IA
Ileostomy and Internal Pouch Association
Registered Charity No. 1172338 (England and Wales) and SC048658 {Scotland)
A Company limited by guarantse in England and Wales No. 10375943
ANNUAL REPORT
and
ACCOUNTS
2025
Because we know, we care

IA
IA
Ileostomy and Internal Pouch Association
(Originally established 19561
Registered Charity No. 1172338
Registered Company No. 10375943
PRINCIPAL ADDRESS AND REGISTERED OFFICE
Danehurst Court. 35-37 14ltst Street. Rothford, Essex SS4 18E
PRESIDENT:
Professor Gordon Cadson CBE, Bsc (Hons). MB ChB (Hons). MD. FRCS, FRCS {Gen),
FRCSEd (Ad Hom)
BOARD OF TRUSTEES
Chair.
Viwhair..
Mr Stuart Hay
Ms Anna Rennie
Trustees:
Mr Justin Bishop
Ms Cepta Burke
Mr Scott Clrflord
Mr David Drakeley (until 24 November 20241
Mrs Carol Katté RGN, DipN{LorKI), NDNCert. ENB216
Mr Richard Lovegrove MB, BS, MD. FRCS (from 28 October 2025)
Mr Amar Panthal (until 17 May 2025)
Professor Thomas Pinkney MBChB. MMedEd. MD. FRCS (from 13 September 20251
Mrs Jacqui Sibbald
Ms Brigttte SElken
Mr John Small
Mr Neil Smart MBBS{Hons), MD. PhD. FRCSEd. MFMLM (until 6 June 2025)
Ms Tra￿Y Usher
Annual Report 2025

IA
NATIONAL OFFICERS
Chief Exe￿lIve Officer
and National Treasurer..
Mr Michael Bell FCCA
National offi￿ Manager.
PR & Communications
ManagerllA Joumal Edrtor.
Ms Leann Lepley
Mrs Caroline Bramwell
PROFESSIONAL ADVISERS
Bates Wells & Braithwaite LLP
10 Qu￿n Street PLqce
London EC4R 1BE
Legal advisers:
Principal bankers..
The Cwperative Bank
PO Box 250. Hou*. Soutlwiay, Skelmersdale WN8 6
Sumer Audrt
Piper House, 4 [￿ke$ Court, Bognor Road. Chichester P019 8FX
Rathbone Investment Management Limited
George House. 50 George Square, Glasgow G2 1 EH
Auditors..
Investrnent manager.
Annual Report 2025

IA
BOARD OF TRUSTEES REPORT (INCLUDING DIRECTORS, REPORT)
The Board of Trustees has pleasure in presenting rts report for the year ended 30 September
2025. This report represents a Directors, Report as required by s417 of the Companies Act 2006.
The financial statements have been prepared in accordan￿ with the accounting policies set out in
note 1 to the financial ststements aTrJ compty wrth the tharTty'S goveming dO￿rnent. the
Companies Act 2006 and "Accounb"ng and Reporting by Chanties". Statement of Recommended
Practice applirAbk to tharities preparing their accounts in aC0)rdan￿ wth the Financial Reporting
Standard applicable in the UK and the Republic of Ireland (FRS102)' (as amended for accounting
peric%ls commencing from 1 January 2019).
LEGAL STATUS AND OBJECTS
Ileostomy and Intemal Pouch Association is a Company Limtied by Guarantee in England and
Wales (10375943) and is a Chanty registered in England arKJ Wales no 1172338 and in Scotland
no. SC048658 wilh a working name of IA. The Chartty ts governed by its Articles of Association,
last amended in Augusl 2018 A￿hoUgh the Company was incorporated on 14 September 2016 il
remained donnant unbl 30 September 2018, wrth the Chanty operating until that date as an
unincorporated a550cialion registered in EnglarKI and Wa￿5 UTKJer tharity number 234472 in the
name of IA. The Charity's principal address and registered office is Danehurst Court. 35-37 West
Street, Rochford, Essex SS4 1 BE.
In setting the Charity's objectrves and planning its actrvtiies the Trustees have given carefvl
consideration to the Charity Commission's general guidan￿ on public benefrt and in particular to
its supplementsry public benefft gujdance on the relief of those in need by reason of i11-hea￿h.
IA'S objects are..
To help anyone whose colon has tr￿en, or is about to be, removed by surgical procedure or
who has an ileostomy or an intemal pouch;
To promote and co-ordinats research into bowel disease and other conditions leading to
the removal of the colon, surgical pro￿ureS pertaining thereto, and related matters, and
fvrther to promote the dissemination of knoWI￿1ge gained by such research:
To keep ileostomists and others infomied of all matters of interest to the Charity by the
periodic dissemination of informats.on by way of publications, by arranging ￿nferenCes,
Semina￿ and courses on topics of interest, and in any other manner which is charrtable and
which the trustees consider appropriate.
ORGANISATIONAL STRUCTURE
This charity was originally fourKloJ in 1956 operat&J as a tharitable unincorporaled
association registered under tharity number 234472 until 30 September 2018. Al that point, it
transfe￿ed its undertakings, induding all activilies, employees and assets subject to all its liabiltties
in its entirety to a charitable Company Limited by Guarantee. I￿OSIOMY and Intemal Pouch
Associalion. company number 10375943 (England and Wales) through which it now operates.
Throughout its existen￿. IA has operated a number of local groups. known as member
organisations, which are located throughout the Unrted Kingdom. Member organisations operate
either as an Inlegrated Branch (hereinafter temed "Branch"} of Ihe national chanty, or as an
Affiliated Member Organisation (hereinafter tenned "Affiliate-) which is a separate charity from the
national charity, wth the relalionship be￿een the Affiliate and the national charity being governed
by an Affiliation Agreement. During the period under revmv there were 41 member organisations,
of whith 36 operated as Branches and 5 as Affiliates.
The trustees of the national chartty, who are also the diredors for the purposes of company law,
who served during the year. are listed on page 2. None of the trUst￿S has any beneficial Inte￿St
Annual Report 2025

IA
in the company. All of the trustees are members of the company and guarantee to ojntribute £1 in
the event of a winding up.
The members of the Company consist of the boar(l of trustees and one representative from each
member organisation, ensuring that member organisations are ￿ntral to the tharity's goveman
and policy setting. There are generally four board meetings a year whith was the case in the year
under review, with three meetings taking pla￿ online and one in person. The Tnjstees believe that
working in this way is both more economic and a more efficient use of time and resour￿$, and thal
this does not affert their abilty to discuss important issues arKI make decisions where appropriate.
Applications for elected trustee positions are invited from member organisation5 when a position
becomes available and any applications are deaft with by the Trustee Recruitment and Selection
sub<ommittee, who carry out an interview and selection process wrth the sU￿sSful candidatels)
being put forward for eleclion, subject to board approval. Trustees are eleded at a general meeting
of the company for an initial period of three years. following whid) they are eligible for re*lection
for two further terms of three years. Once elected. they receive an induction which includes visiting
the charity's nakn.onal office bvhere possib￿ and rereiving training as and when required.
Authorty for the day to day management of the chanty is currently delegated to the Chief
Execjjtive t)fficer, Mr. Michael Bell, as per the chanty's goveming document. Remuneration for all
staff including key management personnel is agr&d by the remuneration sub-committee. Salaries
are tEviewed annually by the committee and are benthmarked against similar charities using
independent data to ensure that salary levels are appropriate and competitive. whilst taking into
account perfo￿nan￿. the past yearfs achievements and other relevant factors.
The management o)mmrttee, vknich ¢￿nSISts of sen￿r stsff and Trustees, meets regularly to
consKier matters of both strategic and operational natures, making recommendations lo the Board
of Trustees where relevant. All meeb'ngs are held online as this has proveA more effective
logistically.
The unincorporated assockqtion IA (charity registration number 234472 (England & Wales))
remains in existence as a domiant shell charty in order to safeguard any fLrture legacies in its
name that mvJht otherwise have failed due to the manner in which a particular will was written and
the￿f0t￿ might have been distributed instead to another charity or beneficiary. The Company
holds £100 on trust for the Uninco￿oraIed associat￿￿ and is one of the two tNstses of this shell
charity, the other being the chair ofthe Company.
ACHIEVEMENT OF CHARITABLE OBJECTIVES
To help anyone whose colon has been, or is about to be, removed by surglcal procedure or
who has an ileostomy or an internal pouch.
After signrficant increases in the totsl number of enquiries r￿[ved in the preV￿u$ tsyo years at IA
national office from members of the public, heathcare professionals and others with a professional
interest in the work of IA. enquiries in the year under review dropped back by 170A, although the
underiying number of enquiries still exceed those ￿ported in all years prior to 2023 Nevertheless,
membership enquiries resulted in 15% more people joining as new members in 2025 than 2024,
wrth 83°/o of those having joined ¢)n-line. in keeping with re￿ftt years where the majority of
applications are made via our website.
Each new member re￿iVed an informab'on pack contsining booklets and leaflets on a WKle range
of relevant subjects covering many aspects of lrfe with an ileostorny or intemal pouch. This
literature has been specially written by IA'S honorary consuttant advisers and by members wrth
particular eXperIen￿S and experti￿ upon which they can draw. A total of 391 requests for
literatu￿ and publications were received from a cornbination of hea￿hcare professionals, members
and member organisations this year. which was a slight decrease of 10f/>o on the previous year's
levels. During the year we continued to update our existing leaflets and this will work will continue
in the current year.
Annual Report 2025

IA
Enquiries regarding travel were up 75Yo this year compared to the previous year, and there is still a
demand our popular travel ￿rtIfiCateS which. in a range of languages, explain the conditions of
ileoslomy and intemal pouch.
Promotional items vftre made available to local groups aTrJ members for distribution at exhibitions,
meetings and open days to further publiase the support that is availab￿ from IA.
We currently have 41 member organisations iocated throughout the United Kingdom. These
continue to provide infornation, advice and assistan￿ to existing, new and potential members.
We also continue to offer Valuab￿ support via our One20ne Support service, Support Through
Therapy service and our Specialist Core Rehabilrtation prcgram. further details of which are
provided below.
To promote and Coryordinate research into bowel disease and other conditions leadlng to
the rernoval of the colon. surgical procedures pertaining thereto, and related matters, and
further to promote the dissemination of knowledge gained by such research.
No new funding applications for research were receiveJJ during the year under rewew, which was
also the case in the previous year, and this is disappointing given there are funds available. There
has been a dearth of grant appli12tions in the years Sin￿ Covid, and we would encourage
polential applicanls to ￿nSider applyirvJ for grant fuTrJing as V*e continue to Icok for high qualty
research to support. As an organisation we continue to consider how we can improve take up of
the funds available. The recent appointrnent of IAVO new trustees onto the board with extensive
Colo￿¢tal surgical experience should assist in this regard.
Although there was no funded research undertaken this year, IA continues to assist with a variety
of research projects involving members, participation through the dissemination of suryeys and
questionnaires covering a wide range of subpcts. In the year under ￿VIeW this included -
Proposgj Questionnaire for Vegetarian Ileostomists to improve post-operative infonnation:
Oxford University Hospttals
Research sludy exploring how adults V￿th inftammatory b0￿e1 disease adjust to getting a
stoma.. Canterbury Christchurch Universty
Sex-PROM study- developing a sexual frjndion pat￿nt-repOrted outcome measure.. Robin
Phillips Fistula Research Unrt, St Mark's AtsdeM￿ InstitLrte
PAVFCOMS Study.. Development of a Core Outcome Measurement Set for Pouch Anal
and Vaginal Fistulae.. London North West Untversity Healthcare NHS Trust
To better understand the everyday lrfe, experiences, and needs of patvarrts living with a
stoma, as well as discussing potential treatrnent approaches and how pat*nts liwng with
stomas can ￿ better supported in their everyday lrfe. Liberating Research
Empowering vol￿$. UrhJerstarKliThJ Dr¥erse EXperien￿S in Gynaecological Cancer Care..
University of Limerick
Patient and Cliniaan Voices in Bladder and Bowel Care" Patients Association
Validating a leak detection devi￿". Uster Universty
Digital Cohort for colo￿¢tal Can￿r Survivors.: Universities of Leeds and Newcastle
A 104ninute online survey about the drfferent hea￿hcare companies involved in
manufacturing ostomy prc*Juc*s'. ExaField
To keep ileostomists and other5 infomied of all matterJ of interest to the Charfty by the
perlodlc dissemination of infomiation by way of publlcatlons. by arranging conferences,
seminar5 and courses on topics of Interes( and In any other manner whlch is charitsble
and whlch the trustees consider appropriate.
The quarterty IA Joumal continues to be the primary fom of communication behveen the Charty
and members. providing update5 With the latest developmenls in prcNJucts and services along wilh
human interest stories aNI other artides of interest, such as readers, letters. m&Jical articles and
Annual Report 2025

news items. The regular article from an exercise expert continues to be well re￿1V￿j by readers,
as does the regular article on dEt from a qualtfied dietician_ A series of articles focusing on
employment challenges were also featured during the year. The Joumal Editor Continues to further
develop the Joumal so that r( remains the valuable resource that it is to members and other
interested parties moving forward.
Although the IA Joumal still remains the primary fonn of o)mmunication with our members, social
media channels also play an ever increasing role in communicating wrth members and the wider
stoma communty. Our channels 1ndL￿￿e Fa￿boOk, Instagram, X {fomierly Twitter) and YouTube
and there are plans to put an even greater focus on this area over the coming year. CampaMJns
run during the year included Intemal Pouch AWa￿nesS Month in October, which proved to be very
popular. In addrtion to public soual media channels, our private Fa￿bOOk group IA Pouch Pals,
which is there to help support those with intemal pouches and offer them a private safe Spa￿ to
interact, continues to attract new members. All who have an interest in inlemal pouches are
welcome. whether they are IA members or not.
Having held a new regional event, our Scottish Infonnation Day in 2023, a second Scottish
Infomiation Day was held in Stirting in October. Over 45 dekgates attended the day, with the
feedback from delegates praising Ihe ex￿lIent variety and calibre of the guest speakets and
workshops, as well as the topics cover￿.
Following on previous successful events over the past few years, we held another Pouch
Information Day in septeMtr￿r 2025 in BiThingham with a theme of"Everything you ever wanted to
know about pouches (bLrt were afraid to ask)". Speakers induded pouch surgeon Abi Patsl,
dietitian Sophie Turigel and Psychotherapist Carrie Helman. wlth fomial presentations in the
moming followed by infonnal smalkgroup discussions in the aftemoon. There was also the
opportunity to speak with other"pouchies- about the lived experience of being a pouch patient, and
to see a range of useful equipment.
We held our usual Annual Info￿at￿n Day in April 2025. this time in Manchester. The number of
attendees continued at a similar level to the prEvious year. The programme contained
presentations on matters such nutrrtional deficiencies and hydration issues for peopte with
ileotomies or internal pouches, developing services that meet patEnt needs in rek3tion to
paraslomal hemias, medicine mattets, and the future of stoma care, as well as a number of
popular workshops, and the event was once again well received. The event also all0v￿￿ both
members and non-members the opportunty to meet together in both fomial and infomal settings
to discuss issues of common interest. share personal eXperien￿S and leam from the range of
talks and workshops provided.
Other online events have been held throughout year, inclL*Jir¥J monthly Coffee and Chat online
session run by the Intemal Pouth SUt￿cOmM[11￿.
The Charity's website continues to be further develop8J and improved to ensure rt remains
relevant and infonxative for all ts users.
SERVICES FOR MEMBERS
SeNices for members and potential members continued, as dKI the work of the associalion under
the appropriate national Offi￿r$ as listed on page 3. At national offi￿, enquiries of a general
nature came from potential and existing members, healthcare professionals and commercial
companies and wort(ing relationships continued wtth rnember organisations, Govemment bodies
and associated patient support organisations.
IA'S websrte remains a popular resource for infomiation to those looking for guidance on living with
an ileostomy and intemal poud).
There were five SUC￿ssful applications for welfare grants this year with total grant payments of
£2,202 made from the Welfare Fund. This vras a similar level to the preV￿u$ year, vthere grants
Annual Report 2025

IA
awarded lolalled £2,043 Further consideration will be given lo updating the we￿are grant
application process and cnteria to make the offer more attra¢Jive to potential applicants.
Matched funding continued to assist member organisations to support local projects such as
equipment for hospitals arKi heathcare professionals. This year grants totalling £2,000 were paid
out under this scheme (see Note 8 on page 31), ￿rnPared to £1,458 last year.
Our Specialist Core Rehabilitation Progr3m, run in association with clinical exercise specialist
Sarah Russell and funded by the Robert Wainwright fund, continued to provhde free online core
rehabilitation classes for any memter with an iFeotomy or intemal pouch, as well as those who
have reversal surgery or a parastomal hernia. We would encourage members to apply for funding
for these classes which have proved very useful for attendees to date.
Our One20ne Support servi￿, continues to offer high quality support to patEnts by volunteers
who have lived experience with an iknstomy or intemal pouth. IA Support Volunteers work in
Conjunct￿n with stoma care nurses to offer a unique non4nedical perspective which can be
Invaluab￿ in recovery from surgery and at the start of a new lrfe with an ileostomy or an intemal
pouch. Anyone can request support from the volunteers - there is no requirement to be an IA
member to use One20ne Support. Over the past year we continued to identify and train mo
volunteers using our new ASCN endorsed training course. We continue to fvrther develop and
actively promole One20ne Support going fonward. Although referrals were slightly down on the
previous year, effort had been made to ensure the monitoring of local requests to ensure they were
completed, and this helped enhan￿ the servi￿. are also planning to offer an in person
training course alongside our online course to help train more support volunteers.
Our Support Through Therapy service, launched in October 2024 and set up for membets who
require professional emotM)nal support before or after their stoma or internal pouch sunJery (this
being in addition to and operating alongside our One20ne support service) continued to offer
support to members at a critical time in their lives. Our panel of therapists offer a safe Spa￿ and
an outiet for peopie to share their issues and get help to wocess what they are experiencing, and
we have been graffied to see very positi'bE feedback from those utilising this sery1￿.
GRANT MAKING POLICY
Members of IA benefft from a number of grants which enab￿ them to apply for funding to attend
events and purchase essent'Eal tiems.
Bryan N Brooke IA Overseas Travel Fund.. Professor Bryan Brooke, IA'S national founding
President, wanted to enable ordinary IA members to attend intemational meetings, which
they otherwise might not consider. Therefore. the Bryan N Brooke (IA) Overseas Travel
Fund {BBOTFI was set up to assist IA members wrth their travel costs for overseas
meetings and events. The fLJnd was established as Bryan Brooke's retirement gfft from IA
and in memory of his contributs.on as PresMJent for over 20 years.
Victoria Wlls (IA) Intemal Pouch Bursary: This bursary is availab￿ for members with an
intemal pouch to assist wrth their travel costs to rdevant IA meetings and events.
Welfare Fund.. This fiJrKI has been set up to assist IA membets who are experiencing
financial hardship to..
> Purchase essential item{s) wthere ileostomy or intemal pouth surgery has
directly affected the need for the rtem{s).
Provide towards a convalescent break immediately following ileostomy or
intemal pouch surgery.
Purchase es*ntial medical equipment vthich is not covered by a state grant or
benefit
Annual Report 2025

IA
YIA Bursary Fund: The Young IA Bursary Furnl has been sel up to fund IA members under
the age of 40 to attend events in Circumstan￿ whereby IA member may not be able lo
attend the event through financial hardship.
Research Fund.. This furnl supports research being carried out throughout the UK. This
support can take the form of financial asSistar￿, or promoting awareness of research
being carried out that may be of benefft to members.
Each fund has tts own set of grant making guidelines which must be adhered to and all
applicalions are assess&J by the appropriate board sub-committee. Information and instructions
for making an application are availab￿ to members, and appliCat￿n fomis available from national
office.
These grant making adivities contribute to the athiev￿￿ent of IA'S aims and objertives by..
Helping those with an ileostomy and intemal pouch who are in financial hardship.
Providing a service to its members, and keepiro ileostomists and those with an intemal
pouch informed by giving them the opportunty to attend a vanety of o)nferences, meetings
and seminars.
Promoting researth by enabling members to attend a variety of research events andlor
participate in research activitses.
We continue to encourage the take up of the vanous grants available as the ￿Ve1 of applications
has remained low over recent years.
MEETING STRATEGIC OBJECTIVES
Our current strategic plan runs from 2022-25. During the year under review. we achiev￿1 a number
of the strategic objectives contained in the plan, details of which were noted above. In addition to
these activities, we also carried out the followrKJ in order to meet the strategic obiecttves induded
in the plan.
Ralslng awareness
We managed to Se￿re an artrcle about one of our Intemal Ptyjch advocates and their
joumey to an intemal pouch in Chat magazine.
In order to extend our reach, we attend&J a number events and exhibitions, including the
Association of Stoma Care Nurses (ASCN) annual event. which was a joinl congress this
year befv￿n ￿ET (Worfd Coun￿1 of Enterostomal Therapists) and ASCNI. the
Association of Coloproctology of Great Britsin & Ireland {ACPGBI) conferen￿, and the
Best Practi￿ conference {an event aimed at UK heathcare professionals in general
practi￿ and primary care).
We continued to advertise in relevant trade publications. such as the British Joumal of
Nursing. Communty Nursing magazine arKI the Gastrointests"nal Nursing magazine.
Advocating on behalf of our members and representing their interests extemalty
IA was one of the patient and professKJnal organisatKsns working together in partnership
with IBD UK to improve stsndards of care and treatsnent for everyone with Inflammatory
Bowel Disease, culminating in a report titled "IBD UK report.. The State of IBD Care in the
UK". This report describes the results of the 2023 IBD Benchmarking, in which 17,654
people livjng with IBD and 150 IBD seNices look part, and supports the long-temi outcome
of everyone living with IBD in the UK receiving a ts'mety diajnosis and equitable access to
quality ¢xre. The report recommendations will drive national and local aLXion to deliver
improvements and tackle variation in IBD diagnosis and care across the UK.
Annual Report 2025

IA
We continued to p3￿cIpate in the Advancing Stoma Care servI￿s IASCSI project being led
by ASCN, with involvement in mull[p￿ wofkstreams. The aim of this ambitious project is lo
formulate an eViden￿-baSed 'test practi￿ stoma palhway with the aim of standardising stoma
caie services nationalty.
As part of the ASCS project, partiapated in a number of episc(les of a series of podcasts
entrtled 'Beyond the Bag: Challenging Differenos in Stoma Care". with this podcasl series
being shortiisted for the Nursing Times Awards.
We continue to be a member of the National BOVRI Allian￿, which is made up of charities
with an interest in Ihe field of bovRI cancer, bowel disease5 and bow￿1 health. and has
been eslablished to bring together charities with an interest in these fields to promote more
effective working for the benefft of patients. carers and the public.
After our submission of a reswnse to the govemment consutslion on "Medical DeVI￿S in
Primary Care". Proposals for updating Part IX of the Drug TatFff - medical deVI￿S available
for prescribing in primary care", we were one of the patEnt Charit￿s invrted to join
"Protecting Patient Choice: A Coalttion of Partners". a group of organisations and
manufacturers aiming to engage with Ihe govemment to express their concems over the
proposals and the effect they will have on U￿r$ (patients). We conb'nued to participate in
meetirKJs of the DHSC Patient Engagement Forum as part of this issue.
Including contribulions from many of our local member organisations akjng with input from
a national perspective, we subrnrtted a response to the NHS 10 Year Heaf(h Plan Sutvey.
Along with the other patient stoma charities, we have been involved in discussions with the
Civil Aviation Authorlty ￿gardIng their Airport Accessibility Framework and the negative
experiences of those wtth stomas travelling through airports.
We participated in meetings of the Bladder & Bowel continen￿ Care All Paty
Parfiamentary Group.
Improving our sejvice offering
We launched a new medicine card for both tho* wf(h an intemal and those with a
stoma. to highlight that not all capsules could be absofoed by the holder of the card.
Our dedicaled resour￿ resp)nsible for enga3ing and supporting our local member
organisations travelled around the county hokjiry a number of local meth.ngs with the aim
of strengthening links kts¥￿n local and national IA, identfying what local members
wanted from IA, and attracting new volunt￿r5 to help bolster local resources.
A number of local membership organsations which had been inadive were relaunched
followirrfJ the recruitment of new volunteers.
Collaboration and liaison with other organisations
We continue to maintain good working relationships with other ostomy assoaations in the UK such
as Colostomy UK and the Urostomy Asscciation, as well as with intemal pouth support groups,
with Crohn's & Colrtis UK, and other relevant charits.es such as A Bear Named Buttony.
Membership of the European Ostomy Association (EOA) enabkd co-operation wrth ostomy
support organisations in EuroFe and the worldwide ostomy ￿MmUnty, and IA'S PR &
Communicalions Manager Caroline Bramwell sts on the EOA'S Executive Committee, fvrthef
strengthening ties and co-operation betW￿n our two associations ensuring IA represents the
UK at a European and wider level.
Mutual benefit was derived from the continued liaison with the Royal College of Nursing, the
Association of Stoma Care Nurses UK, the Royal College of Surgeons of England, the Wodd
Council of Enterostomal Therapists, the Kingston Trust. the Associalion of Coloproctology of Great
Brttain & Ireland. the Association of Coloproctology Nurses. the Irish Stoma Care & Can￿r Nurse
Annual Report 2025
10

IA
Association, the British Healthcare Trades Asso¢iation, Patients. Industy and Professionals (PIPS)
Forum and the Scottish Stoma Forum
RISK AND RISK MANAGEMENT
The trustees have a risk management strategy which comprises..
The maintenance of a nsk register recoftling all ident"rfEd risks.
An annual revEw of the nsk register induding the principal risks and uncertainties that the
charity faces.
The establishment of policies. systems and procedures to mtbgate those risks idenlrfied in
the annual wew.
The implementation of procedures designed to minimise or manage any potential impact on
the charity should those risks matenalise.
This work has identffied that the perfomance of its investments is the major financ￿1 risk for the
charity. Investment income fonns a significant proportion of overall income and any r8Juction in
investment income levels could have an adverse effect on the income available to support day-to-
day operations. This risk is mitigated by retaining expert investment managers, Rathbone
Investment Management (Rathbones), on a discretionary bas￿ and ensuring that an investment
policy is in place which specifies both the ￿Ve1 of risk to be applied to the management of the
investment portfolio and the approach to income generab'on. The arrangement with Rathbones is
reviewed on an annual basis to ensure that performan￿ continues to meet with the charity's
requirements. Although the usual in-person annual review meeting with Rathbones did not take
place this year, regular communication between the charty and Rathbones has continued during
this F*riod and email updates a￿ provided by our dedicated inveslmenl manager whenever
hanges to the port101￿'S oMipos"rtion occur. The Trustees also revi8w the portfolio composition
and perf0mlan￿ at each board meeling.
Attention has also been focused on non-finanaal risks. the prinupal ones relating to the
employment of staff and the potential loss of key staff and officers. The fomer risk has been
mitigated by the engagement of professional ￿al advice on employment matters, the latter by the
Cfealion of contingency plans that include the Klentrfication of attemate reSoUr￿S able to assume
responsibility should the loss of key people 0¢￿r.
FINANCIAL RESULTS AND REVIEW
The full acwints of IA are shown on pages 19 to 43. They show the activities of the principal
charity and the Branch member organiSat￿n$ but do not include the activrties of the Affiliate
member organisations, who are separately registered charibes responsib￿ for preparing their own
accounts in accordan￿ wtth the appropriate legislation.
The accounts show a deficil of £234,853 in the financial year to 30 September 2025. This figure
includes an amount of £128,055 in reLgtion to gains on inbpstments. Of the £234,853 deficit
recorded, £269,839 related to a deficit on unrest￿ted furjds whilst £34,986 related to a surplus on
restricted fijnds. Taking these results ￿t0 account dosing assets stOC*J at £5,411,277.
RESERVES POLICY
The Board of Trustees has detennin&l that the following polioes will apply in respect of Ihe various
fvnds hekJ.
General Fund
Annual Report 2025

IA
The General Fund provides r￿￿￿r￿S for the day to day runnirvJ of the charity and should hold
reseNes sufficient to cover a minimum of six months. payments based on the expenses incurred in
the last full financial year. plus any fijture planned additional exFenditure.
Deslgnated funds
Any desKJnated funds established by the Board of Trustees are intended to prov*Je income for
specific purposes. The Capital Investment Fund was estsblish8J to provide income for the General
Fund All capital in any designated funds may be spent on the authorty of the Board of Trustees.
In addition to the designated funds noted above, each Branch member organisation has rts own
designatèd fvnd. Further informathjn on this is provided in the section Branch Funds below.
Restricted Funds
Reslricled funds have been established either where the donations receiv8J are restricted by the
donors, or where the fund has b￿n established for a restricted purpose. In the case of the Welfare
Fund and the Bryan N. Brooke (IA) Overseas Travel Fund, the intentKin is to maintain the capitsl,
adding any donations received, and to spend the income providing grants for the pufposes for
which the fuTrJs were established. All other restrided funds are holding donations until such time
as they can be spenl in accordan￿ with restriction. In addition to the named restricted funds,
each Branch member organisation has its ovm restn"ct8J fund{s). Further infornation on this is
provided in the section Branch Funds below.
hen assessing kvels of reserves in each fund. the Board of Trustees ignores unrealised profits
on investments. as these are not considered sufficiently reliable to guarantee future spending
levels.
Branch Fun(ts
Each Branch member organisation has its ovm designated fuThd and restrict8J fund. All inGome for
a particular Branch is credrt8J to rts designated fund, whilst all expenditure for thal 8rand) is tsken
from its restricted fijnd until such time as that fuTrJ has teen exhausted, when expendilure is then
set against the branch's despjnated fund. Rather than set an iThdividual reserves policy for each
Branch and its fvnds, the Board of TTUStees instead monitor the net pOSit￿)n of each Branch on an
ongoing basis lo ensjre that sufficient funds remain in each branch to continue their activrties for
the foreseeable future.
Overall
All fijnd balances are in line with or exC￿d their reserves policy. The total fvnds held by the chartty
at 30 Seplemter was £5,411,277 of which £4.802,643 was held as unrestricted funds and the
remaining £608,634 held as restn'cted funds. Induded in unrestncted funds are deS￿￿nated funds
of £4,488,064 leaving £314,579 in general unrestricted funds.
INCOMING AND OUTGOING RESOURCES
Income for the year was £343,448 compared to £647,745 in the prior year, a 47 /0 decrease year
on year.
Looking at income in more detail, income from donations and legacies was £124,511, a decrease
of £285,677 on the 2024 figure of £410,188. This decrease can be attributed to a fall in legacy
income, which was down from £342.3% in 2024 to £22,314 in the year under review. It is in the
nature of income from legacies that levels can fluctuate swJnificantly year on year and a￿ nerther
controllable nor forecaslable. Partkglly offsetting decrease in legacy income was an increase in
extemal donation income, up from £32,792 in 2024 to £46.753 in 2024.
Income from Charitab￿ activities was broadly static this year, coming in at £95,950 compared to
££93,168 in 2024, which equates to a marginal 3Vo nse year on year. Of the £95,590 figure,
income from advertising in the IA Joumal contributed £34,053. a 9 /0 increase on the previous
Annual Report 2025
12

IA
year's figure of £31,229. This was pleasing given last yearfs advertising revenue had been down
on the t￿0 years prior to that. Also included within income from CharItab￿ activlties, member
organisalion annual subscription income of £30,661 {2024'. £26, 151) credited to unrestricted funds
relates to the annual charge payab￿ by member organisations to the national charity and includes
£28.204 of annual subscription income tharges to Branch member o￿anIsatIOns. As the £28,204
is also a cost to the Branches. the same amount is also included in expenditure on charitable
activities as this was charged against the Branches. individual restricted funds. Ino)me from
member subscriptions fell to £23,477 12024." £28.147>. paty due to overdue subscriptions not
being paKI in good time.
Inwme from invesiments was down to £122.987 in 2025 ￿rnpared to a figure of £144,389 in 2024
and £133,755 in 2023. Our investment portfolios have a balanced investment objective, which
looks to combine the generation of a good ￿Ve1 of incnme wrth longer tern caprtal growth, rather
than a specffic income objective, so some fluctuations on income levels are to be expected. In
addition. from time to tirne caprtal is drawn down from the portfolio in order to fund operational
activities and this can have Ihe effect of ￿lUcing investment income give the reductK)n in
investment capital.
Expendf(ure for the year was £7(￿,356(2o24. £759.110). of that £668,29312024". £682,235) being
charged to unrestricted funds and £38,063 12024: £76,875) to restricted funds. Of total
expenditure, 96% {2024.' 96/0) or £679,113 {2024.' £730,610) was in support of IA'S charttable
activities with 40/0 {2024= 4Vol or £27,243 (2024. £28.500) being the cost of raising funds Of the
£679,113 inCu￿ed as expendrture on charitable actrvities, £40.950 (2024." £31,963) related to costs
bome by Branches as a result of their chantable artiviti"es.
INVESTMENT POLICY
Investrnents are sh¢)wn in the accounts at market value. The charity has two investment portfolios
manag81 under a discretionary management agreement with Rathbone Invesbnenl Management
using a medium risk stan￿, one main portfolio being the funds of the national chaiity and a .6"
portfolio being the investment of a prOport￿n of funds hekl on behatf of Branthes.
The chaiity's investsnent policy is shown in the Financial Regulats"ons document and is 'lo hold
investments to provide income in SAJPPOrt of its core operations" Income generated from the "B"
portfolio is credited to Branches tsking into account their avewe funds over the financial year as a
proportion of totsl funds. There are no social, environmental or ethical considerations contained
within the investment policy.
As noted above, combined total investment income from t*)Ih portfolios was £122,987 this year
compared to £144.389 in 2024. Net gains on inveslment stood at £128.055 (2024.. £459,292). Of
the total net gains of £128,055. unrealised gains on investsnents held within the portft)lios at year
end were £229,358, whilst realised losses on investment sa￿S were £101,303.
Total ￿turn on investments over tFE 12-month period to 30 September 2025 for the main portfolio
was 2.71¢A when compared to the portfolKJ's long temi investmenl objeclive of CPl+3 /), which was
5.69°1o over the same period. HO￿ever, when looking over the loThJer tenn on an annualised basis,
whilst over 3 years the portfolio returned 6.39°k Cornpa￿d to the CPl+3 /D benchmark retum of
7.319/0, over the Ferii>J from the market bottom during Covid on 19 March 2020 to 30 September
2025, the annualised retums realised on the portfolio come in at 8.29 % compared to the CPl+3 %
figure of 7.70QA, which is pleasing and demonstrates that long tem performance has met the
benchmark sel.
The "B. portfolio. which has a Sl￿htty more defensive strategy than the main portfolio, posted a
total return over the 12-month period to 30 September 2025 of 0.64 /. when compared to the
portfolio's long tem investment objective of CPl+20/o which was 4.67Q/o over the same period. As
wrth the main FQrtfolio, longer teTh retums look heathier, with an annualised relum of 6.390/0 since
the market bottom during Covrd on 19 MarL* 2020 to 30 September 2025, compared to the
CPl+2% benchmark over the same peric¥J of6.67/0.
Annual Report 2025
13

IA
In accordance with the requirements of the Trustee Act. 20LKI. Part 11. section 4{21, from time to
time, the twstees review the investments of the trust and (￿nSIder whether, having regard to the
standard investment Criteria, they shouid be varied. Changes in Folicy would be refiected in the
investment management agreement and in the targets set for IA'S investment managers. There
were no changes lo the investrnent policy document duriTr3 the year.
FUTURE PLANNING
IA reaches its 70 anniversary in 2026, a milestone in our history and an athievement in terms of
our longevity. We are pieased that we have t)een able to provide support to so many people with,
or about to have, either ileostomies or intemal pouches, over those 70 yeats. As we come to the
end of our Cufrent strategic plannirvJ period 2022-25 and look ahead to 2026 and beyond, we n*d
to ensure that the organisation continues to remain relevant to our members and the wider
community for the next 70 yeafs.
Our current Chief Executive Offi￿r {CEO) & Nab'onal Treawrer, Michael Bell, has infomied the
Board of Trvstees of his intention lo step down from his CEO role. The Board ￿MaInS indebled to
Michael for his dedication and leadership over the last seven years as CEO while the tharity
navigated its new path. deliver￿ new services arKI impkmented IA'S strategic plan. The Board
also recognise that IA must COnt￿Ue to evolve and that this represents a real opportunity to reflect
on our currenl position, review our strategic d1￿ctIOn and chart our future path under new
readership. With a new CEO in pla￿, we will be developing a new strategic plan to meet the
challenges our charity fa￿$ over the o)ming morrths and years.
ilsl we will be working hard to ￿¢ruit a new CEO, we ha￿ not k)st sKJht of our current strategic
objectives. and will continue to meet these whilst we develop our new plan. In particular, we will
aim to..
Recrurt a dedicated Stoma and Pouch Care Specialist Nurse to help us lead and develop
our strategic dinical support servios to people living wrth an ileostomy or an intemal
pouch. This person will also help us further develop our le￿phOne support se￿1￿ wrth the
introduction of a nursing helpline. allowing a¢￿sS to a dedicated stoma care nurse ISCN).
Review our ￿rrent organisational structure and staffing. and out further recruitment
where identified to ensure we have the appropriate resources in pla￿ to help us deliver our
services.
Continue to develop our research portfol￿) to broad￿ and deepen knowledge of bowel
disease and the patEni joumey for tho* wf(h ileoslomEs and intemal pouches, U￿lMatelY
leading to better care.
The Trustees consider that the chartty will be able to continue to meet its charttable objectives over
the coming year.
CONCLUSION
IA continues to have a significant level of assets which offers a cushion against fijture problems.
All current activities can therefore continue as planned, and the Trustees are Satisfi￿ that all
known commitinents can be met for the foreseeable fLrture They also recognise that ftjrther
consideration is required warding income generation in the longer tern to ensure that
expenditure can be covered by income rather than by a drawdown of capital.
DISCLOSURE OF INFORMATION TO AUDITOR
Each of the Intstees has confimied that there is no infonnation of which tF￿Y are aware which is
relevant to the audit, but of which the auditor is unaware. They have further confinned that they
have tsken appropriate steps to identtfy such re￿vant information arKI to establish that the auditor
is aware of such infomiation.
Annual Report 2025
14

IA
STATEMENT OF TRUSTEES. RESPONSIBILITIES IN RELATION TO THE FINANCIAL
STATEMENTS
The trustees, who are also the directors of IA for the purposes of company law, are responsible for
preparing the trustees, annual report and financial statements in accordance with applicable law
and United Kingdom Accounting Standards (Untted Kingdorn Generally Accepted Accounting
Practice).
Company law requires the trustees to prepare accounts for each financial year which give a true
and fair view of the state of affairs of the charity and of the incoming resources and appliGation of
resources including the income and expenditure of the charitable company for that year.
In preparing the financAal statements. the trustees are required to..
seled suitable accounting policies and then apply them consistently;
- observe the methods and principles in the Charities SORP.,
- make judgements and estimates that are reasonable and prudent..
- state whether applicable UK accounting standards have been followed. subj.ect to any material
departures that must be discl¢)sed and explained in the accounts; and
prepare the accounts on the going con￿rn basis unless st is inappropriate to presume that the
charity will continue in operation.
The trustees are responsible for keeping adequate accounting records that disclose wilh
reasonable accuracy at any time the financial position of the charity and enable them to ensure
that the accounts comply with the Companies Act 2006. They are also responsible for
safeguarding the assets of the Ghartty and hence for taking reasonable steps for the prevention
and detection of fraud and other irregularities.
The trustees are responsible for the maintenance and integrity of the charity and financial
infomiation included on the chanty's website in accordance with legislation in the United Kingdom
goveming the preparation and dissemination of financial statements.
This report has been prepared in accordance wrth the special provisions relating to small
ompanies within Part 15 of the Companies Act 2006.
Approved by the trustees and signed on their behatf by..
Stuart
Chair of the Trustees
14 February 2026
Annual Report 2025
15

IA
INDEPENDENT AUDITOR'S REPORT TO THE TRUSTEES OF
ILEOSTOMY AND INTERNAL POUCH ASSOCIATION
Oplnlon
We have audited the financial statements of Ileostomy and Intemal Pouch Assooation (the
'charity'} for the year ended 30 Septemter 2025 which (x)mprise the statement of financial
activities, the balan￿ sheet, the ststement of cash flows and notes to the financial statements,
including significant accountir¥J policies. The financial reporting framework that has been applied in
their preparation is applicable law and Unrted KitvJdom Accounting Stsndards, including Financial
Reporting Standard 102 The Financial RepOrt￿g StandaKI applicable in the UK and Republic of
I￿land {Unrted Kingdom Generally Accepted Accounting Practice).
In our opinion the accounts..
give a true and fair view of the stste of the charitable compary's affairs as at 30 September
2025 and of its incoming resources and application of resou[￿s, including its income and
expenditure, for the year then ended..
have been proFerty prepar8J in accordan￿ with unit￿ Kingdom Generally A(xepted
Accounkn'ng Practi￿,. and
have been preparay in accordan￿ with the requirements of the Companies Act 2C(16 and the
Charities and Trustee Investrnent {ScOt￿nd) Act 2005.
Basis for opinion
We conducted our audit in accordan￿ wlth Intemational Standards on Audth'ng (UK) (ISAS (UKII
and applicable law. Our responsibilrtj'es uThJer those standards are further described in the
Auditoffs ￿Sponsibl11t1eS for the audit of the fjnanual State￿￿￿tS seciion of our report. We are
independent of the chanty in accordan￿ with the ethical r￿UIrementS that are relevanl to our
audit of the financial statements in trte UK. including the FRC'S Ethical Standard, and we have
fulfilled our other ethical responsibilf(ies in accordan￿ with these requirements. We believe that
the audit eviden￿ we have obtained 15 SuffiC￿￿t and appropriate to provide a basis for our
opinion.
Concluslons relating to going concern
In auditing financ￿1 statements, we have conduded that the Trust*s' use of the going concem
basis of accounting in the preparation of the financial statements is appropriate.
Based on the work we have perform&J, we have not identffied any material uncertainties relating to
events or conditions that, indivKlually or collectivety, may cast sunrficant doubt on the charity's
ability to continue as a going concem for a per*)d of at ￿ast twelve months from when the financial
statements are authorised for issue.
Our responsibilf(ies and the responsibilities of the Trustees with respect to going con￿rn are
described in the relevant sections of this report.
Other infomiation
The other infomiation comprises the infonnation indudgJ in the annual report other than the
financial ststements and our auditols report thereon. The Trustees are responsible for the other
infornation contained within Ihe annual report. Our opinion on the financial statements does not
cover the other information and, except to the extent otherwise expli¢itly stated in our report, we do
not express any fomi of assuran￿ conclu%on thereon. Our responsibility is to read the other
infornation and, in doing so. consider whether the other infomiation is malerialty inconsislent with
the financial statements Of our knowledge obtsined in the course of the audit, or otherwise appear5
to be materially misstated. If we identfy such material inconsistencEs or apparent material
misstatements, we afe required to detemiine whether this gives rise to a material misstatement in
the financial ststements themselves. If, based on the wotk we have perfomed, we conclude that
there is a material misststement of this other infomiation. we are requir￿1 to report that fact.
Annual Report 2025
16

IA
We have nothing to report in this regard.
Opinlons on other matters FKtscrlbed by the Companies Act 2006
In our opinion, bas&J on the wvrk undertaken in the course of our audit".
the infomation given in the Trustees, report for the financial year for which the financial
statements are prepared. which includes the directors, report prepar&Y for the purposes of
company law, is ojnsistent wtlh the financial statements: and
the directors, report included wrthin the Trustees. report has b￿n prepared in accordance with
applicable legal requirements.
Matters on which we are requlred to report by exceptlon
In the light of the knowwe and understarKling of the charity and its environmenl obtained in the
course of the audit, we have not identifth material misstatwnents in the directors, report included
wrthin the TnJstees' report.
We have nothing to report in reS￿￿t of the folIc￿ing matters in relation to wthich the Companies
Act 2006 and the Charities and Tnjslee Investrnent (Scotland) Ad 2LKJ5 requires us to report to
you rf, in our opinion..
adequate accountirg records have not been kept or retums adequate for our audit have not
been received from branches not visited by us,. or
the financial ststements are not in agre￿nent with the accounting records: or
certain disclosures of trustees, ￿mUnera￿.0n specified by law a￿ not made,. or
we have not re￿iVed all the infom)ation and explanations we require for our audit.
Responsibilities of Trustees
As explained ffl0￿ fvlly in the statement of Trustees, responsibilrties. the Trustses. vtho are also
the di￿￿orS of the chanty for the purpose of company law, a￿ ￿spOnsible for the preparation of
the financial statements and for being satisfied that they gNe a true and fair view, and for such
internal control as the Trustees detefmine is ne￿$Sary to enable the preparation of financial
statements that are free from material misstatement, whelher due to fraud or e￿Or. In prepanng the
financial statements, the Trustees are responsible for assessing the charity's ability to conlinue as
a going COn￿M, disclosing, as applicable, matters related to going COn￿M and using the going
¢oncem basis of accounting unless the Trustees either inteThJ to liquidate the charitable company
or to cease operations, or have no realistic altemative but to do so.
Auditor's responsibilities for the audit of the financlal statements
Our objectives are to obtsin reasonable assurance about whether the financial statements as
whole are free from material misstatement. whetrEr due to fraud or error, and to issue an auditor's
report that includes our opinion. Reasonable assuran￿ is a high level of assurance but is not a
guarantee that an audrt conducted in accordan￿ with ISAS {UK) will a￿VayS detect a material
misstatement ￿en rt exists. Misstatefflents can arise from fraud or error and are considered
material if, individually or in the aggregate. they could reasonabty be expected to influence the
economic decisions of users taken on the basis of these financial statements.
Identification and assessment of irregularities including fraud
Irregularities. including fraud, are InStan￿S of non-complian￿ with lavts and regulats"ons. We
design procedures in line with our responsibilit￿$. outlined above, to detect material misstatements
in respect of irregularrties, induding fraud. The extent to our procedures are capable of
detecting irregularities, including fraud, is detailed below.
In identifying and assessirKJ risks of material mksstatement in respect of I￿U￿rIties, including
fraud and non￿¢0mplian¢e with laws and regUlat￿nS, our procedures included the following..
Oblaining an understandiThJ of the legal and regulatory framework that the charity operates in,
focusing on those laws and regulations that had a direct effect on the financial statements and
operations,.
Annual Report 2025
17

IA
Obtaining an understanding of the chatty's policEs and prO￿dureS on fraud risks, including
knowledge of any actual. suspected or alleged fraud..
Discussing among the engagement team how and where fraud might occur in the financial
statements and any potential indicalors of fraud through our knOw￿dge and understanding of
the company and our sector-spectfic ex[erien￿.
As a result of these procedures, we Consider￿ the opportunities and incentNes that may exisl
within Ihe association for fraud. We are also required to perfomi specific procedures to respond to
the risk of management ovetride. As a result of performing the above, we hdentified the following
areas as those most likely lo have an impact on the financial statements.. health & safely and
employment law, as well as complianc£ wth the UK Companies and Charities Acts.
In addition to the above. our procedures to respond lo risks identified included the following."
Making enquiries of management atw)ut any known or suspected instan￿$ of non-compliance
with laws and regu￿tionS and fraud"
Reviewing minutes of meetings of the board and senior management.
Reading Corresponden￿ with regulators
Challenging assumptions and jLKlgemenls made by management in their significant
accounting estimates", and
Audrting the risk of management oveffide of controls, including through testing journal entries
and other adjusbnents for appropriateness.
Due lo the inherent limitations of an audtt. there is an unavoidable risk that some maleiial
misstatemenls in the financial statements may not be detected, even though Ihe audit is properly
planned and perfomied in accordance with the ISAS (UK). For instance, the further removed non-
compliance is from the events and transactions reflected in the financial statemenls. the less likely
the auditor is to become aware of it or to recognise the non-complian￿.
A further description of our responsibilities is available on the Financkql Reporting Council's
website at.. https."lkn.fr¢.org.uklauditorsresponsibilities. This description forms part of our
audilorfs report.
Use of our report
This report is made solety to Ihe charitable company's members, as a body. in accordan￿ wilh
Chapter 3 of Part 16 of the Companies Act 20￿. Our audit work has teen undertaken so that we
might slate lo the charitable company's rnembers those matters we are required to stale to them in
an auditor's feport and for no other purpose. To the fullest exlent permitted by law. we do nol
accept or assume responsibility lo anyone other than the chantable company ar)d the charitable
company's members as a body, for our audit work. for this report. or for the opinions we have
formed.
25 IL7J I lthl
Robin Evans 8A FCA CTA DChA (Senior Statutory Auditor)
for and on behalf of Sumer Audit
Chartered Accountants
Statutory Auditor
Chichester
Sumer Audit is the trading name of Sumer Audttco Limited
Annual Report 2025
18

IA
Statement of Financial Activities
includin
income and ex
ear ended 30 Se tsmber 2025
enditure account
for the
Note
Unrnslrfcted
Funds
Totsl fund8
301912025
Totsl funds
301912024
Funds
{Noto 21
Income from:
Donations and legacies
68,460
56.051
124,511
410,188
Charitsble activf(ies
95.950
95,950
93,168
Investments
114,772
8,215
122,987
144,389
Total income
279,182
64,266
343.448
647,745
Expenditure on:
Raising funds
25.439
27,243
28,500
Charitable activities
642,854
36,259
679,113
730,610
Total expendlture
668,293
38,063
706,356
759.110
Net incomel{expendlture) before
gains and losses on
inveslments
(389.111)
26.203
(362,908)
1111,365)
Net gains (losses) on investments
119,272
8,783
128,055
459.292
Net Incomel(expendlture)
1269,839)
34,986
(234853)
347.927
Transfers be￿een furKIs
20
13,344)
Net movernent in funds
1273.183)
38,330
(234,853)
347,927
Reconciliation of funds:
Total fijnds brought forward
5,075,826
570,304
5,646,130
5,298,203
Total funds carried forward
4,802,643
608.634
5,411.277
5,646,130
IA has no recognised gains or losses other than those dealt with in the Statement of Financial
Activities.
The Statement of Financial Activrties also complies with the requirements for an income and
expenditure aco)unt under the Companies Act 21x16.
Annual Report 2025
19

IA
Balance Sheet as at 30 Se
tsmber 2025
Totsl
301912025
Total
301912024
Notss
Fixed Assets
Investments
14
5.3H,761
5,601,026
Total Fixed Assets
5,344,761
5,601,026
Current Assets
Oeblors
16
32,273
53,153
Cash on deposit afKJ in hand
17
100.820
147,438
Total Current Assets
133,093
200,591
Liabilities
Creditors falling due within one year
18
66.577
155,487
Net Current Assets
66,516
45,104
Total assets less current
liabilities
5,411.277
5,646,130
Net Assets
5,411,277
5,646,130
The Funds of the Charity
General unrestricted income funds
20&21
4.138.557
4,594,753
Rèvaluation reserv8
664,086
481,073
Total unrestricted income funds
4.802.643
S,075.826
General restricted income funds
20&21
520,186
518.171
Revaluation reserve
88,448
52.133
Total restriGted income funds
608,634
570,304
Total Charity Funds
5,411,277
5,646.130
Appr
by the board on 14 February 2026 and signed on tts behalf by
Mr. Stuart
Chair
Company Registration No. 10375943
ay
Annual Report 2025
20

IA
Statement of Cash Flow5 for the
ear ended 30 Se tember 2025
Totsl
Funds
2025
Totsl
Funds
2024
Net cash used In operatlng actlvltles
23
1553,9251
(212.859)
Cash flows frorn investing activitie5
Interest and divKlend income
122,987
144,389
Proceeds from sale of investrnents
2,016.278
1,393,081
Purchase of investrnents
(1,631,958)
{1,310,2021
Net cash provlded byl(used In) Investlng acllvltles
507,307
227.268
Chang8 in cash and cash equivalents In the year
{46.618)
14,409
Cash and cash equivalerts brought forward
147,438
133,029
Cash and cash equivalents carried forward
100.820
147,438
Relatlng to:
Cash on deposit and in hand
100,820
147,438
Annual Report 2025
21

IA
Notes to the Accounts for the Year ended 30 September 2025
1 ACCOUNTING POLICIES
Charlty Infomiation
Ileostomy and Intemal Pouch Association is a private ￿MpanY limited by guarantee incorporated
in England and Wales. The regISter￿J address is Danehurst Couit 35-37 West Street, Rochford,
Essex SS4 1BE.
1.11 Basis of preparation and assessment of going concern
The Charty is a public benefrt entty and the financial statements have been prepared in
accordance with the goveming doojment, the Statement of Recommended Practice.. Accounting
and Reporting by CharrtEs preparing Iheir accounts in accordance wrth the Financial ReportiThJ
Standard applicable in the UK and Republic of IrelaThl (FRS102) (as amended for accounting
periods commencing from 1 January 2019). the Companies Act 2006, the Charities and Trustee
Investment (Scotland) Act 2005, the Charrties Act 2011. relevant law and accounting standards.
The charrty meets the definrtion of a public benefft entty under FRS102.
The accx)unts are prepared in sterfing, which is the functional currency of the Chanty. Monetsry
amounts in the financial ststements are roundgj to the nearest pound.
The accounts have been prepared under the historical cost convention, modif￿d to include certain
financial instruments at fair value. The pnnopal accounts'ng policies a￿ set out below.
The Trustees consider that there a￿ no matsrial uncertainties aboLrt the charity'5 abilty to continue
as a going Con￿M, and that Ihey have a reasonable expectation that the Charity has adequate
resources to continue in operational existen￿ for the foreseeable futu￿. Thus the Trustees
continue to adopt the going con￿rn basis of accounting in preparing these accounts of the
incorporated association.
1.2) Income
Income is recognised when Ihe charity has entl￿ement to the fvnds, tt is probab￿ that the income
will be re￿iVed and the amount of the income be measur8J reliably.
Joumal advertising is taken ￿ an accruals basis. Donations are recogni*J when the charity has
been notifEd in writing of bolh the amount and the settlement date. Legacies are reccgnised on
case by case basis following the granling of probate vthen the administratorlexecutor for the estate
has communicated in wrrting both the amount and settlement date. ￿ere legacies have been
notified to the charity, or Ihe chanty is aware of the granting of probate, and the criteria for income
recognition have not b￿n met, then the legacy is treat8J as a contingent asset and disclosed if
material. Interest on funds held on deposrt is induded when re￿1vable and the amount can be
measured reliably by the charity., this is nomialty upon notification of the interest paid or payable by
the bank. Investment income is recognised on a re￿Ipts basis upon notffication by the charty's
investment manager.
All other income has b￿n taken into account on a cash r￿1¥&j basis.
Annual Report 2025
22

IA
1.3) Expenditure
Liabilities are recognised as expenditure as soon as there is a legal or construdive Obl￿atIon
committing the charity to that expenditure, rt is probable that settlement will be required and the
amount of the obligation can be measured reliably.
All expendrture is accounted for on an accruals basis.
'Raising funds" includes all dire(# costs Incurr￿ in running fundraising events and invesknent
management costs.
"Charitable activities. indudes all ￿sts In(￿rred in meeting our charitable objects and prov￿Ing
support and infomalion to our beneficiaries. HaW of the costs of the annual meeting Ifomierly
known as the National Council meeting) are tharged under this heading since Ihis meeting not
only fij￿11$ the requirements of an annual general M￿tIr￿j but also indudes activities designed to
help representatives of IA'S memter or9anisations to njn their charities effectNely. Induded are
updates on research urjdertaken and other matter5 important to the running of the charity.
In addition Sook of the costs of our national Offi￿ are indLMJ&J. The national office of IA not only
provides administrative support to the Board of Trustees but also acts as the first point of contsct
for patients needing our advi￿ and support, as well as supporting IA'S member organisalions. For
this reason the costs are divided befv￿n this category and 'g0veMan￿ costs..
Much of the work of IA is managed by sulxommrttees of Ihe main board. The costs of their
meelings are included as part of our Charitab￿ activities. In addition, since the responsibilities of
the board indude much direct charitable work. 50°A of Ihe cost of the board meetings is included
as charrtable activittes.
'Govemance costs" include all ￿$ts inrAJrred in the financial management of IA. In addrtion, 50 /0
of the cost of the annual meeting, the running of national Offi￿ and the meetings of the board are
shown here. Any other costs of an administrati￿ nature are also charged to this heading.
Grants for research and other purposes are re(x)gnise(l as 9)on as a written agreement between
the parties confimiing the amount commrtted and the work to be carried out has been made.
Provisions for grants for r￿search and other purposes are re￿gnised when the intention to make a
grant has been communicated to Ihe recipient bui ttEre is Un￿rtaInty as to the ts'ming of the grant
or the amount of the grant payable.
1.4) Tangible and intangible fixed assets
Expenditure on tsngible and Intsnglb￿ fixed assets is nomally charged to revenue in Ihe year of
purchase, unless the level of expendFture on indbvidual items would distort the accounts, or if the
asset has been donated to a researth project while ownership has b*n retained by IA. In such
cases assets are written off on a straight-line basis at rates calcajlated to redu￿ their cost to
expected residual value over the tenn of IheiT anticipated useful lives as follows..
Soknre
330/0
1.51 Investments
All investments are inttially recognised at their transaction value and subs8]uentty measured at
their fair value as al the tsalan￿ sheet date using the closing quoled market price. The ststement
of financial activities includes net gains arKJ losses arising on revaluation and disposals
throughout the year.
All gains arKJ losses are taken to the statement of financial activities as they arise. Realised gains
and losses on investments are calculated as the difference be￿een sales proceeds and their
opening carrying value or their purchase value rf acquired on or subsequent to the first day of the
Annual Report 2025
23

IA
financial year. Unrealised gains and losses are calculated as the drfFeren￿ be￿en the fair value
at the year end and their carrying value. Realised and unrealised investment gains and losses are
combined in the statement of financial adivities.
1.6) Cash and cash equNalents
Cash and cash equivalents include cash in hand. deposrts hehj at call with banks, other short-tem
liquid investments with original maturitEs of three months or less. and bank overdrafts. Bank
overdrafts are shown wthin boffowings in current liabilrties.
1.7) Financial instruments
The charty has elected to apply the probllsions of Section 11 "Basic Financk?I Instruments- and
Section 12 "Other Financial Instruments- of FRS102 to all of its financial instruments.
Financial instruments are recognised in the Charity's balance sheet when the Charity becomes
party to the contractual provisions of the instrument.
Financial assets and liabilities are offset, wrth the net amounts presenled in the financial
statements, when there is a legally enfOr￿able right to set off the recognisgj amounts and the￿ is
an intentK*n to settfe on a net basis or to realise asset and settle the liabilty simu￿aneously.
Basic financial assets
Basic financial assets, vthich include debtors and cash and bank balan￿s. are initially measured
at transaction pn￿ including transaction ￿$ts and are subsequently carried at amortised cost
using the effective interest method unless the arrangement constrtutes a financing transaction,
where the transaction is measured at Ihe present value of the future receipts discounted at the
market rate of interest. Financial assets Cla￿f￿ as r￿Nable within one year are not amortised.
Basi¢ financial liabilities
Basic financial liabilities, induding creditors and bank loans. are initially recxsgnised at transaction
pri￿ unless the arrangement consti￿te$ a financing transaL#ion. where the debt instrument is
measured at the present value of fijture re￿Ipts discounted at a market rate of interest. Financial
liabilities classrfied as payable wthin one year are not amortised.
Debt instruments are subsequenty carried at amortised cost, using the effective interest rate
method.
Trade creditors are an obluation to pay for goods or *ryices that have been acquired in the
ordinary course of operations from supplErs. Amounts payable are classified as cu￿ent liabiltties rf
payment is due within one year or less. If not, they are presented as non-current liabilities. Trade
creditors are recLyJnised inilkqlly al transactK*n Pri￿ and subsequently measured at amortised cost
using the effective interest method.
Derecognition of financial liabilities
Financial liabiliti.es are derecognised when the Charity's contractual obligations expire or are
discharg￿ or cancelled.
1.8) Funds
IA has both unrestricted and restrict&a funds. bLrt no erKlowment fijnds, as shown below.
Annual Report 2025
24

IA
Unrestricted Funds
1. Ge￿ra1 Fund
2. Capital Invesknent Fund {desunated to provKle income for the General Fund)
3. Branth member organisats￿ DeS￿nated fvnds
Restrlcted Funds
1. Research Fund (to provide grants for research projects relevant to our beneficiaries)
2. Welfare Fund (to provide small financial grants to members)
3. Bryan N. Brooke11A1 Overseas Travel Fund lestsblished by our founding presKlent, Professor
Bryan N. Brooke, to provKle grants to assist members to attend reLated meetings abroad)
4. Young IA Bursary FuThJ (to provide grants to young people to attend events which will aid their
recovery after surgery)
5. The Victoria Wlls IA Intemal Pouch Bursary (establish8J in memory of Victoria Wills to proV￿e
grants to those with an intemal pouch to attend events whith will aid their recovery after surgery)
6. IA Annual Award for InnoVat￿n {eslablished by fomier executive committee chairman Carolyn
Slammers to prOV￿e funds for an annual award offerejj to IA member organisations for
innovalive ideas and actiwtEs}-
7. Robert Wainwright Fund (established as a resuft of a pec4Jniary legacy from the estate of Robert
Wainwright to promote exercise and frtness in stoma patients through online dasses. videos,
workshops arKI other similar Servi￿s}.
8. Branch member organisation Restricted funds
One of the unrestricted funds. the Caprtal Investment FuTrJ. was designat￿1 to specrdl purposes
(to provKJe income for the General Fund) by decision of the l)oard, vthich coukl be changed in the
future.
For the purposes of clanty in these financial statements, all Branch designated funds have been
arnalgamated into a Sing￿ reporting line shown as Branch Designated wrthin unrestricted fvnds
and similarly all Branch restrided funds have been amalgamated into a single reporting line shown
as Brnntt* Restricted fvnds under restrictgj funds.
Further details of each fund are dwlosed in note 20.
1.9) Operating leased assets
Leases that do not transfer all the risks and rewards of ownérship are classified as operating
leases. Paymenls under operating leases are charg&J to the statement of financial activities on a
straight-line basis over the peric¥J of the lease.
1.10) Employee benefits
The Gost of any unused holtday entitlement is recognisal in the peric&l in which the employee's
services are received.
Tennination benefits are recognised immediately as an expense when the Charty is demonstrably
ommittej to terminate the employment of an employee or to pro¥ide temiinats.on benefits.
As rquired by law, the charity offers a Workpla￿ pension scheme to all eligible employees. The
scheme is operated by the National Employment Savings Trust {NEST) and is a defined
Annual Report 2025
25

IA
contribution scheme with contributions made by both employer and employee. The amount
charged lo the Statement of Financial Activities in respect of pension costs is the Gontribution
payable by the chaiity in the year.
1.11) Critical accounting estimates and judgements
In the application of the Charity's accounting policEs. the Trustees are required to make
judgements. estimates and assumptions about the carying amount of assets and liabiltties that are
not readily apparent from olher SoU￿s. The estimates and associat8J assumptions are based on
historical experience and other factors that are consKlered to be relevant. Actual resuts may differ
from these estimates.
The estimates and Lbnderfying assumptions are reviewed on an ongoing basis. Revisions to
accounting estimates are re0)gni￿ in the period in which the estimate is revised where Ihe
revision affects only that period, or in the period of the reb4sion the fvture periods where the
revision affects both current and fuiure periods.
Annual Report 2025
26

IA
2 ANALYSIS OF PRIOR YEAR TOTAL FUNDS SHOWN ON STATEMENT OF FINANCIAL
ACTIVITIES
Unrestricted
Funds
Restrictsd
Funds
Total funds
301912024
Income from:
Donations and legacies
374,017
36,171
410,188
Charitsble activf(Es
93,168
93,168
Invesbnents
134.843
144,389
Total income
602,028
45,717
647.746
Expenditure on:
Raising funds
26,6C6
1,894
28,5C(I
Charitable activities
655.629
74,981
730,610
Total expendlture
682,235
76,875
759.110
Net Incomel(expendlture) before
gains and losses on
inveslments
(80,207)
(31,1581
(111,365)
Net gains {losses) on investrnents
427,555
31.737
459.292
Net incomel(expenditure)
347.348
579
347,927
Transfers between fiJTrJs
20
{1,5341
1,534
Nel movement In funds
345.814
2,113
347,927
Reconciliation of funds:
Total fund5 brought forwa
4.730.012
>8,191
5,298,203
Totsl funds carried for4Ydrd
5,075,826
570,304
6,646,130
Annual Report 2025
27

IA
3 INCOME FROM DONATIONS AND LEGACIES
Funds
transferred in
from Branch
member
organisations
Member
organisation
donations
Total
2025
Total
2024
donations
Legacies
General Fund
28,609
10,860
39,469
354,813
Branth Designated funds
17,537
11,454
28,991
19,204
Totsl unrestricted funds
46.146
22.314
68.460
374,017
Research Fund
107
107
36,171
Robert Wainwright Fund
500
500
Branch Restn'cted funds
55,444
55,444
Total restricted funds
55.444
607
56.051
36,171
Total 2025
55,444
46.753
22,314
124,511
Total 2024
35.OCQ
32,792
342,396
410,188
As of 1 October 2024, one Affiliate member orrJanisation opted to become a Branch and the
transfer of their funds of £55,444 into the national charity is therefore included in donations in the
Statemenl of Financial Activih'es.
The charity benefits greatly from the involvement support of its volunteer5, details of which are
given in our annual report. In accordan￿ with FRS102 and the Charities SORP (FRS102), the
economic o)ntribution of general volurbteer5 is not recognis8J in the accounts.
Annual Report 2025
28

IA
4 INCOME FROM CHARITABLE ACTlVtnES
Unrestricted
funds
Restricted
funds
Total 2025
Total 2024
IA Joumal
34.053
34,053
31,229
Annual (National Council) meetirvJ
7,759
7,759
7,641
Member organisation annual subscriptions
30,661
30,661
26,151
Member subscriptions
23.4TT
23,477
28,147
Total
95,950
95,950
93,168
Total 2024
93,168
93,168
Income of £30,661 {2024". £26,151) shown above under unrestricted fvnds as member
organisabon annual subscriptions includes £28,204 {2024'. £23.3101 in relation to annual
subscription charges levied on Branch member organisations by the tharity. A Co￿eSpOndIng
expense of £28,204 (2024". £23.310) is included under charrlable expenditure to ￿ect the cost to
the indivKlual Branches, funds. As such. the overall nel effect of these rtems on the charity is zero.
S INVESTMENT INCOME
Investment arKI interest income was £122.987 (2024.. £144,389) of whith £114.772 was
unrestricted (2024: £134,843) and £8,215 ¥Yas restricted {2024.' £9,546). It came from the following
sources..
2025
2024
UK listed investrnents
121,857
140,765
Bank interest
1.130
3.624
Totsl
122.987
144.389
6 EXPENDITURE ON RAISING FUNDS
2025
2024
Investment management costs
26.613
27,870
Online fundraising costs
630
630
Total
27,243
28,500
Annual Report 2025
29

IA
Expenditure on raising funds was £27,743 12024: £28,500) of which £25,439 was unrestricted
{2024.' £26,606) and £1.804 was restricted (2024. £1.894).
7 EXPENDITURE ON CHARITABLE ACTivrriES
Note
2025
2024
IA Joumal {in¢l￿91r￿￿ distributton costs)
57.315
52,485
Grants and donations
(3,018)
49,556
Annual (National Council) meets'ng (apportion￿1)
13,969
16.131
Intemal Pouch Group activtbes
2,134
5,704
One20ne training
5.541
5.300
Publicty & promotion
101,640
119.565
Infomiation sheets & bOok￿ts
5.192
5,043
National Offi￿ (apportion￿)
226.161
210,742
Charitable activrties
6.542
4,558
Branth member organisation adivitres
40,950
31.963
Support co&s
18,015
24,994
Govemance costs
10
204,672
204,569
Totsl
679,113
730,610
In 2025, exFenditure on charitable activrties was £679, 113 {2024.' £730,610), of which £642,854
was expendtiure from unrestricted funds {2024: £655,629} and £36,259 was expendrture from
restricted funds {2024.' £74,981). Expenditure of £40,950 shown above as Branch member
organisation activities indudes £28.204 in relation to annual subscription charges levied on Branch
member organisations by the chanty. Corresponding income of £28,204 is included under
haritable income to refiect the income due to the unrestrictwj furKls of the charity. As such, the
overall net effect of these items on the charity is zero.
Annual Report 2025
30

IA
8 GRANTS AND DONATIONS
2025
2024
Grants to iThdividuals
12,513
7,238
Grants to individuals written bad(
(10.500)
Grants to IA member organiSa￿n$
1,458
Grants to institutions and organisations written back
(13.022}
Other donab'ons
5,991
5,860
Grants from IA branch member organisations to
Research Fund
35,000
Total
(3.018)
49,556
During the year the following wriieba¢ks occurred-
Unulilised costs relating to stoma care training totalling £10,500 (2024- nil).
Two grants to instibjtions and organisations where the underutilisation totslled £13,022
12024- nill.
9 SUPPORT COSTS
2025
2024
IA Joumal
3,261
3,231
Annual (National Council)
meeling {apportioned)
8.676
9,446
Publicty & promotic
513
One 2 One
766
Intemal Pouch
130
130
Charitable activrties
5.435
5.421
Total
18,015
24,994
Annual Report 2025
31

IA
10 GOVERNANCE COSTS
2025
2024
National office {apportioned)
174,997
173,776
Annual {National Council)
meeting {apportJ'oned)
5.293
6,685
Other administrative meetings
1.052
1,284
Audit fee
4.250
Insurance
4.￿7
4,907
Bank charges & currency
costs
605
814
Legal costs
4.134
3,109
Other expenses
7,184
9.744
Total
204.672
204,569
IA has Trustee Indemnty Insurance to indemnrfy the trustees and other Offi￿rS against the
consequences of any neglect or defauft on their part and to cover the trust*s of IA'S member
organisalions. The cost of this insurance is £4.9J7 {2024. £4,￿￿7> and is shown above.
11 ANALYSIS OF STAFF COSTS AND REMUNERATION OF KEY MANAGEMENT
PERSONNEL
2025
2024
Salaries and wages
238.564
201,687
Social securty costs
17.657
15,977
Pension costs
24,990
20,455
Other benefrts
8.290
6,104
Agencylcontract stsff
53,451
78.121
Totsl
342,952
322.344
Annual Report 2025
32

IA
The average number of employees during the year was 7 (2024.. 61 with all employee time involved
in providing either support to the govemance of the charity or support to charitable activities. The
average nurnber of full time equivalent empk)yees during the year was 5 {2024.' 4).
The number of employees receiving lotal employee benefits (excluding empkjyer pension costs) in
excess of £60,000 were
Totsl employee benefits {excludlng
employer pension costs)
2025
2024
£70,001- £80,0
The charity considers that its key management personnel comprise the trustees, the Chief
Executive Offi￿r aThJ the National OffI￿r Manager. The total employee benefits of the key
management personnel were £163,433 (2024. £159,494 Irestatedll. These figures include
Employerfs Nalional Insurance contributions (NIC) of £16,065 12025) and £14,888 120241. Totsl
employee benefits of the key management pe￿nnel tor 2024 have been restated to include
Employerfs NIC for comparative purposes
12 PAYMENTS TO TRUSTEES AND RELATED PARf< TRANSACTIONS
The trustees all give freely of their time aThJ expertise without any fom of remuneralion or other
benefrt in &3sh or kind (2024" nil). Trustees were reimbursed expenses incurred in ￿rf0m1ng their
duties as board members, as follows-
Eight trustees (2024.. 71 were ￿rnbursed £7,318 (2024: £5.191) for travelling, postsge, tekphone,
stationery and other costs incurred in fvlfilling their voluntsry aGtivtties. induding up-front costs
incurred in running events.
During the year, one trustee {2024 - 1), Scott Cltfford. re￿p4￿j payment for providing IT support
services to the chanty as per an exisb'ng contract for seNices which was in place prior to his
appointment as trustee on 18 NovemÈer 2023 and uThJer the authonty provided by the Charrty's
goveming document, contained in clause 4.4.3 of rts Articles of Association The total amount paid
during the year was £17,610 {2024 - £15,260), this amount being paid to SC Training seNi￿s Ltd,
a company of which Mr Clifford is a director. The amount outstanding to SC Training servI￿s Ltd
al yearend was £5,148 (2024- £1.632).
Annual Report 2025
33

IA
13 INTANGIBLE FIXED AsS￿s
Total
Software
Cost
At 1 October 2024
6.211
Additions
At 30 September 2025
6.211
Amortisation
At 1 October 2024
6.211
Charge for the year
At 30 September 2025
6,211
Net book value
AI 30 September 2024
At 30 September 2025
Sofvare comprises the membership database purchased to &Jministsr the membership records of
the chaiity. Developmenl costs which enhance the funthonalty of the software are caprtaliseé.
Costs for the sofhvare are amortised over a three year lrfe from the date tre expenditure was
incurred, with amortisation included within expendr(ure on tharitable activities in the slalement of
financial activities. The truslees have thosen to amortise such (J)sts over a three year period as in
their opinion this most accuratety reflects the lrfe of all sofhvare. which is inherently limrted due to
ongoing product development and the retsrement aThJ repla￿ment of current sollware ptDducts
with new improved versions .
Annual Report 2025

IA
14 FIXED Ass￿ INVESTMENTS
Movements on inyestments for the year ended 30 September 2025 were as shown below.
Market value basis
2025
2024
Quoted Investments
Brought forward
5,601.026
5.224,613
Addth"ons
1,eiJ6,291
1.310.202
Disposals at carrying value
(2.091.914)
(1.339,525)
Unrealised gainsllosses
229,358
405,736
At market value 30 Septsmber
5.344.761
5.601,026
At cost 30 September
4.592.227
s.l￿7.820
Prior to October 2019. all investrnents were held in a Sing￿ main portfolio, wrth investments
allocated to funds on ￿ basis of ￿ cost input by each fund At 1 October 2019, the spltt was as
follows..
Capital Investment Fund
87.54%
Research FurKt
6.64Q/o
General FurKI
0.00%
Welfare Fund
Elizabeth Clay Memorial Fund
5.18%
Bryan N. Brooke (IA) Overseas Travel
Fund
0.18%
In October 2019, £375,000 was transferred from the tharity's bank account into a new 'B° portfolio,
this being the investment of a proportion of fuThJs held on tjehatf of Branches in order to generate
an income for these Branches. The main portfolio continued to operate using the split noted above
until 30 September 2021, Ythen the Elizabeth Clay MeTnorial Fund was closed and the value of the
main portfolio previously allO￿ted to tt was transferred to the Capital Investrnent fund as of 1
October 2021. The split from 1 OctotEr 2021 on the main portfolio was therefore as follows..
Capital Investrnent Fund
92.72°/.
Research Fund
6.64/0
General Fund
0.00%
Wetfare Fu￿1
0.460
Bryan N. Brooke (IA) Overseas Travel
FuThJ
0.180/0
The table above showing movement on inveslrnents for the year represents the Gombined
investments hekl on both the main arKI "B" portfol￿5.
The cash held wlthin the investrnent portfolios is £68.56412024.' £42,897). All the investments are
quoted on the UK Stock Exchange. IA does not hold any investsments outside the UK. Looking at
the combined invesbnent portfolios. there are no investments that exceed 50/0 of the total marf(et
value as at 30 September 2025.
Annual Report 2025
35

IA
15 FINANCIAL INSTRUMENTS
2025
2024
Carrying value of financial assets
Instruments measured at fair value through profft and loss
5,344,761
5,601,026
16 DEBTORS
Amounts falling due within one year:
2025
2024
Legacies due
23,000
Prepayments
8.475
13,853
other deblors
14,854
12,800
Due from branch member organisations
Rent deposit
3,500
3,500
Total
32,273
53.153
17 CASH ON DEPOSIT AND IN HAND
The balan￿ shown includes an amount of £10) held on trLtst for the unincorporated predecessor
charity, IA (Charity Commission (England & Wa￿) registration number 234472).
Annual Report 2025

IA
18 CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR
2025
2024
Accruals
27.558
38,053
Research projects
84.355
Taxation and social secunty
6.754
5.999
Due to branch member organisations
1.318
1,248
Deferrgj income
2.153
Other creditors
28.794
25,832
Totsl
66,577
155.487
19 REfiREMENT BENEFIT SCHEMES
Defined contribution schemes
The company ¢)perates a defined cOntribut￿)n pension scheme for all qualtfying employees. The
assets of the scheme are held separately those of the ￿MpanY in an independently
administered fund. The company ￿ntributeS a specTf*d percentsge of payroll (x)sts to the
tirement benefft scheme to fund the beneffts. The onty obligation of the company with respect lo
the scheme is to make the 5pecffi&d contributions.
The charge to profrt or loss in respect of deffined contribution sthemes was £24,989 (2024..
£20,455). The cre(litor at the balan￿ sheet date relatirvJ to this scheme is £1.680 (2024.. £1,633).
Annual Report 2025
37

IA
20 ANALYSIS OF CHARITABLE FUNDS
For the fjnancial year ended 30 September 2025
Galnsl
(losses) on
investment
assets
Balance
1110124
Transfers
between
funds
Income
Expenditure
Balance
301912025
Unrestricted funds
General
321.302
218.284
655.529
430.522
314,579
Capital Investrnent
4,436,264
119.272
(430.522)
4,125,014
Branch Designated
318,260
60,898
12,764
{3,344)
363,050
Total unrestricted
funds
5.075.826
279.182
668.293
119.272
(3.3441
4,802,643
Restricted funds
Research
186,835
{11,376)
8,011
213,822
Weware
35,657
516
2,315
551
34,409
Bryan N Brooke (IA)
Overseas Travel
21,126
2(
45
221
21.508
Young IA Butsary
5.230
5,230
The Victoria Wills IA
Inlemal Pouch
IA AnnualAward for
Innovation
1,813
48
1,765
238
111
127
Robert Wainwright
48.892
6,920
42,472
Branch Restricted
270.513
55.444
289,301
Total restrlcted
funds
570.304
64.266
38.063
8.783
608,634
Total funds
5.646.130
706.356
128.055
5.411,277
The transfer of £430,522 from the Captsl Investment Fu￿1 to Ihe General Fund was made to bring
the level of General Fund reSen￿S back into line with the tharity's reserves policy. A transfer of
£3,344 was made from Branch Designated to Branch Restncted funds to cover deficits on
individual Branches, Restricted Funds accounts.
Annual Report 2025

IA
For the financial year ended 30 September 2024
Gainsl
(losses) on
Investment
assets
Balance
1110123
Trdnsfers
between
funds
Income
Expenditure
Balance
301912024
Unrestricted funds
General
264,435
545.603
666.416
177,680
321,302
Capital Inveslment
4,186,389
427,555
{177,680}
4,436,264
Branch Designated
279.188
56.425
15.819
(1.534)
318,260
Totsl unrestrlcted
funds
4.730.012
602.028
682.235
427,555
(1.5341
5.075.826
Restricted fiinds
Research
114.736
44,878
1,727
28,948
186,835
Weware
35.228
2.162
1.992
35,657
Bryan N Brooke {IA)
Overseas Travel
20,137
240
48
797
21.126
Young IA Bursary
5.230
5.230
The Victoria Wills IA
Intemal Pou
IA Annual Award for
Innovation
1,813
1,813
349
111
238
Robert Wainwtight
54,087
5.195
48,892
Branch Restricted
336,611
67,632
1.534
270,513
Totsl restricted
funds
568,191
45.717
76.875
31.737
1,534
570.304
Total funds
5,298,203
647,745
759,110
459,292
5,646,130
The transfer of £177.680 from the Caprtal InbEstrnent FurKI to the General Fund was made to bring
the level of General Fund reserves back into line with the tharity's reserves policy. A transfer of
£1,534 was made from Branch Designated to Branch Restrict&J funds to cnver deficits on
individual Branches, Restrrted Funds accounts.
Annual Report 2025
39

IA
21 ANALYSIS OF NET ASs￿s BEtWEEN FUNDS
For the financial year ended 30 September 2025
Net Current
Assetsl
{Liabilities)
Long Term
Liabilities
Total
301912025
Fixed Assets
Unrestrlcted funds
General
314.579
314,579
Capitsl Investsnent
4,607,312
(482,298)
4,125,014
Branch Designated
363,050
363,050
Totsl unrestrlcted funds
4,607.312
195.331
4,802,643
Restricted funds
Research
329.946
(116,124)
11.551
213,822
Weffare
22.858
34.409
Bryan N Brooke {IA) Overseas
Travel
12.564
21,508
Young IA Bursary
5.230
5,230
The Victoria Wills IA Intemal
Pouch Bursary
IA Annual Award for 1nmVat￿n
1,765
1.765
127
127
Robert Wainwright
42.472
42,472
Branth Restricted
375,701
(86,400}
289,301
Totsl restricted funds
737,449
S,344,761
(128,815)
66,516
608,634
5,411,277
Total funds
Annual Report 2025

IA
For the financial year ended 30 September 2024
Net Current
Assetsl
(Liabilities)
Long Terni
Liabilities
Totsl
301912024
Fixed Assets
Unrestrlcled funds
General
321.302
321,302
Capitsl Investment
Branch Designated
4.849.752
{413.488)
318.260
4,436,264
318,260
Totsl unrestricted funds
4.849,752
226,074
5,075,826
Restrlcted funds
Research
347,308
(160.473)
186,835
Welfare
24,060
11,597
35,657
Bryan N Brooke (IA) Overseas
Travel
9.415
11,711
21,126
Young IA Bursary
The Victoria Wlls IA Intemal
Pouch Bursary
IA Annual Awa￿ for Innovation
5,230
5,230
1,813
1,813
238
238
Robert Wainwright
48.892
48.892
Branch Restricted
370,491
(99.978)
270,513
Total restrlcted funds
751,274
5,601,026
{180.9701
45.104
570,304
6,646,130
Total funds
Unrealised gains on investment assets Ind￿je￿ above..
2025
2024
un￿Stnrted funds
664,086
481.073
ReStrict￿j funds
88.448
52,133
Total
752.534
533,206
Annual Report 2025
41

IA
22 OPERATING LEASE COMMITMENTS
At 30 September 2025 the chanty had Ihe following fLrture M￿lmuM commitments under a non-
cancellable lease for office premises as follows.'_
Payment due
2025
2024
No later tt)an one year
5.537
17,979
Later than one year and not later than fve years
5,537
Totsl
6,537
23,516
The amount charged to expendtlure on charitable activities in relation to the lease was £17,979.
The charity had no other off-balance sheet arrarvJements.
23 RECONCILIATION OF NEf INCOMEI(EXPENDITURE) TO NEf CASH FLOW FROM
OPERATING ACTIVITIES
2026
2024
Nel inGomellexpenditure) for the reporting period
{as per the ststsment of financial aclivities)
1234853)
347.927
Adjustrnents for:
DedLKt interest income shown in In￿stIng activitEs
(122.987)
(144,389)
Deduct gainsladd back losses on investments
(229.3581
(405,736)
Lossl(profit) on th& sale of invtrslments
101,303
(53.556)
{Increase)IdeGrease in debtors
20,880
38,736
Increasel{decrease) in creditors
(88,910)
4,159
Net cash used in operating activities
(553,925)
1212,859)
24 ANALYSIS OF CHANGES IN NEf FUNDS
The chanty had no debt during year.
25 MEMBER ORGANISATIONS, ACCOUNTS
Branch member organisations. activities are induded in these financial statemenls. Affiliate
member organisations. being separately registered charrtw. prepare their own accounts in
Annual Report 2025
42

IA
accordan￿ with the appropriate legislation and are accordingty not indLNJed in these financial
statements.
As noted in notes 4 and 7 above, annual yjbscription charges of £28,204 were tharged to 8ranch
member organisations by the tharity and as a result. both charitable income for unrestncted funds
and charitable expenditure for restricted funds have been increased by this amount to reflect those
transactions. The overall net effect on the charity zero.
Annual Report 2025
43