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ANNUAL REPORT & FINANCIAL STATEMENTS Annual Summary For BASEM 2019 Annual General Meeting 2019 www.basem.co.uk

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Page 1: ANNUAL REPORT & FINANCIAL STATEMENTS · Dr Farhan Shahid, Dr Rebecca Robinson, Dr Catherine Lester, Dr James Baldock, Dr Ralph Smith, Dr Simon Petrides, Dr Stephen Thompson, Dr Philippa

ANNUAL REPORT& FINANCIAL STATEMENTS

Annual SummaryFor BASEM 2019

Annual General Meeting

2019

www.basem.co.uk

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Sport & Exercise Medicine

Providing support and education to all healthcare professionals involved in the care of athletes and individuals, undertaking, or aspiring to undertake, regular physical activity at all levels since 1953.

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Contents

Index

BASEM Annual General MeetingAgendaMinutes from the 2018 AGM

BASEM Executive ReportsChairman’s Report - Dr Mike StonePresident’s Report - Dr Roger HawkesTreasurer’s Report - Mr Leo AthanasatosEducation Chair’s Report - Dr Kay BrennanSecretary’s Report - Robin Chatterjee

ICHIRF Update to MembersSupport for The International Concussion and Head Injury Research Foundation (ICHIRF)

Annual Report and Financial StatementsReport of the Executive Committee - Year Ended 31 December 2018 Reference and Administrative Information Structure, Governance and Management ObjectivesandActivitiesfortheBenefitofthePublic Achievements and Performance Financial Review Reserves Policy Plans for 2019 Responsibilities of the Executive Committee AuditorsStatement of Financial Activities Balance SheetNotes to the Accounts

040506

080810131418

2020

2223232526262828293030343536

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Company limited by guarantee number 1962979. Registered Charity Number 293854.

Registered Company Office: Nixon Mee Ltd, Unit 9, Whitwick Business Centre, Stenson Road, Coalville, Leicestershire LE67 4JP.

Central Office:BASEMCentralOffice,3JetstreamDrive,Auckley,Doncaster DN9 3QS

Telephone/Fax: 01302 623222. Email: [email protected]

Patron: Dr David Hemery CBE, B.Sc, Cert.Ed, M.Ed, D.EdPresident: Dr Roger HawkesChairperson: Dr Mike Stone

TreasurerMr Leo Athanasatos

c/oBASEMCentralOffice3 Jetstream Drive

DoncasterDN9 3QS

SecretaryDr Robin Chatterjee

Flat 24 , Torrent Lodge 11 Merryweather Place,

Greenwich, London, SE10 8EQ

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Annual General Meeting 2019

AGM

1. To read the notice convening the meeting.

2. To sign the register of attendance and to receive a declaration that only those who will vote on proposals are entitled to do so as full subscribing and paid-up members of the Association

3. To receive apologies for absences. Please sendbyposttotheBASEMCentralOffice(3Jetstream Drive, Doncaster DN3 9QS) or by email to [email protected] by Friday 15th November, 2019

4. To receive minutes of the 32nd Annual General Meeting (circulated) which were approved by the Executive Committee at their meeting on 5th December 2018, in accordance with Company Law.

5. To declare Proxy Votes

6. To receive the Chairperson’s Report (circulated).

7. To receive the Secretary’s Report (circulated).

8. To receive the Education Chair’s Report (circulated).

9. To receive the Treasurer’s Report (circulated).

10. NOTICE OF ELECTION TO THE EXECUTIVE – Under the terms of the Memorandum and ArticlesofAssociation,thefollowingOfficersseek to be nominated for the post of: CHAIR OF THE ASSOCATION – Dr Nigel Jones CHAIR OF EDUCATION – Dr Kay Brennan

11. To appoint auditors.

12. Any Other Business

NOTICE IS HEREBY GIVEN THAT THE THIRTY THIRD ANNUAL GENERAL MEETING of the British Association of Sport and Exercise Medicine Limited by Guarantee (196279) and Registered Charity (293854) will be held at 5pm on Thursday 21ST November, 2019 at the Hilton Hotel in Glasgow in conjunction with the Annual Conference of the Association.

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Minutes

AGM 2018

MINUTES OF THE 32nd ANNUAL GENERAL MEETING of the British Association of Sport and Exercise Medicine limited by guarantee (196279) and registered charity (293854) was held at 5.00pm on Thursday 4th October, 2017 in the Bury Theatre, Royal Armouries in Leeds, in conjunction with the Annual Conference of the Association.

Present:Mr R Skippings, Dr Colin Crosby, Dr Simon Lack, Dr Arthur Mone, Dr Alastair Nicol, Dr James Thing, Dr Bhavesh Kumar, Dr John Thing, Dr Jonathan Hall, Dr James Burgess, Mr Leo Athanasatos, Dr Michael Turner, Dr Roger Hawkes, Dr Brian Johnson, Dr David Hemery, Dr Stan Baltsezan, Dr S Kulothungan,DrPaulMarfleet,Dr Leon Creaney, Dr Jim kerss, Dr Jane Dunbar, Dr Rod MacDonald, Dr Kevin Boyd, Dr Alastair Stanning, Dr Ashley Ridout, Dr Wing Chu, Dr Craig Sheridan,

Dr Roger Wolman, Dr Jon Greenwell, Dr Gawain Davies, Dr Kush Joshi, Dr Robin Chatterjee, Dr Roshan Gunasekera, Dr Samuel Thistleton, Dr Mary Thomas, Dr Charlotte Cowie, Dr Farhan Shahid, Dr Rebecca Robinson, Dr Catherine Lester, Dr James Baldock, Dr Ralph Smith, Dr Simon Petrides, Dr Stephen Thompson, Dr Philippa Turner, Prof Mark Batt, Dr Carla How, Dr Geoff Davies, Dr Neil Heron, Dr Ian McCurdie, Dr Rod Jaques, Dr Terry Crystal, Dr David Babbs, Dr Sally Nicholson, Dr Sonia Bains, Dr Pria Krishnasamy,

Dr Kate Strachan, Dr Alethea Beck, DrNafisahAli.Ms Helen How, Mr Chris Holloway, Prof Graham Smith, Dr Mike Stone, Dr Jonny Moses, Dr Roger Hawkes, Dr Richard Collins, Dr Ajai Seth, Dr Dora Papadopoulou, Dr Kay Brennan, Dr Chris Tomlinson, Ms Katie Marino.

In Attendance:Mrs Nicky Birkinshaw, Ms Amanda Harwood, Ms Lucy Bateman, Mr Ian Rouse, Ms Genelva Meikle, Dr Setha Mani-Baba, Dr Courtney Kipps

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Minutes

AGM 2018

1. Mr Graham Holloway, as the President, assumed the Chair and read the notice convening the Meeting.2. The Register was signed, and the declaration made that those who would speak and vote on proposals

were only entitled to do so as full subscribing members of the Association.3. Apologies were received from Dr Roland Teare, Dr John Lloyd Parry, Dr Nigel Jones and Dr Dane Vishnubala4. It was noted that no proxy votes had been received. 5. The minutes of the 31st Annual General Meeting, approved by the Executive Committee at their meeting on

16th November 2017, were received and accepted.6. BASEM Chairperson’s Report was received and accepted.7. The Secretary’s Report was received and accepted.8. The Education Chairperson’s Report was received and accepted. 9. The Treasurer’s Report and the Financial Statements for the Year Ended 31 December 2017 were received

and accepted. 10. UnderthetermoftheMemorandumofUnderstandingandArticlesoftheAssociation,thefollowingofficers

had been nominated for the positions of: President – Dr Roger Hawkes (Executive Nomination) The AGM Chair announced the results for the role of Secretary as follows: Dr Dinesh Sirisena 16 votes Dr Robin Chatterjee 29 votes Dr Robin Chatterjee was duly appointed All were approved and accepted. The Chair congratulated the newly appointed Executive Members and welcomed them to the Board.

11. To Appoint Auditors –Nixon Mee Ltd were re-appointed and accepted as auditors of the Association for another year

12. Any Other Business – no additional items were raised.

The Chair thanked the Executive Committee for their contribution to another successful year and expressed his enthusiasm for the positive year ahead. He gave special thanks to retiring Executive Members Dr Eleanor Tillett and Dr Dinesh Sirisena; it was acknowledged that both had done an enormous amount of work for the organisation. Thanks were given to the Staff team for organising the conference and for management of the BASEMCentralOfficeandEducationFunction.

The meeting closed at 5.20pm

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Chairman

BASEM Executive Reports

Dr Mike Stone

Chairman’s Report 2019

It has been another busy but productive year for BASEM. The Executive have embarked on a strategic review which will be conductedunderfiveheadings,Education,Partnerships,MembershipServices,CommunicationandScientificResearch.Aquestionnairewillbe sent to all members to request your opinions. Please complete this and help to shape the future of your organisation.

BJSMWe continue our close relationship with the journal and must once again congratulate Karim and all the staff on the achievement of animpactfactorof11.645.Ourhealthyfinancialpositionisverydependent on the continuing success of the journal. Ways of closer mutual cooperation are continually explored at our regular meetings. Can I remind all members that they will receive a 25% reduction in costs for all articles published in the BMJ Open SEM Journal.

MembershipThe Executive have set a target for a 5% increase in membership year on year. This past year we have again achieved this. We are continually looking for ways to increase membership which makes it very important that the survey you will shortly receive is completed by all. Your views are important please let us have them, constructive criticism is happily accepted.

EducationThe strategic review recognises that Education should be at the centre of all we do. We have agreed with the FSEM that a joint Education Committee will be established. Ways of providing all aspects of education suitable for all our members both on our own and in conjunction with others are being explored. A new Education Chair will be announced at the AGM. They will need all your help and support.

The Executive have set a target for a 5% increase in membership year on year. This past year we have again achieved this.

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ResearchThe various awards offered by BASEM continue to attract a reasonable number of applicants. Please check the website to see if you should be applying for any of them. We sponsored three people (two doctors and one physiotherapist) to attend the last Invictus Games. I hope you read their articles in the latest edition of BASEM Today. A decision regarding sponsorship for future games will be taken shortly. We have this year continued to support the ICHIRF concussion research programme. As part of the Strategic Review anewlyformedScientificCommitteewillmakerecommendations to the Executive regarding funding for all new and ongoing research projects.

As a charitable organisation we must be seen to be usingthemoneywehaveinaconsideredwaytobenefitthe educational and research needs of all our members. This is our “raison d’etre”. The Executive strives to do this but needs feedback from all our members to achieve this aim. To complain “it is not what I need” is of no help to anyone.

OfficeThere has been a further update to the website which I hope you will see as an improvement. I can’t let this opportunitypasswithoutthankingalltheofficestafffortheirhardworkoverthepastyear.Theyveryefficientlysupport all members of the Executive and make our roles so much easier.

ConferenceA successful Spring Conference was held in Birmingham. Prof James Bilzon (who is now BASEM’s representativeontheFIMSscientificcommittee)andHamish Read spoke at the last FIMS conference in Brazil.Thiswillwehoperaiseourinternationalprofile.The conference in Glasgow this November will consist of three streams, Exercise Medicine, Cutting Edge Sports Medicine and Team Care. I hope to see many of you there.

May I end by thanking all those people who have assisted me during my time as Chairman as I step down after the AGM at the Conference. May BASEM continue to prosper.

BASEM Chairman Report

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President

BASEM Executive Reports

Dr Roger Hawkes

BASEM President’s Report 2019

Your BASEM Executive Committee have been very busy undergoing a strategic review over the last six months and, of course, this will be discussed more at the Conference. And some of the ideas will be explored more in a membership-wide online survey, which we hopeyoucanfindtimetocomplete.

Quite rightly, in recent years BASEM has focused onitsfinancialgovernancebutwiththesuccessofthe Journal and the growing membership and the addedfinancialstabilitythishasbrought,wedofeel that the membership would be better served by showing leadership and to explore, more opportunities by encouraging both national and international collaboration in areas such as education, research and interdisciplinary working.

Education will stay at the heart of BASEM, but we are reviewing the way this is delivered and whether forming partnerships and collaborations with other organisations will help cater for the changing education needs of the diverse professionals involved and interested in our speciality. The Executive Board isappointingaScientificAdvisoryBoardtosupportitsdecision-making and to help plan future conferences and courses and judge our various awards and bursaries. In the modern world this will be underpinned by a strong social media presence and we have a number of plans to help boost this.

Perhaps surprisingly, we are planning to reduce the number of members of the Exec Committee. In the past there was a tendency for an individual who shows any interest in to end up on the Exec! Instead we intend to identify “special teams” of members who would like to contribute (eg organisation of conferences or education event) but who do not have time or want more general involvement. In this way we will be looking to cover the growing number of initiatives including consensus meetings and more focused education. From the governance viewpoint, these teams will become “responsible” but accountability will be through the relevant Exec member.

Finally, members will be pleased to hear that John Etherington, President of FSEM (UK) and I have set up a joint education sub-committee to help harmonise our roles and improve future planning within the speciality. We have also agreed to talk about a number of other initiatives including support of their exercise medicine initiative, and we will be meeting more regularly to talk.

I look forward to working with you and hope you enjoy the conference and AGM in Glasgow. Your opinions and involvement are key to our decision making, especially at this important time in our organisation’s development. Let us know if you would like to get involved!

“Education will stay at the heart of BASEM”

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Treasurer

BASEM Executive Reports

Mr Leo Athanasatos

I am pleased to present the BASEM Audited Accounts for year ending 31st December 2018 as registered with Companies House and the Charities Commission. They provide detailed information regarding income and expenditure for that year and a Balance Sheet which shows assets of £1,672,460 compared to £1,429,345 at the end of 2017.

Our decision to invest in property continues to be of great financialbenefittotheorganisation;wearenowrentfree, the properties have grown in value and the income generated from the second unit and the training room in BASEMCentralofficefarexceedsanyincomewewouldreceive in bank interest.

The daily bookkeeping remains the responsibility of the Business Development Manager which continues to work effectively. Monthly meetings ensure we are on track and workingtowardsagreedfinancialparameters.

IncomegeneratedfromBJSMprofitshareremainsextremely healthy which has allowed BASEM to continue to support the undergraduates; we have sponsored sixconferencesduringthisfinancialyearincludingtheUSEMs Annual Conference. We also sponsored the FASIC conference in Edinburgh.

In addition to this, BASEM provided a second grant to the International Concussion and Head Injury Research Foundation for their research into the impact of concussion on jockeys and other athletes. (ICHIRF provides quarterly updates on the research and a full report is available on Page 20), BASEM also sponsored two doctors and a physiotherapist to support the Invictus Games in Australia. BASEM sponsored a module within Moving Medicine, the REDs website design and hosting

and the Motivate2Move resources. We continue to subsidise our conferences and course places for BASEM members.

Ithinktheauditedaccountsfiguresspeakforthemselvesbut of course they represent where we were a year ago. If anyone has any queries regarding the 2018 accounts or thecurrentyear’sfinances,thenpleasespeaktomeattheGlasgowConferenceorviaNickyintheoffice.

This has been a busy year for BASEM. In January we introduced a new website and CRM system; ones which integratewithoneanotherensuringefficienciesofscalein terms of staff time. The introduction of a pay monthly method for membership fees has been extremely popular andatthetimeofwriting,membershipfiguresarethehighest of all time. We welcomed Alice Hanson to the role of Events Co-ordinator in August. Alice will support Nicky with conferences and Lucy with the development of the education programme. We have been working withanexternalconsultantonafive-yearstrategyfor the business going forward. We have established groups within the Board to be accountable for Education, MembershipServices,ScientificResearch,Partnershipsand Communications. As part of the process, we are developing a member’s survey which will be delivered over the next few months. Your comments are very important to us and I would urge you to complete the survey to ensure your voice is heard.

Our Spring Conference next year will be held on Thursday 19th March 2020 at Macdonald Burlington Hotel in Birmingham with a theme of the Hip and Groin. The main Conference and AGM will be held in Brighton on 19th and 20th November 2020.

I look forward to seeing you at these future events!

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Education Chair

BASEM Executive Reports

Dr Kay Brennan

Sun Tsu, Ancient Chinese strategist.

Education Chair’s Report 2019

This is a quote presented to BASEM’s executive committee at our initial strategy day last February. Lead by Polar Thinking’s Graham Hyde, a strategic business development expert, we have been tactically developing visions for BASEM to help future proof us as a Sports and Exercise Medicine professional support organisation for years to come.

I am pleased to report that the education strategy is strongly taking shape, lead by Chris Tomlinson and myself as acting co-chairs of the education committee, with huge support from President Roger Hawkes and the rest of the strategy team and executive committee. We are scoping views widely to learn how BASEM’s educational programmes and platforms can be improved and updated. In collaboration with the other strategy groups; research, membership, communication and partnerships, we are developing some modern and dare I say, radical ideas and themes.

The FSEM and BASEM will continue to work closely together and are aiming to form a Joint Education Committee. Both parties want to enhance our collaborative approach to allow for clearer working practices that will maximise collective output and minimise overlap. BASEM will be more international in its approach to education with the aim of running courses abroad. We aspire to be a much greater

presenceandinfluenceatinternationalacademicandscientificmeetingsandconferences.ThenewBASEMeducational chair (who will be appointed in November) and Nicky Birkinshaw, BASEM’s Business manager will attend the ACSSM conference in 2020/21.

Home conference planning will take on a much more strategic arrangement with the involvement of you, the members being much more apparent and valued. We want everyone to be included in helping decide on topics and themes for future meetings and also leading and organising social networking opportunities and events.WewillformafixedConferenceOrganisationalCommittee to oversee all conferences within a 3-5 year period that will work closely with a new BASEM ScientificAdvisoryGroup.Thisgroupwilldirectlybein touch with the world’s top academics to bring you the most cutting edge research and thinking. If you are interested in being involved in the conference planning committee then please drop me a line.

All members are hopefully aware of the very successful and popular foundation level courses we run. Long may these continue! BASEM is keen to support the learning needs of more experienced and advanced SEM and Musculoskeletal Medicine practitioners and are looking into options of collaborating with other associations and the FSEM for this. A modular style course with a practical examination is being considered at present and we are forming a MSK advanced educational committee to lead this.

‘Strategy without tactics is the slowest route to victory, tactics without strategy is the noise before defeat’

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Online Resources is an area we are still very much working on. We would like to provide more bite sized, quality information to engage a wider audience and also make better use of our platforms to increase our reach and followership on key social medias. These are not small or quick tasks and so we are looking at forming some strong collaborations with academic associations and with our own journal, The BJSM to allow us to continue to deliver quality education. We need to improve how we share and translate knowledge.

The roles and responsibilities for the educational chair have been revised this year, making them accountable to you the membership and for the new strategy delivery, but crucially not having to do all the work themselves. We encourage all our members to take an active part in shaping our educational offerings going forward. Please key a keen eye out for our membership survey, which is coming your way soon and I ask you to take some time to help us help you with your professional development goals and educational aspirations within SEM.

Wecannotlookforwardwithoutfirstreflectingandlearning from the last brilliant year of BASEM education.

The 5th BASEM/FSEM Annual Conference was held at the Royal Armouries in Leeds on the 4th and 5th October 2018 in association with Leeds Beckett University, BOSTA and ARUK. The conference had three streams covering Exercise medicine, MSK and Team care and was well attended. The Conference received really positive feedback from delegates.

The BASEM Spring Meeting 2019 was held on Thursday 7th March 2019 at the Macdonald Burlington Hotel Birmingham. The topic was ‘Mental Health & Exercise‘ and was curated and chaired by Dr Eleanor Tillett and Dr Polly Baker. A total of 112 delegates attended this conference and received excellent feedback.

The BASEM Revision Course for the FSEM Membership Exam Part Two took place on 9th March 2019 at the Holiday Inn, Doncaster. Anthony Waring ran this course with tutor support from Dane Vishnubala, Kush Joshi and Phil McClelland. 15 delegates attended the course (26 candidates sat the exam).

The BASEM Foundation Skills Course 2019 took place at Lilleshall National Sports Centre on 2nd- 5th June 2019. Jane Dunbar led the course with tutor support from Dane Vishnubala, Alethea Beck, Chris Tomlinson, Chris Curtis, Richard Collins and additional support from Graham Holloway. The course sold out early this year reaching a maximum number of 24 delegates by the end of March.

The tutor group aim to meet in early 2020 to discuss feedback and plan for the 2020 course.

The BASEM Revision Course Part One 2019 took place on 17th August at the Holiday Inn, Doncaster. Dr Anthony Waring was again running this course with tutor support from Dane Vishnubala and Kush Joshi.

We are continuing to expand our online educational content. Katie Mario, executive committee member and FY2 doctor, has put in fabulous work in the past year. She has put together a set of resources for medical students and foundation level SEM practitioners, which will be available soon in our educational portal. Dane Vishnubala, also of the executive committee and SEM Doctor based in York has been busy preparing online modules to add to our current selection. This work has however been temporarily paused whilst the new BASEM Education strategy is being formulated.

BASEM Education Chair Report

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The BASEM Annual Conference 2019 will takes place in Glasgow on 20th and 21st November 2019. Dr Jane Dunbar and Dr Dora Papadopoulou are chairing. The programme is now 90% complete and online booking and marketing are underway for the event. Scottish hospitality and a Gala dinner Ceilidh await.

Proposed Courses and Conferences in 2020 include the Spring Conference 2020 on March 19th, which will be held once again at the Burlington Macdonald Hotel in Birmingham. The topic of the conference will be Hip and Groin and Dora Theodopoulou will chair the event with a co-chair who has still to be decided.

The Annual Conference for 2020 will be held in Brighton on 19th and 20th November 2020 and talks are already underway with the FSEM and local academics.

Finally it is vitally important that I thank those involved in BASEM’s education in the past 12 months. Getting the strategy and tactics right from the start so we can deliver our plan of action to you have demanded focus and dedication from the executive committee strategy leads with great support from the administrative support staff. I would like to thanks them all for their hard work. Chris Tomlinson, myself and the whole educational committee would very much like to thank the out-going chair Richard Collins for his hard work and enthusiasm and the current educational committee for their time, ideas and energy. I look forward to a prosperous, busy and educationally nourishing year ahead.

BASEM Education Chair Report

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Secretary

BASEM Executive Reports

Dr Robin Chatterjee

This year has seen a change in the BASEM executive committee with Graham Holloway and Eleanor Tillett’s terms as President and Secretary respectively, coming to an end. We are very grateful for their leadership and guidance over the years. Roger Hawkes was elected as the new President and I had the honour of being voted in as the new Secretary. In addition, Richard Collins has left his position as Education Chair and we thank him for his service too.

The main focus of the association this year has been toformulateafive-yearstrategytohelppromoteandadvance the specialty and organisation both nationally and internationally. This process is still in its infancy but we look forward to implementing the strategy over the coming years which hopefully will lead to optimisation in the key areas of member support, education, research, networking, partnerships and communications.

Overall membership has maintained an upward trend with a year on year growth of 5% being maintained. The latest membership number stands at 900.

BASEM’s multidisciplinary philosophy continues to be reflectedinthebreadthofresearchfunding,conferencesessions and endeavour to increase membership in professions allied to medicine. As always we welcome feedback from members on how we can do better.

The start of my tenure as Secretary has been exciting with the inception of the new strategy as well as maintenance of our already high standard of educational events and provisions. I look forward to what the future holds.

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Support for The International Concussion and Head Injury Research Foundation (ICHIRF)

ICHIRF Update to Members

Dr Mike Turner

ICHIRF was incorporated in April 2015 and is a wholly owned subsidiary of the Concussion Foundation (Charity No. 1164229). All the professionals working for ICHIRF are current BASEM members, and as a result of the article in BASEM Today (Issue 46 Spring 2019 – pages 36-38), several BASEM members have indicated an interest in assisting with the project. As with all significant donors, BASEM was invited to nominate an ICHIRF Director and, following his retirement as BASEM President, Mr Graham Holloway joined the Board of ICHIRF in 2019.

The current research project focusses on the long-term effects of concussion by screening retired athletes (who are over the age of 50 and have a history of concussion) and comparing them with a matched group of controls. These volunteers are primarily recruited from horse racing, equestrian sport and football.

The project started screening volunteer in April 2016 and, in addition to BASEM, is supported by The Racing Foundation, the Injured Jockeys Fund, Godolphin Racing, The Professional Footballers Association (PFA), the National Football League (NFL – USA), the Concussion Foundation and private donors.

As a direct result of the initial support from BASEM in 2018, ICHIRF was able to reach agreement with Professor Janice Holton at the Queen Square Brain Bank to launch the ICHIRF brain donation initiative. Volunteers who have been screened by ICHIRF now have the option to donate theirbrainsforresearchandseveralhigh-profile,retiredjockeys have provided interviews in this regard (available on the ICHIRF website) –https://www.ichirf.org/interview-with-richard-pitman/

In addition, the support from BASEM has enabled ICHIRF to screen volunteers from outside the scope of the restricted funding from football and horse racing. This includes volunteers from rugby, motor sports, martial arts, cricket, cycling and skiing and a good example of thisisPatLambie,theformerSpringbokflyhalf,whowasinterviewed when he was at ICHIRF by Owen Slot (Chief Rugby Correspondent for The Times).

https://www.thetimes.co.uk/article/pat-lambie-after-five-concussions-i-was-relieved-when-a-broken-knee-ended-my-career-c6m8j8fpr

BASEM funding has also facilitated the transition of the project from a cross-sectional cohort study to a longitudinal cohort study by enabling ICHIRF to start re-screening the original volunteers from 2016. Going forward, ICHIRF will be offering all volunteers (concussed and controls) the option of re-screening every 3 years. To facilitate this, and reduce the burden of travelling to London, ICHIRF has appointed additional screening centres in Manchester (The Manchester Institute of Health and Performance) and Dublin (The Beacon Hospital).

Thefirst3yearsofresearchhasaccumulatedamassofdata, some of which is now being analysed for publication. In addition to a methodology paper (Prof Paul McCrory), papers relating to neuropsychology, neuroimaging and biomarkers are in draft form.

The neuropsychology review has resulted in the formulation of a Cognition Composite Score (CCS), made up from 6 different, well established, neuropsychology tests. This provides a measure of the overall cognitive function of each volunteer and has been used in the regression analysis of all the other data. (Dr Bonnie-Kate Dewar and Dr James Murray).

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The neuroimaging paper involves the measurement of the CSF, white matter and grey matter of each volunteer (using the 3T MRI data). This data is subject to regression analysis for age, gender, number of concussions and CCS. (Yvonne van Hoecke and Dr Harpreet Hyare).

The biomarker study is a collaboration between ICHIRF, Prof Henrik Zetterberg and Prof Kaj Blennow (UCL and the University of Gothenburg, Sweden) who are already looking at blood biomarkers in acute concussion.

This study looks at the primary blood biomarkers associated with brain damage – S100-B, GFAP, UCH-L1, NFL, Tau, Amyloid beta-42 and Amyloid beta-40. (Prof Paul McCrory).

Additional data relating to saccades, balance testing, bloodpathologyprofilingandCogSportcomputerisedneurocognitive testing has yet to be analysed.

The initial call for volunteers resulted in 1,000 unique ID numbers being issued online. These individuals (concussed volunteers and controls) were invited to complete a questionnaire, devised in collaboration with the Florey Institute in Melbourne. A total of 787 questionnaires (50.8% males, 49.2% females and 25% controls) were completed in full and this enormous dataset has yet to be evaluated.

ICHIRF - Update to Members

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Annual Reports and Financial Statements

For the year ended 31 Decemer 2018

2019 22

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TheExecutiveCommitteepresentsitsreportandtheauditedfinancialstatementsfortheyear ended 31 December 2018.

Reference and Administrative Information

Charity Name: British Association of Sport and Exercise Medicine (BASEM)

Charity Registration Number: 293854

Company Registration Number: 1962979

Executive CommitteeMrGrahamHolloway(President)–Termofofficecompleted4thOctober2018Dr Roger Hawkes (President) – Elected 4th October 2018Dr M Stone (Chair)Dr Nigel Jones (Vice Chair)Mr L Athanasatos (Treasurer)DrETillett(Secretary)–Termofofficecompleted4thOctober2018Dr R Chatterjee (Secretary) – Elected 4th October 2018Dr Richard Collins (Education Chair)Dr Dinesh Sirisena (Executive Member) – Co- opted 4th October 2018Professor G Smith (Professional Relations – Associates)Dr Dane Vishnubala (Executive Member) – Co- opted 4th October 2018Dr Jonny Moses (Executive Member) – Co-opted 4th October 2018Dr Ajai Seth (Executive Member)Dr Kay Brennan (Executive Member)Dr Dora Papadopoulou (Executive Member)Dr Chris Tomlinson (Executive Member)Dr Katie Marino – Co-opted 4th October 2018

Company SecretaryDr Robin Chatterjee

StaffMrs Nicky Birkinshaw (BASEM Business Development Manager)Mrs Lucy Bateman (BASEM Education Manager)Ms Amanda Harwood (BASEM Membership Manager)Mr Ian Rouse (BASEM Marketing Manager)Ms Genelva Meikle (BASEM Events Co-ordinator)

Registered OfficeUnit 9 Whitwick Business Centre, Stenson Road, Coalville, LE67 4JP

Operational Address3 Jetstream Drive, Auckley, Doncaster. DN9 3QS

Report of the Executive Committee for the Year Ended 31 December 2018

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AuditorNixon Mee Limited, Unit 9 Whitwick Business Centre, Stenson Road, Coalville, LE67 4JPBankersHSBC Bank Plc, 1 High Street, DoncasterSolicitorsPaul Bullen and Co, 10 Albion Place, South Parade, Doncaster. DN1 2EG

Report of the Executive Committee for the Year Ended 31 December 2018

Structuring, Governance and Management

Governing DocumentThe organisation is a charitable company limited by guarantee, incorporated on 21 November 1985 and registered as a charity on 3 March 1986. The company was established under a Memorandum of Association that established the objects and powers of the charitable company and is governed under its Articles of Association. In the event of the company being wound up, each member is required to contribute an amount not exceeding £1.

Recruitment and Appointment of TrusteesThe directors of the company are also charity trustees for the purposes of charity law and under the company’s Articles are known as members of the Executive Committee.

There are 14 trustees on the Executive Committee. The trusteesholdofficeforaperiodofthreeyears(fourinthecase of Chair and President as per special resolution at the AGM 2017) and can be renewed for a further three years at the discretion of the AGM. They are elected to the Executive Committee as Trustees by the following process: -

ATrustee(ExecutiveOfficer)canbeappointedbynomination and election from amongst the Members of the Association. No person other than a Member of the Association is eligible to be a member of the Executive Committee.NominationsforExecutiveOfficerscanbereceived from any Member of the Association and if more than those nominated by the Executive Committee are proposed before the AGM, a postal vote must be arranged no later than 28 days prior to the AGM. It is at the AGM that nominations are considered, and votes are counted.

When the motion is passed the member takes up that position.

Trustee Induction and TrainingNew incoming trustees are presented with a full induction pack which includes roles and responsibilities of charity trustees and legal requirements. The BASEM Business Development Manager also supports the incoming trustees, providing information on the structure, future plans, operational policies and any other information seen to be of assistance to the post holder. All documentary changesassignatorytoanyofficialdocumentsareputinplace by the Business Development Manager at the time of the changeover of trustees.

The incoming trustee is encouraged to attend all meetings held by the Executive Committee prior to taking up the post completely as appointed trustee.

Support is always available via email and telephone between all members of the Executive Committee and the BASEM staff team.

Risk ManagementThe trustees recognise the importance of Risk Management within the framework of governance and internalcontrol.Riskassessments,includingfinancialand security risks, have been carried out by the trustees. The assessment is reviewed on an ongoing basis, by the BASEM Business Development Manager and the Treasurer. The outcome of these reviews is then reported to and discussed by the trustees at the Executive Committee meetings held throughout the year and the risk management policies are amended as required.

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Report of the Executive Committee for the Year Ended 31 December 2018

Structuring, Governance and Management

Organisational StructureThe charitable company has an Executive Committee which meets at least four times a year to deal with the business of the Association and is responsible for the governance framework and the strategic direction and policyofthecharity.Thefivestaffmembersalsoattendthe Executive Committee meetings but have no voting powers.

The Executive Committee meets for the despatch of business and can adjourn and otherwise regulate their meetingsastheythinkfit.Decisionsatanymeetingshallbe made by a majority of votes. In the case of an equality of votes the Chairperson shall have a second or casting vote which shall be used in those circumstances to maintain the status quo. Two members of the Executive Committee may at any time summon a meeting of the Executive Committee by giving a minimum of 14 days’ notice. The quorum necessary for the transaction of the business of the Executive Committee shall be four.

All decisions on policy changes, introduction of new policy, business, discussion and agreement of all business of the sub-committees, reporting on business from the Secretary, Treasurer, and Business Development Manager are discussed and agreed at each Executive Committee Meeting. New initiatives, legal requirements and questions raised by Members are all discussed at each meeting. Every meeting is minuted and circulated to each member of the Executive Committee and is made available to Members upon request.

Day to day enquiries regarding the operational business are dealt with by the Business Development Manager and membership administration is dealt with by the Membership Manager. Educational queries are the responsibility of the Education Manager and Conference queries the responsibility of the Events Co-Ordinator.

Sub-Committees of BASEMThe Executive Committee may delegate any of its powers to sub-committees consisting of such member or members of its body together with such other Members of theAssociationastheymaythinkfit.Anysub-committeeso formed shall be entitled to request any Advisory Person

or other person whom the sub-committee may decide to invite to attend the meetings of such sub-committee in an advisory capacity without any entitlement to vote thereat. Any sub-committee so formed shall in the exercise of the powers so delegated conform to any regulations that may be imposed on it by the Executive Committee. All acts and proceedings of any such sub-committee shall be fully reported back to the Executive Committee as soonas possible.

The Chairpersons of subcommittees are nominated by the Executive Committee. If at any meeting the Chairperson isnotpresentwithinfiveminutesafterthetimeappointedfor holding the same, the members thereof present may choose one of their number to be Chairperson of that meeting.

Asub-committeemaymeetandadjournasitseesfit.Questions arising at any meeting shall be determined by a majority of votes of the members (other than Advisory Persons and any other Members not having such vote) who may be present, and in the case of an equality of votes the Chairperson shall have a second or casting vote. No resolution passed at a meeting of a sub-committee shall be valid or effective unless the resolution is confirmedbytheExecutiveCommittee.

There were three sub-committees in 2018. An Education sub-committee was responsible for the development of the education programme including BASEM Conferences. An Awards sub-committee was responsible for the facilitation of the bursaries, awards and sponsorships. A small sub committee was developed to facilitate the Malcolm Read Award.

The Post of Editor of the British Journal of Sports MedicineThe Editor of the British Journal of Sport and Medicine shall be appointed by the Executive Committee of BASEM in conjunction with the British Medical Journal PublishingGroupforaninitialperiodofthreetofiveyears.This individual appointment may be continued by the unanimous agreement of the Executive Committee. The post should be suitably remunerated. The holder of the post may attend the meetings of the Executive Committee without any voting rights.

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Report of the Executive Committee for the Year Ended 31 December 2018

Objectives and Activities for the Benefit of the Public

The objects for which the Association is established are:-

• To promote and study methods for the protection and improvementofpublichealthandfitnessamongstmembers of the public participating in sporting recreational and other leisure-time activities;

• To promote public research into the causation and treatment of medical problems arising from such activitiesandintothescientificandpsychologicalaspects of athletic and sporting achievement and to publish the useful results of such research.

Membership is offered to all healthcare professionals workinginthefieldofsportandexercisemedicine.Fullmembership is available to Doctors of Medicine and Allied Health Professionals eligible and registered to work within the UK. Individuals applying for membership of BASEM should be educated to degree level or equivalent to degree level (not including undergraduate students.) Categories of membership can be found on the BASEM website at www.basem.co.uk

All the policies of the Association are stated in full in the Memorandum & Articles of Association, which is available to view on the website at www.basem.co.uk.

The Association is committed to the advancement and developmentofknowledgeandscientificstudyinthenatural and pathological consequences of physical training and sports participation upon human health.

To achieve this aim, BASEM will continue to co-operate with other national and international organisations to promoteandraisetheprofileofSportandExerciseMedicine(SEM)andorganiseappropriatescientificmeetings, educational courses and Annual Conferences for its multi-disciplinary membership. In partnership with the British Medical Journal Publishing Group (BMJ), the BJSM, an international journal is now published monthly with 24 issues per year, promoting clinical research papers in sport and exercise medicine.

The Executive Committee has referred to the guidance contained in the Charity Commission’s general guidance onpublicbenefitwhenreviewingouraimsandobjectivesand in planning our future activities. The Executive Committee consider how planned activities will contribute to the aims and objectives it has set.

Achievements and Performance

BASEM facilitated several education events during 2018: The Part Two Diploma Revision course delivered in March 2018 attracted good numbers.

In March 2018 BASEM held its Spring Conference at Keepmoat Stadium in Doncaster. The conference attracted 101 delegates; the theme was ‘Get Dynamic: Hormones, Health and Human Performance – Endocrine and metabolic aspects of SEM’

The feedback was excellent, and the spring meeting will now feature as a regular event on BASEM’s calendar.

BASEM delivered its Foundation Skills Course in June 2018. The course was fully subscribed and, as ever, feedback was excellent.

In August 2018 BASEM facilitated the Diploma Revision Part One Course. This course attracted also good numbers.

The Annual Conference 2018 took place on 4th and 5th October in Leeds. The theme was ‘Up Hill and Down Dale’ and was supported by ARUK, SST, Leeds Beckett, Leeds Triathlon Centre, OCR, YoHPAKE and BOSTAA. The event was delivered in association with the Faculty of Sport and Exercise Medicine. This event attracted 230 delegates, 62 speakers and 15 exhibitors. The feedback was excellent, and the Royal Armouries proved to be a popular venue. Theeventranatadeficitoverandabovewhatwasagreedby the Executive Board.

This is largely due to an increase in the number of speakers. A policy document was introduced to prevent this happening in the future.

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Report of the Executive Committee for the Year Ended 31 December 2018

Asignificantamountoftimewasspentdevelopingthee-learning platform which is accessible to members through the BASEM website members area. Through this portal, members can access bespoke educational material to suit their own learning needs. All the learning material is validated for quality by the BASEM Executive. The platform also has the capability to record an individual’s education activity across any given period and produce a report for appraisal or revalidation purposes.

GovernanceBASEM’s governance documents were reviewed and minor changes made. These documents include Internal Financial Controls Policy, Banking Policy, Expenses Policy, Health and Safety Policy and Risk Management Strategy. Staff were trained by an external GRPR consultant and a Privacy Policy developed and circulated to protect the privacy of members, delegates, board members, staff and other interested parties. Business Planning

Business PlanningA three-year Business Plan Document was developed for implementation January 2016. Key objectives were set for the organisation for the period from January 2016 to December 2018 and a realistic budget was agreed for the same period. This was monitored and reviewed monthly during 2018 by the Business Development Manager and Treasurer. All Business Plan objectives were achieved during the period.

Staffing ChangesMs Genelva Meikle was appointed during 2018 into the role of Events Co-ordinator. It is her role to organise the two conferences and support with other activities of the organisation when required. This was a new role created as the organisation continues to grow to meet additional demand on staff time.

Website development and Social MediaBASEM continues to develop its website. A new website and CRM system were introduced in December 2018. These are now fully integrated which will improve efficiencyandreducestafftimeinthefuture.

Member Services DevelopmentThe BASEM membership has shown a very slight increase throughout the year. Whilst we didn’t reach our 5% growth, we feel this is due to the new system for member renewals. It is felt that the introduction of a ‘pay monthly’ facility will be more attractive and will result in new members joining BASEM in the future.

BASEM TodayThe BASEM Today magazine has continued to grow and develop and has become extremely popular. During 2018 four editions were produced. For the Spring edition the Editorship was provided by Dr Katie Marino and focussed on imaging in sports medicine. The Summer and Winter editions were ‘in house’ versions and focussed on the Winter Olympics and Sport Psychology. The Winter edition was edited by Mr Graham Holloway and included many features including an overview of the BASEM/FSEM Conference in Leeds.

The Malcolm Read ScholarshipBASEM was fortunate to receive a donation of £19,000 during 2007 from UKADIS, when it was wound down. This has been set aside to use in the Malcolm Read Scholarship Fund. In 2018 the Award was made to Dr Pumi Senaratne.

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Report of the Executive Committee for the Year Ended 31 December 2018

SponsorshipDuring 2018 BASEM Sponsored 6 x SEM Student Conferences and the FASIC event in Edinburgh. BASEM also sponsored the Spring Conference and main Conference by subsidising rates for its members and undergraduate students.

BASEM also extended it investment further to the value of £50,000 to The International Concussion and Head Injury

Research Foundation to pay for research into impact of concussion on jockeys and other athletes. An additional £50k is pending following satisfactory reporting.

BASEM sponsored two doctors and a physiotherapist to attend the Invictus Games – a total contribution of £27,000.

Financial Review

The results for the year show total incoming resources for the year of £818,325. Total resources expended in the year amounted to £575,210. The net incoming resources for the year amounted to £243,115.

Reserves Policy

The Executive Committee has reviewed the reserves held by BASEM as at 31 December 2018. This review encompassed the nature of the income and expenditure streams,theneedtomatchvariableincomewithfixedcommitments and the nature of the reserves.

The review concluded that the Association needs reserves both to enable it to progress its long term aims and to protect its current activities, to allow the Executive Committee to meet its responsibilities and ensure that it continues to operate on a going concern basis.

The Executive Committee has examined the needs, risks and challenges faced by the Association in both the short term and the medium term and have formulated a policy to meet those needs. The Executive Committee feel that the level of free reserves, being the unrestricted reserves notheldinfixedassets,aresatisfactoryat£1,269,174.During the preparation of the budgets for 2019 further consideration is to be given to the level of free reserves that will be needed for the long-term development of the Association.

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Report of the Executive Committee for the Year Ended 31 December 2018

Plans for 2019BASEMplanstobuildonthesignificantprogressmadeduring2018intermsoffinancialstabilityandwillcontinuetolookatcostefficientwaysofrunningtheorganisationtoensurethelonger-termfinancialsustainabilityoftheAssociation.

BASEM plans to allocate some of the unrestricted funds achieved during 2018 to further develop the organisation andthebenefitsitofferstoitsmembers.Thesewillinclude:• £10,000 to expand the in-house education programme• £32,000 for bursaries and prizes for which members

can apply• £100,000 to further develop the work of ICHIRF in

concussion research• £15,000 subsidy towards Spring Conference and

Annual Conference• £2,000 Motivate2Move

Moving MedicineIt is the intention of BASEM to pursue the opportunity of setting up Moving Medicine as an independent charity with its own aims and objectives in collaboration with FSEM. Further discussions will take place but the plan is to establish Moving Medicine as an independent charity with equal representation of BASEM/FSEM Trustees on the Board.

BASEM plans to continue to promote membership to both existing and potential new members. This will be the responsibility of the Membership Manager supported by Business Development Manager, Marketing Manager, Events Co-ordinator and Education Manager. It is hoped that the change in membership charges (monthly payments) will attract more new members.

BASEM is keen to promote physical activity to the whole population, to improve general health and to aid in the prevention and management of chronic disease and will continue to deliver training in different formats to meet learner needs as per the Moving Medicine cooperation with FSEM.

The BJSM will continue to be marketed in new territories with Editor, Karim Khan. It continues to be a very popular, highly regarded peer reviewed journal. BASEM is delighted to report that the BJSM impact factor has increased to 7.867 and it is currently ranked 1st out of all the Sports Sciences and Medicine publications globally.

BASEM will facilitate a Spring Meeting on 7th March in Birmingham. The Annual Conference and AGM will be held 21st and 22nd November in Glasgow. BASEM also plans to run Revision Courses for the FSEM Membership Exam Parts One and Two and Foundation Skills Course.

The Executive Committee plans to maintain its investment into continually improving the facilities for its members, fostering relations with allied agencies, to develop educational facilities within Sport and Exercise Medicine, encouraging the membership to be involved in all aspects of this process. The Association will continue to support the Faculty of Sport and Exercise Medicine (FSEM) and the Programme Directors around the Home Countries who are evolving the training requirements of doctors specialising in SEM. It plans the further promotion of BASEM to allied health professionals including the establishment and promotion of SEM pathways for AHPs working in the sports arena as well as co-opting AHP’s onto the Education Committee to promote their educational requirements.

The Association continues to support undergraduate SEM Societies and offers its undergraduate student members a discounted rate of £25 per year with online-only access to the BJSM. A concessionary membership level was introduced for FYI and FY2 Doctors, full time PostGraduatestudentsinSEM,newlyqualifiedalliedhealthcare professionals and SEM trainees.

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Report of the Executive Committee for the Year Ended 31 December 2018

Responsibilities of the Executive CommitteeThe Executive Committee is responsible for preparing the ExecutiveCommitteeReportandthefinancialstatementsin accordance with applicable law and regulations.

Company law requires the Executive Committee to preparefinancialstatementsforeachfinancialyear.Underthat law the Executive Committee has elected to prepare thefinancialstatementsinaccordancewithUnitedKingdom Generally Accepted Accounting Practice (United Kingdom Accounting Standards and applicable law). Under company law, the Executive Committee must not approvethefinancialstatementsunlessitissatisfiedthatthey give a true and fair view of the affairs of the charitable company and of its incoming resources and application of resources, including income and expenditure for the financialyear.Inpreparingthosefinancialstatements,theExecutive Committee is required to:• select suitable accounting policies and then apply

them consistently;• make judgements and estimates that are reasonable

and prudent;

• preparethefinancialstatementsonthegoingconcernbasis unless it is inappropriate to

• presume that the charitable company will continue in operation.

The Executive Committee is responsible for keeping adequateaccountingrecordsthataresufficienttoshowand explain the charitable company’s transactions and disclose with reasonable accuracy at any time the financialpositionofthecharitablecompanyandtoenableittoensurethatthefinancialstatementscomplywith the Companies Act 2006. It is also responsible for safeguarding the assets of the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

In so far as the Executive Committee is aware, there is no relevant audit information of which the charitable company’s auditors are unaware and the Executive Committee has taken all the steps which it ought to have taken to make itself aware of any relevant audit information and to establish that the auditor is aware of that information.

AuditorsNixon Mee Limited was re-appointed as the charitable company’s auditor during the year.

This report has been prepared in accordance with the 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 2015) and in accordance with the provisions applicable to companies entitled to the small companies exemptions.

Approved by the Executive Committee on 22 May 2019 and signed on its behalf by:

(Dr Mike Stone) (Chair)

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Independent Auditor’s Report to the Members of British Association of Sport and Exercise Medicine

Year Ended 31 December 2018OpinionWehaveauditedthefinancialstatementsofBritishAssociation of Sport and Exercise Medicine (the ‘company’) for the year ended 31 December 2018 which comprise the statement of income and retained earnings, statementoffinancialpositionandtherelatednotes,includingasummaryofsignificantaccountingpolicies.Thefinancialreportingframeworkthathasbeenappliedin their preparation is applicable law and United Kingdom Accounting Standards, including FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).

This report is made solely to the company’s members, as a body, in accordance with chapter 3 of part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the company’s members those matters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the company and the company’s members as a body, for our audit work, for thisreport, or for the opinions we have formed. In our opinion thefinancialstatements:• give a true and fair view of the state of the company’s

affairs as at 31 December 2018 and of its loss for the year then ended;

• have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice;

• have been prepared in accordance with the requirements of the Companies Act 2006.

Basis for opinionWe conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the auditor’s responsibilities for the audit ofthefinancialstatementssectionofourreport.Weare independent of the company in accordance with the ethical requirements that are relevant to our audit of the financialstatementsintheUK,includingtheFRC’sEthicalStandard, and the provisions available for small entities, inthecircumstancessetoutinnote11tothefinancial

statements,andwehavefulfilledourotherethicalresponsibilities in accordance with these requirements. We believe that the audit evidence we have obtained issufficientandappropriatetoprovideabasisforouropinion.

Conclusions relating to going concernWe have nothing to report in respect of the following matters in relation to which the ISAs (UK) require us to report to you where:• the directors’ use of the going concern basis of

accountinginthepreparationofthefinancialstatements is not appropriate; or

• thedirectorshavenotdisclosedinthefinancialstatementsanyidentifiedmaterialuncertaintiesthatmaycastsignificantdoubtaboutthecompany’sability to continue to adopt the going concern basis of accounting for a period of at least twelve months fromthedatewhenthefinancialstatementsareauthorised for issue.

Other informationThe other information comprises the information included intheannualreport,otherthanthefinancialstatementsand our auditor’s report thereon. The directors are responsible for the other information. Our opinion on the financialstatementsdoesnotcovertheotherinformationand, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.

Inconnectionwithourauditofthefinancialstatements,our responsibility is to read the other information and, in doing so, consider whether the other information is materiallyinconsistentwiththefinancialstatementsorour knowledge obtained in the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there is a material misstatementinthefinancialstatementsoramaterialmisstatement of the other information. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.

We have nothing to report in this regard.

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Independent Auditor’s Report to the Members of British Association of Sport and Exercise Medicine

Opinions on other matters prescribed by the Companies Act 2006In our opinion, based on the work undertaken in the course of the audit:• the information given in the directors’ report for the

financialyearforwhichthefinancialstatementsarepreparedisconsistentwiththefinancialstatements;and

• the directors’ report has been prepared in accordance with applicable legal requirements.

Matters on which we are required to report by exceptionIn the light of the knowledge and understanding of the company and its environment obtained in the course of theaudit,wehavenotidentifiedmaterialmisstatementsinthe directors’ report.

We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 requires us to report to you if, in our opinion:• adequate accounting records have not been kept, or

returns adequate for our audit have not been received from branches not visited by us; or

• thefinancialstatementsarenotinagreementwiththeaccounting records and returns; or

• certain disclosures of directors’ remuneration specifiedbylawarenotmade;or

• we have not received all the information and explanations we require for our audit; or

• thedirectorswerenotentitledtopreparethefinancialstatements in accordance with the small companies regime and take advantage of the small companies’ exemptions in preparing the directors’ report and from the requirement to prepare a strategic report.

Responsibilities of directors As explained more fully in the directors’ responsibilities statement, the directors are responsible for the preparationofthefinancialstatementsandforbeingsatisfiedthattheygiveatrueandfairview,andforsuchinternal control as the directors determine is necessary toenablethepreparationoffinancialstatementsthatarefree from material misstatement, whether due to fraud or error.

Inpreparingthefinancialstatements,thedirectorsare responsible for assessing the company’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the directors either intend to liquidate the company or to cease operations, or have no realistic alternative but to do so.

Auditor’s responsibilities for the audit of the financial statementsOur objectives are to obtain reasonable assurance about whetherthefinancialstatementsasawholearefreefrommaterial misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate,theycouldreasonablybeexpectedtoinfluencethe economic decisions of users taken on the basis of thesefinancialstatements.

A further description of our responsibilities for the auditofthefinancialstatementsislocatedontheFinancial Reporting Council’s website at www.frc.org.uk auditorsresponsibilities. This description forms part of ourauditor’s report.

Mr James Nixon (Senior Statutory Auditor)For and on behalf of

Nixon Mee LimitedAccountant & statutory auditor

Unit 9 Whitwick Business CentreStenson Road, Coalville

Leicestershire, LE67 4JP

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Statement of Financial Activities (including Income and Expenditure Account) for the Year Ended 31 December 2018

NotesUnrestricted

FundsRestricted

Funds

TotalFunds2018

TotalFunds2017

£ £

INCOMING RESOURCES

Incoming Resources from Generated Funds

Investment Income 3,317 - 3,317 1,401

Rental Income 11,713 - 11,713 5,002

Other Income - - - 188

Incoming resources from CharitableActivities 2 803,295 - 803,295 690,165

Total Incoming Resources 818,325 - 818,325 696,756

RESOURCES EXPENDED

Charitable activities 3

Direct Costs 321,203 - 321,203 341,531

Administrative Costs 241,526 - 241,526 185,912

Governance costs 4 12,481 - 12,481 7,754

Total Resources Expended 575,210 - 575,210 535,197

Net Incoming Resources 243,115 - 243,115 161,559

Total funds brought forward 1,411,931 17,414 1,429,345 1,267,786

Total funds carried forward 1,655,046 17,414 1,672,460 1,429,345

The notes on pages 32 to 38 form part of these financial statements.

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Balance SheetAs at 31 December 2018

Notes 2018 2017

£ £

Fixed Assets 8 385,872 397,713

Current Assets

Debtors 9 433,347 372,387

Cash at bank and in hand 944,233 793,885

1,377,580 1,166,272

Creditors

Amounts falling due within one year 10 (90,992) (134,640)

Net Current Assets 1,286,588 1,031,632

Net Assets 1,672,460 1,429,345

FundsRestricted funds 12 17,414 17,414

General unrestricted fund 1,655,046 1,411,931

Total Funds 1,672,460 1,429,345

ThesefinancialstatementshavebeenpreparedinaccordancewiththespecialprovisionsforsmallcompaniesunderPart 15 of the Companies Act 2006 and with 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 2015).

ThesefinancialstatementswereapprovedbytheExecutiveCommitteeandauthorisedforissueon22May2019,andare signed on their behalf by:

Dr Mike Stone) (Chair)Company Registration Number: 1962979

The notes on pages 32 to 38 form part of these financial statements.

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Notes to the Accounts for the Year Ended 31 December 2018

1. ACCOUNTING POLICIESThe principal accounting policies are summarised below. The accounting policies have been applied consistently throughout the year and in the preceding year.

(a) Basis of AccountingThefinancialstatementshavebeenpreparedunderthehistoricalcostconventionandinaccordancewiththeCompanies Act 2006 and Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2015)

(b) Fund Accounting• Unrestricted funds are available for use at the discretion of the Executive Committee in furtherance of the general

objectives of the charity.• Designated funds are unrestricted funds earmarked by the Executive Committee for particular purposes.• Restricted funds are subjected to restrictions on their expenditure imposed by the donor.

(c) Incoming ResourcesAll incoming resources are included in the Statement of Financial Activities when the Association is entitled to the incomeandtheamountcanbequantifiedwithreasonableaccuracy.Thefollowingspecificpoliciesareappliedtoparticular categories of income:

• Members’ subscriptions, course fees, Annual Congress and UKSEM income are included in the period to which the receipt relates. Where income relates to the following accounting period it has been treated as deferred income.

• The value of services provided by volunteers has not been included in these accounts.• Investment income is included when receivable.

(d) Resources ExpendedExpenditure is recognised on an accruals basis as a liability is incurred. Expenditure includes VAT, which cannot be recovered, and is reported as part of the expenditure to which it relates:

• Charitable activities expenditure comprises those costs incurred by the Association in the delivery of its activities andservicesforitsbeneficiaries.

• Governance costs include those costs associated with meeting the constitutional and statutory requirements of the Association and include the audit fees and costs linked to the strategic management of the Association.

• All costs are allocated between the expenditure categories of the Statement of Financial Activities on a basis to reflecttheuseoftheresource.Costsrelatingtoaparticularactivityareallocateddirectly.TheresourcesexpendedintheoperationoftheAssociation’scentralservicessystemandcentralofficewhichcannotbedirectlyallocatedare apportioned between the expenditure categories on the basis of the estimated amount of staff time involved in each activity.

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Notes to the Accounts for the Year Ended 31 December 2018

1. ACCOUNTING POLICIES (CONTINUED)

(e) Fixed Assets Depreciation is provided at rates calculated to write off the cost of each asset over its expected useful life, at varying rates:

Item % BasisOfficeEquipment 25 StraightlineFixtures and Fittings 20 Straight lineLeasehold Buildings 2 Straight line

Websitedevelopmentiswrittenoffovertheperiodtowhichitisconsideredthesitewillprovideeconomicbenefit–thisis three years.

All items of equipment that are not consumable in nature are capitalised.

Donated assets are brought in at their second hand value at the date of receipt.

(f) Pension costsTheAssociationoperatesadefinedcontributionpensionschemeforemployees.Theassetsoftheschemeareheld separately from those of the company. Annual contributions payable are charged to the Statement of Financial Activities.

(g) Foreign currenciesAssets and liabilities in foreign currencies are translated into sterling at the rates of exchange ruling at the balance sheet date. Transactions in foreign currencies are translated into sterling at the rate of exchange ruling at the date of the transaction. Exchange differences are taken into account in arriving at the net incoming resources.

2. INCOMING RESOURCES FROM CHARITABLE ACTIVITES

TotalFunds2018

TotalFunds2017

£ £

Members subscriptions 137,649 144,407

Course fees 20,595 23,005

Annual Congress income 70,998 95,097

ShareofprofitsfromJournal 572,553 425,824

Advertising in BASEM Today 1,500 1,832

803,295 690,165

All the above income relates to unrestricted fund activities.

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Notes to the Accounts for the Year Ended 31 December 2018

3. RESOURCES EXPENDED ON CHARITABLE ACTIVITIES

UnrestrictedFunds

RestrictedFunds

TotalFunds2018

TotalFunds2017

£ £

DIRECT COSTS

Cost of courses 20,737 - 20,737 23,681

Annual Congress expenditure 108,137 - 108,137 96,598

Cost of Journal for members 80,073 - 80,073 80,206

Cost of BASEM Today 15,810 - 15,810 15,490

BASEM awards 26,167 - 26,167 18,845

Donations 70,279 - 70,279 106,711

321,203 - 321,203 341,531

ADMINISTRATIVE COSTS

Salaries and NI 107,239 - 107,239 89,356

Pension contributions 5,713 - 5,713 3,600

Rent, storage, light and heat 2,390 - 2,390 3,458

General rates 898 - 898 621

Stationery, printing and postage 11,536 - 11,536 8,144

Telephone 2,388 - 2,388 2,087

Insurance 1,654 - 1,654 827

Staff travel and subsistence 4,110 - 4,110 2,892

Website and database 15,491 - 15,491 11,308

Advertising 10,634 - 10,634 11,183

Bank charges 3,905 - 3,905 4,874

Subscriptions 3,949 - 3,949 3,296

Professional fees 49,715 - 49,715 20,777

Repairs 3,226 - 3,226 5,506

Other costs 2,598 - 2,598 2,615

Loss on disposal of Fixed Assets - - - 14

Depreciation 16,080 - 16,080 15,354

241,526 - 241,526 185,912

All the above income relates to unrestricted fund activities.

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Notes to the Accounts for the Year Ended 31 December 2018

4. GOVERNANCE COSTS

TotalFunds2018

TotalFunds2017

£ £

Executive Committee expenses and meeting costs 8,458 4,004

Auditors fees 4,023 3,750

12,481 7,754

5. NET INCOMING RESOURCES FOR THE YEAR

2018 2017

£ £

This is stated after charging:

Depreciation 16,080 15,354

Auditors’ remuneration - audit services 4,023 3,750

- non-audit services 637 1,050

Out of pocket expenses of £8,458 were reimbursed to members of the Executive Committee (2017 - £3,281). No member of the Executive Committee received any remuneration in respect of their duties as trustees during this or the previous year.

6. STAFF COSTS AND NUMBERS

2018 2017

£ £

Staff costs were as follows:

Salaries 100,530 84,281

Social security costs 6,709 5,075

Pension contributions 5,713 3,600

112,952 92,956

During the year the charity made contributions into a pension fund for three members of staff. (2017: three)

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Notes to the Accounts for the Year Ended 31 December 2018

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

The charitable company is exempt from Corporation Tax on its charitable activities.

All of the members of the Executive Committee and the members of sub-committees are unpaid volunteers, and they each give a substantial amount of their time to the Association to help it continue to function in an effective and efficientmanner.

2018 2017

Full Time Part Time Full Time Part Time

Administrative staff 1 3 1 2

7. TAXATION

6. STAFF COSTS AND NUMBERS (cont...)

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2018 2017

£ £

Trade creditors 39,446 81,817

Other taxes and social security 3,321 2,061

Accruals and other creditors 48,225 50,762

90,992 134,640

Notes to the Accounts for the Year Ended 31 December 2018

8. TANGIBLE FIXED ASSETS

WebsiteOffice

EquipmentLeaseholdBuildings

Fixtures &Fittings Total

£ £ £ £ £

COST

At 1 January 2018 44,141 29,430 394,800 11,158 479,529

Additions - 4,239 - - 4,239

Disposals - - - - -

At 31 December 2018 44,141 33,669 394,800 11,158 483,768

ACCUMULATED DEPRECIATION

At 1 January 2018 44,141 16,203 15,792 5,680 81,816

Charge for year - 6,401 7,896 1,783 16,080

Disposals - - - - -

At 31 December 2018 44,141 22,604 23,688 7,463 97,896

NET BOOK VALUE

At 31 December 2018 - 11,065 371,112 3,695 385,782

At 1 January 2018 - 13,227 379,008 5,478 397,713

9. DEBTORS

10. CREDITORS (AMOUNTS FALLING DUE WITHIN ONE YEAR)

2018 2017

£ £

BMJ Debtor 424,890 336,108

Other debtors 6,055 18,131

Prepayments 2,402 18,148

433,347 372,387

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Notes to the Accounts for the Year Ended 31 December 2018

11. ANALYSIS OF NET ASSETS BETWEEN FUNDS

UnrestrictedFunds

RestrictedFunds Total

£ £ £

Tangiblefixedassets 385,872 - 385,872

Net Current assets 1,269,174 17,414 1,286,588

Net assets at 31 December 2018 1,655,046 17,414 1,672,460

12. RESTRICTED FUNDS

At01/01/18

IncomingResources

OutgoingResources

At31/12/18

Malcolm Read Scholarship Fund 13,015 - - 13,015DJO BASEM Research Awards Fund 4,399 - - 4,399

17,414 - - 17,414

Malcolm Read Scholarship Fund The fund, currently standing at £13,015 is to support an annual award of £1,500, with emphasis being placed on clinical workwithinthefieldofSEM.Theideaistorewardworkbyaclinician,who,inthetraditionofMalcolmRead,contributestothepracticeofSEMbyusingpractical/clinicalexperiencetoshapethinkingwithinthefield.Theawardisintendedtobe accessible to relatively small projects and studies which would not otherwise attract funding or a large audience.

Applicants are required to explain how they intend to use the money. It may be used for funding international travel for further study at a Centre of Excellence, providing medical cover for touring with international sports teams, clinically based research projects within the UK, educational projects within the UK, and other projects which fall into the general categoryofClinicalSport&ExerciseMedicine.Successfulapplicantswillbeaskedtopresentthefindingsoftheirworkat the Annual Congress and also to submit a report on the subsequent use of their award funds.

If the judges do not feel that the work is up to standard, the awards do not have to be awarded. They are only awarded if the papers meet the marking criteria.

DJO BASEM Research Awards Fund The fund relates to donations by DJO to provide prizes for research/educational travel to be taken following presentation of the award.

The work should include a structured abstract and be presented in the standard format of introduction, methods, results, discussion, conclusion, references and should include acknowledgement of support received. The abstract will be a maximum of 300 words and the short paper a maximum of 3000 words.

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Notes to the Accounts for the Year Ended 31 December 2018

13. OPERATING LEASES

At 31 December 2018 the Association had total future minimum lease payment commitments under non-cancellable operating leases as set out below.

2018 2017

£ £Operating leases which expire:

Within one year - 1,519

Between 2 to 5 years 6,407 8,116

14. APB ETHICAL STANDARDS

In common with many other organisations of our size and nature we use our auditors to assist with the preparation of thefinancialstatements.

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Company limited by guarantee number 1962979.

Registered Charity Number 293854.

Registered Company Office: Nixon Mee Ltd, Unit 9, Whitwick Business Centre, Stenson Road, Coalville,

Leicestershire LE67 4JP.

Central Office:BASEMCentralOffice,3JetstreamDrive,Auckley, Doncaster DN9 3QS

Telephone/Fax: 01302 623222. Email: [email protected]