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


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: 01296 696133
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
lnfo@chilternsmscentre.org
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$tNmonl.
Basic financial assgts
Basic financial assets, which indude debtors and cash and cash equivaents, arè irritially measured at
transadion price inclL*ding costs and are subsequently c3rrSed al amortised Cost using the &ffeclivo interest
method. Financial assets classified as receivable wfthin one year are not amortised.
liatslilies
Basic financial liabilities, indudlng creditors and bank loans are initially recognised al transaGtion t￿¢e. Debt
ir15trum*nts are subsequently carried at amortised cost. using the effective interest rale method. Financ￿1
liatilities classified as payable within one year are r￿1 amortised.
Darecognilion of finan￿81 liabiliti8s
Financial liabilities are dereeoonised when the tharrty's contracbjal o￿lgationS expifft or a￿ disd)arged or
¢artelle<J.
crftl¢al accountlng ￿tIm￿tr$ 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
reSC*uice8
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&munera*on
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 L*arity 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￿$d to support
memèers unable to pay membership fees through linanaal hardship.
The Agenda For Change Fund Telales to donations received by the charty where the donor has agreed to help
alleviate the impact of wage increase3 committed lo in 2018.
The Occupallonal Therapy Fun¢ relates lo don*1r￿S rgcelv8d by the tharlty where th8 donor has slated they
wlsth for tha donatlon to ba spent on wages for oCoJpatic￿al therapy siaff.
The Oxygen and Genefal Operation Costs Fund relates to donab"on$ 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 don*ions 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 rel*es 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 info@chilternsmscentre.org
www.chiltern5mscentre.org
RegiSte￿d charity no: 800853 | Registered company no-. 02294557