Compan)- registration number= 02487661 Charitable compan).. registralion number.. 803533 Limbless Association {A compan!. limited b)" guarantee) Annual Re￿rt and Financial Statements for the Year F.nded 31 March 2025 F.dmund Carr l.l.P Chartcrcd Accountants 146 Neiv l.ondon Road Chelmsford CM2 OAW Limbless Association Contents Reference and AdministratiN"e Details TrustCC5' Rcport 2to24 Independent Examine¢s Rewrt 25 Sialement of F inancial Aciii'ities 26 Balance Sheet 27 Notes to the Financial Statements 281042 Limbless Association Reference and Administrative Details Chairman MrDMRose Trustees MrDMRose MrMMAdam Ms F. R t)oi'e Mr P J Houghton Mr P A Judkins Mr A W mei.er Secretary MsDJBcnt Senior Management l Leadership Ms D J BenL CEO Teatll Mr M Nsiah Registered Office Ma)'floii'er Communit). Hospital Blunts Wall Road Billerica Essc.x CM12 9SA Thc charitablc compani. is incorpK)ratcd in England and W'alcs. 803)33 Charitable Company Registration Number Company Registration Number 02487661 Independent Examiner Alex Stone FCCA Edmund Carr LLP Chartered Accountants 146 Ncis" London Road Chelmsford CM2 OAW Page I Limbless Association Trustees, Report The Irusiees, who are direciors for ihe purposes of compan! laii": preseni ihe annual report logether with ihe Iinancial statements and aUdi￿rS, report of the charitable compan)" tor the )"ear ended J l March 2025. Page 2 OWECTIVES AND ACTIVITIES Review of the finaneial year I" April 2024 to 31" March 2025 The Charity Background The l.imbless Association {l.A) is a regisiered charity. that il'as originall!, established in 1983. Since then, it has groii"n tu bccomc a Icading UK charity. for 5UPFK)rtin£ wplc ii.ith limb loss. Thc LA li.as incorporatcd in 1990 and it il'as granied charitable sthtus in Scotland in 2011 (ChariD' registraiion Nos. 80J533 and SC0422561. The l.imbless Associaiion began life as a campaigning organisation i1,he￿b}' it aimed to champion access to better ]￿'c]S ot rchabilitation for cii"ilian amputccs. Thc charit%" il-as for sci.cral N'cars bascd in south-iicst London, at Queen MaTr' s Hospital: Roehampton (The Douglas Bader RehabiliLqtion Centre). This ii.'as the first-ei'er prosthctic ccntrc in thc UK {built in 19151. Drii"cn b!. thc nccd of a groiiing cii'ilian amputcc wpulation, thc chariiy's focus progressed inkn thai of dei"eloping and proi"iding supw)rt sen'ices for ampuiees and their families. The l.A was fom)ed bv amputees and coniinues to this daN' a user led charitv ii'ith the majority of its trustees, N'uluntCLrs and scN'cral of its staff tcam having cipcricnccd limb105s. A5 ￿"C dci'clop projccts and scTriccs aimcd al meeling the practical and emoiional neeijs of ampuiees and iheir families lie consuli our Lommunily ai ei'ery stage. This ￿'ealth ot liN"ed experiences helps infom and shape the charity"s aims and seTrices. We believe in a Ivorld wbere No Amputee Iveed Cope Alone Losing a limb at an!, age and tor ￿.hate￿.er reason is a friohtening and isolatino experience. While ive recognise that cliniual sern'iles hai e dei eloped immeasurabl! during the lifeiime ofthe charil!.. holislic support bej'ond the clinic room remains inadequate. Access to communin- based sern'ices is inconsistent and tragmented. The hundrcds of amputccs IVC SUPPOrt cach vcar arc in thc main i'cTr iTrcll carcd for in acutc carc and clinical rehabilitation setiinos. Hois'ei'"er. tolloii'in? the loss ot a limb (or limbs) it-s a struoole to naN'ioate the challenges of lil. ing a new" life li ith limb loss partiiularl!, in the firsi fthi" ii"eeks: monihs and )'ears of ampuiation. Ainpulalion is a ￿'erV indii'idual experience dependino on a rdnoe ot circumstances. cause. leN'el: menlal and ph￿SICal health, social. Thc Limblcss Association {LA) proN-idcs adi"icc: information: 5UPWrt and conncctiN'itv to and for thc limb- loss communilv. The l.A aims to support people of all ages and backgrounds Ihrouoh a Trariets.. of programmes and scrwiccs: uffcring an carlN' intcn'cntion approach to indii"iduals of anN' agc, ii"hcthcr thcv ￿'C about to hai'c an amputation, are lii'ing ivith conoenital limb impairment or haN'e acquired limb-loss. Lack of information about and along thc rLhabilitatiun pathii'ay is cmphaticall!" highlightcd b! our scn.icc uscrs and mcmbcrs. MIC gathcr this evidence through members sun'el's and our group in perg)n ii'ork. this i¥as also SUPPK)rted in 2021 the rcscarch prioritisation of thc Amputation Spccial Intcrcst Group (Vascular Soc]C￿ l. In a rcccnt LA surwc!, 900/0 of ampuiees {of less than No vearsl told us Ihat thei. iiere struggling. We also offer assisLqnce, suptx)rt and information to carcr5: tamilv mcmbcrs and fricnds. ￿-C cxist to SUPFK>rt all amputccs and ii.hcrc appropriatc Th'ill IN'ork closel!, il'ith other IIK chariiies. agencies and serK'ices to realise the besi wssible outcomes for each indii'idual in ordcr to cducatc and cmpom.cr thcrn to progrcss along thc rchabilitation pathm'av. We provide a national association of peers through the Limbless Association membership, currently tree to all amputees and limb impaired persons of 18 ￿"earS and oi"er. Parents of l'ounger ampulees mav join as a parcnvguardian mcmbcr. Thc Limblcss Association is rccogniscd across thc scctor and bcj'ond ￿ thc Icading UK ciN'ilian limb loss earl!, iniern'ention support charits.. The l.A conlinues 10 sirengthen its national siraiegic invo]￿'ement: aiming to support and champion a collectii'e i-oice for the IJK limb loss comrnunitN' across a range oltopics and issues. In November 2024, LA Chair ol-l rustees: Dai"id Rose mei the Lord MackinlaN' of Richborough and the Rl. I lon. Wes Streeting SecretaTr' of Stale tor Health and Social Care at the House of Lords. Alono N"ith Trac), Ralph, LA Neli4'ork Dei elopment orriLer i￿e￿. had the opwrtunit!, of raising a￿"arenesS of the muliiple challenges ihose experiencing limb loss tace. The chariti ii'elcomed the opportunits" to share updates on its Th"ork and aims and N￿'ere e.xtremely grateful lor their lime. Thcsc haN'c bccn and continuc to bc cxtrcmclv challcnging timcs financiallv for indii'iduals and or£anisations. As a small charit! income from a i'ariets. of sources is i-itall!. important for us to be able to continue and or0￿, our i￿.0rk. Limbless Association continues LO be supported members, friends, privaie donors, funders, "l-rusls and coryx)fdte sponsors. We are enonnousl!. grateful for their generosiTh' and support ii'ithout which li'e simpl! couldn't du our ii'-ork. Wc owc a dcbt of gratitudc to all our 5UPPOrtcrs M".ho cnablc thc charits. to continuc to develop and offer its services to amputees ai no cost. Thus ensuring that no one is ever without the infornia¢ion and support they need a¢ whatever stage of their limb loss and regardless of their ability lo pay* whenever that support is needed. We believe in a world where no umputee need cope alon If you are able to support US to deliver this Vltal work then please consider making a donation or pledgillg ¢0 give regularly. Call us: 01277 402331 or email en uiresno.limbless-association.or Supporting Lives Be)'ond Limb iA)SS Our Aim -1 o enable people in the Uniied Kingdom ofall ages M"ho are wiihoul one or more limbs io achieve rehabiliialion and independence in hospital: home. education, emplol'ment and the communitv. Our Mission -10 5uppori and empow'er all ampulees io le[￿ independenl and fulfilled lii'es. Our Vision A ￿..or1d ii."here amputees of all ages are not dlsadi.an￿ged bi. their disabilitv and able to aChIe￿e rehabilitation and indctxndcncc in h05Pital, homc: cducation: cmplol'mcnt and thc communitv. OUR GOALS Offer excellent adN'ice. information and suptK)rt to amputees. their relatii'es: carers and friends at all stagcs ot- limb loss. Idcntifv gaps in scrl'icc proN'ision and dci.clop projccts to mcct thc nccds idcntificd. Increase membership.. iolunieer and sUppOr￿r numbers naiionivide io m&ximise our collecti￿e voice. l.isten to. engage il'iih and influence our sthkeholders. Increase organisational reach to those in need of l.A seThiices. l.ead on slrategiu representation and influencing at local and national lel'els. Supwrt medical research in areas of prei'eniion. sen'ice improi'emeni and prosthetics. DeliN'er an ambitious pro?rdmme of actii-ity, to groii- our income to ensure continuity. and development ofour seTh'ices. -I'o raise ihe profile olihe charil!, as a major champion of ihe limb loss communilv OUR VALUES RESPECT Wc trLat pcoplc a5 indiTr'iduals and hom" M"C Mould m.ish io bc trcatcd oursclvcs INTEGRITY We do the right thing. not the easy thing- eTr'en if it takes more time and effort DIVF.RSITY Thc LA cmbraccs: cncouragcs and cclcbratcs dii"cr5its' and strii'cs to bc inclusivc in all a5pccts of its IN'ork ACHIEVEMENF The l.A will support its memlxrs. volunieers and stsff 10 enable them to deTrelop and thrive as indiTriduals and as a tcam cncouraging rc5ilicncc and adaptsbilitl. EXCELLENCE We don'i settle lor OK; we are detemiined to ensure quali[￿ in all our aclikilies and aim to achieve more PROFF.SSIONAI.ISM Our serwices and projects will be d￿'eloped and delii-ered ii'ith hi?h l￿-elS of competence, efficiencv and qualitv al their heart ASPIRING The l.A will be optimistic in its outlwk and aspirational in all arras of the suprK)rt it offers and l(boks to develop; practical and holisiiL interl'eniions. Page 4 TRIJSTWORTHY We ￿..1]1 dei'elop stakeholder relaiionships and endeaN'our to be considered a reliable, consistent and competent partncr b). thc limb loss communits. and our fundcrs. A message from LA Chair of Truslees. David Rose The LA started out lite in 1983 as principall!- a campai?ning oroanisation to represent the broader interests ot civilians living with limb loss and limb difference. I knoll,. from direct perg)nal experience, that NHS prosthetic services in the late 1970s and into the earl!" 198Os ii'ere not alii-al's adequate. Prosthetic equipment il'as often old and ouidaied. Indeed m). first leg.. a I langer pi"lon: ilas l undersiand: i irluallN' the same as ihose issued during the Second World War! Our inspirational tounder. Sam Cjallop. brou2ht his considerable influence to bear in parliamentary. circles ai ihai lime and ihis ultimaieli" lead ￿ the commissioning of the Mccoll Repori in March 1987. Professor Lord Mccoll's report on disablemeni ser¥ices literall). changed ei'er¥,thing. The report made Th'ide ran?in? and delailed recommendations: concernino the oroanisation and management of the prosthetil sen'iLes: the naiure of ihe coniracis for ihe suppl!. of limbs= the qualily of the limb filling serniues; and the desirability. of closer links betsi.een the full range of hospital. communii!, care and local authority, ser￿]CeS. Esscntiall)., it brought thc prosthctic scri'icc5 that l il-as ablc to acccs5 Tria thc NHS out of thc dark agcs. Of coursc there have been a loi of changes that Il'e see as paiients and sen"iLe users since the lace 1980s and earl}. 1990s. but the catal)'st for the eipansion in ihe qualili" of Nl IS prostheLiL sm'ices Lan be direcilw traced back LO the MLColl report, and the l.A li.as instrumenLql in this coming alxiut. I highligh¢ this example to shoii.. hoiv important the strntcgic iTrork that thc LA is cngagcd m.ith from our carlic5t timcs is: and this continucs todav. Thc LA nois.- has ovcr 42 N'cars, cxpcricncc of dclii'cring u5cr lcd SUPPK)rt for amputccs. B! dcN'cloping scrviccs and inter¥'entions ihat aim to meet the needs of the limb loss communiry the charipw remains at ihe forefront of dLlii'cring impaLttul communit*" SUPPOrt t-or amputccs and thcir [￿￿11]es. Thc charl￿. cngagcs ￿1th and is a representative i'oice on sei'eral strategiL EK)dies and forums as ii.ell as being a ke!, siakeholder of sei.'eral research projccts. I"m currcntlv thc solc amputcc paticnt rcprcscntatii"c on thc NHS England Clinical Rcfcrcncc Group for disabilit). and rehabiliiaiion. I was direLilI' inioli'ed in the consulthiion wocess ihai led io ihe inlroduclion of the new seTh'ice specitication for pmsthelic seTh"ices in Ma!" 202). I rcccntl!, ii'rotc a blog for thc LA'S M"cb5itc dcscribing our cipansion onto thc intcrnational stagc. As Chair uf thc -l-ruslee Board, I w.as ini'iied to atiend ihe receni meeiing of ihe Iniernaiional C.onfederalion of Ampulee Associations {IC2A). This ei'ent ii"&s linked to the 20th biennial ii.orld congress of the International Societ).. for Prosthetics and Ortholics (ISPOI.. held in SLockholm. Sii"eden. IC2A is an in￿rnatiOnal alliance ihal shares experiences. knoivledge and best practice to inspire improi"emenl in the qualitTr of life ot amputees. Their mission is lo help national ampuiee associaiions share experiences: knoiiledge and besi praciices aboul ainpulee health and w'ellbeing at the international lei'el: lo influence internaiional a?endas affecting amputees ￿..Or1d￿."1de. The LA Ivere lounder members ofthe IC2A ￿"hen it ￿"aS esthblished in 201 i. Thc sccond day of thc congrc55 fcaturcd an IC2A "think tank": iihcrc a largc numbcr of pcoplc camc togcthcr to explore ho￿." best practice in the areas of SUPFOrt for people lii'ino ii.ith limb loss could practicall!, be shared. We had had people attending the seminar from all oi.er ihe iiorld. including indiwidual ampuiees: represenlalii'es or amputee associations, medical protessionals and senior business leaders trom the prosthetics industTh'. l ￿'aS asked io explain holy li'e oroanised and delii'ered the l.A"s Volunteer Visiior (VV) programme, and our pt7ctiLal Lxpcricncc of runnin£ thc programmc for noii" morc than a quartcr of a ccntury. And ii"hcrcas thc conccpt of peer-to-peer sup]xirt Ni'ould initiall!. appear to be a relatii"el!' simple ide& the looistical realitv is anj'thing but simplc. Thc LA has ini'cstcd a hugc Ici"cl of financial and pcoplc rcsourccs in making thc vir programmc arguably the best ￿er support scheme anv￿'here. and Ihai lei'el of commiimeni has 10 be on?oing. For example, the training. dcvclopmcnL managcmcnt and indii"idual supcr%'i5iOn SUPFK)rt of our amazing i'oluntccrs must folloNI" thcm throughout Iheir entire commiiment as peer meniors. I'm immensely proud of our Volunteer Visilor peer mentoring programme and the part that I pla>'ed in its creation all thosc vcars ago. It continucs to proN"idc N'ital onc-t(H)nc support for indii"iduals both prc- and px)st-amputation, IN'ho require practical infomaiion and emoiional suprx)rt Ihrough their limb loss journe￿. In Ma!. 2025 Th'e celebrated the decision ot the National Lottern. Communits" Fund to support our I'V Transitions Programme tor the ne.xt ihree ￿ears1 We re hugelN graieful LO ihem and ihe plaN"ers olthe National Loiiery. for ihis ongoing suppori Page 5 as we move into phase 2 of the programme"s dei'elopment. We are i'ery proud of our achievements in this field and are excited about the next phase of this outstandin? pro_oramme. Continuing thc achicv"cmcnts of our foundcr Sam Gallop. thc LA is also oncc again bringing its influcncc to bcar at Il'eslminster. ToTh'ards the end of last l'ear: I began a coni'ersation i4.ith l.ord Mackinla!, Ihe fornier ConseTh'ative MP ￿'hO experienced the loss of both anns and leos due (o sepsis in September ot 2023. This uliimalelw led to a meeiing iyiih Wes Siree(ing. the goi emmeni's SeCre￿rn. ofs¢aie for I lealih and Social Care, al the House ot Lords. Together ii-ith mv colleaeue Tra￿. Ralph: Nehi"ork Dei-elopment otyicer SEIE, M'e Th"ere able to highlight the walue of the l.A's VV peer supkx)rt programme. In m!, role as Chair of the l.A and as a service user: I'm no￿. supporting Lord Mackinla! in his mission to improve NHS prosthetic seTh'ices and avoid the current "postcode IoiieN'. -l-he charily sector landsLape coniinues io present challenges in ierms ofei er increasing beneficiarn, needs and for charilies to realise necessary, resourcing and funding to meei Ihose needs. The l.A's financial tx)sition for the }'ear ending on 31 March 2025 demonsirales lie hai"e i1.0￿ed hard ￿ increase rei'enue streams and improi'e our reseTh'es w)sition EMIth of which Me are pleased ￿ report. Our successes achieved during the past )'ear hai'e again principall!, been dO￿Tr to the excellent ￿..ork of the l.A's statf and I w'ould w"i5h to rccord mTr" apprcciation and thank5 for thcir cxccllcnt iiork. A succcssful organisation needs a great staff team under ihe leadership of a dedicated CF.0: enihusiastic and motii'ated volunteers. and a committed trusiee board to ensure go(NJ gol'emanie. -l-he LA is fortunaie io be blessed iih all ihree ofihese key factors. I'd like to extend sincerest thanks 10 Deix)rah Bent. Ihe l.A's Chief F.xecutii'e Officer. to our staff team and ii'ondcrful woluntccrs. l Th"ould also likc thi5 Opwrtunit!" to cxprcss pcrsonal thanks to my fclloii." trustccs for their support in m!, role of Chair of ihe charitv during Ihe pasi ni'eli'e months. All concemed have made a signiticant and cnduring commitmcnt to nai"igatc thc challcngcs and mcct thc Charl￿ s objcctiiwcs. Thc LA has continucd to bc at thc forcfront of proi"iding dircct 5UPPOrt to thc limb luss and liinb ditTcrcncc community during ihe past almost fotti. Iiio l'ears and I cannoi conceii'e of a circumstsnce ii'here Ihis ii.'ill change as ivc look to thc tuturc. Wc wcrc t-oundcd to mcct thc othcns.isc unmct nccds that pcoplc liwing ￿1th limb loss have to face ei erv dai. of iheir diifereni lii"es. We can easili" saN' Ihai ihere is ' life aftrr limb loss., bui the long- term commitment ot charities like the LA. ensures this i'ision becomes a real jtN."! David R05e, Chair of Trustee5, Litllble55 Association CHARITY REVIEW 2024-2025 Context "I"hrough our multi-stakeholder engagemenl- sern.ice users: members: i"olunleers: SeC￿r professionals- we know that there continues to be a gap in the SUPFKJrt ai"ailable to amputees in the rehabilitation pathway. Those e.xperiencing limb loss musi nai."igaie mulliple and l￿mple￿ challenges ihrough a rehabiliialion process ihal can be Iono and oN"eni"helming. The ne?atii"e impact on ph!"sical. emotional and mental health iN'ellbeing is considctablc and rcquircs a rangc of strdtcgics and intcr%"cntions beJ'.ond ihe clinic room to optiinisc rchabilitation outcomes. Members, serl'ice users and their tamilies consistentlN' tell us that there is a lack of infonnation and support at all siages ol Ihe earlN' rehabilitaLion paihii"ai". "Ihe Limbless Associaiion"s dekeloping services and projects aim to ￿"ork collaboratii'el!" 14.iih clinical teams and other kel" sector stakeholders to fill the gaps ￿..here additional non-clinical communits. bascd suppx)rt is nccdcd. Ccntral to thc initiati￿.C5 and intcTh'cntions thc LA offers is suppx)rting amputees and their families 10 rebuild lii'es in order for all affected to thrive after losing a limb or limbs. Thc LA is a uscr lcd Lhariti.: M'ith its aims and 1s.ork bcing inforn]cd and shapcd b). thosc with ji￿.Cd experience. our members, volunteers: seTr'ice users and man!, of our stalyteam. 5 out of 6 of our Trustees have livcd cxpcricncc. Wc consult: Ns"c listcn, w"c rcspond: wc cmpoH"cr and lic innovatc. Dcspitc thc ongoing challcngcs of thc opcrating cni ironmcnL this pcriod ha5 sccn thc Limblcss Association continue to dei'elop and deliwer our i'ital outreach and earl!. inten'ention programmes, proi'iding a pathTh'av of essential SUPFMlrt tor amputees in their recoi"ern' and rehabilitation. The charits. had a bus). year building on the foundaiions of existing il'orksireams as ii.ell as implemeniing nem" pn)jects. Key highlights include: Dcvcloping a ncw pathm.ay of support for paticnts undcrgoing amputation at Basildon Univcrsitv Hospithl. Our outreach: ￿'ard i'isits and continued engagement ivith amputees in Outpatients and at the Page 6 hospital rehabilitation unit has proi'ided earlv inier¥eniion SUp￿rt for those who are new to limb loss. This intervention is now serving as a blueprint for expandino this initiatii'e to other hospitals in the IJK. Expansion ot our Lunch and Learn pro?ramme iiljich has. to date: SUPFQrted 308 amputees to improve thcir know"Icdgc ot limb loss and clinical and non-clinical scTh"iccs ai'ailablc to thcm as amputccs. 900/0 of atiendees feel more connected to others affecied bN limb loss and the limb loss community., and 88 % fccl morc supportcd rcgardin2 thcir own limb Ioss. 960/0 fccl morc informcd about limb loss and thc sector. Coniinued delli.e￿. of our advice and infom)ation helpline li hich has assisted i08 people lo access inforn)ation relating to IOPILS such as iyelfare right& aids and adaptions and housing- essential support to assist thcm in thcir onii.ard rccoN-crn" from limb loss. Continued delii'erv of and increased reach of our ifolunteer Ilisitor peer support programme, H,hich has cnablcd has rcccii'cd 443 rcfcrrdls during this pcriod. Ncii amputCCS 5ccking support on a i'arictv of limb loss receive telephone and N'irtual N'isits from trained peer mentors. 910/• of sen'ice users indicate that thcv t-ccl morc supw)rtcd on thcir limb105s journ￿, folloiNing thcir N'isiL and that thcy fccl Icss isolatcd as a result. We haN'e seen an increase in enquirieoreferrals originaiing from social prescribers and social 14"orkers. This is partiLularlv thc casc w.hcrc amputccs mai. hai-c lost thcir limb 50mc i'cars prcN'ious1)'. and ￿."hCrC thcy arc experiencing neiv challenges relaiing 10 the loss of their limb vet ii'here thei. feel Ihai thev cannot seek the support from clin1cian￿the NHS. Similarl!,: in the earl!" da)"s of limb loss. amputees tend to Ee highl!, dependent on clinical sen'ices. Where this suprK)rt il'as not ai'ailable during ihe pandemic. ￿..e re seeing amputees still struggling to cngagc SULCCSsfull!' IN"ith thcir rchabilitation. With limb loss as a litelong disabilits.. our members can eiperience onooino challenges related to prosthetics, mobililv: LK)dy image, w"ellare benefiis: men￿1 healih and aLcessing Clinical services. CASE STUDY Jim aiiended a Hiibfop. Ihefirst lime. Other aiiendees assiimed he il'as a neiii arptpiilee as he ilias iisip7g crulches andexpei'iencing challenge5 I'elaling lo his re5idiial limb. Jini disc105ed ihai he had beep7 an ampuleefor oTryer 40 ears, biii diie to the pain in his residiial limb he hadnol iijoi'n his prosihelic linibfor some lime andfeli confined to hi5 Ivheelchair. He was I'en. do7vn and disengaged concei'ned aboiii ihe p055ibility.' of h￿YIng lo undergo r¢iiision siligeg.." Ihis hadprei'¢niedhinifroni se¢kingfiiiiher medical siippori_ Oiir Oiilp-each Co-ordinalor and a Irained k'oliinleer Vi5ilor spoke ifrith Jim. 11sing iheir oii'n lii'edexperience5 oJrei'ision 511rgeiTr andencoiii-aged him to speak iviih clinicians at his local limb fiiiing cenire. Jim is noii.. hai'ipjg meelings M'iih clinicians aboul polenlial siirgeyy 50 Ihat he can reliii-n lo ii'earing aprosihelic linib ihal ii'illsiippori his improi'ed mobility,. He is feeling mol'e posilive ciboiii ih¢fiiliire cindhis menial heolih and iip¢llbeing hcis signifieanily improtEd. Numbers supported We hai'e i4"orked i*ith one to one ￿"1th over 1700 ampulees in ihe pasi vear, ￿..Ith manN' accessing dirrerent aspects of our support throughout our sen'ice user paihii'a!. Of the Ihose people ii'e"i'e il'orked il'ith: 508 people accessed support through our hclplinc {scn-iccs support tcam)-. proi"idino scrvicc uscrs 14-ith inforniation and guidancc about topics such as ii.'elfare benefits and OT assessments. We receii'ed 443 referrals 10 our Volunteer Visitor peer support Sc￿.1cc. 868 attcndcd our Outrcach Hubs and Amputcc Lcarning Hub scssions: improwing thcir knoiN'lcdgc and aii'"areness of living M'ell i%"ith limb loss. 862 people receii'ed supwrt from our Ou[r￿ch Team ￿1th iN'elfare calls and support to acccss our ci'cnts. Thc LA has a groii.ing mcmbcrship noii- approaLhing 3000. Key achievetlleDts 2024 saw us building on the outcomes and learning of ihe VV programme (2019 10 2023) and subsequentl!, makino our application for continued support t.rom the National Loiten. Reachino Cornmunities Fund. Hal'ing submiiied our stage two application in December 2024 11"e ii'ere notified in March 2025 that li'e ￿'ere to be aI4'arded furthcr 3 )'car funding for thc ncxt cxcitin2 nci%- phasc of this noii." ii"cll-CStablishcd programmc- Voluntccr Visitor -l-ransilions. "l-his nei* projeci ii.ill proi.ide supported i"olunLeering opportunilies accessible at all slages of the rehabilitation pathM-aw and beTr'ond focusing three kei. areas. education. emw)iierment and personal deN'elopment. We are sincerelv grateful to ihe Naiional LO1￿￿. for their coniinued support and io iheir plai'ers who enable lo us to make a wsitii'e dit'ference to the lii'es of amputees across the UK. Page 7 We are especially proud of our Ini'esting in Voluntrers accreditaiion aivarded in Ma! 202). This built on our IN'ork redevelopino and trdnsforming our Volunteer Visitor pro_oramme in 2019, and demonstrates our commitment to proi'iding a high-qualiiv i'olunieering experience and suptK)rt for our 9) amputee and family N'uluntccrs. Wc rc luoking forw.ard to dci"cloping this furthcr ii.ith our VV Transition5 programmc in 2025126 creating more In￿.011'ement opp)rtunities and learning for ampuiees to share Iheir lii'ed experience to benefit others. Our InN'esting in Volunteers achiei'ement and the requirement thereot to reassess e￿ery, three N'ears m.ill see the charili. coniinuing lo embed besi praLiice and nurture an eni ironmenl in ￿..hich i.olunleers can thrive and feel I'alued as lii'ed experience experts. We simpl!, can t do our ii'ork ii'ithout the support of our funders. fundraisers: sFM)nsors: members and supporters. We w'holeheartedl), thank them all for recognising. engaging ii.iih and i'aluing the impacl of our M"ork. 'l-he LA is also veTh, fortunate to haN'e an incredibls, 10!-al and passionate N"olunteering communits., Trustees and statf team i￿.hO despite ihe challenges conlinue io i*"ork wilh commitsneni and energN' io ensure ihal no amputee need cope alone. Structure. governance. and management Nature of governing document Thc charity's gow"crning documcnt is Mcmorandum and Articlcs of Association. Thc charitv il'as incorporatcd on 30 March 1990 and registered ii'iih Ihe ChariTh' Commission on 13 June 1990. The Articles of Association were last amended by Speiial Re501ulion regisiered ai Companies I louse on 12 January. 2010. Recruitment and appoilltment of trustees The charits, is goi'erned b!, the board of irusiees (ii'ho are also directors for the purw)ses of companv lai4') who set strntcgi. and policN." Thc numbcr of tru5tccs must not bc Icss than thrcc and nut morc than clciwcn. DaN'_tO-day management of the Charits. is dei'olved ￿ the Chief F.xecutii'e OtTicer and other members of the senior leadership tcam. In linc ￿'"Ith thc Articlc5 of Association dircctors arc apFK>intcd b! a fair: opcn and transparcnt rccruitmcnt and selection process. Organisational structure LimblLS5 Associatioti Is a Charitablc Companv limitcd b!. guarantcc. Mcmbcrs of thc compan! haiwc proiwidcd a guarantee capped ai £ l eaL'h. Strategic Representation and Engagement As a user led iharil)'y ihe Limbless Associaiion has since its inceplion represenied the limb loss communilv as a member ot national and local straiegic forurns, recoonised as the leadino ciwilian charitN' in the IJK supporting those atTecied bi. limb loss and limb impairnienL. li is a prii'ilege for us io build on a significani 42 vear heriiage and continue to be ini'oli'ed in this important area of iyork that enables us to represent the collectiiwe N'oice ot our mcmbcrs, scrN'icc uscr5 and thc ii.idcr limb loss communiti.. This ii.ork also proN'idcs us M-ith thc opportunity to raise awareness of the challenoes ampulees face in rebuildin? their lii'e and ensure that M'e forge relationships Ivith key sector decision makers and influencers. Thc chariti. is a mcmbcr of thc folloii-ing groups=_ IC2A; Nfember of the PIP Polic!. Forum. Rehabilithiion and complex disabiliti, and spinal cord injur¥, CRG; Prosthctics Rci'"icii" Stccring Group. Prosthctics Rcs"icii" Clinical ￿-orking Group (ScThwicc Spccificationl- East of England Trauma NeNiork- Trauma East IToices= APIL Alliance for Injured People= Specialised Healthcare Alliancc. Chclmsford Arca Acccs5 Group {CAAG). Communitv Rchabilitation Alliancc England (Chartcrcd Societ). of Physiotherapists). Partnerships The Limbless Association continues to for?e clinical and professional partherships across the sector. We are building strong relationships ii'ith NHS partners in acuie care: surgical and rehabilitation settings. We are also fortunatc to work M'ith and bc suptKTrrtcd bv pris.atc scctor proN"idcrs. The benetits of partnership workino can be cledrlv demonstrated throuoh our outreach ￿'ork H'"ith the rehabilitation centres and specilicall). M'ith our dei elopments ai Llillerica!: ilrisLoI: Manchesier: I lull, Cardirr, s￿.an$ea, Preslon, Page 8 l.eeds, Bimiingham: Belfast, Gillingham. Nottingham. She￿Ield and Wolverhampton with the deliTrer! of l.A Helpdesks and Hubs. Our Voluntccr Visitor pccr SUPPK)rt programmc is 2roiYing in rcach and rcputation IN"ith a rangc of clinicians and rehabilitation specialists Morking ii'iih amputees across the IIK: phNsioiherapists. OTS, vascular specialist nurses, discharge coordinators: prostheiists and consultants. The seThiice is nom" receii'ing regular patient referrals from over 40 clinical siies naiionall￿. and ihis is groil'ing. -l-his is recognilion ofqualily and impacl of the programme and the benelit ot accessino LA services and supFx)rt. The LA Limb Loss Legal Panel pros'ide i.ital SUPFQrt and sen.ices to the charitN'" and its communitiw Panel members ensure that LA sen ice users and members are supported an incrediblN' proacliie, engaged and empathetic oroup of le?al experts. Incredsed aii7reness of our seTh'ices continues to realise a groMth in related sector referral partners that include m.ider SeC￿r S￿kehOlders. L.g. case managers: social prescribers and community nai'igators. The LA fosters posiiii"e relationships across the sector ii.ith our approach beino one ot influence and collaknration. Our ongoing arrangement iyith Mai.floii"er Communili" I lospithl NICI l BillericaN. _ the main Lssex Prosihelics Centre - highlights ii'hai can be achiei'ed through such collaix)raiii'e approaches. The charity. is based at MCH having bccn alloLatcd a small otficc spacc. Wc also dclii.cr frontlinc supwrt to MQ H paticnts i'la thc LA KitLhcn (reception tea bar) as il'ell as being on hand for referrals from Ihe MCH rehabilitsiion ieam. We re enorniouslv graieful io Sue Patterson, Cenire Manager: and her ieam: for championing ihis coproduLlion development and io NF.I.FT NHS Foundation Twsi. Noii, in its )' l'ear Ihe experience and insighi proN'ides i'aluable learning to support similar arrangcmcnts nationallTr'. Whcrc thcrc arc collaknratis'c opwrtunitiC5 Wlth othcr charitics and bodic5 in our scctor, wc airn to supwrt thc5C for the benefit of the limb loss communiiv. ￿ e also consult non-seclor chariiies operating in the field of frontline support in thc disabilitv and hcalthcarc scctor for thc purwsc of sharcd Icarning. At thc timc of ii'"ritin£ Th'c arc a Charii). Partner of the British Association of Prostheiics and Orthoiics (BAPOI and hai'e joined the national P & O AdvisoTh' Group which BAPO Icads and chairs. Research Involvement Thc LA is kccn to supwrt mcdical rcscarch in ar&qs of prci'cntion. scTh"icc improi"cmcnt. surgical adi'anLcmcnt and prosihelics. We are passionaie aLx)ui ihe need for paiieni cenired research across the limb loss seclor. We are approached bN' man). researchers requirin? sup]xirt: either or2anisational or member participation, and ￿..1]] a1I4'aJ's support IN.here we ideniifN that projecl aims mighi besi serne our communilv. -l-he following are research projecis the LA is currenili" suprM)rting. -l-he LA is a collaboraiii'e partner or sleering group member ot these projects. THE IMPROVINCJ PSYCHOLOCJICAL PREPAREDNESS FOR AMPUTATION- the desion and deiwelopment of rcsourccs to hclp prcparc pcoplc t-or hai.ing amputations. Project Lead: Esmee Hannah: Readerl Associate Professor: Hvdlth and Wellbeing in Societv Deputy. Ethics Chair I ILS I.-RLC/ LloAJ Co-ordinator Project outcomes.. A set of resources for professionals to support patients. Peer support iNas identified and the LA'S Voluntccr Visitor programmc includcd in thc final ii.cb bascd rcsourcc. Peer su rt resource- ream .dmu.ac.uk WALKINCJ IN OIJR SHOES- The dei"eloprnent and evaluation of a resource to improi'e the psvchosocial impact uf adjustmcnt to living lit-c as a Iomcr limb amputcc. Research l.eads: t)r Ceri Phelps & Dr Paul B Hutchings. Centye for Ps!chologN' and Counselling. Unl￿ers111, of Walcs Trinits. Saint DaN"id. s￿.a￿Sca Campus. Project Aim.. To design and evaluate the acceptabiliTh' and feasibilit).. of a co-produced psl'choeducational inteTh'ention desi?ned to suptM)rt better psN'chosocial adjuslment to lii-ino ii.ith limb loss. DA TA FOUNDATIONS IN PROSTHETIC REHABILITATION Project l.ead: Chantel Ostler- Clinical Academic Phi'siotherapisL Portsmouth F.nablement Centre and Universit! of Southampton Patient and stakeholder perspeciives on rouline da￿ colleciion: use and sharing. Page 9 PI.ACF.MF.NT Research Lead Dave Bosanquet, Vascular ConsultanL Aneurin Bevan UHB collaborating iiith Cardiff unl￿.ersjLy. Aim: ImproN'ement of post operaiive pain management for amputees. DUSTF.R Research Lead- Ankur Thapar, Vascular Consultant, Basildon Hospital (Mid and South Essex Hospital Trust) in collaboration i*iih Anglia Ruskin Llnii"ersili'. Re= Pr(TrN'ing etficacN' {amputation reduclion) of screenin? prooramme fori'ascular patients FK)St initial inten.-ention. HAMLET Research Lead- George Smiih, Vascular ConsulthnL I lull UniN"ersilN." I lospiial l-rusl. Re: Evaluatin? QualiTh' ot Life Outcomes for Throu?h Knee Amputation compared to Aboiwe Knee Amputation. LA Services and Projeets We aim to ensure that NO ANIPUTEE NEED COPE.4LONE Over the last 7 l'ears the charity has undertaken a significant process of transforniation strategically and otxrationall).. This has sccn posltivc dcs"clopmcnts and outcomc across all kcv arca5 including stratcgy, goi'ernance: resourcing and processes. This underthking has Iransforn)ed the l.A into an organisation that is responsiie and innoiaiii'e. "I'he charilv has focused on deieloping 5eTh ices and projects ihai ha￿e an earl inten'ention approach positioning the l.A as a proi'ider of frontline inforniaiion and support to amputees and their familics prc and post-amputation. Oncc dischargcd from hospital and quitc oftcn bcforc, dcaling 14.ith thc pi'actical and emotional impaLt of limb loss - short. mid and longer iemi is a complex and i'en, personal unpredicthble journci. for thc indii'idual and thcir lamilics. It-s onc that lasts a lit-ctimc i*hcrcb!' cducation and cmpoTh"ciincnt are ke! tools. For the majority. it can be difficull to look and mol'e foThi'ard i4.ith ho￿ and optimism. Just contcmplating a lifc aftcr amputation can bc too oi"cni"hclming. HaN"ino launLhcd our utnbrclla Initiati￿.C Amputcc l.earnin0 Hub in 2023 we are dei'eloping and delii'erino a range of projects and resources ii.'ith education and cmpoil'crmcnt at thcir hcart. Our Training to bc an Amputcc and Lunch and L￿arn programmcs arc ￿..0 such innoK'ations that are ireaiing leaming and peer L￿nneLling opportunilies across the UK. Receii'ing timelv information and supwrt from a trusted and credible source is iijtal ii.hen lacing the complexities that limb loss presenis. The l.A aims to be practical. responsii'e and innoi'aiii'e ii'ith our sen'ice and resource dei'elopment to truly rcflcct and fultil thc nccds Ot-th05c cxpcricncing such lifc changing circum5tanccs and trauma. Four core strands ot" activiti, have been identified ts) sup]x)rt our aims in providing non-clinical supwrt pre-and px)si-ampulalion: > INFORMING > ADVISING > SUPPORTING > CONNECTING > Informing Wc arc ii'orking hard to cnsurc that wc continuc to bc infornicd aknut rchabilitation scrvicc proiwision and developments so that ￿'e can ouide: si?nFMlSt and update across a breadth of topic and query.. Improi'ino widespread accessibilily to important earlv inlomJaLion is paramouni ￿ our Siraiegic and operaiional aims. Advising We are de￿.eloplng our adi'isorv oapabiliiies and capaciTh' bi. groii'ing our expertise and ensuring professionalism togcthcr ii.ith protocol is intcgral to strcngthcning this i.ital arca of our i*ork. Supporting We are dei'eloping projects and programmes that ii'ill offer practical and holistic user infornied support. This is an cxciting arca ot-ii'ork and Th"c ii.ill continuc to collaboratc iiith our mcmbcrs and othcr stakcholdcrs to idcntif!, their needs and hoiv our futyre plans can supwrt Ihem. Connecting Wc w'ill Lontinuc to raisc aTh"arcncs5 of thc issuc5 and rai5c thc profilc of thc LA a5 a champion of thosc issucs. We ivill seek mulij-s￿kehOlder engagement opportunities and li'e ii'ill continue to dei'elop and delii'er our own programme of events aimed at brinoino 10?ether ampuiees and sector professionals tor shared learning (informing, advising.. supporting) and neii*orking OPPK)rtunities. Page 10 OUR SERVICES, PROJECTS AND I￿1PACT N.B. In presenting our services lye hai'e included some important case studies all names and identifiable information has bccn altcrcd or rcmoi"cd. LA HELP DESK- Advice, Information and Signposting -l-he LA helpline prO￿.IdeS a first point ol Ll)nthLi SUPPX)rt for ampuiees. friend& families, carers and healthcare prolessionals. The enquiries 14"e receii'e coi'er 14.ide ranoin? topics about all aspects of limb loss. pre- and post- amputation, including ￿'elfare rights. housing, social care: prostheiic serK'ices and peer support. We continue to build our knom'ledge and infonnation sources to enable the team to ofyer a broad spectrum of supwrt and signposting. We aim to offer the highesl qualil￿. infomiaiion: adi ice and supwrt io eMpo￿..er ampulees and their families to navigate the multiple challenoes faced pre and post-amputation. With the challenges in social care proi ision and fragmented on-discharge Lommunil!" suppori li'e re experiencing increasing numbers of ainpulees and famil!, members contacting our helpline I4"ho preseni ii'iih ei'er more comple.x issues. As a small charitS' I4'ith limited resources this is an ongoing challenge in iernis of ihe limiiaiions of our capacitv io meet this grow.ing need. Our support direcil!, reaches oi'er iWO amputees and tamil!. members eN'ery." vear. We also connect our sern ices ￿1th over I 100 professionals iiorking in ihe limb loss seC￿r. While our sUPPOrt largels new ampulees IN'e are also supporting significant numbers of those ivho are all ai i'aTr"'ing stages of ihe limb loss path￿aN, and navigating ongoing or ncTh" challcngcs. -l-he kev topics ihose contacting us M"hai ￿ knov#" more aLKlUI: Finance - Weltare Ri2hts Aids and adaptations Housing Prosiheiics rehabiliiaiion Access lo legal adi."ice Mental health and wellbeing Social isolation Peer support- accessing Ihe l.As Volunteer Visiior programme "Nobodj, gives J'ou and In￿ruction when vou become an apry?ute4 There are so mani, challenges and it ullfeels reullj chaolic ul thot lima So nwn). ÉhiHR5 lo ihink about when our minds are scrambled and that's where the Limbless Associalion canw in. seii*ice iiser LA SUPPORT AND CONNECT OUTREACH Since launching Support and Connect in 2018 and haN'ing introduced i'irtual outreach Contingenc￿ throughout the pandemic. IN'e are committed to dei'eloping Ihe l.A"s regional and local Supr￿)r( offer. Delii'ering local and regional in-person support and creating sate spaces to connect ivith peers is still i.erv much a kev aim of our outreach straiegv. Key outreach aims: Reduce the isolation thai amputees experience ImprO￿.e amputees knoil'ledge regarding recoi'eTh' and life after limb loss Reduce health inequalities amputees experience Build a local and regional peer communiTh' Introduce amputees io acliiwities and oiher experiences to improi'e their ii'ellbeing and qualit! of life Proi'ide dei'elopment and emplo!'abilits' op￿MInI[1eS for ampuiees through i'olunteering pathii'avs and learning actii'iiies. Key outreach activities: Regular in person I lub sessions Online I lub Chals Virtuallw Speaking online thematic e￿.ents l.A Kitchen (MCH Billerica!. Amputee l.unch and l.earn in-person Amputee l.eaming Hub Pagell LA Hclpdcsks lonsitc at rchabilitation ccntrcs and in hospital scttings) Rcfcrring to LA Scrl'iccs SuptK)rt Signposting to LA resources Signposting to local agencies (needs appropriatr) Wellare Lalls lone io one suptX)rtI Delivering and attending local and regional engagement opp)rtunities Represent the l.A ai local and regional lei'el (sector and relaied) Support and Connect out¢omes: Over 1300 supported 452 beneficiaries attending S & C sessions Our Outreach Hub5 5UPEKlrtcd 332 amputccs in 202412): ii.ith amputccs rcporting that thc Hubs hclpcd thcm to.. Feel more confident_ 940/0 Be more infomed alx)ut limb loss and Ihe sector- 880/• Be more inspired and motii'ated to achiei'e for themseli-es and others- 90 % Fccl morc conncctcd m.ith thcir pccrs - 80 0/0 "Meeling wilh oihers in a relored and non-judgenwnlal wai, help.s willi menlal healih along with the v'oga session helping witli boih pnenlalandpliisicalhealih Igenerally come awai'feeling boili refre.shed and reloied." Hiib iiiieiide¢. Oulreach loeations in 2024125- Belfast, Bi Ilerica!., Bimiingham. Bristol. Br(K)mfiel(I Cardiff: Corringham. Gillingham, l.eeds, l.ondon: ManLhcstcr, Nottingham: Prcston. Shcfficld: Southcnd: Southampton: WolN"crhampton. Thc summcr of 2024 sai%-' u5 rcvic14" and rcfrcsh our outrcach modcl and movc to crcatc a national Amputcc Netii"'ork with regional focus. Ne￿. roles ii.ere iniroduced - Regional Neiii'ork Dei'elopment Officers. Strong foundations hai'c bccn laid in thc initial phasc5 of thi5 nciv approach and M"c havc 50mc cxciting dC￿'clopmcllt plans for our'neNorks in 2025126. "I h(we found ihese groups grealfor men¢al healih, confidence and informall0￿ Helping lo be more P05iliv£ A great way lofind out about ihings available. new idea5." LA support online While the driN"e tor the LA to support face to face has been prioritised: the LA continues to offer thematic sessions as pan of its Virtuall!, Speaking projeci. We are fonunaie 10 be connected ii'iih and supported a i4'ealth of sector experts Th'ho oive their time generousl!. to support our communits.. VirtuallN' Speaking aims to proi.-ide amputees and their families i*ith access io high qualiLN infomiaiion as ii'ell as an opporlunil!. lo benefii from Q and A sessions trom the comfort ot. their oii'n homes. Virtuall!" Speakino Ihematics hai-e proi.ided to access to e.¥perts in mobilityy prostheiics, finance: legal mailers: psvcholog! and iiellbein?. We're enomiouslv grateful to ihe professionals and companies ii.ho conlribuied to the Virtually Speaking programme, proi'iding ini'aluable insighi into kes. sector topics enablino and emFrtIH"ering our cornmunitS'. LA VOLUNTEER VISITOR- one to One peer 5UPPOrt service Limb loss brin?s unique challenges, so sometimes l-ou need to talk to others ii.'ho hai'e been through similar experiences. -l-hat's the premise of ihe Volunieer Visiior programme dmpulees supporting amputees. We belieN'e thai hailing access to a qualits. focused peer suprybrt sen'ice is i'ital to all amputees as part of their early rchabilitation pathw.av and it's this bclict-that has driN-cn us to furthcr dciwclop thc LA-S Ion£5tanding and rcspcctcd peer support offer. Volunteer Visiiors. The Naiional l.ottern" Reaching Communiiies funding enabled us to r￿1]se uur wision ot crcating a robust scn.icc modcl of pccr support for thc limb105S Lommunits,. Page 12 It is also our passion that our volunieers. ii'ho support M'ith their 1]￿'ed experience. hai'e access to the good qualitv training, development and on?oin? support in their roles. The funding has enabled us to pnii'ide enhanced volunteering opportunities for ampuiees iyho are funher alono their rehabiliraiion .journe! and knoTh' hoiv important it is for ncw.cr amputccs to spcak to 50mconc ii.ho gcnuincl!. undcrstands. Somc uf our i'oluntccrs arc moiiN"ated b!, having receii'ed and benefited from peer suprKbrt themseli'es and others bv the facl that thei, didn't but would hai'e tound it i'aluable. LA Volunteer Visitors are SUPFK)rted H"ith a i'ariets. of training: development and peer neliiorking opportunilies. Due io the lei'el of iraining and supporL our volunleers are able lo offer high qualitTr' peer mentoring Ihat both patients and protessionals can access and trust. Despite the 3 vear tunding from the National LotteTh'" comino to an end in March 2023 (includin? a 6 month e.xtension due to the pandemic) Ihe LA coniinues io delii'er ihe model esublished. Our Volun￿er Visitor peer support is a ke!. service for the charitv. In June 2023 lie receiiied tundino from the then Julia and Hans Rausing -l-rusl (no￿ Julia Rausing -1 rustl ioi%'ards the costs of ihe ongoing dei"elopmeni of ihe I'V programme inlo 2024. As of March 202) we il'ere delighted to be aii'arded further J N'ear funding from Naiional Loitery Reaching C.ommunilies to further develop this projeLI in ne.xi phase- Voluntrer Visilor 'l-ransilions. -l-his VV peer support programme delii.ers a one to one peer sUPPOrt senwice as ii'ell as iraining and supporting volunteers Th'iih lii'ed experience of limb loss to proi'ide peer suprK)rt io neii'er ampuiees. The programme seeks to promotc rchabiliiation and rccoN'cTh, for amputcck as ivcll a5 rcducing i501ation and promoting confidcncc, reducing stress and anxietv and ensuring thai No Amputee Need Cope Alone. Through this programme, amputees belome more informed: Lonnected and empoiiered in iheir rehabiliiaLion. 'I"his is a national programme and supports amputees liN'ing across the UK. The programme has Irained a small and groii'ing number of family peer mcntors. This mcan5 that M"c arc also ablc to supwrt thc loi.cd oncs of amputccs. Throughout thc vcar, wc continucd m.ith thc dal'_t(￿da1. dcl jiicrv of thc Voluntccr Visitor programmc. Thi5 includes coordinating the matches and i'isits, i'olunteer recwiimenL training and support. We hai'e also been busv promoting thc projcct ii'-ithin hospitals: limb-ccntrc5: rchabilitation ccntrcs and ￿"1th othcr agcncics {such ￿ SULial prescribers) throuohoul ihe UK. to encourage referrals 10 Ihe programme. Promotion is also i.'ia our social media channcls, via our ii-'cbsitc and through our charits- partncrs and stakcholdcrs. Key Aims and Developments for the VV progrgmme Aim5 Support morc amputCC5 to fvlfil thcir tK>tcntial Lcarn about pccr suptKTrrt as an intcr¥"cntion Evidcncc outcomcs and mcasurc thc impact Develop a robust service model Create a comprehensil e peer support training package Be used to influence naiional and local PK)lic! relaiing io ampulees Develop greater conneciions iyith ihe SeC￿r Help ei'idence the need for continued ini'estment in the programme Developments A robust seTh'ice model of ampuiee peer suprx)rt A safer recruitment process Recruitment. induction and trainino of oi'er 80 Volunteer Visiiors Comprehensii'e volunteer dei'elopment programme ii'iih optx)rtunitN' to achieTre the VV Aii'.ard Pccr nctworking and rccognition optK)rtunitics for i"oluntccr5 VN, scTh'iLC spccification and scn.icc frdmcii-ork Comprchcnsii'c wlicics coi"cring all &5pccts of thc 5cTh"icc and iwoluntccring programmc ProjcLt monitoring and ci-aluation tools to mcasurc and rcpK)rt impact of thc projcct- for scTh'icc uscrs and volunieers Vll prooramme inte?rated into the LA"s Sen'ice lJser Pathii'a!-. Neil, N'V resources, including FK)sters and fl}"ers, inforniation N'ideos, social media content and assets and stakeholder presentations Raised ai%areness of ihe Vl, programme- peers support and ￿olUn￿erIng-lhroUgh conlinued promoiion to key stakeholders and referrers across the UK. Page 13 The l.A's Volunteer Visitor peer support programme prO￿ldeS ampuiees, their loi'ed ones and those at pre- amputation stage the opwrtunitt, to meet 14.ith a trdined i"olunleer ii.ith lii.ed experience of limb loss. In 2024125, IN'e received clinical 443 referrals. Feedback from N'isits demonstrates the effeciiN'eness of this initiative: Feedback from Volunteer Visits. 2024/25 'The Volunteer Visitor helped me with the key topics I requested support wth" 'My have improved knowledge of the services and support available to me. 'My knowledge of living day-to-day with limb I05S has improved. 'My knowledge of recovery has impoved. 'My knowledge of limb loss has improved. .1 f￿[ more supported on my limb Loss Joumey .1 f￿1 less Stre￿ed in reLation to my bmb I￿. .1 feel more connected with others. o/ loyo 20/ 30% 40% 50/. 601. 70°% 807 g0°A loo/ Feedback from Volunteer Visits. 2024/25 'The Volunteer Visitor helped me with the key topics I requested support with. 'My knowledge of limb loss has improved. "I feel more supported on my limb loss joumey "I feel more connected with others. 70% 75%. 80% 85%. 90% 95/ "Ifeli rea.fsured al a time when I had deali with nwnj. nwdicalprofessionals bul no one with lik'ed ￿perIenCe. Afier speuking lo ffj Volunteer Visilor Ifell like I had u moreposilive outlook on how miyprosihesis coulrf help whal ry recoveryy would look lik&" VVbeneficia￿, Our ongoing monitoring and ei'aluation shoms that our Volunteer Visitor seThTice makes a positiTre difference to amputees. knO￿[edge and a￿"arenesS around.. amputation Page 14 recoi'ery and ii."hat comes next for Ihem living da! to dav lite with limb loss the sen'ices and support ai'ailable io them as amputees. Our new Volunteer Visitor Transitions programme is a na￿ra1 progression of the VV project based on our outcomes and learnin? to date. The aim ot the VV Transitions is to proN'ide a pathi4'a!, for support for those who experience limb loss: assisiing them lo leel and be more empoii"ered: independeni and kn rehabililaie Ivell to meel their needs and aspiraiions, phwsicallv. emotionalli" and sociall!.. IN,e look toni-ard to updating in our next rewrt. Volunteer Visitor and LA Chair of Trustees DaN-id Rose beliei.es it""s as impirtant as it's ei'er been for amputees lo haNe acuess to high qualitl. peer suppK)rt. "It's nllturul tofeel lost in ihe eorlj. dujis of linth 105& That's why the LA'S Volunteer y￿110T service ￿l￿ts, provi(ling support an¢1 advice lo help ampu¢ees movefornariL For our Volun¢eer Yistiors it's a very rewarding uclivity, as il's a chance lo give somdhing back. AMPUTEE LEARNINC HUB EduculL Enymwer. ConnecL Training to be an Amputee The prooramme addresses the challen?es for amputees. especialll" eNperienced b!. those in the earlN". dasws of their limb loss journey. Mental healih, isolaiion and a laLk of inforniaiion is i"eTh' Lommon for those Ivho are living IN'ith limb loss The programme aims to redu¢e health inequalities, through: Int-orniation SUPFK)rt to Lnablc amputccs and thcir carcrslfamilv to bcttcr managc thcir own mcntal healih and ii'ellbeing CJuidance about SUPFrtIrt sern.ices aN-ailable. Assistance and adk ice w lamil)'/friends: so thai thev are more em￿)￿."ered to support their loved one throuohout their rehabilitation. Access lo i￿"e1]being interl'eniions. Training To Be All Amputee {￿BAA) allticipated outcome5: ImprO￿.e reCO￿.en, and rehabilitation for amputees, through the proi'ision of infomation and suprK)rt to conlributc toii-ards succcssful rchabilitation. Support the menial healih needs of amputres: through menthl healih infom)ation and support: and Yellbeino guidance. Reduce the likelihood of re-admiitance io hospithl or secondary ampuiaiion. Ihrough supporiing amputees to manaoe their phl'sical health and ivellbein& and empoii'ering them to manage long-standing health Londilions such as diabe￿S. Our ¢￿'aluatIOn data tells us that Training To Be An Amputre can be a crucial earl) engagement programme that can proN'ide unparalleled support for neil" ampuiees. We belieie ihai evern. ampulee could benefil from the programme. We ￿'e leamed that place-based Training To Re An Amputee has improi'ed access to senwices for amputLcs. TTBAA has also hclpcd us to dci'clop rclationships ii.ith scctor profcssionals in local hospitals. thc5C have been kev in Supportin￿f3¢1lIlatinO referrals inio the programme. As ￿'ell as seif-assessmenl pre and posl-ampulalion ￿ measure ouicome5 Ive also used ihe shortened Wamick- Edinburgh Nqcntal Illcllbcing Scalc IWEMII.'BSI to as5CSs participants- improi'cmcnt in mcntal hcalth. W'c havc used the statistical frame￿'0rk proi'ided b!. Wan4'ick-F.dinburgh to ei'aluate scores. Training To Be An Amputee has had a statistically mcaningful tK)SitiTr"c changc on thc hcalth and M"cllbcing of 830/0 of programmc participants. We wish to extend our sincerest thanks to the ￿nderS of Training to be an Amputee Essex Communits, Foundation {MSF. NHS Partnership Trust Healih Inequaliiies Fund)(Mid and South F.sseY) and The Postcode PlaLcs Trust IEsscxI. At the time of M'ritin? Il'e re deliohted to hai"e been aii-arded funding from Anton Jurgens Charitsble Trust to develop and deliver a national online programme of "l-"I'B/iA in 202i126. Page 15 Brentwood and Basildon - Amputee Learning Hub place based pilot (ALH) The aim ot this project il-as to proi-ide in lace to face intonnation and supFK)rt to individual amputees, their familwlcarers as well as proN'iding group peer support in clinical and non-clinical settings. Anticipated outcomes 'crc impros'cd rccovcrv and rchabililation for prujcct bcncficiarics. 222 amputees and their carers receii.ed inforniation and ouidance from our ALH Hubs, presence in Basildon I lospital, al Mavfl0￿er Communily I lospithl Prostheiics Rehabiliiaiion: in Breniilood and al Billericav I'ooiball Club. 58 people participated in 1s.ellbein2 sessions at our Hubs: Quidin? them in relaiation and mindfulness techniques. We also assisted amputees ￿h0 m.ere siruggling li iih loneliness and isolaiion, bodv image and their inentrdl healih: proi'iding them with access to our ii.ider LA ser¥-ice user pathii'av. The ii'ellbeing sessions and access to other l.A seTh'ices noted suptK)rted the health management of those engaging i￿.1th the ALI l. Greater access io iimel!, and relei.ani infom)aiion from the LA ieam and through our VV peer support seTh'ice ensured thai the ampuiees M'e SUPFMlrted had earl!, access to understanding the imwrtance of self- management in ternis ofdiet: phi'sical and mental healih and iiellbeing. Sern ice users also had access lo a bespoke online liyice ii.'eekl! amputee exercise class dei'eloped and delii'ered bN' the StK)ns Science Department at Hull Unii'crsitv. Thc LA hosts, t-unds and collaEK)ratC5 in thc dclii.cry of thcsc sc5sions. 55•/0 of ALI I clients have engaged in lurther SUPPK)rt from ihe LA. accessing oiher sern.ices and infomalion including SuptK)rt and Connect Hubs: Training To Be An Ampuiee. Volunteer Visitor ￿er support programme and voluntccring opportunitiC5. Thc rchabilitation procc5S Is a Icngth! onc and ongoing for amputccs. Thc ratc of progrcss warics from amputcc to amputee in ternis of the phvsical progress and also Iheir mentsl health and resilience. Anger, denial and unw'illingnLSS to acccpt thcir nc￿. situation is i"cn- common. Somc amputccs cngagc ￿erV quickl￿. 14.ith LA scThwiccs others take much longer to accept that thth. hai'e an unmet need. li is quiie common for us to meet a ne￿ amputee and for thcm not to t-ull!. cnga2c m.ith our scTh'icc5 and sUPPOrt until around 12 to 18 months oncc thc clinical support sloms. Some re-engage ￿..ith our services at this point after initiallv being supported pre or post-amputation. "Having a hospital visltfrom ihe LA at the beginning nwde such a difference. I was eager to learn aboul life after anwutu¢ivn, andj'ou answered ￿. queslions. 11 isgreal ¢0 have this meeling éoday and speak to oihers." "Thank i'ouforspeakirtg with me loddi.. I wouldnothave ihoughi abou¢ ihose ¢hings. This hasgiven me things to think abouÉ help me lo get hon￿ Iknow whol lo llsk." C.ASL S'I'UDY.. John and his jamily ivere stipporied by ALH on ihe inpatienis Iiyap'd in Bnsildon Hospilal shoi'iljj afier his ampiilatiop7. They receii'ed informalion aboiii L4 5en'ices anddisciissedii'hai life iiiould look like aftei. discharge the rehabililalion palh1v￿ and Ivhai ihei. ii'ere entiiled io access. OpKe home andfacing his neiii challenges as an ampzitee, John ivas 51171ggling emolionalli. and5caredaboiil ii'hai life ii'af going lo look like. He ivas p-eferi-ed lo ihe L4 's .geiiyices .giipporl tLJam and receii'ed adi'iee aboiil Ii'elfai-e righis enliilemenis. Thej, also ari-anged 'visil'from an LA l. oliinteer l. isilor- a Irainedpeer mentor. Ile il'as mL71ched )viih someone Ivho dgone ihrough Ihe same ¢.rp¢riepzc¢.s bi41 2.) Treors posi ampiilalion itros ii.'alA"ing. bo¢A" ai ii'ork and enjojing life agairt. His VV helped him iindersland ihai ihe rehabiliialionjoiirnej is a long and challenging one. Thal nlanaging expeclalions and "celebruling the small ii'ins" dffl. bi. da)y is imporlanl. The). also disciissed ty.pical qiieslions thai John should askivhen he goesfor his initial,IIDTL75sessmenl fil ihepp-osihelic5 cenli-e. Ile ii'asfip7ding ihe gap benveen hospital discharge and ihe rehcib Cenlre i-eferi'al doiiniing. Folloiiing ihe coll John said ihoi ihe l.'V hadaddressed manj, of his Jears and hefelt more hopefiil aboiii ihefiiiiiie. Jini and hisfamilj, Ihen joined ihe LA s i'egulai- hiibs i Billerieay and ihe Brennvood l.unch andl£orn session_ John iold us, 'When you lose o limb. Ihe .N'HS sioff ol'e greoi biii iheJ-.'i-e and ihere's no informalion aboiil what happens afien*ardY and Ivhal siipport ihere is ii,hen Joi4 go home. Ivaking up )i'iihoul a limb isfi'ighiening and i'er).. lon¢lJ'. loiifeel like ihe only oA¢- like ciirling lip in o boll cindgii'ing lip. l ou don'i ii'ani io be a burd¢n lo Joiirlamilj, up7d ihei'e s so miich io sorl otii_ li s oi'eiii'helming_ J also hai'e ongoing healih issiies lo manage. llie LA suppori ha5 beenfan1￿1lC in helping 115 lo ipoi'k il all oiil andplanfor afiiliire In'ing iviih limb loss. I've got a long way to go yet biii knoik ihat I've gol ei'ery chance ofgelling ihere noiw I betler undei'sland the process Page 16 and whal lo ￿peCi. Ifeel molii'oiedio achieve ivhoi'spossible_ / also knoit. I access 1..4 sen'ices and supporl al any stage and thui I'm nol ulone_ Thank vou to Mid E55cx IntC2fdtcd Carc Svstcm and BBCVS for thcir support in making this iniwaluablc pilot project happen. There has been much learning and li'e look foni'ard io repealing this model in other areas. This programme has oii'en us the opportuniti, to close the ?ap in the rehabilitation path￿..aN.: through forging clinical parinerships ith Basildon and BilleriLai' cliniLal ieams. -l-he piloi in ilasildon and Brenliwood i4.ill help evidence the impact of this ￿-ork. supportino us to establish similar ii-ork ii.ith other clinical teams across the countr¥'. LA Amputee Luneh and Learn In Januarn 2024 i*e receii ed lunding from Amards for All Lngland to lurther dei elop our Ampulee Learning I lub concept. Amputee Learnin? Hub ALH ivill ensure that amputees across England ivill have access to either online or face-io-face peer-led courses m.hich address healih inequalilies. Programmes Kviihin our Learning I lub will: improN'e amputees, rehabilitation and recoi"en' through access 10 qualiti". infomiaiion; adN'ice and guidance. reduce isolation for amputees,. improi'e confidence- moLii"aiion: and healih and iiellbeing. A key iniiiativeofihe LA'S Amputee Learning I lub portfolio istheAmpuiee Lunch and Learn programme. Lunch and l.earn aims io prowide amputees. Iheir loi'ed ones and professionals i¥ith accessible, sup[x)rti￿e and inforniatii'c scssions which improi'c ais"arcnc5s of limb Ios5: rchabilitation and rccoiTCry. In our last report w'e shared some kev outcomes dath from ihis iniliaiii'e ihal slronglN, demonslraled that li was meeting its aims of educating. emp)i¥erino and connecting. With Ihe generous supwrt of the l.A l.egal Panel in thc tirst quartcr of 202) ii'-c continucd to dclis.cr Lunch and Lcarn 5cssions in IN'igan {Stcphcnsons Solicitors LLPI, Preston (Hudgell solic1￿rs).. Siockport (Dorset Onhopaedic) and Oxford {RI￿-'K Goodman). Thank ￿oU to them In thc ncw. financial pcriod M"c hai'c bccn aH"ardcd furthcr funding from AINA England and Walcs to dcTrclop and deli￿.er a neil. programme of l_unch and l.earn sessions and these are alread! undeni'aN'. "It wasfun, informotive dndgreal tofeel acceptedfor mvselfrather ihanfeeling defined by limi'lations." "Ihud an MDTscheduledfor thefollowing week andhadbeen worriedaboul il. Thepresenlalion showed me thal MDTS are a regularpart of m)y rehabililaliopL- Amputee C8rer Transitions -l-he Limbless Association's Ampuiee Carer-I"ransilions progrdmme aims lo address and meei the needs ofcarers of amputees. The programme aims to improi-e their access to information. support, peer netsvorking and development oprK)rtunilies. Ampuiee Carer -1 ransitions has been informed b!. the needs of carers of amputees, IN'ho haN'e told us that tho. hai'e struooled io manage their oiim health and ii"ellbeing H"hile supporting their loved one in their recower* and rehabilitaiion. -l-hei. hai"e spoken ii'ilh us aboui the challen?es of adapiing lo iheir new "carer, role, and ho￿. obtaining information to support the rehabilitation of their loi'ed one is particularl!, problcmatic to comc b!. We prow ide group and one-to-one peer support. access ￿ infornialion and guidance and welfare calls/support for carers ￿'hO are strugoling in their carino role. CASF. STIIDY AIisoF7 contacted iisjollowing her hiisband's beloM-. knee ampiilalion in Jiine 2024. She loldus ihal she didn'tfeel al all informed aboiil ampiilalion and recoi'en., or hoii. lo siippori her hiisband ihrough his lippib loss joiirney. Jler husband had been dischargedfrom hospilal and ihey boihfeli ihai ihei. Ii'.ei'e 'left io gel one iijiih il,. .41iso siiddenl).'foi4nd herself in a ivorld M.h¢i-e - oi'ernighi- she b¢¢ame a ¢or¢i' io her hiisl)artd and It'as.faced ii'iih nfflyigaling ihe complexities of limb Ios5 pln'sio appoinlmenls, prosihelic appoinfnients, obiaining ii'elfare ben¢fils- all ivhile in'ing lo workliill-lime. She itras oi-e111.h¢lmed. .41 ihe sam¢ lime. shefeli reliiclani io engage wilh siipportfor herselj'as she was more concerned i*iih hoiv her hiisband ilas coping. l.'e arrangedfor Alison to recenye a peer siipporl i'isiifrom a Vvfamili, peei- mentor, where she iijas able lo diseii.ss hercon¢erns cindrec¢n'e adi-i¢¢ and8niidan¢'efrom onoihercoi-ei-. Thew. dis¢iissediheprosih¢licspi-o¢ess, as ii'ell as ensiiring ihal .41ison had a stippori neni'op-A- in place, disciLssing hois, hei- emploiEr could also suppoi-l her. Ali50ri then allendedoiirLiinch and£ear￿￿'e￿l in Billei-icay F ooiball Cliib iviih her h115band, H,here logether, Ihejj receii'ed injormal peer siipporifrom oiher amptilees and eai'ers. Oiir Liinch and Learn speaker Page 17 r¢l(ryed his ampiilalionjoiirne}'. highlighiing io oiiendees ihai his limb loss hadn'ipi-ei'eniing himfrom riding his motorbike again eiyen being exli'a in Sior Mars. His lalk ii'nsfiill olpracrical lips and adi'ice on ho)v io live well af¢er limb loss. Alison lells iSition as a rcason not to aii"ard. Thc LA board had dcsignatcd a large proportion of that income to supp)rt the reinslaling and further development of the l.A's outreach programme i*hen restriilions lifted. Our fucus on sccuring incomc to support our d￿"clopMcnt plans has bccn as aspirational and as ambitious as our straiegic and operational plans. We hai'e continued to increase income through increased stM)nsorship and funder commitmcnts t-or ￿"hiCh wc'rc cnorniouslN' gratcful. Thc incrcdiblc supw>rt of both thcsc incomc strcams is testament to the planned scope and reach of our sen'ice dei'elopments. We i'e also negated the deficit rK)sition of rcccnt ycars that had mainl!. bccn thc rcsult of prci"iousl!" high rcscTh'cs IcN"c15 and spcnding thcrcof in subscqucnt 'ears alongside reduced income lei'els in 202212) and 202)124 posi-pandemic. CommuniTh and traditional donor fundraising rcmains a challcngc and our rcccntli. rccruitcd Engagcmcnt Managcr is focuscd on incrcasing supporter engagement and nurturing donor relaiionships: Ihe aim being thai this role i%'ill lead on ihe further growih of individual and communitv gil'ing. The ii.hole LA staff ieam understand the importance of income generation and participate in fundraising initiatii'es and suptK)rt fundraisers. c.orporate sponsorship in the main comes fmm ihe LA"s Limb Loss Legal Panel. The fimis that fomi the panel enable the chariti, to otyer e.xpen adi'ice and supw>rt to the chariTh' s seTh"ice users and members. As ￿..ell as supporting wilh wieniial legal claims: Ihe panel also orrer suptK)rt across a range of iopic and aclii'ilies. 'l-hese include presentino at the LA'S online and in person thematic ei"ents. sponsorin? and hosting ewents as il'ell as supporting ￿lih fundraising and i olunieering. Some are also able io orrer inK"aluable pro bono suppx)ri for related matters: disabilit! discriminaiion. housing and debt matters. ii-elfare righis challenges. Hai.'ing committed to increased sponsorship lei els in 202412) and ihen again in 202i126: legal panel support is enabling us to further develop our serk'ices and reach. Over its litetime: the LA has been tortunate to be in receipi ot leeac!. oifts ii.'hich ￿"e are alii.ays so verv gratetul lo receii e, the majorit￿. of w'hich hai'e been bequeaihed as unreslr1c￿d income."I"he Charit￿ has again been nolified of tii'o such gitls durino this period. We are alii.avs extremel!" humbled that the iiork of the charitN' is honoured in this ii"a)' a5 it's usuallv rcsultcd from thc loss of a trcasurcd mcmbcr. Both of thc Icgacv gifts in qucstion arc unrestricted income. Unrestricied legac!. income proiyides the charity. ￿'](h free resen'es funding to allocate to its scTr'iLcs and projccts to Sustain, dcvclup and ii-.hcrc at all possiblc grom,. FinanLial risk managcmcnt has prcs"ailcd throughout thi5 pcriod ii'ith a significant rcduction in cxpcnditurc achiei'ed throuoh a i'arietv of measures. The chariti. undert(K)k a resiruciuring of lis resources ivhile at the same timc somc of uur prci'iousl!" t-undcd projccts cndcd. c arc plcascd to rcport a groilth in incumc and to bc cnding this period ii'ith a surplus as ii'ell as hal'ing increased unrestricted reserves lei'els. Reserves Policy Thc T￿Stcc5 haN'c considcrcd thc minimum Ici"cl of rcscTr"cs that thc C.harits' ought to hold. RcscTrcs Ircstrictcd and unrestricted) are needed to bridge Ihe funding gaps betsi.een spending and receii'ing income. Financial risk management remains a ke!" prioriTh" of the LA Board and Leadership Team. This financial period has seen the charil), realise an improved free reser% es px)silion ihrough increased income and reducing e.xpendilure. A less ihan positip'e economic landscape continues to prei'ail with fundrdising across all FK)tential income streams continuing Page 22 to present challenges. The Board has examined the requirement for resen'es i.e. those funds not invested in tanoible tixed assets or oiheni.ise committed. A reserves Frt)lici.' is in place M"hereb)' the tunds not committed should be held in resen'e and mainlained ai a lei'el ii.hich ensures that l.imbless Association s core actii'jtsw can continuL during a pcriod ol- unforcsccn ditficults.. This has bccn 5Ct at £50:000 rcprcscnting thrcc months, anticipated eypendiiure, M'hich at F.OY March 2025 the l.A li'as meeting and continues to do so at the time of filing tinancial statements. CHARITABLE 0￿EcTIVEs Our key objectii'es are principally as follo￿.5: Represent. engage and influence at local and naiional lei'els: challenging govemmeni and devolved assemblies tor the betterment of the limb loss communitsT -lo increase membership.. i"olunieer and sUpr￿rter numbe￿ nalionwide, increasing and improi'ing our reach to those in need of our serK"ices. -lo dei'elop our currenL senices io achieiie Opiimum impacL idenlifving gaps in earlv inten"ention proN-ision 1s.here the LA can deploN' its e.Kperience and expertise to dei'elop projects to further support neil" ampuiees and its members. To raise the l_imbless Associa(ion s profile as a major champion of the limb loss community across a ii-.idc rangc ot-stakcholdcrs: ￿ls1]ng and nciy. To ￿'ork collaboratii'el!. ii'iih oiher charities and agencies to optimise support and reach. maximising a colleclii'e voice ii'ithin ihe UK. To dei'elop strong and muiuall!, produciii'e relaiionships ivith professionals and specialists IN'orking in all kc). arcas ot-mcdical carc: rccognising and promoting cxccllcncc. This includcs supporting (non-financial) research projecis ive detemiine as important in eN'idencing the unmet nccds ot thc limb loss communits- and hai"c an outcomcs focus. To prove: improi'e and account for all areas of our sen'ice proTrision ensuring that ￿'C are dclii'cring cxccllcnt I"aluc to our scTh"icc uscrs and stakcholdcrs alikc and rcalising outcomcs sct bN' our funders and bN' ourseli'es. To dci'clop.. plan and implcmcnt an ambitiOU5 and dii'crsc incomc gcncration stratcgy that supports ihe charil! s sustainabilily. Public Benefit Statetllent In fomulaling it5 objectii'es, the charl1￿. has gii.en due consideration io ihe Charil), Commission's published guidance on the operation ot charities for the public benefit. Statement of trustees, responsibilities The trustees {ii"ho are also the directors of Limbless Association for the purwses ot compans, law) are responsible for preparing ihe "I ru51ees' Report and ihe financial sthiemenis in accordance li ilh applicable la￿". and Uniled Kingdom Accounting Standards (lJnited Kinodom Cjenerall!" Accepted Accountino Practice), including FRS 102 "Thc Financial Rcporting Standard applicablc in thc UK and Rcpublic of Ircland". Thc rcport and accounts hai.'c been prepared in accordance H'ith the provisions in the Companies Act 2006 relating to small companies. Compan! la￿. requires the trustees to prepare financial statements for each financial swear. lJnder company law the trustccs must not approvc thc financial 51atcmcnts unlcss thci. arc satisficd that thcy giiwc a truc and fair N'icw". of the state of affairs of the charitable compan!. and of the incoming ￿￿urCeS and application of resources, including its. incomc and cxpcnditurc: of thc charitablc compan!" for that pcriud. In prcparing thcsc financial statcincnts, thc trustees are required to.. sclcct suitablc accounting policics and appli- thcm consistcntl!= observe the meihods and principles in ihe Charilies SORP: make.judgements and esiimaies ihai are r&wnable and prudenl: stale Th'hether applicable accouniing standards: comprising FRS 102 hal'e been followed, subject to anv matcrial dcparturcs discloscd and cxplaincd in thc financial 5tatcmcnts: and prcparc thc finanLial statcmcnts on thc going conccrn basis unlc5S it 15 inappropriatc to prcsumc that the charitable compan!, m.ill coniinue in business. -l-he trusiees are resFK)nsible for keeping proper accouniing records thai can disclose wilh reasonable accuracv at anv timc thc financial wsltion of thc charitablc compan!" and cnablc thcm to cnsurc that thc financial statcmcnts Page 23 compl). M'iih the Companies Act 2006. The! are also restK)nsible for safeguarding the a￿ets of the charitable compan). and hence tor taking reasonable steps for the preN"ention and detection of traud and other irregularities. Thc trustccs arc rcsponsiblc for thc maintcnancc and intcgritv of thc corpK)ratc and financial inforniation includcd on the charitable companv's ii"ebsi*. l.egislation goi'erning the preparation and dissemination of financial statements may dityer from legislation in other jurisdictions. Complianee with prevailing laws and regulations The financial staiements hai'e been prepared in accordance ii'ith Ihe accounting policies set out in notes to the acc(Funts and comply" ￿'1th the charits. s goi"emino document. the Charities Act 2011 and Accountinq and Reporting by Charilies: Siafrment of Recommended Practice applicable io charilies preparing iheir accounts in acc(Frdance with the Financial Reporting Standard applicable in the IJK and Republic ot Ireland published on 16 Julv 2014. Small companies provision statement This report has been prepared in accordance m.ith the small companies regime under the Companies Act 2006. 2910112026 The annual report il'as appro￿.ed bj. the twsiees of the charitable compan! on ........................... and signed on its bchalf b).: Nlr Ll XI KosL' Chaiman and Trustee Page 24 Limbless Association Independent Examiner's Report to the trustees of Limbless Association ('the Company,) I report to the Lhariiable LompanN' Irustees on mi" e.iaminaLion of the accounts of the companv for the vear ended 31 March 2025 11.hich are set out on paoes 26 to 42. Responsibilitie5 alld basls of report As the Charit￿. Irustees of the compan!" (and also its direciors for the purposes of compan!. law) N'ou are reswnsible tor the preparation ot. the accounts in accordance ii.ith the requirements of the Companies Act 2006 I'thL 2006 Act.). HaN'ing satisficd ml'5clf that thc accounts of thc compan!. arc not rcquircd to bc auditcd undcr Part 16 of thc 2006 Aci and are eligible for independent eiaminaiion. I repxirt in respect of m}. eyaminaiion of }'our company's accounts as carricd out undcr scction 14) of thc Charitics Act 2011 ("thc 2011 Act-'l. In carrn'ing out m examination I ha￿'e folloTh'ed ihe Directions gii'en bi. Ihe ChariThp Commission under section 14i(5)(b) of the 2011 Act. llldepelldeDt examiner'5 Statement Since the Compan￿ s gross inLome eAeeeded £250.000 ! our examiner must be a member of a bodv lisled in section 145 ot. the 2011 Act. I contirni thai l am qualilied to undertake the examination because l am a member of Association of Chartcrcd Ccrtificd Accountants. 11,hich is onc of thc listcd bodics. I hawe completed my examinaiion. I confirni that no Mai￿ hai'e come io altention in conneL'lion M'ith Ihe examinalion gii'ing me cause io beliei'e= accounting records N%'ere not kept in respecl ofthe CompanN as required b) section 386 ofthe 2006 Acl. or 2. the accounts do nol accord ii.iih ihose records- or 3. the acc(Trunts do not compl!. ii-ith the accountino requirements of section 396 of the 2006 Act other than an). rcquircmcnt that thc accounts gii"c a "truc f'air N"iciv' ii.hich is not a mattcr considcrcd as part of an independent examination- or 4. the accounts have not been prepared in accordance iviih the meihods and principles of the Statemenl or Recommended Practice for accountin? and rerxirting b!- charities applicable to charities preparing their accounts in accordkmce iiiih ihe l.inancial Rerx)rting Sthndard applicable in ihe UK and RepubliL or Ireland (FRS 1021. I have n(} concerns and have come across no other matters in connection ii-ith the examination to ii.'hich attention should bc dra5￿ in this rcport in ordcr to cnablc a propcr undcrstanding of thc ￿CoUnts to bc rcachcd. ZIP Alex SLc)nL FCCA 146 NeTh London Road Chelmsford Esscx CM2 OAW 2910112026 Paee 2) Limbless Association Statement of Financial Activities for the Year Ended 31 March 2025 (Including Income and Expenditure Account and Other Comprehensive Income) Total 2025 Total 2024 Unres¢rieted Res¢ri¢ted Note Income and Endowmen¢s from: Donations and legaLies Othcr trading actii'itics Investment income 269.707 138.44) 1.576 71.176 8.650 340.883 147.095 1,576 138.473 101,798 3.332 .1 otal inuome 409.728 79.826 489.5)4 243.603 Expenditure on: Raising lunds Charitablc actiN'itiC5 37.102 84.)84 37.102 277.670 82.020 343.190 193.086 Total expenditure Gain￿los5eS on ini'estmeni assets 121.686 193.086 314.772 425,210 (822) (822) 76 Net incomel(expenditure) .1 ransfers betw'een funds 287.220 18J.)12) (I lJ.260) 173.960 (181.iJl} Nct movcmcnt in fund5 203,908 (29.948) 173,960 (181,i31) Reconciliation of funds Tolal funds broughi tonyard 11.297 102.935 114.232 295.763 .1 otal funds carried fornl'ard 16 21 j ?Oi 72.987 288.192 114.?J2 All of thc charitablc compan! 5 actiTr'itics dcriTr"c from continuing opcrations during thc abovc two pcriods. Page 26 Limbless Association (Registration number: 02487661) Balance Sheet as at 31 March 2025 2025 2024 Note Fixed assets TangiblL as5cts In￿'estMentS 3.825 2).819 8.497 80.397 12 29.644 88.894 Current assets Debtors Cash at bank and in hand 13 27).) l O 19.120 37.596 18.015 294.630 55,611 Creditors: Amounts falling due withill one year 14 1)6.082) {)0,273} Net current assets 258.i48 Lyel assets 288.192 114.232 Funds of the charitable company: Restricted income funds Restricted funds 16 72,987 102,93) Unrestricted incotlle fuDds Unrcstrictcd funds 2 li.20) 11.297 Total funds 16 288.192 114.232 For the financial )'ear ending 31 March 2025 the charitable companN' eniiiled to eyemption from audit under section 477 of the Companies Act 2006 relating to small companies. Directors, responsibilities.. Thc mcmbcrs hdi'c not rcquircd thc charitablc compan!. to obtain an audit of its accounts for thc yur in question in accordance ￿1th seciion 476: and -l-he directors acknoii"ledge iheir responsibililies for compli.ing ii.ith the requirements of the Act i%'iih respecl to accountin£ records and the preparation of accounts. These tinancial statements hai'e been prepared in accordance ii-ith the .special proii5ions relating to companies subject to the small companies regime iviihin Part 15 ofthe Companies Aci 2006. Thc financial statcmcnt5 on pagc5 26 to 42 iirrc approi'cd b)" thc tru5tccs. and authoriscd for issuc on 2910112026 . and signed on their behalf b!": MI. D M ROSL Chaimian and 'l"rustee Page 27 Limbless Association Notes to the Financial Statements for the Year Ended 31 March 2025 I Charitable company status 'I'he charithble compan! is limi*d b) guaraniee. incortxiraied in Lngland and Wales. and consequentlTr does nol havc sharc capital. EaLh ot- thc trustccs is liablc to contributc an amount not cxcccding £ I toiN?rds thc asscts of Ihe Charl￿ble compan). in the eN'ent ot liquidation. 2 Accounting policies Sutllmary of significallt accounting policie5 alld kev accounting estimates The principal accounting policies applied in the preparation of these tinancial statements are set out beloiv. 'I'hese polilies hawe been consisienili. applied ￿ all ihe ! ears presenled: unless oiheryi.ise sialed. Statement of compliance The tinancial statements hai'e been prepared in accordance ivith Accounting and Reporting b), Charities.. Statcmcnt of Rccommcndcd PraLticc lapplicablc to charitics prcparing thcir accounts in accoi'dancc Thith thc Financial ReFK)rting Standard applicable in Ihe IIK and Republic of Ireland IFRS 102)) (issued in October 2019} (Charitics SORP {FRS 1021). thc FIn￿CIal Rcwrting Standard applicablc in thc UK and Rcpublic of Ircland (FRS 102) and the Companies Aa 2006. Basis of preparation Limbless .4ssociation meets the definition of a public benefit entits" under FRS 102. Assets and liabilities are initiall). recognised at historical cosi or Iransaciion i.alue unless oiheni.ise $￿ed in the relevanl accounting rx)lic!' notes. Going coneern "I'he Iruslees consider ihal there are no material uncellainiies atM)ut the charithble companv's abililv to continue as a going concem nor ans. sienificant areas of uncertaint). that affect the carry'ing value of assets held b)-. the charitablc compan!.. Income and eDdoiYments All income is recognised once the charilable compan! has entitlement to the income. it is probable that the incomc will bc rccciTr'cd and thc amount of thc incumc rccciN"ablc can bc mca5urcd rcliablj. Donulions und legacies Donations are recogni.sed ii-hen the charitable compan). has been notitied in 1STiting of EN)th the amount and settlement date. In the event that a donation is subjeci io conditions ihal require a lei'el of perforniance b> ihe charitable companv betore the charitable compani. is entitled to the tunds: the income is deferred and not recognised until eiiher those condilions are full!" meL or ihe fuifilmeni of ihose Londitions is i%holl}' Ivithin Ihe control of the ch1( ritable compan! and it is probable thal these conditions ii'ill be fulfilled in the retK)rting period. l.egac}' gifts are recognised on a case b!. case basis folloii'ing the grant of probate 14,lien the administratorlcxccutor for thc c5tatc communicatcd in 1sTiting both thc amount and scttlcmcnt datc. In thc event that the gift is in the fom) of an asset other than cash or a financial asset iraded on a recognised stock cxchangc. rccognition 15 subject to thc i'aluc ol- thc (Fih bcing rcliabli- mcasurablc ii.ith a dcgrcc of rcasonablc acuurac) and the title io the asset hai.ing been iransferted to the charitable compan). Paee 28 Limbless Association Notes to the Financial Statements for the Year Ended 31 March 2025 Grants reeeivable Granis are recognised when the charitable companv has an eniitlement 10 the funds and an! conditions linked to thc gt2nts havc bccn mct. Il'hcrc pcrformancc conditions arc attachcd to thc grant and arc }'ct to bc MCL thc income is recognised as a liabilil! and included on the balance sheet as deferred income lo be released. Deferred inconie Deferred income represents amounts receii'ed for fulure periods and is released ￿ incoming resources in Ihe period for ivhich, it has been receii'ed. Such income is onl!. deferred ii'hen= - The donor specities that the grant or donation must onl!- be used in tuture accounting periods- or Thc donor has imwscd conditions ii.hich must bc mct bcforc thc charitablc compan}. has unconditional entiilement. Investment income Dii'idends are recognised once the dii'idend has been declared and notificaiion has been receiiwed of the dii'idend due. Expenditure All eX￿nditurC 15 rccogniscd oncc thcrc is a Icgal or constructii'c obligation to that cxpcnditurc: it is probablc settlement is required and the amouni can be measured reliabl!,. All costs are allocated to the applicable cxpcnditurc hcading that aggrcgatc Similar Losts to that catcgory". Whcrc costs cannot bc dircctlw attributLd to particular headings ihei. hal'e been allocated on a basis consisient iirilh the use of resources, 111th central staff costs allocatcd on thc basis ot- timc spcnt: and dcprcciation chargcs allocatcd on thc portion of thc assct's usc. Oiher sup]x)n costs are allocated based on the spread of sthff costs. Raisingfund 'I'hese are costs incurred in aitracting ioluntan" income. the managemeni of iniweslments and those incurred in Irading actil'ities that raise funds. Charitable activitie5 Charitable expendiiure comprises those costs incurred b}- the charitable companN' in the delii'et). of its activities and serN'ices tor its beneficiaries. It includes ￿th costs that can be allocated directlTr to such aCtI￿.1t]eS and those costs oran indireci naiure necessar), io SUPPOrt ihem. Governance costs These include the costs attributable to the charitable compan!. s compliance ￿'1th constitutional and statutory, requirements, including audit: Slraie?ic managemeni and iru51ees meeiings and reimbursed e.xpenses. Taxation The charitable compan!. is considered to pass ihe tests set out in Paragraph I Schedule 6 of ihe Finance A 2010 and thcrcforc it mccts thc dctinition of a charithblc company for UK corporation tax pury)oscs. Accordingl!.. the charithble compan). is ry)ientiall)' eiempi from taNaiion in respect of income or capital gains receii'ed ivithin categories coi'ered b!" Chapter 3 Part I l of the Corporation T&i Act 2010 or Section 2)6 of the Taxation of Chargeable Gains Act 1992: to the exieni Ihat such income or gains are applied exclusi￿ely to charitablc putT)0SCS. Paee 29 Limbless Association Notes to the Financial Statements for the Year Ended 31 March 2025 Tangible fixed assets Indik'idual fixed assets are iniliall! recorded al cosL less an! subsequenl accumulaied depreciation and subsequent accumulated impaimient losses. Depreciation and amortisation Dcprcciatiun is proi.idcd on tan2iblc fiicd asscts 50 as to HTltc off thc cost or i'aluation, Icss anv cstimatcd residual i'alue. oi'er iheir expected usefvl economic life as follows: Asset class Fixtures and fittings Computer equipment Depreciation method and rate 2￿/0 to 3) /0 straight line )30/0 Straighi line Fixed asset investments Fixed asset ini'estments, other than programme related ini'eslments. are included at market value at the balance shcct datc. Rcali5cd uains and Iosscs on inN-cstmcnts arc calculatcd as thc diffcrcncc bctwccn salcs procccd5 and Iheir markei value at the sthrt of the l'ear. or Iheir subsequent cosL and are charged or credited to the Statement of FinanLial Actii'itics in thc pcriod of distK>sal. lJnrealised oains and losses represent the moi'emenl in market N'alue5 during the Trear and are credited or charged io the Statement of i.-inancial Aciii ilies based on the markei i alue ai ihe ! ear end. Trade debtors Trade debtors are amounts due from cuslomers for merchandise sold or sern'ices Ferfornied in the ordinary course of business. Tradc dcbtors rccogni5cd initiall￿. at thc transaction pricc. ThJ" arc 5ub5cqucntl)"' mcasurcd at ￿Ortiscd cost using the effeciive interest meihod. less proi'ision for impainnent. A proN'ision for the impainnent of trade dcbtots is cstablishcd ivhcn thcrc is objcctii'c ci"idcncc that thc charitablc companv iTrill not bc ablc to collcct all amounts due aciording to the original tems of the receii'ables. Cash and cash equivalents Cash and cash cquiTr'alcnts comprisc cash on hand and call dcposits: and othcr short-tcrni highlv liquid investments that are readil!- convertible to a knoiin amount of cash and are subject to an insignifiLanl risk ot change in value. Trade creditors "I rade uredilors are obligations lo pa) lor goods or services that haie been acquired in the ordinary course or business from suppliers. Accounts pal'able are classified as current liabilities if the charitable compan!, does not have an unuondilional righL al ihe end of the repx)rting period. ￿ deter seiilemenl of the Lrediior for al least tWel￿'e months atler the rep)rting date. If there is an unconditional right to defer settlement tor at least twelN'e months aftcr thc rcporting datc. thcTr arc prcscntcd as non-currcnt liabilitics. -l-rade Lreditors are recognised iniliall) at ihe irnnsaciion price and subsequenilN' measured ai amortised cosl using the effective interest method. Paee 30 Limbless Association Notes to the Financial Statements for the Year Ended 31 March 2025 Fund structure Unreslricled income funds are general funds ihal are aN"ailable for use ai the Iruslees's discrelion in furtherance f the objectii'es ot the charitable compan!-. Restricted income funds are those donated for use in a particular area or for specific purposes, the use ofwhich is restricted to that area or purpose. Redundancy eosts Redundancv. costs are recognised N%"hen ihe charit)" is demonsirabl) commit￿d to iem]inating an employee's contract and the cost can be reliabl!" measured. This includes statuioTh' redundancs- pavments, any contractual or ex graiia pa}menls. and assoLiaied costs. -l-hese co5￿ are reLognised in ihe SOI.-A ii.ithin stalT costs and disclosed in ihe noted to the accounts. Financial instruments CIu5sification l."inanuial assets and financial liabililies are recognised ivhen the charitable compani, beL'omes a pari), to Ihe contractual proi'isions of the instrument. FinanLial liabilitics and cquit!. instrumcnts arc classificd according to thc 5ubstancc of thc contraLtual arrangements entered into. An equiTh' insin]ment is an). contract that ei'idences a residual interest in the asseLs ot thc charitablc companTr' aftcr dcducting all of its liabilitics. 3 Income from donations and legacies Unres¢rie¢ed funds Restricted funds Total 2025 Total 2024 Donaiions receiiTable Lcgacics Grants receivable 14.546 2.000 16.)46 50.106 205.161 50.000 20i.161 119.176 69.176 88.367 269.707 71.176 340.883 138.473 Paee31 Limbless Association Notes to the Financial Statements for the Year Ended 31 March 2025 4 Income from other trading activities Unreslrie¢ed fund5 Restricted funds Total 2025 Total 2024 Lwenis and other income Membership subscription5 Direct marketing income 8.650 il.845 95aiO 95.2iO 40.292 5.368 138.445 8.6iO 147.09) 101.798 S Investment income Unrestricted funds Restricted funds Total 2025 Total 2024 Interest receii'able Othcr inLomc from fi¥cd as5Ct investments 873 873 720 703 703 2.612 l.i76 -576 3.332 6 Expenditure on raising funds Allocated support eosts Tot81 2025 Total 2024 Costs of generating donations and legacies 37.102 82.020 Paee 32 Limbless Association Notes to the Financial Statements for the Year Ended 31 March 2025 7 Expenditure on charitable getivities Activity undertaken directly Activity support eosts 2025 2024 Staff costs Direct projeLI Costs Oftice costs: repairs and maintenanLe Donalions Insurancc 180.086 10.925 14.026 194.112 10.925 245,318 13.684 2.758 1.050 3.586 9iO 1.374 950 4.4)4 3.080 Adwertising Marketing and Lommunications including Step Foni'ard Publication cos 6.Oi8 4.)44 10,602 15,694 13.086 7.359 Travcl and subsistcncc Tclcphonc Staft training and recruitment Postage and slalionery Dcprcciatiun Legal and professional Bank charges Goi'emance costs Inole 8) 9237 22)7 11.494 9.647 8.211 17,858 2.088 5.478 3.114 2,547 796 10.214 13,502 2,454 1.392 696 l.i)7 l.i57 7.198 1,991 84) 1.211 1.336 102 694 10.214 22i.785 51.88) 277.670 343,190 Paee 33 Limbless Association Notes to the Financial Statements for the Year Ended 31 March 2025 8 Analysis of governanee and support eosts Governance costs Total 2025 Total 2024 Audit and accountano. fees Trustees remuneration and expenses l.egal and professional fees Other goi ernanLe costs 4.800 5,222 486 ,069 24) 2.677 3.995 10.214 9 Trustees remuneration and expenses No trustees. nor anv persons connec*d iviih them. hai"e receii.ed anN remuneralion from the charilable compan> during the vear. During the l'ear: I trustee M'as reimbursed for reasonable trai'el ex￿nseS totalling £1,550 (2024.. £486 to I trustccl. 10 Staff costs The aggregate payroll costs ivere as follows: 2025 2024 Staff costs during the )ear Ivere: Wagcs and salaric5 Social security costs Pension costs 18i.018 5.922 4,610 246,626 10.202 5,478 19i.i50 262.306 The monthl!. average number of persons (including senior manaoement I leadership team) emplol'ed bv the charitable compani. during ihe l'ear expressed b!" head count il'as as follows= 2025 2024 Administratlvc staff 13 16 During the vear: the charitsble compan!, made redundancN' andlor terniination pavments ￿..hICh totalled £1.524 (2024- £Nil). No cmploj'cc rcccivcd cmolumcnts of rnorc than £60.000 during thc N'car. Paee 34 Limbless Association Notes to the Financial Statements for the Year Ended 31 March 2025 The total emplol'ee benefits of the 2 members ot staty fonning the ke!. management personnel ot the charitable company w'ere £i7.480 {2024- £74.6) l ). I l Tangible fixed assets Furniture and equipment Computer equipment Total Cost At l April 2024 47.74) 17.274 65,019 At 31 March 2025 47.74) 17.274 65.019 Depreciation At 1 .4pril 2024 Charge for the }'ear 39.27) 4.64) 17,247 27 56.522 4.672 Ai 31 March 202) 43.920 17,274 61.194 Nei book value Ai 31 March 2025 3.82) At 31 March 2024 8.470 27 8.497 Paee3i Limbless Association Notes to the Financial Statements for the Year Ended 31 March 2025 12 Fixed asset investments Other investments Unlisted investments Total Cost or Valuation At l April 2024 Revaluaiion Disposals 80.397 (8221 {53.7i6) 80,397 (822) {53.756) Ai 31 March 2025 25.819 25.819 Net book value At 31 March 202) 25.819 25,819 Ai 31 March 2024 80.397 13 Debtors 2025 2024 Trade debiors 23.586 Prcpal'mcnts Accrued income 3.531 238.907 14.010 27).) l O At thc i'car cnd, accrucd incomc is madc up of grant income of £34,010 (2024= £14:010) and Icgacic5 of £204.897 {2024: £nil). Accrued legacies onl). include amounts ii'hich meei income recognition conditions. Included ii'ithin accrued income is £40.000 of legaci- income from the F.stale of Mr A Shearer. The Charitv holds potcntial rights to t"uturc incomc from thc Estatc ot- Mr A Shcarcr in thc forni ot" a IOO/o rcsidual i'aluc. Receipt of anv further legac) income is dependeni on fulure ei'ents ouiside of the Charil>'s direcl control and therelore these are not recognised as assets in the Statement of Financial Position. 14 Creditors: amounts falling due within one yegr 2025 2024 Trade creditors 5,497 16,523 Other taxation and social security Othcr crcditor5 Accruals 1.176 10.980 15,083 10,980 1,917 Deferred income 36.082 30.273 Paee 36 Limbless Association Notes to the Financial Statements for the Year Ended 31 March 2025 2025 2024 Deferred income al l April 2024 Resources deferred in the period Amounts released from previous periods .917 15.08i (1.917) 4.000 1.917 {4.0001 Delerred income at Near end 1.917 -l-he charity has receiN'ed income from a number ol- ￿nefactOrS ivho ha￿e slipulated thai the funds are provided on the condition that the). are used over a specific period of time. Grants and donations recei￿.ed ii'hich hai'e these conditions attached are held as deferred income until the charit￿. has met the criteria. at M"hich FK)int it is then entilted to recogni5e thi5 mone). as income receii'ed in the statement ol Financial aciiwilv {SOI--A). 15 Obligations under lea5e5 and hire purchase contracts Operating lease comtllitments Total tuture minimum lease paTr'ments under nonvcancellable operatino leases are as follows: 2025 2024 Other Within onc s'car Between one and fiN'e vears 550 2)2 i50 802 802 1.352 Paee37 Limbless Association Notes to the Financial Statements for the Year Ended 31 March 2025 16 Funds Currenkyear.. Balance Other at31 Balance at I Incoming Resourees recogni5ed March April 2024 resources expended Transfers gainsl(losses) 2025 Unrestricted funds General fund 1.297 409.728 {121.686) 8).J12} (822) 215.205 Restricted Support and Connect Glasgois. Training to be Amputee Iraqi Project Amputee Carer-l-ransilions Amputcc Lcarning Hub Support and Connect Outreach Project PLcr Supwrt Projcct Amputee Learnin? hub- 9.581 16.194 (3.376) {16.194) (18.477) (14.010) {26.590) 6.20) 41.247 14.010 22.770 14.010 6.33) 14.010 19.600 30.6iO {9):4i9) (8.578) 8.578 15.)66 112.402) 3.164 Total restrieted 102.935 79.826 {19J.086) 83.312 72.987 Total funds 14.232 489.5)4 (314.772 1822) 288.192 Paee38 Limbless Association Notes to the Financial Statements for the Year Ended 31 March 2025 Prioryedr.. Balance Other at31 recogni5ed March expended Transfers gain51(losses) 2024 Balance at l April Incoming Resources 2023 resources Unrestricted funds General fund 170.967 125.2)4 (165.014) (119,9661 76 11.297 Restricted Support and Connect Glasgoii" Training to be Amputee Iraqi Project Amputee c.arer Transitions Amputcc LC￿Ing Hub Support and Connect Outreach Project Pccr Supwrt Projcct 9.581 9.581 16.194 41,247 14.010 13,32) 34.897 {18.703) (19.856) 61.103 14.010 19.860 (6.53)) 10.291 43.821 19.600 30.000 {149.8i7) {6i:243) 19.966 8.578 Total res¢ri¢ted funds 124.796 118.J67 {260.194) 119.966 102.93) Total funds 295.76J 243.601 (425.208) 76 114.2J2 Paee 39 Limbless Association Notes to the Financial Statements for the Year Ended 31 March 2025 The specific purposes for ￿'hICh the funds are to be applied are as folloM"s: Support and Connect Glasgow Fund To supwrt a rangc ot projccts that ￿"1[1 bc dcTr'clopcd for thc bcncfit of paticnts and thcir familics attcnding thc West of Scotland Mobility. and Rehabililation Centre. Glasgo￿. Training to be Amputee Projeci (place-based in F.sseY) An LA Amputcc Lcarning Hub initiatii'c. To d￿l'clOP and dclii-cr a local bc5pok-c Icarning programmc for amputees and their families I￿.hiCh helps to emrKiiYer and support ampuiees who mav be struggling. 'l-he programme addresses keN' topics relei'ant to those ii'ithin the earli. dal's of their limb loss (and at pre-ampulalionl M'iih the aim of educaiing and emp)iiering Iheir rehabiliiation path￿..a￿. and iaekling healih inequalities tor manv ￿'hO are experiencing limb 105S. Legac). Iraqi Support and Inclusion Project This Icgac). gift 15 rcstrictcd to 'suptKbrting Iraqi amputcei. ii.hcrc at all px)ssiblc'. Thc LA w'ill initially aim to ensure that it's sen'ices are full!. accessible to Iraqi amputees and their families lii'ing in the IIK. including peer support. Wc is-.ill aim to cngagc ii-.ith and Icarn alM)Ut this communits- to undcrstand and scopc its 5pcLific challenges ii'"ith a vieiv to detemining further supwbrt and strategies according lo the need identified and aligning is'-ith LA objccts. Amputee Carer Transitions mputee Carer "l-ransilions IAC'I") is a programme dedicaied to addressing and meeiing the needs of ampulee carcts. Incrcasing i.isibilit!' ot this group. improi.ing acccss to inforniation. support. pccr nctti"'orking and deielopment opwriunilies. Leading to aMpU￿e carers being more infonned and more resilienl lo SUp[￿rt iheir I0￿.ed ones in their {lifel long and challenging rehabilitation. Amputee Learning Hub To dcvclop and dclivcr a national programmc of Icarning for amputccs and thcir fa. milics. Pccr lcd actiiwitics will be delivered online and in person aimino to improi"e knoii'ledoe of the rehabilitation pathii'av and address health inequalities. ALlii'ities iyill include the L.Q-s Ilirtuall!" Speak-ing ihem￿lC sessions and regional Lunch and Leam events. Support and Connect Outreach Project To expand Limbless Association outreach sUPWrt in NI. To d￿'elop a Northern Ireland outreach programme based on the model alread!. established in F.ngland and Wales and raise aii'areness of the Charit￿ providing amputccs and thcir familics M'ith improvcd acccss to LA scr¥'iccs. A dcdicatcd Outrcach Coordinator bascd in Nl has been recruited. Peer Support Project The LA'S Volunteer Visitor nthvork offers peer mentoring and SUPFM)rt to Indi￿.Idlla1s and their families. LA Volunteer N'isitors are e.xperienced ampuiees {of iii"o or more l'ears) ii.ho otTer lo support more recent aMpU￿eS and those prewamputation. This national peer-towpeer SUPFKJrt proi.ides recent amputees iiith practical adiwice and information rclating to limb loss from sornconc iv.ith liN"cd c.ipcricncc ii.ho can undcrsLmd thc difficulti￿￿ thcy are facing. Paee 40 Limbless Association Notes to the Financial Statements for the Year Ended 31 March 2025 17 Analysis of Det assets between funds Total fuDd5 at 31 March Unrestrieted funds Restricted funds 2025 Tangible fixed assets Fixed asset investments Current assets Current liabilities 3.825 3,82) 25,819 294.6JO {36,082} 5.279 20.540 i2.447 242.183 {)6:082} Total nct asscts 215.205 72.987 288,192 Total funds at 31 ￿larch Unrestrieted funds Restricted funds 2024 Tangiblc fixcd asscts Fixed asset investments Current assets Current liabilities 8.470 27 8.497 13.837 66,560 80,397 55.611 {30,273} 19.263 {)0:27J} Total nct asscts 1.297 102.935 114,232 18 Related party tr¥nsaction$ During the Vear the charitsble compan). made the follo￿.]ng relaied parts. transactions: Judkins Solicitors (One ol'the In]stees is the oiiner} During thc I'c￿. Icgal pancl donations of £9.483 (2024= £3.9831 Nvcrc rcccii-cd. At thc balancc shcct datc thc amount due from Judkins Solicitors ivas £8.167 (2024- £9:833). Paee41 Limbless Association Notes to the Financial Statements for the Year Ended 31 March 2025 19 Prior year Statement of Finaneial Activitie5 Total 2024 Unrestricted Restricted Note Income and Endowments from: Donalions and legaiies Othcr trading actii'"itics Ini'estment income 20.106 101.798 3.332 138.47J 101.798 3,332 Total income 12i.2J6 118.J67 24).603 Expenditure on: Raising lunds Charitablc actiN"itiC5 82.020 82.997 82.020 343.190 260.193 Tolal expenditure Gains/losses on ini'estmeni assets 16i.017 76 260.193 425,210 76 Nct cxpcnditurc Transfers between tunds ()9.70i) (119.9661 (141.826) 119.966 1181.iJl} Nel moi'ement in funds (159.671) (21.860) (181,i31} Reconciliation of funds Total fund5 brought forward 170.968 124.795 295.76J Totsl tunds carried torriard 16 11.297 10?.935 114.232 Paee 42