EUROPEAN PRESSURE ULCER ADVISORY PANEL CHARITY No: 1066856 Company No: 3438264
REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2005

INFORMATION

Principal Address:
European Pressure Ulcer Advisory Panel Charity
EPUAP Business Office
68 Church Way
Iffley, Oxford, OX4 4EF

Accountants:
Critchleys Chartered Accountants
Avalon House
Marcham Road
Abingdon, Oxon, OX14 1UD

Bankers:
Barclays Bank Plc
Marcham Road
Abingdon, Oxon

DIRECTORS’ REPORT
The directors who are also trustees present their report, together with the accounts for the year ended 31 March 2005.

Review of the Business and Future Developments
The company is limited by guarantee and is a registered charity (registration number 1066856). The charity reported net outgoing resources of £16,593 for the year (2004: incoming £12,107).

Mission Statement
The European Pressure Ulcer Advisory Panel’s objective is to provide for the relief of persons suffering from, or at risk of pressure ulcers, in particular through research and education of the public.

Risk Management
The trustees have identified the major risks which the charity faces and are taking steps to mitigate those risks.

Reserves Policy
It is the policy of the charity to maintain unrestricted funds, which are the free reserves of the charity, at a level which equates to approximately six months unrestricted expenditure. This would provide sufficient funds to cover management and administration and support costs and cover publication expenses. The trustees are researching ways to meet this objective.

Directors
The directors in office at 31 March 2005, all of whom served during the year unless otherwise stated, were:

Directors
The directors in Office at 31st March 2005, all of whom served during the period unless otherwise stated were:

EXECUTIVE COMMITTEE

REPORT OF THE CHARITY
The charity’s objective ‘to provide the relief of persons suffering from, or at risk of pressure ulcers in particular through research and education of the public’ again continues to be achieved. A great deal of emphasis has been put on education of the public and in this regard a working group has been set up and headed by Professor Sue Bale to make information available on the website for sufferers of pressure ulcers, their carers and families. Programmes are being initiated at several different levels and it is hoped to run educational courses resulting in diplomas. The annual meeting was held under the umbrella of the Second World Union of Wound Healing Societies in Paris in July 2004. This meant that the general formula of the EPUAP annual open meeting was not followed, but speakers were invited from within the panel to present symposia, workshops and papers relating to pressure ulcers. Financial remuneration was given from the World Union of Wound Healing Societies for the cancellation of the annual European Pressure Ulcer Advisory Panel’s own annual meeting.

The pressure ulcer classification project is continuing with working groups dealing with ongoing problems of classification. The PUCLAS CD initiated by Professor Tom Defloor of the University of Gent, Belgium along with funding from the EPUAP continues to attract much interest. Many European clinics, nursing homes, hospitals and practices have adopted the PUCLAS system as well as NICE (The National Institute of Clinical Excellence) in the UK. The phenomonology working group presented their finished pilot study and it was noted that different countries did not vary with their problems or approaches to the problems.

This year the EPUAP has liaised with the National Pressure Ulcer Advisory Panel in USA and the Japanese Society regarding standardization of definitions. The Guidelines on Prevention and Treatment of Pressure Ulcers continue to be requested throughout Europe and the rest of the World. Nutritional guidelines continue to be translated into various European languages and are requested on a regular basis. A site visit was made by Trustees and members of the Business Office to Berlin where the 2006 annual open meeting of the EPUAP will be held. The facilities look excellent and we look forward to another exciting and challenging meeting on mainland Europe in Germany. The EPUAP book ‘Science and Practice of Pressure Ulcer Management’ has now been finished and will be published and available in the autumn of 2005.

The annual meeting of the EPUAP is an important event in the EPUAP calendar as apart from disseminating knowledge it provides a forum for health care workers who may have poor support in their health care environment to network with workers who are experts in their fields. This year a joint pre-meeting with the Tissue Viability Society is also planned in Aberdeen Scotland.

The EPUAP Business Office continues to be busy with requests from throughout the world for information and contact names and addresses. It continues to publish the EPUAP Review, its in-house journal, which has proved to be invaluable for information regarding what is happening in industry with regard to pressure ulcer prevention – advances in support surfaces; different management of pressure ulcers in varying countries; prevalence and incidence of pressure ulcers throughout Europe; novel interventions for the prevention and treatment of pressure ulcers. The annual open EPUAP Meeting to be held in Aberdeen Scotland has engendered much work within the Business Office with design of fliers to advertise the meeting, several mailings and site visits with Industry. Programmes and abstract books have also been designed and published from within the office. Booths have been manned at several national and international meetings advertising the programme. The
Scottish Tourist Board provided representatives to be at the EPUAP stand along with the Business Office to advertise the beauty and possible tours from Aberdeen. The importance of the complication arising from pressure ulceration was highlighted with the death of the actor Christopher Reeve (Superman) whose death was due to septicaemia infection from his pressure ulcer. His wife was very supportive to EPUAP in the charity’s effort to publicise this both in writing to newspapers as well as publicising it in our journal, the EPUAP Review, and our website <www.epuap.org>.

The EPUAP continues to meet its mission statement, but the problem in Europe and indeed worldwide remains
huge. However, with an incredibly motivated and active membership and support from Industry inroads are being made into this costly and major problem. This report has been prepared in accordance with Special Provisions of Part VII of the Companies Act 1985 relating to small companies.

19 October 2005
ON BEHALF OF THE BOARD

STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 MARCH 2005

These financial statements have been prepared in accordance with the special provisions of Part VII of the Companies Act 1985 relating to small companies and the Financial Reporting Standard for Smaller Entities (effective
June 2002). The directors are satisfied that the company was entitled to exemption under subsection (1) of section 249A of the Companies Act 1985 and that members have not required an audit in accordance with subsection (2) of section 249B.

The directors acknowledge their responsibilities for:
a) ensuring that the company keeps accounting records which comply with section 221; and
b) preparing accounts which give a true and fair view of the state of affairs of the company as at the end of the financial year and of its profit or loss for the financial year in accordance with the requirements of section 226, and which otherwise comply with the requirements of this Act relating to accounts, so far as applicable to the company.

These financial statements were approved on behalf of the charity on 19 October 2005.

1. Accounting Policies
The following accounting policies have been applied consistently in dealing with items which are considered material in relation to the charity’s financial statements.
a) Company Status
The charity is a company limited by guarantee. The members of the company are the trustees.
b) Basis of Preparation
The financial statements have been prepared under the historical cost accounting rules, and in accordance with the Charities SORP and the Financial Reporting Standard for Smaller Entities (effective June 2002).
c) Income and Expenditure
Income and Expenditure is accounted for on an accruals basis. Conference income and expenditure is recognised in the year the event was held. Subscription income was apportioned over the year to which it relates. However, this year subscriptions are recorded on a receipts basis. In previous years the subscription year ran to 30 September. However, for this year onwards the subscription period runs for one year from renewal/signing up date which may be at any time during the year. As the subscriptions are spread through the year no adjustment has been made for subscriptions in advance. Subscriptions are non-refundable.

d) Tangible Fixed Assets
Tangible fixed assets are stated at historical cost less depreciation. Depreciation is provided using the
reducing balance basis at rates which reflect the anticipated useful lives of the assets and their estimated residual values:

2. Annual Conference
The annual conference was cancelled due to an event held in Paris by another charity. This charity compensated the European Pressure Ulcer Advisory Panel Charity with £9,645 (Euro 14,000) for the cancellation of their conference. The European Pressure Ulcer Advisory Panel Charity incurred expenses of £12,037 in relation to the Paris conference.

3. Secretarial and Office Expenses
Below is a breakdown of secretarial and office expenses:

4. Management and Administration of the Charity
Included in the above are the following expenses:

5. Fixed Assets

6. Prepayments
Included within prepayments is an amount of £39,137 relating to expenses incurred for the Aberdeen Meeting held in May 2005. This expenditure will be recognised in next year’s financial statements.

7. Accruals and Deferred Income

Deferred income relates to income received for the Aberdeen meeting and will be shown in next year’s financial statements.

8. Restricted Funds

Nutricia Guidelines Restricted Fund
This restricted fund was established using a specific grant received from Nutricia for the production of nutritional guidelines. This is now an ongoing part of the work carried out by the European Pressure Advisory Panel and it was felt appropriate to transfer the remaining balance brought forward on this fund into unrestricted funds.

Professor Ryan Restricted Fund
During the year a grant of £16,000 was received from the P F Charitable Trust for international work carried out by Professor Ryan. The grant was expended as follows:

Included in travel expenses is £800 paid to Dr Shyam Verma as a travel allowance to meet with European experts. £2,000 was paid to Professor Ryan to cover travel costs for a visit to India to speak to an Indian branch of the International Skin Care Nursing Group about the question of AIDS and pressure ulcers. A further £2,800 was paid to Professor Ryan for a visit to a regional dermatology training centre in Tanzania. The start up costs refer to the initiation of a training centre for a Chinese skin care programme with an emphasis on wound healing and pressure ulcers. The deficit of £300 on this restricted fund was transferred into unrestricted funds at the end of the year.

9. Trustees Transactions
Fifteen Trustees were reimbursed for their expenses, amounting to £22,423 (2004 : £21,165). The following is a breakdown of reimbursed expenses paid during the year:

The majority of expenses incurred by Dr G W Cherry relates to the Paris conference (£4309) and trustees meetings (£5818).

10. Related Party Transactions
During the year the European Pressure Ulcer Advisory Panel made payments to the Oxford International Wound Healing Foundation amounting to £9,000 for rent of office premises. Dr G W Cherry is a director of this company.