Charity registration number NIC105791
Company registration number N1632465 (Northern Ireland)
TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
ANNUAL REPORT AND FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2023

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
LEGAL AND ADMINISTRATIVE INFORMATION
Trustees
Mr S Curry
Mr E McGinley
Mr D Molloy
Mr P Magill
Dr R Hogg
Mr R Napier
Dr J Mccaffrey
Mr O Diamond
Mr D Gibson
Charity number
NIC105791
Company number
N1632465
Registored office
6 Annadale Avenue
Belfast
BT7 3JH
Auditor
Miscampbell & Co
6 Annadale Avenue
Belfast
BT7 3JH
Bankers
Danske Bank
Donegall Square West
Belfast
BT1 6JS
Solicitors
Carson McDowell
Murray House
4 Murray Street
Belfast
BT16DN

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
CONTENTS
Page
Trustees, report
Independent auditorfs report
Statement of financial activities
10
Balance sheet
Notes to the financial statements
13-22

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
TRUSTEES. REPORT (INCLUDING DIRECTORS, REPORT)
FOR THE YEAR ENDED 31 MARCH 2023
The Trustees present their annual report and financial statements for the year ended 31 March 2023.
The financial statements have been prepared in accordance with the accounting policies set out in note 1 to the
financial statements and comply with the Charity's governing document, the Companies Act 2006 and "Accounting
and Reporting by Charities.. Statement of Recommended Practice applicable to charities preparing their accounts in
accordance with the Financial Reporting Standard applicable in the UK and Republi¢ of Ireland {FRS
102)" (effective 1 January 2019).
The Annual Report serves the purposes of both a Trustees, report and a directors, report under company law.
Objectives and activities
a. Policies and objectives
The principle activily of the charity is to continually improve the provision of holistic care for all those with
musGuloskeletsl injury or disease in Northem Ireland.
b. Activities undertaken to achiev8 objectives
The Trustees are pleased to report that the charity continues to improve the provision of holistic care for all those
with musculoskeletal injury or disease in Northern Ireland.
c. Main activities undertaken to further the company's purposes for the public benefit
The charity has a number of different projects running, the results of the major ones are listed below in the Main
achievements and Review of activities of the company.
Achievements and performance
Fundraising
While we had hoped 2022 would see a return for our annual Walk in June, we were unable to get new staff in place
in time to hold it. The following table and chart summarises fundraising.
Fundraising & Donation Figures (only)
Christmas Newsletter 2022
Balmoral Golf Event
Food Nl Awards 2023
Tesco Bag Pack Wallace School
Ringdufferin Nursing Home Bake Sale
Gift In Will
General Donations
Totsl {£)
4,002.50
£5,555.30
£620.00
£704.50
£138.93
£270.00
£9,342.50
£20,633.73
19°
27/
30/.
30
450

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
TRUSTEES. REPORT (INCLUDING DIRECTORS. REPORT) (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2023
• ChriqM￿N1w￿Ietter 1021
Fwxi NE Aw¥d5 2023
Rngduyttin NL#sre Hcme B
Sae
Gft In'Kill
Ger*ai OcrnrJLYs
1%
3%
Patient Liaison Group
The Patient Liaison Group had its first meeting since COVID in 2022.
Research
The following clinical trials were taking place..
WAX- Weight-bearing in Ankle Fractures (University of Oxford). This finished in October.
SCIENCE- Surgery or Cast for Injuries of the Epicondyle in Children's Elbows (University of Oxford)
Study of Retrieved Orthopaedic Implants and Associated Tissues and Data (University of Leeds)
BASIS - Bracing Adolescent Idiopathic Scoliosis (Sheffield Children's NHS Foundation Trust)
The effect of strontium on mesenchymal stem cells from osteoporotic donors {Queen's University Belfast)
HUSH - The Humeral Shaft fracture trial (University of Oxford)
The safety of cementless total knee arthroplasty in osteoporotic bone (Belfast Trust)
The following audits were completed..
90 day complications in elective arthroplasty in Musgrave Park Hospital (ongoing sin¢e 2016)
Outcomes after rib fixation for acute Ghe5t trauma
Functional outcome and risk of non-union for 5th metatarsal base fractures
Blood loss in fractured neck of femur patients
Functional outcomes of patella fractures following operative intervention
Operative Management of displaced 3 and 4-part fractures of the proximal humerus
Factors influencing hip fracture mortality in a unit with high orthogeriatric input
Survivorship of Corail and Exeter stems in total hip arthroplasty
Survivorship of 500 Cementless total knee arthroplasties in patients under 55
Time for a new DVT assessment protocol following lower limb arthroplasty.
Is morbid obesity associated with increased risk of venous thromboembolism following lower limb
arthroplasty?
90 day complications of waiting list initiative primary joint patients in N.1.
Waiting for hip and knee arthroplasty in N. l. - the painful truth.

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
TRUSTEES. REPORT (INCLUDING DIRECTORS, REPORT) (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2023
In addition, approval was being sought to start the following clinical trials..
Can the use of Virtual Reality Improve Outcomes Following Total Knee Arthroplasty with Spinal
Anaesthesia (Belfast Trust)
G-FORCE - Gait in Fixed Or Rotating Cementless Total Knee Arthroplasties (Belfast Trust)
A Randomised Controlled Trial of Tourniquet Use in Ankle Fracture Surgery (Belfast trust)
METEOR-2: The Meniscal Transplant surgery or Optimised Rehabilitation full randomised trial (University
of Warwick)
WHITE (LIT) World Hip Trauma Evaluation 10.. Lidocaine Intravenous Trial (University of Oxford)
WHITE (DUALITY): World Hip Trauma Evaluation 12, Dual mobility versus standard articulation total hip
replacement in the treatment of older adults with a hip fracture (University of Oxford)
RAPSODI= Reverse or Anatomical replacement for Painful Shoulder Osteoarthritis, Differences be￿een
Interventions.. a multi-centre, pragmatic, parallel group, superiority randomised controlled trial (University of
York)
The research team were involved in the following publications:
1. Is Cementless Total Knee Arthroplasty Safe in Women Over 75 Y of Age? Gibbons JP, Cassidy RS, Bryce L,
Napier RJ, Bloch BV, Beverland DE. J Arthroplasty. 2022 Oct 19.'S0883-5403122)00958-5. Online ahead of print.
2. Survivorship of 500 Cementless Total Knee Arthroplasties in Patients under 55 Years of Age. Sheridan GA,
Cassidy RS, McKee C, Hughes I, Hill JC, Beverland DE. J Arthroplasty. 2022 Oct 26.'S0883-5403(22)00972-X.
Online ahead of print.
3. The Influence of Orthopedic Surgery on Circulating Metabolite Levels, and their Associations with the Incidence
of Postoperative Delirium. Jung M, Pan X, Cunningham EL, Passmore AP, McGuinness B, McAuley DF, Beverland
D, O'Brien S, Mawhinney T, Schott JM, Zetterberg H, Green BD. Metabolites. 2022 Jul 1',12(7)'.616.
4. Using tranexamic acid for an additional 24 hours postoperatively in hip and knee arthroplasty saves money.. a
cost analysis from the TRAC-24 randomized control trial. Karayiannis PN, Agus A, Bryce L, Hill JC, Beverland D.
Bone Jt Open. 2022 Jul,'3(7).'536-542.
5. Factors influencing resilience to postoperative delirium in adults undergoing elective orthopaedic surgery.
Bowman EML, Cardwell C, McAuley DF, M¢Guinness B, Passmore AP. Beverland D, Zetterberg H, Schott JM,
Cunningham EL. Br J Surg. 2022 Sep 9',109{10).'908-911.
6. Cup placement in primary total hip arthroplasty= how to get it right without navigation or robotics. Meermans G,
Grammatopoulos G. Innmann M, Beverland D. EFORT Open Rev. 2022 May 31;7(6)'.365-374.
7. Mid-term results of the treatment of complex aGetabular fracture5 Wlth Combined acute fixation and total hip
replacement in the older patient. Bassett JW, Diamond OJ, Spence DJ. Ward AJ, Acharya MR, Chesser TJS. Hip
Int. 2022 Dec 21'.11207000221145437. Online ahead of print.
Education
TORC has contributed to the following..
Leeann Bryce, research nurse, graduated in her nursing degree at Queen's University Belfast in July 2022.
Roslyn Cassidy. TORC data analyst, completed her course on Statistical Methods in Epidemiology remotely
with the University of London, finishing in June 2022.
TORC hosted a Trauma Simulation Training for T&0 trainees in December. The training took place at the
Intersim Centre in Queen's University Belfast.
The production and funding of new patient education booklets for major trauma patients in the Belfast Trust
called 'Steps to Recovery Following Traumatic Injury.,

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
TRUSTEES. REPORT (INCLUDING DIRECTORS, REPORT) (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2023
Attendance for staff and orthopaedic trainees to attend and present both oral and poster presentalons of TORC
research at the following conferences..
1. Irish Orthopaedi¢ Fool and Ankle Society (IOFA) Scientific Meeting
2. European Federation of National Associations of Orthopaedics and Traumatology (EFORT) Annual
Congress
3. British Association for Surgery of the Knee (BASK) Conference
4. European Society for Thoracic Surgeons (ESTS) Annual Conference
5. National Institute for Health Research {NIHR) Trauma Trials Annual Meeting
6. Orthopaedic Trauma Society (OTS) Annual Conference
7. Society for Cardiothoracic Surgery in Great Britain and Ireland Annual Meeting
8. British Orthopaedic Association (BOA) Annual Congress
9. European Delirium Association (EDA) Annual Meeting
10. British Hip Society (BHS) annual meeting
Support
The Multidisciplinary Orthopaedic Training and Simulation room opened in January in Musgrave Park Hospital. The
simulator has been well used to date with 21 registered users (16 Trainees & 5 Consultants). 632 Training modules
have been completed by all current registered users. This had led to a safer learning environment wrth trainees
completing procedures on the simulator before moving to learning these in theatre meaning it is safer for patients.
Consultants have used it to refresh skills and update on new techniques.
TORC also co-ordinated a project with local non-profit organisation, Heartship who provide lifesaving medical
supplies to countries in war and famine. They required volunteers with experience of surgical instru ments to sort
£2.5M worth of historical surgical supplies. TORC volunteers helped to categorise these over 6 weeks and it has
now been sent to countries like Ukraine that are able to make use of it.
Futuro Plans
In the next 12 months, the research team will be continuing with the on-going research studies and aiming to get
approval for the planned research listed above.
With new staff in post, TORC will be focusing on fundraising through..
Improving Digttal marketing tools.. Facebook, Instagram, twitter and Linkedln plus fundraising platfomis..
Just Giving and Enthuse. We will also look into using Mail Chimp for contacting donors, and Eventbrite for
events plus update the website with new fundraising information.
Participation in several fundraising events such as an abseil challenge, running events like the Belfast
Marathon and TORC run events like the Musgrave Mile and the TORC Walk.
New literature about the charity will be designed and printed. Available to download or hand out at health
fairs and Seminars.
TORC is also planning a refurbishment of the existing BART Room to create a training and education hub for staff. It
will also have space for training and have video conferencing facilities for meetings plus work stations to allow
trainees to complete research.

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
TRUSTEES. REPORT (INCLUDING DIRECTORS. REPORT) (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2023
Flnancial review
After reviewing the Charity's forecasts and projections, the Trustees have a reasonable expectation that the charity
has adequate resources to continue in operational existence for the foreseeable future. The charity therefore
continues to adopt the going concern basis in preparing its financial statements.
With salary costs now approximately £230k per year and the ￿furbI$hrnent of the BART Room going to cost
approximately £100K. This is a Challenging time for the charity and while it is expected that fundraising and
donations will increase with the addition of new members of staff, it will take time for this to grow, however it is
reassuring that the MITRE had agreed in 2019 to an annual sum of £100,000 for 5 years.
The trustees will consider on an ongoing basis the level of reserves that is prudent for the charity to have in line with
known future developments, liabilities and uncertainties.
The Net Current Assets at 31st March 2023 were £829,014 (2022 £854,454} with restricted funds at £113,486
(2022 - £65,983), designated funds amounting to £338.379 {2022 £115,220) reflecting an underlying unrestricted
funds reserve of £377,149 (2022 - £673,251). The designated funds are expected to be utilised over the next 12 to
24 months.
Structure, governanc8 and management
a. Constitution
Trauma & Orthopaedics Research Charity is registered as a charitable Company limited by guarantee and was set
up by a Trust deed.
b. Methods of appointment or election of Trustees
The management of the company is the responsibility of the Tnjstees who are elected and co-opted under the terms
of the Trust deed.
Organisational structure and de¢ision-making policies
The board is responsible for setting the mission, vision, values and strategic objectives of the charity and for
overseeing the implementstion of those objectives. David Beverland has been delegated day to day management.
d. Pay policy for key management personnel
Trustees are not remunerated and are appointed based on merit and against objective Criteria. Although trustee
appointments are not publi¢ appointments, the ¢harity aims to Comply with the principles of the Commissioner for
Public Appointments in Northern Ireland (merit, diversity, equality. openness, transparency, independence. integrity,
proportionality and respect).
Financial risk management
The Trustees have assessed the major risks to which the company is exposed. in particular those related to the
operations and finances of the company, and are satisfied that systems and procedures are in place to mitigate
exposure to the major risks.
The Trustees, who are also the directors for the purpose of company law, and who served during the year and up to
the date of signature of the finanGial statements were..
Mr S Curry
Mr E McGinley
Mr D Molloy
Mr P Magill
Dr R Hogg
Mr R Napier
Dr J Mccaffrey
Mr O Diamond
Mr D Gibson

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
TRUSTEES. REPORT (INCLUDING DIRECTORS, REPORT) (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2023
None of the Trustees has any beneficial interest in the company. All of the Trustees are mernbers of the company
and guarantee to contribute £1 in the event of a winding up.
AppoTntment of new staff
The year started with no direct charity staff. Beverley Leckey left the charity on 31st December 2021 and replacing
her proved dlfficult through the Belfast Tru51 so it was agreed new staff would be employed directly through the
charlty. It wa5 decided to recruit for a full lime Band 6 office managerlfundraising co-ordlnator and a part time Band
admlnlstrator. Thls would allow more tirne for fundraising which will be needed when Professor Beverland's
contributions to the charity stop. Amanda Walson (Band 6) started on the 14th November 2022 and Sandra Wragg
(Band 4) on 9th January 2023.
Statement of Trustees. responsibilities
The Trustees, who are a150 the directors of Trauma & Otlhopaedics Research Charity for the purpose of company
law, are responsible for preparing the Trustees, Report and the financlal statements in accordance wth applicable
law and Uniled Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).
Company Law requires the Trustees lo prepare financial statements for each financial year which gnie a true and
fair view of Ihe state of affairs of the charity and of the incoming resources and applicatlon of resources, Including
the income and expenditure, of the Gharilable company for thal year.
In preparlng these financial statements, the Trustees are required to:
select suitable accounting policies and then apply them consistently.,
ob5eNe the methods and princlples in the Charities SORP;
make judgements and estimates that are reasonable and prudent- and
prepare the financial statements on the going concern basis unless it Is inappropriate to presume that the charity
wlll continue in operation.
The Trustees are responsible for keeping adequate accounting records that disclose with reasonable accuracy at
any time the financial position of the charity and enable them to ensure that the financial statemen Is comply with the
Companies Act 2006. They are also responsible for safeguardin9 the assels of the charity and hence for taking
reasonable 5tep5 for the prevention and detection of fraud and other irregularities.
Audltor
In accordance with the company's articles, a resolution proposing that Miscampbell & Co be reappolnled as auditor
of the company will be put at a General Meetiny.
The Trustees, re
rt was approved by the Board of Trustees.
Mr R Napi
Trustae
22 June 2023

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
INDEPENDENT AUDITOR'S REPORT
TO THE TRUSTEES OF TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
Opinion
We have audited the financial statements of Trauma & Orthopaedics Research Charity (the 'charity') for the year
ended 31 March 2023 which Comprise the statement of financial activities, the balan¢e sheet and notes to the
financial statements, including significant accounting policies. The financial reporting framework that has been
applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial
Reporting Standard 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United
Kingdom Generally Accepted Accounting Practice).
In our opinion, the financial statements:
give a true and fair view of the state of the charitable company's affairs as at 31 March 2023 and of its
incoming resources and application of resources, for the year then ended.,
have been properly p￿pared in accordance with United Kingdom Generally Accepted Accounting PraCtI￿-
and
have been prepared in accordance with the requirements of the Companies Act 2006.
Basis for opinion
We conducted our audit in accordance with International Standards on Auditing (UK) (ISAS (UK)) and applicable
law. Our responsibilities under those standards are further described in the Auditors responsibililies for the audit ol
the linancial statements se¢tion of our report. We are independent of the charity in accordance with the ethical
requirements that are relevant to our audit of the financial statements in the UK, including the FRC'S Ethical
Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe
that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.
Conclusions relating to going concern
In auditing the financial statements, we have concluded that the Trustees, use of the going concem basis of
accounting in the preparation of the financial statements is appropriate.
Based on the work we have performed, we have not identified any material uncertainties relating to events or
conditions that, individually or collectively, may cast significant doubt on the charity's ability to continue as a going
concern for a period of at least ￿e1ve months from when the financial ststements are authorised for issue.
Our responsibilities and the responsibilities of the Trustees with respect to going concern are described in the
relevant sections of this report.
Other information
The other information comprises the information included in the annual report other than the financial statements
and our auditols report thereon. The Trustees are responsible for the other information contained within the annual
report. Our opinion on the financial statements does not cover the other infonnation and we do not express any form
of assurance conclusion thereon. Our responsibility is to read the other information and, in doing so, consider
whether the other information is materially inconsistent with the financial statements or our knowledge obtained in
the course of the audit. or otherwise appears to be materially misstated. If we identify such material inconsistencies
or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement
in the financial statements themselves. If, based on the work we have performed. we conclude that there is a
material misstatement of this other information. we are required to report that fact.
We have nothing to report in this regard.
Matters on which we are required to report by exception
We have nothing to report in respect of the following matters in relation to which the Charities (Accounts and
Reports) Regulations 2008 require us to report to you if, in our opinion..
the information given in the financial statements is inconsistent in any material respect with the Trustees,
report., or
sufficient accounting records have not been kept., or
the financial statements are not in agreement with the accounting records., or
we have not received all the information and explanations we require for our audit.

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
INDEPENDENT AUDITOR'S REPORT (CONTINUED)
TO THE TRUSTEES OF TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
Responsibilities of Trustees
As explained more fully in the statement of Trustees. responsibilities, the Trustees, who are also the directors of the
charity for the purpose of company law, are responsible for the preparation of the financial statements and for being
satisfied that they give a true and fair view, and for such internal control as the Trustees determine is necessary to
enable the preparation of financial statements that are free from material misstatement, whether due to fraud or
error. In preparing the financial statements, the Trustees are responsible for assessing the charity's ability to
continue as a going Concern, disclosing, as applicable, matters related to going concern and using the going
concern basis of accounting unless the Trustees either intend to liquidate the charitable company or to cease
operations, or have no realistic alternative but to do so.
Auditor's responsibilities for th8 audit of the financial statements
We have been appointed as auditor under section 144 of the Charities Act 2011 and report in accordance with the
Act and relevant regulations made or having effect thereunder.
Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from
material misstatement, whether due to fraud or error, and to issue an auditor's report that includes our opinion.
Reasonable assurance is a high level of assurance but is not a guarantee that an audit conducted in accordance
with ISAS (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or
error and are Considered material if. individually or in the aggregate. they Could reasonably be expected to influence
the economic decisions of users taken on the basis of these financial statements.
The extent to which our procedures are capable of detecting irregularities, including fraud, is detailed below.
Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in
line with our responsibilities. outlined above, to detect material misstatements in respe¢t of irregularities, including
fraud. However, the primary responsibility for the prevention and detection of fraud rests with both those charged
with governance of the Company and management. The extent to which our procedures are capable of detecting
irregularities, including fraud is detailed below..
obtained an understanding of the legal and regulatory frameworks that are applicable to the Company and
determined that the most significant are those that relate to the reporting framework (FRS 102 and the
Companies Act 2006) and the relevant tax compliance regulation in the United Kingdom;
understood how the Company is complying with those frameworks by making enquiries of management to
understand how the Company maintains and communicates its policies and procedures in these areas-
assessed the vulnerability of the Company's financial statements to material misstatement, including how
fraud might occur by considering the risk of management override and by assuming revenue recognition to
be a fraud risk,. and
based on this understanding our audit procedures were designed to identify non-¢omplian¢e with such laws
and regulations.
A further description of our responsibilities is available on the Financial Reporting Council's website at.. https:11
w.frc.org.uklauditorsresponsibilities. This description forms part of our auditorfs report.
Use of our report
This report is made solely to the company's members, as a body, in accordance with the Companies Act 2006. Our
audit work has been undertaken so that we might state to the ¢ompany'5 members those matters we are required to
state to them in an auditor's report and for no other purpose. To the fullest extent permitted by law, we do not accept
or assume responsibility to anyone other than the company and the company's members as a body. for our audit
work. for this report. or for the opinions we have formed.

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
INDEPENDENT AUDITOR'S REPORT (CONTINUED)
TO THE TRUSTEES OF TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
Jonathan R Bethel {Senior Statutory Auditor)
for and on behalf of Miscampbell & Co
22 June 2023
Chartered Accountants
Statutory Auditor
6 Annadale Avenue
Belfast
BT7 3JH

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
STATEMENT OF FINANCIAL ACTIVITIES
INCLUDING INCOME AND EXPENDITUREACCOUNT
FOR THE YEAR ENDED 31 MARCH 2023
Unrestricted Restricted
funds
funds
2023
2023
Total
Unrestri¢ted Restricted
funds
funds
2022
2022
Total
2023
2022
Notes
Income from:
Donations and
legacies
Other trading
activities
Investments
11,507
243,873
255,380
112.538
175,273
287,811
8,321
566
8,321
566
55,200
670
55,200
670
Total income
20,394
243,873
264,267
168,408
175,273
343,681
Charitable activities
69,775
196,370
266,145
276,035
151,933
427,968
Net gainsl(losses) on
investments
10
(23,562)
(23,562)
29,092
29,092
Gross transfers
be￿een funds
Net movement in funds
(25,000)
(103,535)
25,000
48,340
(72,943)
47,503
(25,440)
(55,195)
Fund balances at 1 April
2022
788,471
65,983
854,454
892,006
17,643
909,649
Fund balances at 31
March 2023
715,528
113,486
829,014
788,471
65,983
854,454
The statement of financial activities includes all gains and losses recognised in the year.
All income and expenditure derive from continuing activities.
The ststement of financial activities also Complies with the requirements for an income and expenditure account
under the Companies Act 2006.
10-

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
BALANCE SHEET
AS AT 31 MARCH 2023
2023
2022
Notes
Fixed assets
Tangible assets
Investments
12
13
12,143
589,636
14,290
613,198
601,779
627,488
Current assets
Debtors
Cash at bank and in hand
14
65,749
190,548
65,718
270,713
256,297
336,431
Creditors: amounts falling due within
one year
15
(29,062)
(109,465}
Net current assets
227,235
226,966
Total ass8ts less current liabilities
829,014
854,454
Income funds
Restricted funds
restricted funds
Designated funds
General unrestricted funds
16
113,486
65,983
17
338,379
377,149
115,220
673,251
715,528
788,471
829,014
854,454
The company is entitled to the exemption from the audit requirement contained in section 477 of the Companies Act
2006, for the year ended 31 March 2023, although an audit has been Garried out under section 144 of the Charities
Act2011.
11

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
BALANCE SHEET (CONTINUED)
AS AT 31 MARCH 2023
The dlrectors acknowledge their responsibilities for complying with the requirements of the Companie5 Act 2006
wlth respect to accounting records and the preparation of financial statements.
The members have not requlred the company lo obtain an audit of its financial statements under the requirement5
of the Companles Act 2006, for the year in question in acGordanc& wlth section 476.
These financlal statements have been prepared in accordance ￿th the provisions applicable to companies sublecl
lo the small companies regime.
The finanGlal statements were approved by the Trustees on 22 June 2023
Mr D Molloy
Trustee
Mr R Napier
Trustee
Company reglstratlon number N1632465
12-

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2023
Accounting policies
Charity information
Trauma & Orthopaedics Research Charity is a private company limited by guarantee incorporated in Northem
Ireland. The registered office is 6 Annadale Avenue, Belfast. BT7 3JH.
1.1 Accounting convention
The financial statements have been prepared in accordance with the Companies Act 2006, FRS 102 "The
Financial Reporting Standard applicable in the UK and Republic of Ireland. ("FRS 102"} and the Charities
SORP "Accounting and Reporting by Charities- Statement of Recommended Practice applicable to charities
preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and
Republic of Ireland {FRS 102)" (effective 1 January 2019). The charity is a Public Benefit Entity as defined by
FRS 102.
The charity has taken advantage of the provisions in the SORP for charities not to prepare a Statenent of
Cash Flows.
The financial statements are prepared in sterling, which is the functional currency of the charity. Monetary
amounts in these financial statements are rounded to the nearest £.
The financial statements have been prepared under the historical cost convention. The principal accounting
policies adopted are set out below.
1.2 Going concern
At the time of approving the financial statements, the Trustees have a reasonable expectation that the charity
has adequate resources to continue in operational existence for the foreseeable future. Thus the Trustees
continue to adopt the going concern basis of a¢¢ounting in preparing the financial statements.
1.3 Charitable funds
Unrestricted funds are available for use at the discretion of the Trustees in furtherance of their charitable
objectives.
Restricted funds are subject to specific conditions by donors as to how they may be used. The purposes and
uses of the restricted funds are set out in the notes to the financial statements.
Endowment funds are subject to specific conditions by donors that the ¢apital must be maintained by the
charity.
1.4 Income
Income is recognised when the charity is legally entitled to it after any performance conditions have been met.
the amounts can be measured reliably, and it is probable that income will be re￿ived.
Cash donations are recognised on receipt. Other donations are recognised once the charity has been notified
of the donation. unless performance conditions require deferral of the amount. Income tax recoverable in
relation to donations received under GiftAid or deeds of Covenant is recognised at the time ofthe donation.
Legacies are recognised on ￿CeIpt or otherwise if the charity has been notified of an impending distribution,
the amount is known, and receipt is expected. If the amount is not known, the legacy is treated as a
contingent asset.
13-

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2023
Accounting policies
(Continued)
1.5 Expenditure
Expenditure is recognised once there is a legal or constructive obligation to transfer economic benefit to a
third party, it is probable Ihat a transfer of economic benefits will be required in settlement, and the amount of
the obligation can be measured reliably.
Expenditure is classified by activity. The costs of each activity are made up of the total of dIr￿t costs and
shared Costs, including support costs involved in undertaking each activity. Direct costs attributable to a single
activity are allocated directly to that activity. Shared costs which contribute to more than one activity and
support costs which are not attributable to a single a¢tivity are apportioned be￿een those activities on a basis
consistent with the use of resour¢es. Central staff costs are allocated on the basis of time spent, and
depreciation charges are allocated on the portion of the asset's use.
All expenditure is inclusive of irrecoverable VAT.
1.6 Tangible fixed assets
Tangible fixed assets are initially measured at cost and subsequently measured at cost or valuation, net of
depreciation and any impairment losses.
Depreciation is recognised so as to write off the cosl or valuation of assets less their residual values over their
useful lives on the following bases..
Fixtures and fittings
Office equipment
250A straight line
150/0 Straight line
The gain or loss arising on the disposal of an asset is determined as the differen¢e between the sale proceeds
and the carrying value of the asset, and is recognised in the statement of financial activities.
1.7 Fixed asset investsnents
Fixed asset investments are initially measured at transaction price excluding transa¢tion costs, and are
subsequently measured at fair value at each reporting date. Changes in fair value are recognised in net
incomel(expenditure) for the year. Transaction costs are expensed as incurred.
1.8 Impairment of fixed assets
At each reporting end date, the charity reviews the carrying amounts of its tangible assets to determine
whether there is any indication that those assets have Suffered an impairment loss. If any such indication
exists, the recoverable amount of the asset is estimated in order to determine the extent of the impairment
loss (if any).
1.9 Cash and cash equival8nts
Cash and cash equivalents include cash in hand, deposits held at call with banks, other short-temi liquid
investments with original maturities of three months or less, and bank overdrafts. Bank overdrafts are shown
within borrowings in current liabilities.
1.10 Financial instruments
The charity has elected to apply the provisions of Section 11 'Basic Financial Instruments. and Section 12
'Other Financial Instruments Issues, of FRS 102 to all of its financial instruments.
Financial instruments are recognised in the charity's balance sheet when the ¢harity becomes party to the
contractual provisions of the instrument.
Financial assets and liabilities are offset, with the net amounts presented in the financial statements, when
there is a legally enforceable right to set off the recognised amounts and there is an intention to settle on a net
basis or to realise the asset and settle the liability simultaneously.
14-

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2023
Accounting policies
Icontinued)
Basic linancial assets
Basic financial assets, which include debtors and cash and bank balances, are inilially measured at
transaction price including transaction costs and are subsequently carried at amortised cost using the effective
interest method unless the arrangement constitutes a financing transaction, where the transaction is
measured at the present value of the future receipts discounted at a market rate of interest. Financial assets
Classified as receivable within one year are not amortised.
Basic financial liabilities
Basi¢ financial liabilities, including Creditors and bank loans are initially recognised at transaction price unless
the arrangement constitutes a financing transaction, where the debt instrument is measured at the present
value of the future payments discounted at a market rate of interest. Financial liabilities classified as payable
within one year are not amortised.
Debt instruments are subsequently carried at amortised cost, using the effective interest rate method.
Trade creditors are obligations to pay for goods or services that have been acquired in the ordinary course of
operations from suppliers. Amounts payable are classified as current liabilities if payment is due within one
year or less. If not, they are presented as non-current liabilities. Trade creditors are recognised initially at
transaction price and subsequently measured at amortised cost using the effective interest method.
Derecognition of financial liabilities
Financial liabilities are dere¢ognised when the charity's contractual obligations expire or are discharged or
cancelled.
1.11 Employee benefits
The cost of any unused holiday entitlement is recognised in the period in which the employee's services are
received.
Termination benefits are recognised immediately as an expense when the charity is demonstrably committed
to terminate the employment of an employee or to provide termination benefits.
Critical accounting estimates and judgements
In the application of the Charity's accounting policies, the Trustees are required to make judgements,
estimates and assumptions about the carrying amount of assets and liabilities that are not readily apparent
from other sources. The estimates and associated assumptions are based on historical experience and other
factors that are considered to be relevant. Actual results may differ from these estimates.
The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting
estimates are recognised in the period in which the estimate is revised where the revision affects ¢)nly that
period, or in the period of the revision and future periods where the revision affects both current and future
periods.
15-

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2023
Donations and legacies
Unrestricted Restricted
funds
funds
Total
Unrestricted Restricted
funds
funds
Total
2023
2023
2023
2022
2022
2022
Donations and gifts
Legacies receivable
Grants
Donation - MITRE
Trust
11,507
101,185
112,692
8,836
3,702
84,990
93,826
3,702
90,283
142,688
142,688
90,283
100,000
100,000
11,507
243,873
255,380
112,538
175,273
287,811
other trading activities
Unrestricted Unrestricted
funds
funds
2023
2022
Fundraising
8,321
55,200
Investments
Unrestricted Unrestricted
funds
funds
2023
2022
Investment income
566
670
16-

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2023
Charitable activities
Charitabl8 Charitable
Expenditure Expenditure
2023
2022
Depreciation and impairment
3,227
4,350
Share of support costs (see note 7)
Share of govemance costs (see note 7)
258,066
4,852
419,698
3,920
266,145
427,968
Analysis by fund
Unrestricted funds
Restricted funds
69,775
196,370
276,035
151,933
266,145
427.968
Support costs
Support Governance
costs
costs
2023
Support Governance
costs
costs
2022
Repairs
Legal and professional
Postage and stationary
General
Telephone
Subscriptions
Bank fees
Advertising costs
Contract work
Research and
development
Insurance
Conference costs
Fundraising costs
(5)
5.103
7,184
115
508
1,051
127
4,802
184.792
(5)
5,103
7,184
115
508
1,051
127
4,802
184.792
148
3,780
3,089
1,262
524
3,349
374
7,890
263,165
148
3,780
3,089
1,262
524
3,349
374
7,890
263,165
24,250
637
28,918
584
24,250
637
28,918
584
130,662
578
500
4,377
130,662
578
500
4,377
Audit fees
4,852
4,852
3.920
3,920
258,066
4.852
262,918
419,698
3,920
423.618
Analysed between
Charitable activities
258,066
4,852
262,918
419,698
3,920
423,618
17-

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2023
Trustees
None of the Trustees {or any persons connected with them) received any remuneration or benefits from the
charity during the year.
Employees
The average monthly number of employees during the year was:
2023
Number
2022
Number
Including Trustees
There were no employees whose annual remuneration was more than £60,000.
10 Net gainsl(losses) on investments
Unrestricted un￿strICted
funds
funds
2023
2022
Revaluation of investments
{23,562)
29,092
11 Taxation
The charity is exempt from tax on income and gains falling within section 505 of the Taxes Act 1988 or section
252 of Ihe Taxationof Chargeable Gains Act 1992 to the extent that these are applied to its charitable objects.
18-

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2023
12 Tangible fixed assets
Flxtures and
flttlngs
Office
equipment
Total
Cost
At 1 April 2022
Additions
6,428
20,436
1,080
26.864
1.080
At 31 March 2023
6,428
21,516
27,944
Depreciatlon and impalrment
At 1 April 2022
Depreciation Charged in the year
6,428
6,146
3,227
12,574
3,227
At 31 March 2023
6,428
9,373
15,801
Carrying amount
At 31 March 2023
12,143
12,143
At 31 March 2022
14,290
14,290
13 Fixed asset investments
Llsted
investments
Cost or valuation
At 1 April 2022
Valuation changes
613,198
(23,562)
At 31 March 2023
589,636
Carrying amount
At 31 March 2023
589,636
At 31 March 2022
613,198
14 Debtors
2023
2022
Amounts falling due within one year:
other debtors
Prepayments and accrued income
65.410
339
65,410
308
65,749
65,718
19-

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2023
15 Creditors: amounts falling due within one year
2023
2022
Accruals and deferred income
29,062
109,465
-20-

)00
corno

TRAUMA & ORTHOPAEDICS RESEARCH CHARITY
NOTES TO THE FINANCIAL STATEMENTS (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2023
17 Designated funds
The income funds of the charity include the following designated funds which have been set aside out of
unrestricted funds by the trustees for specific purposes-
Movement
in funds
Incoming
resources
Balance at
1 April 2021
Balance at
1 April 2022
Transfers
Balance at
31 March 2023
Designated funds
115,220
115,220
223,159
338,379
115,220
115,220
223,159
338,379
18 Analysis of net assets between funds
Unrestricted Restricted
funds
funds
2023
2023
Total Unrestricted Restrictsd
funds
funds
2022
2022
Total
2023
2022
Fund balances at 31
March 2023 are
represented by..
Tangible assets
Investments
Current assetsl(liabilities)
6,551
589,636
119,341
5,592
12,143
589,636
227,235
7,173
613,198
168,100
7,117
14,290
613,198
226,966
107,894
58,866
715,528
113,486
829,014
788,471
65,983
854,454
19 Related party transactions
There were no disclosable related party transactions during the year (2022 - none).