ANNUAL REPORT2019

President’s Report17th September 2019

Francesco Cappuccio

• NICE Guidelines 2019• Consultation¦ Release ¦ Implementation ¦

• Journal of Human Hypertension• Contract ¦ Exclusivity ¦ Membership benefits ¦ Publication space ¦ On-line ASM Abstracts

included ¦ Sponsoring poster award ¦

• ESH/ISH Glasgow 2020 • BIHS host society ¦ ASM moved to May ¦ 40th Anniversary Celebration ¦

• 2021 ASM back to September 13-15th

• Omron Academy• Contract renewed ¦ Train-the-trainers programme (with ESH and ISH) ¦ On-line Programme

(with ESH and ISH) ¦

• Public Health Foundation of India • CCMH I and II delivered ¦ CCMH III on-going ¦ Partnerships with PASCAR ¦ AHA partnership for

on-line global development ¦

• May Measurement Month• BIHS involved in 2017, 2018 and 2019 as National lead ¦ Lancet GH and EHJ publications ¦

• Others• 10th Anniversary of Nurses/AHPs joining BIHS• Finances in good shape• Relationship with Hypertension Canada• Malawi Project (Lucia being mentored by Neil Chapman)

Treasurer’s Report17th September 2019

Christian Delles

Introduction

• Accounts & The Trustee’s Report are available in the members section of the BIHS website

• Accounts & The Trustee’s Report will be sent to the Charities Commission

Accounts: 2018 – Financial ActivitiesIncoming resources

Donations £3,349

Activities £115,028

Interest £16,802

£135,179

Resources expended

Charitable activities £174,463

Net losses on investments (£14,055)

Net incoming resources (£53,339)

Other gains or losses £408

Funds b/f £607,445

Funds c/f £554,514

Accounts: 2018 – Financial Activities

Fixed assets £349

Current assets £15,361

Deposits £515,023

Cash £41,526

£571,910

Creditors/Liabilities (£17,745)

Net current assets £554,165

Net assets £554,514

Accumulated funds £554,514

Bank AccountsClosing Balance 2018 As at 1st September 2019

TSB Treasurers Account £7,948 £8,567

COIF Charities Deposit Fund £458,379 £521,052

TSB Interest Deposit £55,534 £50,901

Bank of Scotland Business Account

£4048 £46,395

Bank of Scotland Euro Account (converted to sterling as at exchange rate 31.12.2018 & 01.09.2019)

€32,761£29,411

€40,761£36,825

Total Assets £555,320 £663,740

Summary of Finance 2014-2018

2014 2015 2016 2017 2018

Income £155,364 £167,332 £159,914 £145,281 £135,179

Expenditure £169,584 £175,050 £179,613 £180,544 £174,463

Investment & foreign exchange gain (loss)

(£1,697) £41,890 £35,416 (£14,055)

Net Income profit (loss)

(£14,220) (£7,718) £22,191 £153 (£52,931)

Fund c/f £594,516 £585,101 £607,292 £607,445 £554,514

BIHS INCOME 2014 -20182014 2015 2016 2017 2018

Donations £30,035 £1,407 £24,545 £2,218 £3,349

Membership £17,392 £15,230 £13,686 £12,317 £13,655

ValidationStudies

£4,000 £11,000

EducationalProjects

£102,160 £101,265 £70,540 £81,841 £84,873

DerivativeDevices

£8,000 £5,500 £5,500 £1,500

OMRON £15,000 £15,000 £15,000 £15,000

PHFI £15,000 £8,500

Interest £1,777 £15,430 £15,643 £19,905 £16,802

Total Income £155,364 £167,332 £159,914 £145,281 £135,179

CCLA INCOME 2016/2017/2018/2019

• COIF income 2016 £16,003.35

• COIF income 2017 £16,317.56

• COIF income 2018 £16,673.64

• COIF income 2019 to date £8,462.50

CCLA INVESTMENT MANAGEMENT LTD

Partial Exemption VATBIHS instructed for a VAT review to be carried out by the VAT People on behalf of the Society in February 2016 where they reviewed the VAT treatment of income received by the Society. Their summary was as follows:

• They were doubtful that exemption would apply to the membership subscription income that BIHS receives

• The BIHS may wish to consider amending its constitution so that it is able to treat it’s educational activity as exempt from VAT (delegate admission charges)

• Any profit made from the event is put into the course or furtherance of supply of education

• The supply is grant funded by central government

As a result of the review, a constitutional change was made and provisions put into place to ensure that any profit/surplus achieved would be ringfenced and used only for the provision of educational services.

As the Society is partly exempt due to the delegate fees being VAT exempt, the BIHS cannot recover all of it’s input tax (VAT that you have paid when you purchase materials) and uses a partial exemption method to work out how much input tax can be recovered (https://www.gov.uk/guidance/partial-exemption-vat-notice-706).

Following the VAT review, the BIHS accountants were instructed to carry out partial exemption calculations on behalf of the Society. There are 3 main steps to calculation how much input tax you can recover:

• Direct attribution of input tax

• Apportionment of residual input tax (tax on purchases used to make both taxable and exempt supplies

• Completion of an annual adjustment

Partial exemption is a very complex calculation with many factors taken into account to determine the percentage of VAT that can be reclaimed. At the end of 2018, we picked up on an error in the partial exemption calculations prior to the 2018 annual adjustment and corresponded with HMRC on this matter and on the basis of the information submitted they were happy to release the repayment of £9,937.01.

We have recalculated the partial exemption calculations for the financial years 2016 and 2017 and report that there is a reclaim to be made to HMRC for the following:

• 2016 - £5,246.38

• 2017 - £15,679.00

We have corresponded with HMRC regarding the miscalculation of VAT for 2016 and 2017 and they have advised that we need to submit a form VAT652 Notification of Errors which we can confirm will be submitted imminently.

Partial Exemption VAT cont.

Secretary’s Report 17th September 2019

Carmel McEniery

BIHS NOMINATIONS FOR COMMITTEEAs none of the positions is contested, there will be no ballot and unless any objections are received by 12 noon on

Tuesday, 17 September 2019 the nominees will be elected at the Annual Business Meeting, to be held at 17.30 on that evening at the University of Birmingham

The nominees areVice – President Ordinary Member Ordinary Member Young Investigator Representative

Current Members: 295• 184 Ordinary/Senior • 14 Associate Members• 6 Honorary Fellows• 27 Honorary Members• 59 Fellows • 5 Overseas Affiliate Members

BIHS Membership

Since the last Business Meeting:15 Non-renewals, 8 Resignations Membership Applications:26 new membership applications, Sept 18-Sept 19

2019 BIHS ASM Attendance (as at 05.09.19)

Total Delegates & Speakers 161• Members 90

• Non Members 71

_________________________

Including Complimentary( 20 = Exhibitors/sponsors, 6 = Student Helpers)

Total Attendees 187

BIHS Meeting Attendance Since 2011

2018: 182 – 113 members, 69 guests2017: 183 – 109 members, 74 guests2016: 151 – 95 members, 70 guests2015: 178 – 115 members, 63 guests 2014: 240 – 167 members, 73 guests 2013: 172 – 105 members, 51 guests2012: 160 – 97 members, 63 guests2011: 209 – 120 members, 89 guests

BIHS ASM 2019Abstract Submissions

Total Number of Abstracts Submitted 64_________

• Total Number of Accepted Orals 18• Total Number of Accepted Posters 42• Total Number of Rejected Abstracts 0_________

• Total Number of Withdrawn Abstracts 4

BIHS Abstract Submissions since 2011 2018: 71 submissions (71 accepted – 17 orals, 54 posters)2017: 67 submissions (67 accepted – 18 orals, 44 posters)2016: 54 submissions (54 accepted – 20 orals, 33 posters)2015: 56 submissions (55 accepted - 11 orals, 44 posters)2014: 60 submissions (58 accepted – 19 orals, 40 posters)2013: 43 submissions (41 accepted – 24 orals, 17 posters)2012: 46 submissions (46 accepted – 27 orals, 19 posters)2011: 59 submissions (52 accepted – 20 orals, 32 posters)

Annual Scientific meeting28th – 29th May 2020

Queen Elizabeth Teaching and Learning Centre, Glasgow

www.bihsoc.org

Guidelines & Information Service Working Party

Chair:

Francesco Cappuccio (Exec Rep)

Working Party Members:

Adrian Brady, Neil Poulter, Morris Brown, John Potter, Terry McCormack, Peter Sever,

Gordon McInnes, Wayne Sunman, Gary McVeigh, Bryan Williams, Michaela Nuttall (Nurse Rep)

Administration: Jackie Howarth

• NICE Hypertension in Adults Guideline Update • Consultation (Mar-Apr 2019) – BIHS response• Publication (28 Aug 2019)• BIHS statement published (28 Aug 2019)• Implementation (2019-20) – BIHS role envisaged (?)

• Joint UK Committee on Renal Denervation • Led by Mel Lobo, wide BIHS representation• New Consensus paper published in Lobo MD, et al. Heart 2019 July;

doi:10.1136/heartjnl-2019-315098

• Journal of Human Hypertension • Partnership started in March 2019• Steady stream of papers monthly from the BIHS (4 published; 3 accepted to date)

• Call for BIHS submissions open; small Editorial handling team set-up• Next year’s ASM abstracts online only

• Other• Tony Heagerty representing BIHS in a Heart UK statement on CV Risk

Management after Bariatric Surgery – postponed to end 2019/early 2020.• BIHS contributing and endorsing TRUE Position Statements on Salt reduction.

Blood Pressure MeasurementWorking Party

Chair:

Richard McManus

Working Party Members:

Neil Chapman, Chris Clark (Exec Rep), Phil Chowienczyk, Liz Denver (Nurse Rep), Peter Lacy,

Philip Lewis, Una Martin, Sinead McDonagh, Annette Neary, James Sheppard (YI Rep)

Administration: Jackie Howarth

• Universal Protocol for BP monitor validation published and operational

• AIM-BP initiative including collaboration on best practice in BP measurement including validation registries

• JHH publications

• BP monitoring in Atrial Fibrillation paper (published), statement accepted – Chris Clark

• How Oscillometric BP monitors work – Philip Lewis

• BP Measurement in the Leg (under JHH review) – Una Martin & James Sheppard

• Kinetik validation paper (awaiting BIHS sign-off) – Claire Schwartz

• Reister validation paper (under BIHS review) – Ryan McNally

Blood Pressure Measurement Working Party

Educational ProgrammesWorking Party

Chair:

Mike Okorie

Working Party Members:

Adam Greenstein, Vikas Kapil, Carmel McEniery (Exec Rep), Catriona Murphy,

Claire Schwartz, Alison Warren

Administration: Jackie Howarth

• BIHS Teaching Ambassador Programme

• Online teaching: OMRON, BIHS Webinars

• Collaborations: BPS, RCP, BCS, BJPCN, BHF/SA/RPS, PHE

• Outreach: OMRON; PHFI

Research NetworkWorking Party

Chair: Christian Delles

Working Party Members:

Chris Clark, Franco Cappuccio, Indranil Dasgupta, Mark Glover, Paul Leeson, Isla Mackenzie,

Carmel McEniery, Tom MacDonald, Una Martin, Paul Robinson

Administration: Jackie Howarth

• Existing / Ongoing Research• Fibromuscular Dysplasia Registry - Recruitment of FMD patients into the national rare renal disease

(RADAR) portfolio – Una Martin• BP Drug Screening in the Elderly – James Sheppard• HyperEcho - Identify novel cardiovascular imaging phenotypes in young adults – Paul Leeson• TIME – Morning vs Evening dosing - Tom MacDonald• AIM-HY – Ancestry and Biological Informative Markers in the stratification of hypertension –

Phil Chowienczyk• EVIDENCE – Evaluating diuretics in normal care - Tom MacDonald• RECALL (Previously TRYPOD) – Dementia Study led by Tony Heagerty

• BHF Cardiovascular Coalition• BIHS is represented by Franco Cappuccio and Paul Leeson – provides admin/networking support

• New Research Initiatives• JHH statements• Focus on salt but opportunities to expand to other lifestyle factors• Research placements for Young Investigators

Nurses/AHPWorking Party

Chair:

Joanne Loades

Working Party Members:

Ali Albasri, Liz Denver, Judith Magowan, Catriona Murphy,

Michaela Nuttall, Alison Phinn, Paul Robinson, Naomi Stetson

Administration: Jackie Howarth

Thanks to Jill Bunker who has recently resigned

• 10th Anniversary of Nurses/AHPs joining BIHS

• Meet & Greet with celebrations during Tuesday morning coffee break

• Nurse competencies in Hypertension

• Education• CPD Webinars• Collaboration with RCNi on educational programme • PHE CVD Leadership Forum• Learning Outcomes – update

• Pharmacy-led Hypertension Care

• Malawi

Young Investigator Network Working Party

Chair:

James Sheppard (Exec Rep)

Working Party Members:

Luca Faconti, Sinead McDonagh, Ryan McNally, Claire Schwartz,

Carlos Valencia, Helen Warren

Administration: Jackie Howarth

• Introducing Luca Faconti as the new WP Chair

• 3 new members have joined this year

• Successful YI pre-conference Symposium now in its 4th year

• Networking with ISH, ESH, HBRCA, Hypertension Canada• Joint YI session at the ESH/ISH congress in Glasgow 2020 proposed• Survey and article focusing on challenges for career progression

encountered by YIs working in hypertension• Developing possible exchange with Hypertension Canada

• BIHS BP monitor validation articles drafted and submitted for publication in the JHH

• Placement programme (including mentoring)• New funding to support YIs to spend time working in another

research group within the BIHS. Three applicants in the first year

Irish Working Party

Chair:

Adrian Brady

Working Party Members:

John Cox, Eamon Dolan, Una Martin, Terry McCormack, Catriona Murphy,

Annette Neary, Alice Stanton

Irish College of General Practitioners (ICGP) MeetingBIHS members participated in a workshop on Management of Hypertension at the ICGP Winter Meeting on 17 November 2018

Nursing/AHP EducationCatriona Murphy organised a successful study day for 30 nurses/AHPs on Thursday 16 May 2019 in Dublin.

Hypertension Masterclass for GPsThe BIHS endorsed a Masterclass for GPs held in Galway on Friday 17 May 2019 to coincide with World Hypertension Day. BIHS members were involved in the programme.