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Deltex Medical Group plc

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FY2021 Annual Report · Deltex Medical Group plc
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2021 Annual Report & Accounts 

Deltex Medical 

A UK-headquartered international medical device company which develops, 
manufactures and distributes a clinically-proven haemodynamic monitoring 
technology that has been shown to: 

▪ 

▪ 

improve outcomes for patients; and 

reduce patient length-of-stay, 

thereby increasing throughput and capacity for hospitals whilst lowering 
healthcare costs. 

Real-time oesophageal Doppler haemodynamic monitoring:  
improves patient outcomes; increases hospital throughput 

 
 
 
 
 
 
 
 
 
 
Deltex Medical at a glance 

Our technology 

Deltex Medical’s TrueVue System uses proprietary haemodynamic monitoring technology to assist clinicians to 
improve outcomes for patients as well as increase throughput and capacity for hospitals. 

Deltex Medical has invested over the long term to build a unique body of peer-reviewed, published evidence from a 
substantial number of trials carried out around the world. These studies demonstrate statistically significant 
improvements in clinical outcomes providing benefits both to patients and to the hospital systems by increasing 
patient throughput and expanding hospital capacity. 

The Group’s flagship, world-leading, ultrasound-based oesophageal Doppler monitoring (“ODM”) is supported by 24 
randomised controlled trials conducted on anaesthetised patients. As a result, the primary application for ODM is 
focussed on guiding therapy for patients undergoing elective surgery. 

During 2021, Deltex Medical’s engineers and scientists carried out successful research in conjunction with the UK’s 
National Physical Laboratory (“NPL”), which has enabled the Group’s ‘gold standard’ ODM technology to be extended 
and developed so that it can be used completely non-invasively.  This will significantly expand the application of 
Deltex Medical’s technology to non-sedated patients. This new technological enhancement will substantially increase 
the addressable market for the Group’s haemodynamic monitoring technologies and is complementary to the long-
established ODM evidence base.  

Our new non-invasive technology has potential applications for use in a number of healthcare settings, including: 

▪  Accident & Emergency for the rapid triage of patients, including the detection and diagnosis of sepsis, an 

important capability for patients presenting with COVID-19 symptoms; 

▪ 

▪ 

in general wards to help facilitate a real-time, data-driven treatment regime for patients whose condition 
might deteriorate rapidly; and 

in critical care units to allow regular monitoring of patients post-surgery who are no longer sedated or 
intubated. 

One of the key opportunities for the Group in 2022 is positioning this new, non-invasive technology for use 
throughout the hospital. Our haemodynamic monitoring technologies provide clinicians with beat-to-beat real-time 
information on a patient’s circulating blood volume and heart function. This information is critical to enable clinicians 
to optimise both fluid and drug delivery to patients.  

Our business model is to drive the recurring revenues associated with the sale of single-use disposable ODM probes 
which are used in the TrueVue System and to complement these revenues with a new incremental revenue stream to 
be derived from our new non-invasive technology. 

Both the existing single-use ODM probe and the new, non-invasive device connect to the same, next generation 
monitor which is due for launch in 2022.  Monitors are sold or, due to hospitals’ often protracted procurement times 
for capital items, loaned in order to encourage faster adoption of our technology. 

Our customers 

The principal users of our products are currently anaesthetists working in a hospital’s operating theatre and 
intensivists working in ICUs. This customer profile will change as our new non-invasive technology is adopted by the 
market. In the UK we sell directly to the NHS. In the USA we sell directly to more than 30 major hospitals that 
appreciate the value of our evidence-based approach to haemodynamic management. We also sell through 
distributors in more than 40 countries in the European Union, Asia and the Americas.  

Our objective 

To see the adoption of our next generation TrueVue System, comprising both minimally invasive and non-invasive 
technologies, as the standard of care in haemodynamic monitoring for all patients from new-born to adult, awake or 
anaesthetised, across all hospital settings globally.  

Visit us online for further information at www.deltexmedical.com 

1 

 
 
 
Contents 

Overview 

Highlights 

Chairman’s Statement 

Business Review 

Governance 

Directors 

Directors’ Responsibility Statement 

Company Secretary and Advisers 

Corporate Governance statement 

Strategic Report 

Principal Risks of the Group 

Directors’ Report 

Directors’ Remuneration Report 

Report of the Audit Committee 

Independent Auditors’ report 

Financial information 

Consolidated financial statements 

Notes to the consolidated financial statements 

Parent company financial statements 

Notes to the parent company financial statements  

Notice of Annual General Meeting 

Page 

3 

5 

8 

13 

15 

16 

17 

20 

23 

26 

28 

33 

35 

42 

47 

81 

83 

90 

2 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
HIGHLIGHTS  

Financial 

▪ 

▪ 

revenues: £2.3 million (2020: £2.4 million) 

International division performed well in 2021 with growth of 40% to £0.9 million (2020: £0.7 
million) 

▪  gross margin up slightly to 70% (2020: 68%) 

▪  overheads flat at £2.7 million (2020: £2.7 million, excluding exceptional items) 

▪  adjusted EBITDA: £(0.5) million (2020: £(0.2) million) 

▪ 

loss for the year: £(1.0) million (2020: £(0.8) million) 

▪  cash at hand (31 December, 2021): £0.4 million (2020: £0.9 million), before £1.4 million (gross) 

fund raising announced on 8 February 2022 

Business 

▪  during 2021 many of Deltex Medical’s principal markets were effectively closed as elective 

surgical procedures were cancelled around the world due to the pandemic. Elective surgery is 
now starting to resume globally 

▪  many hospitals barred access to salespersons and clinical educators for a large proportion of the 

year, which compounded the sales challenges facing the Group  

▪  post pandemic, there is now a substantial backlog in elective surgical procedures around the 

world which represents a significant commercial opportunity for Deltex Medical as its TrueVue 
Doppler technology has been shown to reduce patient length-of-stay and hence increase hospital 
throughput / capacity 

▪ 

there are now encouraging signs of hospital access improving for our sales teams 

▪  excellent progress was made in research and product development during 2021, both in the 

development of our new, next generation monitor which will be launched in 2022 and our new 
non-invasive Doppler-based haemodynamic monitoring technology which has broader 
applications within the hospital setting 

▪ 

trading in 2022 has started positively including the announcement in January 2022 of a US$0.2 
million order from the Americas 

3 

 
 
 
 
 
 
Commenting on the results, Nigel Keen, Chairman of Deltex Medical, said: 

“2021 was a challenging year for Deltex Medical; however, as the pandemic subsides the prospects for 
the Group in 2022 are encouraging.” 

“The size of the backlog in elective surgery around the world creates an opportunity to leverage the 
benefits of Deltex Medical’s technology, particularly in relation to increasing patient throughput and 
improved outcomes.” 

“The expected return to normal levels of elective surgery represents a significant commercial 
opportunity for the Group.” 

“The launch of our next generation state-of-the-art monitor coupled with our new, easy-to-use non-
invasive monitoring device, with its broader applicability throughout the hospital, provides opportunities 
for the Group to expand its addressable markets.” 

4 

 
 
 
Chairman’s Statement 

Real-time oesophageal Doppler haemodynamic monitoring:  
improves patient outcomes; increases hospital throughput 

Introduction 

As expected, 2021 turned out to be a challenging year for Deltex Medical, although I can report that we 
are encouraged by the way that 2022 has started. 

Our technology is principally used during elective surgery. Unfortunately, elective surgery was effectively 
closed for much of the year as health systems across the world continued to grapple with the impact of 
the COVID-19 (“Covid”) pandemic whilst deciding how best to restart elective surgery. Intensive Care 
Units (“ICUs”) once again filled up with mainly unvaccinated, extremely sick patients. Staff shortages 
compounded the provision-of-care challenges facing hospitals. 

Although at the beginning of the pandemic, starting in late March 2020, there was an uptick in sales of 
the Group’s haemodynamic monitoring technology into ICUs, this rapidly became dwarfed by the drop-
off in the use of our products associated with the cessation of elective surgery in almost all hospitals in 
the world. 

In all our markets there is now a large backlog of patients requiring elective surgical procedures. This 
represents a clinical and, increasingly, a political problem, particularly for government-funded healthcare 
systems. An NHS publication “Delivery plan for tackling the COVID-19 backlog of elective care” 
published on 8 February 2022 states that “Six million people are now on the waiting list, up from 4.4 
million before the pandemic.”  

On 1 December 2021 the UK’s National Audit Office published a report entitled: “NHS Backlog and 
waiting times in England”. This report states that “Under two plausible scenarios, the elective care 
waiting list will be longer in 2025 than it is today.” Further, this report suggests that under one of these 
scenarios the waiting list in March 2025 will contain 12.0 million patient pathways, compared to 5.8 
million in September 2021. 

The size and scale of the backlog means that hospitals and health systems should be looking to use our 
technology to help them rapidly reduce the elective surgery backlog and this represents a significant 
commercial opportunity for the Group. Conversely, the sheer size and scale of the backlog may also 
make it challenging to sell new technology into a stressed operating theatre environment, as clinicians 
are under acute pressure to work rapidly through operating lists. In addition, many hospitals have been 
slow at reopening access in the operating theatre to people not directly involved in the surgical process. 
This makes it more difficult for our clinical educators to provide clinical support to new clinicians who 
have been significantly less active in respect of elective surgery for the last two years.  

While the environment starts to normalise, we will focus our commercial activities on hospital accounts 
that had previously adopted and used the Group’s TrueVue Doppler technology in the operating theatre.  
In addition to driving back up usage rates from existing users, we will separately introduce a number of 
different initiatives to drive adoption of our new, non-invasive haemodynamic monitoring technology 
which we will be launching later this year. We believe that this new, broad application, non-invasive 
technology will, as well as being adopted by new users, help drive interest in, and usage of, our long-
standing minimally invasive ODM technology. This is due to the new device allowing anaesthetists to 
quickly assess which of their patients will benefit from having the use of the advanced ODM technology. 

The evidence showing that the use of our Doppler-based haemodynamic monitoring technology 
improves patient outcomes and increases hospital capacity (as a result of shorter patient length-of-stay) 
is strong.  We believe that the next generation monitor which we will launch in 2022 and the new 

5 

 
 
completely non-invasive device, which will also be available on this monitor, will represent a compelling 
solution for clinicians and hospital systems needing to handle their patient throughput more effectively. 

Financial results 

Group revenues for the year ended 31 December 2021 were £2.3 million (2020: £2.4 million) and reflect 
the impact of Covid on elective surgery. In 2021 the entire year’s results were affected by the pandemic 
whereas in 2020 we had reasonable activity levels in the first quarter. Probe revenues declined by 9.6% to 
£1.9 million (2020: £2.1 million). Monitor revenues increased by 25% to £202,000 (2020: £161,000) 
reflecting improved trading in our International division in the year. 

The consolidated gross margin in 2021 was 70% (2020: 68%). The slight increase in gross margin reflects 
a number of manufacturing efficiency savings that we were able to capture during the year. 

Overheads were flat in the year totalling some £2.7 million (2020: £2.7 million, excluding exceptional 
costs of £232,000).  

In the year the total value of UK and US government salary support schemes was £0.3 million (2020: £0.4 
million). 

Adjusted EBITDA for the year (comprising earnings before interest, tax, depreciation and amortisation, 
share-based payments, non-executive directors’ fees, as well as any exceptional items) was a loss of 
£(0.5) million (2020: £(0.2) million).  

Loss for the year was £(1.0) million (2020: £(0.8) million). 

Cash at hand at 31 December 2021 was £0.4 million (2020: £0.9 million).  This cash resource has since 
been supplemented by a fund raising of £1.4 million (gross) which was announced on 8 February 2022. 

Business activities 

Whilst our direct sales operations in the UK and the USA struggled to gain access to customers during 
the year as the majority of hospitals had put in place bans on visits by salespeople or clinical educators, 
our International division saw revenues grow by 40% to £926,000 (2020: £661,000). This growth helps to 
demonstrate the potential of, and associated opportunity with, our international network of some 40 
distributors across the world. 

During 2021 the Group’s research and development team focussed on completing the development of 
our next generation monitor for launch in 2022. Launch of this monitor will provide us with immediate 
access to new potential revenue streams through sales of this updated device to existing users, as well as 
providing a platform for the introduction of our new non-invasive haemodynamic monitoring technology 
later this year. 

Employees 

On behalf of the Board, I would like to thank Deltex Medical’s highly trained and dedicated employees, 
most of whom are based in the UK and the USA, for their continuing efforts and dedication in the very 
taxing environment which we saw throughout 2021. In these very difficult circumstances, our employees 
displayed great flexibility and fortitude, and remained responsive to our customers’ wishes throughout 
the year. 

6 

 
 
 
Current trading and prospects 

As access to hospitals improves for our direct sales forces in the UK and the USA then we expect our 
business to begin to normalise.  

We also anticipate that our international business will continue to grow in 2022 and we have already 
announced a US$0.2 million order from a territory in the Americas which we expect will generate 
significant contracted single-use probe revenues this year.  

Following the £1.4 million (gross) fund raising announced in February 2022, Deltex Medical, with the 
benefit of its grant awards, will have sufficient financial resources to complete the development of its 
next generation monitor and its new, broad application, non-invasive haemodynamic monitoring 
technology 

Our initial focus is to drive activity levels back up to those achieved by the Group prior to the pandemic. 
Once attained, we believe that there is clear scope to grow the business, both in the UK, USA and in 
other international territories. 

Nigel Keen 
Chairman 
6 April 2022 

7 

 
 
 
 
 
Business Review 

Overview 

Deltex Medical is the world leader in highly accurate oesophageal Doppler monitoring (“ODM”), via its 
TrueVue platform, which allows real-time monitoring of a patient’s haemodynamic status.  

A substantial number of peer-reviewed, randomised controlled trials have shown that an ODM-driven 
haemodynamic protocol can result in statistically significant reductions in post-operative complications, 
resulting in lower costs for hospitals due to shorter patient length-of-stay. This is not only good for 
patients but also increases throughput and capacity for hospitals, which will be a key factor in the near 
term for reducing the backlog in elective surgery. 

Deltex Medical’s technology was originally developed in an ICU in London to assist with the treatment of 
acutely unwell critical care patients. Over time demand for the Group’s high fidelity oesophageal 
Doppler-based haemodynamic monitoring technology has migrated from the ICU to the operating 
theatre, and particularly for elective surgery. Before the pandemic, approximately 80% of the Group’s 
revenues were associated with elective surgical procedures in operating theatres. Accordingly, the 
cessation of elective surgery for much of 2021 was highly disruptive to Deltex Medical’s commercial 
activities. 

During 2021, our research and development team made impressive and substantial progress both in 
completing the development of our new, next generation TrueVue monitor and also in developing a 
complementary, non-invasive haemodynamic monitoring technology which leverages the extensive 
evidence base supporting the use of our existing ODM technology.  The new device allows instantaneous 
non-invasive deployment anywhere in the hospital. This substantially broadens the potential applications, 
and hence addressable market size, for the Group’s technology.   

Our key challenge for 2022 is to ensure that, as hospitals open up and the volume of elective surgery 
increases, the Group is able to capitalise on these increased activity levels in operating theatres as well as 
capturing all the upside associated with our new non-invasive Doppler-based technology. 

COVID-19 

When Covid first emerged in 2020, the Group initially experienced increased demand for its TrueVue 
Doppler technology in ICUs, as clinicians worked to establish the optimal treatment protocols for 
severely sick Covid patients. 

Over the last two years Covid treatment protocols have improved and the importance of haemodynamic 
monitoring as a part of optimal Covid treatment is now better understood. However, in developed 
countries the number of patients in ICUs has declined, in large part as vaccination rates have increased 
substantially, resulting in a decline in demand for the Group’s oesophageal Doppler technology in ICUs 
for the treatment of ventilated Covid patients. 

Around the world there is now a substantial backlog in elective surgical procedures as a result of the 
closure of operating theatres during the pandemic. 

The chart below from the British Medical Association shows the increase in the NHS backlog of elective 
care from 4.4 million people at the start of the pandemic to 6.1 million in December 2021. 

8 

 
 
The second chart (‘Figure 25’) from the National Audit office shows that under two plausible scenarios, 
the NHS backlog in March 2025 could be substantially higher than today, with one estimate putting the 
backlog as high as 12.0 million. 

This backlog in elective care, which is a global phenomenon, represents a significant commercial 
opportunity for Deltex Medical as use of its TrueVue Doppler technology should result in greater patient 
throughput in respect of elective surgery, and hence increased hospital capacity.  

One of the largest challenges that the Group, in common with most medical device companies, currently 
faces is that many hospitals around the world have restricted access to salespersons and clinical 
educators to help reduce the risk of the spread of Covid within hospitals.  

Visits by Deltex Medical salespersons and clinical educators within the operating room environment 
results in appropriate levels of operating theatre staff trained in the use of ODM. The Group has internal 
studies which show that higher probe usage in these units is associated with recent visits by Deltex 
Medical employees. Conversely, it also has data which show that hospitals which have not been visited 
by a Deltex Medical employee for some time typically display reduced probe usage. As a result, one of 

9 

 
 
 
 
the key challenges which the Group is focussing on this year is improving access for its direct sales force 
to hospitals in the UK and the USA.  

The Group is considering a number of strategies to improve customer access, including possibly 
collaborating with larger groups which, as a result of their size and financial resources, have better reach 
and penetration into the operating theatre market. 

Covid has also had a significant adverse effect on global supply chains, particularly in respect of 
semiconductors and raw materials. This has created issues for the Group’s product development 
activities, and, in particular, contributed materially to the slippage of the launch of our next generation 
monitor from 2021 into 2022. 

During 2021 the Group adopted a number of work-from-home protocols. Whilst working from home has 
had some advantages for some of our employees, it has also created challenges as the Group’s research 
& development (“R&D”) teams were forced to carry out complex development work remotely and 
without full access to Deltex Medical’s research laboratories located in our headquarters in Chichester. 

These Covid challenges should be seen in the context of the Group’s pre-pandemic results when the 
Group had positive adjusted EBITDA of £0.4 million in 2019 and revenues nearly twice the 2021 level. 
(2021 revenues: £2.3 million; 2019: £4.3 million). Our primary focus is to return the business to these 
previously achieved activity levels, and then start to build profitable growth thereafter. 

Product development and innovation 

The ability to innovate and drive haemodynamic monitoring technology forward remains a key 
component of the Group’s strategy. 

The need for the new, next generation monitor has been apparent for some time. In 2021 a substantial 
proportion of our R&D activities were focussed on bringing this monitor to market. We anticipate 
launching the new, next generation monitor later this year. 

Much of our product development work has been assisted by a number of competitively-won grant 
awards. For example, in 2021 the Group was notified of grant awards worth approximately £0.6 million 
(gross) (2020: nil), including a prestigious Smart Award from Innovate UK. Work eligible for the latest 
grant starts in April 2022. 

One notable grant award related to collaborative work between Deltex Medical and the UK’s National 
Physical Laboratory (“NPL”) based in Teddington. This collaborative research work has enabled the Group 
to extend the application and utility of its oesophageal Doppler monitoring, including the development 
of a non-invasive device with broad utility. 

Deltex Medical’s oesophageal Doppler is classified as a minimally-invasive device; however, it still 
requires the insertion of a probe down the oesophagus of a sedated or anaesthetised patient. The 
requirement for the patient to be sedated has historically limited the application of our ODM technology. 
However, development work carried out in 2021 with NPL has enabled Deltex Medical to develop a new, 
non-invasive haemodynamic monitoring device which can be placed at the base of the patient’s neck 
(the suprasternal notch) to generate real-time, highly accurate data on the haemodynamic status of the 
patient. This non-invasive device, which can provide clinicians with an instant measurement of a patient’s 
haemodynamic status, will significantly expand the possible applications and size of the addressable 
market for the Group.  In addition to adoption by new users, this non-invasive device should help drive 
interest in, and usage of, our long-standing minimally invasive ODM technology as the use of the new 
device will allow anaesthetists to assess which of their patients will benefit from the more intense 
monitoring available through the use of the TrueVue system. 

10 

 
Market developments 

The majority of the Group’s activities are currently centred around the treatment of human patients 
within the hospital setting. However, we have also been developing our haemodynamic monitoring 
platform for use in veterinary applications in the treatment of small animals in a number of different sites 
around the world. Although the size of this market is currently quite small, we believe that it has the 
potential to grow. Accordingly, we are working closely with, and supporting technologically, a number of 
key opinion leading veterinarians who are interested in the application of the Group’s TrueVue Doppler 
technology in the treatment of sick animals. 

Regulatory 

Deltex Medical designs and manufactures Class II medical devices which it sells around the world. As a 
result, its business activities can be significantly affected by changes to regulations. At any time there are 
typically a number of regulatory changes under consideration from the regulatory bodies governing such 
devices. 

Fortunately, to date the effect on the Group from Brexit has been relatively limited, although we have 
been forced to register our products in Spain, despite having sold into the Spanish market for more than 
15 years. The post-Brexit regulatory regime is still evolving and we keep actual or prospective changes in 
regulations under close review. 

In Europe we are currently in the process of transitioning from the Medical Device Directive to the 
Medical Device Regulation (“MDR”). The European MDR comprises a new set of regulations that govern 
the production and distribution of medical devices in Europe. Compliance with this new regulation is 
mandatory for medical device companies that want to sell their products into the European marketplace. 

There are certain provisions within the MDR which, if enforced in a timely manner, could help Deltex 
Medical. For example, there is an increasing requirement for manufacturers of medical devices to 
generate their own body of efficacy data, and not to rely on third party data in regulatory submissions. 
Deltex Medical benefits from a substantial body of published literature relating to the use of its 
technology which shows statistically significant effects associated with improving patient outcomes and 
reducing patient length-of-stay. As the MDR comes into effect we anticipate that the value and utility of 
the Group’s own scientific evidence base should continue to increase. 

Three principal divisions: UK, USA and International 

Deltex Medical structures its commercial activities around three divisions: the UK; the USA and 
International. 

Although in 2021 access to customer accounts was extremely limited, we have had some notable 
successes with long-standing customers in both the UK and the USA. For example, at some institutions 

11 

 
 
we have been able to stay in close contact remotely with anaesthetists, which has resulted in a steady 
stream of probe usage, albeit at much lower levels than before the pandemic started. However, it is clear 
that where our sales personnel are unable to obtain meaningful access to anaesthetists, or other 
appropriate operating theatre staff, then probe usage typically declines. 

Over recent months there have been encouraging signs where we have been able to start to re-engage 
with operating theatre personnel in a number of hospitals. As hospitals open up again, we plan to 
expand the size of our sales team in the USA and focus on our existing accounts, which should help us to 
start to drive up high margin single-use probe revenues. 

The International division performed well in 2021 with growth of 40% to £0.9 million (2020: £0.7 million). 
The Group’s distributor in France achieved strong activity levels, partly as a result of a long-term contract 
with the Association of Public Hospitals in Paris. In January 2022 one of the Group’s distributors in the 
Americas won contracts worth some US$0.2 million which combined the sale of monitors with 
predetermined and contracted probe sales to a number of public hospitals.  

Not all of the Group’s international distributors performed strongly during the pandemic. Many of these 
distributors comprise businesses focussed on selling equipment and consumables into operating 
theatres which, similar to Deltex Medical, have seen much lower activity levels in 2021. 

Conclusion 

The Covid pandemic is transitioning to becoming endemic in the community and the elevated 
vaccination rates around the world mean that hospitals are now starting to open up access to suppliers, 
and their sales teams, once again. They are also starting to work hard to reduce their respective backlogs 
in elective surgery. 

We made a number of important steps forward with our product development programmes in 2021 and 
look forward to the launch this year of the next generation monitor as well as the finalisation of the new, 
non-invasive device with substantially larger addressable market size.  

In February 2022 we announced a £1.4 million (gross) fund raising which will, among other things, enable 
us to take advantage of the substantial grant finance that totalled £0.6 million (gross) that we were 
awarded last year. 

Our key challenge for 2022 is to release the next generation TrueVue monitor, along with our new non-
invasive ultrasound device, and see elective surgery activity levels return to the levels that were being 
achieved before the Covid pandemic became evident. 

Andy Mears 
Chief Executive 
6 April 2022 

12 

 
 
 
 
 
 
 
 
Directors 

NON-EXECUTIVE DIRECTORS 

Nigel Keen Chairman, MA FCA FIET 

Nigel has been involved with Deltex Medical since 1988 and has been Chairman since 1996. He is also 
Chairman of the following companies: Oxford Academic Health Science Network, established by the 
National Health Service in England to align the interests of patients in its region with academia, industry 
and the healthcare system; and MedAccess Guarantee Limited, a UK-based social finance company 
with the pioneering mission to make global healthcare markets work for everyone. 

His career has encompassed venture capital, industry and banking. He has a degree in engineering from 
Cambridge University, is a Fellow of the Institute of Chartered Accountants, a Fellow of the Institute of 
Engineering and Technology and has been involved in the formation and development of high 
technology businesses for more than thirty years. Nigel is Chairman of the Remuneration Committee. 

Julian Cazalet MA FCA 

Julian joined the Board in April 2008 and is Chairman of the Audit Committee. Julian is considered as an 
Independent Non-Executive Director by the Board because of the quality of his judgment derived from 
his extensive experience of corporate boards gained throughout his career. He was until 2007 a 
Managing Director — Corporate Finance of JPMorgan Cazenove. After graduating in Economics from 
Cambridge, he qualified as a Chartered Accountant before joining Cazenove in 1973. He became a 
Partner in 1978. From 1989 he worked in Corporate Finance, firstly in Equity Capital Markets and 
subsequently advising listed companies. He is Chairman of The Lindsell Train Investment Trust plc and a 
Trustee of two charities. 

Tim Irish 

Tim has worked in the life sciences industry for 35 years. His career has spanned global health 
technology companies across Europe and North America, including GSK, GE and Philips. Tim is a 
Professor of Practice at King's College London (KCL) and Chairman, KHP MedTech Innovations Ltd, a 
joint venture between KCL and two of London’s leading NHS Trusts, Guy’s & St Thomas’ and King’s 
College Hospital. Tim joined the Board of the National Institute for Health and Care Excellence (“NICE”) 
in April 2015 and was promoted to Vice-Chair. He left the Board of NICE in November 2021 but is still a 
consultant to the organisation. Tim currently holds four other non-executive director positions in health 
and technology related entities based in the UK, EU and USA. Tim joined the Board on 20 January 2021. 

Christopher Jones 

Chris Jones joined the Board in June 2015 and brings over 30 years of experience in Fortune 500 and 
VC funded healthcare companies in both the UK and the USA. He is Executive Chairman of: Mologic 
Ltd, Global Access Diagnostics Ltd, Elasmogen Ltd and OR Productivity Ltd; and non-executive Director 
of MediSieve, Causeway Therapeutics and Health Enterprise East. Chris is a US national who came to 
the UK in 2008 to become CEO of GlySure. Prior to joining GlySure he was CEO of Tensys Medical 
developing and commercialising a novel continuous, non-invasive blood pressure monitor resulting in the 
sale of the company in 2008. Chris also spent nine years with Nellcor Inc, a division of Tyco Healthcare, 
most recently as VP of Marketing responsible        for the $700M WW pulse oximetry and critical care 
businesses. He has a Bachelor of Science Degree in Molecular Biophysics and Biochemistry from Yale 
University. 

Mark Wippell 

Mark, who joined the Board in 2014, has broad international commercial experience gained through 
working extensively with UK, North American and other overseas based companies. He is an 
Association Member of BUPA and a member of the CW Innovation Advisory Group supported by CW+, 
the official charity of the Chelsea & Westminster NHS Foundation Trust.  He mentors, and invests in, 
technology businesses and is a mentor on fintech accelerator programmes powered by Techstars. He 
was formerly a senior corporate partner of Allen & Overy LLP, is past Chairman of the American 
European Business Association and was previously a member of advisory committees at Oxford 
University. Mark is qualified as a lawyer in the UK and the US. 

13 

 
 
EXECUTIVE DIRECTORS 

Andy Mears, Chief Executive 

Andy joined Deltex Medical in 1989 as an Electronics Engineer. During his career with Deltex Medical he 
has held a number of roles, including: Product Manager, Production Manager and Operations Director. 
Andy was appointed Group Sales Director in 2010, Managing Director in 2015 and Chief Executive in 
2018. 

Andy regularly advises Departments within the UK government on their strategies to encourage UK 
healthcare companies to trade internationally. Within these roles he has been an active member of the 
All-Party Parliamentary Group (APPG) for Trade & Investment as well as more recently a member of the 
UK Life Science Export Trade Advisory Group (ETAG) helping to define post-BREXIT trade agreements. 

Natalie Wettler, Group Finance Director, FCA 

Natalie commenced her Deltex Medical career in 2011 and has held a number of senior roles in the 
Group’s finance department between 2011 and 2016. Natalie re-joined the Group in January 2020 as 
Group Financial Controller and was appointed Group Finance Director in May 2021.She has a Bachelor 
of Science Degree in Cognitive Science from the University of Sheffield and qualified as a Chartered 
Accountant with Grant Thornton in the UK and continued her Grant Thornton career in New Zealand. 
Natalie’s experience in the medical sector also includes head of Finance for Peak Primary Limited in 
New Zealand in the Primary Healthcare sector.  

14 

 
 
Directors’ Responsibility Statement 

The Directors are responsible for preparing the Annual Report and the financial statements in 
accordance with applicable law and regulation. Company law requires the Directors to prepare financial 
statements for each financial year. Under that law the Directors have prepared the Group financial 
statements in accordance  with UK-adopted international accounting standards and parent company 
financial statements in accordance with United Kingdom Generally Accepted Accounting Practice (United 
Kingdom Accounting Standards, comprising FRS 101 “Reduced Disclosure Framework”, and applicable 
law). Under company law the Directors must not approve the financial statements unless they are 
satisfied that they give a true and fair view of the state of affairs of the Group and Parent Company, and of 
the profit or loss of the Group for that period. In preparing the financial statements, the Directors are 
required to: 

▪  select suitable accounting policies and then apply them consistently; 

▪  state whether international accounting standards have been followed for the Group financial 
statements; and United Kingdom Accounting Standards, comprising FRS 101, have been 
followed for the Company financial statements, subject to any material departures disclosed and 
explained in the financial statements; 

▪  make judgements and accounting estimates that are reasonable and prudent; and 

▪  prepare the financial statements on a going concern basis unless it is inappropriate to presume 

that the Group and Parent Company will continue in business. 

The Directors are responsible for keeping adequate accounting records that are sufficient to show and 
explain the Group and Parent Company’s transactions and disclose with reasonable accuracy at any time 
the financial position of the Group and Parent Company; and enable them to ensure that the financial 
statements comply with the Companies Act 2006. The Directors are also responsible for safeguarding the 
assets of the Group and Parent Company and hence for taking reasonable steps for the prevention and 
detection of fraud and other irregularities. In addition, the directors are responsible for ensuring that they 
meet their responsibilities under the AIM rules. The Directors are responsible for the maintenance and 
integrity of the Group’s website. Legislation in the United Kingdom governing the preparation and 
dissemination of financial statements may differ from legislation in other jurisdictions. 

15 

 
 
 
 
Company Secretary and Advisers 

Company Secretary and Registered Office 

Natalie Wettler FCA 

Terminus Road 

Chichester 

West Sussex PO19 8TX 

Nominated adviser and Joint Broker 

Arden Partners plc 

125 Old Broad Street 

London EC2N 1AR 

Joint Broker 

Turner Pope Investments (TPI) Limited 

8 Frederick’s Place 

London EC2R 8AB 

Independent auditors 

Nexia Smith & Williamson 

Cumberland House 

15 – 17 Cumberland Place  

Southampton SO15 2BG 

Principal bankers 

Santander Corporate and Commercial 

1 Dorset Street 

Southampton SO15 2DP 

Registrars  

Equiniti Limited 

 Aspect House  

Spencer Road  

Lancing 

West Sussex BN99 6DA 

16 

 
 
 
 
 
 
 
 
 
Corporate Governance Statement 

Chairman’s introduction 

Our purpose is to provide returns to our shareholders by enabling improvements in outcomes for patients 
around the world by creating, validating and delivering innovative healthcare solutions associated with 
haemodynamic monitoring. We aim to achieve this by: 

▪  supporting evidence-based medicine to create sustainable health benefits in the communities 

which we serve; 

▪ 

investing in our products, services and people; 

▪  partnering with clinicians to adopt the technologies within our TrueVue System; 

▪  communicating openly and honestly with our customers and with each other; 

▪  providing excellent levels of support, education and training, taking into account any restrictions 

imposed directly or indirectly as a result of Covid; 

▪  continuing to be thought-leaders to drive innovation; and 

▪  establishing appropriate committees of the Board and related governance structures, including 

those required under section 172 of the Companies Act 2006, to help monitor and guide the aims 
summarised above. 

The Board of Deltex Medical has chosen to adopt the QCA Corporate Governance Code (the QCA 
Code) that was published by the Quoted Companies Alliance in April 2018. The Code is structured 
around a number of broad principles which the Board seeks to apply and which are summarised below. 
Further information in relation to how the Board applies the Code is set out in the Corporate Governance 
section of the Group’s website. https://www.deltexmedical.com/investor-relations/aim-rule-26/corporate-
governance/  

1) Establish a strategy and business model which promote long-term value for shareholders 

Deltex Medical’s strategy and business model are described within this document and, in particular, 
within the Chairman’s Statement and the Business Review. These sections also describe the 
strategy the Group has adopted to navigate the specific challenges created by Covid. 

The Board keeps the Group’s strategy and business model under close and continuing review. 

2) Seek to understand and meet shareholder needs and expectations 

The Board’s primary contact with both institutional and private shareholders is through the 
Chairman, the Chief Executive (“CEO”) and the Group Finance Director (“FD”). The CEO and FD 
typically meet with the Group’s institutional and large private shareholders, who wish to meet with 
them, twice a year around the publication of the annual accounts and interim results. In 2021 as a 
result of Covid the majority of these meetings were held via telephone or on-line video systems. 

3) Take into account wider stakeholder and social responsibilities, and their implications for 

long-term success 

Engaging with our stakeholders strengthens the Group’s relationships and helps it to make better 
business decisions which, in turn, helps it deliver on its commitments. 

The Board is regularly updated on wider stakeholder engagement and feedback in order to help it 
stay abreast of relevant insights into the issues, including social responsibilities, that matter most to 
the Group’s stakeholders. 

4) Embed effective risk management, considering both opportunities and threats, throughout 

the organisation 

The Board is responsible for the systems of risk management and internal control, and for reviewing 
their effectiveness. 

The internal controls are designed to manage rather than eliminate risk and provide reasonable, but 
not absolute, assurance against material misstatement or loss. Through the activities of the Audit 
Committee, the effectiveness of these internal controls is formally reviewed annually – although 
17 

 
 
specific internal controls or risk management issues may be discussed with the Audit Committee on 
an ad hoc basis throughout the year. 

In 2021 considerable time was spent by the Board reviewing actual or potential risks associated with 
Covid and their possible mitigation. This included carefully considering how best to address access 
restrictions imposed by hospitals on Deltex Medical’s salespersons and clinical educators. 

A summary of the Board’s assessment of the principal risks and uncertainties facing the Group are 
set out on pages 23 to 25 of this document. 

5) Maintain the Board as a well-functioning, balanced team led by the Chairman 

The Group is led by the Board of Directors which comprises the Non-Executive Chairman, two 
executive Directors and four non-executive Directors. Nigel Keen, the Non-Executive Chairman, is 
responsible for the running of the Board and Andy Mears, the Chief Executive, has executive 
responsibility for managing the Group’s business activities and implementing the Group’s strategy.  

To allow the Board to discharge its duties effectively, all Directors are provided with relevant 
information on a timely basis. In this regard, management reports and appropriate supporting 
documentation are provided to all Directors in advance of all Board and Committee meetings. 

6) Ensure that between them the Directors have the necessary up-to-date experience, skills and 

capabilities 

The Board comprises individuals with wide ranging commercial and business management 
experience in the healthcare market, supported by other Directors with careers in investment 
banking and the law. Each Director brings experience of other relevant businesses which helps the 
Board, as a whole, benchmark and appraise the Group’s progress and strategy. 

7) Evaluate Board performance based on clear and relevant objectives, seeking continuous 

improvement 

The Board has chosen not to undertake formal reviews of Board performance. Instead, the 
Chairman periodically discusses the input of each Director with the individual concerned to ensure 
that their contribution to the Board is, and remains, both effective and relevant; and that they remain 
committed to the success of the Group. 

8) Promote a corporate culture that is based on ethical values and behaviours 

As a provider of regulated medical devices to patients across the world, ethical behaviour by its 
Directors and employees is critically important to the Group. Our products are designed and 
manufactured by our well-trained employees in Chichester (UK) who comply with our established 
Quality System. Our sales teams and clinical educators promote our products, and their benefits, to 
clinicians and healthcare systems in an open way. Further, we provide extensive training to 
customers, or potential customers, to allow them to gain the maximum advantage from Deltex 
Medical’s products and their use in the clinical setting. 

9) Maintain governance structures and processes that are fit for purpose and support good 

decision-making by the Board 

The Board has established a regular programme of Board Meetings at which the Executive 
Directors report on the progress of the business, and their assessment of the actual or prospective 
risks and opportunities. 

There are a minimum of ten Board meetings scheduled per year. The Non-Executive Directors 
spend approximately a day a month working on Deltex Medical related matters, including reviewing 
the Board papers. The Chairman maintains contact both with the Board, the Executive Directors and 
employees between Board Meetings, and typically spends approximately three days a month 
working on Group-related matters. 

In 2021 all the Non-Executive Directors attended all the Board meetings in the year save for: (i) the 
June Board meeting when two directors were unable to attend; (ii) July Board: one director; (iii) 
October Board: one director; and (iv) December Board: one director. As a result, Board decisions 
are made in the light of up-to-date and relevant information. 

The Group’s Quality System, which is regularly audited by outside regulatory bodies, also helps 
augment the governance regime of the Group. 

18 

 
10) Communicate how the Company is governed and is performing by maintaining a dialogue 

with shareholders and other relevant stakeholders 

Extensive dialogue is maintained with shareholders and other stakeholders to discuss the 
opportunities for and challenges facing the Group. 

Although this shareholder and stakeholder dialogue is primarily built around the Group’s annual and 
interim results, shareholders are informed of significant developments relating to the business 
through periodic stock exchange RNS announcements or news updates uploaded to the Group’s 
website. 

It is the Board’s role to ensure that Deltex Medical Group plc is managed for the long-term benefit of all 
Deltex Medical’s stakeholders with effective, efficient and timely decision making. Corporate governance 
is an important element of that task, which reduces risk and adds value to Deltex Medical. As your 
Chairman, I am committed that the Group should uphold the highest standards of governance 
commensurate to its size and the complexity of its business. 

Nigel Keen 

Chairman 

6 April 2022 

19 

 
 
 
 
 
 
Strategic Report 

The Directors have set out below their Strategic Report for the year ended 31 December 2021. 

The Strategic Report incorporates, and should be read in conjunction with, the rest of this document and 
in particular the following sections: 

1.  Chairman’s Statement (page 5) 

2.  Business Review (page 8) 

3.  Corporate Governance (page 17) 

4.  Principal Risks of the Group (page 23) 

5.  Directors’ Report (page 26) 

Key performance indicators 

The key performance indicators that are used to monitor the performance of the Group are set out in the 
table below and are discussed in more detail in the Chairman’s Statement and the Business Review. 

Adjusted EBITDA (£000) 

Operating loss (£000) 

Gross profit margin 

Cash and cash equivalents (£000) 

Probe revenues (£000) 

Monitor revenues (£000) 

Going concern 

2021 

(504) 

(805) 

70% 

413 

2020 

(208) 

(622) 

68% 

853 

1,911 

2,113 

202 

161 

The Group meets its day-to-day working capital requirements through a combination of operational cash 
flows, an invoice discounting facility and, if required, the raising of additional finance. During the Covid 
pandemic the Group also made use of Salary Support Schemes provided by the UK and US 
governments. 

In February 2022, the Group raised £1.4 million (gross) through a share subscription which provided 
additional cash resources to the Group. In addition, the Group agreed a 12 month extension to the 
standby loan facility which is now repayable on or before 31 December 2023. 

The Directors have reviewed detailed budgets and forecasts until 30 June 2023, which take into account, 
among other things, the possible continued effects of Covid on the Group’s business. This review 
indicates that the Group is expected to continue trading as a going concern based on projected net cash 
flows derived from sales of the Group. 

The Directors consider that they have reasonable grounds to believe that the Group will have adequate 
resources to continue in operational existence for the foreseeable future and it is therefore appropriate to 
prepare the financial statements on the going concern basis. 

Section 172 statement 

The Directors of the Company must act in accordance with a set of general duties which are described in 
section 172 of the UK Companies Act 2006 and which are summarised as follows: 

A director of a company must act in the way they consider, in good faith, would be most likely to promote 
the success of the company for the benefit of its shareholders as whole and, in doing so, have regard 
(amongst other matters) to: 

▪ 

▪ 

▪ 

the likely consequences of any decisions in the long-term; 

the interests of the company’s employees; 

the need to foster the company’s business relationships with suppliers, customers and others; 

20 

 
 
 
▪ 

▪ 

the impact of the company’s operations on the community and the environment; 

the desirability of the company maintaining a reputation for high standards of business conduct; 
and 

▪ 

the need to act fairly between shareholders of the company. 

Within Deltex Medical the Directors fulfil their duties, as summarised above, through a corporate 
governance structure that delegates day-to-day decision making to the Executive Directors and the 
management of the Company and which is described on pages 17 to 19 within this document. In 
addition, the following paragraphs summarise how the Directors fulfil other aspects of their duties: 

Risk management 

We provide highly regulated medical devices to our customers who currently operate principally in 
hospital intensive care units and operating theatres / rooms. Accordingly, it is important that we identify, 
evaluate, manage and mitigate the risks we face effectively, and that we continue to develop our 
approach to risk management proactively. For further information see the section entitled ‘Principal Risks 
of the Group’ on page 23. 

Our employees 

The Company is committed to being a responsible business. 

Our behaviour is aligned with the expectations of our employees, customers, shareholders, communities 
and society as whole. We are a medical device company and improving outcomes for patients is at the 
heart of what we do. For our business to succeed we need to manage our employees’ performance and 
develop talent whilst ensuring that we operate as efficiently as possible. 

As part of our response to Covid, we decided not to make any redundancies as we value our highly 
trained and flexible workforce, and wanted to support them as much as possible during the pandemic. 
Further, we have allowed employees to work from home wherever practicable. 

For further information on our employees see the Chairman’s Statement, the Business Review and the 
report of the Remuneration Committee. 

Business relationships 

Our strategy prioritises organic growth in the UK and internationally, driven by cross-selling our 
sophisticated medical device products to existing customers and distributors, and securing new 
customers for the Group. To do this we need to develop and maintain strong customer and distributor 
relationships, although this has been made substantially more challenging as a result of the pandemic 
and the effective cessation of “face-to-face” meetings in our main territories. We have tried to 
compensate for this, to the extent possible, by the judicious use of on-line video meetings. 

We also need to develop and maintain close relationships with our suppliers, many of whom we have 
worked with for a number of years. For more information see the Chairman’s Statement and Business 
Review. 

Anti-bribery and corruption legislation, including the UK Bribery Act and the US Foreign Corrupt 
Practices Act, also apply to Deltex Medical’s business. There is a strong global focus on compliance in 
both established and developing markets. For more information on our approach to compliance see the 
corporate governance section in our website: https://www.deltexmedical.com/investor-relations/aim-rule-
26/corporate-governance/ 

Community and environment 

The Company’s approach is to use its position, as far as it can and on a proportionate and responsible 
basis, as an employer and medical device vendor to hospitals to create positive change for the people 
and communities with which we interact. 

Shareholders 

The Board is committed to engaging openly with our shareholders, as we recognise the importance of a 
continuing effective dialogue, whether with large institutional investors, private or employee 
shareholders. 

21 

 
For more information on our approach to interacting with shareholders please see the Corporate 
Governance Statement on page 17. 

The Strategic Report comprising pages 20 to 22 has been approved by the Directors and signed 

By order of the Board 

Natalie Wettler 

Company Secretary 

6 April 2022 

22 

 
 
Principal Risks of the Group 

The Directors have summarised below what they believe to be the principal risks and uncertainties 
currently facing the Group. This summary of the principal risks and uncertainties facing the Group should 
be read in conjunction with the rest of this document including, in particular, the Chairman’s Statement 
and the Business Review. Note that this summary represents the Board’s best assessment and 
judgement as at the date of this document and, given the nature of business risk and associated 
uncertainties, there can be no assurances that specific risks or uncertainties could arise in the future that 
are not summarised below.  

Personnel 

In normal years Deltex Medical undertakes continuous reviews of its staff with a focus on encouraging 
excellence and increasing relevant skills among its employees. As a result of the pandemic, it has been 
harder to carry out systematic staff reviews and implement targeted training programmes to expand 
employee skills. Accordingly, in 2021 we have sought to carry out staff reviews on an ad hoc and 
pragmatic basis. We anticipate that as pandemic-associated disruption to our business declines, we will 
be able to return to a more systematic system of appraisals and reviews. Nonetheless being able to 
carry out timely appraisals and reviews of Group employees, including in our US subsidiary, even as the 
pandemic declines is not without risk. 

The successful selling of the Group’s technology depends on a number of factors, including: (i) the skill, 
motivation and experience of our sales personnel in appraising clinicians of the effective use of Deltex 
Medical’s products; (ii) the manufacturing of its products to the highest specification, including 
engineering precision and sterility; (iii) the experience and innovation of its research and development 
personnel developing novel products; and (iv) the skill and thoroughness of its quality assurance team in 
ensuring that all products leaving the factory in Chichester conform to the highest standards and 
prevailing regulatory requirements. Together these factors, including our ability to recruit and retain 
appropriately skilled individuals in each role, represent risk in as much that they comprise a complex and 
demanding series of skill-sets and activities that the Group needs to maintain and manage.  

Regulatory environment 

The Group operates in a number of highly regulated environments which inherently represents a risk. It 
has a robust Quality Management System which is maintained on the Entropy document control system 
hosted by the British Standards Institute (“BSI”). This quality system is reviewed regularly by the 
European Union regulatory body, BSI and the USA’s Food and Drug Administration (FDA). To date the 
main impact of Brexit has been the requirement to register our products in Spain although we anticipate 
that future Brexit-related legislation could have an impact on the Group’s procedures in respect of the 
export of both monitors and probes, and this represents a potential increase in risk for the Group. At the 
current time it is too early to assess the longer-term impact of Brexit associated challenges on our EU 
exports. In Europe we are currently in the process of transitioning from the Medical Device Directive to 
the Medical Device Regulation (“MDR”). The European MDR is a new set of regulations that governs the 
production and distribution of medical devices in Europe, and compliance with the regulation is 
mandatory for medical device companies that want to sell their products in the European marketplace 
The Group maintains a continuous watch on new regulatory requirements and has plans in place to 
mitigate in the short term any likelihood of stock shortages associated with changes in the regulatory 
framework. 

The Group operates across the world and is subject to extensive legislation and regulation, including 
with respect to anti-bribery and corruption, in each country in which the Group operates. Our 
international operations are governed by the UK Bribery Act and the US Foreign Corrupt Practices Act 
which prohibit us or our representatives from making or offering improper payments to government 
officials and other persons or accepting payments for the purpose of obtaining or maintaining business. 
Our international operations in the developing markets which operate through distributors increase our 
Group exposure to these risks. 

Hospitals and the clinical environment 

The Group operates in an environment where, by their very nature, surgical procedures are being 
undertaken on sick, and sometimes extremely sick, patients. Hospitals are, from time to time, the subject 

23 

 
 
of litigation by disaffected patients or their relatives; and there is a risk that the Group could be co-joined 
in such litigation. However, it should be noted that the Group’s haemodynamic monitoring technology is 
designed to minimise certain risks for patients and to aid their speedy recovery. It is also the case that to 
date no such litigation has occurred against the Group or its products. 

A number of hospitals have put in place restrictions which effectively stop or severely curtail the ability 
for Deltex Medical’s salespersons or clinical educators from meeting with relevant decision-makers 
within the hospital. The Group has summary information which suggests that Deltex Medical’s sales are 
greatly enhanced by regular face-to-face meetings with users and, conversely, a lack of such face-to-
face meetings tends to result in, over time, a decline in sales. Accordingly, how quickly hospitals “open 
up” is likely to be a key determinant of Group revenues in the short to medium term and as such this 
represents a significant risk to Deltex Medical. 

There is a substantial backlog associated with elective surgery which had to be cancelled during the 
pandemic. Although this backlog represents a significant opportunity for increased sales by the Group 
and its distributors, there is an element of risk, and uncertainty associated, with how hospitals and/or 
health systems will seek to reduce this backlog. 

COVID-19 

The Group’s commercial activities, and in particular the demand for its products, are exposed to the risks 
created by the continued global spread of Covid, including new strains of the disease, and the extent to 
which vaccination programmes, lock-downs and other actions by governments, healthcare systems and 
relevant authorities are successful to curtail the effect of the pandemic. Although in many countries it 
appears that Covid is being brought under control and the pandemic is migrating to become a lower 
acuity endemic problem, this is still significant uncertainty on a country-by-country basis as to the 
ongoing short-term and long-term effect of Covid on the markets in which the Group operates. 

There are other risks posed by Covid, including the impact on our employees and the suppliers of 
components necessary for the manufacture of our high technology equipment and single use 
consumables. Disruption to supply chains with substantially extended lead times represents a significant 
risk. As part of its risk mitigation planning, the Group currently has a relatively high level of stocks, both 
of components and finished goods, so that this supply risk can be minimised, at least in the near future. 
However, as Deltex Medical develops new products then the risk from disrupted or extended supply 
chains on such innovation could be more acute. 

Further information on the potential effect of Covid on the Group is set out elsewhere in this document, 
including in the Chairman’s Statement and the Business Review. 

Competition 

A number of competitors sell products to the same group of clinicians as Deltex Medical with the same 
objective: to measure a patient’s haemodynamic status. Some of these competitors are significantly 
larger and have substantially greater financial resources which represents a key risk factor for the Group. 
At a certain level all these competitors use different technologies to the oesophageal Doppler-based 
technology used by the Group. Moreover, the Board believes that none of these competitors have a 
clinical evidence base which is equivalent to that supporting the use of the Group’s technology. 

There is also a risk that as the technology around “wearables” develops, a competitor could develop 
small “wearable” products which also provide high fidelity haemodynamic monitoring which is broadly 
equivalent, at least in part, to the Group’s oesophageal Doppler TrueVue technology.  

Financial 

The Group is exposed to currency fluctuations. Its principal cost base is in pounds sterling. However, it 
receives a significant proportion of its revenue in US dollars and euros. As a result, movements in the 
exchange rates between sterling and other currencies have a direct impact on Group revenue and 
profits, and as such represents a form of risk. 

It is clear that inflation is increasing in a number of the territories in which the Group operates. It is not 
yet clear whether this inflation will be transitory or long-term. Prolonged high rates of inflation would 
represent a risk to the Group and its activities. 

The Group sells to a network of distributors around the world. The majority of these distributors are 
heavily focussed on the elective surgery sector. The volume of elective surgical procedures has 

24 

 
significantly reduced in all territories as a result of the Covid pandemic. Accordingly, it is likely that Deltex 
Medical faces heightened risk in respect of its financial exposure to these distributors.  

Other risks and uncertainties 

There are a number of other risks and uncertainties which affect, or could affect, the Group including: 

▪  changes in government policies and spending plans, particularly in respect of healthcare 

systems; 

▪ 

▪ 

▪ 

lower than anticipated rates of adoption of the Group’s products in existing key markets; 

the availability to the Group of resources, including cash, to pursue its strategy and other 
opportunities that it comes across;  

technological difficulties and/or supply chain challenges, including the availability of raw materials 
at reasonable prices, required for: (i) the timely development and launch of new products; and (ii) 
the ability to continue to be able to manufacture equipment and consumables on a cost-effective 
basis; and 

▪ 

the consequences of the war in Ukraine and associated geopolitical stresses which could 
adversely affect the global economy and make it harder for Deltex Medical to export successfully. 

25 

 
 
 
 
Directors’ Report 

The Directors present their report and the audited consolidated financial statements for the year ended 
31 December 2021. 

Future developments 

The Group’s business activities, together with the factors likely to affect its future developments, 
performance and position are set out in the Chairman’s Statement on page 5, the Business Review on 
page 8 and the Principal Risks of the Group on page 23. 

Financial risk management 

The financial risk management objectives and policies of the Group, including exposure to currency risk, 
interest rate risk and liquidity risk are set out in note 24 to the financial statements on pages 75 to 78. 

Dividends 

The Directors cannot propose the payment of a dividend (2020: £nil) for 2021. 

Directors 

The Directors of the Group who served during the year are shown below. Biographical details are given 
on pages 13 and 14. 

Nigel Keen 

Andy Mears 

Natalie Wettler* 

Julian Cazalet 

Chris Jones 

Mark Wippell 

Tim Irish** 

David Moorhouse*** 

Non-executive Chairman 

Chief Executive 

Group Finance Director 

Non-executive Director 

Non-executive Director 

Non-executive Director 

Non-executive Director 

Group Finance Director 

* 

** 

Natalie Wettler was appointed to the Board and became Group Finance Director on 27 May 2021 

Tim Irish was appointed to the Board on 20 January 2021 

***  David Moorhouse retired as Group Finance Director and from the Board on 27 May 2021  

In the case of each Director in office at the date the Directors’ report is approved: 

▪  so far as the Director is aware, there is no relevant audit information of which the Group and 

Parent Company’s auditors are unaware; and 

▪ 

they have taken all the steps that they ought to have taken as a Director in order to make 
themselves aware of any relevant audit information and to establish that the Group and Parent 
Company’s auditors are aware of that information. 

Directors’ indemnities 

As permitted by the Companies Act 2006, the Company has indemnified the Directors in respect of 
proceedings brought by third parties and qualifying third party indemnity insurance was in place 
throughout the year and up to the date of approval of the financial statements. 

Research & development activities 

Deltex Medical Limited, a subsidiary, undertakes research and development work in support of the 
Group’s principal manufacturing activities. Further information on the Group’s research and development 
activities can be found earlier in this document. 

26 

 
 
 
 
 
Independent auditors 

The independent auditors, Nexia Smith & Williamson, have indicated their willingness to continue in 
office and a resolution concerning their reappointment will be proposed at the forthcoming Annual 
General Meeting. 

Annual General Meeting 

The notice convening the Annual General Meeting, which will take place on 18 May 2022 at 11.00 a.m. 
at the London offices of DAC Beachcroft at 25 Walbrook, London EC4N 8AF, can be found at the back 
of this Report. 

By order of the Board. 

Natalie Wettler 

Company Secretary 

6 April 2022 

27 

 
 
 
 
 
 
Directors’ Remuneration Report 

Introduction from Nigel Keen, Chairman of the Remuneration Committee 

I am pleased to present this report on behalf of the Remuneration Committee. 

Deltex Medical has appointed all the Non-Executive Directors to the Remuneration Committee and the 
Committee meets regularly during the year to discuss matters concerning the Executive Directors of the 
Group and more broadly on other topics concerning the Group’s employees and their remuneration. 

The Board considers that this supervision by the Remuneration Committee is an important component of 
good corporate governance for the Group as a whole. 

During the year the Committee has been involved in reviewing the remuneration of all the Group’s 
employees and in particular for the Executive Directors and senior managers. 

The Committee believes that the remuneration policy continues to both support and motivate our senior 
team to achieve the Company’s strategic objectives and long-term growth for our shareholders. 

I would be pleased to respond to any queries should any shareholder require more information about our 
remuneration policies. 

Yours sincerely 

Nigel Keen 

Chairman of the Remuneration Committee 

6 April 2022 

The Remuneration Committee 

The Remuneration Committee (the “Committee”) is responsible for recommending to the Board the 
remuneration packages for the Executive Directors and has supervision of the bonus and share incentive 
strategy for the Group’s executive management. The Chairman and the Executive Directors are 
responsible for determining the remuneration of the Non-Executive Directors, and the Remuneration 
Committee, excluding Mr. Keen, is responsible for determining the remuneration of the Chairman. 

The role of the Committee includes: 

▪  considering and determining the remuneration policy for the Executive Directors; 

▪  within this agreed policy, considering and determining the total remuneration packages of each of 

the Executive Directors of the Group; 

▪  approving the design and performance targets for all performance-related plans for executives as 

well as the overall total annual payments made under such plans; 

▪ 

reviewing and noting remuneration trends across the Group; and 

▪  determining the policy for pension arrangements, service agreements and termination payments 

to Executive Directors. 

The members of the Committee are appointed by the Board and during the year comprised all the 
independent non-executive Directors: Julian Cazalet, Chris Jones, Mark Wippell and Tim Irish as well as 
the Chairman of the Board, Nigel Keen. Mr Keen is the Chairman of the Committee. The Board 
considers that Nigel, with his experience of working at senior levels in global companies, including 
technology companies, has the most appropriate blend of skills and experience to be Chairman of the 
Remuneration Committee. 

All members served throughout the year, save Tim Irish who joined the Board on 20 January, 2021. 

28 

 
 
 
This report sets out the Directors’ remuneration policy for 2021 and beyond. As a company listed on 
AIM, the Company is not required to comply with Schedule 8 of the Large and Medium-sized Companies 
and Groups (Accounts and Reports) Regulations 2008 as amended in August 2013 (the “Regulations”), 
nor is it required to comply with the principles relating to Directors’ remuneration in the UK Corporate 
Governance Code 2016 (the “Code”). This report has not been audited. It should be read in conjunction 
with details of the Directors’ remuneration in notes 5.4 and 5.5 which forms part of the audited financial 
statements. 

The remuneration policy promotes the delivery of the Group’s strategy and seeks to align the interests of 
the Directors and Deltex Medical’s shareholders. The Committee reviews the link between incentive 
structure and strategy regularly to ensure that remuneration packages are appropriate to attract, 
motivate and retain the high calibre executives who are needed to deliver the Group’s strategy. 

The Group has an incentive driven policy which seeks to reward executives fairly and responsibly based 
on Group performance and their individual contribution. The Group has a strategy aimed at delivering 
profitable growth and it is important for the motivation, particularly mindful of the additional stress and 
responsibilities imposed by the Covid pandemic, and retention that the remuneration of the executives 
takes into account the Group’s plans for sustainable, profitable growth and the increasing complexity of 
the business. 

The Committee considers carefully the motivational effects of the incentive structure in order to ensure 
that it is effective and does not have any unintentionally negative impact on matters such as governance, 
environmental or social issues. More generally, the Committee ensures that the overall remuneration 
policy does not encourage inappropriate risk taking. 

During the year the Committee considered whether the current policy remained appropriate for 2021 and 
concluded that it has a remuneration policy which is a good balance between competitive pay, incentives 
to develop and grow the Company in line with its strategy and effectively rewards for success, and does 
not reward where targets are not met. As in previous years, the Committee had set stretching 
performance targets for the annual bonus which were clearly linked to the strategy and financial 
performance of the Group. Salary increases were last implemented across the Group on 1 July 2019. 

The Executive Directors’ base salary will be reviewed on 1 July 2022. Awards under the Deltex Medical 
Share Option Scheme for each Executive Director will be made at a maximum of 100% of salary. 
Vesting of the awards after three years will be determined by EPS performance. 

There are no material differences in the structure of remuneration arrangements for the Executive 
Directors and senior management, aside from quantum and participation levels in incentive schemes, 
which reflect the fact that a greater emphasis is placed on performance-related pay for Executive 
Directors and the most senior individuals in the management team. Outside the senior management 
team, the Group aims to provide remuneration structures for employees which reflect market norms. 

Executive Directors’ service contracts and policy on cessation 

Details of the service contracts of the Executive Directors, available for inspection at the Group’s 
registered office are as follows: 

Executive director 

Contract date 

Unexpired term of contract 

Andy Mears 

6 November 2018 

Rolling contract; 6 months’ notice 

Natalie Wettler 

28 May 2021 

Rolling contract; 6 months’ notice 

Non-executive Directors 

For the appointment of a new Chairman or non-executive Director, the fee arrangement would be in 
accordance with the approved remuneration policy in place at the time. 

Non-executive Directors do not have service contracts but are appointed under letters of appointment. 
Their appointment can be terminated without notice and with no compensation payable on termination, 
other than accrued fees and expenses. 

Chairman 

Under an arrangement between the Group and Imperialise Limited, Nigel Keen is retained to act as 
Chairman of the Group. His current term of appointment commenced on 19 April 2009. This 
arrangement can be terminated by either party at any time by the giving of six months’ notice. 

29 

 
Directors’ remuneration 

The remuneration paid to the Directors during the year under review and the previous year is 
summarised in the tables below: 

EXECUTIVE DIRECTORS 

Executive Director 

Year 

Cash 
settled 
salary 

Benefits  Pension 

Annual 
bonus 

£ 

£ 

£ 

£ 

Andy Mears 

2021 

200,000 

7,500 

8,000 

2020 

200,000 

7,500 

11,710 

Natalie Wettler* 

2021 

65,589 

4,456 

1,735 

David Moorhouse** 

2021 

2020 

30,875 

65,825 

- 

- 

- 

- 

Total 

2021 

296,464 

11,956 

9,735 

  2020 

265,825 

7,500 

11,710 

* 

** 

Natalie Wettler was appointed to the Board on 27 May 2021. 

David Moorhouse retired from the Board on 27 May 2021. 

‘Benefits’ comprise the provision of a car allowance paid in cash. 

- 

- 

- 

- 

- 

- 

Total 

£ 

215,500 

219,210 

71,780 

30,875 

65,825 

318,155 

285,035 

Andy Mears has an interest in share options over Deltex Medical ordinary shares as per the table below. 
Certain of these options cannot be exercised without first fulfilling performance criteria. 

2011 Executive share 
option scheme 

Total 

2003 Enterprise 
Management Incentive 
Scheme 

Total 

Exercise 
from date 

Exercise 
to date 

Exercise 
price (£) 

10 October 2015 

10 October 2022 

0.2400 

10 June 2018 

10 June 2025 

20 September 2020 

20 September 2027 

22 July 2023 

22 July 2030 

0.1100 

0.0400 

0.0133 

Number 

150,000 

375,000 

1,562,500 

4,000,000 

6,087,500 

6 August 2021 

5 August 2028 

0.01 

10,000,000 

27 April 2024 

26 April 2031 

0.018 

5,000,000 

15,000,000 

30 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Natalie Wettler has an interest in share options over Deltex Medical ordinary shares as per the table 
below. Certain of these options cannot be exercised without first fulfilling performance criteria. 

2003 Enterprise 
Management Incentive 
Scheme 

Total 

Exercise 
from date 

Exercise 
to date 

1 December 2023 

30 November 2030 

27 April 2024 

26 April 2031 

Exercise 
price (£) 

0.01 

0.01 

Number 

225,000 

2,500,000 

2,725,000 

NON-EXECUTIVE DIRECTORS 

Cash 
settled 
Directors’ 
fees 

Equity 
settled 
Directors’ 
fees 

Benefits  Pension 

Annual 
bonus 

Long term 
incentive 
awards 

£ 

£ 

£ 

£ 

£ 

£ 

Non-executive 
Directors 

Year 

Nigel Keen 

Julian Cazalet 

Chris Jones 

Mark Wippell 

Tim Irish* 

2021 

2020 

2021 

2020 

2021 

2020 

2021 

2020 

2021 

- 

- 

- 

- 

- 

- 

- 

- 

33,333 

33,333 

24,000 

24,000 

24,000 

24,000 

24,000 

24,000 

17,123 

- 

Sir Duncan Nichol**  2020 

- 

24,000 

Total 

2021 

2020 

17,123 

105,333 

- 

129,333 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

Total 

£ 

33,333 

33,333 

24,000 

24,000 

24,000 

24,000 

24,000 

24,000 

17,123 

24,000 

122,456 

129,333 

* 

Tim Irish was appointed to the Board on 20 January 2021. He was Vice Chair of NICE until November 2021, as 
described in the biographical details of the Directors on page 13. The rules of NICE mean that he can only accept cash 
remuneration for his role as a non-executive director and accordingly is not eligible for equity settled Directors’ fees. 

** 

Sir Duncan Nichol retired from the Board on 31 December 2020. 

Director fees are either settled in cash or by the issue of equity. At the current time non-executive 
Director fees are intended to be settled by the issue of equity instruments in the Group in order to help 
Deltex Medical conserve its cash resources and apply them to innovative product development as well 
the expansion of the Group’s commercial activities. It is currently intended that such non-executive 
Director fees in respect of 2021 will be settled by the issue of Deltex Medical ordinary shares during the 
course of 2022. 

31 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
Dilution limits 

The rules governing the Employee Share Option Scheme (“ESOS”) provide that overall dilution through 
the issuance of new shares via employee share schemes should not exceed an amount equivalent to 
10% of the Group’s issued share capital over a ten-year period. The Committee monitors the position 
prior to the making of any award under these share option schemes to ensure that the Group remains 
within this limit. At the date of this Report, the Group’s headroom position remains within this 10% limit. 

Directors’ shareholdings 

Directors’ shareholdings as at 31 December 2021 are shown in the table below. 

Legally owned 

Unexercised 
options 

5,858,731 

- 

79,852,821 

17,153,971 

4,297,291 

10,237,875 

3,021,211 

- 

- 

- 

- 

- 

- 

- 

Unvested 
options subject 
to performance 
under the EMI 
scheme 

Unvested options 
subject to 
performance 
under the ESOS 

15,000,000 

6,087,500 

2,725,000 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

Andy Mears 

Natalie Wettler 

Nigel Keen 

Julian Cazalet 

Chris Jones 

Mark Wippell 

Tim Irish 

Directors’ shareholdings at 6 April 2022 which incorporate the changes in the share register as a result 
of the February 2022 fund raising are shown in the table below. 

Legally owned 

6,658,731 

1,010,400 

99,852,821 

27,153,971 

4,297,291 

11,037,875 

3,021,211 

Andy Mears 

Natalie Wettler 

Nigel Keen 

Julian Cazalet 

Chris Jones 

Mark Wippell 

Tim Irish 

Approval 

This report was adopted by the Committee on 6 April 2022 and has been approved subsequently by the 
Board. 

Nigel Keen 
Chairman of the Remuneration Committee 
6 April 2022 

32 

 
 
 
 
 
 
 
 
Report of the Audit Committee 

Introduction from Julian Cazalet MA FCA, Chairman of the Audit Committee 

I am pleased to present this report on behalf of the Audit Committee. I have been Chair of the Audit 
Committee since 2015 and consider that I have recent and relevant financial experience. 

During the year, I have spoken with a number of shareholders to discuss various matters and I look 
forward to continuing to do so in the coming year. 

Julian Cazalet MA FCA 
Audit Committee Chairman 
6 April 2022 

Key responsibilities 

The primary responsibility of the Audit Committee is to assist the Board fulfil its oversight responsibilities 
in respect of the Group’s financial reporting, accounting systems, risk management and associated 
public disclosure.  Accordingly, the Audit Committee is required to: 

▪  monitor the integrity of both the Group’s interim and annual report and accounts; 

▪ 

review any significant financial reporting matters that may arise, and agree on the 
reasonableness of the judgements that they may contain; 

▪  advise on the clarity of disclosure of information provided in the report with the objective of 

ensuring that the annual report and accounts, as a whole, is fair and balanced; 

▪  ensure that the both the Group’s interim and annual report and accounts have been prepared in 
accordance with applicable accounting standards and that any significant estimates made are 
considered to be reasonable; 

▪ 

review the adequacy and effectiveness of the Group’s systems of internal control and risk 
management; and 

▪  oversee the relationship with the Group’s independent auditors, reviewing the effectiveness of the 

external audit and advising the Board on their appointment and remuneration. 

Audit Committee governance 

The Audit Committee comprises all the Non-Executive Directors and was chaired during the year under 
review by Julian Cazalet who is a Chartered Accountant with recent and relevant financial experience. 

The other Non-Executive Directors who served during the year under review are all considered to have 
the ability and experience necessary to understand both interim and annual reports and accounts. 

The Audit Committee usually meets twice a year along with the Executive Directors, by invitation. A 
private meeting is also held with the Group’s independent auditors without the Executive Directors in 
attendance. 

Activities of the Audit Committee during the year 

Internal controls and risk management 

The Board has collective responsibility for the effectiveness of the Group’s system of internal control. 
The Audit Committee has assisted the Board with its review of the effectiveness of these internal 
controls and risk management during the year, principally through discussion with the Executive 
Directors and other senior managers within the Group. In addition, the Audit Committee receives reports 
from its external auditors which contain, among other things, control findings that are relevant to its work. 

33 

 
 
 
Information relating to the Principal Risks of the Group can be found on pages 23 to 25. 

Financial reporting matters and judgements 

The Audit Committee has received updates on the key judgemental financial reporting areas in the 
Annual Report and Accounts from the Group Finance Director and considered the findings from the 
external auditors on these matters. The significant reporting matters that were considered by the Audit 
Committee during the year are summarised below and comprised: 

i. 

the carrying value of investments in subsidiaries and group balances in the Parent Company’s 
individual financial statements as well as detailed analyses prepared to examine and consider the 
disclosure required in respect of going concern. The Committee reviewed the key assumptions 
used in the underlying cash flow forecasts which were used as the basis for the value-in-use 
calculation required by the relevant accounting standards. The key assumptions reviewed in the 
cash flow forecasts were the sales growth rates, gross margins and likely progression of the 
overheads. In the context of the value-in-use calculation, the Committee satisfied itself that the 
pre-tax discount rate was appropriate to use. 

External audit 

Prior to the commencement of the audit, the Audit Committee received an audit planning document from 
the auditors which set out the auditor’s perceived audit risks and the scope of the work to be performed. 
The Audit Committee was satisfied that the risks identified were aligned with its own assessment and 
that the proposed approach was appropriate for a high quality audit to be performed. 

Following the completion of the audit, the Audit Committee received from the auditors a post-audit 
management letter which set out the key findings from the audit. The auditors also confirmed their 
independence and how they comply with their professional and regulatory requirements. 

The Audit Committee has confirmed that it is satisfied with the independence, objectivity and the 
effectiveness of Nexia Smith & Williamson’s audit and has recommended to the Board that they are 
reappointed. 

A resolution to this effect will be proposed at the forthcoming Annual General Meeting. 

34 

 
 
 
 
INDEPENDENT AUDITOR’S REPORT TO THE MEMBERS OF DELTEX MEDICAL GROUP PLC 

Opinion 
We have audited the financial statements of Deltex Medical Group Plc (the ‘parent company’) and its 
subsidiaries (the ‘group’) for the year ended 31 December 2021 which comprise the Consolidated 
Statement of Comprehensive Income, the Consolidated Balance Sheet, the Consolidated Statement of 
Changes in Equity, the Consolidated Statement of Cash Flows, the Parent Company Balance Sheet, the 
Parent Company Statement of Changes in Equity and the notes to the financial statements, including 
significant accounting policies.  The financial reporting framework that has been applied in their 
preparation is applicable law and UK-adopted international accounting standards and, as regards the 
parent company financial statements, applicable law and United Kingdom Accounting Standards, including 
FRS 101 “Reduced Disclosure Framework” (United Kingdom Generally Accepted Accounting Practice). 

In our opinion: 

•  the financial statements give a true and fair view of the state of the group’s and of the parent 
company’s affairs as at 31 December 2021 and of the group’s loss for the year then ended;   
•  the group financial statements have been properly prepared in accordance with UK-adopted 

international accounting standards 

•  the parent company financial statements have been properly prepared in accordance with United 

Kingdom Generally Accepted Accounting Practice; and 

•  the financial statements have been prepared in accordance with the requirements of the Companies 

Act 2006. 

Basis for opinion 
We 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 of the financial statements section of our report.  We are independent of the 
group and parent company in accordance with the ethical requirements that are relevant to our audit of 
the financial statements in the UK, including the FRC’s Ethical Standard as applied to listed entities, and 
we have fulfilled our other ethical responsibilities in accordance with these requirements.  We believe that 
the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.  

Our approach to the audit 
Of the group’s five reporting components, we subjected two to audits for group reporting purposes and 
three to specific audit procedures where the extent of our audit work was based on our assessment of the 
risk of material misstatement and of the materiality of that component.  The latter were not individually 
significant enough to require an audit for group reporting purposes but were still material to the group. 

For each of the group’s three reporting components that were subject to specific audit procedures as 
outlined above, all financial records are held in the UK and were subject to audit work by the group 
engagement team. A component auditor was engaged to perform a stock take in the United States and the 
results of this stock take were reviewed by the group engagement team. 

The components within the scope of our work covered 100% of group revenue, 100% of group profit before 
tax, and 100% of group net assets.  

Key audit matters 
Key audit matters are those matters that, in our professional judgment, were of most significance in our 
audit of the financial statements of the current period, and include the most significant assessed risks of 
material misstatement (whether or not due to fraud) we identified, including those which had the greatest 

35 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
effect on: the overall audit strategy; the allocation of resources in the audit; and directing the efforts of 
the engagement team.  These matters were addressed in the context of our audit of the financial 
statements as a whole, and in forming our opinion thereon, and we do not provide a separate opinion on 
these matters. 

Key audit 
matter 
The cash flow 
projections 
which support 
going concern 
and 
development 
costs not yet 
available for 
use 
for group and 
parent and 
parent 
company 
investment, 
goodwill and 
intercompany 
balances 
with 
subsidiaries 

Revenue 
recognition 
including 
contract 
liabilities 

Description of risk 

How the matter was addressed in the audit 

The Group is loss-making 
and has relied on equity 
funding to provide working 
capital in previous years. 

Management have prepared 
a budget and cash flow 
forecast indicating that in 
their view the group and 
parent company can 
continue to operate as a 
going concern for at least 
12 months from the date 
the financial statements 
are 
approved. These forecasts 
were also used to assess 
whether the value of 
development costs not yet 
available for use were 
impaired. 

Cash flow projections are 
inherently judgemental 
and 
subject to fluctuation with 
expenditure requirements. 
As 
a result, these projections 
were a key area of audit 
focus. 

Furthermore, the parent 
company has significant 
balances relating to 
investments in subsidiaries 
and receivables due from 
group companies. 

The group’s assessment of 
carrying value requires 
significant judgement in 
particular regarding cash 
flows, growth rates, 
discount 
rates and sensitivity 
assumptions to derive a 
value in use. 
Revenue recognition 
continues to be a key focus 
for the group to meet 
market expectations. 

We challenged the assumptions used in the cash flow 
forecasts for going concern as described in note 1.7 of 
the group financial statements and in respect of the 
impairment reviews as described in notes 5 and 6 of the 
parent company financial statements. 

The main procedures performed on the forecasts and 
areas where we challenged management were as 
follows: 
• 

testing the quality of management forecasting 
by comparing cash flow forecasts for prior 
periods to actual outcomes and investigating any 
material variances to assess the reliability of 
management forecasting; 
testing the quality of management forecasting 
by comparing cash flow forecasts for the current 
period to post year end actual outcomes; 

• 

• 

•  discussion with management over the basis and 
appropriateness of key assumptions used in the 
cashflow forecasts; 
verifying the consistency of forecasts used in the 
impairment calculations with those used for 
going concern assessment where appropriate; 
reviewing management’s sensitivity calculations 
to understand the impact of changing the key 
assumptions on cashflows and value in use; 

• 

•  performing our own further sensitivity 

calculations to understand the impact of 
changing the key assumptions and the effect on 
cashflows and value in use; 

•  considering the value in use derived from 
forecasts alongside valuation using market 
capitalisation approach where appropriate in 
assessing impairment; and 
reviewing the disclosures around going concern 
and impairments in the financial statements to 
ensure they are consistent with the work 
performed. 

• 

In performing our procedures, we used our internal 
valuation specialists to assess the appropriateness of 
the model and the discount rate and long term growth 
rates applied. 

As part of our procedures relating to revenue 
recognition as described in note 2 of the group financial 
statements the key procedures performed were: 

• 

reviewing transactions around the year end and 
traced to supporting documentation to 

36 

 
 
 
 
 
 
 
 
 
• 

determine if the sale was recorded in the 
correct period; 
tracing a sample of sales from customer order to 
the nominal ledger, ensuring contract liability 
postings were complete for these transactions; 
•  performing testing of contract liability balances 
to ensure that revenue was being correctly 
deferred; and 
reviewing the revenue recognition policies 
disclosed in the financial statements to 
determine if these policies were in accordance 
with IFRS15 and in line with the accounting 
treatment adopted. 

• 

Capitalisation 
of 
development 
costs and 
impairment of 
development 
costs 

The group has significant 
intangible assets arising 
from 
the capitalisation of the 
costs relating to products 
in development. 

For products in 
development the main risk 
is assessing the 
ability to successfully 
commercialise the 
individual product 
concerned to generate 
revenues and returns from 
the products 
over its useful economic 
life. This can be a highly 
judgemental area. 

Forecasts were also 
produced by Management 
as part of an impairment 
review of the recoverable 
amount of development 
projects which are not yet 
available for use. 

As part of our procedures regarding the development 
costs as described in note 13 of the group financial 
statements, the key procedures performed were: 

• 

tracing a sample of project development costs 
capitalised in the year to supporting 
documentation ensuring they were valid capital 
expenditure and the relevant capitalisation 
criteria under IAS 38 were met; 

•  discussing a sample of development projects in 
progress and completed at the year end with 
management and individuals within the 
development team where appropriate to 
understand the future prospects of the projects 
and considered whether any impairment was 
required. Explanations received were checked 
for consistency with our understanding of the 
business and the wider market as well as 
considering forecasts of future revenues and 
returns for the individual projects and 
impairment reviews for development costs not 
yet available for use; and 
reviewing the useful economic life of a sample 
projects to determine if the useful economic life 
is appropriate. 

• 

Our application of materiality 

The materiality for the group financial statements as a whole (“group FS materiality”) was set at £45,100. 
This has been determined with reference to the benchmark of the group’s revenue, which we consider to 
be one of the principal considerations for members of the company in assessing the group’s 
performance.  Group FS materiality represents 2% of the group’s revenue as presented on the face of the 
Consolidated Statement of Comprehensive Income. 

The materiality for the parent company financial statements as a whole (“parent FS materiality”) was set 
at £36,080.  This has been determined with reference to the benchmark of the parent company’s net 
assets as it exists only as a holding company for the group and carries on no trade in its own right.  Parent 
FS materiality represents approximately 1% of the parent company’s net assets as presented on the face of 
the parent company balance sheet.   

Performance materiality for the group financial statements was set at £36,080, being 80% of group FS 
materiality, for purposes of assessing the risks of material misstatement and determining the nature, 

37 

 
 
 
 
 
 
 
 
timing and extent of further audit procedures.  We have set it at this amount to reduce to an appropriately 
low level the probability that the aggregate of uncorrected and undetected misstatements exceeds group 
FS materiality.  We judged this level to be appropriate based on our understanding of the group and its 
financial statements, as updated by our risk assessment procedures and our expectation regarding current 
period misstatements including considering experience from previous audits.  It was set at 80% to reflect 
the fact that few misstatements were expected in the current period and there is little estimation in the 
financial statements. 

Performance materiality for the parent company financial statements was set at £28,864, being 80% of parent 
FS materiality.  It was set at 80% to reflect the fact that few misstatements were expected in the current 
period and there is little judgement or estimation in the parent company financial statements other than the 
recoverability  of  the  carrying  value  of  investments  in  subsidiaries  and  intercompany  balances  with 
subsidiaries as referred to in our key audit matters above.  

Conclusions relating to going concern 

In auditing the financial statements, we have concluded that the directors’ use of the going concern basis 
of accounting in the preparation of the financial statements is appropriate.   

Our evaluation of the directors’ assessment of the group and parent company’s ability to continue to adopt 
the going concern basis of accounting included: 

•  challenging the assumptions used in the detailed budgets and forecasts prepared by management for 

the financial period ending 30 June 2023; 

•  considering historical trading performance both prior to and during the Covid-19 pandemic; 
•  comparing the forecast results to those actually achieved in the 2021 financial year and investigating 

any material variances as required in order to assess the reliability of management forecasting; 

•  comparing the forecast results to those actually achieved in the 2022 financial period so far; 
•  reviewing bank statements to monitor the cash position of the group post year end, and obtaining an 
understanding of significant expected cash outflows (such as capital expenditure) in the forthcoming 
12-month period; 

•  considering the cash proceeds and financial headroom following the share subscription of £1.4m post 

year end; 

•  considering the group’s funding position and requirements; and 
•  considering the sensitivity of the assumptions and re-assessing headroom after sensitivity. 

As part of our evaluation of going concern, we have requested management to perform additional work 
concerning sensitivity on their assumptions to assess the financial headroom in their models.  

Based on the work we have performed, we have not identified any material uncertainties relating to events 
or conditions that, individually or collectively, may cast significant doubt on the group and parent 
company’s ability to continue as a going concern for a period of at least twelve months from when the 
financial statements are authorised for issue.  

Our responsibilities and the responsibilities of the directors with respect to going concern are described in 
the relevant sections of this report. 

Other information 

The other information comprises the information included in the Annual Report and Accounts, other than 
the financial statements and our auditor’s report thereon.  The directors are responsible for the other 
information contained within Annual Report and Accounts. Our opinion on the financial statements does 
not cover the other information and, except to the extent otherwise explicitly stated in our report, we do 
not express any form of assurance conclusion thereon. Our responsibility is to read the other information 
and, in doing so, consider whether the other information is materially inconsistent with the financial 
statements, or our knowledge obtained in the course of the audit, or otherwise appears to be materially 
misstated.  If we identify such material inconsistencies or apparent material misstatements, we are 

38 

 
 
 
 
 
 
 
required to determine whether this gives rise to a material misstatement in the financial statements 
themselves.  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.  

Opinions on other matters prescribed by the Companies Act 2006 
In our opinion, based on the work undertaken in the course of the audit: 

• 

• 

the information given in the strategic report and the directors’ report for the financial year for 
which the financial statements are prepared is consistent with the financial statements; and 
the strategic report and the directors’ report have been prepared in accordance with applicable 
legal requirements. 

Matters on which we are required to report by exception 
In the light of the knowledge and understanding of the group and the parent company and their 
environment obtained in the course of the audit, we have not identified material misstatements in the 
strategic report or the 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 by the parent company, or returns adequate for our 

audit have not been received from branches not visited by us; or 

•  the  parent  company  financial  statements  are  not  in  agreement  with  the  accounting  records  and 

returns; or 

•  certain disclosures of directors’ remuneration specified by law are not made; or 
•  we have not received all the information and explanations we require for our audit. 

Responsibilities of directors 
As explained more fully in the directors’ responsibilities statement set out on page 15, the directors are 
responsible for the preparation of the financial statements and for being satisfied that they give a true and 
fair view, and for such internal control as the directors determine is necessary to enable the preparation of 
financial statements that are free from material misstatement, whether due to fraud or error. 

In preparing the financial statements, the directors are responsible for assessing the group’s and the parent 
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 
group or the parent company or to cease operations, or have no realistic alternative but to do so.  

Auditor’s responsibilities for the audit of the financial statements 
Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are 
free from material 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, 
they could reasonably be expected to influence the economic decisions of users taken on the basis of these 
financial statements.  

The extent to which our procedures are capable of detecting irregularities, including fraud, is detailed 
below.  Irregularities, including fraud, are instances of non-compliance with laws and regulations.  We 
design procedures in line with our responsibilities, outlined above, to detect material misstatements in 
respect of irregularities, including fraud.   

We obtained a general understanding of the group’s legal and regulatory framework through enquiry of 
management concerning: their understanding of relevant laws and regulations; the entity’s policies and 
procedures regarding compliance; and how they identify, evaluate and account for litigation claims. We 
also drew on our existing understanding of the group’s industry and regulation. 

39 

 
 
 
 
 
 
 
 
 
 
 
 
We understand that the group complies with the framework through: 

•  Outsourcing tax compliance to external experts. 
•  Outsourcing foreign payroll to external experts. 
• 

Subscribing to relevant updates from external experts and making changes to internal procedures 
and controls as necessary. 

•  Ensuring certification under ISO 13485 (Quality Management System) and compliance with local 
regulators for their products which is essential to be able to sell their products in the UK and 
overseas.  

In the context of the audit, we considered those laws and regulations: which determine the form and 
content of the financial statements; which are central to the group’s ability to conduct its business; and 
where failure to comply could result in material penalties. We identified the following laws and regulations 
as being of significance in the context of the group: 

•  The Companies Act 2006, UK-adopted international accounting standards in respect of the 

preparation and presentation of the group financial statements and FRS 101 in respect of the 
preparation and presentation of the parent company financial statements. 

•  Compliance with ISO 13485 and regulators such as British Standards Institution “BSI” & U.S. Food 

and Drug Administration “FDA”. 

We performed the following specific procedures to gain evidence about compliance with the significant 
laws and regulations identified above: 

•  Examined the results of any regulatory compliance audits and performed online searches of key 

regulators to ensure adequate compliance certificates were held. 

The senior statutory auditor led a discussion with senior members of the engagement team regarding the 
susceptibility of the group’s financial statements to material misstatement, including how fraud might 
occur. The areas identified in this discussion were: 

•  Manipulation of the financial statements, especially revenue, via fraudulent journal entries in 

particular those affecting revenue recognition around the year end. 

•  Provisions including stock and trade debtor provisions as these are estimates by management. 
•  Estimates made by management regarding the useful economic life of capitalised development 

costs and associated judgement regarding the viability and long-term recoverability of the carrying 
value of these projects.  

•  Group’s status as AIM listed entity which creates an incentive for fraudulent financial reporting to 

show favourable results to the market.  

These areas were communicated to the other members of the engagement team not present at the 
discussion.  

The procedures we carried out to gain evidence in the above areas included: 

•  Challenging management regarding the assumptions used in the estimates and judgements 
identified above and comparison to historical data and post-year-end data as appropriate; 
Substantive testing around whether revenue was recorded in the correct period; 
Substantive work on material areas affecting profits; and 

• 
• 
•  Testing journal entries, focusing particularly on postings to unexpected or unusual accounts and 
journals outside the normal scope of the client business as well as journal entries affecting the 
recognition of revenue around the year end.  

A further description of our responsibilities is available on the FRC’s website at: 
www.frc.org.uk/auditorsresponsibilities.  This description forms part of our auditor’s report. 

40 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Use of our report  
This report is made solely to the parent 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 
parent 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 parent company and the parent company’s members as a body, for our audit work, 
for this report, or for the opinions we have formed. 

Julie Mutton  
Senior Statutory Auditor, for and on behalf of  
Nexia Smith & Williamson 
Statutory Auditor 
Chartered Accountants  
15-17 Cumberland Place 
Southampton 
Hampshire 
SO15 2BG 

Date: 6 April,2022 

41 

 
 
 
 
 
 
 
 
 
Consolidated statement of comprehensive income 
For the year ended 31 December 2021 

Note 

3 

4 

24 

9 

4 

10 

7 

6 

7 

Revenue 

Cost of sales 

Gross profit 

Administrative expenses 

Sales and distribution expenses 

Research and Development, Quality and Regulatory 

Impairment reversal on trade receivables 

Exceptional costs 

Total costs 

Other operating income 

Other gain 

Operating loss 

Finance costs 

Loss before taxation 

Tax credit on loss 

Loss for the year 

Other comprehensive expense 

Items that may be reclassified to profit or loss: 

Net translation differences on overseas subsidiaries 

Other comprehensive expense for the year, net of tax 

Total comprehensive loss for the year 

Total comprehensive loss for the year attributable to: 

Owners of the Parent 

Non-controlling interests 

2021 
£’000 

2,259 

(684) 

1,575 

(1,585) 

(957) 

(207) 

- 

- 

(2,749) 

312 

57 

(805) 

(173) 

(978) 

12 

(966) 

(2) 

(2) 

2020 
£’000 

2,398 

(757) 

1,641 

(1,472) 

   (964) 

(246) 

 11 

(232) 

(2,903) 

           469 

                171 

               (622) 

(172) 

(794) 

9 

(785) 

(6) 

(6) 

(968) 

            (791) 

(969) 

1 

(968) 

(804) 

13 

(791) 

Loss per share – basic and diluted 

11 

(0.17p) 

(0.15p) 

The notes on pages 47 to 80 form an integral part of these consolidated financial statements. 

42 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Consolidated balance sheet 
As at 31 December 2021 

Assets 

Non-current assets 

Property, plant and equipment 

Intangible assets 

Financial assets at amortised cost 

Total non-current assets 

Current assets 

Inventories 

Trade receivables 

Financial assets at amortised cost 

Other current assets 

Current income tax recoverable 

Cash and cash equivalents 

Total current assets 

Total assets 

Liabilities 

Current liabilities 

Borrowings 

Trade and other payables 

Total current liabilities 

Non-current liabilities 

Borrowings 

Trade and other payables 

Provisions 

Total non-current liabilities 

Total liabilities 

Net assets 

Equity 

Share capital 

Share premium 

Capital redemption reserve 

Other reserve 

Translation reserve 

Convertible loan note reserve 

Accumulated losses 

Equity attributable to owners of the Parent 

Non-controlling interests 

Total equity 

Note 

12 

13 

16 

15 

16 

16 

16 

18 

18 

18 

18 

20 

21 

26 

26 

26 

26 

26 

26 

2021 

£’000 

264 

3,135 

157 

3,556 

796 

455 

15 

91 

69 

413 

1,839 

5,395 

(702) 

(1,478) 

(2,180) 

(1,028) 

(228) 

(57) 

(1,313) 

(3,493) 

1,902 

5,849 

33,502 

17,476 

573 

133 

82 

2020 

£’000 

305 

2,554 

153 

3,012 

895 

   576 

 15 

122 

61 

853 

2,522 

5,534 

(159) 

(1,416) 

(1,575) 

(993) 

(274) 

(51) 

(1,318) 

(2,893) 

2,641 

5,773 

33,444 

17,476 

505 

135 

82 

(55,588) 

(54,648) 

2,027 

(125) 

1,902 

2,767 

(126) 

2,641 

The notes on pages 47 to 80 form an integral part of these consolidated financial statements. The financial 
statements on pages 42 to 46 were approved by the Board of Directors and authorised for issue on 6 April 2022 
and were signed on its behalf by: 

Nigel Keen 
Chairman 

Natalie Wettler 

Group Finance Director

43 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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Consolidated statement of cash flows 
for the year ended 31 December 2021 

Cash flows from operating activities 

Loss before taxation 

Adjustments for: 

Net finance costs 

Depreciation of property, plant and equipment 

Amortisation of intangible assets 

Write off of research and development projects not taken 
forward 

Modification gain on convertible loan note 

Share-based payment expense 

Other tax income 

Effect of exchange rate fluctuations 

Decrease in inventories 

Decrease in trade and other receivables 

Increase/(decrease) in trade and other payables 

Increase/(decrease) in provisions 

Net cash used in operations 

Interest paid 

Income taxes received 

Net cash used in operating activities 

Cash flows from investing activities 

Purchase of property, plant and equipment 

Capitalised development expenditure (net of grants) 

Net cash used in investing activities 

Cash flows from / (used in) financing activities 

Issue of ordinary share capital 

Expenses in connection with share issue 

Net movement in invoice discount facility 

Standby loan facility drawdown 

Principal lease payments 

Net cash generated from financing activities 

Net decrease in cash and cash equivalents 

Cash and cash equivalents at beginning of the period 

Exchange loss on cash and cash equivalents 

Cash and cash equivalents at end of the period 

2021 
£’000 

(978) 

173 

74 

40 

    - 

- 

95 

(57) 

(2) 

(655) 

89 

148 

    191 

6 

(221) 

(131) 

61 

(291) 

(23) 

(621) 

(644) 

- 

- 

43 

500 

(41) 

502 

(433) 

853 

(7) 

413 

2020 
£’000 

(794) 

172 

103 

40 

222 

(119) 

39 

(52) 

(6) 

(395) 

13 

680 

(303) 

(11) 

(16) 

(132) 

80 

(68) 

(6) 

(165) 

(171) 

253 

(3) 

(23) 

- 

(37) 

190 

(49) 

908 

(6) 

853 

The notes on pages 47 to 80 form an integral part of these consolidated financial statements. 

46 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

Principal accounting policies 

1. 
Presented below are those accounting policies that relate to the financial statements as a whole and 
include details of new accounting standards that are, or will be effective for 2022 or later years. To 
facilitate the understanding of each note to the financial statements, those accounting policies that are 
relevant to a particular category are presented within the relevant notes. These policies have been 
consistently applied to all the years presented, unless otherwise stated. 

1.1.  General information 
These financial statements are the consolidated financial statements of Deltex Medical Group plc, a 
public company limited by shares registered in England and Wales, and its subsidiaries (‘the Group’). 
Deltex Medical Group plc is listed on AIM of the London Stock Exchange. The address of the registered 
office is Deltex Medical Group plc, Terminus Road, Chichester, PO19 8TX, registered number 03902895. 
The Group is principally involved with the manufacture and sale of advanced haemodynamic monitoring 
technologies. 

1.2.  Basis of reporting 
The consolidated financial statements have been prepared in accordance with UK-adopted International 
Accounting Standards. The consolidated financial statements have been prepared under the historical 
cost convention and on a going concern basis as discussed in more detail under the ‘Basis of 
Preparation’ section of this note. 

These financial statements have been prepared applying the accounting policies and presentation that 
were  applied in the preparation of the Group’s published consolidated financial statements for the year 
ended 31 December 2020.  

There are no new and amended Standards and Interpretations adopted by the Group for the year ended 
31 December 2021. 

New and amended Standards and Interpretations issued but not effective for the financial year beginning 
1 January 2021 include:  

Amendment to IAS 1: ‘Classification of Liabilities as Current or Non-current’ 
Amendment to IAS 12 ‘Deferred tax related to assets and liabilities arising from a single transaction’ 
IAS 8: Definition of accounting estimates 
IAS 1: Disclosure initiative – accounting policies 
IAS 16: PPE: Proceeds before intended use 

1.3.  Basis of consolidation 
The consolidated financial statements include the financial statements of the Parent Company and all of 
its subsidiaries. All intra-group transactions, balances, income and expenses are eliminated on 
consolidation. Consistent accounting policies have been adopted across the Group. Subsidiaries are all 
entities over which the Group has control. The Group controls an entity when it is exposed to, or has 
rights to, variable returns from its involvement with the entity and has the ability to affect those returns 
through its power over the entity. Subsidiaries are fully consolidated from the date on which control is 
transferred to the Group. They are de-consolidated from the date that control ceases. The Group applies 
the acquisition method to account for business combinations. 

The consideration transferred for the acquisition of a subsidiary is the fair value of any asset or liability 
resulting from a contingent consideration arrangement. Identifiable assets acquired and liabilities and 
contingent liabilities assumed in a business combination are measured initially at their fair values at the 
acquisition date. The Group recognises for  any non-controlling interest in the acquiree on an acquisition-
by-acquisition basis, either at fair value or at the  non-controlling interest’s proportionate share of the 
recognised amounts of acquiree’s identifiable net assets. 

47 

 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

Costs related to acquisition, other than those associated with the issue of debt or equity securities that the 
Group incurs in connection with a business combination, are expensed as incurred. If the contingent 
consideration is classified as equity, it is not remeasured, and settlement is accounted for within equity. 
Otherwise, subsequent changes to the fair value of the contingent consideration are recognised in profit or 
loss. 

1.4.  Foreign currency translation 
The functional and presentational currency for the Parent Company is UK pounds sterling. Group companies 
use  their local currency as their functional currency. Transactions denominated in currencies other than the 
functional  currency are recorded at the rates of exchange prevailing on the dates of the transactions. 

At each balance sheet date, monetary assets and liabilities that are denominated in foreign currencies are 
re-translated at the rates prevailing on the balance sheet date, with any gains or losses being included in 
the net profit  or loss of the period. 

On consolidation, the assets and liabilities of the Group’s overseas operations are translated at exchange 
rates prevailing on the balance sheet date. Income and expense items are translated at the average 
exchange rates for the period. Exchange differences arising, if any, are dealt with through the Group’s 
reserves, until such a time as the subsidiary is sold whereupon the cumulative exchange differences 
relating to the net investment in that foreign subsidiary are recognised as part of the profit or loss on 
disposal in the Consolidated Statement of Comprehensive Income. However, cumulative exchange 
differences arising prior to 1 January 2006 remain in equity as permitted  by IFRS 1. 

Goodwill and fair value adjustments arising on the acquisition of a foreign entity are treated as assets and 
liabilities  of the foreign entity and translated at the closing rate. The Group has elected to treat goodwill and 
fair value adjustments arising on acquisitions before the date of transition to IFRS as sterling denominated 
assets and liabilities. 

The following are the principal foreign exchange rates that have been used in the preparation of the 
financial statements: 

2021 

2020 

Average Rate 

Closing rate 

Average rate 

Closing rate 

Sterling/US Dollar 

Sterling/Euro 

Sterling/Canadian Dollar 

1.38 

1.16 

1.72 

1.35 

1.19 

1.71 

1.29 

1.13 

1.73 

1.37 

1.12 

1.74 

Impairment of property, plant and equipment and intangible assets 

1.5 
At each balance sheet date, the Group reviews the carrying amounts of its property, plant and equipment 
and intangible assets to determine whether there is any indication that those assets have suffered an 
impairment loss. If any such indication exists, the recoverable amount of the asset is estimated to 
determine the extent of any impairment loss. The recoverable amount is the higher of the asset’s value in 
use and its fair value less costs to sell. Value in use is calculated using cash flow projections for the asset 
(or Group of assets where cash flows are not identifiable for specific assets) discounted at the Group’s cost 
of capital. If the recoverable amount of an asset  (or cash generating unit) is estimated to be less than its 
carrying amount, the carrying amount of the asset (or cash generating unit) is reduced to its recoverable 
amount. Non-financial assets other than goodwill which have suffered an impairment are reviewed for 
possible reversal of impairment at each reporting date. 

1.6  Use of judgements and estimates 
In preparing these consolidated financial statements, management has had to make judgements and 
estimates  that affect the application of the Group’s accounting policies and the reported amounts of 

48 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

assets, liabilities, income and expenses. However, actual results may differ from these results. 

Judgements 

Research and development 
Costs for research and development activities are only capitalised as intangible assets if the qualification 
criteria   are met. These criteria are met only when the technical as well as commercial feasibility can be 
demonstrated and cost can be measured reliably. The amounts capitalised represent the Group’s 
judgement of which costs have met these criteria. There is a risk that the intangible asset will not 
generate the required future economic benefits and therefore could result in potential impairments. 

Estimates 
Information about estimation uncertainties at 31 December 2021 that could have a risk of adjustment to 
the   carrying amount of assets in the next financial year is considered in the following note: 

Trade receivables 
Notes 16 and 24 provide information on the measurement of expected credit losses in respect of trade 
receivables, staff advances and other receivables. 

1.7  Going concern 
The Group meets its day-to-day working capital requirements through a combination of operational cash 
flows, an invoice discounting facility and, if required, the raising of additional finance. During the Covid 
pandemic the Group also made use of Salary Support Schemes provided by the UK and US 
governments. 

The Directors have reviewed detailed budgets and forecasts until 30 June 2023, which take into account, 
among other things, the possible continued effects of Covid on the Group’s business. This review 
indicates that the Group is expected to continue trading as a going concern based on projected net cash 
flows derived from sales of the Group. In February 2022, the Group raised £1.4 million (gross) through a 
share subscription which provided additional cash resources to the Group. In addition, the Group agreed 
a 12 month extension to the standby loan facility which is now repayable on or before 31 December 2023. 

The Directors consider that they have reasonable grounds to believe that the Group will have adequate 
resources to continue in operational existence for the foreseeable future and it is therefore appropriate to 
prepare the financial statements on the going concern basis. 

2. 

Revenue recognition 

2.1  Accounting policy 
Revenue arises predominantly from the sale of advanced haemodynamic monitoring equipment which 
comprise   monitors and consumable items such as single use probes and other ancillary items such as 
cables, roll stands etc. Revenue is also earned from after sales maintenance contracts. 

In determining whether to recognise revenue, the Group applies the following 5-step process: 

1. 
2. 
3. 
4. 
5. 

identifying the contract with the customer; 
identifying the performance obligations set out in the contract; 
determining the overall transaction price; 
allocating the transaction price to the performance obligations; and 
recognising revenue either when or as performance obligation(s) are satisfied. 

The Group recognises contract liabilities for consideration received in advance of unsatisfied performance 

49 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

obligations and reports these amounts as other liabilities in the Consolidated Balance Sheet. Typically, 
these  amounts relate to consideration received in advance for after-sales maintenance contracts or, 
occasionally, consideration received from new customers in settlement of pro-forma sales invoices. 

Monitor and consumable revenues 
Revenue on monitors and consumables is recognised when the Group transfers the control of the assets 
to the customer. For customers in both the UK and the USA, this is when the goods are accepted for 
delivery at the customer’s specified delivery address. For our network of independent distributors which 
form our ‘International’ business stream, the transfer of control occurs on despatch of the goods in 
accordance with the Group’s distributor agreements. 

Preventative planned maintenance (PPM) agreements 
The Group enters into PPM agreements with customers for the provision of an annual service for their 
monitors. These agreements can range in length from 1 to 10 years and provide for an annual service for 
each monitor specified by the serial number on the PPM agreement. Revenue is recognised when the 
service has been completed and the monitor is ready for use by the customer. As noted above, 
consideration received from customers in advance of completing the service of their monitors is 
recognised as other liabilities in the Consolidated balance sheet. 

3. 

Segmental analysis 

3.1  Accounting policy 
Assessment of performance and the allocation of resources are made on the basis of results derived from 
the sale of probes, monitors and other products analysed by territory, of which revenues and gross 
margins are regularly reported to the Group’s Chief Executive Officer, who has been identified as the 
Chief Operating Decision Maker (CODM). The CODM also monitors a profit measure described internally 
as ‘adjusted earnings before interest, tax, depreciation and amortisation, share-based payments, non-
executive directors’ fees, as well as any exceptional items’ (Adjusted EBITDA). However, this measure is 
reported at a Group level rather than an operating segment which is based on the nature of the goods 
provided rather than the geographical market in which they are sold. 

3.2   Note 
The operating segment results for 2021 are: 

Revenues 

Adjusted gross profit2 3

Sales and marketing costs3
Administration costs3
R&D costs3 

Quality and regulation 
costs3

Adjusted EBITDA 

Probes1

Monitors 

Other 

Unallocated 

£’000 

1,911 

1,448 

£’000 

202 

171 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

£’000 

£’000 

146 

102 

- 

- 

- 

- 

- 

- 

- 

(889) 

(1,180) 

(8) 

(148) 

- 

Total 

£’000 

2,259 

1,721 

(889) 

(1,180) 

(8) 

(148) 

(504) 

1.  Managed care service revenue is categorised as probe revenue 
2.  Gross profit excluding the depreciation charge relating to machines loaned to customers and production equipment 
3.  Other operating income is allocated within the corresponding expense categories 

50 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

The operating segment results for 2020 were: 

Revenues 

Adjusted gross profit2 3

Sales and marketing costs3
Administration costs3
R&D costs3

Quality and regulation 
costs3

Adjusted EBITDA 

Probes1

Monitors 

Other 

Unallocated 

£’000 

2,113 

1,585 

£’000 

161 

136 

£’000 

124 

106 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

£’000 

- 

- 

(942) 

(903) 

(23) 

(167) 

- 

Total 

£’000 

2,398 

1,827 

(942) 

(903) 

(23) 

(167) 

(208) 

1.  Managed care service revenue is categorised as probe revenue 
2.  Gross profit excluding the depreciation charge relating to machines loaned to customers and production equipment  
3.  Other operating income is allocated within the corresponding expense categories 

The reconciliation of the profit measure used by the Group’s CODM to the result reported in the Group’s 
consolidated SOCI is set out below: 

Adjusted EBITDA 

Non-cash items: 

Depreciation of property, plant and equipment 

Amortisation of development costs 

Write off of research and development projects not taken forward 

Non-executive directors’ fees and employer’s NIC 

Share-based payment expenses 

Change in accumulated absence cost liability 

Net bonus accrual and staff advances movement 

Gain on convertible loan note 
Cash item: 

Other tax income 

Operating loss 

Finance costs 

Loss before tax 

Tax credit on loss 

Loss for the year 

2021 
£’000 

(504) 

(74) 

(40) 

- 

(138) 

(95) 

(11) 

- 

- 

57 

(301) 

(805) 

(173) 

(978) 

12 

(966) 

       2020 
      £’000 

(208) 

(103) 

(40) 

(222) 

(172) 

(39) 

1 

(10) 

119 

52 

(414) 

(622) 

(172) 

(794) 

9 

(785) 

51 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

The following table provides an analysis of the Group’s sales by revenue stream and markets. This 
information is  regularly provided to the Group’s CODM: 

For the year ended 31 December 2021 

Direct markets 

Indirect markets 

Probes 

Monitors

  Other 

   Probes 

   Monitors 

   Other 

Total 

£’000 

£’000

  £’000 

  £’000 

  £’000 

   £’000 

£’000 

UK 

USA 

France 

Scandinavia 

South Korea 

Portugal 

Other countries 

524 

561 

- 

- 

- 

- 

10 

1,095 

60 

55 

- 

- 

- 

- 

- 

86 

47 

- 

- 

- 

- 

- 

115   

133 

- 

- 

   489 

     105 

134 

35 

53 

816 

- 

- 

29 

       -  

- 

- 

58 

87 

- 

- 

8 

2 

2 

- 

1 

670 

663 

526 

107 

136 

35 

122 

13 

2,259 

For the year ended 31 December 2020 

Direct markets 

Indirect markets 

Probes 

Monitors

  Other 

   Probes 

   Monitors 

   Other 

Total 

£’000 

£’000

  £’000 

  £’000 

  £’000 

   £’000 

£’000 

UK 

USA 

France 

Scandinavia 

South Korea 

Portugal 

Other countries 

652 

858 

- 

- 

- 

- 

15 

1,525 

102 

16 

- 

- 

- 

- 

32 

150   

83 

26 

- 

- 

- 

- 

- 

109 

- 

- 

170 

95 

159 

86 

78 

588 

- 

- 

- 

- 

- 

- 

11 

11 

- 

- 

10 

2 

1 

- 

2 

837 

900 

180 

97 

160 

86 

138 

15 

2,398 

The Group’s revenue disaggregated between the sale of goods and the provision of services is set out 
below. All revenues from the sale of goods are recognised at a point in time; maintenance income is 
recognised over time. 

Sale of goods 

Maintenance income 

2021 

£’000 

2,192 

67 

2,259 

       2020 

       £’000 

2,338 

60 

2,398 

52 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

The following table provides information about trade receivables and contract liabilities from contracts with 
customers. There were no contract assets at either 31 December 2021 or 31 December 2020. 

Trade receivables which are in ‘Trade and other receivables’ 

Contract liabilities (Note 18.3) 

31 December 
2021 

31 December 
2020 

£’000 

455 

(57) 

£’000 

576 

(58) 

The following aggregated amounts of transaction prices relate to the performance obligations from existing 
contracts that are unsatisfied or partially unsatisfied as at 31 December 2021: 

Revenue expected to be recognised 

2022 
£’000 

36 

2023 
£’000 

7 

2024 
£’000 

14 

Total 
£’000 

57 

Revenue recognised in 2021 which was included in contract liabilities at 31 December 2020 amounted to 
£54,000. Revenue recognised in 2020 included in contract liabilities at 31 December 2019 amounted to 
£46,000. 

4. 

Expenses 

4.1   Expenses by nature 

Changes in inventories and work in progress 

Raw materials and consumables used 

Employee benefit costs 

Other employee costs 

Non-executive directors’ fees 

Depreciation of property, plant and equipment 

Amortisation of development costs 

Write off of research and development projects not taken forward 

Short-term leases 

Net foreign exchange loss/(gain) 

Audit and accountancy costs 

Meeting and other public relations costs 

Professional and consultancy costs 

Gain on convertible loan note 

Other income 

Other 

2021 
£’000 

(99) 

548 

2,145 

153 

138 

74 

40 

- 

18 

14 

61 

23 

312 

- 

(57) 

6 

3,376 

  2020 
  £’000 

(20) 

380 

2,289 

159 

172 

103 

40 

222 

20 

(10) 

70 

(54) 

199 

(119) 

(52) 

90 

3,489 

53 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

4.2  Auditors’ remuneration 
During the year, the Group (including its overseas subsidiaries) obtained the following services from the 
Group’s auditors at the cost detailed below. 

Nexia Smith & Williamson 

Fees payable to the Group’s auditors for the audit of Parent Company and 
consolidated financial statements 

Fees payable to the Group’s auditors for other services: 

The audit of the Group’s subsidiaries 

Tax compliance services 

2021 
£’000 

10 

35 

- 

45 

2020 
£’000 

10 

33 

7 

50 

5. 

Employees 

5.1   Accounting policy 

Short-term obligations 
Liabilities for wages and salaries, including annual leave, that are expected to be settled wholly within twelve 
months after the end of the period in which the employees render the related service are recognised in 
respect of  employee services up to the end of the financial reporting period. They are measured at the 
amounts expected to be paid when the liabilities are settled. The liabilities are categorised as current 
liabilities within trade and other payables in the Consolidated Balance Sheet. 

Post-employment obligations 
The Group operates two defined contribution schemes for its employees. One scheme is for UK based 
employees and the other is for US based employees.  

For defined contribution schemes, the Group pays contributions to privately administered pension schemes 
on a  mandatory, contractual or discretionary basis. The Group has no further payment obligations once the 
contributions have been paid. The contributions are recognised as an employee benefit expense when they 
are due. 

5.2  Employee benefit expense 

Wages and salaries 

Social security costs 

Pension costs – defined contribution plans 

Less amounts capitalised as research and development expenses 

2021 
£’000 

2,051 

230 

58 

2,339 

(317) 

2,022 

Accumulated absence liability movement 

                            11 

Accrued bonuses for the year 

Accrued bonuses and staff advances from prior periods released 

Share-based payment expense 

17 

- 

95 

2,145 

2020 
£’000 

2,162 

256 

62 

2,480 

(309) 

2,171 

(1) 

20 

              60 

39 

2,289 

54 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

The pensions cost expense of £58,000 (2020: £62,000) represents the aggregate amount paid and 
payable into  defined contribution pension schemes on behalf of employees. 

5.3  Average monthly number of people employed 

Number of employees 

Average monthly number of people (including executive directors) employed: 

Sales and marketing 

Production 

Office and management 

Quality and regulatory 

Research and development 

Total monthly average headcount 

5.4  Directors’ emoluments 

Aggregate emoluments 

Sums paid to third parties for directors’ services 

Contributions to directors’ personal pension schemes 

Contributions to the Group’s defined contribution scheme 

2021 
Number 

2020 
Number 

46 

11 

16 

10 

3 

6 

46 

2021 
£’000 

398 

33 

- 

10 

441 

50 

12 

17 

11 

4 

6 

50 

2020 
£’000 

369 

33 

1 

12 

415 

Sums paid to third parties for the services of a director comprise: 

        Third party payee                                        Director 

2021 
£’000  

2020 
£’000 

             Imperialise Limited 

Nigel Keen 

33                          33 

5.5  Highest paid director 

Aggregate emoluments 

Contributions to director’s personal pension scheme 

 2021 
£’000  

             2020 
            £’000 

207 

8  

215  

207 

12 

219 

55 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

6. 

Finance costs 

Invoice discount facility 

Convertible loan note 

Standby loan facility 

Lease liability finance expense 

Other interest 

7. 

Tax credit on loss 

7.1  Accounting policy 

2021 
£’000 

2 

124 

4 

34 

9 

173 

2020 
£’000 

1 

128 

- 

43 

- 

172 

The tax credit represents the sum of current tax and deferred tax. Tax is recognised in profit or loss in the 
Consolidated Statement of Comprehensive Income (SOCI) except to the extent that it relates to items 
recognised in equity, in which case it is recognised in other comprehensive income in the Consolidated SOCI. 
The current tax  is based on taxable results for the year calculated using tax rates that have been enacted or 
substantively enacted by the balance sheet date. 

7.2  Note 

Current tax 

Research and development tax credit 

Adjustment in respect of prior years 

Total current tax 

Total deferred tax 

Total tax credit on loss 

2021 
£’000 

2020 
£’000 

(12) 

- 

(12) 

- 

(12) 

(9) 

- 

(9) 

- 

(9) 

In 2021, the other gain includes an amount of £57,000 (2020: £52,000) comprising tax income arising from 
the  Research and Development Expenditure Credit scheme which is accounted for as a government grant. 

The taxable credit on the loss for the year is lower (2020: lower) than the effective rate of corporation tax in 
the UK of 19% (2020: 19%) applied to the Group’s loss on ordinary activities before tax. The differences 
are explained below: 

Loss on ordinary activities before tax 

Loss on ordinary activities multiplied by the standard rate in the UK of 19% (2020: 19%) 

Effects of: 

Non-taxable income 

Losses carried forward for which no deferred tax asset has been recognised 

Tax rate of difference on receivable research and development tax credit 

Difference on tax rate on payable research and development tax credit 

Rate change adjustment 

Non-deductible expenses 

Total tax credit on loss 

2021 
£’000 

(978) 

(186) 

(121) 

269 

5 

3 

- 

18 

2020 
£’000 

(794) 

(151) 

(101) 

 240 

(7) 

  3 

- 

7 

      (12) 

      (9) 

56 

 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

8. 

Deferred tax 

8.1  Accounting policy 

Deferred tax is provided using the balance sheet date liability method on temporary differences between 
the carrying amounts of assets and liabilities in the financial statements and the corresponding tax bases 
used in the computation of taxable profit. 

In principle, deferred tax liabilities are recognised for all taxable temporary differences and deferred tax 
assets are recognised to the extent that it is probable that taxable profits will be available against which 
deductible temporary differences can be utilised. Such assets and liabilities are not recognised if the 
temporary difference arises from goodwill or from the initial recognition (other than in a business 
combination) of other assets or liabilities in a transaction that affects neither the tax profit nor the 
accounting profit. 

The carrying amount of deferred tax assets is reviewed at each balance sheet date and reduced to the 
extent that  it is not probable that sufficient taxable profits will be available to allow all or part of the asset to 
be recovered. 

Deferred tax is calculated at the tax rates that are expected to apply in the period when the liability is 
settled or the asset is realised. Tax assets and liabilities are offset when there is a legally enforceable right 
to offset current  tax assets against current liabilities and when the deferred income taxes relate to the same 
fiscal authority. 

8.2  Note 

At 31 December 2021, the Group had accumulated trading losses carried forward which are available to 
offset against future profits of £39,333,000 (2020: £34,286,000) resulting in an unrecognised potential 
deferred tax asset of £9,397,000 (2020: £6,854,000). 

Loss relief is available indefinitely in the UK and for 20 years in the USA. Trading losses in the USA do not 
begin  to expire until 2028. The movement in deferred income tax assets and liabilities during the year, 
without taking into consideration the offsetting of balances within the same jurisdiction, is set out below: 

Deferred tax liabilities 

Development costs 

Accelerated capital allowances 

At 1 January 

Charged to profit or loss in the Consolidated SOCI 

At 31 December 

Deferred tax asset on losses 

At 1 January 

Credited to profit or loss in the Consolidated SOCI 

At 31 December 

57 

2021 
£’000 

938 

65 

1,003 

2021 
£’000 

644 

359 

1,003 

2021 
£’000 

(644) 

(359) 

2020 
£’000 

588 

56 

644 

2020 
£’000 

404 

        240 

644 

2020 
£’000 

     (404) 

      (240) 

(1,003) 

     (644) 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

Changes to the UK corporation tax rates were substantively enacted as part of the Finance Act 2021.  
These include increases to the UK corporation tax rate from 19% to 25% effective 1 April 2023. Deferred 
taxes at the balance sheet date have been measured using this substantively enacted rate. 

9. 

Exceptional items 

9.1  Accounting policy 

As permitted by IAS1, ‘Presentation of Financial Statements’, certain items are presented separately in the 
Consolidated SOCI as exceptional items where, in the judgement of the directors, they need to be 
presented separately by virtue of their nature, size or incidence in order to obtain a clear and consistent 
presentation of the  Group’s underlying business performance. 

9.2  Note 

Exceptional items comprised: 

Net bonus accrual and staff advances movement 

Write off of research and development projects not taken forward 

10.  Other operating income 

10.1  Accounting policy 

2021 
£’000 

- 

- 

- 

2020 
£’000 

10 

222 

232 

Government grants are accounted for under the accruals model as permitted by IAS 20, ‘Accounting for 
Government Grants and Disclosure of Government Assistance’. Grants related to income are recognised in 
the Statement of Comprehensive Income under other operating income in the same period as the related 
expenditure.  

10.2  Note 

Other operating income comprised: 

UK Job Retention Scheme 

US Payment Protection Plan 
Other operating income – 3rd party termination agreement 

11 

Basic and diluted loss per share 

2021 
£’000 

206 

106 

- 

312 

2020 
£’000 

214 

138 

117 

469 

The loss per share calculation is based on the loss of £967,000 and the weighted average number of 
shares in  issue of 580,712,339. For 2020, the loss per share calculation is based on the loss of £798,000 
and the weighted average number of shares in issue of 526,448,659. While the Group is loss-making, the 
diluted loss per share and the loss per share are the same. 

58 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

12 

Property, plant and equipment 

12.1  Accounting policy 

Property, plant and equipment is stated at cost, net of depreciation and any provision for impairment. The 
cost of purchased assets includes the original purchase price together with any incidental expenses of 
acquisition. 

Depreciation is calculated to write down property, plant and equipment to their estimated realisable 
values, by equal annual instalments over their expected useful economic lives at the following periods: 

▪ 
▪ 
▪ 
▪ 
▪ 

Leasehold property and improvements: five years or to the end of the lease term, if shorter 
Right of use asset: over the period of the lease term 
Plant and equipment: three to five years 
Machines loaned to customers: five years 
Fixtures and fittings: three to five years 

Estimated residual values and useful lives are reviewed annually and adjusted where necessary. 

Machines loaned to customers 
In order to support key accounts and increased probe usage, monitors may be placed on long-term loan 
with customers. Where these monitors are expected to be placed for a period longer than six months, the 
monitors are transferred at book value to property, plant and equipment and depreciated over five years. 
Where monitors  are placed on a short-term loan of less than six months and it is expected that the monitors 
will be sold thereafter, the monitors are included within inventories. 

Other than managed care contracts, the Group has no contractual obligation to provide loan monitors for a 
specified period of time. The Group monitors probe usage by customers that have loan monitors and 
where, for  various reasons, probe volumes do not support the loaned monitor estate the under-utilised 
monitors are removed and held ready to meet future demand for monitors by other customers. 

59 

 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

12.2 Note 

Depreciation has been included in the following expenses in profit or loss in the Consolidated SOCI: 

Cost of sales 

Administration expenses 

Research and development expenses 

2021 
£’000 

22 

52 

- 

74 

2020 
£’000 

49 

51 

3 

103 

60 

Leasehold propertyRight of use  Plant andFixtures and Machines loanedand improvementsassetequipmentfittingsto customersTotal£'000£'000£'000£'000£'000£'000CostAt 1 January 2020180                        427                        478                   2                            1,570                         2,657              Exchange difference                             -                   -(2)                   -(51)(53)Additions                             -                   -3                                          -3                                6                     Transferred from inventory                             -                   -               -                   -7                                7                     At 31 December 2020180                        427                        479                   2                            1,529                         2,617              Exchange difference                             -                   --                       -                            10                              10                   Additions                             -                   -23                     -                            -                                23                   Transferred from inventory                             -                   --                       -                            10                              10                   At 31 December 2021180                        427                        502                   2                            1,549                         2,660              Accumulated depreciationAt 1 January 2020176                        107                        465                   2                            1,512                         2,262              Exchange difference                             -                   -(2)-                            (51)(53)Depreciation charge2                            48                          13                     -                            40                              103                 At 31 December 2020178                        155                        476                   2                            1,501                         2,312              Exchange difference                             --                             -                       -                            10                              10                   Depreciation charge2                            48                          7                       -                            17                              74                   At 31 December 2021180                        203                        483                   2                            1,528                         2,396              Net book valueAt 1 January 20204                            320                        13                     -                            58                              395                 At 31 December 20202                            272                        3                       -                            28                              305                 At 31 December 2021-                             224                        19                     -                            21                              264                  
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

13 

Intangible assets 

13.1  Accounting policy 

Expenditure on research and development is charged to profit or loss in the Consolidated SOCI in the year 
in which it is incurred. The exception to this being expenditure incurred in respect of the development of 
new products where the outcome of those projects is assessed as being reasonably certain for viability and 
technical feasibility and the costs incurred can be reliably measured. Such expenditure is capitalised and 
amortised over the estimated period of sale for each product, commencing in the year that sales of the 
product are first made. The Useful Economic Life (UEL) is assessed annually by the directors to reflect the 
pattern of benefits expected to flow from the intangible asset. As such, the amortisation period relates to a 
specific period to reflect the benefits, being between 6 and 10 years. The carrying amounts of intangible 
assets have been reviewed at the balance sheet date and the directors consider that there is no indication 
that those assets have suffered an impairment loss. 

Government grants are received for innovative research and development projects. The grants are 
recognised when there is reasonable assurance that the conditions of the grant will be complied with and 
that the grants will be received. Government grants are offset against the development costs to which they 
relate to. During the year to 31 December 2021, £77,000 (2020: £464,000) was recognised from 
government grants. 

The Group tests goodwill annually for impairment or more frequently if there are indications that goodwill 
might be impaired. Goodwill represents the goodwill that arose in 2013 on the acquisition of the trade and 
assets of Deltex Medical Canada Limited. The directors have tested goodwill for impairment based on the 
profitability and value in use, and consider the balance to be recoverable. 

13.2  Note 

Cost 

At 1 January 2020 

Amounts written off 

Additions 

At 31 December 2020 

Additions 

At 31 December 2021 

Accumulated amortisation 

At 1 January 2020 

Amounts written off 

Amortisation expense 

At 31 December 2020 

Amounts written off 

Amortisation expense 

At 31 December 2021 

Net book value 

At 1 January 2020 

At 31 December 2020 

At 31 December 2021 

Development 
costs 
£’000 

Goodwill 
£’000 

Total 
£’000 

3,770 

(222) 

165 

3,713 

621 

4,334 

1,185 

                                                           - 

                                                        40 

1,225 

- 

40 

1,265 

2,585 

2,488 

3,069 

61 

66 

- 

- 

66 

- 

66 

- 

- 

- 

- 

- 

- 

- 

66 

66 

66 

3,836 

(222) 

165 

3,779 

621 

4,400 

1,185 

            - 

           40 

1,225 

- 

          40       

1,265 

2,651 

2,554 

3,135 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

Amortisation expense of £40,000 (2020: £40,000) has been categorised as research and development 
expenditure in profit or loss in the Consolidated SOCI. 

Included within development costs are costs amounting to £2,273,000 (2020: £1,707,000) relating to the 
Group’s  new monitor development project. This amount has not been amortised as the project has not yet 
been completed. The Group also has an amount of £124,000 net book value (2020: £155,000) relating to 
the development of its high-definition impedance cardiography product which became available for sale in 
May 2017 and has been amortised from that date.  

Other individually material projects, all of which have not been amortised  as the projects are still in 
progress, are: 

Project description 

Suprasternal Doppler Probe 

TrueVue Velocity Pressure Loops 

2021 
£’000 

333 

216 

2020 
£’000 

308 

215 

The directors have carried out impairment reviews on the development projects which are still in progress 
as required by IAS 36 in respect of recoverable amounts and no impairment has been noted. 

14  Subsidiary undertakings 

Details of the Group’s subsidiary undertakings are set out below. In all cases, the direct holding is 100% of 
the  ordinary shares unless otherwise stated: 

Name 

Country of 
incorporation   
and place of 
business 

Deltex Medical Limited 
Deltex Medical, SC, Inc  USA 

UK 

Spain 

Deltex Medical Espana 
SL 
Deltex Medical Canada  Canada 
Limited 
Deltex Medical 
Holdings Inc 

USA 

Nature of trading activities 

Manufacture and marketing of medical devices 
Marketing and sales of medical devices in the 
USA 

Marketing and sales of medical devices in 
Spain 
Marketing and sales of medical devices in 
Canada 
Dormant 

Deltex Inc 

Deltex Medical Inc 

USA 

USA 

Dormant 

Dormant 

The registered addresses of the Group’s subsidiary undertakings are: 

Proportion 
of ordinary 
shares 
directly 
held by the 
parent 
% 

Proportion 
of shares 
held by 
non- 
controlling 
interests 
% 

100 
100 

100 

51 

100 

100 

100 

- 
- 

- 

49 

- 

- 

- 

Subsidiary undertaking 
Deltex Medical Limited 

Deltex Medical, SC, Inc 

Registered Address 
Terminus Road, Chichester, United Kingdom PO19 8TX 

330 East Coffee St., Greenville, South Carolina, USA 

Deltex Medical Holdings Inc 

330 East Coffee St., Greenville, South Carolina, USA 

Deltex Inc 

Deltex Medical Inc 

330 East Coffee St., Greenville, South Carolina, USA 

330 East Coffee St., Greenville, South Carolina, USA 

Deltex Medical Espana SL 

C/ del Mirador, 3A, 17250 Playa De Aro, Girona, Spain 

Deltex Medical Canada Limited 

Baine Johnston Centre, 10 Fort William Place, St John’s NL A1C 5W4, Canada 

62 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

Deltex Medical Canada Limited reported revenue of £7,000 (2020: £45,000), a profit of £1,000 (2020: 
£27,000) and net liabilities of £291,000 (2020: £287,000). 

15 

Inventories 

15.1  Accounting policy 

Inventories, including work in progress and finished goods, are stated at the lower of cost and net realisable 
value. Cost comprises direct materials and, where applicable, direct labour costs and those overheads that 
have been incurred in bringing the inventories to their present location and condition. Labour and overheads 
are allocated on the basis of normal operating capacity using standard rates. The standard labour and 
overhead rate are reviewed at each year end. Cost is calculated using the first in, first out  basis. 

Net realisable value represents the estimated selling price less all estimated costs of completion and costs to 
be incurred in marketing, selling and distribution.  

Provision is made for obsolete, slow-moving or defective items where appropriate. 

15.2  Note 

Raw materials and consumables 

Work in progress 

Finished goods 

2021 
£’000 

217 

24 

555 

796 

2020 
£’000 

289 

- 

606 

895 

There is a specific provision for slow-moving inventory of £21,000 (2020: £nil), which have been categorised 
as finished goods.  

16 

Trade and other receivables 

16.1  Accounting policy 

Trade receivables, which are the only financial assets at amortised cost, are non-interest bearing and 
generally have a 30 day term for sales made in the UK and the USA, and a 60 day term for sales made to 
other overseas customers. Due to their short maturities, the carrying amount of trade and other receivables 
is a reasonable approximation of their fair value. 

The carrying amount of trade receivables includes receivables which are subject to a secured invoice 
discounting  arrangement. Under this arrangement, the Group has transferred the relevant receivables to the 
invoice discounting organisation in exchange for cash and is prohibited from selling or pledging the 
receivables. However, the Group has retained late payment and credit risk. In the light of this, the Group 
continues to  recognise the transferred assets in their entirety in its balance sheet. 

The Group classifies its other financial assets at amortised cost. Based on prior experience and an 
assessment of the current economic environment, the Group do not consider an impairment provision is 
required against the financial assets at amortised cost and consider that the carrying amount of these is a 
reasonable approximation of their fair value. 

As required by IFRS 9, the Group applies the simplified approach to measuring impairment losses which 
uses lifetime expected loss allowance for all trade receivables and contract assets. 

63 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

16.2.  Note  

Trade receivables 

Trade receivables 

Less loss allowance 

Financial assets at amortised cost 

Staff advances 

Other receivables 

2021 
£’000 

455 

2020 
£’000 

576 

- 

             - 

455 

576 

2021 

2020 

Current  Non-current 

Current 

Non-current 

£’000 

£’000 

£’000 

£’000 

15 

- 

15 

- 

157 

157 

15 

- 

15 

- 

153 

153 

Other receivables generally arise from transactions outside the normal operating activities of the Group. 
The amount outstanding relates to a trade receivable due from the non-controlling interest in the Group’s 
Canadian subsidiary which is repayable on demand. However, the amount outstanding is expected to be 
recovered within  the next five to ten years depending on the amount of cash generated from sales made in 
the Canadian market and has, therefore, been classified as a non-current asset. 

Other current assets 

Sundry debtors 

Prepayments 

17 

Cash and cash equivalents 

17.1  Accounting policy 

2021 
£’000 

3 

88 

91 

2020 
£’000 

85 

37 

122 

For the purposes of the cash flow statement, cash and cash equivalents includes cash on hand and deposits 
held at call with financial institutions. 

17.2  Note 

Cash at bank 

18 

Financial liabilities 

18.1  Accounting policy 

The Group’s financial liabilities include borrowings, trade payables and other payables. 

64 

2021 
£’000 

413 

2020 
£’000 

853 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

Borrowings 
Borrowings are recognised initially at fair value, net of transaction costs incurred. Borrowings are 
subsequently stated at amortised cost; any difference between the proceeds (net of transaction costs) and 
the redemption value is recognised in profit or loss in the Consolidated SOCI over the period of the 
borrowing using the effective interest method. 

Compound financial instruments issued by the Group comprise convertible loan notes that can be converted 
to share capital at the option of the holder, and the number of shares to be issued does not vary with 
changes in their fair value. The liability component of a compound financial instrument is recognised initially 
at the fair value of a similar financial liability that does not have an equity conversion feature. 

The equity component is recognised initially as the difference between the fair value of the compound 
financial instrument as a whole and the fair value of the financial liability component. Any directly attributable 
transaction costs are allocated to the financial liability and equity components in proportion to their initial 
carrying amounts.  Subsequent to initial recognition, the financial liability component is measured at 
amortised cost using the effective interest method. The equity component of a compound financial 
instrument is not re-measured subsequent to initial recognition except on conversion or expiry. 

Where a non-substantial modification of a financial liability occurs, and the financial liability is not 
derecognised, the Group recalculates the amortised cost of the modified financial liability by discounting the 
modified contractual cash flows using the original effective interest rate and recognises any gain or loss in 
other gain or other costs in profit or loss in the Consolidated SOCI. 

Borrowings are removed from the balance sheet when the obligation specified in the contract is discharged, 
cancelled or expired. The difference between the carrying amount of the financial liability that has been 
extinguished or transferred to another party and the consideration paid, including any non-cash assets 
transferred or liabilities assumed, is recognised in profit or loss as other income or finance costs in the 
Consolidated SOCI. 

Borrowings are classified as current liabilities unless the Group has an unconditional right to defer settlement 
of the liability for at least 12 months after the balance sheet date. 

Trade payables and other payables 
These amounts represent liabilities for goods and services provided to the Group prior to the end of the 
financial  year which are unpaid. The amounts are unsecured and are usually paid within the agreed credit 
terms of the relevant party concerned. Trade payables and other payables are presented as current liabilities 
unless payment  is not due within 12 months after the end of the reporting period. They are recognised 
initially at their fair value and subsequently at amortised cost using the effective interest method. 

18.2  Note 

Borrowings 

Invoice discounting facility 

Standby loan facility 

Convertible loan note 

2021 

2020 

Current 

Non-current 

Current 

Non-current 

£’000 

£’000 

202 

500 

- 

702 

- 

- 

1,028 

1,028 

£’000 

159 

- 

- 

159 

£’000 

- 

- 

993 

993 

65 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

Invoice discounting facility 
The amount shown represents the cash drawn down under an invoice discounting facility; There was £nil 
undrawn amounts at the end of the year (2020: £nil). The amount outstanding under this facility is secured 
by  way of a fixed charge over the Group’s UK, USA and a proportion of the international trade receivables. 
Amounts drawn down under the facility are repayable from the end of the month of invoice. 

This is an ongoing facility and is separated into three accounts being Sterling, US$ and Euro currencies. 
The facility is subject to one month’s notice (2020: one month’s notice) on either side and is not subject to 
an annual review. 

Convertible loan note 
The maturity date of the convertible loan notes is February 2024, at a conversion price of 4p per share. 

The convertible loan note recognised in the Consolidated Balance Sheet is calculated as: 

Carrying amount at 1 January 2021 

Interest expense 

Interest paid 

Carrying amount at 31 December 2021 

Financial 
liability 
£’000 

Equity 
component 
£’000 

993 

123 

(88) 

1,028 

82 

- 

- 

82 

Total 
£’000 

1,075 

123 

(88) 

1,110 

The directors consider that the coupon payable of 8% on the convertible loan note continues to be at a 
market rate of interest and, therefore, the carrying amount approximates to its fair value. The effective rate of 
interest is 13.14% (2020: 13.14%). 

Standby loan facility 
In September 2021, a standby loan facility provided by Imperialise Limited, a company controlled by Nigel 
Keen, was put in place for £500,000. The interest rate on the facility is 8% per annum, and the facility is 
unsecured. In February 2022, the standby loan facility maturity was extended by 12 months to 31 December 
2023. 

Borrowings in foreign currencies 
The carrying amounts of the Group invoice discount facility borrowings are denominated in different 
currencies  and are subject to differing average effective interest rates. 

Sterling 

Euro 

US Dollar 

2021 

2020 

Rate 
% 

2.91 

2.75 

4.30 

Amount 
£’000 

60 

104 

38 

202 

Rate 
% 

3.17 

2.75 

4.93 

Amount 
£’000 

47 

80 

32 

159 

All other of the Group’s borrowings are at variable rates of interest other than the convertible loan note and 
standby loan facility as disclosed above. 

66 

 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

18.3.  Trade and other payables 

Trade payables 

Other payables 

Social security and other taxes 

Lease obligations 

Contract liabilities 

Employee short-term benefits 

Accrued expenses 

2021 

2020 

Current 

Non-current 

Current 

Non-current 

£’000 

£’000 

£’000 

£’000 

298 

259 

169 

46 

57 

41 

608 

1,478 

- 

- 

- 

228 

- 

- 

- 

228 

201 

249 

141 

41 

58 

30 

696 

1,416 

- 

- 

- 

274 

- 

- 

- 

274 

Included within other payables is an amount of £253,000 (2020: £249,000) which is payable to the non- 
controlling interest in the Group’s Canadian Subsidiary. This amount is expected to be settled in full over 
the   next 5 – 10 years depending on the amount of cash generated from sales made in the Canadian 
market. However, as the amount is repayable on demand it has been categorised as a current liability. 
The directors consider that the carrying amount of trade payables and other payables approximates to their 
fair value. 

19 

Leases 

19.1  Accounting policy 

At the inception of a contract, the Group assesses whether the contract is, or contains a lease. A contract 
is, or contains, a lease if the contract conveys the right to control the use of an identified asset. 

Leases are recognised as a right-of-use asset and a corresponding liability at the date at which the leased 
asset  is available for use by the Group. Each lease payment is allocated between the liability and finance 
cost. The finance cost is charged to profit or loss over the lease period so as to produce a constant periodic 
rate of interest on the remaining balance of the liability for each period. The right-of use asset is 
depreciated over the shorter of the asset's useful life and the lease term on a straight-line basis. 

Assets and liabilities arising from a lease are initially measured on a present value basis. Lease liabilities  
include the net present value of the following lease payments: 

fixed payments (including in-substance fixed payments), less any lease incentives receivable; 

• 
•  variable lease payments that are based on an index or a rate; 
•  amounts expected to be payable by the lessee under residual value guarantees; 
• 
•  payments of penalties for terminating the lease, if the lease term reflects the lessee exercising that 

the exercise price of a purchase option if the lessee is reasonably certain to exercise that option; and 

option. 

The lease payments are discounted using the interest rate implicit in the lease, if that rate can be 
determined, or the Group’s incremental borrowing rate. 

67 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

Right-of-use assets are measured at cost comprising the following: 

•  the amount of the initial measurement of lease liability; 
•  any lease payments made at or before the commencement date less any lease incentives received; 
•  any initial direct costs. 

Short-term leases 
The Group has elected not to recognise right-of-use assets and lease liabilities for short-term leases of 
machinery that have a lease term of 12 months or less and leases of low-value assets (being less than 
£5,000), including short-term office space. The Group recognises the lease payments associated with 
these leases as an expense on a straight-line basis over the lease term. 

19.2  Note 

Included within Property, plant and equipment is the net book amount of £224,000 (2020: £272,000) 
relating to  the right-of-use asset arising from the lease over the Group’s head office and factory in 
Chichester. Included within administration expenses in profit or loss in the Consolidated SOCI is an amount 
of £48,000 (2020: £48,000) relating to the depreciation expense of this asset and included within finance 
costs is an amount of £34,000 (2020: £43,000) relating to the finance charge on the related lease 
obligation. Included within administration expenses in profit or loss in the Consolidated SOCI is an amount 
of £18,000 (2020: £20,000)  relating to short term leases. 

Included within trade and other payables in the Consolidated Balance sheet are current lease obligations  
amounting to £46,000 (2020: £41,000) and non-current lease obligations amounting to £228,000 (2020: 
£274,000).  The non-current lease obligations are all due in 2 to 5 years. 

The total cash outflow for leases in the period was £75,000 (2020: £95,000). 

The table below shows the maturity analysis of the lease obligation using contractual undiscounted cash 
flows: 

Within 1 year 

Within 2 to 4 years 

More than 5 years 

20 

Provision for liabilities 

20.1  Accounting policy 

2021 
£’000 

75 

281 

- 

356 

2020 
£’000 

75 

300 

56 

431 

Provisions are recognised when the Group has a present legal or constructive obligation in respect of a 
past event and it is probable that settlement will be required of an amount that can be reliably estimated. 
Provisions  are measured at the present value of the expenditures expected to be required to settle the 
obligation using a pre-tax rate that reflects current market assessments of the time value of money and the 
risks specific to the obligation. 

The increase in the provision due to passage of time is recognised as an interest expense in profit or loss 
in the Consolidated SOCI. 

68 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

20.2  Note 

At 1 January 2020 

Unwinding of discounting 

At 1 January 2021 

Unwinding of discounting 

At 31 December 2021 

                               Dilapidation 

provision 
   £’000 

                                                          46 

5 

                                                          51 

6 

57 

Dilapidation provision 
Under the terms of the operating leases over land and buildings, predominantly in the UK, the Group has 
an obligation to return the property in a specified condition at the end of the lease. As the unexpired lease 
term is more than one year, the provision has been classified as a non-current liability. It is expected that 
the provision will be utilised within the next 10 years. The dilapidation provision has been discounted and 
the unwinding of the discounting is on an annual basis. 

21 

Share capital and share premium 

21.1  Accounting policy 

Ordinary shares are classified as equity. Incremental costs directly attributable to the issue of new shares or 
the exercise of share options are shown in equity as a deduction, net of tax, from the proceeds. 

21.2  Note 

At 1 January 2021 and 31 December 2021, the authorised share capital of the Company comprised  
6,568,546,210 ordinary shares with a nominal value of 1 penny each. 

The movement in the Company’s issued share capital is set out below: 

At 1 January 2020 

Share issues: 

              21 December 2020 

Share issue expenses 

              21 December 2020 

At 31 December 2020 

Share issues: 

                15 July 2021 

                22 July 2021 

Number of 
shares 
(thousands) 

Ordinary 
shares 
£’000 

Share 
premium 
£’000 

Total 
£’000 

524,869 

5,249 

33,230 

38,479 

52,422 

524 

217 

741 

- 

- 

(3) 

(3) 

577,291 

5,773 

33,444 

39,217 

6,282 

       63 

          47 

  110 

   1,371 

          13 

             11 

           24 

At 31 December 2021 

584,944 

5,849 

33,502 

39,351 

Net proceeds from the issue of shares totalled £134,000 (2020: £738,000), after expenses of £nil (2020: 
£3,000). Non-cash proceeds from the issue of shares to clear historical equity settled director fees totalled 
£134,000 (2020: £485,000). 

69 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

22 

Share-based payments 

22.1  Accounting policy 

The Group awards directors, employees and certain of the Group’s distributors and advisers equity-settled 
share- based payments, from time to time, on a discretionary basis. In accordance with IFRS 2 ‘Share-
based payments’, equity-settled share-based payments are measured at fair value at the time of grant. Fair 
value is measured by the use of a Black–Scholes option pricing model. Due to the specialist nature of the 
work performed by contractors, the Group is unable to reliably measure the fair value and therefore the fair 
value is measured using an option pricing model. 

The fair value determined at the grant date of the equity-settled share-based payments is expensed on a 
straight- line basis over the vesting period, based on the Group’s estimate of the number of shares that will 
eventually vest. The options are subject to vesting conditions of up to seven years, and their fair value is 
recognised as an expense with a corresponding increase in ‘other reserves’ in equity over the vesting 
period. The proceeds received net of any directly attributable transaction costs are credited to share capital 
(nominal value) and share premium when the options are exercised. At each balance sheet date, the entity 
revises its estimates of the number of options that are expected to vest. It recognises the impact of the 
revision to original estimates, if any, in profit or loss in the Consolidated SOCI, with a corresponding 
adjustment to equity. The fair value of the equity-settled share-based payment is recharged by the 
Company to the subsidiary operating company at fair value. The expense is, therefore, recognised in the 
subsidiary operating company, with the equity reserve being recognised in the Company. 

The expected volatility of the Company’s share price is based on the historic volatility (based on the 
remaining life  of the options), adjusted for any expected changes to future volatility due to publicly available 
information. 

22.2  Note 

The Group has two current share option schemes: 

• 
• 

Deltex Medical Group 2011 Executive Share Option Scheme (HMRC Approved Scheme); and 
Deltex Medical 2003 Enterprise Management Incentive plan (‘EMI’). 

Options granted under the Approved Share Option Scheme are valued at the market price on the date of 
grant. Options are conditional on the employee completing three years’ service (the vesting period). The 
options are exercisable starting three years from the grant date, subject to the Group achieving certain 
performance conditions; the options have a contractual term of ten years. The Group has no legal or 
constructive obligation to  repurchase or settle the options in cash. 

Options granted under the EMI scheme are either granted at 1p per option or at market price on the date of 
grant and are conditional on the employee completing three years’ service.  Options granted in lieu of cash 
for bonuses or salary obligations relating to past achievement have no vesting period. 

Options that are conditional on the employee completing three years’ service have a three year vesting 
period. The options have a contractual term of ten years. The Group has no legal or constructive obligation 
to repurchase or settle the options in cash.  

70 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

Details of share options outstanding during the year for the Group’s share option schemes are as follows: 

2011 Executive Share Option 
Scheme 

2003 Enterprise Management 
Incentive Scheme 

Number 
of 
options 
No. 

Weighted 
average 
exercise 
price 
p 

Number 
of 
options 
No. 

Weighted 
average 
exercise 
price 
p 

Total 
No. 

   10,384,000 

10 

10,760,788 

1 

21,144,788 

Options outstanding at  
1 January 2020 

Granted during the  year 

      5,000,000 

1      6,487,500                   1 

    11,487,500 

Lapsed during the  year 

     (1,342,250) 

   4                 - 

-      (1,342,250) 

Expired during the  year 

                     - 

-        (50,000) 

               1          (50,000) 

Options outstanding at 
31 December 2020 

Granted during the year 

14,041,750 

              7 

   17,198,288 

    1 

  31,240,038 

       - 

   -        14,500,000 

1       14,500,000 

Lapsed during the  year 

   (36,500) 

9 

(162,676) 

Expired during the  year 

                      (1,498,000) 

17 

  (70,471) 

1 

1 

(199,176) 

(1,568,471) 

Options outstanding at 
31 December 2021 

12,507,250 

6 

   31,465,141 

1 

43,972,391 

Share options exercisable at the end of the year were: 

2011 Executive Share Option 
Scheme 

2003 Enterprise Management 
Incentive Scheme 

Number 
of 
options 
No. 

Weighted 
average 
exercise 
price 
p 

Number 
of 
options 
No. 

Weighted 
average 
exercise 
price 
p 

Total 
No. 

   4,929,000 

     7 

  10,760,788 

1 

15,689,788 

9,041,750 

7 

     10,710,788 

           1 

19,752,538 

7,507,250 

12 

  10,627,641 

1 

18,134,891 

Options exercisable at 
1 January 2020 

Options exercisable at 
31 December 2020 

Options outstanding at 
31 December 2021 

There were no share options exercised during the year ended 31 December 2021 or the year ended 31 
December 2020. The mid-market closing price of the Company’s shares at the end of the year was 1.3 
pence (2020: 1.45 pence). 

71 

 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
                
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

Details of the remaining contractual life of share options outstanding for each of the share option schemes 
is  shown in the table below: 

2011 Executive Share Option 
Scheme 

2003 Enterprise Management 
Incentive Scheme 

Weighted average remaining contractual life 
of options outstanding at the end of the 
financial year 

2021 Years 

2020 Years 

2021 Years 

2020 Years 

6.04 

6.36 

8.25 

8.25 

Fair value of options granted 
Share options granted under the 2003 EMI scheme had an estimated weighted average fair value of 1.3 
pence (2020: 1.3 pence) and £42,057 (2020: £1,655) in aggregate. The fair value of a share option at grant 
date is determined using a Black Scholes option pricing model which takes into account the share price at 
date of grant and the expected price volatility of the underlying share, the exercise price of the option, the 
expected term of the option and the risk-free interest rate for the term of the option. 

The model inputs for the 2003 EMI scheme options granted during the year ended 31 December 2021 
were: 

April 2021 

April 2021  December 2020 

Share price at grant date 

Exercise price 

Expected price volatility of the Company’s shares 

Expected option life (expressed as weighted average life 
used in modelling) 

Risk-free interest rate 

1.8p 

1.0p 

65% 

3 years 

0.86% 

1.8p 

1.8p 

65% 

3 years 

0.86% 

1.3p 

1.3p 

66% 

3 years 

0.41% 

Fair value at measurement date 

1.4p 

1.3p 

0.9p 

No share options were granted under the 2011 ESOS scheme during the year ended 31 December 2021. 
Share options granted during the year ended 31 December 2020 had a fair value of 0.6 pence and £3,990 
in aggregate.  

The model inputs for the 2011 ESOS scheme options granted during the year ended 31 December 2020 
were: 

        Share price at grant date 

Exercise price 

Expected price volatility of the Company’s shares 

Expected option life (expressed as weighted average life 

used in modelling) 

Risk-free interest rate 

Fair value at measurement date 

July 2020 

1.3p           
1.3p 

66% 

           3 years 

                     0.15% 

                   0.6p 

72 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

Contractor options 
On 6 December 2021, 2,000,000 share options were granted to a contractor under the 2003 EMI scheme 
with an exercise price of 1.3 pence per share. The share options are exercisable from the grant date and 
may be exercised in part or in whole at any time during the exercise period. The option has an exercise 
period of 10 years from grant date. The vesting period has been recognised during the year in line with the 
contract of work being performed.  

On 15 July 2020, 4,000,000 share options were granted to two contractors under the 2003 EMI scheme 
with an exercise price of 1.3 pence per share. The share options are exercisable from the grant date and 
may be exercised in part or in whole at any time during the exercise period. The options have an exercise 
period of 10 years from grant date. The vesting period has been recognised over 3 years in line with the 
contract of work to be performed.  

A further option over 500,000 shares with an exercise price of 1.22 pence per share, exercisable from the 
date of  grant of 9 October 2018 also remain outstanding at 31 December 2021. The option has an exercise 
period of 10 years from grant date.  

These are the only outstanding options held by contractors. 

The share-based payment expense relating to the share options granted during the year had a fair value of 
0.7 pence per share and £14,679 in aggregate. 

73 

 
 
 
 
 
 
 
 
 
 
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3
  2

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

24 

Financial risk management 

The Group’s financial instruments comprise some cash and various items, such as trade receivables and 
trade payables that arise directly from its operations. It is, and has been throughout the period under 
review, the Group’s policy that no trading in financial instruments shall be undertaken. The Board reviews 
and agrees policies for managing liquidity risk, currency risk, credit risk, interest rate risk and capital risk. 
The policies have remained unchanged throughout the year. 

Liquidity risk 
The Group is managed to ensure that sufficient cash reserves and credit facilities are available to meet 
liquidity requirements. The Group has available to it an invoice discounting facility and a standby loan 
facility to supplement working capital needs. From time to time, additional funding is raised to allow the 
Group to invest in its strategic projects to develop the business in its chosen markets. Management 
monitors rolling forecasts of the Group’s liquidity reserves which comprise undrawn invoice discounting 
facilities, undrawn standby loan facilities and cash and cash equivalents  on the basis of expected cash 
flows. 

The table below analyses the Group’s financial liabilities into relevant maturity groupings based on their 
contractual maturities for all non-derivative financial liabilities. The amounts disclosed in the table are the  
contractual undiscounted cash flows. 

Less 
than 
1 year 
£’000 

Between 
1 and 2 
years 
£’000 

 202 

       - 

2021 

Between 
2 and 5 
years 

£’000 

      - 

Invoice discounting 
facility 

Convertible loan note     88 

   75 

 909 

    88 

    75 

       - 

 1,136 

 206 

     - 

2020 

Between 
5 and 10 
years 
£’000 

Less 
than 
1 year 
£’000 

Between 
1 and 2 
years 
£’000 

Between 
2 and 5 
years 
£’000 

Between 5 
and 10 
years 
£’000 

     - 

     - 

     - 

253 

159 

      - 

       - 

    - 

  88 

  75 

897 

    88 

    75 

      - 

1,224 

   225 

       - 

    - 

  56 

249 

 500 

       - 

     - 

     - 

     - 

      - 

       - 

    - 

1,774 

  163 

1,342 

253 

1,219 

163 

1,449 

305 

Lease obligations 

Trade and other 
payables 

Standby loan 
facility 

Currency risk 
The Group has overseas subsidiaries in the USA, Spain and Canada and as a result, the Group’s sterling 
balance  sheet can be affected by movements in the US Dollar, Euro and Canadian dollar exchange rates. 
The Group also has transactional currency exposures. Such exposures arise from sales and purchases 
by operating units in currencies other than the unit’s functional currency. In general, all overseas 
operating units trade and hold assets and liabilities in their functional currency. The Group does not 
engage in any hedging in respect of currency risks. 

75 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

The Group’s exposure to foreign currency risk at the end of the reporting period, expressed in sterling, 
was as    follows: 

Cash at bank 

Trade receivables 

Trade payables 

Invoice discount facility 

2021 

2020 

US 
Dollars 
£’000 

69 

101 

(43) 

- 

Euro 
£’000 

120 

176 

(13) 

(104) 

         US 

Dollars 
£’000 

158 

267 

(2) 

- 

Euro 
£’000 

108 

160 

                - 

(80) 

The table below details the Group’s sensitivities to changes in sterling against the respective foreign 
currencies. The sensitivities represent management’s assessment of the effect on monetary assets of the 
reasonably possible changes in foreign exchange rates. 

The sensitivities analyses of the Group’s exposure to foreign currency risk at the year-end has been 
determined based upon the assumption that the increase in Euro, US Dollar and Canadian Dollar exchange 
rates is effective  throughout the financial year and all other variables remain constant. 

However, these potential changes are hypothetical and actual foreign exchange rates may differ significantly 
depending on developments occurring in global financial markets. 

Sensitivity 
% 

5.0 

5.0 

2021 

Profit 
£’000 

11 

9 

Equity 
£’000 

Sensitivity 
% 

11 

9 

5.0 

5.0 

2020 

Profit 
£’000 

11 

29 

Equity 
£’000 

1 

29 

Euros 

US Dollar 

If the Euro strengthened against Sterling by 5% (2020: 5%), an aggregate foreign exchange gain of £11,000 
(2020: £11,000) would be recognised in both profit or loss in the Consolidated SOCI and equity comprising 
of gains on the trade payables and invoice discount facility, offset by exchange losses on cash at bank 
balances and  trade receivables. The opposite movement would occur if the Euro weakened. 

A similar fact pattern applies to the strengthening of the US dollar against sterling. 

Credit risk 
The Group is exposed to credit related losses in the event of non-performance by counter parties in 
connection with financial instruments. The Group takes actions to mitigate this exposure by ensuring 
adequate background on credit risk is known about counterparties prior to contracting with them and through 
selection of counterparties with suitable credit ratings. The Group monitors its exposure to credit risk on an 
ongoing basis. 

The Group is also exposed to credit related losses and territory specific credit risk in the event of non- 
performance by counterparties in connection with financial instruments. 

The Group uses international distributors in a number of overseas territories. In order to assist the 
distributors in developing their markets, these distributors may be given extended trade terms. Extended 
trade terms, by their nature can increase the credit risk to the Group. Such risks are carefully managed 
through direct relationships with the distributors and knowledge of their markets. The maximum credit risk 

76 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

exposure at the balance sheet date  is represented by the carrying value of financial assets and there are no 
significant concentrations of credit risk. 

The Group’s financial assets that are subject to the credit loss model are namely trade receivables from the 
sale of inventory and the provision of preventative planned maintenance contracts and other receivables. 

The level of expected credit losses on trade receivables is considered to be immaterial given the nature of 
the Group’s customer base. In the UK, USA and Canada, its customers are predominantly large hospitals. 
There have not been any  bad debts experienced during the year.  

Occasionally bad debts have been experienced in our International distributor-led market. However, as this 
market has been developed over many years, our network of independent distributors has remained 
relatively stable and consequently the expectation of incurring a credit loss is considered to be immaterial.  

There is no current credit loss provision as at 31 December 2021 (2020: £nil).  

Other receivables relate to a historic trade receivable balance owed by the non-controlling interest in Deltex 
Medical Canada Limited. Based on expectations of future trading, the expectation of incurring a credit loss is 
considered to be immaterial. 

While cash is subject to the impairment requirements of IFRS 9, no such impairment loss was identified 
either at 1 January 2021 or 31 December 2021. 

For banks and financial institutions, only independently rated parties with a minimum rating of ‘A’ are accepted. 
As at the date of signing the financial statements, all cash and cash equivalents are held with institutions with 
an ‘A’ rating as per Standard & Poors. 

The  maximum  credit  risk  exposure  at  the  balance  sheet  date  is  represented  by  the  carrying  value  of  the 
financial  assets and there are no significant concentrations of credit risk. 

Interest Rate Risk 
The Group has both interest-bearing assets and interest-bearing liabilities. The Group’s policy is to seek the 
highest possible return on interest-bearing assets without bearing significant credit risk, and to minimise the 
rate payable on interest-bearing liabilities. The Group places its cash balances on deposit at floating rates of 
interest. Surplus cash balances are placed on short-term deposit (less than three months). No interest rate 
swaps are used. Interest rate risk comprises both the interest rate price risk that results from borrowing at 
fixed rates of interest and also the interest cash flow risk that results from borrowing at variable rates. 

77 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

The Group has borrowings at both fixed and floating rates as shown below: 

Fixed rates: 

Lease obligations 

Convertible loan note 

Standby loan facility 

Floating rates 

Invoice discounting facility 

2021 
£’000 

2020 
£’000 

274 

1,028 

500 

1,802 

202 

2,004 

315 

993 

- 

1,308 

159 

1,467

The following table shows the Group’s sensitivity to a hypothetical change in interest rates throughout the 
year, with all other variables remaining constant: 

Sensitivity 
% 

2021 

Profit 
£’000 

0.5 

1.0 

0.5 

- 

- 

- 

Equity 
£’000 

Sensitivity 
% 

- 

- 

- 

0.5 

1.0 

0.5 

2020 

Profit 
£’000 

- 

- 

- 

Equity 
£’000 

- 

- 

- 

Euros 

US Dollar 

Sterling 

Capital risk 
The Group’s objectives when managing capital (ordinary shares) are to safeguard the Group’s ability to 
continue as a going concern in order to provide future returns to shareholders and benefits for other 
stakeholders and to maintain an optimal capital structure to reduce the cost of capital. 

Ordinary shares are classified as equity. The Board’s policy is to maintain a strong capital base so as to 
maintain investor, creditor and market confidence and to sustain future development of the business. The 
Board encourages employees to hold shares in the Company. This has been carried out through the 
Company’s various executive share option plans.  

The Board seeks to maintain a balance between the higher returns that might be possible with higher 
levels of borrowings and the advantages and security afforded by a sound capital position and discusses 
these at regular Board meetings. There were no changes to the Group’s approach to capital management 
during the year. 

The Group is not subject to any externally imposed capital requirements. 

78 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

25 

Related party transactions 

25.1  Key management compensation 

The Group has defined its key management personnel to be the Board of Directors. 

Short-term employee benefits 

Short term benefits paid to third parties 

Post-employment benefits 

Share-based payments 

25.2  Other transactions 

2021 
£’000 

445 

38 

10 

32 

525 

2020 
£’000 

413 

38 

13 

32 

496 

During the year, £40,000 (2020: £40,000) was paid to Imperialise Limited, a company controlled by Nigel 
Keen,  non-executive Chairman of the Group, that was due on its £500,000 nominal amount holding of the 
Convertible Loan Notes 2024. At 31 December 2021, £10,082 (2020: £10,055) was owing in respect of 
interest for the quarter ended 31 December 2021 (2020: Quarter ended 31 December 2020). 

At 31 December 2021, a further £4,252 (2020: £nil) was owing in respect of interest for the quarter ended 
31 December 2021 to Imperialise Limited, on its standby loan facility, which was set up in September 
2021. At 31 December 2021, the balance of the standby loan facility to Imperialise Limited was £500,000. 

26 

Capital and reserves 

Details of the movement in reserves are set out in the Statement of Changes in Equity. A description of 
each reserve is set out below: 

Name of reserve 

Capital redemption reserve 

Other reserve 

Translation reserve 

Convertible loan note reserve 

Nature and purpose 

This reserve represents the nominal value of ordinary shares 
that were repurchased and subsequently cancelled in 
December 2001. This reserve is non-distributable and 
represents paid up share capital.  

This reserve represents the reserve that is used to recognise 
the grant date fair value of options issued to employees but 
not yet exercised. On exercise, lapse or expiry, the amount 
relating to the options exercised is transferred to 
Accumulated Losses. 

Exchange differences arising on the translation of the foreign 
controlled entity are recognised in other comprehensive 
income in the Consolidated SOCI and accumulated in a 
separate reserve within equity. The cumulative amount is 
reclassified to profit or loss in the Consolidated SOCI when 
the net investment is disposed of. 

This reserve represents the residual value attributed to the 
equity conversion component at the time of issue of the 
Convertible loan notes. On conversion or  redemption, the 
amount relating to the principal amount either converted or 
redeemed is transferred to Accumulated Losses.  

79 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the consolidated financial statements 
for the year ended 31 December 2021 

27 

Subsequent events 

On 8 February 2022, the Group raised £1,396,000, before expenses, through subscription for 111,720,000 
new Deltex Medical ordinary shares at a price of 1.25 pence per share. 

Also on 8 February 2022, the standby loan facility which was set up on 20 September 2021, was extended 
for an additional year, and is repayable in full on or before 31 December 2023. As already noted, the facility 
is provided by Imperialise Limited, a company controlled by Nigel Keen. The interest rate remains 
unchanged on the facility at 8% per annum, and is unsecured. 

80 

 
 
 
 
 
 
Parent company balance sheet 
As at 31 December 2021 

Non-current assets 

Intangible assets - Goodwill 

Investments 

Trade and other receivables 
Total non-current assets 

Current assets 

Trade and other receivables 

Cash and cash equivalents 
Total current assets 

Current liabilities 

Trade and other payables 

Net current (liabilities)/assets 

Total assets less current liabilities 

Non-current liabilities 

Trade and other payables 

Net assets 

Equity 

Share capital 

Share premium 

Capital redemption reserve 

Other reserve 

Convertible loan note reserve 

Accumulated losses: 

At 1 January 

Loss for the year 

Transfers 

Accumulated losses 

Total equity 

Note 

4 

5 

6 

6 

7 

8 

2021 
£’000 

66 

4,200 

1,596 

5,862 

6 

- 

6 

(739) 

(733) 

5,129 

(1,028) 

4,101 

5,849 

33,502 

17,476 

573 

82 

(52,620) 

(788) 

27 

(53,381) 

4,101 

2020 
£’000 

66 

4,107 

1,431 

5,604 

46 

253 

299 

(250) 

                  49 

5,653 

(993) 

4,660 

5,773 

33,444 

17,476 

505 

82 

(50,078) 

(2,515) 

(27) 

(52,620) 

4,660 

The notes on pages 83 to 89 form an integral part of these financial statements. The financial statements on 
pages 81 to 82 were approved by the Board of Directors and authorised for issue on 6 April 2022 and were 
signed on its behalf by: 

Nigel Keen 

Chairman 

Natalie Wettler 

Group Finance Director 

81 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Parent company statement of changes in equity 
For the year ended 31 December 2021 

Share 
capital 

£’000 

5,249 

Share 
premium 
account 
£’000 

Capital 
redemption 
reserve 
£’000 

33,230 

17,476 

Other 
reserve 

£’000 

439 

Convertible 
loan note 
reserve 
£’000 

Accumulated 
losses 

£’000 

82 

(50,078) 

Total 

£’000 

6,398 

- 

- 

- 

- 

        524 

       217 

- 

- 

- 

            (3)  

- 
- 

- 

- 

- 
- 

- 
- 

- 

- 

- 
- 

39 

27 

5,773 

33,444 

17,476 

505 

- 

- 

76 

- 

- 

- 

- 

- 

58 

- 

- 

- 

- 

- 

- 

- 

- 

- 

5,849 

33,502 

17,476 

- 

- 

- 

- 

95 

  (27) 

573 

- 

- 

- 
- 

- 

- 

82 

- 

- 

- 

- 

- 

- 

(2,515) 

(2,515) 

(2,515) 

(2,515) 

- 
- 

- 

(27) 

      741 

(3) 

39 

- 

(52,620) 

    4,660 

(788) 

(788) 

(788) 

(788) 

- 

- 

- 

27 

134 

- 

 95 

- 

82 

(53,381) 

4,101 

Balance at 1 January 2020 

Comprehensive expense 

Loss for the year 

Total comprehensive 
expense for the year 

Shares issued during the 
year 

Issue expenses 

Equity-settled share-based 
payment 

Transfer 

Balance at 
31 December 2020 

Comprehensive expense 

Loss for the year 

Total comprehensive 
expense for the year 

Shares issued during the 
year 

Issue expenses 

Equity-settled share-based 
payment 

Transfers 

Balance at 

  31 December 2021 

The notes on pages 83 to 89 form an integral part of these financial statements. 

82 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
           
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the parent company financial statements 
For the year ended 31 December 2021 

1 

Principal accounting policies 

1.1  Basis of preparation 

These financial statements are the financial statements for Deltex Medical Group plc, the parent of the 
Deltex Medical Group, which operates as a Group holding company. It is a public company, limited by 
shares and is incorporated in England and Wales. It is listed on AIM of the London Stock Exchange. The 
financial statements have been prepared in accordance with Financial Reporting Standard 101, ‘Reduced 
Disclosure Framework’ (FRS 101). 

They have been prepared on the going concern basis under the historical cost convention and in accordance 
with the Companies Act 2006 as applicable to companies using FRS 101. The preparation of financial 
statements in conformity with FRS 101 requires the use of certain critical accounting estimates. It also 
requires management to exercise its judgement in the process of applying the Company’s accounting 
policies. The areas involving a higher degree of judgement or complexity, or areas where assumptions and 
estimates are significant to the financial statements are disclosed below. 

No income statement is presented by the Company as permitted by Section 408 of the Companies Act 2006. 

The following exemptions from the requirements of IFRS have been applied in the preparation of these 
financial statements, in accordance with FRS 101: 

▪ 

▪ 

▪ 

▪ 

▪ 

▪ 

▪ 

▪ 

The requirements of IFRS 7 ‘Financial Instruments: Disclosures’; 

The requirements of paragraphs 91-99 of IFRS 13, ‘Fair Value Measurement’; 

The requirement in paragraph 38 of IAS 1, ‘Presentation of Financial Statements’ to present 
comparative information in respect of: 

• 
• 
• 

paragraph 79(a)(iv) of IAS 1; 
paragraph 73(e) of IAS 16, ‘Property, Plant and Equipment’; and 
Paragraph 118(e) of IAS 38, ‘Intangible Assets’; 

The requirements of paragraphs 10(d), 10(f), 39(c) and 134-136 of IAS 1; 

The requirements of IAS 7, ‘Statement of Cash Flows’; 

The requirements of paragraphs 30 and 31 of IAS 8, ‘Accounting Policies, Changes in Accounting 
Estimates and Errors’; 

The requirements of paragraph 17 of IAS 24, ‘Related Party Disclosures’; and 

The requirements in IAS 24 to disclose related party transactions entered into between two or more 
members of a Group, provided that any subsidiary which is a party to the transaction is wholly owned 
by such a member. 

1.2 

Judgements and key sources of estimation uncertainty 

The Company has funded the trading activities of its principal subsidiaries by way of intra-group loans. The 

83 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the parent company financial statements 
For the year ended 31 December 2021 

amounts advanced did not have any specific terms relating to their repayment, were unsecured and were 
interest free. 

In light of the above, management have had to determine whether such loan balances should be 
accounted for as loans and receivables in accordance with IFRS 9, ‘Financial Instruments’, or whether, in 
fact, it represents an interest in a subsidiary which is outside the scope of IFRS 9 and accounted for in 
accordance with IAS 27, ‘Separate Financial Statements’. 

Management have concluded that, whilst in substance, the loans represent an interest in a subsidiary as  
the funding provided is considered to provide the subsidiary with a long term source of capital, in legal 
form, the loans are financial liabilities of the subsidiaries concerned. Therefore, the loans are accounted for 
in accordance with IFRS 9 and are carried at their amortised cost less any credit loss allowances, if any. 

The carrying amount of the loans are assessed for credit impairment and if considered to be credit impaired 
a credit loss provision is recognised. In determining whether a credit loss provision is required, 
management must determine whether there has been a significant change in the credit risk of the 
respective subsidiary. If there has, then management are required to recognise a lifetime credit loss. The  
key estimate is the determination of the probability of default and the loss given default under a range of 
scenarios, and the likelihood of each scenario and the relevant credit loss occurring. 

1.3  Significant accounting policies 

Investments 
Investments which comprise investments in share capital are stated at cost less any provisions for 
impairment in value. At each balance sheet date, the Company reviews the carrying amount of the 
investments to determine whether there is any indication that those assets have suffered an impairment  
loss. If any such indication exists, the recoverable amount of the asset is estimated to determine the extent 
of any impairment loss. The recoverable amount is the higher of the investment’s value in use and its fair 
value less costs to sell. Value in use is calculated using cash flow projections for the investments 
discounted at the Company’s cost of capital. 

If the recoverable amount of the investment is estimated to be less than its carrying amount, the carrying  
amount of the investment is reduced to its recoverable amount. An impairment loss is recognised in profit 
and loss in the Statement of Comprehensive Income (SOCI), unless the relevant investment is carried at  a 
revalued amount, in which case the impairment loss is treated as a revaluation decrease. 

Deferred taxation 
Deferred income tax is recognised on all temporary differences arising between the tax bases of assets 
and liabilities and their carrying amounts in the financial statements, with the exception of when the 
deferred tax liability arises from the initial recognition of goodwill or an asset or liability in a transaction that 
is not a business combination and, at the time of the transaction, affects neither the accounting profit  nor 
taxable profit or loss. 

Deferred income tax assets are recognised only to the extent that it is probable that taxable profit will be 
available against which the deductible temporary differences, carried forward tax credits or tax losses can  
be utilised. 

Deferred income tax assets and liabilities are measured on an undiscounted basis at the tax rates that are 
expected to apply when the related asset is realised or liability is settled, based on tax rates and laws 
enacted or substantively enacted at the balance sheet date. The carrying amount of deferred income tax  
assets is reviewed at each balance sheet date. Deferred income tax assets and liabilities are offset, only if 
a legally enforceable right exists to set off current tax assets against current tax liabilities, the deferred 
income taxes relate to the same taxation authority and that authority permits the Company to make a single 

84 

 
 
 
 
 
 
 
 
 
 
 
Notes to the parent company financial statements 
For the year ended 31 December 2021 

net payment. 

Foreign currency translation 
Foreign currency monetary assets and liabilities are translated into sterling at the rate of exchange ruling at 
the balance sheet date. Transactions in overseas currencies are translated at the rate of exchange ruling 
on the date of the transaction or at a contracted rate if applicable. Any gains or losses arising during the 
year have been dealt with in profit or loss in the SOCI. 

1.4  Share-based payments 

The Company awards directors, employees and certain of the Group’s distributors and advisors equity- 
settled share-based payments, from time to time, on a discretionary basis. In accordance with IFRS 2 
‘Share-based payments’, equity-settled share-based payments are measured at fair value at the time of 
grant. Fair value is measured by use of a Black-Scholes model. The fair value determined at the grant date 
of the equity-settled share-based payments is expensed on a straight-line basis over the vesting period, 
based on the Company’s estimate of the number of shares that will eventually vest. The options are subject 
to vesting conditions of up to six years, and their fair value is recognised as an expense with a  
corresponding increase in ‘other reserves’ equity over the vesting period. At each balance sheet date, the  
entity revises its estimates of the number of options that are expected to vest. 

It recognises the impact of the revision to original estimates, if any, in profit or loss in the SOCI with a 
corresponding adjustment to reserves. The proceeds received net of any directly attributable transaction 
costs are credited to share capital (nominal value) and share premium when the options are exercised. 

The fair value of the equity-settled share-based payment is recharged by the Company to the subsidiary  
operating company at fair value. The expense is therefore recognised in the subsidiary operating company, 
with the equity reserve being recognised in the Group company. 

Related party transactions 
The Company is the ultimate parent undertaking of the Deltex Medical Group plc and is therefore included 
in the consolidated financial statements of that Group, which are on pages 42 to 46 of the Report & 
Accounts 2021. 

Cash and cash equivalents 
Cash and cash equivalents includes cash in hand and deposits held with banks. 

Share capital 
Ordinary shares are classified as equity. Incremental costs directly attributable to the issue of new shares or 
options are shown in equity as a deduction, net of tax, from the proceeds. 

Terms of loans to subsidiaries 
The Company uses its cash to fund the operations of its subsidiaries until such a time that the subsidiaries 
are in a position to return the monies to Group. These loans are interest free and have no fixed repayment 
date, apart from a £3,000,000 10% fixed interest-bearing loan which is repayable on demand. Interest 
income is recognised using the effective interest method. The effective interest rate is the rate that exactly 
discounts estimated future cash payments to the gross carrying amount of the financial asset or the 
amortised cost of the financial liability. 

In calculating interest income, the effective interest rate is applied to the gross carrying amount of the 
financial asset when the asset is not judged to be credit impaired. If subsequent to initial recognition a 
financial asset becomes credit impaired, interest income is calculated by applying the effective interest  rate 
to the financial asset’s amortised cost. If the financial asset is no longer credit impaired, then the interest 

85 

 
 
 
 
 
 
 
 
 
 
 
 
Notes to the parent company financial statements 
For the year ended 31 December 2021 

calculation reverts to the gross basis. 

Compound financial instruments 
Compound financial instruments issued by the Company comprise convertible notes that can be converted 
to share capital at the option of the holder, or subject to certain conditions at the option of the  Company 
and the number of shares to be issued does not vary with changes in their fair value. The liability 
component of a compound financial instrument is recognised initially at the fair value of a similar  liability 
that does not have an equity conversion option. 

The equity component is recognised initially as the difference between the fair value of the compound 
financial instrument as a whole and the fair value of the liability component. Any directly attributable 
transaction costs are allocated to the liability and equity components in proportion to their initial carrying  
amounts. 

Subsequent to initial recognition, the liability component of a compound financial instrument is measured at 
amortised cost using the effective interest method. The equity component of a compound financial 
instrument is not re-measured subsequent to initial recognition except on conversion or expiry. 

Borrowings are classified as current liabilities unless the Company has an unconditional right to defer  
settlement of the liability for at least 12 months after the end of the reporting period. 

2 

Auditors’ remuneration 

The statutory audit fee in respect of the Parent Company’s financial statements payable to Nexia Smith & 
Williamson was £10,000 (2020: £10,000). 

Fees paid to the Company’s auditors, Nexia Smith & Williamson, for services other than the statutory audit 
are not disclosed in these financial statements because the consolidated group financial statements of the 
ultimate parent undertaking, Deltex Medical Group plc, disclose the non-audit fees on a consolidated basis. 

3 

Directors’ emoluments 

Aggregate emoluments 

Short term benefits paid to third parties 

2021 
£’000 

89 

33 

122 

2020 
£’000 

96 

33 

129 

There are no (2020: nil) benefits accruing to directors under personal pension plans. 

Included in the above figure are amounts payable to the employing company, Imperialise Limited, of 
£33,333 (2020: £33,333), for the services of a director. 

Remuneration, including Executive directors, is provided in the Directors’ remuneration report on pages  28 
to 32. 

All Executive directors in office at the year-end receive their emoluments from Deltex Medical Limited, a  
subsidiary undertaking of the Group. Except for financing activities, their services to the Company are 
incidental to their services to the Group as a whole. The average number of non-executive directors by 
function, categorised as administrative for both years, was 5 (2020: 5). None of the directors had contracts 
for service so the monthly average number of employees was nil (2020: nil). 

86 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the parent company financial statements 
For the year ended 31 December 2021 

4 

Intangible fixed assets – Goodwill 

This amount represents the goodwill that arose in 2013 on the acquisition of the trade and assets of Deltex 
Medical Canada Limited. The directors have tested goodwill for impairment based on the profitability and 
value in use, and consider the balance to be recoverable. Deltex Medical Canada  Limited reported a loss of 
£1,000 (2020: profit of £27,000). 

5 

Investments 

The directors consider that the carrying value of the investments is supported by their future cash 
flows. Details of the Company’s subsidiary undertakings are set out on page 62 of this Annual 
Report & Accounts. 

Cost 

At 1 January 2021 

At 31 December 2021 
Accumulated impairment 
At 1 January 2021 
Impairment (credit)/charge 

At 31 December 2021 

Net book amount 

At 31 December 2020 

At 31 December 2021 

Investments in 
subsidiary 
undertakings 
£’000 

45,601 

45,601 

41,494 
     (93) 
41,401 

4,107 
4,200 

The carrying value of investments in subsidiaries were compared to their recoverable amounts based on 
valuation in use calculations derived from management approved budgets and forecasts covering the 
three-year period ending 31 December 2024 (2020: three-year period ending 31 December 2023). A  
terminal value was calculated using the forecast cash flows for the year ended 31 December 2023 using  a 
long-term growth rate of 2.25% (2020: 2.25%). Forecast cash flows were discounted using a pre-tax 
discount rate of 20% (2020: 20%) which reflects the current market assessments of the time value of 
money and the risks specific to the Company. This impairment calculation resulted in an impairment credit 
of £93,000 (2020: impairment charge of £1,971,000) to be recognised in profit or loss in the Parent 
Company’s Statement of Comprehensive Income (SOCI). 

6 

Trade and other receivables 

In 2013, the Group reclassified £3,000,000 of the long-term investments by Group in Deltex Medical 
Limited as a long-term loan. This loan is being charged interest at a rate of 10% per annum, is unsecured 
and fell due for repayment on 1 January 2018. Since that time, the Parent Company has effectively rolled 
the loan forward on the existing terms except for the fact that the amount is now repayable on demand. 
However, the Company has no current intention of making a demand for payment for either this or any of 
the other intra-group loans that are outstanding. As a consequence, the  amounts falling due are classified 
as non-current assets. 

87 

 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the parent company financial statements 
For the year ended 31 December 2021 

Current 

Other receivables 

Non-current 

2021 
£’000 

2020 
£’000 

6 

6 

46 

46 

Amount owed by subsidiary undertaking 

1,596 

1,431 

On transition to IFRS 9, the Company determined that the historical intra-group loans that had previously  
been accounted for as part of the cost of investment in subsidiaries were credit impaired. It concluded that 
the term loan owed by Deltex Medical Limited was not. However, it was further concluded that that there 
had been a significant change in credit risk of that loan and, consequently, an expected life credit loss was 
recognised. 

The expected credit losses were determined based on different recovery options and credit loss scenarios. 
Three recovery options were considered which included full repayment of the balances outstanding, the 
possibility of a trade sale and the recovery through continued trading. The likelihood of each occurring was 
assessed together with the expected credit loss under each scenario. The expected  credit loss recognised 
represents the weighted average of the lifetime credit losses. The expected credit loss at 31 December 
2021 was £11,875,000 (31 December 2020: £10,572,000), an increase of £1,303,000  in the year, which 
has been recognised in profit or loss in the Parent Company’s SOCI. The gross balances outstanding at 31 
December 2021 were £13,471,000 (31 December 2020: £12,003,000). 

7 

Creditors: amounts falling due within one year 

Trade payables 

Accruals 

Standby loan facility 

8 

Creditors: amounts falling due after more than one year 

Convertible loan note 

9 

Share capital 

2021 
£’000 

80 

159 

500 

739 

2021 
£’000 

1,028 

2020 
£’000 

43 

207 

- 

250 

2020 
£’000 

993 

See notes 21 and 22 of the Consolidated Financial Statements for full details of the Company’s share 
capital and its share option schemes. 

88 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the parent company financial statements 
For the year ended 31 December 2021 

10 

Deferred tax 

The movement in deferred income tax assets and liabilities during the year, without taking into  
consideration the offsetting of balances within the same tax jurisdiction, is as follows: 

Deferred tax liabilities 

At 1 January 2020 

Credited to profit or loss in the SOCI 

At 31 December 2020 

Credited to profit or loss in the SOCI 

At 31 December 2021 

Deferred tax assets 

At 1 January 2020 

Foreign 
exchange 
£’000 

34 

(4) 

30 

(133) 

(103) 

Tax  losses 
£’000 

(34) 

Charged to profit or loss in the SOCI 

                                                         4 

At 31 December 2020 

Charged to profit or loss in the SOCI 

At 31 December 2021 

(30) 

133 

103 

Changes to the UK corporation tax rates were substantively enacted as part of the Finance Act 2021.  
These include increases to the UK corporation tax rate from 19% to 25% effective 1 April 2023. Deferred 
taxes at the balance sheet date have been measured using this substantively enacted rate. 

11 

Ultimate controlling party 

There are no shareholders with overall control of the Company as at 31 December 2021 or 31  December 
2020. 

12 

Related party transactions 

Exemption has been taken under FRS 101 paragraph 8(k) from disclosing related party transactions  
between the Company and its subsidiary undertakings and from paragraph 8(j) from disclosing key 
management compensation. The directors of Deltex Medical Group plc had no other material transactions, 
other than those disclosed in note 25, with the Company during the year, other than as a result of service 
agreements. Details of directors’ remuneration is disclosed in the Directors’ Remuneration Report. 

13 

Subsequent events 

On 8 February 2022, the Group raised £1,396,000, before expenses, through subscription for 111,720,000 
new Deltex Medical ordinary shares at a price of 1.25 pence per share. 

Also on 8 February 2022, the standby loan facility which was set up on 20 September 2021, was extended 
for an additional year, and is repayable in full on or before 31 December 2023. As already noted, the facility 
is provided by Imperialise Limited, a company controlled by Nigel Keen. The interest rate remains 
unchanged on the facility at 8% per annum, and is unsecured.

89 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notice of Annual General Meeting 

This Document is Important and requires your Immediate Attention. If you are 
in doubt  as to the  action you should take, you  are recommended immediately  to seek your own 
personal  financial  advice  from  your  stockbroker,  bank  manager,  solicitor,  accountant  or  other 
independent financial adviser authorised under the Financial Services and Markets Act 2000. If you 
have sold or otherwise transferred all of your shares in Deltex Medical Group plc, you should pass 
this  document,  the  accompanying  form  of  proxy  and  the  annual  report  and  accounts  of  Deltex 
Medical Group plc for the financial year ended 31 December 2021 without delay to the stockbroker, 
bank or other person who arranged the sale or transfer so they can pass these documents to the 
person  who  now  holds  the  shares.  This  document  should  be  read  in  conjunction  with  the 
accompanying Form of Proxy. 

DELTEX MEDICAL GROUP plc 

(Incorporated in England, registered number 03902905) 

NOTICE OF ANNUAL GENERAL MEETING 

Notice of an annual general meeting of Deltex Medical Group plc (the “Company”) to be held at the 
offices of DAC Beachcroft LLP, 25 Walbrook, London, EC4N 8AF at 11.00 am on 18 May 2022 (the 
“AGM”) is set out on pages 94 to 96 (inclusive) of this document. To be valid as a proxy in respect  
of the AGM, the form of proxy accompanying this document must be completed and returned in 
accordance with the instructions thereon so as to be received by the Company’s registrars, Equiniti, 
Aspect House, Spencer Road, Lancing, West Sussex BN99 6DA, not less than 48 hours before the 
time of the meeting or of any adjournment of the meeting. 

90 

 
 
 
 
 
 
 
 
 
 
Directors: 

Nigel Keen (Chairman) 
Andrew Mears 
Natalie Wettler 
Julian Cazalet 
Tim Irish 
Christopher Jones 
Mark Wippell 

6 April 2022 

To holders of ordinary shares of 1p each (“Ordinary Shares”) in the capital of Deltex Medical Group plc (the 
“Company”)  

Dear Shareholder 

Notice of Annual General Meeting of the Company (“AGM”) and annual accounts for the year ended 31 
December 2021 

I am pleased to send you details of arrangements for our annual general meeting, together with the annual 
accounts of the Company, which contain the reports of the directors and the auditors, for the year ended 31 
December 2021. 

The formal notice of the annual general meeting of the Company, which will take place at the offices of DAC 
Beachcroft LLP, 25 Walbrook, London, EC4N 8AF at 11:00am on 18 May 2022 (the “AGM”), is set out on pages 
94 to 96 (inclusive) of this document. 

Immediately following the AGM, Andy Mears, CEO, will provide a presentation related to a Company Update.  This 
will take place in the same location as the AGM. 

The purpose of this letter is to explain certain aspects of the business of the AGM to you. 

Resolution 1 - Receipt of audited financial statements 

Resolution 1 deals with the receipt of the directors’ and auditors’ reports and the accounts of the group for the 
financial year ended 31 December 2021 (the “Annual Report & Accounts 2021”). 

Resolutions 2, 3 and 4 - Re-election of directors 

Resolution 2 proposes the re-election of Julian Cazalet as a director; Resolution 3 proposes the re-election of 
Christopher Jones as a director; and Resolution 4 proposes the re-election of Natalie Wettler as a director. The 
Company’s articles of association (the “Articles”) require that at each annual general meeting one third of the 
directors (excluding directors being elected for the first time) must retire by rotation; accordingly, Julian Cazalet, 
Christopher Jones and Natalie Wettler offer themselves for re-election as proposed by resolutions 2, 3 and 4. 

Biographical details of Julian Cazalet, Christopher Jones and Natalie Wettler are set out on pages 13 and 14 of the 
Annual Report & Accounts 2021. The Board considers that the considerable experience that each of these 
directors bring will continue to be beneficial to the Company.  

Resolution 5 – Re-appointment of auditors 

Nexia Smith & Williamson have expressed their willingness to continue as the Company’s auditors. Resolution 5 
proposes their re-appointment and authorises the directors to determine their remuneration.  

91 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Resolution 6 – Power to allot and issue shares  

The directors are not permitted to allot new shares (or to grant rights over shares) unless authorised to do so by 
the shareholders of the Company. At the annual general meeting of the Company held on 27 May 2021 (the “2021 
AGM”), the directors were given authority to allot relevant securities up to a maximum aggregate nominal value of 
£3,848,602 (being two thirds of the then issued ordinary share capital of the Company). This authority expires at 
the conclusion of the AGM and the directors are seeking a fresh shareholder authority to allot relevant securities.  

Accordingly, it is proposed that the directors are given general authority to allot relevant securities up to an 
aggregate nominal value of £2,330,212 (being one-third of the issued ordinary share capital as at 31 March 2022) 
and in addition to allot relevant securities only in connection with a rights issue or open offer up to a further 
aggregate nominal value of £2,330,212. 

Accordingly, if this resolution is passed, the directors will have the authority in certain circumstances to allot new 
shares and other relevant securities up to a total aggregate nominal value of £4,660,424 representing an amount 
equal to two-thirds of the Company’s issued share capital as at 31 March 2022. Although the directors have no 
present intention of exercising this authority, the general authority to allot shares will provide flexibility for the 
Company to allot shares and to grant rights to subscribe for or to convert into shares when they consider it to be in 
the Company’s interests to do so.  

The authority, if granted, will expire on the earlier of the conclusion of the Company’s next annual general meeting 
after the passing of this resolution and 15 months from the date of passing this resolution. The Board intends to 
seek its renewal at subsequent annual general meetings of the Company. 

Resolution 7 – Disapplication of the statutory rights of pre-emption  

Section 561 of the Companies Act 2006 gives holders of equity securities (within the meaning of that Act) certain 
rights of pre-emption on the issue for cash of new equity securities (other than in connection with an employee 
share scheme). The directors believe that it is in the best interests of the shareholders that the directors should 
have limited authority to allot ordinary shares (or rights to convert into or subscribe for ordinary shares, or sell any 
ordinary shares which the Company elects to hold in treasury) for cash without first having to offer such shares to 
existing shareholders in proportion to their existing holdings.  

Resolution 7 proposes, in substitution for the powers that were granted to the directors at the 2021 AGM, that 
power be granted to allot securities for cash on a non-pre-emptive basis up to a maximum aggregate nominal 
value equal to £2,330,212 (representing approximately thirty-three per cent. of the nominal issued share capital of 
the Company as at 31 March 2022).  

The resolution also disapplies the pre-emption rights to the extent necessary to facilitate rights issues, open offers 
and similar transactions without having to follow the specific statutory procedures that would otherwise apply to 
such issues.  

The authority, if granted, will expire on the earlier of the conclusion of the Company’s next annual general meeting 
after the passing of this resolution and 15 months from the date of passing this resolution. The Board intends to 
seek its renewal at subsequent annual general meetings of the Company.  

Resolution 7 will be proposed as a special resolution. 

Action to be taken 

Your participation at the AGM is important to us. The AGM is a great opportunity for shareholders to communicate 
directly with us, express their views and to ask questions and we welcome your attendance. Whether or not you 
propose coming to the AGM and you want to vote on any of the resolutions you can do this in one of two ways: 

▪  Register your vote electronically by logging on to www.sharevote.co.uk: or 

▪  Complete and return the enclosed proxy form 

Proxy appointments, whether submitted electronically or by post, must be received by Equiniti by no later than 
11.00 am on 16 May 2022. Your attention is drawn to the notes on the enclosed form of proxy. 

92 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Recommendation 

Your directors believe that all the proposals to be considered at the AGM are in the best interests of the Company 
and its shareholders as a whole and recommend that shareholders vote in favour of the resolutions, as they intend 
to do in respect of their own beneficial shareholdings of 153,032,300 ordinary shares in aggregate, representing 
approximately 22 percent of the ordinary shares currently in issue.  

Yours sincerely  

Nigel Keen  

Chairman 

93 

 
 
 
 
 
 
 
 
 
 
 
 
DELTEX MEDICAL GROUP plc 

NOTICE OF ANNUAL GENERAL MEETING 

NOTICE is hereby given that the ANNUAL GENERAL MEETING of Deltex Medical Group plc will be held at the 
offices of DAC Beachcroft LLP, 25 Walbrook, London, EC4N 8AF at 11:00 am on 18 May 2022 to transact the 
following business: 

Ordinary Business 

As ordinary business, to consider and if thought fit pass the following resolutions, which will be proposed as 
ordinary resolutions: 

1.  To receive the Company’s audited financial statements for the year ended 31 December 2021, together with the 

reports of the directors and of the auditors thereon. 

2.  To re-elect as a director Julian Cazalet. 

3.  To re-elect as a director Christopher Jones. 

4.  To re-elect as a director Natalie Wettler. 

5.  To re-appoint Nexia Smith & Williamson as auditors of the Company to hold office until the conclusion of the next 

annual general meeting at which accounts are laid before the Company and that their remuneration be fixed by the 
directors. 

To transact any other ordinary business of the Company. 

Special Business 

As special business, to consider and if thought fit pass the following resolutions, of which resolution 6 will be 
proposed as an ordinary resolution and resolution 7 as a special resolution: 

6.  THAT, in accordance with section 551 of the Companies Act 2006 (the “Act”), the directors be generally and 

unconditionally authorised to allot Relevant Securities (as defined below): 

6.1.  comprising equity securities (as defined by section 560 of the Act) up to an aggregate nominal amount of  

£2,330,212 in connection with an offer of such securities by way of a rights issue or open offer 

(a)  to holders of ordinary shares in proportion (as nearly as may be practicable) to their respective holdings; 

and 

(b)  to holders of other equity securities as required by the rights of those securities or as the directors 

otherwise consider necessary,  

but subject to such exclusions or other arrangements as the directors may deem necessary or expedient in 
relation to treasury shares, fractional entitlements, record dates, legal or practical problems in or under the 
laws of any territory or the requirements of any regulatory body or stock exchange; and 

6.2.  in any other case, up to an aggregate nominal amount of £2,330,212, 

provided that this authority shall, unless renewed, varied or revoked by the Company, expire 15 months after 
the passing of this resolution or, if earlier, at the conclusion of the next annual general meeting of the 
Company after the passing of this resolution, save that the Company may, before such expiry, make offers or 
agreements which would or might require Relevant Securities to be allotted and the directors may allot 
Relevant Securities in pursuance of such offer or agreement notwithstanding that the authority conferred by 
this resolution has expired. This resolution revokes and replaces all unexercised authorities previously 
granted to the directors to allot Relevant Securities but without prejudice to any allotment of shares or grant of 
rights already made, offered or agreed to be made pursuant to such authorities. 

In this resolution, “Relevant Securities” means:  

(a) shares in the Company, other than shares allotted pursuant to: 

(i) an employee share scheme (as defined in section 1166 of the Act); 

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(ii) a right to subscribe for shares in the Company where the grant of the right itself constitutes a Relevant 
Security; or  

(iii) a right to convert securities into shares in the Company where the grant of the right itself constitutes a 
Relevant Security; and  

(b) any right to subscribe for or to convert any security into shares in the Company other than rights to 
subscribe for or convert any security into shares allotted pursuant to an employee share scheme (as defined 
in section 1166 of the Act).  

References to the allotment of Relevant Securities in this resolution include the grant of such rights. 

7.  THAT, subject to the passing of resolution 6, the directors be authorised to allot equity securities (as defined in 

section 560 of the Act) for cash under the authority conferred by that resolution and/or to sell ordinary shares held 
by the Company as treasury shares as if section 561 of the Act did not apply to any such allotment or sale, 
provided that such authority shall be limited to:  

(a) the allotment of equity securities in connection with an offer of equity securities (but, in the case of the authority 
granted under 6.1, by way of a rights issue or open offer only) 

(i) to the holders of ordinary shares in proportion (as nearly as may be practicable) to their respective holdings; 
and 

(ii) to holders of other equity securities as required by the rights of those securities or as the directors otherwise 
consider necessary,  

but subject to such exclusions or other arrangements as the directors may deem necessary or expedient in 
relation to treasury shares, fractional entitlements, record dates, legal or practical problems in or under the laws of 
any territory or the requirements of any regulatory body or stock exchange; and  

(b) the allotment of equity securities or sale of treasury shares (otherwise than pursuant to paragraph 7(a) of this 
resolution) to any person up to an aggregate nominal amount of £2,330,212. 

The authority granted by this resolution will expire 15 months after the passing of this resolution or, if earlier, at the 
conclusion of the next annual general meeting of the Company after the passing of this resolution, save that the 
Company may, before such expiry, make offers or agreements which would or might require equity securities to 
be allotted (or treasury shares to be sold) after the authority expires and the directors may allot equity securities 
(or sell treasury shares) in pursuance of any such offer or agreement as if the authority had not expired. This 
resolution revokes and replaces all unexercised powers previously granted to the directors to allot equity 
securities or sell treasury shares as if section 561 of the Act did not apply but without prejudice to any allotment of 
equity securities or sale of treasury shares already made or agreed to be made pursuant to such authorities. 

By order of the Board 

Natalie Wettler 

Company Secretary 

6 April 2022 

Registered office: 

Terminus Road 
Chichester PO19 8TX 

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Notes: 

Any member entitled to attend and vote at the annual general meeting is entitled to appoint one or more 
proxies (who need not be a member of the Company) to attend and to vote instead of the member. 
Completion and return of a form of proxy will not preclude a member from attending and voting at the 
meeting in person, should he or she subsequently decide to do so. In order to be valid, any form of proxy 
and power of attorney or other authority under which it is signed, or a notarially certified or office copy of 
such power or authority, must reach the Company’s registrars, to Equiniti, Aspect House, Spencer Road, 
Lancing, West Sussex, BN99 6DA, not less than 48 hours before the time of the meeting or of any 
adjournment of the meeting.  

Shareholders wishing to appoint a proxy and register their proxy votes electronically should visit the 
website, www.sharevote.co.uk. The on-screen instructions will give details on how to appoint a proxy and 
submit proxy voting instructions. Electronic proxy appointments and voting instructions must be received by 
no later than 11.00 am on 16 May 2022 (or 48 hours excluding non-working days before an adjourned 
meeting) in order to be valid. Shareholders may not use any other electronic address or telephone number, 
whether found in this circular and Notice of Meeting, or in the Annual Report & Accounts 2021 or on any 
form of proxy or the Company’s website, for the purposes of submitting voting instructions or appointing 
proxies. The only electronic address accepted for this stated purpose is the one at the website, 
www.sharevote.co.uk. 

To be entitled to attend and vote at the annual general meeting (and for the purpose of the determination 
by the Company of the votes they may cast), shareholders must be registered in the register of members of 
the Company at 6:30 pm on 16 May 2022 (or in the case of any adjournment, on the date which is forty-
eight hours before the time of the adjourned meeting). Changes to the register of members after the 
relevant deadline shall be disregarded in determining the rights of any person to attend and vote at the 
annual general meeting. A copy of this notice, within the Annual Report & Accounts 2021, can be found on 
the Company’s website, www.deltexmedical.com.  

Shareholders can, at no cost, obtain copies of the audited financial statements of the Company for the year 
ended 31 December 2021 and the directors’ and auditors’ reports on those financial statements by 
application to the Company Secretary at the registered office of the Company. Biographical details of each 
director who is being proposed for re-election by shareholders are set out in the Company’s annual report 
and accounts for the year ended 31 December 2021. To appoint a proxy or to give or amend an instruction 
to a previously appointed proxy via the CREST system, the CREST message must be received by the 
issuer’s agent, Equiniti (ID RA19), not later than 11.00 am on 16 May 2022 or, in the case of any 
adjournment, on the date which is forty-eight hours before the time of the adjourned meeting.  

For this purpose, the time of receipt will be taken to be the time (as determined by the timestamp applied to 
the message by the CREST Applications Host) from which the issuer’s agent is able to retrieve the 
message. After this time any change of instructions to a proxy appointed through CREST should be 
communicated to the proxy by other means. CREST Personal Members or other CREST sponsored 
members, and those CREST Members who have appointed voting service provider(s) should contact their 
CREST sponsor or voting service provider(s) for assistance with appointing proxies via CREST. For further 
information on CREST procedures, limitations and system timings please refer to the CREST Manual.  

We may treat as invalid a proxy appointment sent by CREST in the circumstances set out in Regulation 
35(5) (a) of the Uncertified Securities Regulations 2001. In any case your proxy form must be received by 
the Company’s registrars no later than 48 hours before the time of the meeting or of any adjourned meeting 
excluding any part of day that is not a working day.  

If you are an institutional investor you may be able to appoint a proxy electronically via the Proxymity 
platform, a process which has been agreed by the Company and approved by the Registrar. For further 
information regarding Proxymity, please go to www.proxymity.io. Your proxy must be lodged by 11:00 am 
on 16 May 2022 in order to be considered valid. Before you can appoint a proxy via this process you will 
need to have agreed to Proxymity’s associated terms and conditions. It is important that you read these 
carefully as you will be bound by them and they will govern the electronic appointment of your proxy. 

As at 31 March 2022, the Company’s issued share capital consists of 699,063,796 ordinary shares of 1p 
each, carrying one vote each. No shares are held in treasury. 

96