premises, specialist equipment and staff. The role of OWL is to maximise income potential by using these resources outside of the Centre's busiest hours. It operates on a commercial basis and all profits are gifted free of tax to the Centre. Unfortunately, it was also hit by the coronavirus pandemic and thi5 year it ha5 generated a contribution of £1 0,009 for the charity, compared with £51,999 for 2019. "We ove to support the Chilterns MS Centre, so it can help and support people in the local area, and this is driven by our historic and current links with employees and the charity." ate Gubbins, GE Healthcare 'A great virtual corporate networking evening with a thought provoking talk and well facilitated. I enjoyed the break out room discussions." Jonathan Lane, Haines Watts 16

Administrative Details Company Details Registered Company Number 02294557 (England and Wale51 Registered Charity Number 800853 ftegistered Offits and Principal Addre55 Chilterns MS Centre Oakwood Close Wendover. Ayle5bury Buckinghamshire HP22 5LX Web.. vdww.ch11ternsm5￿ntre.0rg Telephone: [phone] Trustees Tony Wlnterbottom BA Ichalrl (Reslgned 5th July 20201 Catherine Golds Diplwm PgD tvice-chairl {Appointed Chair 5th July 20201 LizTubb LLB (Hons) (Appointed vic￿haIr 5th July 20201 John Bedford Robert Carter BA Hons (Co-opted 26th February 2020 & Elected 5th July 2020) Alison Heywood DBO Darayus Motivala BSclHon51 (Re-dected 5th July 20201 Henry Snow (Co-opted 30th May 2019 & Elected 5th July 20201 Justin Stephenson {C￿pted 19th September 2019 & Elected 5th July 20201 Simon Turner IR&etected 5th July 20201 Company Secretary LizTubb LLB (Hons) barrister-at-law Chlef Operatlng Officer Andy Graham (Appointed 1st January 20201 Leadership Team Faye Chappell- Head of Cllnlcal and Support Service5 IRe5igned 31 July 20201 Amy Smissen- Head of Integrated Cllnlcal Serylces (Appointed 7 July 2020) Sharon Cooper - Interim Head of Fundraising July to December 2020 Elleen Inman- Flnance Manager Gemma Hlll- Communications Manager Terry Baldwin- Facilities Manager It was a very big thing to take on board that I needed a wheelchair but following the fatigue course I now see it like wearing my glasses. If I wish to be able to see where I'm going, I need to put on my glasses. If I wish to be able to compete in a swimming race and move away quickly at the end of it then I need to Use a wheelchair." Amanda 17

Administrative Details (Continued) Audltors Halnes Watts Statutory AuditQT Milton House Gatehouse Rd, Gatehouse Industrial Area, Aylesbury HP19 8EA Telephone Number5 01296 696133 (Reception) 01296 823040 (Fundraising & Communication5 team) 01296 823047 (Finance office) Website ww.chilternsmscentre.org Email [e-mail] Bankers National Westminster Bank PIC 22 Market Square Aylesbury Bucks HP20 IPR Social Media Facebook.. Twrtter. Linkedin: I￿tagram. www.facebook.com/ChilternsMSCentre @Chilternsms Chllterns MS Centie chilternsmscentre Uoyds Bank PIC 79 High Street Chesham Buckingham5hire HP5 1 DE Patron5 Trlshna Bharadla The Earl of Buckinghamshire Lord Carlile of Berriew QC Professor Gavin Giovannoni MBBCh PhD FCP FRCP FRCPath David Lldlngton J P G Naylor Esq Derek KTownsend DL Santander Ist Floor Operations Block Brldle Road Bootle Merseyside L30 4GB ' The'staying sane during self-isolation, tips by Amy were brilliant and really helped in those first difficult weeks of lockdown, It was lovely to see a friendly face on the screen!" Kate 18

STRUCTURE, GOVERNANCE AND MANAGEMENT Governing Document Chilterns MS Centre Ltd Is registered with the Charity Commission for England and Wales; It was incorporated as a company limited by guarantee on 9th September 1988. The charity was governed by its Memorandum and Articles of Association as adopted on 22nd December 2004 until the Annual General Meeting on 21stJune 2016 when new Articles of Association were approved and adopted by the members. They were further amended at the Annual General Meeting held on 26th July 2018. Organisational Structure The Board of Trustee5 is responsibleforthe overall management and governance of the charity and meets on a monthly ba515. The Board sets the strategic direction and policy for the charity, agrees on an annual budget and monitors performance against it. The day-tc day management is delegated to its Chief Operating Officer, Andy Graham who wa5 appointed on Istjanuary 2020.The COO was supported bythe Head of Clinical & Support Services, Faye Chappell who resigned on 1st August.The Centrewould like to thank herfor the tremendous work she undertook whilst at the Centre. The Leadershlp Team ILT) now 5UPPOrtthe COO comprising Amy Smissen, Head of Integrated Clinical Services; Elleen Inman, Finance Manager; Gemma Hill, Communications Manager and Terry Baldwin, Facilities Manager. Sharon Cooper was the interim Head of Fundraising from July-December. Governance The COO and the Chair ofTrustees meet on a weekly basis. For governance purpo*s, and in order to maintain gocKI lines of communication, the LT provldes a monthly written report to theTrustee5 Including any resolution5 required bythe Board. This provides a coordinated approach to the running and development of the charity. Risk management, Health and Safety and complaints feature on the governance groups, agendas, and feedback from the various sub-committees form part of the agenda for trustee meetings. All of the Trustees workon one or more of the charitys governance sub<ommittees. There are five permanent committees: Clinical, Income Generation and Finance, Facilities and Support se￿iceS, Human Resources and Health and Safety. Governance committee meetings are held with formal agendas and notes taken. The Trustees review policies and operating procedures as part of a programme of continual improvementfor effective control of the operation of the charity.

STRUCTURE, GOVERNANCE AND MANAGEMENT Governance In March 2020, an additional COVID Committee was set up comprising the Chalr of Trustees, Chair of the Clinical Governance Commlttee. Chair of the HR Commlttee and the Chair of both the H&S and Income Generation and Finan￿ Committees. In January 2021 a Sustsinability Committee was also set up including theTru5tees above. Recruitment and AppOintm￿nt of New Trustees In accordance with the Articles of Association, the Board is authorised to appoint new Trustees as additions to the Board or to fill vacancies. The Board works to ensure it has members wlth the approprlate balance of skllls, knowledge and experfence to enable it to operate effectively. All Trustees are elected by the membership. A third of the Board retire by rotation atthe Annual General Meeting but may seek re-election. On appointment to the Board, Trustees receive a copy of the Memorandum and Article5 of Association of the Company and Charity Commission and Good Governance information and a role description. The Board believes that the Trustees bring the skills, knowledge and experience necessary to guide and govern the charity's activities effectively. Robert Carter was co-opted as Fundraising Trustee in February 2020, an experienced fundraising and marketing leader with over twenty year5 experience of working in the not- for-profit sertor. His current role Is Directorof Fundraising and Marketing atthe MSTrust so he brings a wealth of relevant knowledge and insightto our charity. Henrysnowand Justin Stephenson, who were co-opted to the Board in 2019, were elected at the AGM on the 5th July 2020. The Board wishes to record thankstoTonyWinterbottom whojolned a5Vlce-Chair In 2015 and became Chair in 2019. After 5 years on the Board,Tony stood down at the AGM in July. Catherine Golds, previously Vice-chair was elected as Chair and Liz Tubb as Vice-chai r. Two of the current Trustees have MS and two other Trust￿5 have close relatives who have MS. As a result, the Trustees are able to ensure that the interests of our beneficiaries are represented by people with dire¢ first-hand knowledge and experience of MS. "I have been taking part in a lot of the great Zoom exercise classes during lockdown but coming back into the Centre again for oxygen and physio has made me feel really connected and not alone with rny MS. It has really helped with my symptoms and been especially important to me during these times of isolation." Susan 20

STRUCTURE, GOVERNANCE AND MANAGEMENT Risk Management The Board, in conjunctlon wlth the COO and Leadershlp Team, continues to revlew and monltor rlsk within the charity. The Trustees are grateful for the continued guidance provided by a specialist Health and Safety adviser who work5 on a voluntary basis with the Health and Safety Committee. Public Benefit The Trustees have complied with their dutyto have regard to the guidance on public benefit published bythe Charitycommission in exercislng their dutles or powers.The activities of the charity are focused on providing significant supportforthose with MS through treatment and therapy, informal advice and peer supporL Performance The charitys performance is monitored on a monthly basis using a range of activity reports and Indicators. These inform the Board of Trustees and governance committees and enable the leadershlp team to measure performance against Strategic objectives and inform future planning. Staff Pay The charity benchmarks clinical staff paytothe NHS Agenda for Change pay scales and benchmarks all non-clinical staff salaries against similar positions in similar size charities. Key management personnel are benchmarked in the same way. Unfortunately, a decision had to betaken not to award a pay rise in 2020, due to the financial position. Workplace Pension All eligible staff are enrolled in a workplace pension scheme and the charity made contributions in line with the ststutory requirements. Professional Development and Training All employed clinical staff are supported by professional training as appropriate and appraisal& Other staff are also supported If posslble, to ensure thelr tralnlng needs are met and they develop additional skills within their roles. Specifictraining was undertaken on COVID-19 protocols for all relevant Staff and volunteers. .1 have only been a memberfor the last two months. Since my assessment for my needs, I have been doing physio which is life<hanging as my mobility is very bad now. I have been offered counselling and weight management. As a newly diagnosed person, I feel 5UPPOrted now." Karen 21

FINANCIAL OVERVIEW The financial impact and consequence of COVID-19 have been far-reaching. Given the significant risks to income and cash flow, the COVID Committee monitored cash flow forecasts tothe end of 2021 and agreed on remedial actions ensuring confidencethatthe charitywould continue to operate as a golng concern. The key aspects of COVID-19that have made a financial impact are:. An adverse impact on income A consequent acceleration of the need to review expenditure Balancing the retention of staff for service delivery with utilising the Coronavirus Job Retention Scheme ICJRS) where work was not possible due to the pandemic Emergency support and funding Adly*r5￿ Impclei on In=om Many charities have been quotlng a negative impact of COVID on income In the region of 25% to 30Wo, and ourexperience is in line with this.The overall reported income for 2020 is £1,012kwhich on the surface is only £53k or 5% down on 2019. However, included in the £1,012k are two significant items that need to be deducted to get a fair comparison. Firstly, £96k of furlough grant from the CJRS scheme and secondly, £1 Ook restricted for capital expenditure forthe refurbishment of our hydrotherapy pool and a significant overhaul of our IT infrastructure. Excluding these itemsthe income comparative is £816K a £249kfall (23%) on the prior year income of £1,065 The lockdown caused an immediate adverse impact on almost all income streams. Once members were no longerable to attend the Centre for treatments, donations given in a "face to face" setting stopped. Incomefrom the Clinical Commissioning Groups (CCGS), which are tied to service volume, fell by almost 50%. Incomefrom the charltys tradlng subsidiary Oakwood Wellbeing Limited also came to a virtual standstill as clients were either unableto attend the Centre orthe activtties making use of thefacilities were not permitted under the varlou5 lockdown rules. Communlty events were cancelled, and our ability to interact wlth our corporate supporters was equally restricted. Income from our onsite café also stopped. Income from trusts, however, held up much better with many trusts having a longer-temi funding strategy, and some specifically diverting funds for 'COVID support.. 22

FINANCIAL OVERVIEW qeview Oi FApenditu r- The impact of coronavirus on income meant we needed to accelerate actlons to reduce expenditure. Cost efficiencywas a key area of focus in 2018 and 2019 resulting in few further opportunities for savings in non-staff costs. As the majority of costs are staff-related 176% in 2019). a reduttion in this area, unfortunately. became inevitable. We commenced consultation with staff in July, sadly resulting in six redundancies, of which fivewere voluntary. Expenditure on raising funds has significantlyfallen due to the reorgani5ation, a Member of the team on maternity leave and the amalgamation of team management wlthin existing resources following the resignation of the Head of Fundralslng In December 2019. Normallywe would have filled such vacancies, but in a period where the fundraising landscape has changed so rapidly, this reduced spend ha5 been appropriate. The costs for the provision of treatments. which include all non-fundrai5ing staff. have also fallen. Thi5 15 predominantly due to reduced staffing in every department. Whi15t this has improved the financial outlook in the short term, future financial stability remains a priority. Re£Gurc= hJJnagcm=nt A5 the pandemic brought about lockdown and artivty re5triction5, the Centre was unable to provide the level of face-to-face appointments seen in 2019. and from the middle of March to August the Centre was closed for face-to-face appointments. Despite the clinical team diverting resources to online support for our members, about half the staff were placed intothe CJRS in April.Team members were flexed in and out of the scheme through to October to match the specific skills needed as our virtual servlces were developed and deployed. In totsl, we received £96k furlough grant income. Before the CJRS scheme was extended into 2021, it had been due to finish at the end of October which aligned with the completion of the consultation and redundancies. With resources at the reduced level the charity had no further need to use the CIRS. "I have been doing weight management with Claire and having counselling sessions with Sharon. Both of which have been an amazing help to me, during the past year especially. Thanks to both ladie5 and to the Centre." Sue 23

FINANCIAL OVERVIEW Emerqencv SupDort and Fundinq In order to continue operating, the charity has faced additional costs including personal protective equipment IPPE). enhanced hygiene standards and general cleaning. Additionally, we needed to invest in audiovisual and communication equipmentto dellver as many of our Se￿iCe5 as P055ible by remote means, either live or streamed. The most significant areas of fvnding to combat COVID were: our emergency appeal which raised over £33l' securing grants from Trusts that were available to support charities Impacted by COVID-19 raising £19k and 5ecurlng a 12-month repayment hollday from our loan provider, supporting £12k additional cash flow in the year. In addltlon to the Government furlough grant, we made an application to the National Lotteryforfunding from the £750m allocated bythe govemment to support charities and were successfully awarded a grant of £50ktowards the general running costs of the charity. 24

FINANCIAL OVERVIEW Parform?nra Ind.icator5 Given all the difficulties thatthe charity has overcome in 2020, we are delighted to report that 83pence in every £1 of expenditure was spent on the provision of treatments, careand SUPPOrt for people affected by MS. 2019 75p ofevery £1 on (are & sUPPOrt 2020 83 p ofevery £1 on care&support The fundraising multiple shows how much income was raised per pound of investment in fundraising costs. Due to the substantial reduction in staff costs in the fundraising team, this has rlsen significantly, it includes the £1 Ook income restricted for capital expenditure on the refurbishment of the pool and IT upgrade.. Note 2020 2019 Income ralsed through fundralslng - exduding furlough income Fundralslng Income dasslfied wlthln Other Trading Attlvitles- Sales TiyfAL-exduding Oakwood Income and membershlp fees 801.972 3&007 820,815 35.398 837.979 856213 Exp•ndlture on ralslng fvnd$- induayng Oaknvood dlrect costs 155.771 284.370 Less Costs of Good5 Sold Les5 Oak￿00d direct costs Pure fvndi•lsing Gosts -3,257 -5.697 ,ÈL 146.721 -IZ311 21.688 250A71 Fundralslng Multlple of Incometo cost OakiNood ljllell being Limited Our trading subsidiary has been equally impacted by COVID-19. The income generated by Oakwood in the year was £20k1£77k in 20191. All profits from thetrading subsidiary are paid to the charitythrough the HMRC approved Gift Aid Payment scheme. 25

FINANCIAL OVERVIEW Reserves The Group's total reserves at 31 st December 2020 were £2,768k of which £104k were restricted, leaving £2,664k of unrestricted general resenies, most of which is the value of our building and land. In terms of free reseNes, the charity held £427kof which £104k was restrirted leaving £323k unrestricted. The £427k free resetve5 provide 6.1 months cover (3.3 in 20191 of average expenditure. The closlng reserves include approximately £60k of cash that had been planned for capital investment in 2020, but now deferred to 2021. Excluding this additlonal cash, the cover would be 5.2 months. Given the significant adverse effect COVID has had on income, the Income Generation and Finance Committee and the main Board of Trustees have devoted considerabletime during the yearto review and challenge the charity's cash flow projections, which are prepared monthly. The cash flow projection to the end of 2021 shows pure cash reserves cover above four months every month and closing at 4.1 months cover. Finance Strategy Our income outlook for 2021 a55ume5 there will be a continued adverse impactfrom COVID forthe first Six months followed by a very small and gradual improvement In the second half of the year. Moving into 2021 our spending in the fundraising team will increase a5 maternity leave ends. More importantly, as we exit the pandemlc period, we will be closely reviewing the need to aSign our fundraising resources to a strategyof income growth. Due to the focus on reducing non-salary costs in previou5 year5, there is very little scope left forfurther savings here. Given the reduction in staff costs that were made in the second half of 2020, 2021 will benefit from a full year of cost reduction. The Supreme Court ruling on business interruption insurance will enable a claim to be submitted to our insurers. As the outcome Is not certaln, any settlement will be treated as income for 2021. Our focu5 in 2021 will be on achieving the longer-term financial stabilityof the charity through researching potential alternative operating models. "I lookforward to the ca51s from my buddy and enjoythe calls greatly- we have a good connection.1105t my husband in April so she has been a huge support." Diane 26

Statement of the Trustees Responsibllitles The Trustees {who are also directors of the Chilterns MS Centre for the purFrf)ses of company law) are responsible for preparing the Trustees, Annual Report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice). Company law requlres the Trustees to prepare financial statements for each financial year, which give a true and fairview of the state of affairs of the charitable company and of the Incoming re50urce5 and application of resources, including the income and expenditure, of the charitable company for that period. In preparing these financial statements, the trustees are required to: select suitsble accountlng policles and then applythem consistently,. observe the methods and principles in the Charities SORP 2019 IFRS 102); makejudgments and estimates that are reasonable and prudent; state whether applicable UK Accounting Standards have been followed, subject to any material departures disclosed and explained in thefinancial statements; prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charitable company will continue in operation. The Trustees are responsible for keeping adequate accountlng records that disclose with reasonable accuracy at anytime the financial position of the charitable company and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for 5afeguardlng the assets of the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. The Trustees are responslble for the maintenance and integrity of the corporate and financial information included on the charitable CoMpan￿S website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other juri5diction5. 27

Statement as to Disclosure of Information to Auditors In so far as the Trustees are aware: there is no relevant audit information of which the charitable companys auditor is unaware; and the Trustees have taken all steps that they ought to have taken to make them5elve5 aware of any relevant audit information and to establish that the auditor 15 aware of that information. Auditors The auditors, Haines Watts, will be proposed for re-appointment at the forthcomlng Annual General Meeting. This report has been prepared in accordance with the special provisions of Part 15 of the Companies Act relating to small companies. Approved by order of the board of trustee5 on 25th March 2021 and signed on Its behalf by: Catherine Golds- Chair of Trustees .1 have found the Zoom exercise classes absolutely brilliant. To be with a physio and exercise therapist, exercising in my own home, but with a time to stick to is great. It has done my body a power of good, stretching, balance using all muscles to keep supple and mobile. I miss the Centre, but Zoom is excellent." Lynsey 28

Independent Auditorfs Report to the Members and Trustees of Chilterns MS Centre Ltd. Opinion We have audited thefinancial statements of Chilterns MS Centre Ltd. Ithe'parent charitable company,) and its subsidiaries Ithe'group'l for the year ended 31st December 2020 on pages 33-50which comprise a con501idated statementoffinancial activities, a consolidated balance sheet and a consolidated cash flow statement, and notes to the financial statements, including a summaryof Significant accounting policies. The financial reporting frameworkthat ha5 been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 The Financial Reporting Standard applicable in the UKand Republic of Ireland (United Klngdom Generally Accepted Accounting Practice). In our opinion the financial statements: glve a true and falr vlew of the state of the group's and parent charltable compan￿5 affairs as at 31 st December 2020, and of the group's incoming resources and application of resources, including it5 income and expenditure, forthe year then ended,. have been properly prepared in accordance with United lfjngdom Generally Accepted Accounting Practice,. and have been prepared in accordance with the requirements of the Companies Att 2006 and the Charities Act 2011. Basis For Opinion We conducted our audit in accordance with International Stsndards on Auditing {UKI IISAS (UK)) and applicable law. Our responsibilities underthose standards are further described in the Auditorfs responsibilities for the audit of the financial statements section of our reporL We are independent of the group and parent charitable company in accordance with theethical requirements that are relevantto our audlt of thefinanclal statements in the UK, including the FRC'S Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is Sufficient and appropriate to provide a basis for our opinion. 29

Conclusions Relating to Going Concern We have nothing to report in respett of thefollowing matters in relation to which the ISAS {UK) require us to report to you where: the Trustees, use of the going concem basis of accounting in the preparation of the financial statements is not appropriate; or the Trust&s have not dlsclosed in thefinancial statements any identified material uncertainties that may cast significant doubt about the group's or parent charitable companys abilityto continueto adopt the going concern basis of accounting for a period of at least twelve months from the date when the financial statements are authorised for issue. Other Information The Tru5tee5 are responsible for the other information. The other information comprises the information included in the Trustees. annual report, other than the financial statements and our auditorfs report thereon. Our opinion on thefinancial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. In connectlon with our audit of the financial statements, our responsibility is to read the other Information and, in doing so, consider whether the other information 15 materially inconsistent with the financial statement5 or our knowledge obtained in the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there is a material misstatement in the financial statements or a material misstatement of the other information. If, based on the work we have performed, we conclude that there is a material misstatement of thls other information, we are requlred to report that fact. We have nothing to report in this regard. Opinions on Other Matters Prescribed bythe Companies Act 2006 In our opinion, based on the work undertaken in the course of the audit: the information given in the Trustees, report lincorporating the direttors, report) for the financlal year for whlch the financial statements are prepared is consistent wlth the financlal statements; and the directors, report has been prepared in accordance with applicable legal requirements. 30

Matters on Whith We are Required to Report by Exception In the light of our knowledge and understanding of the group and parent charitable company and its environment obtsined in the course of the audiL we have not identified material mlsstatements in the directors. report. We have nothing to report in respect of the followlng matters In relation to which the Companies Act 2006 and the Charlties Act 2011 requires us to report to you ff, In ouropinion: adequate and sufficient accounting records have not been kept by the parent charitable company, or returns adequate for our audit have not been received from branches not visited by us; or the parent charitable companls financial statements are not in agreement with the accountlng records and returns; or certain disclosures of directors. remuneration specified by law are not made; or we have not received all the information and explanations we requirefor our audit; or the Trustees were not entitled to prepare the financial statements in accordance with the small companies, regime and take advantage of the small companies, exemptions in preparing the directors, report and from the requirement to prepare a strategic report. Responsibilities of Trustees As explained more fully in the Trustees, respon5ibilitie5 Statement set out on page 27. the trustees (who are also the directors of the charitable company forthe purposes of company lawl are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as thetrustees determine is necessary to enable the preparation of financial statements that are free from material mlsstatement, whether due to fraud or error. In preparing the financial statements, the Trust*s are responsible for assessing the group'5 and parent charitable compan￿5 abilityto continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basi5 of accounting unless the trustees either intend to liquidate the group orthe parent charitable company or to cease operations or have no realistic alternative but to do so. 31

Auditorfs Responsibilities for the Audit of the Flnancial Statements We have been appointed auditor under the Companies Act2006 and section 151 of the Charities Act 201 l and report in accordance with those Acts. Our objertives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditorf5 report that includes ouropinion. Reasonable assurance is a high level of assurance, but Is not a guarantee that an audit conducted in accordance with ISAS IUKI will always detect a material misstatement when it exi5t5. Mi55tatement5 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 statement5. A furtherdescription of our responsibllitles for the audit of the financial statements is located on the Financial Reporting Council'swebsite at: www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor's report. Use of Our Report This report is made solely to the charitable companls members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006 and to the charftable CoMpan￿S trustees, as a body, in accordance with Part 4 of the Charities IAccounts and Report5) Regulations 2008. Our audit work ha5 been undertaken so thatwe might stateto the charitable company's members and its Trustees those matter5 we are required to State to them in an auditor's report and for no other purpose. To thefulle5t extent permitted by law, we do not accept or assume responsibilityto anyone other than the charitable company and the charitable company's members as a body and the charitable companls Trustees as a body, for our auditworl for this report. or forthe opinion5we have forrned. Mr S Brownsmlth FCA Senior Statutory Auditor For and on behalf of Haines Watts, Statutory Auditor Milton House, Gatehouse Rd, Gatehouse Industrial Area, Aylesbury, HP19 8EA 26 March 2021 Haine5 Watt5 is eligible to act a5 an audttor in terms of section 1212 of the Companies Act 2006. 32

CHILTERNS MS CENTRE LTD. CONSOLIDATED STATEMENT OF FINANCIAL ACMVITIES INCORPORATING CONSOLIDATED INCOME AND EXPENDITURE ACCOUN FOR THE YEAR ENDED 31 DECEMBER 2020 Unrestricted Funds Reslricled 31.12.20 31.12.19 Funds Total funds Total fund$ Notes INCOME AND ENDOVVMENTS FROM Donations and legacies Charitable activities Promsion of trealmenls, care and supwrt f¢J people with MS 538,551 359.S03 898,054 820.815 35,880 35,880 75,672 Other tradiryJ aCtwit￿$ Investment income 78,416 146 78,418 146 18B,277 484 Total 652.993 359.503 1,012,496 1,065,248 EXPENDITURE ON Raising funds Charitable activities Provision of Ire8lmenls. care and SUPF(Jrt for people wrf(h MS 155,371 400 155,771 284.370 494.178 273,467 767,645 874.304 Total 649,549 273,867 923,416 1,158,674 NET INCOMEIIEXPENDITUREI 85,636 89,080 (93,426) Transfern betsveen fund6 23 82,627 182.627) Net movement In fundg 86.071 3,009 89,080 193,4261 RECONCIUATIOM OF FUNDS Totsl funds brought foNiard 2,577.592 101,186 2,678,778 2,772,204 TOTAL FUNDS CARRtED FORWARD 2 663 663 2 787 858 2 678 778 The notes on pages 36 10 50 form part of these financial statements. The slalemenl of financial aclivilies includes all gains and los$es recognised in the year. Al income and expenditure has arisen from continuing actmties. 33

CHILTERNS MS CENTRE LTD. CONSOLIDATED BALANCE SHEET AT 31 DECEMBER 2020 REGISTERED NUMBER: 02294557 Grojp 31.12.19 Charity 31.12.19 31.12.20 31.12.20 Notes FIXED ASSETS Tangible 8ssels Invastments 14 15 2.480.196 1,999 2.497.218 1,999 2.480.196 2,099 2.497,218 2.099 2.482,195 2,499.217 2,482,295 2,499,317 CURRENT ASSETS Stocks Debtors Cash at bank 16 17 1,686 111.443 383,967 1,251 104.285 275.307 1,686 118,528 373.827 1.251 110,973 263,401 497,096 380.843 494,041 375,625 CREDITORS Amounts falling due wlhin one year 18 (70,5221 161,2431 167,6631 156,2011 CURRENT ASSETS 426,574 319,600 426,378 319,424 TOTAL ASSETS LESS CURRENT LIA81UTIES 2,908,769 2.818.817 2.908.673 2.818.741 CREDITORS Amounts falling due after more than one year 19 1140.9111 1140,039} 1140,9111 1140,0391 NET ASSETS 2 767 858 2,678 778 2.767.762 2.678,7 FUNDS Unreslricled Restricted 23 2.663,663 104.195 2,577,5S2 101,186 2.663,567 104.195 2.577.516 101,186 TOTAL FUNDS 2,767,8S8 2,678.778 2,767,762 2,678.702 The financial statements were approved and authorised for issu8 by the Board of Trustees on 25th March 2020 and were signed on ils behalf by',- CalherirE Golds Trustee Henry Sn Trustee The notes on pages 36 to 50 fom part of these financial ststgmenls.

CHILTERNS MS CENTRE LTD. CONSOLIDATED CASH FLOW STATEMENT R THE YEAR ENDED 31 DECEMBER 2020 31.12.20 31.12.19 Notes Cash flows from operating activit1￿. Cash generated from operat￿)nS Interest paid 170,493 14.608) 1124.1761 15,5711 Net cash provided by I (used In) operating actlvities 165,885 1129,747 Cash flows from investing activitias.. Purchase of tangible fixed assets Interest received 153,111} 114,3761 Net cash provlded by I (used In) Investlng actlvltles 152,965) 13,892 Ca$h flows from financing activitifjs: Loan repayments in year Net cash provided by l {used inl flnancing activitles 14.260) 4.260 12,688 12,688 Changè In cash and cash gqulvalgnts in the reporting period 108,660 (1￿.327) Cash and cash gquivalonts at the beginning of the reporting period 275,307 431.634 Cash and cash equivalents at the end of the reporting period 383,967 275,307 The notes on pages 3610 50 form part of these finanryal statements. 35

CHILTERNS MS CENTRE LTD. NOTES TO THE CONSOLIDATED CASH FLOW STATEMENT FOR THE YEAR ENDED 1 DECEMBER 2020 RECONCILIATION OF NET INCOMEI(EXPENDITUREI TO NEf CASH FLOW FROM OPERATING ACTIVITIES 31.12.20 31.12.19 Nel incomellexpenditurel for the reportlng perlod las per the consolldated statement of financial activities} 89,080 {93.4261 Adjustments for., Depreciation charges Interest received Interest paid Iln¢rease)Idecrease in stocks Ilncrease)Idecrease in debtors Increasel{deerease) in current credf(ors excluding bank loans and overdrafts 70.133 {1461 4,608 (4351 (7,1581 14,411 55.761 14841 5,571 80 166.7181 {24,962} Nel cash prowdgd by l (used inl operating activitie8 170,493 (124,176 ANALYSIS OF CHANGES IN NET DEBT Cash Other Fbws non cash changes At 31.12.2020 1.1.2020 Cash Loans falling due wlhin one year Loan5 falling due after more than one year 275.307 113,1071 1140,0391 112.920 (4,2601 5,132 {8721 383,967 17.9751 {140,9111 122,161 112,920 235,081 36

CHILTERNS MS CENTRE LTD. NOTES TO THE FINANCIAL STATEMENTS DECEMBER 2020 STATUTORY INFORMATION Chiltems MS Centre Ltd. is a private company Ilmrted by guarantee Incorporated In England and Wale8. The reglstered offlce Is Oakwood Close. Wendover, Aylesbury. Bucklnghamshlre HP22 5LX. The Pre￿ntatIOn currency of Ihe financial ststements Is the Pound Skrflng 1£) and Ihe flnancbal stslemenls are rounded to the nearest £. ACCOUNTING POLICIES Basls of preparing the financial statements The fjnanryal slalements of the charitable company, which is a public benefit èntity under FRS 102, hxvè been prepared in accordance with the Charilles SORP IFRS 1021 'Accounllng and Reporting by Charities.. Statement of Recommended Pracbce applicable to charitEs preparing thElI accounts in a￿OrdanGe with the Financial Reporting Standard applicable in the UK and Republic of Ireland {FRS 1021 (issued i O¢tob8r 20191,, Financial Reporting Standard 102'The FinancAal Repotting Standard appfjcable in the UK and RÈpubli¢ of Ireland., and the Companies Act 2(XJ6. Chlltems MS Centre Ltd. meeis the definltion of a publlc benefit entlty under FRS102. The ffnanclal stslemenls have been prepared under the historical cost convenb.on with the exception of Investments which are included al market value. At the date ot approving these accounts tho t¥uste8s bèlieve the ¢harity ha$ suffictent resource5 to ensure continued operaiional exlstence for the foreseeablè future. The 3c¢ouThls have therefore been prepared on the basis that the charity is a golng concern. Preparatlon of consolidatèd finan¢i•l $tstgrngr The consolidated financial statements incorporale those of the Chitterns MS Centre and Ils owned gubsidiary Oakwood Wellbeing Limited on a line by line basis. Details of the subsidiary resu￿9 are given in note 15. As pèirnitted by section 408 of the Companies Act 2006, Ihe SOFA ol the pargnt company Is not presented as part of thèse fin8n¢ial stslements. Income All incomtr is recognised in the Statement of Finanoal Actiwthes once the charfty has ents"tlement to the funds. it is probable that the income wll be received and Ihe amount can be measured reliabw. Recognition of income from donation3 w￿1 be deferred if the donor has specrfied the donation must be spent In a future 8¢counting periodlsl or rfcertain condition5 have been imposed which must be met before the charty has unconditional èntitlèment. The gtft aid associated wrth a donation is recognised when the donalon Is rec&￿e￿ chaTIty. Glfts In klnd are Included at valuatlon at thè tlme of the gift. Subscdption income is teEDgnised I￿ the yeor to vhHch it telates an¢J deferred in 50 much as it ￿lateS to a subsequent period. The charlty ¥ecdves grants from Clinlcal Commissiontng Groups which are ac<xued in accordance with calculations based on monthly dinkal AdNity dèla prowded. For legacies. enlillement Is taken as the eadier of the date on whth either.. the eh8rity i8 48re Ih81 probat has been granted. Ihe estate has been finalised and notificatlon has baen madè by the èxecutor(sl to the estate that a dislributhon will be made, orwhen a distributk)n is received from the estate. Receipt of a legacy, in whole or in part, is onty consmlered probable when the amouni can be rneasu￿d Teliably and the charity has been notified of the execulorfs infrnlion lo tnake a distribukn'on. Where kg8cies have been notified to the charty, or the chorty is aware of the granting of probate, and Ihe criteria for income recognltKsn have not bèan mgt, than tha lagacy Is tr&atsd ag a coThtingenl 8SSet and disclosed rf material. 37

CHILTERNS MS CENTRE LTD. NOTES TO THE FINANCIAL STATEMENTS - CONTINUED FOR THE YEAR ENDED 31 DECEMBER 2020 ACCOUNTING POUCIES - conttnuod Donated seThl¢es and fa¢llltles Donated professional services and donated facilities are reeognlged as Income when the charity has control over the Item, any conailtons associated wth the donated item have been mèl, the recelpl of economlc benefit Irom the use by the charrty of the Item is probable and that economic benefit can be measured reliably. In accordance wrth the Charities SORP IFRS1021, the general volunteer lime of the charitys volunteers is not reGogni5ed. The trustees annual report contains mDre information about their contribution. On receipt. donated Professional services and donated facilities are recognised on the basis of the value of the gift lo the chaiily whiGh is the amount the charity would have been willing lo pay lo obtain the services or facilities of eqLtivalenl economic benefit on the open market. a corresponding amount 15 then recognised in expenditure in Ihe period of receipt. Expenditure Liabil((ies are recognlsed as expenditure as soon as there is a legal or constructive obligation comrnitting the charity to that expendlture, It Is probable that a transfer of economic benefits will be required in 5eitlemenl and the amount of the obligation can be measured ieliably. Expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all cost related 19 the category. Where costs cannot be dire¢lly atlributed to particular headings they have been allo¢ated to a￿1vilieS on a basis consistent with the use of resources. Ralslng fund$ Raising fund5 indudes all expendllure incurred by the charity to raise funds fer ils charitable purposes and includes costs of all fundraisln9 activ￿e$, events and non-charitable trading. Charitable activities The costs of ¢haritsble activities are those directly InCu￿ed in support of the ¢hanWg objectives and include the costs of Nnning the building owned and used by the charity. Govemance costs Governance costs include those related to the ￿)91 of govemance of the charity and its assets and are primarily associated wth the compliance of Con5￿tu11on8I and statutory requirements. All0¢•￿On and apportlonmonl of costs Where costs (annot be directly attributed to particular headings they have been allocated lo activ￿e5 on basis con$i5tent wth use of the r8sour¢es. 38

CHILTERNS MS CENTRE LTD. NOTES TO THE FINANCIAL STATEMENTS- CONTSNUED R THE YEAR ENDED 31 DECEMBER 2020 ACCOUNTING POUCIES - contlnu Tangibl8 fixod assets Tangible assets are stated at cost less accumulated depreciation. The Cost of minor additions or Iho$e below £500 are not ¢apilalised. Dep￿ciall0n is provided 81 the lollo¥%ing annual ral9$ in order to ￿lte off the cost of each asset,1gss ests"mated residual value, over its gth'malèd u$aful lifo. Freelx)Id property Plant and machinery etc. Pool Oxygen chamber 2°k straight line150 years) 10%133.3% slraighl line13 10 10 y8ars} 6.670A straight line115 years) 4% straight line125 years) Stocks Slocks are value¢J al the lower of cosl 8nd net realisable valug on a FIFO basis after maknng du8 allowance for obsolete and slow moving items. Taxatlon Thè charity is exempt frorn corporation lax on ils charilable aetivrties. Fund accountlng Unrestricted funds can be used in accordance wth the charitable objectives at the discretion of the trustees. RestriGted funds can only be used for particular restricted purposes wthin the objects of the Charity. Reslnctions arise when specified by the éonor or when funds are raised for particular restricted purposes. Designated funds are funds sel aside by the trustees out of unrestricted general fund5 for specific fvture purposes or projects. Further explanation of the nature and purpose of each fund is included in the notes lo the financial statements. Leasing comm7tmentS Rentals paid under operating leases are Charged to the Slaternent of Flnanclal Activrties on a straight line basis over the period of the lease. Penslon costs and other pOst•re￿￿ment benefits The charitab5e company operates a defined contribution penslon scheme. Contributions payable to the charitable ￿MpanY'S pension stheme are charged to the Statement of Financial Activities in the period to which they relate. Ca$h and cash oqulvalents Cash and cash equIVa￿llts ￿Clude cash in hand and deposits held on call ￿￿th the charrtls banks. 39

ILTERNS NOTES TO THE FINANCIAL STATEMENTS - CO FOR THE YEAR ENDED 31 DECEMBER 2020 ACCOUNTING POLICIES - continu•d Financial instrurn¢nts The charity has èlected to apF4y the provisions of Section 11 'Basic Finanoal Instrurnents, and Se¢tion 12 'Othér Financial Instruments Issuss. of FRS 102 to all of ils financial instrumènts tnjstèas are of the opinion that the charity does not Cufrently have any Finxneial Instrumènts falling within the definition of Section 12of FRS 102. Financial instruments are recognised in the charity'8 balarKe sh09tvthgn thè tharity becomes party lo tha contradual provisions of the in$tNmonl. Basic financial assgts Basic financial assets, which indude debtors and cash and cash equivaents, arè irritially measured at transadion price inclLding costs and are subsequently c3rrSed al amortised Cost using the &ffeclivo interest method. Financial assets classified as receivable wfthin one year are not amortised. liatslilies Basic financial liabilities, indudlng creditors and bank loans are initially recognised al transaGtion t￿¢e. Debt ir15trumnts are subsequently carried at amortised cost. using the effective interest rale method. Financ￿1 liatilities classified as payable within one year are r￿1 amortised. Darecognilion of finan￿81 liabiliti8s Financial liabilities are dereeoonised when the tharrty's contracbjal o￿lgationS expifft or a￿ disd)arged or ¢artelle<J. crftl¢al accountlng ￿tIm￿tr$ and Judggmonts There have been no judgements made by the truste$8 in applying Iha accounting policias which have h¥d a significant effect on the amounts re¢cgnisèd in thè financial statements. There have been no assumptions concerning the future. and other key sources of estimation uncertainty al the year end that have a significant risk of cau8ing a material adjustment lo the Carrying amounts of assets and lia￿lItIeS wlhin the next financial yoar. DONATIONS AND LEGACIES Unrestrictsd Funds Rostrl¢ted Funds 31.12.20 Total 31.12.19 Tot DoTrats"on$ frorn members Gift aid other donalicns and legacEs Fundraising and collections Furlough grant 121.779 33,500 113,037 174,153 .082 121.779 33,500 132.132 514.561 96.082 150.497 55.693 249,S14 364,811 19,095 340,408 538,551 359.503 898.054 820,815 Other donations and legaty¢s iA¢lude £5,853 (2019." £18.3321 being the vaue of goods and services donated to the charlty during the year. Th8 chanty benefits greatly from the involvement and enthusiastic SUPPDrt of its many VdunI￿rS Idetails of which are given in our annual rep(￿tI In accx)rdance with FRS102 and the Charities SORP (FRS 102) the econcfflic conth"buts"on of the general volunteers is not recognised in the acC￿Unts. 40

CHILTERNS MS CENTRE LTD. NOTES TO THE FINANCIAL STATEMENTS-CONTINUED FOR THE YEAR ENDED 31 DECEMBER 20 4 OTHER TRADING ACTIVITIES 31.12.20 31.12.19 Sales Membershiv subscriptions Outside usage 43,473 14,883 20.060 77,107 14,452 76,718 168277 5 INVESTMENT INCOME 31.12.20 31.12.19 Bank interest receivable 146 INCOME FROM CHARITABLE ACTivmES 31.12.20 Provi%ion of Irealments. care and support for people with MS 31.12.19 Provision of treatments. care and support for people with MS ConlributKJns from Clinical Commissioning Groups RAISING FUNDS Ralslng donatlons, l•gaclos and outsldo usag8 31.12.20 31.12.19 Staff costs Fundraising events Sundries Travel & subsistence Cost of goods sold 134,028 7.822 10.459 205 3,257 155,771 230,911 20,298 19,811 1,041 12,311 284,370 41

CHILTERNS MS CENTRE LTD. NOTES TO THE FINANCIAL STATEMENTS . FOR THE YEAR ENDED 31 DECEMB CHARITABLE ACTMTIES COSTS Dir8ct costs Support costs {S89 note 9) Totals Provision of Irtralmènts, care and support for people with MS 492,249 275,396 767,645 SUPPORT COSTS M8nagÈment Inlormation technology Human reSCuice8 Governan Totals Provision ol treatments, care and support for people with MS 233.886 14,524 21,268 5.718 275,3 Support ￿)stS, included in the above, are as follows: 31.12 20 31.12.19 Provision of Provision of treatrnents, trealmenls. care and care and support for support for people with people with MS MS Supptsrt salaries Soaal security Pensions Postage, printin9 and stationery Travel SubcontracloT ¢osIs Sundries ITcosts H R costs Redundancy costs Auditors, remuneration Legal costs 197,712 12,394 5,157 5,854 106 616 12,047 14,524 2,089 19,179 5,718 200,636 14.346 5.833 9.132 50 5,873 484 15,925 2,30S 7,060 4,200 480 275.396 266,124 In 2020 Sundiies indude5 a PTOVi8ion for accrued holiday wh￿h will reverse when taken later than December 2022. Redundancy cK)sls are row reported separately, whereas in 2019 the £7.060 was induded within Sundries. 10 NET INCOMEIIEXPENDITUREI Net incomo1{expendilurel is stsled after ¢hargingl{erediting)'. 31.1220 31.12.19 Audit￿, r&muneraon Dèpièciation- owned assets Hire ol plant and m8d)inery 5,718 70,133 1,240 4.200 55.761 6,544 42

CHILTERNS MS CENTRE LTD. NOTES TO THE FINANCIAL STATEMENTS - CONTINUED FOR THE YEAR ENDED 31 DECEMBER 2020 11 TRUSTEES. REMUNERATION AND BENEFITS There were no trustees. remuneration or Ot￿r benefits for the year ended 31 December 2020 nor for the yea¥ ended 31 December 2019, Tntstggs, eXPgnsos There were no trustees, expenses paid for the year ended 31 December 2020 nor for the year ended 31 Oeeember 2019. 12 STAFF COSTS 31.12.20 31.12.19 Wages and salaries Social security costs Other pension costs 605,381 45,163 21,093 787.636 62.873 32.498 671,637 883,007 The average monthly number of employees during the year was as folb)ws'. 31.12.20 20 31.12.19 24 Therapy staff Fundraising stsff Facilities staff Administrative staff 41 The number of employees whose employee benefrts (excluding employer pension costs) exceeded £60.000 was.. 31.12.20 31.12.19 £60,001- £70,000 Redundancy arKt lerminalion cos15 during the year weTe £19,179 12019.. £7.0601. During the year and last the chanty also used subcontractors lo assist wlh ils fundraising and therapy requirements, these costs are included in the costs of generating voluntary income and charitable aclivrties respectively. 13 2019 COMPARATIVES FOR THE STATEMENT OF FINANCIAL ACTIVITIES Unrestri¢ted funds Restrlcted funds Total fund$ INCOME AND ENDOWMENTS FROM Donations and kgaci 579,310 241,505 820,815 Charitable actSvities Contributions from Clinical Commissioning Groups Other trading aetivilies Inv8slrn8nl income 75,672 168,277 75,672 168,277 484 Total 823,743 241.505 1,065,248 43

HILTERNS hls CENTR NOTES TO THE FINANCIALST OR THE YEAR ENDEO EMEN 13 2019 COMPARATIVES FOR THE SYATEMENT OF FINANCIAL ACTIVJTIES- continuèd Unreslricled funds Reslri¢ted funds Total funds EXPENDITURE ON Raising funds 284.370 284,370 Charitabl• activiti96 Provision of trealmenls, (xre and support for people wthms 562.581 31 1,723 874.304 Total 846.951 311,723 1,158.674 NET INCOMEIIEXPEMDITUREI (23.2081 170,2181 193.4261 Tran¥fer8 betsveen fund$ 13,800 (13,8001 Net movement In fvnd$ 9,408 84,018 93.426 RECONCILIATION OF FUNDS Totsl fund$ brought foM•rd 2.587,CQO 185.204 2.772,204 TOTAL FUMDS CARRIED FORWARD 2 577,592 2 678.778 14 TANGIBLE FIXED ASSETS- CHARITY (ALSO COMPRISING THAT OF THE GROUPI Freehold FixtUTes property and frttings Total3 COST Al 1 January 202D Additions 2.4e8.960 544,739 53,111 3.013,699 53,111 At 31 December 2020 2,468,960 597,850 3,066.810 DEPRECIATION At 1 January 2020 Charge lor year 185.520 23,190 330,Sfj1 46,943 516,481 70.133 Al 31 December 2020 208.710 377.9)4 586 614 NET BOOK VALUE Al 31 December 2020 2.260.250 219.946 2,480 196 At 31 D9cernbef 2019 2 283 440 213,778 2.497.218 Included tn eosl or valuation of lani1 and buildings is Irgehold land of £150,000 {2019.' £150.LXXJI.

CHI TERN MS CENTRE LT NOTES TO THE FINANCIAL STATEMENTS - CONTINUED 15 FIXED ISSET INVESTMENTS Group 31.12.20 31.12.19 Charity 31.12.20 31.12.19 MARKET VALUE Unlisted investment in subsidiary companie5. Other unlisted investments 1(XJ 100 1,999 1,999 1,999 1,999 1,999 Vnliuted invcslmenl in subsidiary companies. The charity holds 100 sharts of £1 each in tt5 wholly owned tradillg 5ub5idiary company Oakwood Wellbeing Limited whid) was incorporated in the United Kingdom on 7 septem1￿r 2016 Ireglstralion number 103632801. Profits from the subsidiary are paid to thè eharrty undèr thè gift aid paymÈnt scheme. A summary of the finanJal performance of the subsidlary for the FertLYJ 1 January to 31 December 2￿20 {1 January to 31 December 20191 is:_ 31.12.20 31.12.19 Income Less direct operating expenditure Less Servi￿ charge from parent charlty Net profit 20,061 10,031 7,232 2,798 76,717 24,702 22,987 29,028 Total equty brought fO￿ard Profrt for the finanaal year Amount gift aKled lo the charity- prior year profits Amount gift aided lo Ihe charity- Current year prorts Totsl equty r*ffied forward 77 2,798 16 2,761 61 29.028 61 28.951 98 The net crnlribution Oakwood WelltrRing ￿mited made lo the parent charity in the year was £10.009 (2019: £51,9991 being the total of the service charge and gift aid8d profit. 16 STOCKS Group 31.12.20 31.12.19 Charty 31.12.20 31.12.19 Stocks 1,686 1.251 1,251 17 DEBTORS Group 31.12.20 31.12.19 Charity 31.12.20 31.12.19 Trade d8bloTS Pr8paym8nts and accrued income Loans to 8roup undertakings AmaAnls Owed by group undertaking8 55,925 55,518 57.763 46.522 55,481 55,518 3,313 4,218 55,991 46,2e6 6,719 1,997 111,H3 104,285 116,528 110,973 Funds re￿iVed as agents During the year the chaiSty recelved £21,069 {2019.. £22.348} as an agent for exhibitors at its annual art exhibiti¢)n. The exhibitors donated £7.39612019". £7,582) in tolol to the charity and the tharily therefore paid the balance of £13.67312019.. £14,766) lo Ihe exhibitors. 45

CHILTERNS MS CENTRE LTD. NOTESTO THE FINANCIAL STATEMENTS-CONTINUED FOR THE YEAR ENDED 31 DECEMBER 2020 18 CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR Group Charity 31.12.20 31.12.19 31.12.20 31_12.19 Bank loans and overdrafts (see note 20) Trade creditors Social security and other tsxe3 Accrua15 and deferred Income 7,975 8,271 12,369 41.907 13,107 8,152 19,415 20.569 7,975 5,413 12,369 41,906 13,107 7.%4 19,415 15.715 70,522 61,243 67,663 56,201 Deferred ineome amoLtnting to £5,62512019.' £8,845) at the balan￿ sheet date comprises granls received with lime related restrictions and membership income received in advance. 19 CREDITORS.. AMOUNTS FALLING DUE AFfER MORE THAN ONE YEAR Group Charity 31.12.20 31.12.19 31.12.20 31.12.19 Bank loans (see note 201 140,911 140,039 140,911 140,D39 20 LOANS An analysis of the maluTily of loans is given below.. Group Charity 31.12.20 31.12.19 31.12.20 31.12.19 AmDunts falling due within one year on dernand: Bank loans 7.975 13,107 7,975 13,107 Amounts falling due between ￿ and five years" Bank loans - 2-5 years 60.268 57,259 60,268 57,259 Amounts falling due in more than five years.. Bank loans moro 5 years by instalments 80.643 82,779 80,643 82,779 21 OPERATING LEASE COMMITMENTS - CHARITY IALSO COMPRISING THAT OF THE GROUPI Mininium lease payments fall due as follo￿.. 31.12.20 31.12.19 Other operating lease5 Expiring.. iEtsveen and five years 4,649 4,649 5,889 5,889

NT LT NOTES TO THE FINANCIAL STATEMENTS- CONTINUE ENDED I DECEMBER 2 22 SECURED DEBTS - CHARITY (ALSO COMPRISING THAT OF THE GROUPI The following seojred debts are included within creditors.. 31.12.20 31.12.19 Bank loar 153.146 The bank loan is secured by tsyo legal ¢harges, the first being over the freehold property of ihe charity and all 8ssociale(l as8et8. The charity entered into 8 bank loan ￿￿eernent for £478.(X)O in 2012 50 as to ffina￿Ce its new build￿9. Thks loan was restructurgd in 2012 al a vakje of £216,736 and 18 repardb￿ over a period of 15 Ears cornmenciro JaTruary 2015 al an interest rate of 2.75% above base rate. The trustees bdieve Ihat the charity will receive suffiaent donations to be able to repay this loan in line wth its terrns. The second legal charge 1$ fixed and floating over the charity and all it's assets present and fijture. 23 MOVEMENT IN FUNDS UnTe$tricted fund5 At 1.120 Ineome Expanditurè Transfers At31.12.20 Group- General lund 2,577,592 652 993 649 549 2 663,663 Charity- General fund 2.577,516 643,136 639,712 82.K27 R•strlet•d funds - Charfty (also comprlsln9 that of the Groupl At1.1.20 IncL¥))e Expenditure Transfers At 31.12.20 PhyBiother8py ￿1￿￿¢? Nutritionist programrne Carer Support FLmd Astisd Computers Re￿pIlOn Till Compuieis Tring Liors Bukling Fund Re￿ptIOn & Garden Furniture Café Coffee Machine PhysK)therapy Equipment Owens building infrastructure Fund Hardship Fund Oxygen Supplw Fund Exercise PTogfxmmè Pool Refurbishmgnt Fund LorKlon Marathon Charitable Fund Nath"ona Lottèry Communty Fund J Hunter Manual Handling Training COVIO-19 Fund Allergan Fund Natsonal Lottery COVID-19 Fun(J 33.639 788 21.500 155,139) 17881 (3,3441 11,0001 11SOI 18591 150 185 38.887 (37,5431 650 1,567 1,567 1841 11.8831 8.521 11,(1 250 e36 (4,9981 11,C 1636} 128.4141 37,408 86.797 10.994 56.3 21.701 12.821 (32,1621 112.821} {100.OCN)} 11,59)) 118.8431 13161 150.OtK)I 100.oc 1.590 28.836 14,505 50.0(X) 14.324) 13.6001 10,589 101.1e6 359.503 2.678.778 1.012.4 2.678.702 1002.639 {273.6671 1923,4161 913.579 {82.6271 104.195 2.767,858 2,767,762 GROUP-TOTAL FUNDS CHA￿Ty . TOTAL FUNDS The transfer ￿e￿een fund5 relects expendfture on capita iterns In a￿rdance wth the terms ofthe fvnd. 47

CHILTERNS MS CENTRE LTD. TES TO THE FINANCIAL STATEMENTS- CONTINUED THE YEAR ENDED 31 DECEMBER 2020 23 MOVEMENT IN FUNDS- COMPARATIVES A11.1.19 Incorno Expenditure Transfers At 31.12.19 Un￿$trIc￿d fvn(ts GTOUP- General fund 2.587.000 823.743 846,951 13800 2.577,592 Charily- General lund R￿trIctsd furnds Head of Clinical Semces Physiotherapy salaries Nutritionist programme Carer Support Fund Pool Fillers Astrid Computers Reception fill Computers Tring Lions 8uildTng Fund Reception & Garden Fumilure Café Coffee Machir Physiotherapy Equiprnenl Owens bullding Infrastructure Fund BUt￿r Caddle Fund Hardship Fund AFC Support Fund Occupational Therapy Fund Oxygen Suppllès Fund Exercise Programme Pool Refurbishment Fund Pool Steps Fund London Marathon Charitable Fund National Lottery Community Fund 2,586.939 799,343 822 5e6 13800 2577516 20.214 41,000 4.338 6.410 4,000 1,000 150 185 5,500 1,567 PO,2141 189,3611 13.550) 115,5e61 82,000 33,639 788 3,344 12.500 14,0001 150 185 5,500 1.567 7,743 11,000 3,800 250 11,201 13,277 6,197 25.587 21.701 12221 8,521 11.cilo 13,8001 250 111,201} 114.2771 15,5611 151,0761 1.000 25.489 21,701 6,000 13,516 100,000 (6,000) 1695 1100,OCNJI 12,821 185,204 241.505 311.723 13,800 101,186 GROUP- TOTAL FUNDS 2,772,204 1,065,248 1,158.674 2,678,778 CHARITY- TOTAL FUNDS 2,772.143 1.040,848 11.134.289) 2,676.702 The Head of Clinlcal Fund ￿lateS lo donations received by the charity where the donor has Ststsd Ihey wish for the donation lo be spent on the salary of the po$l"Head of Clinical.. The Physiolherapy salary Fund relates to donations rèceived by th& charity vA)èrè the donor has stated they wish for the donation to be spent the provislon of physiotharapy. The Nulrilioni51 fund ielates to a donation received where the donor sialed that the funds sh￿1$y be used to pay for a Nutritionist. The Carers Sijpport Fund relates lo donations received ty the charlty where the donor has stsled Ihey wlsh for the donatlon lo be spent on suppofl for Carers.

HILTERNS MS CENT NOTES TO THE FINANCIAL STATEMENTS- CONTINUED FOR THE YEAR ENDED 31 DECEMBER 2020 23 MOVEMENT IN FUNDS (CONTINUED) The Pcol Filters Fund rdales lo donation8 received by the Larity where the donor has Staled they wish for Ihe donation lo be spent on pool filters. The Astrid Computers Fund relate5 to amounts Whe￿ the donor ha5 Stated that the donation te applled towards the purchase of ￿mp1)térS for the Astrfd system. The Recept¢on Till Fund and Computers fund relate to donattons received by the charity where the donor ha8 slated they wish for the donatson to te applied towards the PLÈrchase ol a reception till and computer equipment respectively. The Tring Lions Building Fund relate5 to donation$ rec£ived by the ¢h#rity where they wl$h fw thè fund5 to be applied IIM8rds thè cxjst of kn.ling for thé hydrotherapy rx)ol. Reception FurKI ￿lateS lo donations re¢eiv¢d by the tharity where the donor has slated they wish for the donation to be spent on the refil ofthe Centre recEption area. The Coffee Machine Fund relates to donatDn5 r￿1Ved by the tharity vthere the dDnor has stated they wlsh for Ihe donation to be 5penl on a Coffee machine. The Phy$l¢therapy Equipment Fund relates to donations received by tha charity whgr8 1h8y bwsh for the funds to be applied towards the purchase of physiotherapy equipment The Owen3 building irffta3trudure Fund relate8 to donation3 received by the charity where the donor has stated they ￿13￿ for Ihe donation to be spent on infro$lru¢ture prgj¢¢ts or energy saving scheme8. The BLrt]er Caddle Fund relates to donations received by the charity where the donor has agreed to support spend on pool filter5. a publlc address systern, pod steps and hydrotherapy salaries. The Hardship Fund rdales lo a donati¢ns received by the tharity Whe￿ the d¢xor ha$ ?9￿$d to support memèers unable to pay membership fees through linanaal hardship. The Agenda For Change Fund Telales to donations received by the charty where the donor has agreed to help alleviate the impact of wage increase3 committed lo in 2018. The Occupallonal Therapy Fun¢ relates lo don1r￿S rgcelv8d by the tharlty where th8 donor has slated they wlsth for tha donatlon to ba spent on wages for oCoJpatic￿al therapy siaff. The Oxygen and Genefal Operation Costs Fund relates to donab"on$ re¢eived by the charity whera the donor has sts￿ they wsh for the donation to be spent on the operalionJ costs of thè oxygen thamb8r. The Exercise Programme Fund relates to donations received by the charity where the donor has agreed to fund an exerase programme for people with limited or impaired access to the Cenlre. The Pool Refijrbishment Fund related to donats'ons received by the dmrlty to be used to support a range of repairs and impTDvernents lo the hydrotherapy pool. The Pool Steps Fund related lo donations received by the tharity Its be used to repLqce tho vwtiol steps ￿th sloping step5 wilh h¥ndr8il$. Th& London Marathon Charitable Fund relates to dunatKsns received by the charity W￿re Ihe ￿￿Or has stat&J they wish for the donation to be spent on venue hire. equipment and wages forthe exerc4se wogramrne. The National L¢)ttery Communty Fund relates to donions received by the charity where the donor has ststed they wish for the (Jonalion to be spent on the prowsion of phys1ottr￿rapy services. The J Hunter Manua Handling Training Fund reles to donations received by the charity where the th*noT has stated they wish for the dOnatiC￿ to be spent on manual handling training. 49

CHILTERNS MS CENTRE LTD. NOTES TO THE FINANCIAL STATEMENTS - CONT FOR THE YEAR ENDED 31 DECEMBER 20 23 MOVEMENT IN FUNDS (CONTINUED} The COVID-19 Fund relates to dt)n8tions raceivgj by the Charty where the donor has statèd th￿ %%ish for the donatk)n to spent on the resportse tts COVID-19. The Allergan Fund relates to donath)ns recewed by the charity where the dorw hos slated they wah for the donalw)n to be spent on fundraising costs. Thè National Lottery COVID-19 Fund relates to donalions received by the charity where the donor has stated they Wish for Ihe dOnatiC￿ to be spent on gjpporting running costs of the charity. 24a ANALYSIS OF GROUP NET ASSETS BEfwiEEN FUNDS Unrestricted funds Re5tri¢ted fijnds 31 Dec&mber 2020 Toial Tangible fixed assets Fixed asset investrn￿t Current Assets Creditors falling dua wthin one year Crèditors falling dua after rnore Ihan one year 2.480.196 1.999 392.901 17fl,5221 114Q.9111 2 663.663 2.480,1 1,999 497.0 0.5221 {14D.9111 2.767.858 104.195 104.195 24b ANALYSIS OF GROUP NET ASSETS BETWEEN FUNDS {PRIOR YEAR) Uwe3trided funds Restricted bmds 31 December 2019 Total Tangible fLxed assets Fixed asset inveslrnent Curent Assets Credilors falling due within one yeaT Credilors falling due after more than one year 2,497,218 1,999 279,657 161,2431 140,039 2 577 592 2,497,218 101,186 380,843 161,2431 140.039 2 678 778 101 186 24 PENSION cOMMITME￿rS During the yèar the tharity contributed a total of £21,09312019.. £32.4g81 to defined contribution schemes. This cost has been charged as an expense and analysad ￿ra$S actNities in aCcOrdar￿ with the allocation of the related employee saLaries. At 31 December 2020. based on the employee saL4rles al Ihe time, there was an annuatised comrllilrnenl of £13,30412019". £27,480). RELATED PARTY DISCLOSURES The total employee benefits of the key management Fersonnel ol the GfOUP and Charty were £217,420 {2019'. £224,704). Key managwneni personnel comprise the thief operaliru Off￿e1 l(yJether with the stsnior leadership team. The chaiitabltr company h8$ subsidkary. Oakwood Wdlbeing Limrted as dets11￿ in r￿le 15 abovè. During the year, this subsidiary made payThentg under the gfft ald p8ymant scheme to the charitable company 01 £2,777 {2019.' £29.0121. ULTIMATE CONTROLLING PARTY Chilterns MS Centre Ltd. is an inry)rpoTated charity under the Control of Ihe trustees collectThRIy. 27 COMPANY LIMITED BY GUARANTEE The Ikibility of eath member is limrted to £10 ty gua￿tea. 50

Kelvin's Story I had been a somewhat shy person having a cup of tea in the Centre atrium after my great physio sessions. Then I saw another member Paul showing people his latest artwork, l joined in the conversation. I went to the next 5e5sion and was hooked. You may think the Angell Art group is about art, and in some part it is, but for me, it was the breaking of the ice and I rapidly became good friend5 With many of the participants. I was now part of the Centre family. I had last undertaken art some 48 years ago at sixth form college. Our amazing volunteer tutors Gabby &Judith were soon pushing my barriers and perceptions as to what constitutes art.15uddenly found myself enjoying it. So much so, that I've been doing art at home. They continue to push the barriers in lockdown with regular themes and challenges which they introduce via Facebook and What5App. My latest painting takes its inspiration from a photo of the early morning sun breaking through the mist. I have so much more confidence now. 99 ~4 14 mscentre • Chilterns MS Centre Ltd. Oakwood C105e, Wendover, Buckinghamshire HP22 SLX 01296 6961331 [e-mail] www.chiltern5mscentre.org RegiSte￿d charity no: 800853 | Registered company no-. 02294557