IRIS Accounts Production v24.1.0.576 Other Company accounts True false Pounds 1.4.23 31.3.24 31.3.24 FY FRS 102 Independent examiner Small companies regime for accounts Full Charities SORP true true true true false true false true iso4217:GBPiso4217:USDiso4217:EURxbrli:sharesxbrli:pureutr:tonnesutr:kWh052925392023-03-31052925392024-03-31052925392023-04-012024-03-31052925392022-03-31052925392022-04-012023-03-31052925392023-03-3105292539ns0:CharitableCompanyLimitedByGuarantee2023-04-012024-03-3105292539ns15:PoundSterling2023-04-012024-03-3105292539ns11:FRS1022023-04-012024-03-3105292539ns11:IndependentExaminationCharity2023-04-012024-03-3105292539ns11:SmallCompaniesRegimeForAccounts2023-04-012024-03-3105292539ns11:FullAccounts2023-04-012024-03-3105292539ns11:CharitiesSORP2023-04-012024-03-3105292539ns16:EnglandWales2023-04-012024-03-3105292539ns11:RegisteredOffice2023-04-012024-03-3105292539ns0:Trustee22023-04-012024-03-3105292539ns0:Trustee32023-04-012024-03-3105292539ns0:Trustee42023-04-012024-03-3105292539ns0:Trustee52023-04-012024-03-3105292539ns0:Trustee62023-04-012024-03-3105292539ns0:Trustee72023-04-012024-03-3105292539ns0:Trustee82023-04-012024-03-3105292539ns0:Trustee92023-04-012024-03-3105292539ns0:Trustee102023-04-012024-03-3105292539ns0:Trustee12023-04-012024-03-3105292539ns11:CompanySecretary12023-04-012024-03-3105292539ns0:TotalUnrestrictedFunds2023-04-012024-03-3105292539ns0:TotalRestrictedIncomeFunds2023-04-012024-03-3105292539ns0:Activity82023-04-012024-03-3105292539ns0:Activity8ns0:TotalUnrestrictedFunds2023-04-012024-03-3105292539ns0:Activity8ns0:TotalRestrictedIncomeFunds2023-04-012024-03-3105292539ns0:Activity82022-04-012023-03-3105292539ns0:TotalUnrestrictedFunds2023-03-3105292539ns0:TotalRestrictedIncomeFunds2023-03-3105292539ns0:TotalUnrestrictedFunds2024-03-3105292539ns0:TotalRestrictedIncomeFunds2024-03-3105292539ns0:TotalUnrestrictedFundsns10:WithinOneYear2024-03-3105292539ns0:TotalRestrictedIncomeFundsns10:WithinOneYear2024-03-3105292539ns10:WithinOneYear2024-03-3105292539ns10:WithinOneYear2023-03-3105292539ns10:FurnitureFittingsToolsEquipment2023-04-012024-03-310529253922023-04-012024-03-310529253912023-04-012024-03-310529253912022-04-012023-03-3105292539ns10:OwnedAssets2023-04-012024-03-3105292539ns10:OwnedAssets2022-04-012023-03-3105292539ns0:TotalUnrestrictedFunds2022-04-012023-03-3105292539ns0:TotalRestrictedIncomeFunds2022-04-012023-03-3105292539ns0:Activity8ns0:TotalUnrestrictedFunds2022-04-012023-03-3105292539ns0:Activity8ns0:TotalRestrictedIncomeFunds2022-04-012023-03-3105292539ns10:FurnitureFittings2023-03-3105292539ns10:ComputerEquipment2023-03-3105292539ns10:FurnitureFittings2023-04-012024-03-3105292539ns10:ComputerEquipment2023-04-012024-03-3105292539ns10:FurnitureFittings2024-03-3105292539ns10:ComputerEquipment2024-03-3105292539ns10:FurnitureFittings2023-03-3105292539ns10:ComputerEquipment2023-03-3105292539ns10:BetweenOneFiveYears2024-03-3105292539ns10:BetweenOneFiveYears2023-03-3105292539ns10:AllPeriods2024-03-3105292539ns10:AllPeriods2023-03-31
REGISTERED COMPANY NUMBER: 05292539 (England and Wales)
REGISTERED CHARITY NUMBER: 1107273














Report of the Trustees and

Unaudited Financial Statements for the Year Ended 31 March 2024

for

Integrated Neurological Services

Integrated Neurological Services






Contents of the Financial Statements
for the Year Ended 31 March 2024




Page

Chair's Report 1

Report of the Trustees 2 to 13

Independent Examiner's Report 14

Statement of Financial Activities 15

Balance Sheet 16 to 17

Cash Flow Statement 18

Notes to the Cash Flow Statement 19

Notes to the Financial Statements 20 to 28

Integrated Neurological Services

Chair's Report
for the Year Ended 31 March 2024

It is with pleasure that I share with you this year's Annual Report in its new attractive, easy to interpret and navigate format. In it, you will clearly see the increase in INS's service provision to meet the increase in demand year on year. The demand for INS services is greater than ever as we see more people and more complex cases requiring in depth support for a wider range of conditions.

We have strengthened further our clinical team and welcomed to the INS, a new senior Occupational Therapist, as well as expanding the recruitment and deployment of volunteers who support group-based work. Specialist volunteers in other areas of expertise have also been successfully recruited including in IT support, website design and project management, contributing to a more visible, accessible and flexible INS.

The development of a multi-skilled and flexible team and the ability to work with partner organisations most effectively has enabled INS to meet a significantly increased demand and ensure sustainable growth within capacity.

During the period INS provided 1,509 one to one therapy and counselling sessions including 274 initial assessments 5,052 Group attendances for 334 people 12,255 Interventions for 747 clients and carers 135 Home visits to deliver assessments and therapies. The complexity of the service provision required to support clients is only increasing.

Through the innovation of satellites (provision of services directly in the community where people need more neuro support) at Feltham, Brentford and Barnes, INS supported 160 people.

You will see more of the services and some of the stories of the team and the service users within this Annual Report.

The work of INS is dependent on securing funding which is provided from a number of sources: contracts, grants, donations, and fees from training provision. We thank our funders and donors.

As we look ahead to the coming year the challenge of meeting the demand for services, experienced over this last year is likely to continue and increase, securing funding will be key to providing the resource to meet these challenges. This is at a time when there is greater competition for funds and donations. INS have successfully built relationships with funders and donors and this support is needed more than ever. In this last year, celebrating 30 years since the foundation of INS, donations have increased year on year by 30% through a diverse and enjoyable range of group and individual fundraising activities supported by staff, volunteers, sponsors and donors. The growth of these activities and donations more generally are part of the INS strategy to spread and grow the sources of financial support to continue to work sustainably.

I would like to take the opportunity here to thank INS staff, volunteers, fellow trustees, partners, funders, and supporters for their continued loyalty and commitment to the work of INS. It is because of their dedication that INS is able to support our service users within the boroughs of Richmond upon Thames and Hounslow to live as independently as possible through the support of INS's integrated approach.

Anne Gowan
Chair, INS

Integrated Neurological Services (Registered number: 05292539)

Report of the Trustees
for the Year Ended 31 March 2024


The trustees who are also directors of the charity for the purposes of the Companies Act 2006, present their report with the financial statements of the charity for the year ended 31 March 2024. The trustees have adopted the provisions of 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).

OBJECTIVES AND ACTIVITIES
Objectives and aims
Looking back – Strategic aims for 2023/24

Following our Strategy Day in August 2023, we identified the following as key priorities for the year 2023/24:

- Manage resources and demand from our increasing number of new service users to ensure sustainable growth within our capabilities.

- Develop a multi-skilled workforce which is adaptable, flexible and responsive to meet changing needs and demand.
-
- Ongoing review of our service provision and delivery to increasing service users through building and training a team of full and part-time, permanent and temporary, therapists, staff and volunteers.

- Develop an adaptable working model for our ‘INS satellites’, to reach more people and provide accessible services in places where people need neuro support.

- Increase partnerships with external providers to reach more service users, supplement our resources and provide wider expertise to the INS community.

- Develop our digital strategy to build skills and capabilities in technology, including a new website and IT systems, to help manage resources and achieve strategic aims.

- Build and diversify current funding and resources to ensure financial support for strategic aims.

- Develop our profile with statutory services and act as an influencer on behalf of the INS community within local health service changes.


Integrated Neurological Services (Registered number: 05292539)

Report of the Trustees
for the Year Ended 31 March 2024

ACHIEVEMENT AND PERFORMANCE
Charitable activities
Demand and Complexity


In 2023 we received 278 referrals for both clients and carers, an 18% increase compared to a bigger growth in the previous year.

We continue to see a growing need for support for Stroke survivors in Hounslow, which represent 64% of referrals we receive from the borough. In Richmond, the primary neuro condition we support is Parkinson's.

For Richmond service users, the main referral routes are either through self-referral, the Community Rehabilitation Team, or family and friends. Most Hounslow service users are referred through voluntary organisations, such as the Stroke Association. Voluntary organisation referrals for Hounslow-based Stroke clients account for 14% of all referrals received. Other Hounslow service users are most often referred through the Community NHS Team, their GP, or by self-referral.

Service users who have been referred from other boroughs are most often referred via self-referral, or through a family member or friend. From April 2024, we have no longer been accepting new referrals from other boroughs.

This year we supported 747 people with one-to-one therapies, group activities, support and advice, averaging around 16 interventions per person: a 16% increase in people supported compared to last year. The highest number of interventions an individual has received is 123; an intervention can include one-to-one therapy sessions, group activities, professional referrals, case administration and provision of information and advice.

We delivered 1,509 one-to-one therapy and counselling sessions (including 274 initial assessments), and 135 home visits to support individuals who would otherwise be unable to access support in the community.

Throughout the year we supported 334 people with 5,052 group attendances, averaging 15 group attendances per person. To help increase our capacity, some of our groups are run by volunteers or with peer support, for example Working with Words, Local History and online discussion groups for conditions like Multiple Sclerosis.

Although there has been an increase in the number of service users supported over the year, we have not seen the same growth in one to one or group interventions, which indicates our capacity is becoming an issue. Managing demand and capacity is one of our key priorities for 2025. Support for service users in each borough continues to be similar between Hounslow and Richmond, with a small percentage from surrounding boroughs. However, we are currently only taking new referrals from Hounslow and Richmond, due to capacity issues. With an older population, in both boroughs, we are seeing an increase in people who have issues with cognition and a lack of co-ordinated services to deal with this. We have seen a rise in more complex referrals, with our small therapy team spending more time on professional referrals and case management, as well as providing therapy and rehabilitation. In some cases, there are no statutory services for the ongoing rehabilitation we provide. For example, there is no long-term service for stroke survivors available in the community, so a referral to INS for ongoing support would come after a short period of rehabilitation. With some other conditions, like Functional Neurological Disorder, the community team has no commissioned service to cover this, so our therapists have been liaising with other NHS services. We are supporting individuals living with more than 15 different neurological conditions. The numbers of carers referred to us and supported has stabilised after an increase the previous year following the pandemic. However, we are seeing more carers who are experiencing severe stress, due to the complexity of support needed for their cared for person and we are helping them to navigate this support from statutory services.



Partnership Working

Our partnerships with local charities and organisations allow us to diversify our range of support and activities, and our strong links with local networks mean that we can ensure our service users are receiving timely and responsive support across the boroughs .




Integrated Neurological Services (Registered number: 05292539)

Report of the Trustees
for the Year Ended 31 March 2024

Move into Wellbeing

In the summer of 2023, we began partnering with Move into Wellbeing, a local charity delivering chair-based dance exercise sessions for adults with Parkinson’s and other mobility-related conditions. The group consists of a series of fun and stimulating exercises performed to music. The highly interactive group works on participants’ strength, coordination, balance, flexibility and dexterity, with all movements differentiated to suit an individual’s needs. The sessions are particularly beneficial for clients who are living with a secondary diagnosis of dementia.

10 people provided feedback for the Move into Wellbeing sessions at the start of 2024. All respondents thought the content of the group and the instructor were Excellent. 60% felt that attending the group Definitely improved their overall wellbeing (40% thought it Probably improved their wellbeing), and all participants felt they were Probably or
Definitely exercising more frequently as a result of attending the group.

"I felt all participants were made to feel welcome - whatever their ability. We were encouraged to do our best. It was enjoyable. And just the right length of time".


Otakar Kraus Music Trust

We continue to offer Music Therapy group sessions to our clients, delivered in partnership with Otakar Kraus Music Trust, running blocks online and in-person at INS in Twickenham. Having successfully run online music therapy blocks during the Covid-19 Lockdown, we have continued to offer a hybrid model of music therapy, with some blocks run in-person and some online. Online sessions have continued to be a popular and therapeutic option for service users who aren’t able to access in-person sessions.

Queen Elizabeth’s Foundation for Disabled People (QEF)

Since 2019 we have partnered with Queen Elizabeth’s Foundation for Disabled People, who deliver monthly driving assessment and adaptations advice clinics at our premises in Twickenham.

We work with local organisations where we use or hire their venues to host our weekly satellite hubs: Age UK Richmond's Barnes Green Centre, Age UK Hounslow's Southville Community Centre, and The Musical Museum.

"There is such an air of positivity at INS, plus the staff are all so caring in every way, it is good for both my physical and mental wellbeing"


Carer Support

"Once you have left hospital, you are left in limbo and don't know which way to turn, but INS was there and helped with forms and advice. They made life easier."

This year we have provided information and advice, practical, and emotional support for 160 unpaid family carers through a variety of services. Our carers mutual support group meets monthly, and provides a space for attendees to meet other unpaid carers for peer support and advice. Our counselling service supported 21 carers with an average of 16 sessions each. The sport and exercise and neuro-exercise groups held at our Feltham and Brentford satellite hubs give carers the opportunity to exercise with their cared-for family member or friend, and our Friday afternoon Open Gym session offers slots for carers to exercise with supervision, helping them to remain fit and healthy. In February we hosted a Carers information session at Barnes Green Centre, in partnership with Richmond Carers Centre and Homelink Day Care, which was attended by 11 carers and clients. To celebrate Carers Week in June, we hosted an information session at our satellite in Feltham, with talks from the Hounslow Service and Harrow Carers. The session was an opportunity to support existing INS service users and new people in the community, with talks on carers assessments and presentations from INS carers. In July we held an online carers session, delivered by Rose Dent from Richmond AID, who gave a talk on the topic of benefits. In early 2024 we worked with Richmond Carers Centre to gather feedback about local services for carers. The survey was answered by 16 carers who receive support from INS. 100% reported that they feel they have been treated with dignity and respect during their time as an INS service user. 100% feel better able to provide support for their cared for, and 100% feel they have been supported to maintain or improve their own health and wellbeing. 94% agreed that they feel recognized and valued as a carer and feel better able to get the help they need, when they need it. All carers surveyed said they would recommend INS to other carers.

Integrated Neurological Services (Registered number: 05292539)

Report of the Trustees
for the Year Ended 31 March 2024



The Team

INS has had a successful year pursuing its objective of recruiting experienced staff and increasing our bank team to flexibly respond to demand.

In this year we said farewell to Alex Sloan, our excellent permanent occupational therapist. Alex was a key member of the team, developing a range of groups including the mindfulness courses. Due to the development of our therapy bank we have been able to retain Alex's skills and knowledge. We have been extremely lucky to recruit an experienced occupational therapist, Dr Richard Jefferson who brings a huge range of experience in working with people with
neurological conditions in the community
.
After maternity leave we welcomed back Marie-Anne Crowley, physiotherapist and added an additional bank physiotherapist, Holly Wilkinson, to lead our neuro_exercise group at our Brentford satellite.

As part of our ongoing development of the team, Paul Underwood became our permanent exercise lead, co-ordinating our exercise groups across the organisation
.
In order to cover our growing range of groups across the satellites we have developed a bank group assistant role and have been joined by excellent additional team members.

For the first time we have taken Speech and language Therapy students from City University and physiotherapy students from London Met.

Digital Infrastructure

This year has seen significant progress in developing our digital strategy, with the support of two expert volunteers in IT and website development. Following the upgrade of our Salesforce CRM platform in 2022, in September 2023 we terminated our website contract, and with the help of a volunteer website expert, we launched the first phase of our new website, which was tested by a small group of service users before launch. The new website is easier for users to navigate and for developers to edit, and has enabled us to introduce online web_forms for client and carer referrals. Further developments are following in stages, including plans to create separate referral forms for individuals and professionals and more signposting and information. We plan to expand the website in collaboration with our service users to ensure that our website serves our community in the best way possible. In January we upgraded our IT systems by replacing our out-of-date server with a cloud-based one, and updated some IT equipment to meet the increase in capacity and improve data security. Strengthening our internal infrastructure and digital processes will help us be more sustainable and support service delivery across different venues. Recently, we moved to a new IT provider to help implement these changes and support us going forward.

"Some years after I retired from my career as an Enterprise Software Engineer, I was keen to find somewhere I could use my skills to help a deserving cause. I found INS through the excellent Richmond CVS website.

Initially, I was able to advise INS during their migration from Microsoft Office Desktop to Microsoft 365, and the selection of a new IT Service Provider.

I now provide ongoing configuration enhancements to the INS Salesforce implementation, which is used for all customer facing activities. Personally, it has been interesting learning the Salesforce capabilities and very rewarding implementing changes that would otherwise be delayed waiting for external suppliers".

"INS is doing wonderful work, and I am very glad that I can contribute in a small way to their operations".
Patrick, IT Volunteer

Richmond Satellite
We have continued to deliver weekly physiotherapist-led group neuro-exercise classes at Barnes Green Centre, in partnership with Age UK Richmond to deliver the Community Independent Living Service (CILS).

This year we supported 30 people at the satellite hub who are living with a variety of neurological conditions such as Parkinson’s, MS, and Stroke, through exercise, 1:1 support, and information and advice sessions.

Integrated Neurological Services (Registered number: 05292539)

Report of the Trustees
for the Year Ended 31 March 2024


Around 8% of our Richmond-based clients are Barnes residents, with 57% aged 70 and over and 11% aged over 80. Richmond is home to one of the largest populations of people aged over 75 years and living alone across the London boroughs, and the prevalence of neurological conditions increases with age, making the Barnes neuro hub a key resource for service users in the area.

Feedback from an evaluation survey for the weekly neuro exercise course, attended by up to 10 service users, included 100% finding the group instructor 'excellent' and 67% saying that attending regularly had 'definitely' improved their overall wellbeing.

83% found that they were exercising more frequently and finding that attending the group was helping them work towards their goals.

Comments about the group included: 'Kind and nurturing' and 'I very much enjoy the group'; while others appreciated 'the regular sessions and mix of exercises' and the 'mutual support’ offered.

Although many of our Barnes hub service users are able to access activities at our venue in Twickenham, we regularly collect and evaluate feedback to provide more accessible services in Barnes. This year we offered OT Fatigue Management sessions and a Carers Information and Advice session at the satellite, delivered with Richmond Carers Centre and Homelink Day Centre.

In September, the Barnes neuro-exercise group enjoyed a visit from Philip Barron, CEO of Richmond Parish Lands Charity, which included a professional photography session. We are very grateful for RPLC’s support, and we have been able to use the photos in many communications since, including our website and annual report.

Living Well’ in Feltham

In February 2024 we celebrated the second anniversary of our Living Well Hub at Age UK Hounslow’s Southville Community Centre in Feltham. The hub is our second satellite hub, delivering groups on Thursday mornings. Over the year the community of clients and carers at our Living Well hub has grown, and we have been able to offer a variety of activities over 43 half day sessions, including weekly neuro exercise and sports activities for 28 people, 36 communication group sessions for 21 people, 19 initial assessments and 1:1 therapy sessions, social and peer support, and a variety of information and education sessions.

The weekly programme of activities is co-ordinated and supervised by Penny Cooke, our hub co-ordinator, and supported by therapists, our exercise lead, and therapy assistants. We have also received invaluable support from 3 volunteers, who assist in the groups and social sessions.

We recently surveyed 8 people who have attended neuro-exercise and sports activity sessions at the Living Well hub. All respondents felt that the sessions had helped to improve their strength, stamina, and mobility. They all agreed that the sessions had helped them to work towards their personal goals, and they now perform similar activities at home in their own time.

We have continued to offer information sessions across our satellites in partnership with other organisations. This year at the Living Well hub we have hosted talks on bladder and bowel continence, and a carers health engagement session in partnership with Healthy Hounslow. Alongside hosting information sessions our hub co-ordinator has continued to provide 1:1 support for attendees, such as signposting to services and information gathering, or supporting people with more specific concerns such as helping with PIP health assessments.

Case Study


Integrated Neurological Services (Registered number: 05292539)

Report of the Trustees
for the Year Ended 31 March 2024

X was referred to INS following a stroke. They received an initial assessment with our Occupational Therapist (OT), and together they identified that INS could offer support with their speech, walking, and mobility. They also wanted information about other support available such as financial support, and information about support for their carer. X attended 1:1 sessions with our Speech and Language Therapist (SLT) to help improve their apraxia and aphasia, and joined the Local History and Communicate with Confidence groups. The 1:1 and group support X received helped them to become more confident in their speech and improve their word_finding and speaking. Our SLT provided benefits advice and carer support information, as well as information about the Queen Elizabeth Foundation for driving support and assessments. X received 1:1 therapy with our OT. These sessions included education, orthotics advice, and exercises to help them work towards performing everyday activities independently. The OT provided information about the Dial-A-Ride service to help X travel with more independence. Our Physiotherapist worked with X in 1:1 sessions to improve their walking and gait. they joined exercise sessions at an INS satellite, and the neuro-exercise group. X was able to come to information and advice sessions around a variety of topics at the satellite, including presentations from local social prescribers

Living Well’ in Brentford

On 5th July 2023 we launched a pilot satellite group at The Musical Museum in Brentford to support our growing number of service users in Hounslow, especially those who may find it difficult to travel to Twickenham or are not able to come to our satellite hub in Feltham on Thursday mornings. The Brentford satellite group was officially launched on 20th September 2023 and runs for a duration of 2 hours on Wednesday afternoons. Across 22 half days we have supported 32 clients and 11 carers through neuro-exercise group sessions, social support, and information and advice sessions with other organisations which have included 4 Parkinson's Outpatients clinics and an education session on Neuropsychology in partnership with the Hounslow CNRT. The exercise sessions are led by a Neurophysiotherapist who is employed to work solely at the satellite, and supported by the satellite co-ordinator and 3 volunteers. Recent feedback collected about the Brentford sessions has been very positive, with all attendees noting the benefits of meeting other people with neurological conditions and socialising with others whilst exercising to keep fit. For some, the group is the only regular in-person group they attend. Some participants have found that engaging in sessions at the Musical Museum has empowered them to go out in the community in ways they may not have been able to do previously. During a feedback session at the satellite, a carer shared that exercising with her partner in sessions had given them the confidence to do more at home, and they were recently able to go on an independent outing together, w
hich they hadn't been able to do since her partner's stroke.

"Being among such empathetic session leaders and likeminded people helps me stay positive, resilient, and determined."

" I'm fully accepted just as I am which is very heartwarming and inclusive!"

Local History

In 2022 Emma Gale, our speech and language therapist (SLT), created the Local History group: a communication group with the goal of providing a supported environment for people with communication difficulties to learn and practice strategies to improve their speech and language, connect with the history of the local area, and gain confidence to communicate in their everyday life. The group is run in two blocks of 8 weekly sessions, which run bi-weekly, to accommodate demand. Topics have included local life in the Victorian and Tudor periods, and the Second World War. The sessions are delivered by the SLT or group volunteers, using a mix of images, video, and artefacts to stimulate discussion. For some sessions they have hired Discovery boxes from Richmond Museum, which contain objects and information surrounding the topics they have been learning about. The group encourages participants to engage in meaningful conversation and to share their own knowledge of the local area and generates opportunities for peer-to-peer discussion and support. This has been a successful model for many attendees; a client who attended the group has become a group volunteer and assists in the research and presentation of sessions. Feedback is consistently positive for the Local History group. In feedback collected in December 100% of respondents felt 'comfortable' in the group, 80% said they enjoyed the sessions, and 100% said they would like to attend another course of sessions.

"I started to attend the Local History group in August 2023 after a notice in the INS newsletter. I've had a strong interest in local history for many years, and this group really appealed to me. I began by attending, discovered how interesting and fun it is, and subsequently joined as a researcher and volunteer.

The atmosphere created in these small sessions is safe and non-judgemental, and Emma Gale, the facilitator, is excellent at drawing people out. Many of the clients have speech problems from Stroke, Parkinson's, Aphasia and other conditions that may make them hesitate to speak.

Integrated Neurological Services (Registered number: 05292539)

Report of the Trustees
for the Year Ended 31 March 2024

Local History attendee and group volunteer

Case Study

X was referred to INS following a stroke . He suffered from aphasia and apraxia, and some limited mobility in his upper limbs. He was interested in joining a communication group to build his confidence, and was working with QEF as he was keen to return to driving.

Following an initial assessment with our speech and language therapist (SLT), it was identified that INS could support X with groups to increase his confidence and aid communication. X also needed emotional support, as despite having contact with an NHS psychiatrist X needed support from professionals with an understanding of aphasia. His wife was identified as someone who would benefit from counselling to help her adjust to becoming a carer.

X participated in the Communicate with Confidence and Local History sessions to improve his speech and conversational skills. Initially shy, over time X gained confidence and engaged fully in the sessions, interacting with the other members regularly. In June 2023 all group members brought a family member to a session in celebration of Aphasia Awareness month, and X's wife was able to attend. He has benefitted from the supported communication format of the groups, and his wellbeing improved as a result of his increased connection with others.

X attended a wide range of other therapy and activity groups, such as Art and neuro-exercise, as well as 1:1 occupational therapy to improve his wellbeing, confidence, and fine motor skills. His wife attended counselling sessions and joined the carer's mutual support group.

Experiences Survey

We shared a survey with our service users to gather feedback about their experiences with INS. 73 people responded: 16 carers and 57 clients. 42 respondents live in Richmond, 24 live in Hounslow, and 7 live in other boroughs. Of 73 respondents, 33% have been involved with INS for less than 1 year. 26% have been involved with INS for more than 5 years. 97% agreed that they would recommend INS to others. 74% of people surveyed agreed that the support they have received from INS staff and volunteers has helped them to cope emotionally, and 59% of participants found that the support from other service users they have met through INS helped them to cope emotionally.

We asked which services respondents are currently accessing, both at and outside of INS. 32% are currently accessing groups or services from other organisations, including Richmond Aid, Ruils, the Stroke Association, Homelink, and Richmond Carers Association. The most accessed groups and services at INS were In-person exercise sessions (38), communication groups (19), and counselling sessions (16).

We asked participants what they think INS is especially good at doing. Many people shared that they feel INS is good at offering specific groups for different neurological conditions, as well as general support and creating a positive, inclusive atmosphere and providing a friendly, knowledgeable service. When asked if there is anything INS can improve on, offer, or provide more of, respondents gave a range of suggestions. Most commonly, people were interested in more frequent group sessions, and a wider range of Expanding Horizons activities such as a drama group, a politics group, yoga, a research-based group, creative groups and massage or nail painting activities. Carers were interested in online information and resources. We look forward to reviewing this feedback in depth to help guide our future service provision.

"Just being there, and locally - as another point of access to physiotherapists and people experienced in the problems associated with neurological conditions. It's very unique in that regard - being specific but also being local. We're lucky to have INS."

"(INS) has helped me to hope - to have a more positive outlook on my condition. It has also helped me to manage my relationship with my doctors and other clinicians and health professionals. And of course, my basic skills are improving - balance especially. And my voice and speech."

"(INS) Ensure their clients are ok and well at sessions, which makes it feel like you're always in a safe space with a homey touch! Tons of positive energy!"

Events


Integrated Neurological Services (Registered number: 05292539)

Report of the Trustees
for the Year Ended 31 March 2024

In May 2023 we attended the Richmond CVS Volunteer Fair, where we were able to meet prospective volunteers and share information about our services.

In July we arranged a boat trip on the River Thames for 20 clients and carers with the River Thames Boat Project. The trip was supported by Ruhi Grover, our Expanding Horizons Co-Ordinator, and 2 speech and language therapy students who were on placement.

Sarah Vines, our CEO, was invited to co-chair Hounslow Council’s celebration of International Day of Persons with Disabilities on 4th December, with the theme: Transformative solutions for inclusive development: The role of Innovation in fueling an accessible and fair world

In January and February, we attended Ruils’ free Community Health fair in Ham, and their Carers’ Community Health fair in Mortlake as stallholders. The fairs were an opportunity to meet with local organisations, and individuals in the further reaches of the borough who may not have heard of our services.

We were also able to attend multiple fairs in Hounslow throughout the year, including Health and Wellbeing Roadshows and the Isleworth Health in The Park fair.

Sarah Vines, our CEO, and Penny Cooke, our Satellite Co-Ordinator, attended Hounslow council’s Voluntary, Community, and Social Enterprise (VCSE) Alliance network breakfast meeting in January 2024.

In January we hosted two sessions on bladder and bowel continence in the context of neurological conditions at our satellite hub in Feltham. Presented by Janice, Hounslow CNRT nurse, the sessions provided information and advice to 30 clients and carers.

Kayaking Group

In the summer we ran a block of kayaking sessions for a small group of service users, delivered by The Lensbury Resort. The sessions were led by The Lensbury’s qualified instructors and supported by our Exercise Lead.

The sessions were very well received, with participants feeding back that they enjoyed the opportunity to take part in water-based activities in a supported environment. All survey respondents agreed that the instructors and sessions were excellent, and that the sessions had helped them to work towards their own goals

"From beginning to end I felt well supported and knew what was expected in the session.
The whole event was well planned and executed by everyone involved. Such a thoughtful activity/event to show that even with a disability you can achieve great things."

"The freedom once out on the water. The supportive staff from INS and the kayaking team.
I realised an untapped form of exercise."

Fundraising activities

This year we are very grateful for the generosity of our local community and corporate supporters, who have raised £17,900.25 for INS, alongside donations of supplies and time spent volunteering with us.

We would like to thank the following groups, organisations and individuals for their support this year:

- Staff at Heathrow Airport raised £804 for INS over the summer, through Samosas and Sweets sales at their head offices.

- A team of staff at Airplus International UK completed a sponsored walk in support of INS, walking 26km from Putney Bridge to Hampton Court Palace, as well as holding bake sales at their offices, raising £1,971.25.

- Volunteers at the Good Gym have worked on multiple projects throughout the year to transform and renovate the garden space, clean the building windows, and refresh paintwork inside the building

- The D&M Facilities team spent a day volunteering at our Twickenham premises, painting one of the smaller therapy rooms.

Integrated Neurological Services (Registered number: 05292539)

Report of the Trustees
for the Year Ended 31 March 2024


- INS supporters Nancy and Emma ran the Exmoor Trail Half Marathon in support of INS, raising over £1,944.

- Advertising agency Jack Morton UK donated chairs and office supplies for use in our Twickeham premises.

- Twickenham Insurance broker, Sutton Winson, continued to support INS as their chosen charity this year through a donation of £330.

- Richmond Team Ministry supported INS through a donation of £135.

- St Margaret & Twickenham Townswomens Guild donated £65 to INS.

- INS Exercise Lead, Paul Underwood, ran the London Marathon, £2,029.

- As part of their process of winding up, South West London Stroke Club - Moving On members voted to transfer £10,622 in funds to INS.

In August 2023 we celebrated our 30th year of working to support local people living with a neurological condition and their family carers. To mark the occasion and raise funds, we organised The Big 30 Challenge: a sponsored challenge event open to all. To ensure the event was inclusive there were many ways to take part and help reach the challenge goal of 215 miles (the distance from London to Paris). Some people used the bikes and the treadmill on-site, whilst others walked or ran in their own time, completed a quiz, or took part in a French conversation challenge session. Over 30 staff, service users, and supporters participated, raising around £4,000 including Gift Aid.

In June we were chosen to be the charity beneficiary for Richmond Bridge Club’s Café Bridge event: an annual fundraising day attended by around 200 people to raise money to support a local charity of the Club’s choosing. We were pleased to be able to support the event with a raffle, and the event raised £5,956. Thank you to our Trustee, Lew, who nominated INS for this opportunity.

We held our annual Quiz Night in November, which was attended by 75 supporters who raised a total of £1,977.87 through ticket sales, a raffle, and refreshments sales. Many thanks to Keith Severs, Eleanor Kinnear, Alan and Beatrice Paton, Sara and other Friends of INS for their support, as well as volunteers Debbie and Michael.

Thank you to the local businesses who have supported our fundraising with raffle prizes this year. We are so grateful for your generous support.

Trusts and Foundations

INS is very grateful to receive grants from a number of charitable Trusts and Foundations to support our work.

During 2023-2024, INS was awarded grants from the following organisations:
o Barnes Fund
o Basil Samuel Charitable Trust
o Bryan Guinness Charitable Trust
o D'Oyly Carte Charitable Trust
o Dyers' Company Charitable Trust
o Geoff & Fiona Squire Foundation
o Girdlers' Company Charitable Trust
o Hampton Fund
o Heathrow Community Trust
o Hounslow Thriving Communities Fund
o John Horseman Trust
o Lambert Charitable Trust
o Marsh Charitable Trust
o PF Charitable Trust
o Richmond Parish Lands Charity
o Sir Jules Thorn Charitable Trust
o Souter Charitable Trust
o Steel Charitable Trust

Integrated Neurological Services (Registered number: 05292539)

Report of the Trustees
for the Year Ended 31 March 2024

o Vandervell Foundation

FINANCIAL REVIEW
Financial position
Review of Financial Results

INS made a deficit for the year of £21,681 (2022/23 - a deficit of £59,883). The improvement on last year reflects an increase in income of £46,790 partly by offset by slightly higher costs.

Income

The environment for fundraising and grants continues to be very competitive. Grants are one of the two major sources of income for us and we were very pleased to achieve a large increase in grants in 2023/24. This increase was due to a number of grants from new supporters as well as continued support from long-term donors including the Richmond Parish Lands Charity and the Hampton Fund.

Donations have in the past been a relatively small part of our income but this is a source which we are working to improve and I am pleased to report that we saw an increase in donations of 30% in the year. In addition, we are fortunate to have a number of supporters who have organised fundraising events, such as marathons, sponsored walks and social activities. As a result of their efforts we received income of over £18,000 from fundraising events which is a very large increase compared to the previous year.

The main decrease in income during the year has been in the area of contract income which decreased to £277,166 (2022/23 - £325,231). The decrease largely reflects the ending of the One You Hounslow and Crossroads contracts.


Staffing and expenditure

INS continues to manage its expenditure carefully and seeks to minimize costs wherever possible. We have supported 16% more people in 2023/24 and have done this without increasing staff numbers. In fact, payroll costs for the year were held to £398,307 which is slightly lower than the previous year.

Overall total costs were in line with last year. Some one-off costs were incurred in upgrading our IT and website and in improving our premises but these were offset by lower costs elsewhere.

As noted above, INS depends upon grants and donations, and we are very grateful to all our supporters and donors. Fundraising is a very important part of our business and we continue to focus our resources on pursuing appropriate opportunities. This help us to maximise our effectiveness and to maximise the amount of funding which is directed to our charitable activities. In the current year, 93 pence in every pound raised was spend on its charitable activities.


Reserves policy
The Trustees have reviewed its reserves policy, taking account of the current uncertain economic circumstances and the funding challenges within the charitable sector.

They have agreed a policy to build towards holding six months' expenditure in unrestricted reserves This will help INS plan prudently for the future and strengthen its sustainability.

The level of unrestricted reserves at 31 March 2024 was £185,335 (2022/23 - £207,016).


Integrated Neurological Services (Registered number: 05292539)

Report of the Trustees
for the Year Ended 31 March 2024

FUTURE PLANS
Looking ahead - strategic aims for 2024/25

INS continues our strategic development to make the charity as resilient and agile as possible, so we can respond to future challenges and ensure a secure and sustainable service. Following our Strategy Day in April 2024, we identified the following as key priorities:

- Manage demand for service users to ensure sustainable growth within capabilities for resources and funding.
- Develop a multi-skilled workforce which is adaptable, flexible and responsive to meet changing needs and demand.
- Measure outcomes for service users and their journey through INS.
- Develop an adaptable working model for 'INS satellites' to reach more people and provide more accessible services.
- Increase partnerships with external providers to reach more service users, supplement our resources and provide wider expertise to the INS community.
- Develop our digital strategy to build skills and capabilities in technology, including INS website and IT systems, to help manage resources and achieve strategic aims.
- Build and diversify current funding and resources to ensure financial support for
strategic aims.
- Develop our profile with statutory services and act as an influencer on behalf of the INS community within local health service changes.
- Develop a premises strategy to meet the needs of our future services.

STRUCTURE, GOVERNANCE AND MANAGEMENT
Governing document
The charity is controlled by its governing document, a deed of trust, and constitutes a limited company, limited by guarantee, as defined by the Companies Act 2006.

REFERENCE AND ADMINISTRATIVE DETAILS
Registered Company number
05292539 (England and Wales)

Registered Charity number
1107273

Registered office
82 Hampton Road
Twickenham
Middlesex
TW2 5QS

Trustees
Ms A Gowan Chair
L H Gray
Ms T P James
T D G Millar
G Norman
Ms K M Pearce
P A Rogers
Dr C Vyas
Ms J M Walmsley
S Williams

Company Secretary
Ms S Vines


Integrated Neurological Services (Registered number: 05292539)

Report of the Trustees
for the Year Ended 31 March 2024


REFERENCE AND ADMINISTRATIVE DETAILS
Independent Examiner
Mary E Ryan FCCA
Ark Accountancy Limited
Chartered Certified Accountant
31 Cheam Road
Epsom
Surrey
KT17 1QX

Approved by order of the board of trustees on 14 November 2024 and signed on its behalf by:





S Williams - Trustee

Independent Examiner's Report to the Trustees of
Integrated Neurological Services

Independent examiner's report to the trustees of Integrated Neurological Services ('the Company')
I report to the charity trustees on my examination of the accounts of the Company for the year ended 31 March 2024.

Responsibilities and basis of report
As the charity's trustees of the Company (and also its directors for the purposes of company law) you are responsible for the preparation of the accounts in accordance with the requirements of the Companies Act 2006 ('the 2006 Act').

Having satisfied myself that the accounts of the Company are not required to be audited under Part 16 of the 2006 Act and are eligible for independent examination, I report in respect of my examination of your charity's accounts as carried out under Section 145 of the Charities Act 2011 ('the 2011 Act'). In carrying out my examination I have followed the Directions given by the Charity Commission under Section 145(5) (b) of the 2011 Act.

Independent examiner's statement
Since your charity's gross income exceeded £250,000 your examiner must be a member of a listed body. I can confirm that I am qualified to undertake the examination because I am a member of the Association of Chartered Certified Accountants, which is one of the listed bodies.

I have completed my examination. I confirm that no matters have come to my attention in connection with the examination giving me cause to believe:

1. accounting records were not kept in respect of the Company as required by Section 386 of the 2006 Act; or
2. the accounts do not accord with those records; or
3. the accounts do not comply with the accounting requirements of Section 396 of the 2006 Act other than any requirement that the accounts give a true and fair view which is not a matter considered as part of an independent examination; or
4. the accounts have not been prepared in accordance with the methods and principles of the Statement of Recommended Practice for accounting and reporting by charities (applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102)).

I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached.








Mary E Ryan FCCA

Ark Accountancy Limited
Chartered Certified Accountant
31 Cheam Road
Epsom
Surrey
KT17 1QX

15 November 2024

Integrated Neurological Services

Statement of Financial Activities
for the Year Ended 31 March 2024

31.3.24 31.3.23
Unrestricted Restricted Total Total
funds funds funds funds
Notes £    £    £    £   
INCOME AND ENDOWMENTS FROM
Donations and legacies 2 199,702 114,481 314,183 235,769

Charitable activities 5
Charitable Activities 57,573 219,593 277,166 325,231

Other trading activities 3 18,102 - 18,102 2,775
Investment income 4 18,040 - 18,040 16,926
Total 293,417 334,074 627,491 580,701

EXPENDITURE ON
Charitable activities 6
Charitable Activities 315,098 334,074 649,172 640,584

NET INCOME/(EXPENDITURE) (21,681 ) - (21,681 ) (59,883 )


RECONCILIATION OF FUNDS
Total funds brought forward 207,016 - 207,016 266,899

TOTAL FUNDS CARRIED FORWARD 185,335 - 185,335 207,016

Integrated Neurological Services (Registered number: 05292539)

Balance Sheet
31 March 2024

31.3.24 31.3.23
Unrestricted Restricted Total Total
funds funds funds funds
Notes £    £    £    £   
FIXED ASSETS
Tangible assets 12 11,170 - 11,170 7,030

CURRENT ASSETS
Debtors 13 22,672 - 22,672 9,505
Cash at bank and in hand 176,689 4,000 180,689 254,216
199,361 4,000 203,361 263,721

CREDITORS
Amounts falling due within one year 14 (25,196 ) (4,000 ) (29,196 ) (63,735 )

NET CURRENT ASSETS 174,165 - 174,165 199,986

TOTAL ASSETS LESS CURRENT
LIABILITIES

185,335

-

185,335

207,016

NET ASSETS 185,335 - 185,335 207,016
FUNDS 16
Unrestricted funds 185,335 207,016
TOTAL FUNDS 185,335 207,016

The charitable company is entitled to exemption from audit under Section 477 of the Companies Act 2006 for the year ended 31 March 2024.


The members have not required the company to obtain an audit of its financial statements for the year ended 31 March 2024 in accordance with Section 476 of the Companies Act 2006.


The trustees acknowledge their responsibilities for
(a)ensuring that the charitable company keeps accounting records that comply with Sections 386 and 387 of the Companies Act 2006 and
(b)preparing financial statements which give a true and fair view of the state of affairs of the charitable company as at the end of each financial year and of its surplus or deficit for each financial year in accordance with the requirements of Sections 394 and 395 and which otherwise comply with the requirements of the Companies Act 2006 relating to financial statements, so far as applicable to the charitable company.


Integrated Neurological Services (Registered number: 05292539)

Balance Sheet - continued
31 March 2024

These financial statements have been prepared in accordance with the provisions applicable to charitable companies subject to the small companies regime.


The financial statements were approved by the Board of Trustees and authorised for issue on 14 November 2024 and were signed on its behalf by:





S Williams - Trustee

Integrated Neurological Services

Cash Flow Statement
for the Year Ended 31 March 2024

31.3.24 31.3.23
Notes £    £   

Cash flows from operating activities
Cash generated from operations 1 (68,075 ) (37,066 )
Tax paid 2,108 (5,294 )
Net cash used in operating activities (65,967 ) (42,360 )

Cash flows from investing activities
Purchase of tangible fixed assets (7,560 ) (1,947 )
Interest received - 1,388
Net cash used in investing activities (7,560 ) (559 )

Change in cash and cash equivalents in
the reporting period

(73,527

)

(42,919

)
Cash and cash equivalents at the
beginning of the reporting period

254,216

297,135
Cash and cash equivalents at the end of
the reporting period

180,689

254,216

Integrated Neurological Services

Notes to the Cash Flow Statement
for the Year Ended 31 March 2024

1. RECONCILIATION OF NET EXPENDITURE TO NET CASH FLOW FROM OPERATING
ACTIVITIES
31.3.24 31.3.23
£    £   
Net expenditure for the reporting period (as per the Statement of
Financial Activities)

(21,681

)

(59,883

)
Adjustments for:
Depreciation charges 3,420 3,131
Interest received - (1,388 )
(Increase)/decrease in debtors (15,275 ) 11,668
(Decrease)/increase in creditors (34,539 ) 9,406
Net cash used in operations (68,075 ) (37,066 )


2. ANALYSIS OF CHANGES IN NET FUNDS

At 1.4.23 Cash flow At 31.3.24
£    £    £   
Net cash
Cash at bank and in hand 254,216 (73,527 ) 180,689
254,216 (73,527 ) 180,689
Total 254,216 (73,527 ) 180,689

Integrated Neurological Services

Notes to the Financial Statements
for the Year Ended 31 March 2024

1. ACCOUNTING POLICIES

Basis of preparing the financial statements
The financial statements of the charitable company, which is a public benefit entity under FRS 102, have been prepared in accordance with the Charities SORP (FRS 102) '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)', Financial Reporting Standard 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland' and the Companies Act 2006. The financial statements have been prepared under the historical cost convention.

Integrated Neurological Services meets the definition of a public benefit entity under FRS102. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated on the relevant policy note.

Income
All income is recognised in the Statement of Financial Activities once the charity has entitlement to the funds, it is probable that the income will be received and the amount can be measured reliably.

Expenditure
Liabilities are recognised as expenditure as soon as there is a legal or constructive obligation committing the charity to that expenditure, it is probable that a transfer of economic benefits will be required in settlement and the amount of the obligation can be measured reliably. Expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all cost related to the category. Where costs cannot be directly attributed to particular headings they have been allocated to activities on a basis consistent with the use of resources.

Tangible fixed assets
Depreciation is provided at the following annual rates in order to write off each asset over its estimated useful life.


Furniture & equipment - 20% on cost

Taxation
The charity is exempt from corporation tax on its charitable activities.

Fund accounting
Unrestricted funds can be used in accordance with the charitable objectives at the discretion of the trustees.

Restricted funds can only be used for particular restricted purposes within the objects of the charity. Restrictions arise when specified by the donor or when funds are raised for particular restricted purposes.

Designated funds have been created to provide for the dilapidation of the leased property.

Further explanation of the nature and purpose of each fund is included in the notes to the financial statements.

Hire purchase and leasing commitments
Rentals paid under operating leases are charged to the Statement of Financial Activities on a straight line basis over the period of the lease.

Pension costs and other post-retirement benefits
The charitable company operates a defined contribution stakeholder pension scheme. Contributions payable to the charitable company's pension scheme are charged to the Statement of Financial Activities in the period to which they relate.

Integrated Neurological Services

Notes to the Financial Statements - continued
for the Year Ended 31 March 2024

2. DONATIONS AND LEGACIES
31.3.24 31.3.23
£    £   
Donations 57,215 44,093
Gift aid 6,871 -
Legacies 2,030 11,588
Grants 248,067 180,088
314,183 235,769

Grants received, included in the above, are as follows:

31.3.24 31.3.23
£    £   
Steel Charitable Trust 15,000 12,500
Richmond Parish Lands Charity 56,100 55,000
Barnes Fund 6,300 6,000
Other grants 31,242 22,650
Hampton Fund 29,800 33,000
Leathersellers' Foundation - 10,000
James Tudor Foundation - 6,074
Hounslow Thriving Communities Fund 22,800 31,064
Sports England 2,200 3,800
The February Fund 5,000 -
The Bruce Wake Charitable Trust 2,000 -
Heathrow Community Trust 7,980 -
Geoff & Fiona Squire Foundation 5,000 -
John Horseman Trust 15,000 -
Edward Gosling Foundation 14,000 -
Basil Samuel Charitable Trust 10,000 -
Souter Charitable Trust 3,000 -
PF Charitable Trust 3,000 -
Sir Jules Thorn Charitable Trust 3,000 -
Lambert Charitable Trust 5,001 -
Vandervell Foundation 2,000 -
National Lottery Community Fund 9,644 -
248,067 180,088

3. OTHER TRADING ACTIVITIES
31.3.24 31.3.23
£    £   
Fundraising events 18,102 2,775


Integrated Neurological Services

Notes to the Financial Statements - continued
for the Year Ended 31 March 2024

4. INVESTMENT INCOME
31.3.24 31.3.23
£    £   
Rents received 18,040 15,538
Deposit account interest - 1,388
18,040 16,926

5. INCOME FROM CHARITABLE ACTIVITIES
31.3.24 31.3.23
Activity £    £   
Contract Income Charitable Activities 211,854 278,522
Teaching Income Charitable Activities 44,980 22,565
Membership/attendances Charitable Activities 20,332 24,144
277,166 325,231

6. CHARITABLE ACTIVITIES COSTS

Total resources expended have been allocated to the following categories of expenditure:


Fundraising Charitable Total
Expenditure

y/e 31.3.24 £ % £ % £
Support costs
Premises 2,226 4 53,415 96 55,641
Office costs 4,621 8 53,141 92 57,762
Communication & Marketing 1,468 17 7,166 83 8,634
Consultancy & professional 29,231 29,231
Depreciation 3,420 3,420
Governance 459 4 11,020 96 11,479
Total 8,774 57,393 166,167

Direct other costs
Project costs 1561 8 76,486 92 78,047
Staff expenses 2,850 2,850
Equipment 3,148 3,148
Recruitment 653 653
Total ,1561 83.137 84,698

Payroll costs 31,864 8 366,443 92 398,307

Total 41,004 608,168 649,172



Integrated Neurological Services

Notes to the Financial Statements - continued
for the Year Ended 31 March 2024

7. SUPPORT COSTS
Governance
Management Finance costs Totals
£    £    £    £   
Charitable Activities 124,356 1,098 40,711 166,165

8. NET INCOME/(EXPENDITURE)

Net income/(expenditure) is stated after charging/(crediting):

31.3.24 31.3.23
£    £   
Depreciation - owned assets 3,420 3,131
Other operating leases 43,507 37,941

9. TRUSTEES' REMUNERATION AND BENEFITS

There were no trustees' remuneration or other benefits for the year ended 31 March 2024 nor for the year ended 31 March 2023.


Trustees' expenses

There were no trustees' expenses paid for the year ended 31 March 2024 nor for the year ended 31 March 2023.


10. STAFF COSTS
31.3.24 31.3.23
£    £   
Wages and salaries 362,238 378,774
Social security costs 23,898 25,489
Other pension costs 12,173 12,638
398,309 416,901

The full-time equivalent number of employees was:

Administration 1 (2023: 1)
Clinical services 7 (2023: 7)
Fundraising 1 (2023: 1)

Total 9 (2023: 9)

The average monthly number of employees during the year was as follows:

31.3.24 31.3.23
Administration 1 1
Clinical services 12 7
Fundraising 2 1
15 9

No employees received emoluments in excess of £60,000.

Integrated Neurological Services

Notes to the Financial Statements - continued
for the Year Ended 31 March 2024

11. COMPARATIVES FOR THE STATEMENT OF FINANCIAL ACTIVITIES
Unrestricted Restricted Total
funds funds funds
£    £    £   
INCOME AND ENDOWMENTS FROM
Donations and legacies 155,631 80,138 235,769

Charitable activities
Charitable Activities 173,493 151,738 325,231

Other trading activities 2,775 - 2,775
Investment income 16,926 - 16,926
Total 348,825 231,876 580,701

EXPENDITURE ON
Charitable activities
Charitable Activities 408,708 231,876 640,584

NET INCOME/(EXPENDITURE) (59,883 ) - (59,883 )


RECONCILIATION OF FUNDS
Total funds brought forward 266,899 - 266,899

TOTAL FUNDS CARRIED FORWARD 207,016 - 207,016

12. TANGIBLE FIXED ASSETS
Furniture Computer
& equipment equipment Totals
£    £    £   
COST
At 1 April 2023 100,950 16,931 117,881
Additions - 7,560 7,560
Disposals (93,920 ) (16,931 ) (110,851 )
At 31 March 2024 7,030 7,560 14,590
DEPRECIATION
At 1 April 2023 93,920 16,931 110,851
Charge for year 1,908 1,512 3,420
Eliminated on disposal (93,920 ) (16,931 ) (110,851 )
At 31 March 2024 1,908 1,512 3,420
NET BOOK VALUE
At 31 March 2024 5,122 6,048 11,170
At 31 March 2023 7,030 - 7,030


Integrated Neurological Services

Notes to the Financial Statements - continued
for the Year Ended 31 March 2024

13. DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR
31.3.24 31.3.23
£    £   
Trade debtors 17,405 4,211
Tax 3,186 5,294
Prepayments 2,081 -
22,672 9,505

14. CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR
31.3.24 31.3.23
£    £   
Trade creditors 9,532 2,302
Social security and other taxes 8,286 6,062
Other creditors 2,654 289
Deferred income 4,000 25,593
Accrued expenses 4,724 29,489
29,196 63,735

15. LEASING AGREEMENTS

Minimum lease payments under non-cancellable operating leases fall due as follows:

31.3.24 31.3.23
£    £   
Within one year 46,290 15,809
Between one and five years 155,737 -
202,027 15,809

16. MOVEMENT IN FUNDS
Net
movement At
At 1.4.23 in funds 31.3.24
£    £    £   
Unrestricted funds
General fund 187,016 (21,681 ) 165,335
Designated fund 20,000 - 20,000
207,016 (21,681 ) 185,335
TOTAL FUNDS 207,016 (21,681 ) 185,335

Integrated Neurological Services

Notes to the Financial Statements - continued
for the Year Ended 31 March 2024

16. MOVEMENT IN FUNDS - continued

Net movement in funds, included in the above are as follows:

Incoming Resources Movement
resources expended in funds
£    £    £   
Unrestricted funds
General fund 293,417 (315,098 ) (21,681 )

Restricted funds
Hounslow Thriving Communities Revenue
Fund

22,800

(22,800

)

-
Hampton Fund 29,800 (29,800 ) -
Sports England 2,200 (2,200 ) -
National Lottery Community fund 9,644 (9,644 ) -
Other restricted fund 26,966 (26,966 ) -
The February fund 5,000 (5,000 ) -
The Bruce Wake Charitable Trust 2,000 (2,000 ) -
Heathrow Community Trust 7,980 (7,980 ) -
Geoff & Fiona Squire Foundation 5,000 (5,000 ) -
Age UK 76,075 (76,075 ) -
London Borough of Hounslow 124,527 (124,527 ) -
Richmond Carers 17,081 (17,081 ) -
Lambert Charitable Trust 5,001 (5,001 ) -
334,074 (334,074 ) -
TOTAL FUNDS 627,491 (649,172 ) (21,681 )


Comparatives for movement in funds

Net
movement At
At 1.4.22 in funds 31.3.23
£    £    £   
Unrestricted funds
General fund 246,899 (59,883 ) 187,016
Designated fund 20,000 - 20,000
266,899 (59,883 ) 207,016
TOTAL FUNDS 266,899 (59,883 ) 207,016

Integrated Neurological Services

Notes to the Financial Statements - continued
for the Year Ended 31 March 2024

16. MOVEMENT IN FUNDS - continued

Comparative net movement in funds, included in the above are as follows:

Incoming Resources Movement
resources expended in funds
£    £    £   
Unrestricted funds
General fund 348,825 (408,708 ) (59,883 )

Restricted funds
Hounslow Thriving Communities Revenue
Fund

20,170

(20,170

)

-
Hampton Fund 33,000 (33,000 ) -
Sports England 3,800 (3,800 ) -
Leathersellers' Foundation 10,000 (10,000 ) -
James Tudor Foundation 6,074 (6,074 ) -
Other restricted fund 158,832 (158,832 ) -
231,876 (231,876 ) -
TOTAL FUNDS 580,701 (640,584 ) (59,883 )

Purposes of restricted funds

All restricted funds are held as liquid assets and are used within the time period and for the purposes specified by the grantor. The accounts show the amount applicable to this period. Balances are carried forward to the next period as grant income received in advance.

2023/24

D'Oyly Carte Charitable Trust
A one-year grant of £3,000 towards art and creative therapy through activity groups to improve the quality of life for adults with neurological conditions was awarded in March 2024. This has been carried forward.

Isleworth & Hounslow Charity
There is £1,000 which has not been spent from an original grant of £2,780 for equipment from Isleworth & Hounslow Charity. Last year £1,000 was carried forward as part of overall deferred income,

2022/23

Sports England (Queens Jubilee Activity Fund)
A grant of £3,200 to run the four blocks of yoga sessions was awarded in May 2022 and £800 has been carried forward. A grant of £2,800 to run four blocks of Move into Wellbeing dance exercise sessions was awarded in August 2022 and £1,400 has been carried forward.

Thriving Communities Revenue Fund Round 2
A six-month grant payment of £11,400 (first stage of a £22,800 grant) to develop our Living Well neuro hubs in Hounslow was awarded in December 2022 for a project start date in April 2023. This has been carried forward.

National Lottery Awards for All England
A one year grant of £9,644 to support people with neurological conditions to communicate with confidence was awarded in March 2023. This has been carried forward,


Integrated Neurological Services

Notes to the Financial Statements - continued
for the Year Ended 31 March 2024

17. RELATED PARTY DISCLOSURES

There were no related party transactions for the year ended 31 March 2024.