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Induction Healthcare Group PLC

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FY2021 Annual Report · Induction Healthcare Group PLC
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Making 
Healthcare 
Better, 
Anywhere

Annual Report  
& Accounts 2021

Induction Healthcare

Overview

Annual Report & Accounts 2021

Contents

Overview 

What we do 

Our Products 

Operations at a glance 

Strategic report 

Chair’s statement 

Joint CEO statement 

Financial review 

Structural Growth Drivers 

Our business model 

Key partnerships 

Case studies: Strategy in action  

Governance 

Directors Biographies 

Corporate responsibility 

Stakeholder engagement 

Principal risks and uncertainties 

Corporate Governance Report 

Remuneration Committee Report 

Audit Committee Report 

Nomination Committee Report 

Directors’ report 

Statement of Directors’ responsibilities 

Financial Statements 

Independent auditors’ report 

Consolidated Statement of Profit or Loss 

Consolidated Statement of  
Comprehensive Income 

Consolidated Statement of 
Financial Position

Consolidated Statement of 
Changes in Equity

Consolidated Statement of Cash Flows 

Notes (forming part of the financial  
statements)

Company Statement of 
Financial Position 

Company Statement of 
Changes in Equity

Company Cash Flow Statement 

Notes to the company  
financial statements

Additional Information 

Company Information 

Glossary 

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What we do

‘Digital transformation’ – it’s a priority of 
nearly all healthcare systems worldwide,  
and Induction makes popular software tools 
that are powering these changes at scale. 

We replace outdated modes of interaction between healthcare 
providers and their patients with a next generation digital healthcare 
toolkit – and we enable a new flexible future for healthcare. 

Our mission is to ‘make healthcare better, anywhere’. We alleviate 
operational burdens on hospital teams while saving them time, 
frustration and money. We allow clinical teams to share information, 
collaborate and navigate channels across disciplines. And we put 
patients in better control of their own healthcare management. With 
Induction tools, providers and patients can choose how and when they 
receive care, be it virtually, in-person or even via asynchronous text.  
We unchain staff and patients from the limitations of paper-based  
and desktop systems.

Our ability to relieve these operational burdens is driven by integrating 
our technologies into existing systems. This interoperability is at the 
heart of what we do, and it means that we can enhance legacy systems 
and existing investments that hospitals have in place while laying the 
foundation for their digitally transformed future. While each of our 
products addresses specific ‘pain points’ for hospitals and patients, 
these stakeholders benefit exponentially when our products are used 
comprehensively and collectively. 

Zesty Limited  
acquisition
8th June 2020

Apple Health 
Records
27th October 2020

Cerner partnership 
agreement signed
12th October 2020

March 
2020

 
 
 
 
Delivering the flexibility in healthcare 
that a post-pandemic world demands

An ambitious growth strategy – and transformational acquisitions

Induction has a focused ‘buy and build’ strategy, and the core of the  
business lies with engaging clinical users and the people they see and  
serve. We enhance our clinical user platforms by selective acquisitions  
in the patient and provider engagement space, creating a business that 
encourages user buy-in across all aspects of the healthcare market. 

In June 2020, Induction acquired Zesty 
Limited (Induction Zesty*). Induction Zesty 
has brought two important dimensions to 
Induction: patients and data.

It has built a patient portal for hospitals 
in the UK and a powerful data integration 
platform, allowing third party applications 
to read and write data to the majority of 
hospital electronic health record (EHR) 
systems. 

The use of Induction Switch’s* directory 
proved incredibly useful for many 
healthcare professionals, allowing them 
to easily access records and locate 
extensions, however the pandemic made 
it challenging for NHS providers to spare 
bandwidth for monetisation discussions 
on moving to paid licences. Despite this, 
Induction Guidance* and Induction Switch 
have provided hospital staff with workable 
solutions, allowing them to access 
information with ease during a time where 
human interaction and free movement 

throughout hospitals and healthcare 
centres was advised against. 

In June 2021 after the year end, Induction 
acquired Attend Anywhere Pty Ltd (Attend 
Anywhere), the UK market leader in 
secondary care video consultations that 
helps hospitals, health systems and other 
customers offer video consultations to 
patients and service providers as a normal 
part of day-to-day operations. With this 
recent acquisition, our promise of flexible 
care achieves scale across the UK. We 
envision a future in which healthcare 
providers determine when best to see 
patients and work with each other on 
a case-by-case basis, whether that be 
in-person, via video or on the telephone. 

Our products cover not only pre-
treatment patient support, from digital 
correspondence, appointment booking 
and remote data capture, but also the full 
range of in-person, telephone or live-video 
consultations. This helps hospitals provide 

Half year 
results
10th December 2020

Induction 
Zesty Royal 
Free contract 
announcement
13th January 2021

* 

 Refer to page 3 for description of products

Induction 
Switch 
multi-year 
contract
19th March 2021

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March 
2021

maximum flexibility as they shape the 
future of healthcare – responding to new 
professional and patient demands in the 
wake of a pandemic that fundamentally 
changed attitudes and behaviours about 
accessing care in new ways.

Acquisition 
of Attend 
Anywhere
9th June 2021

£25m 
fundraise 
completed
8th June 2021

1

Induction HealthcareAnnual Report & Accounts 2021OverviewOverview & Strategic Report 
 
 
 
 
 
 
Induction Healthcare

Overview

Annual Report & Accounts 2021

Our Products

Simple solutions that patients and clinical teams want to use

Induction Zesty

Induction Switch

Induction Guidance

176% growth in registered  
patients in FY21

57% growth in registered  
users in FY21

27% growth in registered 
users in FY21

31 March 2020

76,760

31 March 2020

138,095

31 March 2021

211,947

31 July 2021

305,074

31 March 2021

31 July 2021

216,635

239,901

31 March 2020

31 March 2021

31 July 2021

168,678

214,798

230,267

116,000
Users on the Royal Free 
(My RFL Care) portal since 
go-live in August 2020

15,459,000
Directory views in FY21 
(124% YOY growth) 

10,809,000
Guidelines page views in FY21 
(22% YOY growth) 

623,000
Digital letters delivered in the 
6 months to July 2021

3,349,000
Directory calls FY21 
(72% YOY growth)

4,000
Guidelines publications in 
FY21 (114% YOY growth)

2

Induction Switch
Induction Switch is the number one healthcare collaboration 
app in the UK, used by the majority of hospital doctors 
within the NHS. 

Induction Switch saves healthcare professionals time by 
allowing them to bypass the hospital’s switchboard, helping 
them locate extensions, return bleeps quickly or send instant 
and role-based messages in a secure environment. More than 
239,000 clinical staff across multiple territories, including the 
UK, Ireland, Australia and South Africa use Induction Switch.  It 
had 15.5 million directory views in FY21.

Induction Zesty
Induction Zesty is a software-as-a-service (SaaS) platform 
that acts as a digital front door for patients visiting hospitals. 

Our EPR integrated platform allows patients to book and 
access their appointments, read their clinical letters, store a 
copy of their clinical record, and provide data to their care 
teams remotely. More than 260,000 patients use the patient 
portal to manage their hospital care. It is not just a compelling 
patient experience, but also delivers significant cost benefits 
to hospitals.

Induction Zesty is contracted with several NHS Trusts across 
the UK, including The Royal Free London NHS Foundation 
Trust and Milton Keynes University Hospital NHS Trust, and its 
usage is on an upward trajectory. In March 2020, registered 
users of Induction Zesty had more than doubled from 32,000 
to 76,000 in one year. In the subsequent 18 months, Induction 
Zesty saw further rapid growth to reach more than 305,000 
users at the end of July 2021. With more than 700 new 
patient registrations daily, this number will continue its climb, 
especially as hospital activity returns to pre-pandemic levels.

Induction Guidance
Induction Guidance provides medical 
organisations, including most hospital 
trusts within the NHS, with the 
ability to collaboratively create, edit 
and publish their own local medical 
guidelines in a secure and locally 
administrated environment. 

Induction HealthStream
Induction HealthStream is a 
proprietary data integration platform 
that reads and writes patient 
demographic, appointment and 
clinical record data between a growing 
number of hospital EHR systems and 
the Induction platforms.

This increases knowledge of, and 
adherence to, guidance. Induction 
Guidance has been implemented in 
more than 145 healthcare environments 
in 14 countries ranging from the United 
States to Iceland and New Zealand. In 
the UK, Induction Guidance is live in 51% 
of NHS Trusts in England and has over 
230,000 users. It had 10.8 million page 
views in FY21.

This connectivity between stakeholders 
and legacy IT systems adds substantial 
value to pre-existing health IT 
investment and allows large-scale 
adoption of Induction app-based 
services, making it a key USP for the 
Company. Induction HealthStream 
currently covers 62% of Electronic 
Health Record systems used in  
England. 

Induction Attend 
Anywhere
Acquired post year end in June 2021, 
Induction Attend Anywhere helps 
hospitals, health systems and other 
customers offer video consultations to 
patients and service users as a normal 
part of day-to-day operations, making 
it simple, safe and secure to get the 
right care, in the right format and at the 
right frequency as determined by the 
provider and patient. 

This is the promise of flexible care, one 
that not only improves lives, but also 
helps address social, access, equity and 
sustainability challenges in healthcare 
and beyond. This promise was made 
evident during the pandemic, where 
Attend Anywhere delivered more than 
one million remote consultations in 
Scotland.

With Attend Anywhere, Induction offers 
an end-to-end platform; all the points 
on the patient pathway are covered 
by our platforms, with our SaaS model 
allowing us to implement and integrate 
our platforms seamlessly.

3

Induction HealthcareAnnual Report & Accounts 2021OverviewOverview & Strategic ReportUser engagement is critical in 
healthcare, and it forms a core part 
of our strategy. Platforms for patients 
have historically been poorly designed 
and tend to ignore the needs of older 
users, considering the average age 
of a hospital patient in the UK is 65. 
Comparatively, lack of engagement and 
active non-use is the common downfall 
of many platforms with clinical users. 

Our platforms are simple 
to use and their ability to 
integrate into pre-existing 
systems means they are 
flexible and favoured 
by clinical teams, who 
hold significant power 
within health provider 
organisations. 

The overall trend towards  
super-specialisation in healthcare 
is creating exponential degrees of 
difficulty in treating patients, and  
digital tools are the only viable  
solution to operate in this evolving 
environment. The NHS spends around 
£1bn on technology systems each  
year and the existing evidence of 
significant usage proves that our 
solutions are not only efficient, but  
they are also the preferred platforms  
of healthcare professionals. 

Operations at a glance

Meeting the needs of the marketplace

Our customers
Whilst our principal customers are the 
healthcare providers, we have two key 
sets of stakeholders (users); clinicians 
and patients, supported by access 
to data, often held in legacy hospital 
systems.

COVID-19 was a significant catalyst to 
the digital transformation of healthcare, 
a process that had begun long before 
the pandemic. As in other industries 
before it, change comes in waves. Wave 
1 was Electronic Patient Records (EPR), 
now used by most hospitals. Wave 2, 
which is well under way, involves the 
virtualisation of care, extending the 
capabilities of legacy systems and 
enhancing existing investments to 
allocate resources more efficiently. 
The system-wide pressure on cost, 
waiting lists and overall efficiency, 
which has been heightened as a result 
of the pandemic, is creating market 
urgency. Patients and providers enjoy 
digitally enabled flexibility in every 
aspect of their lives, especially in 
the management of their health, and 
our platforms enable secondary care 
systems (hospitals) to make healthcare 
better and more flexible for patients and 
healthcare professionals. 

More than 230,000 hospital 
clinicians across multiple 
territories, including the  
UK, Ireland, Australia and 
South Africa, have chosen 
Induction solutions. 

At present, we work with secondary 
care systems, but there is significant 
scope to extend our platform into 
primary (GPs, dentists and opticians) 
and community care. The acquisition 
of Attend Anywhere will also 
introduce private health providers 
into our network and we look forward 
to continuing to build on these 
relationships.

4

In October 2020, we signed a Value-
Added-Reseller agreement with the 
Cerner Corporation (NASDAQ: CERN) 
for Induction Zesty and Cerner to 
develop a joint patient engagement 
solution to help NHS trusts deliver 
an easier, quicker and more efficient 
service for patients. As part of the 
value-added reseller agreement, NHS 
Trusts that are already Cerner clients 
can access Induction Zesty’s market-
leading patient portal without an 
extensive procurement process. 

Our partnership efforts extend 
beyond Cerner, as we’re working with 
another large hospital EHR supplier, 
System C. With two shared clients 
already secured, we are partnering 
with System C to integrate Induction 
Zesty’s registration and appointment 
management functionality into their 
Careflow system. 

We have seen major new contract  
wins in the financial year to 31 March 
2021, including a multi-year contract 
with The Royal Free London NHS 
Foundation Trust (RFL), a Global Digital 
Exemplar and one of the largest and 
most respected hospitals in the UK. 
RFL used Induction Zesty to deliver 
their My RFL Care patient portal as the 
first phase of an ambitious roadmap to 
digitise patient services in the next two 
years. My RFL Care launched in August 
2020 and has had significant traction 
with more than 100,000 patients 
registering and using the service in the 
first few months and 200,000 patients 
expected to adopt the service in the 
first year.

Our user base
Our platforms are used regularly by 
over 230,000 clinical users and more 
than 180 Acute Trusts, as well as a 
rapidly growing number of more than 
305,000 UK patients. 

We are seeing adoption of our products 
across multiple territories, including the 
UK, Ireland, Australia and South Africa. 
As we grow our global footprint, we 
also seek to grow our scope beyond 
UK secondary care and into new local 
markets. We intend to make healthcare 
better, anywhere and for everyone. 

Induction HealthcareAnnual Report & Accounts 2021OverviewOur markets
Our platforms are contracted with more than 180 NHS 
secondary care Trusts in England, representing 80% of the 
Trusts in England. 

Post-acquisition of Attend Anywhere, we now have contracts 
in Scotland, Wales and the Republic of Ireland as well as in 
North America and Mexico for Induction Guidance. We plan 
to grow further internationally, building on the momentum 
for digital platforms that has resulted from the pandemic, as 
customers and healthcare professionals welcome flexibility in 
their healthcare options. 

Induction is also expanding its business at a regional 
level within the NHS and overseas, as the new Integrated 
Care Systems (ICS) gain momentum across England, with 
regionalised procurement that makes central budget 
available within all care settings. It’s a space in which 
Induction solutions are well positioned and can be utilised 
beyond secondary care with the intention of creating a 
complete ‘whole system’ platform. 

Current geographical footprint

London Office

Induction Zesty Live Country List

Induction Guidance Live Country List

Induction Switch Live Country List

Size of dots are representative  
of the number of existing users

Melbourne Office

5

Induction HealthcareAnnual Report & Accounts 2021OverviewOverview & Strategic ReportChair’s statement

A year of beginnings and solid progress

Chris 
Spencer

Despite the pandemic, Induction has had a  
strong year as the Company has continued to 
deliver on the objectives set out when it joined  
AIM in May 2019. In the financial year to  
31 March 2021, Induction has seen its first full year 
of revenues of £1.5m and an average increase of 
68% in users of Induction platforms. 

66

The fiscal year ended with a strong 
pipeline and solid order book  
as the Group saw an increase in 
patients and clinical users.  
Induction’s suite of SaaS tools have 
been established to combine to deliver 
a comprehensive virtual care platform 
and, while the Group has a continued 
focus on UK secondary care markets, it 
has the scope to further grow into new 
local markets and internationally. 

Key Achievements 
Following the acquisition of Zesty 
Limited in June 2020, in October 2020 
a strategic collaboration agreement 
was signed with Cerner Corporation in 
the UK and Ireland to jointly develop 
patient engagement solutions for NHS 
hospitals with Induction Zesty. Cerner 
is a leader in health care technology 
interoperability and a patient facing 
platform that represents the best of 
Induction Zesty and the best of Cerner 
presents a great solution for both 
existing and new Cerner customers. 
As part of the Cerner agreement, NHS 
Trusts that are already Cerner clients 
will also have access to the Company’s 
Induction Zesty patient portal under 
their existing contractual arrangements.

Following this, Induction Zesty 
collaborated with Apple and Cerner to 
support the roll out of “Health Records 
on iPhone” to patients at Milton Keynes 
University Hospital NHS Trust (MKUH), 
one of the first two NHS hospital trusts 
to launch this feature in the UK. As 
at the end of July 2021 over 94,000 
patients are registered at Milton Keynes 
to be able to access this functionality on 
their iPhones and the Group is looking 
forward to continuing the partnership 
with Apple, Cerner and many more 
hospitals in the UK so they can offer 
Health Records on iPhone to their 
patients.

Induction HealthcareAnnual Report & Accounts 2020OverviewInduction HealthcareAnnual Report & Accounts 2021Strategic Report£25mfundraise completed by 

the Group in June 2021  
(post year-end)

Outlook
Whilst the impact of COVID-19 has 
caused difficulties for the business 
in engaging with clients, it has also 
been a significant driver for uptake 
of Induction’s virtual care platforms 
and has brought to the foreground 
the momentum to digitally transform 
healthcare. 

The next financial year is an 
opportunity for Induction to 
help the NHS to deliver the 
benefits of this momentum. 

The flexibility and adaptability of 
Induction’s SaaS platforms and focus on 
evidence-based sales is driving growth 
in all areas of the business. Alongside 
this, the post year end acquisition of 
Attend Anywhere further enhances our 
combined product offering, increasing 
our attraction to investors and 
customers alike.

Chris Spencer
Chair 
22 September 2021

£1.5m

in revenue delivered 
in FY21

68%increase in user base 

across FY21

The Company has seen excellent 
commercial momentum with the 
NHS over the last twelve months 
including new contracts with Royal 
Free London, Sussex Community NHS 
Foundation Trust, and East & North 
Hertfordshire NHS Trust. Broader 
public sector contracts include the 
University of the West of England and 
South Gloucestershire Council, for the 
Induction Booking app to enable the 
booking of COVID-19 lateral flow tests. 

Sales momentum has 
accelerated in recent months 
for Induction Switch and 
in May 2021 we concluded 
a three-year contract with 
a London-based NHS 
Foundation Trust to support 
its 10,000 clinicians and 
staff. 

Post-year end the sales pipeline 
has continued to mature with three 
prominent hospitals across South 
East England, contracting to deploy 
Induction Zesty to deliver their digital 
patient portals. These contracts are 
worth a total of £440k with time periods 
that range between 12 to 20 months.

The acquisition of Attend Anywhere in 
June 2021 is pivotal for Induction going 
forward as it reinforces the Group’s 
already strong NHS footprint and brings  
£7.7m in annual contract value across 
183 NHS England Trusts, £2.1m in 
Scotland and £1.6m in Wales. 

People
Following our acquisition of Zesty 
Limited, on 8 June 2020, our Board 
was strengthened with the arrival 
of Andy Williams to the Board as a 
Non-Executive Director and James 
Balmain as joint CEO alongside Hugo 
Stephenson. 

After the year end, Chris Ryan, Attend 
Anywhere’s former CEO, joined the 
Company’s executive management 
team in June. We are delighted to 
welcome him as his expertise and 
industry knowledge  
will be instrumental to the Group’s 
business going forward. 

I would especially like to thank the 
entire Induction team for their incredible 
work over the last twelve months.  
The pandemic has been challenging 
for all and the Group could not have 
reached these significant milestones 
without the dedication and resilience  
of its employees. 

Strategy 
The Board has set an ambitious  
growth trajectory including international 
expansion, and a move beyond 
secondary care, to offer a more 
complete, ‘whole system’ platform. 
Induction’s M&A strategy will act as a 
rapid enabler for this.

Induction has continued to execute  
its “buy and build”’ strategy 
successfully, acquiring four businesses 
since its AIM IPO in May 2019 (Attend 
Anywhere post year-end), and 
considers itself well placed to hold a 
strong market position in a significant 
area of growth and investment.

77

Induction HealthcareAnnual Report & Accounts 2020OverviewInduction HealthcareAnnual Report & Accounts 2021Strategic ReportOverview & Strategic ReportJoint CEO statement

A strong strategic performance in 2021

James  
Balmain

Hugo Stephenson

The group has made solid progress in the last  
12 months, completing the acquisition of Zesty 
amidst the lockdown and laying the foundation 
during the latter months of FY21 for acquiring 
Attend Anywhere post-close. In the meantime, 
Induction’s core products going into the year – 
Induction Switch and Induction Guidance – have 
been greatly relied upon by clinical users during  
the COVID-19 pandemic. 

FY21 has been a challenging year for many businesses, particularly technology start-ups 
like Induction Healthcare. Throughout the year we have faced significant and unforeseeable 
business challenges as a result of the COVID-19 pandemic, including the heavy reliance of 
front-line clinical users on our core Induction Switch and Induction Guidance applications, 
while at the same time facing healthcare administrations naturally focused on emergent 
priorities and unable to spare bandwidth for monetisation discussions around Switch, or deep 
system integrations with Zesty – despite their ability to unlock future operational efficiencies. 
For many of our clients, hospitals and healthcare systems, FY21 was crisis unfolding in both 
slow motion and at warp speed. Despite these challenges, we ended the year having closed 
the acquisition of Zesty during a lockdown, as well as a value-added reseller agreement with 
Cerner Corporation, the first of its type for Cerner in the UK digital healthcare market. We also 
supported Apple in the launch of their Health Records on iPhone service at Milton Keynes 
hospital. This is the first time that secondary care health records have been available through 
patient Apple devices in the UK. 

For an organisation that began FY21 with an almost universally used but unmonetised app 
(Induction Switch), and the recent acquisition of MicroGuide (Induction Guidance) still early 
in its soon to be successful earn-out journey, Induction Healthcare enters FY22 as one of 

88

the leading providers of health IT across the 
UK, with a comprehensive toolkit – used 
at national scale across the secondary 
healthcare systems – enabling digital 
collaboration between healthcare providers, 
administrators and patients. 

Over the last quarter of the year, we 
made significant progress towards the 
acquisition of Attend Anywhere – a 
complex international transaction that was 
completed after year end. At the same time, 
we managed to roll out major new features 
to all our products with software teams 
working entirely remotely, and dealt with the 
challenges of completing major due diligence 
and team integration projects without ever 
being able to meet in person.

Even prior to the post-
year acquisition of Attend 
Anywhere, Induction 
ended FY21 with revenue 
growing to £1.5 million 
(FY20: £0.1 million), clinical 
users growing to 217,000 
(57% yoy) and registered 
patients growing to 
212,000 (176% yoy).

Induction Guidance remains prevalent in 
the clinical guidance market in the UK, with 
average monthly revenues increasing by 79% 
year on year. Our Induction Switch platform 
currently has more than 230,000 clinical 
users. While we made the decision to keep 
much of Induction Switch available free of 
charge during the pandemic, we have now 
commenced the monetisation journey for this 
platform with a three-year deal signed at the 
Royal Free London.

Landmark deployments of Induction Zesty 
at the Royal Free London and The Royal 
Wolverhampton in FY21 act as exemplar 
reference cases for the platform to the wider 
English NHS secondary care market. In a 
first-of-type regional outpatient transformation 
platform, Induction Zesty achieved preferred 
supplier status with the South West London 
integrated care system (ICS) in conjunction 
with our partner Cerner – allowing patients 
who visit any of the four acute or three 
community providers within the ICS to 
manage their care directly and access records, 
appointments and care pathway information 
through a single platform. Our integrated 
platform, currently in development, will also 

Induction HealthcareAnnual Report & Accounts 2020OverviewInduction HealthcareAnnual Report & Accounts 2021Strategic Reportdirectly onboard patients to telephone or 
video consultations via Attend Anywhere. 

The post year end acquisition of the video 
consultation platform Attend Anywhere is 
our most significant to date and establishes 
our promise of flexible care at a national 
scale across the UK. Our toolkit now enables 
providers to engage with other providers 
(Induction Switch), healthcare institutions 
to engage with their providers (Induction 
Guidance), patients to engage with their 
healthcare institutions (Induction Zesty), and 
– most importantly – patients to engage with 
healthcare providers (Attend Anywhere). We 
enter FY22 managing some of the most used 
tools in each of these domains. We now cover 
the complete secondary care patient pathway 
by offering pre-treatment patient support via 
digital correspondence, appointment booking 
and remote data capture, the full range of in-
person, telephone or live-video consultations 
and post treatment follow up support.

Attend Anywhere is  
a strongly accretive 
acquisition, delivering 
£10.4 million in revenues 
and £4.5 million in EBITDA 
in the year to 30 June 2021 
(unaudited).

Induction’s platforms are most effective 
and exciting when they are synergised as 
an end-to-end platform. Going forward, our 
‘Induction Anywhere’ solution will retain their 
flexibility as standalone tools, and create 
a new level of efficiency and value for our 
clients when they are used together. 

Strategic priorities for 

growth

•  Upsell in existing channels - 

Leveraging our significant UK 
contractual position post Attend 
Anywhere  to sell more  
into existing customers

•  Geographic expansion -  
Winning new customers  
in new territories

•  Complementary adjacent sectors - 

Selling into other public and private 
sector organisations

•  Accretive M&A - Further  

earnings enhancing acquisitions

Upsell in existing channels

Following the acquisition of Attend 
Anywhere, Induction is now contracted 
with over 80% of NHS Secondary trusts in 
England and holds national contracts  
in Scotland, Wales and the Republic  
of Ireland (ROI), enabling significant scope 
to support our customers with further group 
products. Whilst Induction Zesty has a key 
role to play in enhancing the provider benefit 
and patient experience of Attend Anywhere 

our Induction Switch and Induction Guidance 
products offer further benefits as we move 
forward with regional deals in line with the 
roll out of ICSs.

Complementary adjacent sectors

As health and social care become more 
tightly connected and regional funding is 
made available for healthcare providers, 
local authorities and national services need 
to support a more flexible approach to 
citizen engagement, our tried and tested 
national capability is a credible proposition 
for central payers. We are actively pursuing 
complementary sectors, whilst ensuring 
our relentless focus on excellent user 
experience.

Equally important is the shift towards regional 
patient engagement, regardless of care setting. 
We remain actively interested in opportunities 
to expand more directly into primary and 
community care, whilst retaining our market 
lead and expertise in secondary care.

We see expansion into new territories 
as a vital part of our medium-term 
strategy. Following the acquisition of 
Attend Anywhere, we now have a team in 
Melbourne, Australia and intend to launch 
Attend Anywhere in the Australian market 
in the coming months, generating revenues 
during FY23. 

Key partnerships, including our landmark 
Value-Added Reseller agreement with the 
Cerner Corporation, provide an exciting 
route to market. 

Accretive M&A

We continue to evaluate our global market 
for potential acquisitions. We’re most 
focused on targets that will accelerate our 
entry into new territories, whilst delivering 
EBITDA to the Group.

People
Despite the challenges of remote working, 
we’ve made great in-year and post year end 
progress in attracting top talent to Induction. 
Building a focused and highly skilled team is 
critical to our growth. Notable hires include 
a Group Chief Revenue Officer, Chief Legal 
and Admin Officer (with a core M&A skillset) 
and more recently a highly experienced 
Chief Technical Officer. 

We’re equally focused on developing talent 
and supporting our people to grow and 
excel in their roles, ensuring that incentives 
are aligned with shareholder value and our 
people are rewarded via stock options.

Operational execution
We’ve made good progress in building 
out our product, development, account 
management, customer success and sales 
teams. Induction will always be a Group with 
product at its core and we’ve taken huge 
steps forward in engaging with our customers 
and closing the loop on user feedback.

We’ve established our target operating 
model, successfully integrating our 
acquisitions into a group wide functional 

organisational structure, avoiding siloed 
teams by product line.

Critically, we’re working at pace to instil P&L 
accountability throughout the organisation – 
with a clear focus to reach EBITDA neutrality 
by the end of FY22, moving towards cash 
generation by the end of FY23. 

Diversity and inclusion

The global events of the last 12 months 
have reinforced our belief that a diverse 
and inclusive workforce are not just a social 
good, but a commercial advantage. Fair 
practices in hiring and talent development, 
as well as maintaining safe and supportive 
company cultures, are key to the Group’s 
success and the encouragement of diverse 
voices within it.

Climate and the Environment 

Digital tools and transformation are the basis 
of our products and we are in a privileged 
position to support our clients and champion 
positive change on sustainability and our 
environment. We will do this in four ways:

 •  ensure we continue to be the best 

corporate citizen we can possibly be; 

 •  ensure sustainability is at the heart of the 

workforce and how we operate; 

 •  influence customers to make sustainable 
choices whenever we do work for them; 
and 

 •  create new products that help our 

customers rethink their services for the 
challenges and opportunities ahead.

Outlook
The Global Virtual Healthcare Market  
is predicted to grow by 23.31% by 2025* 
and Induction is well placed to be a major 
competitor in this international space. The 
Company has strong sales momentum, 
recurring revenue, and a pipeline of orders 
with multi-year contracts, as well as proven 
ability to create value for healthcare systems  
at a regional and national level. 

In our view our current leading market position 
is due to Induction’s ability to work alongside 
existing systems. We can operate our 
platforms at scale without loss of functionality, 
efficiency or margin. The establishment of a 
scalable SaaS platform that provides value 
to all stakeholders - administrators, providers 
and patients - means that we help existing 
healthcare systems evolve to become what 
they want to be, rather than compete with 
these systems and disrupt what they do. 

As the COVID-19 pandemic 
recedes around the world, 
we are excited at the Group’s 
enviable position in the 
UK market and scope for 
significant global growth in 
the next 3-5 years.
* Global Virtual Healthcare Market, Cumulative 
Impact of COVID-19”, p31

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Induction HealthcareAnnual Report & Accounts 2020OverviewInduction HealthcareAnnual Report & Accounts 2021Strategic ReportOverview & Strategic ReportFinancial review

A solid financial performance, primed for growth

Revenue
For the year ended 31 March 2021, reported revenue increased to £1,513k (2020: £148k).

Reported revenue from Induction Guidance (Horizon Strategic Partners Limited) grew to £636k (2020: £148k representing 
5 months of revenue recognised post acquisition). The principal drivers for this growth have been upselling new product lines and 
the sale to the Mexico Better Health Programme in June 2020.

Reported revenue from Induction Zesty of £872k reflects just under 10 months of revenue recognised since the acquisition of Zesty 
Limited. Induction Zesty’s revenues were certainly impacted by COVID-19 as many of our existing and potential customers were 
understandably focused on initially treating acute patients and subsequently implementing the national vaccine.  On the other 
hand, COVID-19 has strongly demonstrated the need for our leading technology and, aligned with our Cerner partnership, we are 
confident of a stronger year to 31 March 2022.

Whilst Induction Switch has seen a continued increase in its user numbers and some sales traction post year end, reported 
revenues of £5k from Induction Switch in the year have not been as expected.  Whilst the Board sees great value in the user base 
and further monetisation, the Group’s short-term strategy is to focus attention and investment on higher value revenue streams 
which in turn are complemented and supported by the Induction Switch user base.  The impairment review noted that the carrying 
value of Induction Switch significantly exceeded the value in use calculation, which used cash flow projections over a five-year 
period. The Board therefore determined that the value of goodwill and intangible assets should be impaired by £1,366k (2020: £nil) 
(see note 17). 

United Kingdom
Europe
United States
Rest of World

31/03/2021 
£’000

31/03/2020 
£’000

1,342  
13
23
135
1,513

131
2
11
4
 148

Operating Costs
Administration costs have increased to £5,052k (2020: £2,330k). This mainly relates to an increase in headcount from the 
acquisition of Zesty Limited and a full year of trading post acquisition of Horizon Strategic Partners Limited in the prior year. The 
Group capitalises software development and hosting costs which depreciate over three to five years, resulting in capitalisation of 
£1,660k (2020: £761k).

Reported loss before tax for the year was £8,117k (2020: £3,527k).

Core performance measures
Core performance measures are alternative performance measures (APM) which are adjusted and non-IFRS measures. These 
measures cannot be derived directly from our consolidated financial statements. We believe that the following non-IFRS 
performance measures, when provided in combination with reported performance, will provide investors, analysts and other 
stakeholders with helpful complementary information to better understand our financial performance and our financial position 
from period to period. The measures are not substitutable for IFRS results and should not be considered superior to results 
presented in accordance with IFRS.

We considered the adjusting items, including explanations of why they were either not related to the performance of the business 
or impacted the comparability of the Group’s results year-on-year. We also reviewed the FRC’s guidance, and considered adjusting 
items used by the Group’s peers and have concluded that the appropriate disclosure of those items has been included.

1010

Induction HealthcareAnnual Report & Accounts 2020OverviewInduction HealthcareAnnual Report & Accounts 2021Strategic Report  
 
The Group incurred several exceptional items during the year as per the table below which shows adjusted operating loss before 
depreciation, amortisation, impairment and exceptional costs of £4,775k (2020: £2,736k).

Loss before tax
Add / (Less): Net finance expense / (income)
Add: Impairment losses
Add: Depreciation and amortisation

Operating loss before depreciation, amortisation and impairment
Adjusted for exceptional costs:
– IPO costs expensed1
– Acquisition related transaction costs2
– Fair value adjustments on contingent consideration and contract liabilities3

Adjusted Operating loss before, depreciation, amortisation, impairment and exceptional costs

31/03/2021 
£’000

31/03/2020 
£’000

(8,117)  
2
1,366
1,356
(5,393)  

–
375
243
(4,775)  

(3,527)  
(47)
–
324
(3,250)

281
150
83

(2,736)  

1. 

2. 

3. 

 The prior year saw £281k of IPO costs expensed through the Income Statement.  These costs have been excluded as they are non-recurring and do 
not relate to the underlying trading of the Group.

 These costs are directly attributable to business combinations and are excluded from underlying performance as they would not have been incurred 
had the business combination not occurred. They do not relate to the underlying trading of the Group and are added back to aid comparability of the 
Group’s profitability year-on-year.

 The unwinding of the discount on these liabilities and contingent consideration is also excluded from underlying performance on the basis that it is 
non-cash and the balance is driven by the Group’s assessment of the time value of money and this exclusion ensures comparability.

Cash
The Group’s cash position at 31 March 2021 was £2,472k (2020: £10,718). The operating cash outflow was focused on investment 
in our developers and products and ongoing AIM regulation costs, as we build the framework and foundations. Investment outlay 
of £3,652k (2020: £1,727k) includes a £1,500k earnout payment for Horizon Strategic Partners Limited and £1,660k for capitalised 
development costs. Financing cash outflows include the repayment of a third-party loan of £501k, which was repaid following the 
acquisition of Zesty Limited.

The Directors regularly monitor cash usage and forecast cashflows to ensure that the projected business needs are supported, 
and future acquisitions can be delivered as part of the overall strategy to grow the business.

Operating cash flows

Cash balance

31/03/2021 
£’000

31/03/2020 
£’000

(4,012)  
2,472 

(3,346)  
10,718 

Assets and Liabilities
Goodwill at 31 March 2021 of £9,373k (2020: £1,553k) and Intangibles of £5,884k (2020: £2,349k) are derived from two acquisitions, 
Zesty Limited during the year and Horizon Strategic Partners Limited in the prior year.

As previously noted, the carrying value of Induction Switch goodwill and intangible assets has been impaired by £1,366k. 

All transactions have been valued for accounting purposes by external consultants resulting in the investment being recognised 
between goodwill and intangible assets as per notes 17 and 18.

Goodwill
Intangible assets

31/03/2021 
£’000

31/03/2020 
£’000

 9,373
5,884 

 1,553
 2,349 

Post Balance Sheet Events
On 8 June 2021, the Company announced that it had raised £25 million through a placing of 35,714,285 new Ordinary Shares at a 
price of 70p per share (refer note 30). On the 9 June 2021, the Company announced the Completion of the acquisition of Attend 
Anywhere Pty Ltd for a cash consideration of £16.34 million, which included £0.79 million as payment for Attend Anywhere’s net 
assets at completion and the issue of 14,285,714 consideration shares (having a value equivalent to £10 million at the placing price).

The acquisition of Attend Anywhere Pty Ltd adds critical mass, transformational revenues but another profitable and cash 
generative business to the Group. Indeed, this acquisition combined with the share placing, has resulted in the Group’s cash 
reserves increase by £10 million. 

1111

Induction HealthcareAnnual Report & Accounts 2020OverviewInduction HealthcareAnnual Report & Accounts 2021Strategic ReportOverview & Strategic Report 
Annual Report & Accounts 2021

Structural Growth Drivers

Structural growth drivers that drive healthier societies 

There are several solutions for digital patient 
engagement in primary care, including  
telehealth platforms that employ providers  
to deliver care remotely. 

There is greater white space in secondary care, 
however, where cost savings are much larger.  
Our platforms present a huge opportunity to  
address inequalities across care systems, by  
making healthcare better and more accessible  
for all, as there are very few platforms across  
the healthcare system (working in primary,  
secondary and community care) that can be 
implemented at scale.

87.9%

of clinicians said Attend 
Anywhere (Near Me*) will 
be a valuable service 

We can operate  
our platforms at scale 
without compromising  
on functionality,  
efficiency or pricing

1212

* 

 Attend Anywhere brands its service 
offering in Scotland as Near Me

Induction HealthcareAnnual Report & Accounts 2020OverviewInduction HealthcareAnnual Report & Accounts 2021Strategic ReportAs healthcare advances in terms of treatment protocols, complexity rises.  
Just 20 years ago, cancer treatment was relatively uniform – and now,  
with personalised care, treatment is increasingly bespoke to the patient. This 
change is underway in most clinical specialties, and it demands multidisciplinary  
teams, from imaging to diagnostics, and joined up care all along the  
patient journey. Systems need to be equipped to give an overview  
of the care trajectory to clinical teams, patients and their carers.

Evolution vs revolution
We promise to be a partner in 
transformation, but also recognise  
that healthcare requires incremental 
and evidence-based adjustments  
vs an overall revolution that carries  
risk. We therefore seek to evolve  
and build on the pre-existing systems 
into which state and private health 
providers have already invested 
millions. Our solutions are therefore 
inherently empathetic, which is critical 
for adoption and user uptake. 

It is also a strategic choice for Induction. 
The provision of a high-margin SaaS 
platform (vs a platform that requires 
a clinical workforce) has commercial 
benefits that mean we complement  
and do not compete with existing 
healthcare providers. We can operate 
our platforms at a scale without 
compromising on functionality, 
efficiency or pricing – and that puts  
us in a leading position in the market. 

Primed for a post-
pandemic world 
Induction solutions became increasingly 
relevant during the pandemic, with 
Induction Switch helping to get the 
London Nightingale up and running 
and Induction Guidance providing 
antimicrobial guidance on COVID-19. 

Attend Anywhere helped Scottish 
patients see their healthcare providers 
when attending appointments was 
advised against and presented a risk of 
COVID-19 infection. What was originally 
a solution for a problem caused by 
the pandemic, has now become a fully 
integrated platform that has logistically 
benefitted patients and clinicians and 
will continue to be used going forward. 

But most importantly, as an insights-
driven organisation, we listened, 
learned and looked at the data. 

We refined offerings and strengthened 
relationships. Induction is ready  
for a post pandemic future, helping 
hospitals, and ultimately primary care, 
community care and mental health 
services move into a new future. 

We are rapidly becoming 
the solution of choice and  
the pandemic has been  
a perfect example of how 
our platforms are adaptable 
and able to make digital 
healthcare solutions better 
for patients and clinicians 
now and going forward in  
a post pandemic world. 

1313

Induction HealthcareAnnual Report & Accounts 2020OverviewInduction HealthcareAnnual Report & Accounts 2021Strategic ReportOverview & Strategic ReportFlexible Healthcare

Flexible healthcare delivered anywhere: The global market for virtual care 

The Global Virtual Healthcare Market  
is predicted to grow by 23.31%,* from  
US $2,785m in 2021 to US $7,944m 
in 2025, as the need for better and 
more flexible healthcare options have 
become a necessity due to behaviour 
and lifestyle changes for patient and 
provider, technological innovation 
and, of course, the impact of the 
pandemic.

Video is the fastest growing media 
in the virtual healthcare market and 
our acquisition of Attend Anywhere 
has brought us into this market, 
allowing us to offer a full and rounded 
platform offering that can be tailored 
to our customers’ needs. We’re also 
acutely aware that telephone-based 
consultations will remain and are 
investing in a next generation Voice 
over IP platform to complement the 
multi-national Attend Anywhere service.

Our acquisition of 
Attend Anywhere 
allows us to offer 
a full and rounded 
platform, tailored to 
our customers’ needs

Attend Anywhere

14
1414

*Source: Global Virtual Healthcare Market, Cumulative 
Impact of COVID-19”, p31

Induction HealthcareAnnual Report & Accounts 2020OverviewInduction HealthcareAnnual Report & Accounts 2021Strategic ReportThe NHS in England
As the NHS in England moves towards regional 
commissioning via new Integrated Care Systems, ICSs will 
procure regional digital solutions, using a newly created 
centralised budget. However, the needs of each hospital will 
be different, and the NHS requires flexible solutions that can 
operate in the majority of care settings. 

This is where a partnership with Induction comes into its own. 
The interoperability of our platforms can be used at a national 
scale without the need to implement a national programme, 
and we can work cohesively with each NHS trust individually, 
based on the needs of those hospitals. 

Induction’s first ICS client is South West London Health 
and Care Partnership (SWL) and, while signed before the 
acquisition, the strong presence of Attend Anywhere in this 
region has heightened the appetite for onboarding through 
Induction Zesty solutions across our client-base, using both 
platforms’ complementary capabilities to strengthen patient 
engagement.

Common health markets
Induction Group’s opportunity to expand draws the focus 
to markets that see the NHS as an exemplar health system, 
broadly including commonwealth markets e.g. Australia and 
New Zealand. The healthcare support that is provided 

nationally in the UK is unique and the ability to scale 
Induction Group’s products is something that the Group is 
looking to replicate.

15
1515

Induction HealthcareAnnual Report & Accounts 2020OverviewInduction HealthcareAnnual Report & Accounts 2021Strategic ReportOverview & Strategic ReportOur business model

Going for growth

We have an accretive M&A strategy, with four acquisitions completed since 
Induction’s IPO in 2019.  
We’re actively pursuing valuable partnerships, enabling a stronger go-to-market 
strategy, and working alongside large incumbent healthcare IT suppliers.

There is significant value in electronic 
patient record integrations, both 
financially and for efficiency. We are 
able to upsell our platforms individually 
from £50k average ARR to £300k+ for 
all Induction platforms. 

We also have the ability to consolidate 
platforms into one integrated 
‘anywhere’ platform, providing full 
flexibility for our customers on any  
side of a consultation. 

We are strongly pursuing our buy  
and build strategy and expect further 
M&A in the near future. 

Within the UK market, we are executing 
a defined upsell strategy which sets  
out to leverage existing contracts  
with health providers rather than sell 
to new sites which can be consuming 
of time and resources. Healthcare 
providers are often reluctant to 
switch software systems as there is 
anxiety about unknown systems and 
they are perceived to be expensive 
and notoriously difficult to manage 
alongside pre-existing systems. 

The ability to integrate our platforms 
with pre-existing systems is the reason 
we have been able to work with so 
many NHS trusts, and the upsell 
focus of our sales team powers these 
additional contracts. 

1616

Induction HealthcareAnnual Report & Accounts 2020OverviewInduction HealthcareAnnual Report & Accounts 2021Strategic ReportKey partnerships

Creating value in collaboration

In October 2020, we signed a Value-Added Reseller agreement with the 
Cerner Corporation, a global healthcare technology company.  

It is a landmark moment for Induction 
Zesty to be selected by Cerner and 
together, our organisations will provide 
staff and patients with world class 
digital tools to manage their care  
and operate more efficiently in the 
current environment of rapidly  
changing and unfamiliar conditions.  
The prospect of a patient facing 
platform that represents the best  
of Zesty and the best of Cerner is  
game-changing for both existing  
and new Cerner customers.

Cerner is working with Induction Zesty 
to develop a joint patient engagement 
solution to help NHS trusts deliver 
an easier, quicker and more efficient 
service for patients. 

In our view, this collaboration 
represents the best of Induction Zesty 
and the best of Cerner – Induction 
Zesty’s market leading front-end and 
high patient usage, with Cerner’s back-
end integration into their EHR Cerner 
Millennium and their population health 
platform, Healthelife. As part of  
the value-added reseller agreement, 
NHS Trusts that are already Cerner 
clients can access Induction Zesty’s 
patient portal without  
a protracted procurement process.

Also in late 2020, the Induction Zesty  
team embarked on a project alongside 
Apple and Cerner to provide patient 
access to health records on iOS 
devices. This helped to create a  
direct, encrypted connection between 
medical institutions and patient’s 
iPhones, empowering patients and 
powering efficiency and decision-
making at a clinical level.

1717

Induction HealthcareAnnual Report & Accounts 2020OverviewInduction HealthcareAnnual Report & Accounts 2021Strategic ReportOverview & Strategic ReportCase studies:

Strategy in action

Becoming the ubiquitous digital transformation partner at The Royal 
Free London

The Royal Free London NHS Foundation Trust (RFL) is a large acute 
teaching trust consisting of three main hospitals: Royal Free, Barnet and 
Chase Farm. Seeing 1,600,000 patients per year and with a staff base of 
around 10,000, it is one of the largest trusts in the UK. 

Named as a Global Digital Exemplar 
(GDE) by NHS England in 2016, RFL’s 
long term vision is to be Europe’s 
best healthcare group by bringing the 
best of the NHS to every patient. This 
is underpinned by a digital strategy 
where the ambition is to become 
virtual by default. 

•  Attend Anywhere is ubiquitous for 

virtual clinics and telemedicine

These adoption figures have been 
impressive, but only represent the tip  
of the iceberg for the collaboration 
between Induction and Royal Free. 
There are product roadmaps formed 
around each solution, and they include:

Helping to deliver this digital 
strategy, Induction products are in 
ever increasing usage across the 
organisation with Induction Zesty, 
Induction Switch, Induction Guidance 
and Attend Anywhere all deployed 
and underpinned by Induction 
HealthStream. 

•  Launching in August 2020, the My 

RFL Care patient portal, powered by 
Induction Zesty, has seen its userbase 
grow to over 116,000 registered 
patients in the 12 months to 31 July 
2021, empowering the patient cohort 
with greater control over their health 
care management than ever before

•  Induction Switch now has over  

5,200 monthly active users (of a  
total of 6,100 clinical staff) where  
the directory has been accessed  
over 355,000 times in the financial 
year ended 31 March 2021. This 
represents a growth of  
35% in the user base and a 78% 
increase on usage against the 
previous 12 months

•  Induction Guidance currently 

averages over 15,000 page views  
a month

•  Leveraging the Induction Zesty 
adoption rate into a broader 
communications platform

•  The introduction of Apple Health 
records for iPhone users, to give 
patients deeper engagement than 
ever before

•  Using Induction Switch to allow 

clinical staff to freely engage and 
collaborate with each other without 
RFL footing the bill for infrastructure 
and device hardware 

•  Making Induction Guidance 

critical within an organisation that 
is continuing to grow and has a 
requirement to rationalise standard 
procedures both clinical and 
operational

•  And now, with Attend Anywhere 

enhanced by HealthStream,  
providing seamless integration 
with the EPR and simplifying  
workflows for clinicians and  
access for patients

181818

At Induction we  
proudly celebrate 
our early successes 
alongside the Royal 
Free while relishing the 
roadmap with a client 
whose aspirations  
are only matched by  
our own.

78%increase on usage of 

Induction Switch

35%increase in the user base 

of Induction Switch

Induction HealthcareAnnual Report & Accounts 2020OverviewInduction HealthcareAnnual Report & Accounts 2021Strategic ReportMaking life easier for teams under pressure with Induction Switch

 •  Before the introduction of Induction 

Switch, all respondents had 
experienced difficulties with referring 
to a Clinical specialty and 96% felt 
they were wasting time doing so.

 •  Most (87.5%) doctors had difficulties 
with accessing laboratory results and 
all respondents expressed difficulty 
accessing clinical guidelines.

 •  Following proper use of Induction 

Switch’s mobile-enabled guidelines, 
the survey demonstrated clear 
benefits for clinicians:

 •  Issues accessing information were 
eliminated (0% reported) following 
mobile intervention.

 •  After one month of use, problems 

finding guidelines dropped to 15.4% 
and difficulty locating investigation 
request forms fell to 14.3%.

 •  Significantly, all (100%) respondents 

reported that the availability of 
resources on their mobile saved time.

The results emphasise the successful 
utilisation of mobile technology 
for clinical guidelines accessibility, 
providing doctors with easy-to-access 
resources, support and guidance during 
periods of transition.

The University Hospital Wishaw is part 
of NHS Lanarkshire and serves a local 
population of 250,000. As a small 
district general hospital, many specialty 
facilities and requests are not available 
on site, so staff must outsource them 
to neighbouring hospitals. Additionally, 
clinical guidelines are difficult to access 
as they are not easily located locally.

Such complications become 
increasingly challenging at the 
beginning of each year, when the 
annual, national changeover of doctors 
in August combines with the rotation 
of junior doctors through specialties, 
which happens every four to six 
months.

Junior doctors starting in new hospitals 
can face particular difficulty as there is 
an extensive volume of hospital-specific 
information to be learned and retained 
quickly. With no set procedures for the 
orientation of new doctors, knowledge 
acquired in previous rotations is often 
lost at changeover.

To tackle these issues, hospital staff 
adopted Induction Switch, allowing 
them to post newly created tutorial 
guidelines for junior doctors and have 
better visibility on the general day-to-
day operations of the hospital. They 
sought to measure its impact with a pre- 
and post-adoption survey, in which 50% 
of junior doctors at University Wishaw 
Hospital participated.

“Working on the frontline at hospitals, we are able 
to see how and where precious time and energy is 
being lost. We identified Induction Switch as a tool 
that could help solve these issues and were pleased 
to see its positive impact for the doctors in our 
hospital.”

Co-author, Dr Jennie Cathcart of University Wishaw Hospital:

“Creating more than a directory: improving handover of information by renovating the Induction app for University 
Hospital Wishaw” via https://bmjopenquality.bmj.com/content/9/4/e000970.

1919

Induction HealthcareAnnual Report & Accounts 2020OverviewInduction HealthcareAnnual Report & Accounts 2021Strategic ReportOverview & Strategic Report27,500

Documents migrated on  
to the MicroGuide platform  
are accessed over 27,500 
times each month

Case studies:

Strategy in action

Providing Guidance and more to Salisbury

Salisbury NHS Foundation Trust provides a wide 
range of clinical care, including general acute and 
emergency services, to approximately 225,000 
people across Wiltshire, Dorset and Hampshire.

The Trust also provides specialist 
care, such as plastic surgery and 
rehabilitation to a wider population of 
three million people and the Duke of 
Cornwall Spinal Treatment Centre in 
Salisbury provides services to most 
of Southern England, covering a 
population of around 11 million.

Induction was approached by Salisbury 
as they had heard that several local 
NHS Trust Hospitals were using 
Induction Guidance to distribute clinical 
guidelines to their doctors and nurses 
via a mobile app. The Trust also wanted 
to use Induction Guidance to manage 
the Trust’s Policies and Procedures as it 
would allow them to make a wide range 
of content available digitally within a 
single system in a consistent manner. 
After further discussions, it became 
clear Salisbury could use the Induction 
Guidance platform to manage and 
distribute patient information. 

In 2020, we completed the project  
plan to migrate existing content  
from disparate systems on to 
the Induction Guidance Content 
Management System.

The Trust has now migrated over  
1,000 Patient Information Leaflets 
covering over 40 different medical 
conditions, such as Diabetes, Surgery, 
Ear, Nose & Throat, Plastic Surgery and 
Mental Health. All this information is 
available to outpatients in real-time via 
the Salisbury myInformation Mobile App.

In addition, the Trust has migrated 
hundreds of clinical guidelines and non-
clinical policies on to the MicroGuide  
platform, all of which can be  
accessed by Salisbury staff via the 
MicroGuide Mobile App or on the 
Trust’s Intranet. These are accessed 
over 27,500 times each month.

“ Induction Guidance has quickly 
become the one-stop shop for 
everything clinical and non-clinical 
in my organisation.  Its ease of use 
and the online training available 
means that staff are engaged 
and actively keeping their pages 
current.” 

    Katrina Glaister, Head of Patient Experience  

at Salisbury NHS Foundation Trust

2020

Induction HealthcareAnnual Report & Accounts 2020OverviewInduction HealthcareAnnual Report & Accounts 2021Strategic ReportCase studies:

Strategy in action

Enabling consultations throughout the pandemic in Scotland 

Developed and tested in 2018 and 2019, the Attend Anywhere video consulting  
service (known as Near Me in Scotland) was initially used mainly in rural and island 
communities in the north of Scotland, where distances can be an issue. 

1million

Near Me video consultations 
grew rapidly to 1 million during 
the pandemic 

in 2019, it grew rapidly during the 
pandemic to its millionth consultation 
by May 2021 as it enables patients 
to interact with their clinician without 
leaving the house, reducing infection 
rates. However, in a recent survey of 
5,000 patients and clinicians, 75.1% 
of patients and 87.9% of clinicians 
said Near Me will be a valuable 
service even once social distancing 
is no longer required*. Patients said 
the main benefits are that Near Me 
improves access to services, it is more 
convenient, saves time and is better for 
the environment. 

During the pandemic, Near Me has 
also become the most viable option 
for Scotland’s deaf population, who 
are experiencing a communications 
crisis because people wearing face 
masks prevents lip-reading and social 
distancing creates barriers beyond  
the effective one-metre range of 
hearing aids. 

The Scottish Government has been 
working to ensure there is sufficient 
capacity to meet the growing demand 
for Near Me and is assuring patients 
and carers that it is an appropriate, 
effective and secure means of 
conducting remote consultations.

With the rise of COVID-19 in Scotland  
in 2020, a severe lockdown resulted  
in restricted travel and difficulties 
booking in-person doctors’ 
appointments. Furthermore, travelling 
to a doctor or hospital could result  
in a COVID-19 infection risk, and  
was therefore not advisable.

Near Me mirrors in-person 
appointments, whereby patients make 
an appointment with the relevant health 
service before visiting the service’s 
website to commence an appointment. 
This takes them to a virtual reception, 
then an online waiting area before they 
are seen by their clinician. Near Me is 
powered by Attend Anywhere which 
was procured for national use across 
Scotland by the Scottish Government.

From running 7,000 consultations 

James Balmain
CEO 
22 September 2021

87.9%

75.1%

of clinicians said Near Me  
will be a valuable service*
* https://www.gov.scot/publications/public-clinician-views-video-consultation-executive-summary/pages/4/

of patients said Near Me  
will be a valuable service*

2121

Induction HealthcareAnnual Report & Accounts 2020OverviewInduction HealthcareAnnual Report & Accounts 2021Strategic ReportOverview & Strategic ReportDirectors’ Biographies

Directors’ Biographies 

clinical trials. Between 2002 and 2012, Hugo 
established and ran Quintiles’ global late phase 
clinical trial business and, in that role, oversaw 
the development of MediGuard, a technology 
enabled community of over 2.4 million patients. 
Hugo has been an investor in, and advisor to, 
numerous healthcare and technology companies 
and in 2012 co-founded DrugDev, a leading 
provider of enterprise resource planning systems 
for multinational clinical trials (sold to IQVIA in 
2017).

Dr Hugo Stephenson - Chief Executive Officer
Hugo joined the Board on 1 April 2019. He 
is a medical doctor and technologist who 
has founded, grown and generated value 
for shareholders from businesses focussed 
on healthcare IT and drug development. 
Companies include MedSeed PTY Ltd, an early 
pioneer of computerized decision support for 
antibiotic prescribing and wound management 
in hospitals (sold to eHealthcare Asia in 2000) 
and Health Research Solutions, a contract 
research organization that used technology to 
enable multinational electronic data collection 
for medical product registries and phase IV 

James Balmain - Chief Executive Officer
James joined the Board on 8 June 2020.  He has 
a wealth of NHS facing commercial experience, 
having co-founded Zesty in 2012, a multi-award 
winning UK digital health company. Prior to Zesty, 
James was ecommerce Director at EE, leading 
the digital teams at both Orange and T-Mobile 
during the merger and subsequent launch of EE. 
As head of ecommerce at the Shop Direct Group, 
James led the transition from catalogue to online 
shopping, creating one of the largest online retail 
organisations in the UK.

Christopher Spencer - Non-Executive Chair
Chris was appointed to the Board as Independent 
Chair on 1 April 2019. He has 40 years’ 
experience in software, healthcare, and legal 
matters having initially worked as a nurse in 
psycho-geriatrics and terminal care while 
studying law at Leeds University. After qualifying 
as a Solicitor and becoming managing partner of 
the legal practice where he had been an articled 
clerk, he simultaneously co-founded a software 
house for the professional services sector. In 
1999, after forming his own legal practice and 
later becoming general manager, legal counsel 
and head of IT with a patent and trademark 
practice, Chris joined EMIS Group plc. At EMIS 
Group senior roles included Chief Administrative 
Officer overseeing acquisitions, a management 

buyout, and, in 2010, an Initial Public Offering. 
He was appointed Chief Executive of EMIS 
Group in 2013 and after retiring from that position 
has served on several healthcare-related 
private company boards. Chris is a Solicitor 
(non-practising), formerly an Associate of the 
Chartered Institute of Patent Agents and member 
of the Law Society of England and Wales and 
Fellow of the Chartered Management Institute 
and remains a member of the Society for 
Computers and Law. He holds an LLB (Hons) and 
qualified as a solicitor (with distinction).

Chris is Chair of the Nomination Committee 
and also serves on the Remuneration and Audit 
Committees.

22

Induction HealthcareAnnual Report & Accounts 2021 Governanceheading 1heading 2(continued)  
 
Jane Silber - Non-Executive Director
Jane joined the Board on 1 April 2019. Jane is 
an experienced IT senior executive. She is the 
Non-executive Chair of Diffblue Ltd and VONQ 
B.V., as well as a non-executive board member 
of Weaveworks Ltd and Canonical Ltd. She also 
serves as an advisor for numerous tech start-
ups. Previously she was CEO of Canonical for 
seven years, which followed a seven-year period 
as its Chief Operating Officer. With experience 
in the US, Japan and the UK, she has spent her 

entire career in software engineering and IT 
management, starting as a software developer 
and rising through various leadership roles. She 
holds a BS from Haverford College, an MS from 
Vanderbilt University and an MBA from Oxford 
University.

Jane is Chair of the Remuneration Committee 
and also serves on the Audit and Nomination 
Committees. 

Leslie-Ann Reed - Non-Executive Director
Leslie-Ann joined the Board on 19 July 2019. 
She is a chartered accountant with a diverse 
background and extensive international 
experience. Leslie-Ann is currently Non-
Executive Director and Audit Committee 
Chair for Learning Technologies Group plc, 
Bloomsbury Publishing PLC and Centaur 
Media plc. From 2010 she was Chief Financial 
Officer of the global, online B2B auctioneer 
Go Industry plc. Between 2007 and 
2010 Leslie-Ann was an adviser to Marwyn 
Investment Management, a private equity 
company, overseeing the acquisitions strategy to 
acquire professional training, research, data 
and information businesses. Prior to this she 
served as Chief Financial Officer of global 

commodities’ & economic research media group 
Metal Bulletin plc helping to lead its transition 
from printed products to an online data and news 
service. After a career at Arthur Andersen, she 
held senior finance leadership roles at Universal 
Pictures, Polygram Music, EMI Music and Warner 
Communications Inc.

Leslie-Ann is Chair of the Audit Committee and 
also serves on the Remuneration and Nomination 
Committees.

Andy Williams - Non-Executive Director
Andy was appointed to the board on 8 June 
2020 having formerly served as Chair at Zesty 
Limited since 26 July 2018. In addition to his role 
at Induction, Andy was Chair of Docly AB and is a 
non-executive director at Logex Group. His most 
recent full-time role was CEO of NHS Digital, the 

government body responsible for technology and 
data for the NHS. Prior to that, his career was in 
the technology industry, holding a wide variety 
of senior roles in IBM, Alcatel-Lucent and CSC. 
He holds an MA in mathematics and engineering 
from Cambridge University.

23

Induction HealthcareAnnual Report & Accounts 2021Governanceheading 1heading 2GovernanceCorporate responsibility

Corporate responsibility 

Our People and Culture

We are committed to building the best and most diverse team at Induction Group. The Group is working hard to create a culture 
of inclusion and diversity where all employees are treated and valued equally. Our focus is on:
• 

recruiting and retaining high calibre employees; 

•  developing our team to create a culture which offers opportunities to broaden skill levels and capabilities; 
•  building a diverse culture;
•  providing a safe and stable working environment; 
• 

recognising performance; and

• 

leveraging our capabilities at every opportunity.

Induction is all about our people, and we aim to ensure they have the tools and development to succeed in their role. The 
Company is committed to providing our staff with career progression and training to the requirements of roles. A key aspect of 
developing the success of the Group is to support an open culture and encourage the mix of cultures and business practices 
across the Group. 

We create an ethical working environment for our workforce, promoting honesty, transparency and duty of care across the 
entire workforce. The Company provides a working environment which meets all legislative requirements and provide all the 
necessary training and support for employees to operate safely within it. 

Our workforce follows our Anti-bribery and Corruption policy, and Whistleblowing Policy as part of the staff induction and 
ongoing training. 

We provide appropriate remuneration for responsibilities and equal opportunities for development and career advancements. 
The Company ensures opportunities are available to staff to build their breadth and depth of experience. 

In a year where Covid-19 had a significant impact on people’s lives, the Group completed the acquisition and integration of 
Zesty Limited, the team showed commitment and loyalty to maximise growth, performance and value to our clients. 

Our 2021/22 targets continue to be ambitious and will ensure that we continue to provide a safe, inclusive and sustainable 
environment where everyone can be at their best.

24

Induction HealthcareAnnual Report & Accounts 2021 Governanceheading 2  
Stakeholder engagement

A shared motivation from 
all of our stakeholders 
involving stakeholders 
every step of the way 
means we can better 
understand their needs. 

Having a high level of 
engagement allows 
us to get to know 
our stakeholders and 
communicate how the 
Group’s plans and actions 
will affect their goals.

The following examples demonstrate 
how the Directors had regard to the 
respective elements of section 172 of 
the Companies Act 2006 in discharging 
their duties:

Workforce/Colleagues/Our People

Our people are our most valuable 
asset. We rely on their skills, 
experience, knowledge and diversity 
to deliver our vision to provide 
technology to the healthcare 
community.

Our employees are key to the Group’s 
success and we rely on a committed 
workforce to help us achieve our 
short-term and long-term objectives. 
It is right that our employees share in 
the success of Induction. Accordingly, 
incentive arrangements operate across 
the Group to reward colleagues for the 
contribution they are making to grow 
the business.

The Board recognises that the 
interaction between the Board, senior 
management, and staff, is crucial to 
maintaining the welfare of our people 
and ultimately our future success. The 
pandemic presented unique challenges 
so the executive initiated weekly and 
monthly meetings to provide guidance 
and support. 

The CEOs continue to hold regular 
meetings with the senior management, 

and each senior executive is 
encouraged to engage fully with their 
staff. Regular CEO town halls are run 
where James Balmain updates the 
staff on group initiatives and allows 
for questions from the workforce. This 
forum also provides an opportunity to 
share knowledge across the group and 
drive collaboration. During the year we 
have worked on updating the employee 
handbook which will be re-launched to 
all staff across the HR system.

We value all staff including contractors 
and ensure our communications 
are to everyone to ensure there is 
transparency across the business.

While our staff and contractors are 
happy at Induction, there is always 
room for improvement. Key topics for 
further improvement are opportunities 
for career progression, development 
and succession planning, and working 
practices. 

The global events of the last 12 months 
have reinforced our belief that a 
diverse and inclusive workforce are not 
just a social good, but a commercial 
advantage. Fair practices in hiring 
and talent development, as well as 
maintaining safe and supportive 
company cultures, are key to the Group’s 
success and the encouragement of 
diverse voices within it.

Shareholders

It is important that our shareholders 
understand our strategic priorities 
and ambition, their views inform our 
decision-making. 

The Board recognises the critical 
importance of open dialogue and 
fair consideration of the Company’s 
members. We communicate with our 
shareholders through our annual 
report and accounts, full-year and half-
year results announcements, trading 
updates, AGMs, face-to-face meetings 
and investor roadshows.

Users

Our users, whether patients, doctors 
or NHS trusts, are the heart of our 
business model. So, understanding 
them and their challenges is 
fundamental to our success. Should 

we fail to deliver an excellent user 
experience, we will not achieve our 
long-term financial and strategic 
objectives.

We obtain regular feedback from our 
users and clients to ensure that we 
are consistently delivering to high 
performance standards. Monitoring and 
influencing the quality of our customers’ 
experience is key. It is important that 
we do not rely on anecdotal feedback 
but conduct customer surveys and 
arrange panels on user experience. 

We work hard to ensure issues are 
resolved quickly through our customer 
service team and, if required, we follow 
a process that is fair, appropriate and 
one that will stand up to scrutiny and 
challenge. 

We always look at ways to improve 
our services to customers and so seek 
feedback on all areas of the customer 
journey including product design, 
implementation, and user experience. 
Our aim is to capture these learnings, 
and once understood and tested, we 
seek to embed any changes into our 
policies and procedures, training and 
organisation structure. 

Community and the Environment

Our vision is to build a Group that 
provides technology to deliver 
healthcare more efficiently, and drives 
our passion to support the community 
and environment. Operating with an 
ethical purpose to develop apps for 
the healthcare community is integral 
to everything that we do. 

We continue to increase the focus on 
our impact on the environment. We aim 
to be resilient and responsive to change 
and we are committed to working with 
our employees, clients, supply chain 
and stakeholders to ensure that we are 
sustainable for the future. 

Like many other businesses, as 
Covid-19 took hold our entire workforce 
started working remotely and we ended 
our office leases. Post pandemic, with 
people expected to work from home 
more often, and conscious of the 
carbon emissions (including electricity, 
water usage and travel) that arise 

25

Induction HealthcareAnnual Report & Accounts 2021GovernanceGovernanceStakeholder engagement
(continued)

from office space, we will be taking 
a much smaller space to support the 
further reduction of our environmental 
footprint.

Our Customers, Suppliers and Partners

Our business relies on good 
relationships with clients, suppliers 
and other stakeholders. 

The Board is regularly briefed on 
key developments across the Group, 
including on new and existing client 
relationships. Client due diligence is 
a key part of our acquisition process 
when evaluating potential acquisition 
targets and results are made available 
to the Board. By their nature our 
businesses work in collaboration with 
their clients: we work collaboratively 
with client organisations, use agile 
processes, and build software and 
businesses to better serve client needs 
based on what they tell us.

The Group’s focus is to leverage and 
consolidate the Group’s suppliers. To 
obtain better terms, we aim to build on 
our customer relationships from the 
acquisitions during the last 24 months. 
Our effort is to be always professional 
and establish a reputation as being a 
reliable customer with whom suppliers 
and partners want to do business. 

When taking on a new supplier, we 
conduct a detailed review to ensure 
that we understand not only the 
quality of their product or services but 
also their policies, procedures and 
working practices, making sure they 
are consistent with our values and 
compliance requirements. We keep 
our suppliers informed of our business 
performance through public disclosures 
and communication where appropriate. 

The Group ensures that the quality 
of the services being supplied meets 

the standards expected, through our 
engagement and monitoring payment 
terms. If there is a reduction in the 
standard, we will communicate with the 
supplier and if needed we will look to 
replace with a comparable alternative. 

The Group has a zero-tolerance 
approach to practices which are at 
odds with our values and culture, 
for example corruption, bribery and 
modern slavery. We are committed to 
acting ethically and with integrity in all 
business dealings and relationships and 
to implementing and enforcing effective 
systems and controls to ensure such 
practices are not taking place anywhere 
in our businesses or supply chain. 

26

Induction HealthcareAnnual Report & Accounts 2021GovernancePrincipal risks and uncertainties

The Board is responsible 
for ensuring that the 
Group is protected from 
unnecessary risk and 
regularly reviews the risks 
and opportunities of the 
business to ensure that 
appropriate mitigation 
strategies are adopted.

Risk Management

The Board, assisted by the Audit 
Committee, is ultimately responsible 
for oversight of risk management. 
The Directors play the leading role, 
monitoring the overall risk profile within 
the business and taking into account 
internal controls. Through detailed 
planning and continuous monitoring, 
all identified significant risks are 
evaluated, and appropriate mitigating 
actions that reduce the likelihood of a 
risk event and/or reduce their impact to 
an acceptable level are designed and 
executed.

The Group’s process for the 
identification, assessment and 
management of risks in the business, 
is driven and monitored by the Senior 
Management Team with the support of 
the Company Secretary. 

The Audit Committee reviews the 
systems of internal control for the 
Group alongside the Group’s process 
for risk management and reports its 
findings to the Board. Each year the 
Audit Committee consider the need  
for an internal audit function. Given 
the current size of the group, the Audit 
Committee do not judge it appropriate 
to maintain a dedicated internal audit 
function. 

Internal systems of control

The Group maintains systems of 
internal control appropriate to a 
business of this size and complexity and 
which take into account the applicable 
regulatory and legal requirements as a 
UK AIM listed plc. The internal controls 
are designed with the objective of 
implementing an action to mitigate the 
existing risk, and if impossible to fully 
mitigate the risk, managing the risk to 
an acceptable level.

Registering and reviewing risks

The Group identifies and assesses 
each risk based on the impact and 
likelihood, and then applies mitigating 
actions appropriately. Each risk is 
scaled, based on the likelihood of 
occurrence and severity of impact, and 
risks categorised as high, medium or 
low accordingly, with high-risk areas 
receiving the most attention. 

The risk register is reviewed and 
updated to capture and identify any 
new risks and opportunities, and to 
improve the mitigating actions. The 
Senior Leadership Team review all 
identified risks and assign actions on a 
quarterly basis. Such risks are reported 
to and reviewed by the Board and Audit 
Committee. 

Set out below are the principal risks 
and uncertainties that the Directors 
consider could impact the business. 
The Board recognises that the nature 
and scope of risks can change and that 
there may be other risks to which the 
Group is exposed and so this list is not 
intended to be exhaustive.

t i o n a l

a

n i s

a

O r g

  C u l t u re, Policies and Proced

ure

s

n i o r

  M anagement Team

e

S

A u d i t   Committee

Board  
Oversight

27

Induction HealthcareAnnual Report & Accounts 2021GovernanceGovernancePrincipal risks and uncertainties

The risk has 
increased

The risk has 
decreased

The risk has not changed 
materially since last year

Strategic Risks

Risk

Description and impact

Key mitigating activities

Trend

Competition  
and  
technological 
change

Induction operates in a competitive 
market, with new competitors regularly 
entering the market. These new entrants 
may make it hard for Induction to 
generate the anticipated revenues due 
to both increased competition for market 
share and pricing pressure. 

Potential impact:

•  Induction Switch, Guidance and Zesty apps are 
well-established products in the UK and this, 
coupled with a user focussed strategy,  
creates a barrier to new competitors. 

•  Continuous investment in the development  

of the platforms to ensure they remain  
relevant, competitive and attractive to  
users as well as customers.

•  New technologies emerge that may 

•  Hiring and developing the right talented  

Identification, 
valuation and 
pursuit of 
acquisitions and 
investments

render existing products and services 
obsolete, unmarketable or competitively 
impaired, and may exert downward 
pressures on the pricing of existing 
products and services.

people in product development

•  Continuous commitment to product 
differentiation through innovation

•  Analytics used to predict the environment, 

market and user engagement

•  Maintaining market knowledge and monitoring 
competitor developments and technologies. 

The Group’s growth strategy has centred 
around investing in talent and the 
acquisition of businesses which broaden 
and enhance existing operations. One of 
the inherent risks of acquisitions is that 
the Group enters unfamiliar markets/
regions and works with new personnel, 
who may not be sufficiently aligned with 
Group strategy.

•  The Board is very careful when selecting 

potential acquisition partners and we spend a 
significant amount of time upfront to make sure 
the individuals are a good fit for the Group.

•  Investment is made in M&A capabilities, 

experience and relationships in the market

•  Potential targets identified and prioritised to 
ensure efficient time is spent on diligence.

The target acquisitions may either not 
be readily available or may not generate 
the financial or commercial benefit it was 
intended to.

•  Rigorous due diligence process conducted using 
internal and external experts to ensure Induction 
fully evaluates the costs and benefits expected 
before any business purchase. 

Potential impacts:

•  Investment returns not achieved and 

shareholder value eroded.

•  Business case for acquisition is articulated 

clearly and key assumptions (financial, technical 
and operational) identified for Board approval.

•  External communication maintained with 

advisors and owners/management of to ensure 
Induction has visibility of potential transactions 
across the market. 

28

Induction HealthcareAnnual Report & Accounts 2021Governance 
Operational Risks

Risk

Description and impact

Key mitigating activities

Trend

Key system 
failure or 
disruption

Business growth 
is constrained 
by not having 
appropriate 
people, resources 
and processes 

Induction is dependent on its IT 
infrastructure, whereby loss/corruption 
of the application software, infrastructure 
failure, damage or denial of service to 
the infrastructure could cause serious 
business interruption and a decline in 
user confidence. 

Potential impacts:

•  Internal impact due to releasing 
software that doesn’t function as 
intended; and

•  External as third parties can disrupt 

the platform or cause failure by a key 
outsourced provider. 

Induction has a “buy and build” strategy, 
therefore operations and processes need 
to be robust, efficient and scalable for the 
Group to manage growth. There is a risk 
that, in a highly competitive technology 
talent landscape, Induction cannot attract 
and retain sufficient highly skilled and 
dedicated staff.

Potential impacts:

•  Adverse effect on ability to grow and 

scale the business within UK and 
internationally. 

Inadequate 
integration 
or leverage 
of acquired 
businesses 

The risk of misjudging key elements of an 
acquisition and failing to integrate in an 
efficient, timely and successful manner. 

Potential impact:

•  Integration of new acquisitions can be 

challenging and time consuming. There 
is a risk that the integration distracts the 
acquiring business, or capacity issues 
limits the enhancement of synergies 
resulting in the growth identified during 
due diligence remaining unrealised. 

•   Use an agile development methodology which 

allows small incremental changes to be made to 
the platforms. 

•  Changes are subject to rigorous QA and product 
acceptance before they are released to users. 

•  Maintenance of backups allowing roll back to 

previous versions if a new release fails. 

•  Evaluation of all third-party suppliers, ensuring 

that they have appropriate fall-back systems and 
disaster recovery processes. 

•  System penetration tests a performed annually 

by a third party.

•  Our approach to recruitment is to hire best-in-
class talent and remunerate them accordingly.

•  Recruiting employees to attract talent fit for a 
dynamic and fast-growth MedTech company.

•  Open employee communication including 

employee performance reviews to monitor and 
identify gaps in leadership and skills levels

•  Development program for employees to 

continually up-skill, which is supplemented with 
key external hires. 

•  Detailed and continuous review of resource and 

succession planning for key roles. 

•  Focus on developing a strong and consistent 

culture across the organisation. 

•  Detailed integration plan and dedicated 

integration teams put in place 

•  Regular communication on progress highlighting 

variations and remedial action taken

•  Senior Management with significant experience 
to lead the assessment, planning and integration 
process

29

Induction HealthcareAnnual Report & Accounts 2021GovernanceGovernancePrincipal risks and uncertainties

Risk

Description and impact

Key mitigating activities

Trend

Customer 
concentration risk

The primary customer of the group is 
the NHS which is a complex series of 
organisations which brings challenges 
to navigate through these organisations 
and reach the decision makers. The 
procurement process can be onerous 
and very lengthy, increasing the risk that 
revenues fall short of expectation. 

Potential impacts:

•  Changes to Government policies can 
have a material impact on companies 
supplying the NHS, both in terms 
of changes in direction as well as 
structural changes which can delay 
or even negate the Group’s ability to 
derive revenues. 

•  NHS operates against a backdrop of 
tight funding and this could have a 
negative impact on pricing.

•  The Board and management team have 
extensive experience working in and  
supplying to the NHS and relationships  
with key NHS decision makers, and therefore 
the Group is well placed to navigate the  
myriad NHS organisations. 

•  While Induction cannot mitigate the political risk 

entirely, there is cross party support  
for the use of technology in the NHS which  
will help reduce both political and pricing risk.

•  Induction’s strategy to expand into geographies 
outside of the UK, will reduce specific exposure 
to the NHS.

Compliance Risks

Risk

Description and impact

Key mitigating activities

Trend

Data protection 
and privacy

Regulatory compliance is a key risk  
for the Group, not only in terms of the 
General Data Protection Regulations 
(GDPR) but also specific restrictions 
relating potentially to medical devices, 
clinical governance including patient 
safety and information governance 
including confidentiality and security

Brexit has made the regulatory backdrop 
even more complicated  
as the UK’s regulations  
diverge from the European Union’s.

Potential Impacts:

•  Failure to comply with regulations could 
have a material impact on the Group’s 
reputation, fines or late filings penalties, 
and financial results.

•  Compliance with legislation and code of best 

practice.

•  Ongoing training on key regulation such as  

anti-bribery and corruption and data protection

•  Recruitment of appropriate expertise and 

experience in clinical and information 
governance to improve the regulatory 
compliance in data protection, clinical 
governance including patient safety, 
confidentiality and data ethics has taken place 
and will be further enhanced as necessary

•  Internal Finance, Legal and Medical departments 

monitor changes to law and regulations and 
oversee actions to ensure compliance.

•  Independent third-party and internal adviser 
audits and reviews are conducted regularly 
during the year to ensure compliance.

•  In terms of Brexit, the Group has very little 

presence in any other members of the European 
Union outside of the UK and there has been no 
initial impact.

30

Induction HealthcareAnnual Report & Accounts 2021GovernanceRisk

Description and impact

Key mitigating activities

Trend

Compliance 
with laws and 
regulations

The risk of insufficient evaluation and 
non-compliance with legislation and 
regulation in the markets and countries in 
which Induction operates.

•  The Group maintains an in-house legal function 

and uses external legal and tax counsel to 
advise on local legal, tax and regulatory 
requirements.

Potential Impacts:

•  Failure to comply with regulations could 
have a material impact on the Group’s 
reputation, fines or late filings penalties, 
and financial results.

The Group notes the ongoing threat 
of third parties attempting to exploit 
weaknesses in the technological 
infrastructure and SaaS services of 
different companies.

Potential Impacts:

Inadequate security controls to protect 
against these threats could lead to 
business disruption, reputational damage 
and loss of assets.

System access 
and security

Financial Risks

•  The ongoing development and maturation of 
our Information Security Management System 
(ISMS), including the continued investment in 
endpoint security, has greatly increased our 
ability to monitor and respond to cyber-related 
threats.

•  Our people are also required to undertake 

ongoing training to maintain their awareness and 
understanding of information security.

•  The Group plans to initiate an independent third-

party review of the existing ISMS.

Risk

Description and impact

Key mitigating activities

Trend

Foreign  
currency risk

The risk of significant unfavourable 
foreign exchange movements.

The Group has historically had limited 
exposure against the US Dollar, Euro 
and Australian Dollar due to low levels 
of trading with our overseas entity and 
the majority of international clients 
pay in GBP sterling. However, with the 
acquisition of Attend Anywhere Pty Ltd 
post year end, the impact on the Group’s 
reported profits and asset values could 
become increasingly impacted by any 
fluctuation of Sterling relative to other 
currencies, particularly the AUS Dollar. 

Potential impact:

•  Currency volatility uncertain in current 

COVID-19 climate 

•  Clear communications on Treasury strategy to 

ensure groups currency exposures and policies 
are understood. 

•  Continue international customer contracts in 

GBP

•  The global and local short-term cash flow 
forecasts are used to monitor future large 
foreign currency payments, and natural currency 
hedging is used where possible across the 
Group.

•  Surplus cash balances are swept to the UK to 

minimise any exposure to particular currencies 
or locations.

31

Induction HealthcareAnnual Report & Accounts 2021GovernanceGovernancePrincipal risks and uncertainties

Financial Risks

Risk

Description and impact

Key mitigating activities

Trend

•  The Group has sound virtual working practices 

internally and externally with customers

•  The product suite offered by the Group is 

particularly well positioned to help more efficient 
and safe health and social care practices 
through its digital offerings

•  Home working is well supported technically and  

with regular contact visually and verbally.

•  The Group will continue to monitor the situation 

and is ready to take further action if needed.

Pandemics 
(COVID-19)

Covid-19 has created an unprecedented 
global emergency, the effects of which 
will have a lasting impact on both people 
and economies alike.  

In particular, it has been a difficult year 
for the healthcare sector with many of 
our customers being overwhelmed by 
COVID-19. On one hand COVID-19 has 
strongly demonstrated the need for our 
leading technology but it has also made 
it very difficult to engage customers who 
were understandably focused on initially 
treating acute patients and subsequently 
implementing the national vaccine 
programme.

However, as a technology-centred 
business, we have been able to respond 
quickly to protect our employees, 
customers and the business. 

Potential impact:

The main risks of such events relate to:

•  Bringing staff together in a physical 

environment

•  The Group has been impacted by some 

customers capacity to take on new 
transformation in the health and social 
care marketplace due to workload 
issues

•  Sickness and absence impacts of 

personal isolation

Liquidity risk

The risk of the Group not being able to 
meet its financial obligations as they fall 
due.

•  Clear Treasury policies that are designed to 

ensure that sufficient cash is available to support 
current and future business requirements.

•  Cash management through rolling cash flow 

forecasts, updated at least on a monthly basis.

•  The recent share issue post year end raised 
£25m to both fund the acquisition of Attend 
Anywhere Pty Ltd and provide £10m in additional 
working capital to the Group. 

32

Induction HealthcareAnnual Report & Accounts 2021GovernanceThe Company has 
maintained operational 
capability throughout 
COVID-19 and 
closely monitors the 
COVID-19 situation and 
Government guidelines.

Going Concern 
The Group’s going concern statement is 
detailed in note 1.2 of the consolidated 
financial statements on page 58.

Section 172
Each Director is required by the 
Companies Act 2006 to 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 
members as a whole and in doing so 
are required to have regard for the 
following:

•  The likely long-term consequences of 

any decision;

•  The interests of the Company 

employees;

•  The need to foster the Company’s 

business relationships with suppliers, 
customers and others;

•  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 as between 

shareholders of the Company.

In 2019, the Company adopted the 
Corporate Governance Code for AIM 
listed Companies from The Quoted 
Companies Alliance (the “QCA Code”). 
The QCA Code is an appropriate code 
of conduct for the Company’s size and 
stage of development. In the Corporate 
Governance Report, on pages 34 to 36 
are comments regarding the application 
of the ten principles of the QCA Code.

Please see the section on Stakeholder 
engagement for detail of how the 
Group has met its obligations under 
Section 172. 

33

Induction HealthcareAnnual Report & Accounts 2021GovernanceGovernanceCorporate Governance Report

for Induction Healthcare Group PLC

Corporate Governance Report 
for Induction Healthcare Group PLC 

Chair’s Introduction

I have pleasure in introducing our Corporate Governance 
Statement. The Board continues to be committed to supporting 
high standards of corporate governance, as we feel that a solid 
foundation of good governance and best practice is needed to 
help the Group profitably and effectively support both clinical 
teams and patients by removing friction from basic but essential 
healthcare related tasks and in this section of the Annual Report 
we set out our governance framework and describe the work we 
have done to ensure good corporate governance throughout 
the Company and its subsidiaries (‘the Group’). As Chair, my 
primary responsibility is to lead the Board effectively and ensure 
that the Group’s corporate governance is appropriate and 
adopted across all our business activities. I am also responsible 
for ensuring our Board agenda ensures that we examine all the 
key operational and financial issues affecting our strategy.

We have had several Board changes during the year and since 
our year-end. During the year under review and currently I lead 
the Board as the independent Non-Executive Chair. Throughout 
the year we had two independent Non-Executive Directors 
Leslie-Ann Reed and Jane Silber. Following our acquisition of 
Zesty Limited, on 8 June 2020, we were delighted to welcome 
Andy Williams to the Board as a Non-Executive Director.

Our Executive Directors during the year were Ibs Mahmood, 
Hugo Stephenson, Shelley Fraser and James Balmain. Following 
our acquisition of Zesty Limited, on 8 June 2020, we were 
delighted to welcome James Balmain as joint CEO with Hugo 
Stephenson. Ibs Mahmood stepped down from the Board on the 
same date. Sheller Fraser resigned as a director on 22 January 
2021 and Oliver Drake was appointed as interim CFO. Oliver is 
not a director but has been attending and advising the Board as 
interim CFO since 2 February 2021.

At the time of our IPO, we opted to follow the Quoted 
Companies Alliance (“QCA”) Corporate Governance Code (the 
‘Code’) and we continue to feel that this is the most appropriate 
Code for us as an AIM listed company. The report below is 
organised under headings which show how the Company has 
complied with the ten broad principles of the Code which all 
support the Company’s medium to long-term success.

Chris Spencer 
Non-Executive Chair

22 September 2021

Statement of Compliance with the QCA 
Corporate Governance Code

Strategy and Business Model
Principle 1 of the Code requires that companies establish a 
strategy and business model which promote long-term value for 
shareholders. The Group is a healthcare technology business 
focused on streamlining the delivery of care by healthcare 
professionals, and our strategy is articulated in the Strategic 
34

Report on pages 12 to 21. Our Section 172 statement, which is 
set out on page 33 shows how the Directors have fulfilled their 
duties and obligations to ensure the long-term success of the 
business. The Executive Directors and senior leadership team 
meet throughout the year to discuss strategy and the Group’s 
long-term growth. The Board, in turn, debates strategy at every 
Board meeting, monitors progress against the strategic plan, 
holds strategy days and the active challenges provided by 
the Non-Executive Directors help shape the strategy with the 
Executive Directors. The interim CFO maintains a strategic risk 
register and regularly reports to the Board on the how the Group 
mitigates major risk and protects the company from unnecessary 
risks. 

Shareholder Relations
Under Principle 2 of the Code, the Company must seek to 
understand and meet shareholder needs and expectations. 

The Company is committed to listening to, and openly 
communicating with, its shareholders to ensure that its 
business, strategy, and performance are clearly understood 
and supported. During the year, the Board has maintained an 
open communication with investors, and the sell-side research 
community, and believe that this is the best way to ensure we 
understand what is expected of the Company in its efforts to 
drive the Group’s business forward. The Executive Directors 
provide the Board with feedback from all meetings and 
communications with shareholders and the Board is provided 
with an analysis of investor base changes on a regular basis. 
Further information on investor sentiment is provided to the 
Board by the Company’s Nominated Advisors and financial PR 
advisors. The Board is also mindful of the importance of its retail 
shareholders and we aim to provide meaningful information for 
all our investors, but particularly our retail shareholders, via our 
website www.inductionhealthcare.com. Our website also offers 
a facility to sign up for email alert notifications of Company news 
and regulatory announcements.

Like many companies, we intend that our AGM will provide a 
forum for face-to-face interaction between the Board and the 
Company’s shareholders. If the Board views it necessary to keep 
shareholders and Directors safe due to restrictions on public 
gatherings, we may change our AGM logistics. Further details of 
our arrangements this year are set out in our Notice of Meeting. 

Our Stakeholders
Principle 3 of the Code requires that the Company takes into 
account wider stakeholder and social responsibilities and their 
implications for long-term success. The Company’s stakeholders 
include shareholders, employees, its registered users, its 
customers, and its business suppliers.

The Board values the opinions of the stakeholders in the 
business and will regularly seek to ensure that the views of its 
shareholders, suppliers, and partners are known and, where 
relevant to the success of our business, they are acted upon. 
The Board considers investors’ views and feedback following 
investor roadshows and individual directors update the Board on 
any ad hoc meetings with investors throughout the year.

Induction HealthcareAnnual Report & Accounts 2021 Governanceheading 1heading 2(continued)for Induction Healthcare Group PLC 

(continued)

Corporate Governance Report 
for Induction Healthcare Group PLC (continued) 

One of our most important stakeholder groups is our 
employees. The Company engages regularly with its employees 
and monitors closely the views and concerns raised. We 
communicate thoroughly with all stakeholders and use the 
experience we gain from those interactions to inform our 
strategy.

Risk Management
Principle 4 of the Code requires that the Company embed 
effective risk management, considering both opportunities and 
threats, throughout the organisation. 

The Board, assisted by the Audit Committee, is ultimately 
responsible for overseeing management’s activities in 
identifying, evaluating, and managing the risks facing the Group. 
The environment in which we operate is constantly evolving 
and can be affected by external factors that are outside of our 
control and which may impact on us operationally. The Group 
implements a risk management policy which defines the Group’s 
risk appetite. The Board regularly reviews a matrix of the key 
risks which sets out how these are managed and mitigated 
through internal and other controls and processes.

The significant risks and related mitigation and control are 
disclosed in the Governance section on pages 27 to 33.

The Board
Principle 5 of the Code requires the maintenance of the board as 
a well-functioning, balanced team led by the chair.

Our current board consists of the Chair, two Executive Directors, 
and three Non-Executive Directors. The Chair and the three 
Non-Executive Directors are all considered to be independent. 
Aligned to the Group’s diversity strategy, the current Board has 
an acceptable gender balance with two female and four male 
Directors and a female Company Secretary.

The Board holds eight scheduled meetings a year and 
attendance that these meeting is set out below on page 36. 
There have also been several ad hoc meetings where matters 
of importance have arisen between scheduled meetings. An 
example of this would be during an acquisition process, where 
the views of the whole Board may be sought by means of a 
group conference call facility, telephone, or over email.

Directors’ Skills and Capabilities
Principle 6 of the Code requires that the Directors ensure that 
between them, they have the necessary up-to-date experience, 
skills, and capabilities.

Our current Board of Directors has an effective and appropriate 
balance of skills and experience, and their backgrounds cover 
areas such as technology, finance, law, healthcare, sales and 
marketing. Their full biographies are set out on pages 22 to 23.

The role of the Non-Executive Directors is to bring valuable 
judgement and insight to Board deliberations and decisions. 
The Non-Executive Directors are all experienced and influential 
individuals whose blend of skills and business experience 
contributes to the proper functioning of the Board and its 
Committees, ensuring that matters are fully debated, and that 
no individual or group dominates the Board’s decision-making 
processes.

The Board are assisted by a range of external advisors, including 
the interim CFO, the in-house legal counsel, the nominated 
advisor, strategic communication consultants, external legal 
advisers, and tax consultants.

The Board training and development needs are met with 
the support of our NOMAD and our advisors. The Board are 
provided with regular updates on governance developments 
and the Company Secretary takes minutes at all Board and 
Committee meetings.

Board Performance and Evaluations
Principle 7 of the Code requires that the Board and Committees 
evaluate their own performance based on clear and relevant 
objectives and seek continuous improvement. 

The Chair ensures that the Board reflects on its own 
performance at the beginning and end of each Board meeting. 
This “temperature check” ensures that all board members have 
an opportunity to consider whether the Board has worked 
effectively or if there are issues that need more discussion. 
The Board conducted a formal Board evaluation during the 
year under review with actions identified and implemented. A 
further formal internal Board evaluation will be carried out on 
2021/2022 and the Board evaluation process itself will continue 
to be refined. 

There are three Board Committees: the Audit Committee, the 
Remuneration Committee, and the Nomination Committee, 
which are chaired by Leslie-Ann Reed, Jane Silber, and Chris 
Spencer respectively. Attendance at those meetings is set out in 
their respective reports on pages 37 to 40.

Prior to the proposal for re-election at the AGM, the performance 
of the Independent Non-Executive Directors is reconsidered 
to ensure they remain effective in their role and, where 
appropriate, that they retain their independence.

Directors are expected to attend all meetings of the Board, and 
of the Committees on which they sit, and to devote sufficient 
time to the Group’s affairs to enable them to fulfil their duties 
as Directors. In the event that Directors are unable to attend 
a meeting, their comments on papers to be considered at the 
meeting will be discussed in advance with the Chair, so that 
their contribution can be included as part of the wider Board 
discussion.

Succession planning for the Board was considered at the 
Nomination Committee and is an ongoing topic of discussion.

Corporate Culture
Principle 8 of the Code requires that the Company promote a 
corporate culture that is based on ethical values and behaviours. 

35

Induction HealthcareAnnual Report & Accounts 2021Governanceheading 1heading 2(continued)GovernanceCorporate Governance Report 
for Induction Healthcare Group PLC (continued) 

The Company has an entrepreneurial and innovative culture 
underpinned by sound governance, and policies and processes 
that ensure we do business in a fair and ethical way and reflect 
the healthcare markets in which we operate. The Board seeks 
to lead by example and ensures that all strategic decisions are 
taken fairly, with due process and are in the best interests of the 
Company and its stakeholders.

Governance Structure
Principle 9 of the Code requires that the Company maintain 
governance structures and processes that are fit for purpose 
and support good decision making by the board. 

The respective responsibilities of the Chair and our joint CEOs 
are clearly understood. The Chair is responsible for leading 
the Board, facilitating the effective contribution of all members, 
and ensuring that it operates effectively in the interests of the 
shareholders. Our CEOs are responsible for the leadership of 
the business and implementation of the strategy. In turn our 
Non-Executive Directors provide effective challenge and help 
develop proposals on strategy whilst ensuring that they satisfy 

themselves as to the integrity of the financial reporting systems, 
internal controls, and the risk management system. The whole 
Board ensures that corporate performance is monitored and 
adequately reported to shareholders.

Shareholder and Stakeholder Communications
Principle 10 of the Code requires that the Company 
communicate how the Group is governed and is performing by 
maintaining a dialogue with shareholders and other relevant 
stakeholders.

The Board attaches great importance to communication with 
both institutional and private shareholders in reporting and 
demonstrating good corporate governance practices to create a 
sustainable, growing, profitable and successful business.

The Directors regularly communicated with investors 
and the Group operates an investor relations website at 
www.inductionhealthcare.com. The website contains details of 
the Group and its activities, its regulatory announcements, and 
sets out the governance of the Group.

Christopher Spencer
Hugo Stephenson
Shelley Fraser*
Andy Williams **
Leslie-Ann Reed
Jane Silber
Ibs Mahmood***
James Balmain ****
Oliver Drake *****

Board

8 of 8
8 of 8
6 of 6
7 of 7
8 of 8
8 of 8
1 of 1
7 of 7
2 of 2

Audit 
Committee

Remuneration 
Committee

Nomination 
Committee

No. of meetings
3 of 3
N/a
N/a
N/a
3 of 3
3 of 3
N/a
N/a
N/a

7 of 7
N/a
N/a
N/a
7 of 7
7 of 7
N/a
N/a
N/a

4 of 4
N/a
N/a
N/a
4 of 4
4 of 4
N/a
N/a
N/a

* Shelley Fraser resigned from the Board on 22 January 2021

** Andy Williams was appointed to the Board on 8 June 2020

*** Ibs Mahmood resigned from the Board on 8 June 2020

**** James Balmain was appointed to the Board on 8 June 2020

***** Oliver Drake is not a director but attends the Board as interim CFO, he has been attending the Board since 2 February 2021

Board Committees

Nominated Adviser and Sole Broker

On 4 March 2021 Induction announced the appointment of 
Singer Capital Markets as Nominated Adviser and Sole Broker 
with immediate effect.

The Board has delegated and empowered a Remuneration 
Committee, Nomination Committee and an Audit Committee, 
each of which is accountable to the Board on all matters within 
its remit. Each Committee has written terms of reference which 
are available on the Company’s website. A summary of the 
responsibilities of each Committee and their work during the 
year follows on pages 37 to 40. 

The Company Secretary acts as secretary to all the Board’s 
Committees supported by the Executives to ensure that each 
Committee receives information and papers in a timely manner 
to enable full and proper consideration to be given to the 
relevant items of business.

36

Induction HealthcareAnnual Report & Accounts 2021 Governanceheading 1heading 2(continued) 
Remuneration Committee Report

Induction Healthcare

Governance

Annual Report & Accounts 2020

Remuneration Committee Report 

On behalf of the Remuneration Committee, I am pleased to present the Remuneration Committee report for the year ended 
31 March 2021. In this report, we provide you with an overview of the Committee’s priorities and performance during the year, in 
addition to details regarding the Director’s Remuneration Report.

Committee Members
Jane Silber (Chair) 
Leslie-Ann Reed 
Christopher Spencer

Committee Responsibilities
The Committee is primarily responsible for:

•  Setting the remuneration policy for all executive directors and the Company’s Chair;
•  Recommend and monitor the levels and structure of remuneration for senior management; and 
•  Reviewing the ongoing appropriateness and relevance of the remuneration policy. 

The Work of the Committee
The objective of the Company’s remuneration policy is to facilitate the recruitment and retention of executives of an appropriate 
calibre, to ensure that the Executive Directors of the Company are provided with appropriate incentive to encourage enhanced 
performance and are in a fair and responsible manner, rewarded for their individual contributions to the success of the Group in the 
year. The remuneration policy has regard to the risk appetite of the Company and alignment to the Company’s long strategic term 
goals

Bonus Plan 

The outcome of the 2020 annual plan

LTIP 

LTIP

Review of the Scheme Rules

Review of awards to staff 

Remuneration

Review of proposed staff pay awards 

Terms of Reference

The Committee postponed the review of its own terms of reference until 2021 given the 
acquisition of Attend Anywhere 

Directors Remuneration Report
The objective of the Company’s remuneration policy remains unchanged. It is the intention of the Committee to review the 
remuneration policy in the year ended 31 March 2022.

The Remuneration that the Company offers to its Executive Directors continues to be based on four principal components:

1. 

2. 

3. 

4. 

 Basic Salaries and benefits. Basic salaries are determined by the Remuneration Committee with reference to bench-marked 
salaries paid in AIM-quoted and other Technology businesses of similar size and complexity. It is intended that the guaranteed 
pay should be at or near the median level. Benefits in kind relate to health insurance.

 Pensions. The Group operates a defined contribution pension scheme for all Executive Directors and employees. Only basic 
salaries are pensionable.

 Short-term incentives. Bonuses are payable to staff according to the achievement by the Group determined by key measurable 
objectives and growth targets.

 Long-term incentives. The Company operates a share option scheme covering all permanent employees under which share 
options are normally granted on passing probation or adhoc on individual performance. Options normally vest over three years, 
with a third vesting after twelve months and the remainder quarterly over the subsequent two years and can be exercised until 
the tenth anniversary. The number of shares granted is based on a fixed market value of shares on the date of the grant, so 
the individual only benefits if there has been a share price growth. The share option scheme is overseen by the Remuneration 
Committee which eligible individuals may be invited to participate, including the level of awards. 

No salary increases were awarded to the Executive Directors or Non-Executive Directors for FY21. 

37

Governance 
  
(continued)

Remuneration Committee Report 
(continued) 

Directors service contracts
All Executive Directors are employed under service contracts. The services of all Executive Directors may be terminated by the 
Company or individual with 6 months’ notice. 

Remuneration received by Directors for the year ended 31 March 2021

Salary and Fees

Pension

Bonus

Other

Total Remuneration

FY20

FY21

FY20

FY21

FY20

FY21

FY20

FY21

FY20

FY21

Executive
Hugo Stephenson
Ibs Mahmood
Shelley Fraser*
James Balmain
Sebastien Jantet

101,848
235,835
14,583
–
124,143

214,153
18,889
150,580
176,723
–

Non-Executive
Christopher Spencer
Leslie-Ann Reed
Andy Williams
Jane Silber

45,984
27,971
–
33,443

55,000
40,000
28,504
40,000

2,334
26,111
1,458
–
11,000

3,578
–
–
2,602

20,697
1,889
18,560
17,672
–

2,475
–
–
1,800

583,807

723,849

47,083

63,093

–
–
–
–
–

–
–
–
–

–

–
–
–
30,000
–

–
41,033
1,142
–
–

–
4,722
84,858
34,726
–

104,182
302,979
17,183
–
135,143

234,850
25,500
253,998
259,121
–

–
–
–
–

–
–
–
–

–
–
–
–

49,562
27,971
–
36,045

57,475
40,000
28,504
41,800

30,000

42,175

124,306

673,065

941,248

Director
James Balmain

Date of Grant
8th June 2020

Exercise 
price (£)
0.005

Number 
of shares
745,559

Market value 
of award
734,376

Performance 
conditions
no

Exercisable 
from
08/06/2021

Exercisable 
to
08/06/2031

* Shelley Fraser resigned from the Board on 22 January 2021. From the initial grant of 450,000 shares in January 2020, 150,000 
Share options vested. The remaining 300,000 share options lapsed. 

Directors’ shareholding and share interests (audited)
Share ownership plays a key role in the alignment of our executives with the interests of shareholders. The table below sets out 
the number of shares held or potentially held by executive and non-executive directors (including their connected persons where 
relevant) as at 31 March 2021 and 31 March 2020.

Name
Hugo Stephenson
James Balmain*
Christopher Spencer
Jane Silber
Andy Williams*

Beneficially  
owned shares at 
31 March 2021
8,891,730
699,391
8,696
8,696
419,495

Award description
–
Share Options 2021
–
–
–

Number 
of unvested 
options at 
31 March 2020
–
–
–
–
–

Number 
of vested options 
at 31 March 2020
–

–
–
–

Number 
of unvested 
options at 
31 March 2021
–
745,559
–
–
–

Number 
of vested options 
at 31 March 2021
–
–
–
–
–

Granted
–
745,559
–
–
–

* James Balmain and Andy Williams were appointed to the Board on 8 June 2020

Jane Silber 
Remuneration Committee Chair

22 September 2021

38

Induction HealthcareAnnual Report & Accounts 2021 Governanceheading 1(continued)Audit Committee Report

(continued)

Induction Healthcare

Governance

Annual Report & Accounts 2020

Audit Committee Report 

On behalf of the Audit Committee, I am pleased to present the Audit Committee report for the year ended 31 March 2021. In this 
report, we provide you with an overview of the Committee’s priorities and performance during the year, in addition to details 
regarding the audit and risk management policies approved by the Committee for implementation throughout the Group.

Committee Members
Leslie-Ann Reed (Chair) 
Jane Silber 
Christopher Spencer

Committee Responsibilities
The Committee is primarily responsible for:

 — Oversight of the Group’s risk management framework and mitigating actions

 — Monitoring the effectiveness of internal controls;

 — Ensuring that the Group’s financial performance is properly measured and reported, through review of the annual and half-year 

financial statements, accounting policies and significant reporting judgements; 

 — Identification of adjusting items and the presentation of Alternative Performance Measures (“APMs”) and the judgement 

used in terms of which costs or credits are not associated with the underlying trading of the Group or otherwise impact the 
comparability of the Group’s results year on year; and

 — Oversight of the annual audit and its effectiveness, including the objectivity and independence of the external auditor.

The Work of the Committee
In the year following the Company’s public listing, the Audit Committee continued to review and establish the procedures and 
systems necessary to ensure robust standards of financial control. The CEO and Chief Financial Officer are invited to attend all 
meetings, while other senior financial managers will attend as appropriate. The external auditors attend the meetings to discuss 
the planning and conclusions of their work. The Audit Committee is able to call for information from management and external 
consultants with the external auditors directly if required. The objectivity and independence of the external auditors is safeguarded 
by reviewing the auditors’ formal planning proposal and monitoring relationships between key audit staff and the Company. 

The Audit Committee held three formal meetings during the year as set out on page 36 and considered the following items during 
the year:

Whistleblowing
Bribery 
Interim Results

Full Year Results

Going Concern

Internal Audit

External Audit

Terms of Reference

Review of arrangements in place
Review of arrangements in place
The Committee reviewed and approved the interim results taking into account a limited scope agreed upon 
procedures provided by KPMG.
The Committee also reviewed and approved the full year results through review of the annual report with a 
focus on revenue recognition, valuation and impairment of goodwill/intangibles. 
The Committee undertook reviews of the Company’s going concern status at the half and full year period 
ends. 
The Committee reviewed the need for an internal auditor and agreed that the Company was of not yet of 
sufficient size or complexity to merit a separate internal audit function.
The Committee reviewed the independence and objectivity of the external auditor, KPMG; their plan for the 
full year audit, advisory fees and the effectiveness of the audit process.
The Committee postponed the review of its own terms of reference until 2021 given the acquisition of 
Attend Anywhere 

External Auditor
The Audit Committee monitors the relationship with the external auditor, KPMG LLP, to ensure that auditor independence and 
objectivity are maintained. KPMG have been the Group’s auditor since IPO in 2019 and the Committee will keep under review the 
need for external tender, including any contractual restrictions on the choice of auditor. A summary of remuneration paid to the 
external auditor is provided in note 7 of the financial statements. The value of the non-audit services provided by the Auditor is £8k. 
Having reviewed the auditor’s independence and performance, the Audit Committee has concluded that these are effective and 
recommends that KPMG LLP be re-appointed as the Group’s auditor at the next AGM. 

Leslie-Ann Reed 
Audit Committee Chair

22 September 2021

39

Governance 
  
Nomination Committee Report

(continued)

Induction Healthcare

Governance

Annual Report & Accounts 2020

Nomination Committee Report 

On behalf of the Board, I am pleased to present the Nomination Committee report of the Company for the year ended 31 March 
2021.

Committee Members
Christopher Spencer (Chair) 
Leslie-Ann Reed 
Jane Silber

Committee Responsibilities
The Nomination Committee is responsible for reviewing the structure, size, and composition (including the skills, knowledge, 
experience, and diversity) of the board and making recommendations to the board with regard to any changes.

The Work of the Committee
The Nomination Committee met formally four times during the year and held a number of informal meetings and telephone calls 
between scheduled meetings.

Appointment of Directors

Following the acquisition of Zesty Limited, the Board asked the Committee to consider the suitability 
of James Balmain and Andrew Williams for, respectively, Executive and Non-Executive positions on 
the Board. The Committee recommended their appointments, and they joined the Board on 8 June 
2020. 

Succession Planning

During the year, the Committee considered the positions of the Executive Directors and short 
term and long term succession planning for the Executive Directors and the Chairs of the various 
Committees. Their discussions took into account the needs of the business and the preferences of 
the individuals under discussion. The recommendations of the Committee were communicated to the 
full Board and resulted in the appointment of Hugo Stephenson and James Balmain as joint CEOs 
and Ibs Mahmood’s voluntary departure from the Board to take up a new role as Chief Business 
Officer. Shelley Fraser stood down as an Executive Director and Chief Financial Officer and Oliver 
Drake assumed the role of Interim Chief Financial Officer. Oliver Drake was not appointed as an 
Executive Director but attends the Board and the various Committees.

Change of Company
Secretary

The Committee reviewed the provision of Company Secretarial Services considering the needs of the 
business. The recommendations of the Committee were communicated to the full Board and resulted 
in the services being brought in-house with the appointment of Alison Talbot as Company Secretary 
and the resignation of Prism Company Secretarial Services.

Induction of new directors
New directors are taken through a comprehensive induction programme which is tailored to their individual needs and 
understanding.

Chris Spencer 
Nomination Committee Chair

22 September 2021

40

 
  
Directors’ report

Directors’ report 

The Directors are pleased to present the Directors’ report to 
shareholders and the audited financial statements for the year 
ended 31 March 2021.

Corporate governance

The Directors’ statement on Corporate Governance is set out on 
pages 34 to 40 and forms part of this report.

Principal activity and business model

The principal activity and business model are set out in the 
Business Model and Strategy section on pages 12 to 21.

Future outlook

The strategy of the business is set out in the Group Strategy on 
pages 12 to 16.

Results and dividends

The results for the year to 31 March 2021 are set out in the 
financial statements on pages 54 to 90.

The Directors do not propose payment of a dividend for 2021 
(2020: £Nil).

Annual General Meeting

The date of the 2021 Annual General Meeting of the Company 
can be found in the Notice of Meeting which is available 
in the Investor Section of the Company’s website at www.
inductionhealthcare.com.

Review of the year

Research and development

A comprehensive analysis of the Group’s progress and 
development is set out in the Strategic Report on pages 6 to 11. 
This analysis includes comments on the position 
of the Group at the end of the financial year.

Significant events after the year-end

The Group capitalised £1,660k on development (2020: £761k).

Financial instruments

The financial risk management objectives and policies of the 
Group, including credit risk, interest rate risk and currency risk 
are provided in Note 27 of the accounts.

On 8 June 2021, the Company announced that it had raised 
£25 million through a placing of 35,714,285 new Ordinary Shares 
at a price of 70p per share (refer note 30).

Directors 

The Directors who held office during the year were as follows:

 — Shelley Fraser, resigned 22 January 2021

 — Ibs Mahmood, resigned 8 June 2020

 — James Balmain, appointed 8 June 2020 

 — Leslie-Ann Reed

 — Jane Silber

 — Christopher Spencer

 — Hugo Stephenson

 — Andy Williams, appointed 8 June 2020

Political contributions

Neither the Group nor any of its subsidiaries made any 
disclosable political donations or incurred any disclosable 
political expenditure during the year (2020: £Nil).

On 10 June 2020, the Company acquired Attend Anywhere 
Pty Ltd (Attend Anywhere) an Australian-based video 
consultation provider in the UK, for a consideration comprising 
(1) £16,348k, which included approximately £788k as payment 
for Attend Anywhere’s net assets at completion and (2) the issue 
of 14,285,714 New Ordinary Shares (having a value equivalent to 
£10 million at the Placing Price). 

Directors’ insurance

An insurance policy is maintained by the Group which insures 
the Directors of the Group against certain liabilities arising in the 
conduct of their duties. 

Capital structure

The Company’s share capital is divided into 92,050,727 ordinary 
shares of £0.005 each with voting rights. Note 30 explains the 
changes to the capital structure after the balance sheet date.

Related party transactions

Details of all related party transactions are set out in Note 28 to 
the Financial Statements.

41

Induction HealthcareAnnual Report & Accounts 2021Governanceheading 1(continued)Governance  
 
(continued)

Directors’ report 
(continued) 

Disclosure of information to auditor

Auditor

The Directors who held office at the date of approval of this 
Directors’ report confirm that, so far as they are each aware, 
there is no relevant audit information of which the company’s 
auditor is unaware; and each Director has taken all the steps 
that he ought to have taken as a Director to make himself 
aware of any relevant audit information and to establish that the 
company’s auditors is aware of that information. 

In accordance with Section 489 of the Companies Act 2006, a 
resolution for the re-appointment of KPMG LLP as auditor of the 
company is to be proposed at the forthcoming Annual General 
Meeting. 

By order of the board

James Balmain 
Director

22 September 2021

42

Induction HealthcareAnnual Report & Accounts 2021 Governanceheading 1heading 2(continued)Statement of Directors’ 

responsibilities in respect of

the annual report and the financial 

statements

Statement of Directors’ responsibilities in respect of 
the annual report and the financial statements 

The directors are responsible for keeping adequate accounting 
records that are sufficient to show and explain the parent 
Company’s transactions and disclose with reasonable accuracy 
at any time the financial position of the parent company and 
enable them to ensure that its financial statements comply with 
the Companies Act 2006. They are responsible for such internal 
control as they determine is necessary to enable the preparation 
of financial statements that are free from material misstatement, 
whether due to fraud or error, and have general responsibility for 
taking such steps as are reasonably open to them to safeguard 
the assets of the Group and to prevent and detect fraud and 
other irregularities.

Under applicable law and regulations, the directors are also 
responsible for preparing a Strategic Report and a Directors’ 
Report that complies with that law and those regulations. 

The directors are responsible for the maintenance and integrity 
of the corporate and financial information included on the 
Group’s website. Legislation in the UK governing the preparation 
and dissemination of financial statements may differ from 
legislation in other jurisdictions.

The directors are responsible for preparing the Annual Report 
and the group and parent company financial statements in 
accordance with applicable law and regulations.

Company law requires the directors to prepare group and parent 
company financial statements for each financial year. Under 
the AIM Rules of the London Stock Exchange they are required 
to prepare the Group financial statements in accordance with 
international accounting standards in conformity with the 
requirements of the Companies Act 2006 and applicable law 
and they have elected to prepare the parent Company financial 
statements on the same basis.

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 Group’s profit or loss for that period. In preparing 
each of the Group and parent Company financial statements, the 
directors are required to:

 — select suitable accounting policies and then apply them 

consistently;

 — make judgements and estimates that are reasonable, 

relevant, reliable and prudent;

 — state whether they have been prepared in accordance with 
international accounting standards in conformity with the 
requirements of the Companies Act 2006;

 — assess the Group and parent Company’s ability to continue 
as a going concern, disclosing, as applicable, matters 
related to going concern; and

 — use the going concern basis of accounting unless they 

either intend to liquidate the Group or the parent Company 
or to cease operations, or have no realistic alternative but to 
do so.

43

Induction HealthcareAnnual Report & Accounts 2021GovernanceGovernanceIndependent auditor’s report to the 

Induction Healthcare Group plc

members of

Independent auditor’s report to the members of 
Induction Healthcare Group plc 

Overview

Materiality: group financial 
statements as a whole

Coverage

Key audit matters

vs 2020

£66.0k (2020 : £30.4k)
0.80% (2020: 0.83%) of 
Total expenses

99% (2020 : 100%) of 
Total expenses

Recurring risks

Event driven

Intangible assets - capitalised 
development costs 



Revenue recognition 

Investment impairment 





New: Valuation of acquired 
intangibles of Zesty Limited 
New: Goodwill impairment  



1.  Our opinion is unmodified

We have audited the financial statements of Induction 
Healthcare Group plc (“the Company”) for the year ended 
31 March 2021 which comprise the Consolidated Statement 
of Profit or Loss, Consolidated Statement of Comprehensive 
Income, Consolidated Statement and Company Statement 
of Financial Position, Consolidated Statement and Company 
Statement of Changes in Equity, Consolidated Statement and 
Company Statement of Cash Flows, and the related notes, 
including the accounting policies in note 1. 

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 March 2021 and of the Group’s loss for the year then 
ended; 

 — the Group financial statements have been properly 

prepared in accordance with international accounting 
standards in conformity with the requirements of the 
Companies Act 2006; 

 — the parent Company financial statements have been 
properly prepared in accordance with international 
accounting standards in conformity with the requirements 
of, and as applied in accordance with the provisions of, the 
Companies Act 2006; 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 are described below. We have fulfilled our 
ethical responsibilities under, and are independent of the Group 
in accordance with, UK ethical requirements including the FRC 
Ethical Standard as applied to listed entities. We believe that the 
audit evidence we have obtained is a sufficient and appropriate 
basis for our opinion.

44

Induction HealthcareAnnual Report & Accounts 2021 Financial Statementsheading 1heading 2(continued)Independent auditor’s report to the 

(continued)

members of

Induction Healthcare Group plc 

Independent auditor’s report to the members of 
Induction Healthcare Group plc (continued) 

2. Key audit matters: our assessment of risks of material misstatement

Key audit matters are those matters that, in our professional judgement, were of most significance in the audit of the financial 
statements and include the most significant assessed risks of material misstatement (whether or not due to fraud) identified by us, 
including those which had the greatest 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. In arriving at our audit 
opinion above, the key audit matters, in decreasing order of audit significance, were as follows:

The risk

Our Response

Goodwill impairment (£9,373k; 
2020: £1,553k)

Refer to page 39 (Audit 
Committee Report), page 64 
(accounting policy) and page 80 
(financial disclosures).

Forecast-based assessment:
In accordance with IAS 36, the 
company is required to assess the 
carrying value of intangible assets 
with indefinite useful lives for 
impairment. 

We performed the detailed tests below rather 
than seeking to rely on any of the company’s 
controls because the nature of the balance 
is such that we would expect to obtain audit 
evidence primarily through the detailed 
procedures described:

— Assessing judgements and estimates:
We critically assessed the method used in the 
value in use estimates.

We challenged the assumptions on revenue 
growth (including renewals, upsells and new 
business), discount rate, EBITDA margin and 
terminal rate used to determine the value in use 
for the CGUs by corroborating the assumptions 
against the Company’s internal data and relevant 
market data. 

— Sensitivity analysis: 
Performing breakeven analysis on the 
assumptions noted above;

— Comparing valuations: 
Comparing the sum of the discounted cash flows 
to the group’s market capitalisation to assess the 
reasonableness of those cashflows; and

— Assessing transparency:
We evaluated whether the disclosure within the 
financial statements (see note 17) are in line with 
IAS 36 and IAS 1.

During FY20, the Group recognised 
goodwill relating to the acquisition 
of Horizon (£417k and £1,136k 
respectively) and in FY21, the group 
acquired Zesty Limited recognising 
goodwill of £8,237k. 

The goodwill was allocated to the 
Microguide (Induction Guidance) and 
Induction Zesty cash generating 
units for which the Company is 
required to estimate their value in 
use.

The estimated recoverable amount 
is subjective due to the start-up 
nature of the Company and the 
inherent uncertainty involved in 
forecasting and discounting future 
cash flows. 

The effect of these matters is that, 
as part of our risk assessment, 
we determined that the value in 
use of goodwill has a high degree 
of estimation uncertainty, with 
a potential range of reasonable 
outcomes greater than our 
materiality for the financial 
statements as a whole and 
possibly many times that amount. 
The financial statements (note 17) 
disclose the sensitivity estimated by 
the Company

45

Induction HealthcareAnnual Report & Accounts 2021Financial Statementsheading 1heading 2(continued)Financial StatementsIndependent auditor’s report to the members of 
Induction Healthcare Group plc (continued) 

The risk

Our Response

Valuation of acquired 
intangibles of Zesty Limited 
(£3,277k; 2020: £nil)

Forecast-based estimate
One business was acquired in the 
year; Zesty Limited.

Refer to page 39 (Audit 
Committee Report), page 63 
(accounting policy) and page 75 
(financial disclosures).

We identified the valuation of 
the identified intangible assets 
and goodwill as a significant 
risk due to the judgements and 
assumptions required to be applied 
by management in determining 
valuation of the acquired 
intangibles. 

In performing the valuations of 
the identified intangible assets, 
various assumptions were applied 
in deriving the fair value of the 
identified intangible assets. 

The effect of any changes to the 
assumptions is that, as part of our 
risk assessment, we determined 
that the calculation of fair value 
and accordingly Goodwill has 
a high degree of estimation 
uncertainty, with a potential range 
of reasonable outcomes greater 
than our materiality for the financial 
statements as a whole, and possibly 
many times that amount.

The financial statements (Note 
14) disclose the sensitivity of the 
Goodwill estimated by the Group.

We performed the detailed tests below rather 
than seeking to rely on any of the company’s 
controls because the nature of the balance 
is such that we would expect to obtain audit 
evidence primarily through the detailed 
procedures described:

— Our valuation expertise: 
We used our own valuation specialists to assist 
us in critically assessing discount rate, discount 
for lack of marketability (‘DLOM’) and royalty 
rate utilised within the valuation of the identified 
intangible assets by comparing against the 
specialists’ own developed assumptions. 

— Assessed accuracy: 
The Company utilised internal data such as the 
strategic plans, forecast and actual data. We 
performed procedures to assess the accuracy 
of the internal data. This included comparing 
and corroborating the assumptions made by the 
company when preparing forecasts against the 
internal data. 

— Assessing transparency: 
We critically assessed whether the Company’s 
disclosures on the assumptions used were 
consistent with the valuations performed and 
whether the Group’s disclosures adequately 
highlighted the uncertainties inherent in the 
valuations due to the assumptions used.

46

Induction HealthcareAnnual Report & Accounts 2021 Financial Statementsheading 1heading 2(continued)Independent auditor’s report to the members of 
Induction Healthcare Group plc (continued) 

Intangible assets – capitalised 
development costs (£1,939k; 
2020: £963k)

Refer to page 39 (Audit 
Committee Report), page 63 
(accounting policy) and page 82 
(financial disclosures).

The risk

Our Response

Estimate-based assessment
We identified the capitalisation 
of development costs as a risk 
due to the inherent judgement 
and assumptions that need to 
be applied in estimating the 
capitalised development costs. 
There is estimation uncertainty 
in determining which of the costs 
incurred in the development of the 
applications should be capitalised 
and at what rate as a percentage of 
total expense in the period.

The effect of these matters is that, 
as part of our risk assessment, 
we determined that the estimate 
has a high degree of estimation 
uncertainty, with a potential range 
of reasonable outcomes greater 
than our materiality for the financial 
statements as a whole.

We performed the detailed tests below rather 
than seeking to rely on any of the company’s 
controls because the nature of the balance 
is such that we would expect to obtain audit 
evidence primarily through the detailed 
procedures described:

 — Assessed assumptions: 
We challenged the assumptions on the rate (as a 
percentage of employee time) used to capitalise 
the development costs by having meetings 
with developers and other employees in the 
company to agree the time spent on the projects 
on a sample basis. We considered the different 
employees involved in the development of the 
applications and the time spent on developing 
the applications. We critically assessed the 
different rates used for each of the employee 
categories by agreeing the rates used in 
calculation against the applicable rates.

— Assessed accuracy: 
We inspected the invoices and other supporting 
documentation for the contractor expenses 
incurred and we inspected employees’ contracts 
to corroborate that these were directly linked to 
the development of the applications. 

We recalculated the capitalised costs using the 
applicable rate for the employees identified.

47

Induction HealthcareAnnual Report & Accounts 2021Financial Statementsheading 1heading 2(continued)Financial StatementsIndependent auditor’s report to the members of 
Induction Healthcare Group plc (continued) 

The risk

Our Response

Revenue recognition (£1,513k; 
2020: £148k)

Refer to page 39 (Audit 
Committee Report), page 60 
(accounting policy) and page 69 
(financial disclosures).

Accounting treatment
As required by the auditing 
standards, we identified a fraud risk 
related to the Company’s revenue 
recognition at the year-end date 
for Horizon Strategic Partners and 
existence of revenue throughout the 
year in relation to Zesty revenue. 

There is a risk in ascertaining the 
correct revenue to be recognised 
for the period with reference to 
the requirements of IFRS 15. Whilst 
there is limited judgement in 
identifying the point in which the 
obligations have been fulfilled, the 
external focus on the revenue value 
increases the risk of fraudulent 
premature revenue recognition.

For customer contracts in Zesty 
Limited, the application of IFRS 
15 involves significant judgement 
due to the bespoke nature of 
the contracts. The inappropriate 
determination of when revenue 
recognition commences and the 
identification of performance 
obligations may result in a material 
misstatement.

Investment impairment – parent 
company (£14,639k: 2020: 
£2,514k)

Refer to page 39 (Audit 
Committee Report), page 95 
(accounting policy) and page 95 
(financial disclosures).

Moderate risk, high value
The carrying amount of the parent 
company’s investments in the 
subsidiary companies represent 
76% of the Company’s total assets.

Its recoverability is not at a high 
risk of significant misstatement or 
subject to significant judgement. 
However, due to its materiality in 
the context of the parent company 
financial statements, this is 
considered to be the area that had 
the greatest effect on our overall 
parent company audit.

48

We performed the detailed tests below rather 
than seeking to rely on any of the company’s 
controls because knowledge of the design of 
these controls indicated that we would not be 
able to obtain the required evidence to support 
reliance on controls.

— Accounting analysis: 
We assessed and challenged the key terms 
in purchase orders and contracts to consider 
the Company’s assessment of the revenue 
contract, the Company’s determination of 
distinct performance obligations, the Company’s 
methodology in recognising revenue in line with 
IFRS 15 for over time or point in time recognition. 

We assessed whether the revenue has been 
recorded in the correct period, the performance 
obligation has been satisfied in the correct 
period and the correct transaction price has 
been used in the revenue recognition calculation 
by agreeing contract term and price to source 
documentation.

For Provision of Software revenue, we 
recalculated the accrued and deferred income 
calculation as at the balance sheet date to 
confirm that revenue has been recognised at the 
correct accounting period.

We have tested the manual journal entries in 
relation to Provision of Software revenue by 
agreeing to source data.

— Assessed Transparency: 
We critically assessed the adequacy of the 
Company’s disclosures in relation the revenue 
recognition and assessed that the accounting 
policies are in line with the requirements of 
IFRS 15. (see note 6).

We performed the detailed tests below rather 
than seeking to rely on any of the company’s 
controls because the nature of the balance 
is such that we would expect to obtain audit 
evidence primarily through the detailed 
procedures described:

We compared the net assets of the Group to the 
market capitalisation of the Company.

We considered if the subsidiaries have sufficient 
net assets to support the value of the investment 
held by the company.

We obtained and analysed the recoverable 
amount of the CGUs prepared and considered 
the impact of these valuations on the carrying 
value of the investment recorded.

Induction HealthcareAnnual Report & Accounts 2021 Financial Statementsheading 1heading 2(continued)Independent auditor’s report to the members of 
Induction Healthcare Group plc (continued) 

3. Our application of materiality and an 
overview of the scope of our audit

Materiality for the group financial statements as a whole was 
set at £66.0k (2020: £30.4k), determined with reference to 
a benchmark of Total Expenses, of which it represents 0.8% 
(2020: 0.83%). We consider the group expenses to be the 
appropriate benchmark as the group is still in its start-up phase. 

Materiality for the parent company financial statements as a 
whole was set at £155k (2020: £90k), determined with reference 
to a benchmark of company total assets, of which it represents 
0.8% (2020: 2.5%).

In line with our audit methodology, our procedures on 
individual account balances and disclosures were performed 
to a lower threshold, performance materiality, so as to reduce 
to an acceptable level the risk that individually immaterial 
misstatements in individual account balances add up to a 
material amount across the financial statements as a whole.

Performance materiality was set at 75% (2020: 75%) of 
materiality for the financial statements as a whole, which 
equates to £50.0k (2020: £22.8k) for the group and £194k 
(2020: £67.5k) for the parent company. We applied this 
percentage in our determination of performance materiality 
because we did not identify any factors indicating an elevated 
level of risk.

We agreed to report to the Audit Committee any corrected 
or uncorrected identified misstatements exceeding £3.3k 
(2020: £1.5k), in addition to other identified misstatements that 
warranted reporting on qualitative grounds.

Of the group’s 6 (2020: 5) reporting components, we subjected 
4 (2020: 4) to full scope audits for group purposes and nil (2020: 
nil) to specified risk-focused audit procedures. The components 
within the scope of our work accounted for the percentages 
illustrated opposite.

The remaining 0.01% (2020: 1%) of total group expenses, 0.01% 
(2020: 1%) of group loss before tax and 8.5% (2020: 8%) of 
total group assets is represented by 3 (2020: 2) of reporting 
components, none of which individually represented more than 
8.5% (2020: 8%) of any of total group expenses, group profit 
before tax or total group assets. For these components, we 
performed analysis at an aggregated group level to re-examine 
our assessment that there were no significant risks of material 
misstatement within these. 

The work of all reporting components including the audit of  
the parent company, was performed  by the Group team  
(2020: all reporting components including the audit of the 
parent company performed by the Group team)

Total expenses
£8,267k (2020: £3,675k)

Group materiality
£66.0k (2020: £30.4k) 

£66.0k
Whole financial
statements materiality (2020: 
£30.4k)

£55.0k
Whole financial
statements performance 
materiality (2020: £22.8k)

£40.0k
Range of materiality at 4 
components (£11k - £40k) 
(2020: £1k to £18k)

£3.3k
Misstatements reported to the 
audit committee (2020: £1.5k)

Total expenses
Group materiality

Group revenue

Group loss before tax

99%

(2020 99%)

99

99

100%

(2020: 100%)

100

100

Group total assets 

92%

(2020 92%)

92

92

Full scope for group audit purposes 2021

Full scope for group audit purposes 2020

Residual components

49

Induction HealthcareAnnual Report & Accounts 2021Financial Statementsheading 1heading 2(continued)Financial StatementsIndependent auditor’s report to the members of 
Induction Healthcare Group plc (continued) 

4. Going concern 

The directors have prepared the financial statements on the 
going concern basis as they do not intend to liquidate the 
Group or the Company or to cease their operations, and as they 
have concluded that the Group’s and the Company’s financial 
position means that this is realistic. They have also concluded 
that there are no material uncertainties that could have cast 
significant doubt over their ability to continue as a going 
concern for at least a year from the date of approval of the 
financial statements (“the going concern period”). 

We used our knowledge of the Group, its industry, and the 
general economic environment to identify the inherent risks to 
its business model and analysed how those risks might affect 
the Group’s and Company’s financial resources or ability to 
continue operations over the going concern period. The risks 
that we considered most likely to adversely affect the Group’s 
and Company’s available financial resources over this period 
were: 

•  delays in launch of the products and the retention of 

customers for existing product.

We considered whether these risks could plausibly affect the 
liquidity in the going concern period by assessing the degree of 
downside assumption that, individually and collectively, could 
result in a liquidity issue, taking into account the Group’s and 
Company’s current and projected cash (a reverse stress test).

Our procedures also included:

•  Critically assessing assumptions in base case and downside 
scenarios, in particular in relation to customer renewals, new 
business and upsells by comparing to historical renewal 
and upsell rates of customers and historical trends in severe 
economic situations and overlaying knowledge of the entity’ 
plans based on approved budgets and our knowledge of 
the entity and the sector in which it operates;

•  Assessing whether downside scenarios applied mutually 

consistent and severe assumptions in aggregate, using our 
assessment of the possible range of each key assumption 
and our knowledge of inter-dependencies;

•  Assessing the working capital assumptions inherent in the 
forecasts to actual recent experience and existing supplier/
customer arrangements; and

•  Comparing past budgets to actual results to assess the 

directors’ track record of budgeting accurately.

We considered whether the going concern disclosure in note 1 
to the financial statements gives a full and accurate description 
of the Directors’ assessment of going concern, including the 
identified risks, dependencies, and related sensitivities. We 
assessed the completeness of the going concern disclosure.

Our conclusions based on this work:

•  we consider that the Directors’ use of the going concern 
basis of accounting in the preparation of the financial 
statements is appropriate;

•  we have not identified, and concur with the Directors’ 

assessment that there is not, a material uncertainty related 
to events or conditions that, individually or collectively, may 
cast significant doubt on the Group’s or Company’s ability to 
continue as a going concern for the going concern period; 

However, as we cannot predict all future events or conditions 
and as subsequent events may result in outcomes that are 
inconsistent with judgements that were reasonable at the time 
they were made, the above conclusions are not a guarantee 
that the Group or the Company will continue in operation. 

5. Fraud and breaches of laws and regulations 
– ability to detect

Identifying and responding to risks of material misstatement 
due to fraud
To identify risks of material misstatement due to fraud (“fraud 
risks”) we assessed events or conditions that could indicate an 
incentive or pressure to commit fraud or provide an opportunity 
to commit fraud. Our risk assessment procedures included:

•  Enquiring of directors, the audit committee and inspection 
of policy documentation as to the Company’s high-level 
policies and procedures to prevent and detect fraud and the 
Group’s channel for “whistleblowing”, as well as whether 
they have knowledge of any actual, suspected or alleged 
fraud.

•  Reading Board meeting minutes.
•  Using analytical procedures to identify any unusual or 

unexpected relationships.

We communicated identified fraud risks throughout the audit 
team and remained alert to any indications of fraud throughout 
the audit.

As required by auditing standards, and taking into account 
possible pressures to meet profit targets, and our overall 
knowledge of the control environment, we perform procedures 
to address the risk of management override of controls and 
the risk of fraudulent revenue recognition, in particular the 
risk that license revenue is recorded in the wrong period 
and the risk that Group management may be in a position to 
make inappropriate accounting entries, and the risk of bias 
in accounting estimates and judgements such as capitalised 
development costs, impairment of intangible assets and 
recoverable amount of CGUs.

50

Induction HealthcareAnnual Report & Accounts 2021 Financial Statementsheading 1heading 2(continued)Independent auditor’s report to the members of 
Induction Healthcare Group plc (continued) 

5. Fraud and breaches of laws and regulations 
– ability to detect (continued)

correspondence, if any. Therefore, if a breach of operational 
regulations is not disclosed to us or evident from relevant 
correspondence, an audit will not detect that breach.

We did not identify any additional fraud risks.

Further detail in respect of fraud in revenue recognition is set 
out in the key audit matter disclosures in section 2 of this report.

We performed procedures including: 

• 

Identifying journal entries to test for all full scope 
components based on risk criteria and comparing the 
identified entries to supporting documentation. These 
included those posted to unusual accounts. 

•  Assessing significant accounting estimates for bias.

Identifying and responding to risks of material misstatement 
due to non-compliance with laws and regulations
We identified areas of laws and regulations that could 
reasonably be expected to have a material effect on the 
financial statements from our general commercial and sector 
experience, through discussion with the directors and other 
management (as required by auditing standards) and discussed 
with the directors and other management the policies and 
procedures regarding compliance with laws and regulations.

We communicated identified laws and regulations throughout 
our team and remained alert to any indications of non-
compliance throughout the audit. 

The potential effect of these laws and regulations on the 
financial statements varies considerably.

Firstly, the Group is subject to laws and regulations that 
directly affect the financial statements including financial 
reporting legislation (including related companies legislation), 
distributable profits legislation and taxation legislation and 
we assessed the extent of compliance with these laws and 
regulations as part of our procedures on the related financial 
statement items. 

Secondly, the Group is subject to many other laws and 
regulations where the consequences of non-compliance 
could have a material effect on amounts or disclosures in the 
financial statements, for instance through the imposition of 
fines or litigation or the loss of the Group’s ability to comply 
with the regulations of being a vendor within the NHS. We 
identified the following areas as those most likely to have such 
an effect: General Data Protection Regulations and the specific 
restrictions relating to medical devices, clinical governance 
including patient safety and information governance including 
confidentiality and security. Auditing standards limit the 
required audit procedures to identify non-compliance with 
these laws and regulations to enquiry of the directors and 
other management and inspection of regulatory and legal 

Context of the ability of the audit to detect fraud or breaches 
of law or regulation
Owing to the inherent limitations of an audit, there is an 
unavoidable risk that we may not have detected some material 
misstatements in the financial statements, even though we 
have properly planned and performed our audit in accordance 
with auditing standards. For example, the further removed 
non-compliance with laws and regulations is from the events 
and transactions reflected in the financial statements, the less 
likely the inherently limited procedures required by auditing 
standards would identify it. 

In addition, as with any audit, there remained a higher risk of 
non-detection of fraud, as these may involve collusion, forgery, 
intentional omissions, misrepresentations, or the override of 
internal controls. Our audit procedures are designed to detect 
material misstatement. We are not responsible for preventing 
non-compliance or fraud and cannot be expected to detect 
non-compliance with all laws and regulations.

6. We have nothing to report on the other 
information in the Annual Report

The directors are responsible for the other information 
presented in the Annual Report together with the financial 
statements. Our opinion on the financial statements does not 
cover the other information and, accordingly, we do not express 
an audit opinion or, except as explicitly stated below, any form 
of assurance conclusion thereon. 

Our responsibility is to read the other information and, in 
doing so, consider whether, based on our financial statements 
audit work, the information therein is materially misstated 
or inconsistent with the financial statements or our audit 
knowledge. Based solely on that work we have not identified 
material misstatements in the other information. 

Strategic report and directors’ report 
Based solely on our work on the other information: 

•  we have not identified material misstatements in the 

strategic report and the directors’ report; 

• 

• 

in our opinion the information given in those reports for the 
financial year is consistent with the financial statements; and 

in our opinion those reports have been prepared in 
accordance with the Companies Act 2006

51

Induction HealthcareAnnual Report & Accounts 2021Financial Statementsheading 1heading 2(continued)Financial StatementsIndependent auditor’s report to the members of 
Induction Healthcare Group plc (continued) 

9. The purpose of our audit work and to whom 
we owe our responsibilities 

This report is made solely to the Company’s members, as a 
body, in accordance with Chapter 3 of Part 16 of the Companies 
Act 2006. Our audit work has been undertaken so that we 
might state to the Company’s members those matters we 
are required to state to them in an auditor’s report and for no 
other purpose. To the fullest extent permitted by law, we do 
not accept or assume responsibility to anyone other than the 
Company and the Company’s members, as a body, for our audit 
work, for this report, or for the opinions we have formed.

Karen Tasker 
(Senior Statutory Auditor)  
for and on behalf of KPMG LLP, Statutory Auditor 
Chartered Accountants 
KPMG LLP 
Challenge House 
Sherwood Drive 
Milton Keynes 
MK3 6DP

22 September 2021

7. We have nothing to report on the other 
matters on which we are required to report by 
exception 

Under the Companies Act 2006, we are required 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. 

We have nothing to report in these respects. 

8. Respective responsibilities

Directors’ responsibilities 
As explained more fully in their statement set out on page 43, 
the directors are responsible for: the preparation of the financial 
statements including being satisfied that they give a true and 
fair view; such internal control as they determine is necessary 
to enable the preparation of financial statements that are free 
from material misstatement, whether due to fraud or error; 
assessing the Group and 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 they 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 
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 our opinion in an auditor’s report. Reasonable assurance 
is a high level of assurance, but does not 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 aggregate, they could reasonably be expected to influence 
the economic decisions of users taken on the basis of the 
financial statements. 

A fuller description of our responsibilities is provided on the 
FRC’s website at www.frc.org.uk/auditorsresponsibilities. 

52

Induction HealthcareAnnual Report & Accounts 2021 Financial Statementsheading 1heading 2(continued)Consolidated Statement of Profit 

For the year ended 31 March 2021

or Loss

Consolidated Statement of Profit or Loss 
For the year ended 31 March 2021 

Revenue
Cost of sales

Gross profit
Sales and marketing expenses
Administrative expenses
Development expenses
Impairment losses

Loss from operations
Finance income
Finance expense
Fair value losses on contingent consideration

Loss before tax
Tax credit

Loss for the year

The Notes on pages 58 to 90 form an integral part of these financial statements. 

Note
 6 

7
 11 
 11 
7

 12 

2021
£000
1,513
(636)  
877
(590)  
(5,052)  
(1,893)  
(1,366)  
(8,024)  

3
(5)  
(91)  
(8,117)  
503
(7,614)  

2020
£000
148
(73)  
75
(274)  
(2,330)  
(962)  
–
(3,574)  
47
–
(83)  
(3,527)  
–
(3,527)  

53

Induction HealthcareAnnual Report & Accounts 2021Financial StatementsFinancial Statements  
 
 
 
 
 
 
 
 
Consolidated Statement of 

Comprehensive Income

For the year ended 31 March 2021

Consolidated Statement of Comprehensive Income 
For the year ended 31 March 2021 

Loss for the year
Exchange (losses)/gains arising on translation on foreign operations
Reclassified to profit and loss during the year

Other comprehensive income for the year, net of tax
Total comprehensive income

Loss per share attributable to the ordinary equity holders of the parent
Profit or loss
Basic
Diluted

The Notes on pages 58 to 90 form an integral part of these financial statements. 

2021
£000
(7,614)  
(9)  
(7)  
(16)  
(16)  
(7,630)  

2020
£000
(3,527)  
8
(1)  
7
7
(3,520)  

 13 
 13 

(0.19)  
(0.19)  

(0.13)  
(0.13)  

54

heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial Statements 
Consolidated Statement of 

Financial Position

As at 31 March 2021

Consolidated Statement of Financial Position 
As at 31 March 2021 

Assets
Non-current assets
Property, plant and equipment
Intangible assets
Goodwill
Deferred tax assets

Total non-current assets
Current assets
Contract assets
Trade and other receivables
Cash and cash equivalents
Other current financial assets
Total current assets
Total assets
Liabilities
Non-current liabilities
Contract liabilities
Deferred tax liability
Total non-current liabilities
Current liabilities
Trade and other payables
Contract liabilities
Other financial liabilities
Total current liabilities
Total liabilities
Net assets
Equity attributable to equity holders of the parent
Share capital
Share premium reserve
Merger reserve
Foreign exchange reserve
Other reserves
Retained earnings

Total equity

Note

 19 
 18 
 17 
 12 

 21 
 20 
 22
 12

 24 
 12 

 23 
 24 
27

 25 
 26
 26
 26
 10
 26

2021
£000

2020
£000

15
5,884
9,373
880
16,152

155
896
2,472
447
3,970
20,122

187
1,048
1,235

1,396
1,027
–
2,421
3,656
16,466

210
18,432
10,879 
(9)  

792

(13,838)  
16,466

–
2,349
1,553
97
3,999

23
140
10,718
–
10,881
14,880

38
321
359

402
263
1,409
2,074
2,433
12,447

148
18,432
(10)  
7
94
(6,224)  
12,447

The Notes on pages 58 to 90 form an integral part of these financial statements.

The financial statements on pages 53 to 90 were approved and authorised for issue by the board of Directors on 22 September 
2021 and were signed on its behalf by:

James Balmain
Director
Company registered number: 11852026 

55

heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsFinancial Statements 
 
 
 
 
 
  
 
 
 
 
 
Consolidated Statement of 

Changes in Equity

As at 31 March 2021

Consolidated Statement of Changes in Equity 
As at 31 March 2021 

At 1 April 2019
Comprehensive income for the year
Loss for the year
Other comprehensive loss for the year

Total comprehensive loss for the year
Transactions with owners, recorded directly in 
equity
Reserves arising on acquisition of subsidiaries
Issue of shares pre-Initial Public Offering
Issue of shares to settle loans and borrowings
Issue of shares as consideration for a business 
combination
Issue of shares on Initial Public Offering
Share issue costs
Equity settled share-based payments
Total contributions by and distributions to 
owners
At 31 March 2020 and 1 April 2020
Comprehensive income for the year
Loss for the year
Other comprehensive loss for the year

Total comprehensive income for the year
Transactions with owners, recorded directly in 
equity
Issue of shares as consideration for a business 
combination
Share issue costs
Equity settled share-based payments
Total contributions by and distributions to 
owners
At 31 March 2021

Notes

Share  
capital
£000
66

Share 
premium
£000
–

Merger 
reserve
£000
–

Foreign 
exchange 
reserve
£000
(1)  

Other 
reserves
£000
–

Retained 
earnings
£000
(2,707)  

Total  
equity
£000
(2,642)  

–
–
–

–
9
9

2
62
–
–

–
–
–

–
1,991
1,991

398
14,521
(469)  
–

–
–
–

(10)  
–
–

–
–
–
–

82

148

18,432

18,432

(10)  

(10)  

–
8
7

–
–
–

–
–
–
–

–

7

–
–
–

–
(16)  
(16)  

–
–
–

–
–
–

–
–
–
94

94

94

–
–
–

(3,527)  
–
(3,527)  

(3,527)  
8
(3,520)  

10
–
–

–
–
–
–

–
2,000
2,000

400
14,583
(469)  
94

10

18,608

(6,224)  

12,447

(7,614)  
–
(7,614)  

(7,614)  
(16)  
(7,630)  

10,953
(64)  
–

10,889

–
–
–

–

–
–
698

698

–
–
–

–

11,015
(64)  
698

11,649

18,432

10,879

(9)  

792 (13,838)  

16,466

–
–
–

62
–
–

62

210

14
14
10

–
–
–

–
–
–

–

The notes on pages 58 to 90 form part of these financial statements.

56

heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsConsolidated Statement of Cash 

For the year ended 31 March 2021

Flows

Consolidated Statement of Cash Flows 
For the year ended 31 March 2021 

Cash flows from operating activities
Loss for the year
Adjustments for
Depreciation of property, plant and equipment
Amortisation of intangible fixed assets
Impairment losses on intangible assets
Finance income
Finance expense
Fair value adjustments on financial liabilities
Share-based payment expense
Net foreign exchange loss/(gain)  
Income tax credit

Movements in working capital:
(Increase)  / decrease  in trade and other receivables and contract assets
Increase / (decrease) in trade and other payables and contract liabilities
Interest received
Interest paid
Net cash used in operating activities
Cash flows from investing activities
Acquisition of subsidiary, net of cash acquired
Purchases of property, plant and equipment
Repayments by related parties
Payment of software development costs
Net cash used in investing activities
Cash flows from financing activities
Issue of ordinary shares
Share issue costs
Proceeds from related party borrowings
Repayment of bank borrowings
Repayment of related party borrowings
Net cash (used in)  /from financing activities
Net cash (decrease)  /increase in cash and cash equivalents
Cash and cash equivalents at the beginning of year
Exchange (loss)  /gains on cash and cash equivalents

Cash and cash equivalents at the end of the year

The notes on pages 58 to 90 form part of these financial statements.

Notes

2021
£000

2020
£000

(7,614)  

(3,527)  

19
18
17 & 18
11
11
27
10

12

11
11

14
19

7

14

27

7
1,340
1,366

(3)  
5
91
698
3

(503)  
3,004

(485)  
1,085
3
(5)  
(4,012)  

(1,987)  
(5)  
–

(1,660)  
(3,652)  

–
(64)  
–
(501)  
–

(565)  
(8,230)  
10,718

(16)  

2,472

–
323
–
(47)  
–
83
94
(7)  
–
446

29
(342)  
47
–
(3,346)  

(976)  
–
10
(761)  
(1,727)  

16,584
(469)  
500
–
(1,000)  
15,615
10,542
169
7
10,718

57

heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsFinancial StatementsNotes (forming part of the financial 

statements)

Notes (forming part of the financial statements) 

1.  Accounting policies

1.1  Basis of consolidation
The consolidated financial statements incorporate the financial statements of the Group and entities (including structured entities) 
controlled by the Group and its subsidiaries. Control is achieved when the Group:

 — has power over the investee;
 — is exposed, or has rights, to variable returns from its involvement with the investee; and
 — has the ability to use its power to affect its returns.

The Group reassesses whether or not it controls an investee if facts and circumstances indicate that there are changes to one or 
more of the three elements of control listed above.

When the Group has less than a majority of the voting rights of an investee, it has power over the investee when the voting rights 
are sufficient to give it the practical ability to direct the relevant activities of the investee unilaterally. The Group considers all 
relevant facts and circumstances in assessing whether or not the Group’s voting rights in an investee are sufficient to give it power, 
including:

 — the size of the Group’s holding of voting rights relative to the size and dispersion of holdings of the other vote holders;
 — potential voting rights held by the Group, other vote holders or other parties;
 — rights arising from other contractual arrangements; and
 — any additional facts and circumstances that indicate that the Group has, or does not have, the current ability to direct the 

relevant activities at this time that decisions need to be made, including voting patterns at previous shareholders’ meetings.

Consolidation of a subsidiary begins when the Group obtains control over the subsidiary and ceases when the Group loses control 
of the subsidiary. Specifically, income and expenses of a subsidiary acquired or disposed of during the year are included in the 
consolidated statement of profit or loss and other comprehensive income from the date the Group gains control until the date when 
the Group ceases to control the subsidiary.

Profit or loss and each component of other comprehensive income are attributed to the owners of the Group and to the non-
controlling interests. Total comprehensive income of subsidiaries is attributed to the owners of the Group and to the non-controlling 
interests even if this results in the non-controlling interests having a deficit balance.

When necessary, adjustments are made to the financial statements of subsidiaries to bring their accounting policies into line with 
the Group’s accounting policies.

All intragroup assets and liabilities, equity, income, expenses and cash flows relating to transactions between members of the 
Group are eliminated in full on consolidation.

There are no restrictions on the ability of the parent and subsidiaries to transfer cash or other assets to or from other entities 
within the group. There are no restrictions that may restrict dividends and other capital distributions within the group. There are no 
restrictions on the ability of the group to access or use the assets and settle the liabilities of the group.

1.2  Going concern
The Group has recognised revenues from commercial deals during the year of £1,513k (2020: £148k), however it is still largely reliant 
on cash from financing activities to fund on-going operations. 

The Group made adjusted operating losses before interest, tax, depreciation, amortisation, impairment and exceptional costs for 
the year ended 31 March 2021 of £4,775k (2020: £2,736k) and had cash balances at 31 March 2021 of £2,472k (2020: £10,718k) with 
cash outflows from operating activities during the year of £4,012k (2020: £3,346k).

On 8 June 2021, the Company announced that it had raised £25 million through a placing of 35,714,285 new Ordinary Shares at a 
price of 70p per share (refer note 30).

On the 9 June 2021, the Company announced the completion of the acquisition of Attend Anywhere Pty Ltd for a cash 
consideration of approximately £16,348k, which included approximately £788k as payment for Attend Anywhere’s net assets at 
completion; and the issue of 14,285,714 Consideration Shares (having a value equivalent to £10 million at the Placing Price).

Following the share placing and acquisition the Group has seen an incremental increase in cash reserves of £10 million, which will be 
used to support product development and international expansion. 

58

heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial Statements  
(continued)

Notes (forming part of the financial statements) 
(continued) 

1.  Accounting policies (continued)

1.2  Going concern (continued)
In assessing the appropriateness of the going concern assumption, the Board of Directors has reviewed the projected cash flow 
forecasts to 31 March 2023 of the enlarged Group and other relevant information, together with considering scenarios with adverse 
impacts across the Group’s principal risks relating to COVID-19 and macro-economic conditions.

Management’s base case going concern assessment allows investment in the full range of planned market and product 
development activities, to achieve revenue targets over this forecast period. 

Management has considered a severe but plausible downside scenario whereby the Group sees six-month delays in signing new 
revenues and a 33% reduction in renewals of Attend Anywhere Pty Limited’s existing contracts, together with a series of mitigating 
actions, which resulted in the Group remaining viable over the going concern period. 

After due consideration, the Board has concluded that there is a reasonable expectation that the Group and Company have 
adequate resources to meet its liabilities as they fall due for at least 12 months from the date of this report, and therefore these 
financial statements are prepared on a going concern basis.

1.3  Business combinations
Acquisitions of businesses are accounted for using the acquisition method. The consideration transferred in a business 
combination is measured at fair value, which is calculated as the sum of the acquisition date fair values of the assets transferred 
by the Group, liabilities incurred by the Group to the former owners of the acquiree and the equity interests issued by the Group in 
exchange for control of the acquiree. Acquisition-related costs are generally recognised in profit or loss as incurred.

At the acquisition date, the identifiable assets acquired and the liabilities assumed are recognised at their fair value, except that:

 — deferred tax assets or liabilities, and assets or liabilities related to employee benefit arrangements are recognised and 

measured in accordance with IAS 12 Income Taxes and IAS 19 respectively;

 — liabilities or equity instruments related to share-based payment arrangements of the acquiree or share-based payment 

arrangements of the Group entered into to replace share-based payment arrangements of the acquiree are measured in 
accordance with IFRS 2 at the acquisition date (see note 1.8); and

 — assets (or disposal groups) that are classified as held for sale in accordance with IFRS 5 Noncurrent Assets Held for Sale and 

Discontinued Operations are measured in accordance with that Standard.

Goodwill is measured as the excess of the sum of the consideration transferred, the amount of any non-controlling interests in the 
acquiree, and the fair value of the acquirer’s previously held equity interest in the acquiree (if any) over the net of the acquisition 
date amounts of the identifiable assets acquired and the liabilities assumed. If, after reassessment, the net of the acquisition date 
amounts of the identifiable assets acquired and liabilities assumed exceeds the sum of the consideration transferred, the amount of 
any non-controlling interests in the acquiree and the fair value of the acquirer’s previously held interest in the acquiree (if any), the 
excess is recognised immediately in profit or loss as a bargain purchase gain.

When the consideration transferred by the Group in a business combination includes assets or liabilities resulting from a contingent 
consideration arrangement, the contingent consideration is measured at its acquisition date fair value and included as part of 
the consideration transferred in a business combination. Changes in the fair value of the contingent consideration that qualify as 
measurement period adjustments are adjusted retrospectively, with corresponding adjustments against goodwill. Measurement 
period adjustments are adjustments that arise from additional information obtained during the ‘measurement period’ (which cannot 
exceed one year from the acquisition date) about facts and circumstances that existed at the acquisition date.

The subsequent accounting for changes in the fair value of the contingent consideration that do not qualify as measurement period 
adjustments depends on how the contingent consideration is classified. Contingent consideration that is classified as equity is not 
remeasured at subsequent reporting dates and its subsequent settlement is accounted for within equity. Contingent consideration 
that is classified as an asset or a liability is remeasured at subsequent reporting dates, with the corresponding gain or loss being 
recognised in profit or loss.

When a business combination is achieved in stages, the Group’s previously held equity interest in the acquiree is remeasured to 
its acquisition date fair value and the resulting gain or loss, if any, is recognised in profit or loss. Amounts arising from interests in 
the acquiree prior to the acquisition date that have previously been recognised in other comprehensive income are reclassified to 
profit or loss where such treatment would be appropriate if that interest were disposed of.

59

heading 1heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsFinancial StatementsNotes (forming part of the financial statements) 
(continued) 

1.  Accounting policies (continued)

1.3  Business combinations (continued)
If the initial accounting for a business combination is incomplete by the end of the reporting period in which the combination 
occurs, the Group reports provisional amounts for the items for which the accounting is incomplete. Those provisional amounts are 
adjusted during the measurement period (see above), or additional assets or liabilities are recognised, to reflect new information 
obtained about facts and circumstances that existed at the acquisition date that, if known, would have affected the amounts 
recognised at that date.

1.4  Goodwill
Goodwill arising on an acquisition of a business is carried at cost as established at the date of acquisition of the business (see note 
1.3) less accumulated impairment losses, if any.

For the purposes of impairment testing, goodwill is allocated to each of the Group’s cash-generating units (or groups of cash-
generating units) that is expected to benefit from the synergies of the combination.

A cash-generating unit to which goodwill has been allocated is tested for impairment annually, or more frequently when there is an 
indication that the unit may be impaired. If the recoverable amount of the cash-generating unit is less than its carrying amount, the 
impairment loss is allocated first to reduce the carrying amount of any goodwill allocated to the unit and then to the other assets of 
the unit pro rata based on the carrying amount of each asset in the unit. Any impairment loss for goodwill is recognised directly in 
profit or loss. An impairment loss recognised for goodwill is not reversed in subsequent periods.

On disposal of the relevant cash-generating unit, the attributable amount of goodwill is included in the determination of the profit 
or loss on disposal.

1.5  Revenue
Licenced subscription services
The Group is in the business of providing access to its proprietary software applications, as software-as-a-service. Revenue from 
the sale of licenced software is recognised when control of the goods or services are transferred to the customer, either after user 
acceptance testing or Go-Live and at the point where there are no further outstanding significant commitments relating to the sale.

Revenue is recognised at an amount that reflects the consideration to which the Group expects to be entitled in exchange for 
those services.

The transaction price is determined based on the standard list price in line with the Group’s pricing policy. Revenue is therefore 
shown net of value added tax and trade discounts and is reported for healthcare institutions, whereby healthcare institutions are 
charged a subscription/licence fee for making the applications available to users.

Control is transferred, and performance obligations are satisfied over time over the subscription period and therefore this revenue 
is recognised rateably over the period of the subscription. For arrangements which contain set-up services, the period of the 
subscription commences once set-up services have been fully provided.

Payment is due within 30 days of date of invoice.

The Group did not enter into any transactions with variable consideration, rights of return, volume rebates or significant financing 
components during the year. The Group does not have any warranty obligations. The Group has elected to use the practical 
expedient to disregard the significant financing component for contracts with a subscription period of 12 months or less.

Set-up services
Set-up services vary depending on the scope and complexity of the engagement and type of software service provided. Examples 
of such services include system configuration, project management, testing assistance and database consulting. Where software 
requires installation effort, set-up services are deemed to be essential to the functionality of the licence and therefore impacts 
the timing of the software licence recognition, as control does not transfer until such set-up services have been fully provided. 
Set-up services are considered fully provided on either the go-live date or date of completion of user acceptance testing, as 
specified in each contract. Such set-up services are not considered a separate performance obligation and are combined with the 
corresponding licence subscription fee and recognised rateably over the subscription period.

60

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsNotes (forming part of the financial statements) 
(continued) 

1.  Accounting policies (continued)

1.5  Revenue (continued)
Set-up services (continued)
Certain of the group’s services require set-up effort, these are not considered to be essential to the functionality of the software 
and are not considered to be separate performance obligations and do not affect the timing of revenue recognition for licensed 
subscriptions.

Contract terms
Management considers termination clauses and renewal clauses on a contract-by-contract basis to determine if such clauses grant 
a material right to the customer. Where management have determined that such material rights exist, these impact the contractual 
licenced subscription term. Management also assess whether material rights represent separate performance obligations.

Software support and maintenance fees
Unless separately specified, software support and maintenance services are included in licence fees under in the Group contracts. 
These are recognised as revenue in line with the licensed subscription revenues, from the date at which any set-up services have 
been fully provided (ie. go-live date or user acceptance date). The transaction price is determined with reference to the standalone 
selling price of the services based on historical contracted amounts agreed. Management have assessed whether any contracts 
contain specified upgrade rights and have concluded that no contracts contain material upgrade rights and therefore these are not 
accounted for as separate performance obligations.

Text and SMS revenues
Text and SMS revenues are recognised at a point in time and in line with usage.

Other revenues
Where ad-hoc development or consulting activities are undertaken for customers, the revenue from these is recognised at a point 
in time, when control of the service passes to the customer and there are no further outstanding significant commitments in relation 
to the sale. 

Contract assets and liabilities 
A contract asset is initially recognised for renewals of subscriptions, where the customer continues to have access to the 
applications but has not been invoiced for the subscription renewal. Upon receipt of a purchase order from the customer and 
invoicing by the Group, the balance is reclassified to trade receivables.

A contract liability is recognised if a payment is received from a customer in advance of the subscription period to which that 
payment relates.

The Group has incurred sales commission costs to obtain contracts with customers during the year. Management have elected 
to apply the exemption from capitalisation of these costs for contracts with a term of 12 months or less. For contracts with terms 
longer than 12 months, costs are capitalised and amortised over the subscription term. 

The Group has incurred costs to fulfil contracts with customers during the year, specifically related to the provision of set-up 
services. Such costs are capitalised as contract costs and amortised through cost of sales over the licenced subscription term from 
the date of the completion of the set-up services.

1.6  Foreign currency
In preparing the financial statements of each individual group entity, transactions in currencies other than the entity’s functional 
currency (foreign currencies) are recognised at the rates of exchange prevailing at the dates of the transactions. At the end of 
each reporting period, monetary items denominated in foreign currencies are retranslated at the rates prevailing at that date. 
Non-monetary items carried at fair value that are denominated in foreign currencies are retranslated at the rates prevailing at the 
date when the fair value was determined. Non-monetary items that are measured in terms of historical cost in a foreign currency are 
not retranslated.

For the purposes of presenting these financial statements, the assets and liabilities of the Group’s foreign operations are translated 
into pounds using exchange rates prevailing at the end of each reporting period. Income and expense items are translated at the 
average exchange rates for the period, unless exchange rates fluctuate significantly during that period, in which case the exchange 
rates at the dates of the transactions are used. Exchange differences arising, if any, are recognised in other comprehensive income 
and accumulated in equity (and attributed to non-controlling interests as appropriate).

61

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsFinancial StatementsNotes (forming part of the financial statements) 
(continued) 

1.  Accounting policies (continued)

1.7  Employee benefits
Short-term and other long-term employee benefits 
A liability is recognised for benefits accruing to employees in respect of wages and salaries, annual leave and sick leave in the 
period the related service is rendered at the undiscounted amount of the benefits expected to be paid in exchange for that service.

Liabilities recognised in respect of short-term employee benefits are measured at the undiscounted amount of the benefits 
expected to be paid in exchange for the related service.

Liabilities recognised in respect of other long-term employee benefits are measured at the present value of the estimated future 
cash outflows expected to be made by the Group in respect of services provided by employees up to the reporting date.

1.8  Share-based payments
Share-based payment transactions of the Group
Equity settled share-based payments to employees and others providing similar services are measured at the fair value of 
the equity instruments at the grant date. Details regarding the determination of the fair value of equity-settled share-based 
transactions are set out in note 10.

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 equity instruments that will eventually vest, with a corresponding increase in 
equity. At the end of each reporting period, the Group revises its estimate of the number of equity instruments expected to vest. 
The impact of the revision of the original estimates, if any, is recognised in profit or loss such that the cumulative expense reflects 
the revised estimate, with a corresponding adjustment to the equity-settled employee benefits reserve.

1.9  Taxation
Tax on the profit or loss for the period comprises current and deferred tax. Tax is recognised in the consolidated income statement 
except to the extent that it relates to items recognised directly in equity, in which case it is recognised in equity.

Current tax is the expected tax payable or receivable on the taxable income or loss for the period, using tax rates enacted or 
substantively enacted at the statement of financial position date, and any adjustment to tax payable in respect of previous periods.

Deferred tax is provided on temporary differences between the carrying amounts of assets and liabilities for financial reporting 
purposes and the amounts used for taxation purposes. The following temporary differences are not provided for: the initial 
recognition of goodwill; the initial recognition of assets or liabilities that affect neither accounting nor taxable profit other than in 
a business combination, and differences relating to investments in subsidiaries to the extent that they will probably not reverse in 
the foreseeable future. The amount of deferred tax provided is based on the expected manner of realisation or settlement of the 
carrying amount of assets and liabilities, using tax rates enacted or substantively enacted at the statement of financial position 
date.

A deferred tax asset is recognised only to the extent that it is probable that future taxable profits will be available against which the 
temporary difference can be utilised. Deferred tax assets are reviewed at each reporting date and recognised to the extent that it 
has become probable that future taxable profits will be available against which they can be used.

Expenses and assets are recognised net of the amount of sales tax, except:

 — When the sales tax incurred on a purchase of assets or services is not recoverable from the taxation authority, in which case, 

the sales tax is recognised as part of the cost of acquisition of the asset or as part of the expense item, as applicable

 — When receivables and payables are stated with the amount of sales tax included

The net amount of sales tax recoverable from, or payable to, the taxation authority is included as part of receivables or payables in 
the statement of financial position.

62

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsNotes (forming part of the financial statements) 
(continued) 

1.  Accounting policies (continued)

1.9  Taxation (continued)
Research and development tax credits claimed from HM Revenue & Customs are taken as a credit in the period in which the 
qualifying research and development costs are incurred unless there is uncertainty over the amount and timing of the credits. 
During the year ended 31 March 2021 a credit was recognised in respect of the claim submitted for the year ended 31 March 2019. 
A credit was also recognised in respect of the claim for the year ended 31 March 2020, this claim has not yet been submitted to 
HM Revenue & Customs. Refer Note 5.1 for the judgement applied by management in recognising this claim. No credits have 
been recognised for the years ended 31 March 2021 as the assessment of qualifying expenditure for the claim has not yet been 
performed and therefore there is uncertainty over the amount and timing of the credits.

1.10  Property, plant and equipment
Items of property, plant and equipment are measured at cost less accumulated depreciation and any accumulated impairment 
losses.

If significant parts of an item of property, plant and equipment have different useful lives, then they are accounted for as separate 
items (major components) of property, plant and equipment. Any gain or loss on disposal of an item of property, plant and 
equipment is recognised in profit or loss. Subsequent expenditure is capitalised only if it is probable that the future economic 
benefits associated with the expenditure will flow to the Group.

Depreciation is provided on all other items of property, plant and equipment so as to write off their carrying value over their 
expected useful economic lives. It is provided at the following range:

Useful life
Amortisation method

Fixtures and fittings
5 years
Straight line over the expected life of the 
asset

Computer Equipment
3 years
Straight line over the expected life of the 
asset

Intangible assets acquired separately

1.11  Intangible assets
(i) 
Intangible assets with finite useful lives that are acquired separately are carried at cost less accumulated amortisation and 
accumulated impairment losses. Amortisation is recognised on a straight-line basis over their estimated useful lives. The estimated 
useful life and amortisation method are reviewed at the end of each reporting period, with the effect of any changes in estimate 
being accounted for on a prospective basis. Intangible assets with indefinite useful lives that are acquired separately are carried at 
cost less accumulated impairment losses.

Useful life
Amortisation method

Internally generated or 
acquired

Technology
3 - 10 years
Straight line over the 
expected life of the asset
Acquired

Users
3 - 10 years
Straight line over the 
expected life of the asset
Acquired

Trade Name
3 - 10 years
Straight line over the 
expected life of the asset
Acquired

Capitalised development costs
3 years
Straight line over the 
expected life of the asset
Internally developed

Internally-generated intangible assets

(ii) 
Expenditure on research activities is recognised as an expense in the period in which it is incurred.

An Internally-generated intangible asset arising from development (or from the development phase of an internal project) is 
recognised if, and only if, all of the following have been demonstrated:

 — the technical feasibility of completing the intangible asset so that it will be available for use or sale;

 — the intention to complete the intangible asset and use or sell it;

 — the ability to use or sell the intangible asset;

 — how the intangible asset will generate probable future economic benefits;

 — the availability of adequate technical, financial and other resources to complete the development and to use or sell the 

intangible asset; and

 — the ability to measure reliably the expenditure attributable to the intangible asset during its development.

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(continued) 

1.  Accounting policies (continued)

Internally-generated intangible assets (continued)

1.11  Intangible assets (continued)
(ii) 
The amount initially recognised for Internally-generated intangible assets is the sum of the expenditure incurred from the date 
when the intangible asset first meets the recognition criteria listed above. Where no Internally-generated intangible asset can be 
recognised, development expenditure is recognised in profit or loss in the period in which it is incurred.

Subsequent to initial recognition, Internally-generated intangible assets are reported at cost less accumulated amortisation and 
accumulated impairment losses, on the same basis as intangible assets that are acquired separately.

(iii)  Intangible assets acquired in a business combination
Intangible assets acquired in a business combination and recognised separately from goodwill are initially recognised at their fair 
value at the acquisition date (which is regarded as their cost).

Subsequent to initial recognition, intangible assets acquired in a business combination are reported at cost less accumulated 
amortisation and accumulated impairment losses, on the same basis as intangible assets that are acquired separately.

1.12  Impairment of non-financial assets (excluding inventories, investment properties and deferred tax assets)
Impairment tests on goodwill and other intangible assets with indefinite useful economic lives are undertaken annually at the 
financial year end. Other non-financial assets are subject to impairment tests whenever events or changes in circumstances 
indicate that their carrying amount may not be recoverable. Where the carrying value of an asset exceeds its recoverable amount 
(i.e. the higher of value-in-use and fair value less costs to sell), the asset is written down accordingly.

Where it is not possible to estimate the recoverable amount of an individual asset, the impairment test is carried out on the smallest 
group of assets to which it belongs for which there are separately identifiable cash flows; its cash generating units (‘CGUs’). 
Goodwill is allocated on initial recognition to each of the Group’s CGUs that are expected to benefit from a business combination 
that gives rise to the goodwill.

Impairment charges are included in profit or loss, except to the extent they reverse gains previously recognised in other 
comprehensive income. An impairment loss recognised for goodwill is not reversed.

1.13  Impairment of tangible and intangible assets other than goodwill
At the end of each reporting period, the Group reviews the carrying amounts of its tangible 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 in order to determine the extent of the impairment loss (if any). When it is not possible to estimate 
the recoverable amount of an individual asset, the Group estimates the recoverable amount of the cash-generating unit to which 
the asset belongs. When a reasonable and consistent basis of allocation can be identified, corporate assets are also allocated 
to individual cash-generating units, or otherwise they are allocated to the smallest group of cash-generating units for which a 
reasonable and consistent allocation basis can be identified.

Intangible assets with indefinite useful lives and intangible assets not yet available for use are tested for impairment at least 
annually, and whenever there is an indication that the asset may be impaired.

Recoverable amount is the higher of fair value less costs of disposal and value-in-use. In assessing value-in-use, the estimated 
future cash flows are discounted to their present value using a pre-tax discount rate that reflects current market assessments of the 
time value of money and the risks specific to the asset for which the estimates of future cash flows have not been adjusted.

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. An impairment loss is recognised immediately in profit 
or loss, unless the relevant asset is carried at a revalued amount, in which case the impairment loss is treated as a revaluation 
decrease.

When an impairment loss subsequently reverses, the carrying amount of the asset (or a cash generating unit) is increased to the 
revised estimate of its recoverable amount, but so that the increased carrying amount does not exceed the carrying amount that 
would have been determined had no impairment loss been recognised for the asset (or cash-generating unit) in prior years. A 
reversal of an impairment loss is recognised immediately in profit or loss, unless the relevant asset is carried at a revalued amount, 
in which case the reversal of the impairment loss is treated as a revaluation increase.

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(continued) 

1.  Accounting policies (continued)

1.14  Financial instruments
Financial assets and financial liabilities are recognised when an entity becomes a party to the contractual provisions of the 
instruments.

Financial assets and financial liabilities are initially measured at fair value. Transaction costs that are directly attributable to the 
acquisition or issue of financial assets and financial liabilities (other than financial assets and financial liabilities at fair value through 
profit or loss) are added to or deducted from the fair value of the financial assets or financial liabilities, as appropriate, on initial 
recognition. Transaction costs directly attributable to the acquisition of financial assets or financial liabilities at fair value through 
profit or loss are recognised immediately in profit or loss.

(i)  Classification of financial instruments
Financial instruments issued by the Group are treated as equity only to the extent that they meet the following two conditions:

 — they include no contractual obligations upon the Group to deliver cash or other financial assets or to exchange financial assets 

or financial liabilities with another party under conditions that are potentially unfavourable to the Group; and

 — where the instrument will or may be settled in Induction Healthcare Limited’s own equity instruments, it is either a non-

derivative that includes no obligation to deliver a variable number of Induction Healthcare Limited’s own equity instruments 
or is a derivative that will be settled by the company exchanging a fixed amount of cash or other financial assets for a fixed 
number of its own equity instruments.

To the extent that this definition is not met, the proceeds of issue are classified as a financial liability. Where the instrument so 
classified takes the legal form of Induction Healthcare Limited’s own shares, the amounts presented in the financial statements for 
called up share capital and share premium account exclude amounts in relation to those shares.

(ii)  Recognition and initial measurement
Non-derivative financial instruments comprise other receivables, cash and cash equivalents, loans and borrowings, and trade 
and other payables. All financial assets and liabilities are initially recognised when the Group becomes a party to the contractual 
provisions of the instrument. Financial assets and liabilities are initially measured at fair value plus, for items measured at amortised 
cost, transaction costs directly attributable to its acquisition or issue. A trade receivable without a significant financing component 
is initially measured at the transaction price.

(iii)  Financial assets – classification and subsequent measurement
On initial recognition, a financial asset is classified as measured at amortised cost or fair value through profit or loss (“FVTPL”). The 
Group has no financial assets measured at fair value through other comprehensive income (“FVOCI”). A financial asset is measured 
at amortised cost if it is both: held within a business model whose objective is to hold assets to collect contractual cash flows; and 
its contractual terms give rise to cash flows that are solely payments of principal and interest on the amount outstanding.

(iii)  Financial assets – classification and subsequent measurement
For the purposes of this assessment, “principal” is defined as the fair value of the financial asset on initial recognition, and “interest” 
is defined as consideration for the time value of money and for the credit risk associated with the principal amount outstanding. In 
assessing whether the contractual cash flows are solely payments of principal and interest, the Group considers the contractual 
terms of the instrument, including any terms which may affect the timing or amount of contractual cash flows. All financial assets 
not measured at amortised cost are measured at FVTPL.

Financial assets at FVTPL are subsequently measured at fair value with net gains and losses, including any interest or dividend 
income, recognised in profit or loss.

Financial assets measured at amortised cost are subsequently measured at amortised cost using the effective interest method. 
The amortised cost is reduced by impairment losses.

Interest income, foreign exchange gains and losses, and impairment are recognised in profit or loss. Any gain or loss on 
derecognition is recognised in profit or loss.

(iv)  Financial liabilities – classification and subsequent measurement
Financial liabilities are classified as measured at amortised cost or FVTPL. A financial liability is classified as at FVTPL if it is 
classified as held-for-trading, it is a derivative or it is designated as such on initial recognition.

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(continued) 

1.  Accounting policies (continued)

1.14  Financial instruments (continued)
(iv)  Financial liabilities – classification and subsequent measurement (continued)
Financial liabilities at FVTPL are measured at fair value and net gains and losses, including any interest expense, are recognised in 
profit or loss.

All other financial liabilities are subsequently measured at amortised cost using the effective interest method. Interest expense and 
foreign exchange gains and losses are recognised in profit or loss. Any gain or loss on derecognition is also recognised in profit or 
loss.

(v)  Measurement and recognition of expected credit losses
The Group recognises loss allowances for expected credit losses (“ECLs”) on financial assets measured at amortised cost. The 
Group measures loss allowances at an amount equal to lifetime ECLs, except for cash and cash equivalents which is measured 
using 12-month ECLs. ECLs are a probability-weighted estimate of credit losses and are measured as the present value of all cash 
shortfalls expected on financial assets, using the effective interest rate of the financial asset. Lifetime ECLs are the ECLs which 
result from all possible default events over the expected life of a financial instrument. When determining ECLs, the Group considers 
reasonable and supportable qualitative and quantitative information that is relevant and available without undue cost or effort. The 
Group considers a financial asset to be in default when the borrower is unlikely to pay its obligations to the Group in full without 
recourse by the Group to actions such as realising security (if any held) or when the financial asset is more than 90 days overdue.

Loss allowances for financial assets measured at amortised cost are deducted from the gross carrying amount of the assets. The 
carrying amount of a financial asset is written off when the Group has no reasonable expectation of recovering a financial asset in 
its entirety or a portion thereof.

(vi)  Derecognition
The Group derecognises a financial asset when the contractual rights to receive cash flows from the asset expire, or when it 
transfers the rights to receive the contractual cash flows in a transaction in which substantially all of the risks and rewards of 
ownership are transferred.

The Group derecognises a financial liability when its contractual obligations are discharged, cancelled, or expire.

(vii)  Cash and cash equivalents
Cash and cash equivalents comprise cash balances and call deposits. Bank overdrafts that are repayable on demand and form an 
integral part of the Group’s cash management are included as a component of cash and cash equivalents for the purpose only of 
the consolidated cash flow statement.

(viii) Derivative financial instruments and other financial assets
Other financial assets comprise call options. Options are initially classified as FVTPL and recognised at fair value based on the 
consideration paid for the option. Subsequently, the options are measured at fair value and the gain or loss on remeasurement to 
fair value is recognised immediately in profit or loss.

(ix)  Business model assessment
The Group makes an assessment of the objective of the business model in which a financial asset is held at a portfolio level as this 
best reflects the way the business is managed, and information provided to management. The assessment includes consideration 
of the stated objectives of the portfolio, the performance of the portfolio, the risks that affect the performance of the business 
model, and the frequency, volume and timing of sales of financial assets.

1.15  Defined contribution schemes
Contributions to defined contribution pension schemes are charged to the statement of comprehensive income in the year to 
which they relate.

1.16  Cost of sales
Cost of sales consists of the direct costs associated with the Group’s proprietary application. These include costs incurred for 
server hosting, costs incurred to obtain a contract such as sales commission, and costs incurred to deliver on a contract. Costs 
incurred to deliver on a contract are staff costs, which are allocated to cost of sales based on an estimation of the proportion of 
time spent on each contract.

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(continued) 

1.  Accounting policies (continued)

1.17  Segmental reporting
For management purposes, the Group is organised into business units based on its products and services, with separate revenue 
streams being generated by different business units. These business units operate on a shared cost base. The Board is the Chief 
Operating Decision Maker (CODM) and monitors the operating results of the consolidated Group for the purposes of making 
decisions about resource allocation and performance assessment. Therefore, management have determined that the Group has 
one reportable segment.

2.  Reporting entity

Induction Healthcare Group plc is a company incorporated, domiciled and registered in England in the United Kingdom. Its 
principal activity is the provision of software to healthcare professionals. The registered number is 11852026 and the registered 
address is 20 St. Dunstan’s Hill, London, United Kingdom, EC3R 8HL.

Induction Healthcare Group plc was formed on 28 February 2019 with an initial shareholding of 1 share at a nominal value of £1. 
On 1 April 2019 acquired 100% of the share capital of Induction Healthcare Limited, the previous parent company of the Group, in 
a share for share exchange transaction. This has been accounted for as a common control transaction under IFRS 3 B1 during the 
year ended 31 March 2020.

These financial statements include the consolidated financial information of Induction Healthcare Group plc (the “Company”) 
and its subsidiaries (together referred to as the “Group”). Details of Induction Healthcare Group plc’s subsidiaries are included in 
Note 14. The Group has only one reportable segment.

3.  Basis of preparation

Both the financial statements of the Group and the financial statements of the Company have been prepared in accordance with 
international accounting standards in conformity with the requirements of the Companies Act 2006 (“Adopted IFRS”). They were 
authorised for issue by the Group’s board of directors on 22 September 2021.

Details of the Group’s accounting policies, including changes during the year, are included in note 1.

These financial statements are presented in pound sterling, which is the Group’s functional currency. All amounts have been 
rounded to the nearest thousand, unless otherwise indicated.

In preparing these financial statements, management has made judgements, estimates and assumptions that affect the application 
of the Group accounting policies and the reported amounts of assets, liabilities, income and expenses. Actual results may differ 
from these estimates.

Estimates and underlying assumptions are reviewed on an on-going basis. Revisions to estimates are recognised prospectively.

The areas where judgements and estimates have been made in preparing the financial statements and their effects are disclosed 
in note 5.

The financial statements have been prepared on the historical cost basis.

4  New standards, interpretations and amendments

The following new and amended IFRSs have been issued and been applied by the Group in these financial statements.

 — Amendments of IFRS 3, “Business Combinations” (effective 1 January 2020). This amends the definition of a “business”. 

Management have applied the amended definition of a business in assessing all business combinations completed during the 
year.

 — Amendments to IAS 1 “Presentation of Financial Statements”, and IAS 8 “Accounting policies, changes in accounting estimates 

and errors” (effective from 1 January 2020), which clarified the definition of the word “material”. This standard has had no impact 
on the financial statements.

 — Amendments to References to Conceptual Framework in IFRS Standards (effective 1 January 2020). The impact of this has not 

been material to the financial statements.

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(continued) 

4  New standards, interpretations and amendments (continued)

 — Interest Rate Benchmark Reform (Amendments to IFRS 9, IAS 39 and IFRS 7), (effective 1 January 2020). The impact of this has 

not been material to the financial statements.

The Group has not yet early adopted any standards, interpretations or amendments that have been issued but are not yet effective.

5.  Accounting estimates and judgements

5.1  Judgement
Determination of material rights and contractual terms
The Group recognises licenced subscription revenue from the date that all set-up services have been completed, based on either 
the user acceptance testing completion date or the “go-live” date. The contracts of the Group contain both termination clauses 
and renewal options, and management makes a judgement on a contract-by-contract basis as to whether these clauses grant a 
material right to the customer. Where management concludes that a material right exists, this material right affects the term over 
which implementation revenue is recognised and whether it represents a separate performance obligation.

Development costs
The Group capitalises costs for product development projects. Initial capitalisation of costs is based on management’s judgement 
that technological and economic feasibility is confirmed. Technological feasibility is achieved when a product development project 
has reached a defined milestone according to an established project management model. Economic feasibility is achieved when a 
market for the product has been identified.

Recognition of deferred tax assets
Deferred tax assets are recognised for unused tax losses to the extent that it is probable that taxable profit will be available against 
which the losses can be utilised. Management judgement is required to determine the amount of deferred tax assets that can be 
recognised, based upon the likely timing and the level of future taxable profits, together with future tax planning strategies.

The Group has £15,549k (2020: £6,144k) of tax losses carried forward. These losses relate to subsidiaries that have a history of 
losses, do not expire, and may not be used to offset taxable income elsewhere in the Group. The subsidiaries neither have any 
taxable temporary difference nor any tax planning opportunities available that could partly support the recognition of these losses 
as deferred tax assets.

On this basis, the Group has determined that it can only recognise deferred tax assets on the tax losses carried forward to the 
extent that there are sufficient offsetting deferred tax liabilities and therefore future profits.

If the Group was able to recognise all unrecognised deferred tax assets, profit and equity would have increased by £2,961k (2020: 
£1,058k). Further details on taxes are disclosed in Note 12.

Research and development tax credit
Management have recognised research and development tax credits for claims submitted for the year ended 31 March 2019 
and 31 March 2020. The claim for the year ended 31 March 2019 has been submitted to HM Revenue & Customs and has been 
successfully settled post year-end. Management have recognised the research and development tax credit for claims for the year 
ended 31 March 2020 which have not yet been submitted to HM Revenue & Customs, based on the historical evidence that the 
claim is likely to be successful. These claims are in relation to one subsidiary and management have not recognised research and 
development tax credits for two subsidiaries where there is no past history of claims.

5.2  Estimates and assumptions
Development costs
In determining the amounts to be capitalised, management makes assumptions regarding the percentage of employee time spent 
on development activities. At 31 March 2021, the carrying amount of capitalised development costs was £1,939k (2020: £963k). 
In determining the estimated percentage of time, management considers: the role of the employee; whether the activity is of a 
research nature (which is not capitalised); whether the standard activities the employee performs are project or customer specific 
(not capitalised) or related to the development of the products of the entity; and an estimate of other time spent on administrative 
activities such as training. The eventual percentage arrived at is reflective of the time spent purely on developing the services 
of the group for sale to a range of customers. As a result, there is high level of estimation uncertainty to the estimates used. 
Development costs capitalised are highly sensitive to the percentages used.

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(continued) 

5.  Accounting estimates and judgements (continued)

5.2  Estimates and assumptions (continued)
Impairment of goodwill and intangible assets
Impairment exists when the carrying value of an asset or cash generating unit exceeds its recoverable amount, which is the higher 
of its fair value less costs of disposal and its value-in-use. Management do not calculate the fair value less costs of disposal, as 
reliable inputs to fair value are not available for the assets, therefore the recoverable amount is the value-in-use. 

The value-in-use calculation is based on a Discounted Cash Flow (“DCF”) model. The cash flows are derived from the budget 
for the next two years and projections for another 3 years and do not include restructuring activities that the Group is not yet 
committed to or significant future investments that will enhance the performance of the assets of the CGU being tested. The 
recoverable amount is sensitive to the discount rate used for the DCF model as well as the expected future cash-inflows and the 
growth rate used for extrapolation purposes. These estimates are most relevant to goodwill recognised by the Group. The key 
assumptions used to determine the recoverable amount for the different CGUs, including a sensitivity analysis, are disclosed and 
further explained in Note 17.

Valuation of acquired intangibles
Management has made estimates in determining the value of intangible assets acquired in its business combinations. Due to the 
variety of methods used to value intangible assets, as well as the numerous assumptions made on variables within the valuation, 
there is a high level of estimation uncertainty. The values of intangible assets recognised are highly sensitive to changes in the 
estimates and assumptions, as management have performed corroborating valuation analyses for each class of intangible assets 
using alternative valuation methodologies. Please refer to Note 14 for more information.

6.  Revenue

The following is an analysis of the Group’s revenue for the year from continuing operations:

Provision of software
Post-contract support and maintenance
Text message revenue

The following is an analysis of revenue by country of destination:

United Kingdom
Europe
United States
Rest of World

2021
£000
1,340
73
100
1,513

2021
£000
1,342
13
23
135
1,513

2020
£000
148
–
–
148

2020
£000
131
2
11
4
148

The following is an analysis of revenue by product line. Zesty Limited (Induction Zesty) was acquired on 8 June 2020, see Note 14 
for further information.

Induction Zesty
Induction Guidance
Induction Switch

Timing of revenue recognition:

Services transferred over time
Services at point in time

2021
£000
872
636
5
1,513

2021
£000
1,347
165
1,513

2020
£000
–
148
–
148

2020
£000
148
–
148

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7.  Expenses by nature

Employee costs
Depreciation of property, plant and equipment
Amortisation of intangible assets
Impairment of goodwill and intangible assets
Contractors’ costs
Acquisition related transaction costs
Professional and legal fees
Research and development expense capitalised
Share-based payment charge
Fair value adjustments on financial liabilities
Fair value adjustments on contract liabilities

2021
£000
5,123
7
1,340
1,366
1,103
375
359
(1,660)    
698
91
152

2020
£000
2,106
–
323
–
538
150
583
(761)    
94
83
–

Fair value adjustments on contract liabilities relate to the unwinding of adjustments made to the contract liabilities of acquirees at 
acquisition. These adjustments unwind as the revenue to which the contract liability balance relates is recognised.

8.  Auditors remuneration

Audit of these financial statements

Total audit fees
Interim financial statement review
Non-audit fees in relation to initial public offering

Total non-audit fees
Total audit and non-audit fees

The Group has not entered into any limitation of liability agreements with its auditors.

9.  Employee benefit expenses

Employee benefit expenses (including directors) comprise:
Wages and salaries
Social security costs
Defined contribution pension cost
Share-based payment expenses
Other employee benefits

Total employee benefit expense

2021
 £000
241
241
8
–
8
249

2021
£000

3,583
414
140
698
288
5,123

2020
 £000
80
80
15
79
94
174

2020
£000

1,717
191
96
94
8
2,106

The monthly average number of persons, including the directors, employed by the Group during the year was as follows: 

Development
Sales and Marketing
General and Administrative

Total Average FTE

2021
No. of employees
23
12
6
41

2020
No. of employees
11
2
3
16

The remuneration of the highest paid director was £259k (2020: £303k). Included in other employee benefits is £30k (2020: £Nil) 
compensation for loss of office paid to a former director of the group.

The Group operates a defined contribution pension plan which was put in place in October 2018. The total expense relating to the 
plan in the year was £140k (2020: £94k).

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10.  Share-based payments

Details of the employee share option of the Group
On the admission to the AIM market on 22 May 2019, the Group established the Non-tax Advantaged Share Option Plan (“the NTA 
Plan” which awards executive directors, management and other employees share options. The awards are granted in the form of 
share options over ordinary shares of £0.005 each with the intent of normal vesting after a minimum period of three years from the 
date of grant, and an exercise price of £0.005 per option. Vesting is subject to continued services of the participant. No options 
issued during the year had any vesting conditions other than service conditions attached. The Group accounts for the plan as an 
equity settled plan. During the year ended 31 March 2021, the Group amended the vesting periods in the NTA Plan. The vesting 
period were amended to allow for vesting in tranches, whereby one-third of the options awarded vest after 1 year of service, and 
the remaining two-thirds of the options vest on a quarterly basis over the remaining 2 years.

Expense recognised during the year
The expense recognised for employee services received during the year is:

Expense arising from equity settled share-based payment transactions

Total expense arising from share-based payment transactions

2021
£000
698
698

2020
£000
94
94

Fair value of share options granted in the year
The fair value of share options is estimated at the grant date using a Black-Scholes-Merton model, taking into account the terms 
and conditions on which the options were granted.

The expected life of share options is based on current expectations and is not necessarily indicative of exercise patterns that may 
occur. Due to the fact that the Induction Healthcare Group plc does not have listed share data for the same period as the expected 
life of the share options, the expected volatility is based on an average of the volatilities of comparable companies in comparative 
industries and of the same market capitalisation as the Group. This volatility reflects an assumption that the volatility is indicative of 
future trends, which may not necessarily be the actual outcome.

The weighted average remaining contractual life for the share options outstanding as at 31 March 2021 was 3.09 years (2020: 3.43). 
Options expire after 10 years.

The weighted average fair value of options granted during the year was £0.93 (2020: £2.17).

The following share-based payment arrangements were in existence during the current and prior years:

Weighted average grant date fair value £
Exercise price £
Expected volatility %
Option life years
Risk Free interest rate %
Dividend rate %

Movements in share options during the year
The following reconciles the share options outstanding at the beginning and end of the year:

Balance at the beginning of the year
Granted during the year
Forfeited during the year
Outstanding at 31 March
Exercisable at 31 March 2020

Year to 31 March 
2021
0.93
0.005
50.00
3.94
0.62
–

Year to 31 March 
2020
1.03
0.005
50.00
3.94
0.62
–

2021
Number of 
options (‘000)  
288,153
2,765,185
(464,107)    

2,589,231
303,071

2020
Number of 
options (‘000)  
–
431,351
(143,198)    
288,153
–

71

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsFinancial StatementsNotes (forming part of the financial statements) 
(continued) 

11.  Finance income and expense

Finance income
Interest on:
– Bank deposits
Total finance income
Finance expense
Other loan interest payable
Total finance expense
Net finance (expense)  /income recognised in profit or loss

12.  Tax expense

12.1  Income tax recognised in profit or loss

Current tax
Research & development tax credit
Total current tax
Deferred tax expense
Origination and reversal of timing differences
Prior year deferred tax movement
Total deferred tax
Tax income   on loss on ordinary activities

2021
£000

2020
£000

3
3

5
5
(2)    

2021
£000

(446)    
(446)    

(116)    
59
(57)    
(503)    

47
47

–
–
47

2020
£000

–
–

–
–
–
–

The reasons for the difference between the actual tax charge for the year and the standard rate of corporation tax in the United 
Kingdom applied to losses for the year are as follows:

Loss for the year

Tax at the standard rate of corporation tax of 19% (2020: 19.11%)  
Non-tax deductible amortisation of goodwill and impairment
Expenses not deductible for tax purposes, other than goodwill, amortisation and impairment
Depreciation on tangible assets
Share-based payments
Prior year adjustments
Deferred tax not recognised
Other

Total tax income

2021
£000
(8,117)    

(1,561 )   

9
301
–
124
(386)    
961
(50)    
(503)    

2020
£000
(3,527)    

(674)    
(1)    

108
–
18
–
550
–
–

Changes in tax rates and factors affecting the future tax charges
Deferred tax balances have been recognised at the rate expected to apply when the deferred tax balance is forecast to be utilised 
based on tax rates substantively enacted at 31 March 2021. A reduction in the UK corporate tax rate from 21% to 20% (effective 
from 1 April 2015) was substantively enacted on 2 July 2013. Further reductions to 19% (effective from 1 April 2017) and to 18% 
(effective 1 April 2020) were substantively enacted on 26 October 2015, and an additional reduction to 17% (effective 1 April 2020) 
was enacted on 15 September 2016. This reduction was then reversed and a rate of 19% maintained from 1 April 2020, this was 
substantively enacted on 17 March 2020. An increase in the UK corporate tax rate to 25% (effective 1 April 2023) was substantively 
enacted on 11 March 2021.

This does not result in any significant change to these figures. The deferred taxes at 31 March 2021 have been calculated based on 
the 19% tax rate.

72

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsNotes (forming part of the financial statements) 
(continued) 

12.  Tax expense (continued)

12.2 Current tax assets and liabilities

Current tax assets
R&D tax credit receivable

2021
£000

446
446

2020
£000

–
–

Current tax assets relate to research and development tax credits in respect of a subsidiary, for the years ended 31 March 2019 and 
31 March 2020. The claim for the year ended 31 March 2019 was submitted to HMRC and settled post-year end. Other subsidiaries 
do not have a recent history of claims and therefore an estimate for these has not been made, due to the uncertainty regarding 
timing and amount of such claims.

12.3 Deferred tax balances
A deferred tax liability of £791k (2020: £321k)   has been recognised in relation to fair value adjustments of intangible assets acquired 
in business combinations. A deferred tax asset of £791k (2020: £97k) was recognised in relation to unused tax losses acquired in 
business combinations. This deferred tax asset was recognised only to the extent that there are deferred tax liabilities available 
with the same tax authority and which will be unwound in the same period as the deferred tax asset.

A deferred tax asset of £2,787k (2020: £1,058k)   has not been recognised due to uncertainty that the asset will be utilised in the 
foreseeable future as the Group has yet to obtain significant sources of income. The unrecognised deferred tax asset includes 
those in relation to tax losses of £14,605k (2020: £6,144k)  . These amounts exclude amounts related to Horizon Strategic Partners 
Limited, which is expected to generate profits and for which a deferred tax asset of £89k (2020: £97k) has been recognised.

The following is the analysis of deferred tax assets/(liabilities)   presented in the statement of financial position:

Deferred tax assets
Deferred tax liabilities

Deferred tax liabilities in relation to:

Intangible assets
Tax losses carried forward

Total deferred tax liability

Reconciliation of deferred tax liabilities, net

Opening deferred tax balance at tax rate of 19%
Deferred tax acquired in business combinations
Tax expense during the period recognised in profit or loss
Prior year movements

Closing deferred tax at tax rate of 19%

2021
£000
880
(1,048)    
(168)    

2021
£000
(1,048)    
880
(168)  

2021
£000
(224)    
–
116
(59)    
(168)  

2020
£000
97
(321)    
(224)    

2020
£000
(321)    
97
(224)    

2020
£000
–
(224)    
–
–
(224)    

73

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsFinancial StatementsNotes (forming part of the financial statements) 
(continued) 

13.  Loss per share

(i)  Basic loss per share

From continuing operations attributable to the ordinary equity holders of the Group

Total basic loss per share attributable to the ordinary equity holders of the Group

(ii)  Diluted loss per share

From continuing operations attributable to the ordinary equity holders of the Group
Total diluted loss per share attributable to the ordinary equity holders of the Group

(iii)  Reconciliation of loss used in calculating loss per share

Profit attributable to the ordinary equity holders of the Group used in calculating basic loss per share 
and diluted loss per share:
From continuing operations

2021
£

(0.19)    
(0.19)    

2021
£

(0.19)    
(0.19)    

2020
£

(0.13)    
(0.13)    

2020
£

(0.13)    
(0.13)    

2021
£000

2020
£000

(7,614)    
(7,614)    

(3,527)    
(3,527)    

(iv)  Weighted average number of shares used as the denominator

Shares in issue at the beginning of the period
Shares issued on share split
Shares issued
Shares issued on IPO
Shares issued on business combination

2021
number
29,626,201
–
–
–
12,424,527
Issued ordinary shares as at the end of the period
42,050,728
Weighted average number of ordinary shares used as the denominator in calculating basic loss per share 39,701,981

2020
number
65,591
13,052,609
3,826,086
12,681,915
–
29,626,201
26,189,458

On 9 June 2021, the Group acquired Attend Anywhere Pty Ltd (“Attend Anywhere”). The consideration for the acquisition included 
the issue of 14,285,714 new Ordinary Shares. 

As part of the transaction, the Group also completed a fundraise by issuing 35,714,285 new Ordinary Shares.

Both the above transactions would have significantly changed the number of shares outstanding used to calculate the loss per 
share, if they had occurred prior to 31 March 2021.

74

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsNotes (forming part of the financial statements) 
(continued) 

14.  Business combinations during the year 

14.1 Subsidiaries acquired
On 8 June 2020, Induction Healthcare Group plc acquired 100% of the share capital of Zesty Limited for a consideration comprising 
£500k in cash, plus the issue of 12,424,527 New Ordinary Shares.

Zesty Limited is a digital healthcare patient engagement platform company. Zesty’s platform provides an integration layer with a 
hospital’s electronic patient record (“EPR”) or patient administration system (“PAS”) and a portal that allows patients to manage 
their hospital outpatient appointments, read their administrative and clinical correspondence, attend a video based consultation 
and store a personal copy of their clinical record, through this integration layer.

Zesty was acquired due to the fact that integrating Zesty and Induction’s technologies, the enlarged group will, in the Directors’ 
view, be one of the first technology platforms to interconnect patients, clinicians and healthcare information across both multiple 
hospital sites and EPR platforms. The Directors expect the acquisition to provide many synergistic benefits, including sales to the 
same sales channel, pooling software engineering resources, and bringing extensive experience to management and the Board of 
Directors.

Name
Zesty Limited

Principal activity
Provision of software to healthcare organisations

14.2 Consideration transferred
The following represents the consideration transferred to the owners of Zesty Limited.

Cash
Equity consideration

Total consideration

Proportion of 
voting equity 
interests 
acquired
%
100

Consideration 
transferred
£000
11,514

Date of 
acquisition
08/06/20

Zesty Limited
 £000
500
11,014
11,514

The fair value of cash consideration equals its carrying value. The fair value of the equity consideration has been determined with 
references to the market value of the shares of Induction Healthcare Group plc immediately prior to the issue of the consideration 
shares, adjusted for the impact of a lack of marketability discount of 10%.

14.3 Assets acquired and liabilities recognised at the date of acquisition
The following represents assets acquired and liabilities recognised on acquisition.

Non-current assets
Property, plant and equipment
Intangible assets
Other non-current assets
Current assets
Cash and cash equivalents
Other current assets
Non-current liabilities
Loans and borrowings
Deferred tax liabilities
Current liabilities
Other current liabilities
Loans and borrowings

Total identifiable net assets at fair value

Zesty Limited
 £000

18
4,163
884

13
313

(417)  
(791)  

(821)  
(85)  
3,277

75

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsFinancial Statements 
Notes (forming part of the financial statements) 
(continued) 

14.  Business combinations during the year (continued) 

14.3 Assets acquired and liabilities recognised at the date of acquisition (continued)
The separately identifiable intangible assets and valuation techniques used to measure the fair value of these material assets 
acquired were as follows:

Valuation technique
Relief-from-royalty savings method. This method considers the discounted 
estimated royalty payments that are expected to be avoided as a result of the 
patents being owned.
Premium profits method. This method estimates the value of customer-related 
assets by quantifying the impact on cash flows under a scenario in which the 
customer related assets must be replaced, assuming all of the assets required 
to operate the business are in place except the customer-related assets.
Replacement cost method. This method establishes value based on the 
cost of reproducing or replacing the asset, less depreciation from functional 
or economic obsolescence. A corroborating analysis was performed using 
the multi-period excess earnings method. The multi-period excess earnings 
method considers the present value of net cash flows expected to be 
generated by the customer relationships, by excluding any cash flows related 
to contributory assets.

Assets acquired
Trade Name

Users

Technology

14.4 Goodwill arising on acquisition

Consideration transferred
Total identifiable net assets at fair value

Goodwill arising on acquisition

14.5 Net cash outflow on acquisition

Zesty Limited
 £000
11,514
3,277

8,237

2021
£000
(500)  
(269)  
(64)  
13

(820)  

Consideration paid in cash
Transaction costs of the acquisition (included in cash flows from operating activities)  
Transaction costs attributable to the issuance of shares (included in cash flows from financing activities, net of tax)
Less: cash and cash equivalent balances acquired

Net cash flow on acquisition

Acquisition related costs of £269k were recognised in administrative expenses. Acquisition related costs of £64k relate to the 
issuance of shares and were capitalised to share premium. All issue costs were recognised.

14.6 Impact of acquisition on the results of the Group
From the date of acquisition, Zesty Limited contributed £872k to the revenue of the group and net losses of £1,921k to the loss 
before tax from continuing operations of the Group. If the acquisition had taken place at the beginning of the year, contribution to 
revenue from continuing operations would have been £954k and contribution to loss before tax from continuing operations for the 
Group would have been £2,306k.

76

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsNotes (forming part of the financial statements) 
(continued) 

15. Business combinations completed in prior periods

15.1  Podmedics Limited
Subsidiary acquired
On 7 May 2019, Induction Healthcare Limited exercised the option to acquire the share capital of Podmedics Limited which was 
acquired in September 2018 for £100k. Consequently, Dr Edward Wallitt, Induction Healthcare Limited and Podmedics Limited 
entered into a share purchase agreement pursuant to which Induction Healthcare Limited acquired the entire issued share capital 
of Podmedics Limited (06840040) from Dr Edward Wallitt. The consideration payable under the share purchase agreement was 
£400k which was satisfied following Admission by the issue by the Company to Dr Edward Wallitt of 347,826 Ordinary Shares in the 
capital of the Induction Healthcare Group PLC. Pursuant to the share purchase agreement, Dr Edward Wallitt granted customary 
warranties and a tax deed to Induction Healthcare Limited. The primary reason for the acquisition was to bring under the Group’s 
control all of the assets and intellectual property relating to Induction Switch.

The valuation technique used for measuring the fair value of material assets acquired was based on the replacement cost 
approach.

The goodwill of £417k reflects the value of the anticipated long term revenue generating capabilities of the business. None of the 
goodwill recognised is expected to be deductible for income tax purposes.

The operations of Podmedics Limited became dormant shortly after acquisition by the Group, and it has contributed £Nil to the loss 
before tax of the Group. The operations and intellectual property of Podmedics have been included within the Induction CGU, and 
continued to be developed by the Group as part of the operations of this CGU.

Consideration transferred

Exercise of option classified as other financial assets
Equity instruments (347,826 ordinary shares)

Total consideration transferred

Assets acquired and liabilities assumed at the date of acquisition

Intangible assets
Cash and cash equivalents
Trade and other receivables
Deferred tax liabilities
Other current liabilities

2020
£000
100
400

500

2020
£000
91
1
12
(17)  
(4)  
83

The valuation technique used for measuring the fair value of material assets acquired was based on the replacement cost 
approach.

The goodwill of £417k reflects the value of the anticipated long term revenue generating capabilities of the business. None of the 
goodwill recognised is expected to be deductible for income tax purposes.

If the combination had taken place at the beginning of the year, contribution to loss before tax from continuing operations for the 
Group would have been £Nil.

Goodwill arising on acquisition

Consideration paid

Goodwill

2020
£000
(500)  

(417)  

77

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsFinancial StatementsNotes (forming part of the financial statements) 
(continued) 

15. Business combinations completed in prior periods (continued)

15.1  Podmedics Limited (continued)
Analysis of cash flows on acquisition

Transaction costs of the acquisition (included in cash flows from operating activities)
Net cash acquired with the subsidiary (included in cash flows from investing activities)
Transaction costs attributable to the issuance of shares (included in cash flows from financing activities, net of tax)

Net cash flow on acquisition

2020
£000
(2)  
1
–

(1)  

Induction Healthcare Group plc issued 347,826 ordinary shares as consideration for the 100% interest in Podmedics Limited. 
The fair value of £1.15 per share was calculated with reference to recent transactions with shareholders. This is also the price at 
which the shares of the Company were placed at the Initial Public Offering on 22 May 2020.

The attributable costs of the issuance of the shares of £2k have been charged directly to equity as a reduction in the share 
premium.

15.2  Horizon Strategic Partners Limited
Subsidiary acquired
On 5 November 2019, the Group acquired 100% of the share capital of Horizon Strategic Partners Limited, a non-listed company 
based in the United Kingdom, in exchange for £507k initial cash consideration, contingent consideration of £1,325k and 
assumed liabilities of £523k. Horizon owns Induction Guidance - a revenue-generating app providing medical organisations with 
functionality to create, edit, and publish their own local medical guidelines (“Guidelines”) in a secure and locally administrated 
environment. These guidelines can be accessed by clinicians, at the point of care, either on a mobile device or an intranet. The 
Group acquired Horizon due to the fact that Induction Guidance brings to the Group a further substantial NHS user base.

Consideration transferred

Cash
Contingent consideration
Liabilities assumed

Total consideration transferred

2020
£000
507
1,325
523

2,355

Contingent consideration transferred
As part of the purchase agreement with the previous owners of Horizon Strategic Partners Limited, contingent consideration had 
been agreed, in the form of an earn-out agreement. The contingent consideration was based on a multiple of 4.29 times the cash 
collected from customers for subscription fees which were invoiced and paid from 1 October 2019 to 30 September 2020 (the earn-
out period). The cash collected from customers excluded a baseline cash amount of £225k plus VAT. Contract liabilities as at the 
date of acquisition were deducted in arriving at the contingent consideration. The maximum amount to be paid out as contingent 
consideration was £1,500k, based on a maximum cash target of £622k. The previous owners of Horizon Strategic Partners Limited 
had the right to choose whether payment of the contingent consideration is settled in cash, or in shares of the Induction Healthcare 
Group plc.

As at 31 March 2020, the key performance indicators of Horizon Strategic Partners Limited showed that it was highly probable that 
the target would be achieved, and a remeasurement charge of £83,434 was recognised through profit or loss. The fair value was 
determined using a probability-weighted expected value approach.

At the end of the earn-out period on 30 September 2020, Horizon Strategic Partners Limited reached the maximum cash target, 
and therefore the maximum amount of £1,500k was paid out to the previous owners. This resulted in the increase in the fair value of 
the contingent consideration liability to £1,500k prior to settlement, and remeasurement charge of £91k was recognised in profit or 
loss.

78

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsNotes (forming part of the financial statements) 
(continued) 

15. Business combinations completed in prior periods (continued)

15.2  Horizon Strategic Partners Limited (continued)
Assets acquired and liabilities recognised at the date of acquisition

Intangible assets
Cash and cash equivalents
Other current assets
Deferred tax assets
Non-current liabilities
Current liabilities

Total identifiable net assets at fair value

2020
£000
1,598
53
61
97
(304)  
(285)  

1,220

The deferred tax liability mainly comprises the tax effect of the accelerated depreciation for tax purposes of intangible assets 
acquired in the business combination.

Contract liabilities were remeasured to fair value at the acquisition date to take into account the costs that market participants 
would incur to acquire such contract liabilities.

The goodwill of £1,136k comprises the value of the established, long term revenue generating capabilities of the business. None of 
the goodwill recognised is expected to be deductible for income tax purposes.

Assets acquired and liabilities recognised at the date of acquisition (continued)
The valuation techniques used for measuring the fair value of material assets acquired were as follows:

Valuation technique
Relief-from-royalty method
Multi-period excess earnings method
Replacement cost approach, corroborated with the relief-from-royalty method

Assets acquired
Trade Name
Users
Technology

Goodwill arising on acquisition

Consideration paid

Goodwill

Analysis of cash flows on acquisition

Transaction costs of the acquisition (included in cash flows from operating activities)
Net cash acquired with the subsidiary (included in cash flows from investing activities)
Transaction costs attributable to the issuance of shares (included in cash flows from financing activities, net of tax)

Net cash flow on acquisition

Impact of acquisition on the results of the Group
From the date of acquisition, Horizon Strategic Partners Limited contributed £148k of revenue and £73k in net profits to Group’s 
loss before tax from continuing operations in the year ended 31 March 2021. If the acquisition had taken place at the beginning 
of the year, contribution to revenue from continuing operations would have been £383k and contribution to loss before tax from 
continuing operations for the Group would have been £43k for the year ended 31 March 2020.

79

2020
£000
(2,355)  

(1,135)  

2020
£000
(60)  
53
–

(7)  

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsFinancial StatementsNotes (forming part of the financial statements) 
(continued) 

16.  Subsidiaries

Details of the Group’s material subsidiaries at the end of the reporting period are as follows:

Proportion of 
ownership interest in 
ordinary shares and 
voting power held by 
the Group (%)

Name of subsidiary
Induction Healthcare 
Limited
Induction Healthcare 
(UK) Limited
Induction Healthcare 
Pty Ltd
Podmedics Limited

Registered 
number
11232772

11237890

Registered Address
20 St. Dunstan’s Hill, 
London, EC3R 8HL
20 St. Dunstan’s Hill, 
London, EC3R 8HL

625119397 23 Regent St, Prahran, 
Victoria, Australia, 3181

06840040 20 St. Dunstan’s Hill, 

London, EC3R 8HL

Horizon Strategic 
Partners Limited
Zesty Limited

06285278 20 St. Dunstan’s Hill, 

London, EC3R 8HL

08294659 20 St. Dunstan’s Hill, 

London, EC3R 8HL

Principal activity
Investment holding 
company
Provision of software to 
healthcare providers
Provision of software to 
healthcare providers
Provision of software to 
healthcare providers
Provision of software to 
healthcare providers
Provision of software to 
healthcare providers

Place of incorporation  
and operation
United Kingdom

Directly 
owned by the 
Company
√

2021
100

2020
100

United Kingdom

100

100

Australia

United Kingdom

United Kingdom

United Kingdom

100

100

100

100

100

100

100

–

√

√

√

There are no dormant subsidiaries not preparing and filing individual accounts by virtue of S394A and S448A of the Companies Act 
2006.

Podmedics Limited (registered number 06840040) has taken advantage of the exemption from audit under Section 479A of the 
Companies Act 2006, and Induction Healthcare Group plc has provided a parental guarantee in accordance with section 479C of 
the Companies Act 2006.

All subsidiaries have reporting periods that end on 31 March 2021.

17.  Goodwill

The following represents the carrying value of goodwill as at 31 March 2021.

Cost
Accumulated impairment

Cost
At 1 April
Additions as a result of business combinations
At 31 March
Accumulated impairment
Impairment charge

At 31 March

80

2021
£000
9,790

(417)  

9,373

2021
£000

1,553
8,237
9,790

417
417

2020
£000
1,553
–
1,553

2020
£000

–
1,553
1,553

–
–

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsNotes (forming part of the financial statements) 
(continued) 

17.  Goodwill (continued)

17.1  Allocation of goodwill to cash generating units
Goodwill is allocated to the Group’s cash generating unit as follows:

Induction Zesty
Induction Guidance
Induction Switch

2021
£000
8,237
1,136
–
9,373

2020
£000
–
1,136
417
1,553

Induction Zesty
The Zesty CGU consists of the assets and cash flows related to the Zesty patient portal product. The recoverable amount of the 
Zesty CGU of £10,902k as at 31 March 2021 has been determined based on a value-in-use calculation using cash flow projections 
for a five-year period. The pre-tax discount rate applied to cash flow projections is 17.4% and cash flows beyond the five-year period 
are extrapolated using a declining growth rate, determined using the H-model. The recoverable amount of this CGU exceeded its 
carrying amount by £1,334k. No impairment charge resulted from this analysis. Refer to sensitivity disclosures below.

Induction Guidance
The Induction Guidance CGU consists of the assets and cash flows related to the Induction Guidance product line (formerly 
MicroGuide, acquired as part of the acquisition of Horizon Strategic Partners). The recoverable amount of the Induction Guidance 
CGU of £3,385k as at 31 March 2021 (2020: £3,830k) has been determined based on a value-in-use calculation using cash flow 
projections for a five-year period. The pre-tax discount rate applied to cash flow projections is 17.7% (2020: 10.6%) and cash flows 
beyond the five-year period are extrapolated using a 2% growth rate (2020: 2.7%). The recoverable amount of this CGU exceeded 
its carrying amount by £1,231k. No impairment charge resulted from this analysis. Refer to sensitivity disclosures below.

Induction Switch
The Induction Switch CGU consists of the assets and cash flows related to the Induction Switch app. During the year ended 31 
March 2021, the performance of the Induction Switch app did not align to management’s previous expectations and forecasts. 
This was due to challenges in monetising the app, due to the COVID-19 pandemic changing priorities for the customers of the 
Group. As a result of this, management’s forecasts of future cash inflows were updated to reflect these delays in monetisation. 
The recoverable amount of the Induction Switch CGU of £Nil as at 31 March 2021 (2020: £11,441k) has been determined based 
on a value-in-use calculation using cash flow projections for a five-year period. The pre-tax discount rate applied to cash flow 
projections is 16.7% (2020: 17.9%) and cash flows beyond the five-year period are extrapolated using a 2% growth rate (2020: 2%). 
An impairment charge of £1,366k was recognised on the Induction Switch CGU, and would have been included in administrative 
expenses if presented by function on the statement of profit and loss. This impairment charge was allocated to all identifiable 
individual assets within the CGU as follows: £417k to goodwill; £33k to intangible assets acquired in a business combination; and 
£915k to capitalised development costs (refer Note 18). Management does not expect any further impairment of the assets related 
to the Induction Switch CGU. Refer to sensitivity disclosures below.

Key assumptions used in value-in-use calculations and sensitivity to changes in assumptions
The calculation of value-in-use for all 3 CGU’s is most sensitive to the following assumptions:

 — Earnings before interest, tax, depreciation and amortisation (“EBITDA”) margins

 — Discount rates

 — Growth rates used to extrapolate cash flows beyond the forecast period.

81

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsFinancial StatementsNotes (forming part of the financial statements) 
(continued) 

17.  Goodwill (continued)

17.1  Allocation of goodwill to cash generating units (continued)
Key assumptions used in value-in-use calculations and sensitivity to changes in assumptions (continued)
EBITDA – EBITDA is determined by deducting the budgeted costs to be incurred (cash outflows) from payments received 
from customers. Cash inflows are determined based on detailed budgets for the first 2 years of the forecast period, and then 
extrapolated for the remaining forecast period using an appropriately declining growth rate to reach the terminal growth rate. 
Detailed budgets are determined using assumptions on existing customer renewal rates; sales of additional services to existing 
customers; sales made to new customers; and pricing assumptions based on a standard price list as determined by the Group’s 
pricing policy. Cash outflows are based on values achieved in the year to 31 March 2021, adjusted for an appropriate growth rate 
depending on the nature of the cash outflow. Decreased demand can lead to a decline in EBITDA. A reasonable possible decrease 
of 1% in EBITDA would not result in an impairment of either the Zesty or Induction Guidance CGU. A decrease of 7.4% would result 
in the impairment of the Zesty CGU. A decrease of 32.6% would result in the impairment of the Induction Guidance CGU.

Discount rates – Discount rates represent the current market assessment of the risks specific to each CGU, taking into account 
the time value of money and individual risks of the underlying assets that have been incorporated in the cash flow estimates. The 
discount rate calculation is based on the specific circumstances of the Group and is derived from the weighted average cost of 
capital (WACC). The WACC takes into account both debt and equity. The cost of equity is derived from the expected return on 
investment by the Group’s investors. The cost of debt is based on the interest-bearing borrowings the Group is obliged to service. 
CGU specific risk is incorporated by applying individual beta factors. The beta factors were evaluated for the first time in the year 
ended 31 March 2020, based on publicly available market data. Adjustments to the discount rate are made to factor in the specific 
amount and timing of the future tax flows in order to reflect a pre-tax discount rate. The assumptions made in determining the 
discount rate were updated during the year ended 31 March 2021 to reflect the changes in the nature of the business as a result of 
the acquisition of Zesty Limited.

A reasonable possible rise in the pre-tax discount rate to of 1% 18.4% in the Zesty CGU would result in the elimination of the 
headroom of the CGU. A rise in the pre-tax discount rate of 5.5% to 23.2% in the Induction Guidance CGU would result in the 
elimination of the headroom of the CGU.

Terminal growth rate The terminal growth rate is the growth rate used to forecast cash inflows and outflows into perpetuity. As 
the terminal growth rate for the Induction Guidance and Induction Zesty CGU’s is 2%, there would be no material impact to the 
recoverable amount of any decreases in the terminal growth rate.

18. Intangible assets

Cost
At 1 April 2019
Additions internal
Acquired through business combinations
At 31 March 2020
Additions – internally developed
Acquired through business combinations

At 31 March 2021

Capitalised 
development 
costs
£000

197
761
229
1,187
1,660
1,081

3,928

Trade name
£000

Users
£000

Technology
£000

–
–
264
264
–
369

633

–
–
919
919
–
507

1,426

36
–
277
313
–
2,205

2,518

Total
£000

233
761
1,689
2,683
1,660
4,162

8,505

82

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsNotes (forming part of the financial statements) 
(continued) 

18. Intangible assets (continued)

Accumulated amortisation and impairment
At 1 April 2019
Charge for the year
At 31 March 2020
Charge for the year
Impairment charge
At 31 March 2021
Net book value
At 1 April 2019
At 31 March 2020

At 31 March 2021

Capitalised 
development 
costs
£000

Trade name
£000

–
224
224
851
915
1,990

197
963

1,939

–
15
15
61
7
83

–
249

550

Users
£000

–
53
53
189
23
265

–
866

1,161

Technology
£000

10
31
41
239
3
283

26
271

2,234

Total
£000

10
323
333
1,340
948
2,621

223
2,349

5,884

The impairment charge of £948k recognised on capitalised development costs and acquired intangible assets relates to the 
allocation of the impairment loss recognised in the Induction CGU to individual assets within the CGU. Refer Note 17 for further 
information.

19.  Property, plant and equipment

Cost
Additions
Acquired through business combinations
Disposals

At 31 March 2021

Accumulated depreciation and impairment
Charge owned for the year
Acquired through business combinations
Disposals

At 31 March 2021
Net book value
At 31 March 2020
At 31 March 2021

Fixtures and 
fittings
£000

Computer 
equipment
£000

–
3
–

3

6
40
(18)  

28

Fixtures and 
fittings
£000

Computer 
equipment
£000

–
2
–

2

–
1

7
23
(16)  

14

–
14

Total
£000

6
43
(18)  

31

Total
£000

7
25
(16)  

16

–
15

83

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsFinancial StatementsNotes (forming part of the financial statements) 
(continued) 

20.  Trade and other receivables

Trade receivables
Trade receivables net
Total financial assets other than cash and cash equivalents classified as loans and receivables
Prepayments and accrued income
Other receivables

Total trade and other receivables

2021
£000
723
723
723
151
22
896

2020
£000
80
80
80
34
26
140

The carrying value of trade and other receivables classified as loans and receivables approximates fair value.

Trade receivables are non-interest bearing and are generally on terms of 30 days. Included within trade and other receivables is 
£nil expected to be recovered in more than 12 months (2020: £nil).

An allowance for expected credit losses is not material to the Group, due to the nature of the customers of the Group (primarily 
NHS), for which the risk of default has been assessed to be negligible.

21.  Contract assets

Balance at 1 April
Transfers from contract assets recognised at the beginning of the year, on invoice
Transfers from contract assets not recognised at the beginning of the year, on invoice
Additions for subscriptions commenced, not yet invoiced
Impairment of a contract asset
Changes due to business combinations
Contracts costs – to obtain a contract

Amortisation of contract costs to obtain a contract
Contract costs – to fulfil a contract
Amortisation of contract costs to fulfil a contract 

Balance at 31 March

22.  Cash and cash equivalents

Cash at banks and on hand
Short-term deposits

Cash and cash equivalents per the statement of financial position and cash flow statement

2021
£000
23
(23)  
(371)  
400

(5)  
11
35

(10)  
330
(235)  
155

2020
£000
–
–
–
3
–
20
–

–
–
–
23

2021
£000
872
1,600
2,472

2020
£000
671
10,047
10,718

Cash at banks earn interest at floating rates based on daily bank deposit rates. Short-term deposits are made on weekly basis, 
depending on the immediate cash requirements of the Group, and earn interest at the respective short-term deposit rates.

84

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsNotes (forming part of the financial statements) 
(continued) 

23.  Trade and other payables

Trade payables
Other payables
Accruals
Total financial liabilities, excluding loans and borrowings, classified as financial liabilities measured at 
amortised cost
Other payables tax and social security payments

Total trade and other payables

2021
£000
289
70
760

1,119
277
1,396

2020
£000
39
15
299

353
49
402

The carrying value of trade and other payables classified as financial liabilities measured at amortised cost approximates fair value.

Included within trade and other payables is £nil expected to be settled in more than 12 months (2020: £nil).

All trade and other payables are non-interest bearing and are normally settled on 30 day terms.

24. Contract liabilities

Current
Non-current

Balance at 1 April
Revenue recognised that was included in the contract liability balance at the beginning of the year
Revenue recognised, not included in contract liability balance at the beginning of the year
Increases due to cash received, excluding amounts recognised as revenue during the year
Changes due to business combinations
Other changes

Balance at 31 March

25.  Share capital

2021
£000
1,027
187
1,214

2021
£000
302
(222)  
(1,261)  
2,074
159
162
1,214

2020
£000
263
38
302

2020
£000
–
–
(148)  
229
221
–
302

For the purposes of the Group’s capital management, capital includes issued share capital, share premium and all other equity 
reserves attributable to the equity holders of the parent. The primary objective of the Group’s capital management is to maximise 
shareholder value. The Group manages its capital structure and makes adjustments in light of changes in economic conditions and 
the requirements of the financial covenants. The Group does not have any interest-bearing loans and borrowings. There have been 
no changes to the Group’s capital management policies and processes during the year ended 31 March 2021.

Authorised

Shares treated as equity
Ordinary shares of £0.0050 each

2021
Number (‘000)

2021
£000

2020
Number (‘000)

42,052
42,052

210
210

29,627
29,627

2020
£000

148
148

85

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsFinancial Statements 
Notes (forming part of the financial statements) 
(continued) 

25.  Share capital (continued)

Issued and fully paid 

Ordinary shares of £0.0050 each
At 1 April
Share split
Issue of shares pre-IPO
Issue of shares to settle loans and borrowings
Issue of shares as consideration for a business combination
Issue of shares on IPO

At 31 March

2021
Number (‘000)

2021
£000

2020
Number (‘000)

29,627
–
–
–
12,425
–
42,052

148
–
–
–
62
–
210

66
13,053
1,739
1,739
348
12,682
29,627

2020
£000

66 
–
9
9
2
62
148

The holders of ordinary shares are entitled to receive dividends as declared from time to time and are entitled to one vote per 
share at meetings of Induction Healthcare Group plc.

The number of share options granted to employees of the Group that are exercisable at 31 March 2021 is 303,071. An equivalent 
number of shares are reserved for issue.

26.  Reserves

The following represents the movement in the share premium:

Share premium

Ordinary shares of £0.0050 each
At 1 April
Share split
Issue of shares pre-IPO
Issue of shares to settle loans and borrowings
Issue of shares as consideration for a business combination
Issue of shares on IPO
Share issue costs capitalised

At 31 March

2021
£000

2020
£000

18,432
–
–
–
–
–
–
18,432

– 
–
1,991
1,991
398
14,521
(469)  
18,432

Foreign exchange reserve
The translation reserve comprises all foreign exchange differences arising since 5 March 2018 (date of incorporation) from the 
translation of the financial information of foreign operations.

Merger reserve
On 1 April 2019, Induction Healthcare Group plc and Induction Healthcare Limited executed a share for share exchange, whereby 
Induction Healthcare Group plc acquired 100% of the share capital in Induction Healthcare Limited, in consideration for the 
issuance of shares in Induction Healthcare Group plc to the shareholders of Induction Healthcare Limited. This was done on the 
basis of one ordinary share in Induction Healthcare Group plc for each ordinary share in Induction Healthcare Limited.

Induction Healthcare Group plc issued 65,590 shares with a nominal value of £1 to the holders of equivalent shares in Induction 
Healthcare Limited. This has been treated as a common control transaction and the comparative historical financial statements 
have been presented as if the transaction had already taken place. At the point of acquisition, Induction Healthcare Limited had 
retained losses of £10,388k, and therefore a merger reserve has been recognised for this amount. The transaction has been 
accounted for at book value.

Where the conditions set out in section 612 of the Companies Act 2006 or equivalent sections of previous Companies Acts are 
met, shares issued as part of the consideration in a business combination are measured at their fair value in the Consolidated 
Balance Sheet, and the difference between the nominal value and fair value of the shares issued is recognised in the merger 
reserve.

86

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsNotes (forming part of the financial statements) 
(continued) 

26.  Reserves (continued)

Merger reserve (continued)
On 8 June 2020, Induction Healthcare Group plc acquired 100% of the share capital of Zesty Limited for a consideration comprising 
£500k in cash, plus the issue of 12,424,527 New Ordinary Shares. This acquisition was effected by way of a share-for-share 
exchange, whereby the shareholders of Zesty Limited exchanged their shares for an equivalent number of shares in Induction 
Healthcare Group plc. The difference between the nominal amount of the shares and the fair value of the shares has been 
recognised in the merger reserve. The following represents the movement in the merger reserve:

At 1 April
Issue of shares as consideration for a business combination
Share issue costs capitalised

At 31 March

2021
£000
(10)  

10,953
(64)  
10,879

2020
£000
– 
(10)  
–
(10)  

Other reserves
Other reserves arise from the Group’s equity settled share option scheme. Refer to Note 10 for further details.

27. Financial instruments fair values and risk management

27.1 Financial assets
The following table shows the carrying amounts and fair values of financial instruments as at 31 March 2021 and 31 March 2020. For 
financial assets not measured at fair value, the carrying amount is considered to be a reasonable approximation of fair value.

Financial assets measured at amortised cost
Trade receivables
Other receivables
Prepayments
Cash and cash equivalents
Other financial assets

2020
£000

723
22
151
2,471
447
3,814

2020
£000

80
53
7
10,718
–
10,858

The business does not hold any other form of financial assets

Management have assessed that the fair values of cash and short-term deposits and other receivables approximate their carrying 
amounts largely due to the short-term maturities of these instruments.

27.2 Financial liabilities
The following table shows the carrying amounts and fair values of financial liabilities as at 31 March 2021 and 31 March 2020. For 
financial liabilities not measured at fair value, the carrying amount is considered to be a reasonable approximation of fair value.

Financial liabilities measured at amortised cost
Trade and other payables
Financial liabilities at fair value through profit or loss
Contingent consideration

2020
£000

1,391

–
1,391

2020
£000

402

1,409
1,811

87

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsFinancial Statements 
Notes (forming part of the financial statements) 
(continued) 

27.  Financial instruments fair values and risk management (continued)

27.2 Financial liabilities (continued)
As part of the purchase agreement with the previous owners of Horizon Strategic Partners Limited concluded during the year 
ended 31 March 2020, contingent consideration was agreed, in the form of an earn-out agreement. The contingent consideration 
was based on a multiple of 4.29 times the cash collected from customers for customer subscriptions (over and above the baseline 
cash amount of £225k), which were invoiced and paid from 1 October 2019 to 30 September 2020 (the earn-out period). Contract 
liabilities as at the date of acquisition were deducted in arriving at the contingent consideration. The maximum amount to be paid 
out as contingent consideration was £1,500k. The previous owners of Horizon Strategic Partners Limited had the right to choose 
whether payment of the contingent consideration was effected in cash, or in shares of the Induction Healthcare Group plc.

Included in the net identifiable assets acquired and liabilities assumed of Zesty Limited was a loan of £501k. This loan was repaid in 
full during the year. The following represents the movements in the loans and borrowings of the group for the year ended 31 March 
2021:

Balance on 1 April
Incurred on acquisition through a business combination
Proceeds from loans and borrowings
Repaid during the year

Balance on 31 March

27.3 Fair value measurements
The following table reconciles the balance of the contingent consideration:

Balance on 1 April
Incurred on acquisition through a business combination
Loss on remeasurement to fair value recognised in other operating expenses
Settlement

Balance on 31 March

2020
£000
–
501
–
(501)  
–

2020
£000
2,500
–
500
(3,000)  
–

2020
£000
1,409
–
91

(1,500)  

–

2020
£000
–
1,325
83
–
1,409

At the end of the earn-out period on 30 September 2020, Horizon Strategic Partners Limited reached the maximum cash target, 
and therefore the maximum amount of £1,500k was paid out to the previous owners. This resulted in the increase in the fair value of 
the contingent consideration liability to £1,500k prior to settlement, and remeasurement charge of £91k was recognised in profit or 
loss. The previous owners of Horizon Strategic Partners Limited elected full settlement in cash.

27.4 Financial risk management objectives
The Group’s principal financial liabilities, other than contingent consideration, comprise loans and borrowings, and trade and other 
payables. The main purpose of these financial liabilities is to finance the Group’s operations. The Group’s principal financial assets 
include trade receivables, and cash and short-term deposits that derive directly from its operations.

The Group has exposure to the following principal financial risks in the operation and management of its business:

(i)  Market risk 
(ii)  Foreign currency risk;  
(ii)  Credit risk; and 
(iii)  Liquidity risk

27.5 Market risk
Market risk is the risk that he fair value or future cash flows of a financial instrument will fluctuate because of changes in market 
prices, such as foreign exchange rates, interest rates and equity prices. Market risk comprises three types of risk: interest rate risk, 
currency risk and other price risk. Interest rate risk is not considered to be material to the Group. The Group is not exposed to any 
other market risks aside from foreign currency risk

88

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsNotes (forming part of the financial statements) 
(continued) 

27.  Financial instruments fair values and risk management (continued)

27.6 Foreign currency risk management
Foreign currency risk is the risk that the fair value or future cash flows of an exposure will fluctuate because of changes in foreign 
exchange rates. The Group’s exposure to the risk of changes in foreign exchange rates relates primarily to the Group’s operating 
activities (when revenue or expense is denominated in a foreign currency) and the Group’s net investments in foreign subsidiaries.

The Group’s main exposure is to the United States dollar and the Australian dollar. However, the Group’s exposure is limited as 
the sums involved are relatively small. The Group has a bank account denominated in Australian dollars and the Group’s exposure 
to foreign exchange risk is limited by ensuring the Group has enough cash in this account to cover approximately six months 
of expenditure. The Group’s exposure to foreign currency risk is as follows. This is based on the carrying amount for monetary 
financial instruments other financial assets and liabilities based on notional amounts. Sensitivity analysis has not been presented as 
the effects of reasonably possible strengthening or weakening of the foreign currencies below would not have a material impact on 
the Group’s financial information.

Australian dollar
US dollar
Euro
Sterling

Liabilities
2021
£000

(6)  
–
–

(1,390)  
(1,396)  

Assets
2021
£000
7
16
–
3,331
3,354

27.7 Credit risk management
Credit risk is the risk of financial loss to the Group if a customer or counterparty to a financial instrument fails to meet its contractual 
obligations and arises principally from the Group’s receivables from customers and investment securities. The Group’s principal 
financial assets are cash and cash equivalents, trade receivables, other financial assets, and other receivables, the carrying values 
of which represent the Group’s maximum exposure to credit risk in relation to financial assets, as shown in this note. The Group’s 
credit risk is primarily attributable to its cash and cash equivalents. The credit risk arising from cash and cash equivalents is limited 
because the counterparties are banks with Triple-A credit-ratings assigned by international credit rating agencies.

The credit risk arising from trade receivables and contract assets is assessed as limited, due to the nature of the counterparties, 
which consist of primarily NHS customers. Therefore, no provision for expected credit losses has been recognised on trade 
receivables or contract assets

2020
Trade receivables
Contract assets

2021
Trade receivables
Contract assets

Current
£000

<30 days
£000

30 – 60 days
£000

60 – 90 days
£000

>91 days
£000

44
23

460
60

29
–

112
–

6
–

–
–

–
–

121
–

–
–

30
–

27.8 Liquidity risk management
Liquidity risk is the risk that the Group will not be able to meet its financial obligations as they fall due. The Group’s treasury policies 
are designed to ensure that sufficient cash is available to support current and future business requirements. Cash management is 
a core feature of the Group’s business model and rolling cash flow forecasts, updated on at least a monthly basis, are reviewed to 
manage these requirements. At 31 March 2021 (and 31 March 2020), the contractual maturity of all financial liabilities was less than 
12 months.

89

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsFinancial StatementsNotes (forming part of the financial statements) 
(continued) 

28.  Related party transactions

Balances and transactions between the Group and its subsidiaries, which are related parties of the Group, have been eliminated on 
consolidation and are not disclosed in this note. Details of transactions between the Group and other related parties are disclosed 
below.

28.1 Identities of related parties with whom the Group has transacted
Note 16 provides information about the Group’s structure, including subsidiaries and the holding company. The related parties with 
whom the Group has transacted are i) the subsidiaries within the group and ii) key management personnel.

28.2 Compensation of key management personnel
The remuneration of the directors and other members of key management personnel during the year was as follows:

Short-term employee benefits
Post-employment pension and other benefits
Termination benefits
Share-based payment transactions
Bonus
Other benefits

Total compensation paid to key management personnel

Key management remuneration comprises short-term benefits only.

29.  Contingent liabilities

2021
£000
791
44
74
322
30
–
1,261

2020
£000
584
92
–
13
–
–
689

As at 31 March 2020 the Group had £nil contingent consideration liabilities (2020: £1,409k). The contingent consideration liability 
was settled during the year. Refer Note 27 for more information.

30.  Events after the reporting date

On 9 June 2021, the Group acquired Attend Anywhere Pty Ltd (“Attend Anywhere”), a private Australian-based video consultation 
provider in the UK. The Acquisition (which comprised the acquisition of 818 shares in Attend Anywhere together with the 
acquisition of 1 share in A.C.N. 167 231 307 Pty Ltd, a company which owns the remaining shares in Attend Anywhere) resulted in 
Induction owning the whole issued share capital (100%) and voting rights of Attend Anywhere.

The acquisition of Attend Anywhere is an opportunity for the Induction Healthcare Group to provide a comprehensive virtual 
care platform for hospitals, doctors and patients. Attend Anywhere extends the Group’s existing product set with a mature video 
consultation platform already being widely used by NHS hospitals across the UK. It will also deliver Attend Anywhere customers an 
even higher standard of user support, technical resilience and customer service, via the Group’s existing UK based infrastructure.

The consideration for the Acquisition comprised £16,348k in cash including an amount equal to Attend Anywhere’s net assets at 
completion of the Acquisition as calculated in accordance with the SPA (estimated to be £788k) and the issue of 14,285,714 new 
Ordinary Shares (the “Consideration Shares”).

As part of the transaction, on 8 June 2021, the Company announced that it had raised £25 million through a placing of 35,714,285 
new Ordinary Shares at a price of 70p per share. Part of the proceeds of the Placing was used to fund the Cash Consideration and 
fees in respect of the Acquisition and the remainder will be used to provide the Group with additional working capital.

Following completion of the Acquisition, Chris Ryan, Attend Anywhere’s CEO, joined the Company’s executive management team 
and holds 11,002,445 Ordinary Shares.

The Group is in the process of determining the accounting impacts of the acquisition and completing the purchase price allocation 
in accordance with IFRS 3, however this is not yet complete. Therefore, the Group has determined that providing the disclosures 
required by IFRS 3 for business combinations effected after the reporting date is not practicable.

90

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsCompany Statement of Financial 

Position

as at 31 March 2021

Company Statement of Financial Position 
as at 31 March 2021 

Assets
Non-current assets
Other non-current investments
Amounts receivable from group companies

Total non-current assets

Total assets
Liabilities
Current liabilities
Trade and other payables
Other financial liabilities
Total current liabilities

Total liabilities

Net assets
Issued capital and reserves
Share capital
Share premium
Merger reserve
Other reserves
Retained earnings

TOTAL EQUITY

Note

2021
£’000

2020
£’000

 4 
 5 

 6 
7 

 8 
9 
9 
9 
9 

14,639
4,585

19,224
19,224

507
–
507
507

18,717

210
18,432
10,879
792
(11,596)  
18,717

2,514
12,668

15,182
15,182

52
1,409
1,461
1,461

13,721

148
18,432

(10)    
94
(4,943)  
13,721

The loss for the year for the Company was £6,653k (2020: £4,943k).

The notes on pages 94 to 99 form an integral part of these Financial Statements.

The financial statements were approved and authorised for issue by the board of directors on 22 September 2021 and were signed 
on its behalf by:

James Balmain 
CEO 
Company registered number: 11852026

91

Induction HealthcareAnnual Report & Accounts 2021Financial StatementsFinancial Statements 
 
 
  
 
 
 
 
Company Statement of Changes in 

for the year ended 31 March 2021

Equity

Company Statement of Changes in Equity 
for the year ended 31 March 2021 

At 1 April 2019
Total comprehensive loss for the year
Loss for the year
Total comprehensive loss for the year
Transactions with owners, in their capacity as owners
Shares issued in share-for-share exchange
Pre-IPO shares issued
Shares issued to settle loan notes
Issue of ordinary shares as consideration for a business 
combination
IPO shares issued
Share-issue costs
Equity-settled share-based payments

Total contributions by and distributions to owners
At 31 March 2020
At 1 April 2020
Total comprehensive loss for the year
Loss for the year
Total comprehensive loss for the year
Transactions with owners, in their capacity as owners
Issue of ordinary shares as consideration for a business 
combination
Share-issue costs
Equity-settled share-based payments

Total contributions by and distributions to owners
At 31 March 2021

Share capital
£’000
1

Share 
premium
£’000
–

Merger 
reserve
£’000
–

Other 
reserves
£’000
–

Retained 
earnings
£’000
–

Total equity
£’000
1

–
–

66
9
9

2
62
–
–
148
148
148

–
–

62
–
–
62

–
–

–
1,991
1,991

398
14,521
(469)  
–
18,432
18,432
18,432

–
–

–
–
–
–

–
–

(10)  
–
–

–
–
–
–
(10)  
(10)  
(10)  

–
–

10,953
(64)  
–
10,889

210

18,432

10,879

–
–

–
–
–

–
–
–
94
94
94
94

–
–

–
–
698
698

792

(4,943)  
(4,943)  

(4,943)  
(4,943)  

–
–
–

–
–
–
–
–
(4,943)  
(4,943)  

56
2,000
2,000

400
14,583
(469)  
94
18,664
13,721
13,721

(6,653)  
(6,653)  

(6,653)  
(6,653)  

–
–
–
–

11,015
(64)  
698
11,648

(11,596 )   

18,717

The notes on pages 94 to 99 form an integral part of these Financial Statements.

92

Induction HealthcareAnnual Report & Accounts 2021Financial StatementsCompany Cash Flow Statement

Company Cash Flow Statement 
for the year ended 31 March 2021 

Cash flows from operating activities
Loss for the year
Adjustments for
 Fair value adjustment of contingent consideration
 Other non-cash movements

Movements in working capital:
Decrease/(increase)   in amounts due from group companies
Increase in trade and other payables
Net cash from/(used in)   operating activities
Cash flows from financing activities
Issue of ordinary shares
Share issue costs
Net cash (used in)  /from financing activities
Net cash increase/(decrease)   in cash and cash equivalents
Cash and cash equivalents at the end of the year

The notes on pages 94 to 99 form an integral part of these Financial Statements.

2021
£’000

2020
£’000

(6,653)  

(4,943)  

91
32
123

6,138
456
64

–
(64)  
(64)  
–
–

83
92
175

(13,399)  
52
(18,114)  

18,583
(469)  
18,114
–
–

93

heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsFinancial StatementsNotes to the company financial 

statements

Notes to the company financial statements 

1.  Accounting policies

1.1  Going concern
The Company operates as an investment company for the Induction Healthcare Group plc, holding investments in subsidiaries 
financed by Group companies. As the Company is an intrinsic part of the Group’s structure, the Directors have a reasonable 
expectation that Group companies will continue to support the Company through trading and cash generated from trading for 
the foreseeable future. On this reason, the Directors have adopted the going concern assumption in preparing the financial 
statements. Please refer to Note 1.2 in the consolidated financial statements for Induction Healthcare Group plc for going concern 
considerations for the Group.

1.2  Share-based payments
Share-based payment transactions of the Company
Where the Company grants share-based awards over its own shares in exchange for employee services rendered to its 
subsidiaries, it recognises an increase to the cost of investment equivalent to the share-based payment expense recognised in the 
consolidated financial statements and a corresponding credit in other reserves in equity.

The Company recharges the expenses for share-based awards relating to employees employed UK subsidiaries to the subsidiary 
which employs the respective employee at an amount equivalent to the respective share-based payment expense recognised in 
the consolidated financial statements relating to those subsidiary employees. The Company recognises in its individual financial 
statements an allocated percentage of the share-based payment charge for employees performing some duties for the Company, 
as well as an increase to amounts due from related parties and a corresponding decrease in the cost of investment. Therefore, the 
cost of investment increases by the share-based payment expense recognised in the consolidated financial statements net of any 
recharges and amounts relating to services supplied to the company. Refer to Note 2 of the consolidated financial statements for 
the accounting policy in respect of share-based payments.

1.3  Financial instruments
Financial assets and liabilities are recognised on the Company statement of financial position when the Company becomes a 
contractual party to the instrument. When financial instruments are recognised initially, they are measured at fair value, which is 
the transaction price plus, in the case of financial assets and financial liabilities not measured at fair value through profit and loss, 
directly attributable transaction costs.

2.  Reporting entity

Induction Healthcare Group Plc (the ‘Company’)   is a public company incorporated, domiciled and registered in England in the 
United Kingdom. The Company’s registered office is at 20 St Dunstan’s Hill, London, EC3R 8HL. The Company’s principal activity is 
the provision of software to healthcare professionals.

3.  Basis of preparation

The financial statements have been prepared in accordance with International Financial Reporting Standards, International 
Accounting Standards and Interpretations (collectively IFRSs)  .

Details of the Company’s accounting policies, including changes during the year, are included in note 1.

The Company has taken advantage of the exemption available under section 408 of the Companies Act 2006 and elected not to 
present its own Income statement or Statement of comprehensive income in these financial statements.

In preparing these financial statements, management has made judgements, estimates and assumptions that affect the application 
of the Company accounting policies and the reported amounts of assets, liabilities, income and expenses. Actual results may differ 
from these estimates.

Estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to estimates are recognised prospectively.

The areas where judgements and estimates have been made in preparing the financial statements and their effects are disclosed 
in note 5 in the Group financial statements.

The financial statements have been prepared on the historical cost basis.

These financial statements are presented in pound sterling, which is the Company’s functional currency. All amounts have been 
rounded to the nearest pound, unless otherwise indicated.

94

heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial Statements  
 
(continued)  

Notes to the company financial statements 
(continued) 

4. 

Investments in subsidiaries

The investments in subsidiaries represent the investments of Induction Healthcare Group plc in Induction Healthcare Limited, 
Horizon Strategic Partners Limited and Zesty Limited (acquired during the year)  . All three entities are wholly owned subsidiaries of 
the Company. A full list of subsidiaries is included in Note 16 of the Consolidated financial statements for the Group.

On 1 April 2019, Induction Healthcare Group plc and Induction Healthcare Limited executed a share for share exchange, whereby 
Induction Healthcare Group plc acquired 100% of the share capital in Induction Healthcare Limited, in consideration for the 
issuance of shares in Induction Healthcare Group plc to the shareholders of Induction Healthcare Limited. This was done on the 
basis of one ordinary share in Induction Healthcare Group plc for each ordinary share in Induction Healthcare Limited. Induction 
Healthcare Group plc issued 65,590 shares with a nominal value of £1 to the holders of equivalent shares in Induction Healthcare 
Limited. This was treated as a common control transaction in the prior year.

On 5 November 2019, the Group acquired 100% of the share capital of Horizon Strategic Partners Limited, in exchange for £507k 
initial cash consideration, contingent consideration of £1,325k and assumed liabilities of £523k.

On 8 June 2020, Induction Healthcare Group plc acquired 100% of the share capital of Zesty Limited for a consideration comprising 
£500k in cash, plus the issue of 12,424,527 new ordinary shares.

During the year, the group impaired the investment in Induction Healthcare Limited by £55k, its full carrying value, due to the 
impairment of the Induction Switch CGU, of which it is a part. Refer to Note 17 in the consolidated financial statements for further 
information.

Balance at 1 April
Acquisitions of new subsidiaries
Share-based payments
Impairment

Balance at 31 March

5.  Amounts receivable from group companies

2021
£’000
2,514
11,514
666
(55)  

14,639

2020
£’000
–
2,420
94
–
2,514

Amounts receivable from group companies comprise loans due from group companies of £4,585k (2020: £12,668k)  . The loans 
are interest free and repayable on demand. Lifetime expected credit losses of £5,750k (2020: £4,678k)   have been recognised on 
amounts due from group companies.  These amounts have been classified as non-current, as there is no intention to demand 
repayment of these amounts within 12 months from 31 March 2021.

Balance at 1 April
Loans to group companies
Provision for expected credit losses
Amounts receivable from group companies

Total non-current portion

The carrying value of trade and other receivables classified as loans and receivables approximates fair value.

2021
£’000
12,668
(2,333)  
(5,750)  
4,585
4,585

2020
£’000
–
17,436
(4,768)  
12,668
12,668

95

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Notes to the company financial statements 
(continued) 

6.  Trade and other payables

The following table summarises the balance of trade and other payables. The amounts owed to group companies represent £288k. 
This is an interest free arrangement and is repayable on demand.

Accruals
Amounts due to group companies

Total current portion

7.  Other financial liabilities

2021
£,000
219
288
507

2020
£,000
27
25
52

Other financial liabilities relate to the contingent consideration paid on the acquisition of Horizon Strategic Partners Limited. At 
the end of the earn-out period on 30 September 2020, Horizon Strategic Partners Limited reached the maximum cash target, and 
therefore the maximum amount of £1,500k was paid out to the previous owners. This resulted in the increase in the fair value of 
the contingent consideration liability to £1,500k prior to settlement, and remeasurement charge of £91k was recognised in profit or 
loss. The previous owners of Horizon Strategic Partners Limited elected full settlement in cash.

Balance at 1 April
Incurred on acquisition through a business combination
Loss on remeasurement to fair value recognised in other operating expenses
Settlement

Balance on 31 March

8.  Share capital

2021
£’000
1,409
–
91

(1,500)  

–

2020
£’000
–
1,325
83
–
1,409

For the purposes of the Group’s capital management, capital includes issued share capital, share premium and all other equity 
reserves attributable to the equity holders of the parent. The primary objective of the Group’s capital management is to maximise 
shareholder value. The Group manages its capital structure and makes adjustments in light of changes in economic conditions and 
the requirements of the financial covenants. The Group does not have any interest bearing loans and borrowings. There have been 
no changes to the Group’s capital management policies and processes during the year ended 31 March 2021.

Authorised 

Shares treated as equity
Ordinary shares of £0.0050 each

Issued and fully paid

Ordinary shares of £0.0050 each
At 1 April
Share split
Issue of shares pre-IPO
Issue of shares to settle loans and borrowings
Issue of shares as consideration for a business combination
Issue of shares on IPO

At 31 March

2021
Number (‘000)  

2021
£000

2020
Number (‘000)  

42,052
42,051

210
210

29,627
29,627

2021
Number (‘000)  

2021
£000

2020
Number (‘000)  

29,627
–
–
–
12,425
–
42,052

148
–
–
–
62
–
210

66
13,053
1,739
1,739
348
12,682
29,627

2020
£000

148
148

2020
£000

66 
–
9
9
2
62
148

The holders of ordinary shares are entitled to receive dividends as declared from time to time and are entitled to one vote per 
share at meetings of Induction Healthcare Group plc.

96

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(continued) 

9.  Reserves

Share premium

Ordinary shares of £0.0050 each
At 1 April
Share split
Issue of shares pre-IPO
Issue of shares to settle loans and borrowings
Issue of shares as consideration for a business combination
Issue of shares on IPO
Share issue costs capitalised

At 31 March

2021
£000

2020
£000

18,432
–
–
–
 –
–
–
18,432

– 
–
1,991
1,991
398
14,521
(469)  
18,432

Foreign exchange reserve
The translation reserve comprises all foreign exchange differences arising since 5 March 2018 (date of incorporation)   from the 
translation of the financial information of foreign operations.

Merger reserve
On 1 April 2019, Induction Healthcare Group plc and Induction Healthcare Limited executed a share for share exchange, whereby 
Induction Healthcare Group plc acquired 100% of the share capital in Induction Healthcare Limited, in consideration for the 
issuance of shares in Induction Healthcare Group plc to the shareholders of Induction Healthcare Limited. This was done on the 
basis of one ordinary share in Induction Healthcare Group plc for each ordinary share in Induction Healthcare Limited.

Induction Healthcare Group plc issued 65,590 shares with a nominal value of £1 to the holders of equivalent shares in Induction 
Healthcare Limited. This has been treated as a common control transaction and the comparative historical financial statements 
have been presented as if the transaction had already taken place. At the point of acquisition, Induction Healthcare Limited had 
retained losses of £10k, and therefore a merger reserve has been recognised for this amount. The transaction has been accounted 
for at book value.

Where the conditions set out in section 612 of the Companies Act 2006 or equivalent sections of previous Companies Acts are met, 
shares issued as part of the consideration in a business combination are measured at their fair value in the Consolidated Balance 
Sheet, and the difference between the nominal value and fair value of the shares issued is recognised in the merger reserve.

On 8 June 2020, Induction Healthcare Group plc acquired 100% of the share capital of Zesty Limited for a consideration comprising 
£500k in cash, plus the issue of 12,424,527 New Ordinary Shares. This acquisition was effected by way of a share-for-share 
exchange, whereby the shareholders of Zesty Limited exchanged their shares for an equivalent number of shares in Induction 
Healthcare Group plc. The difference between the nominal amount of the shares and the fair value of the shares has been 
recognised in the merger reserve. The following represents the movement in the merger reserve:

At 1 April
Issue of shares as consideration for a business combination
Share issue costs capitalised

At 31 March

2021
£000
(10)  

10,953
(64)  
10,879

2020
£000
– 
(10)    
–

(10)  

Other reserves
Other reserves arise from the Group’s equity settled share option scheme. Refer to Note 10 in the consolidated group financial 
statements for further details.

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(continued) 

10.  Related party transactions

Balances and transactions between the Company and its subsidiaries, which are related parties of the Company, have been 
eliminated on consolidation and are not disclosed in this note. Details of transactions between the Group and other related parties 
are disclosed below.

10.1  Identities of related parties with whom the Group has transacted
Note 16 provides information about the Group’s structure, including subsidiaries and the holding company. The related parties with 
whom the Group has transacted are i)   the subsidiaries within the group and ii)   key management personnel.

10.2 Compensation of key management personnel
The remuneration of the directors and other members of key management personnel during the year was as follows:

Short-term employee benefits
Post-employment pension and other benefits
Termination benefits
Share-based payment transactions
Bonus
Other benefits

Total compensation paid to key management personnel

Key management remuneration comprises short-term benefits only.

2021
£000
791
44
74
322
30
–
1,261

2020
£000
584
92
–
13
–
–
689

Directors’ remuneration has been disclosed in the Directors’ report. Refer to page 37 and 38, tables “Directors remuneration ” and 
“Directors’ shareholding and share interests ”.

10.3 Transactions with subsidiaries
Included in amounts due from group companies is an amount of £4,722k due from Induction Healthcare Limited. This arose as a 
result of loans made to Induction Healthcare Limited as intermediate holding company to fund the operations of the group. The 
loan carries interest at 0% and is repayable on demand.

Included in trade and other payables is an amount of £269k due to Induction Healthcare (UK)   Limited. This arose as a result of 
payments made by Induction Healthcare (UK)   Limited on behalf of Induction Healthcare Group plc. The loan carries interest at 0% 
and is repayable on demand.

Included in trade and other payables is an amount of £19k due to Induction Healthcare Pty Ltd. This arose as a result of payments 
made by Induction Healthcare Pty Ltd on behalf of Induction Healthcare Group plc. The loan carries interest at 0% and is repayable 
on demand.

Included in trade and other payables is an amount of £4k due to Zesty Limited. This arose as a result of payments made by Zesty 
Limited on behalf of Induction Healthcare Group plc. The loan carries interest at 0% and is repayable on demand.

11.  Events after the reporting date

On 9 June 2021, the Group acquired Attend Anywhere Pty Ltd (“Attend Anywhere”)  , a private Australian-based video consultation 
provider in the UK. The Acquisition (which comprises the acquisition of 818 shares in Attend Anywhere together with the 
acquisition of 1 share in A.C.N. 167 231 307 Pty Ltd, a company which owns the remaining shares in Attend Anywhere)   resulted in 
Induction owning the whole issued share capital (100%)   and voting rights of Attend Anywhere.

The acquisition of Attend Anywhere is an opportunity for the Induction Healthcare Group to provide a comprehensive virtual 
care platform for hospitals, doctors and patients. Attend Anywhere extends the Group’s existing product set with a mature video 
consultation platform already being widely used by NHS hospitals across the UK. It will also deliver Attend Anywhere customers an 
even higher standard of user support, technical resilience and customer service, via the Group’s existing UK based infrastructure.

98

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(continued) 

11.  Events after the reporting date (continued)

The consideration for the Acquisition comprised £15,560k in cash plus an amount equal to Attend Anywhere’s net assets at 
completion of the Acquisition as calculated in accordance with the SPA (estimated to be £787k)   and the issue of 14,285,714 new 
Ordinary Shares (the “Consideration Shares”)  .

As part of the transaction, on 8 June 2021, the Company announced that it had raised £25 million through a placing of 35,714,285 
new Ordinary Shares at a price of 70p per share. Part of the proceeds of the Placing was used to fund the Cash Consideration and 
fees in respect of the Acquisition and the remainder will be used to provide the Group with additional working capital.

Following completion of the Acquisition, Chris Ryan, Attend Anywhere’s CEO, joined the Company’s executive management team 
and holds 11,002,445 Ordinary Shares.

The Group is in the process of determining the accounting impacts of the acquisition and completing the purchase price allocation 
in accordance with IFRS 3, however this is not yet complete. Therefore, the Group has determined that providing the disclosures 
required by IFRS 3 for business combinations effected after the reporting date is not practicable.

99

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Financial StatementsFinancial StatementsCompany Information 

Additional Information

Company Information  

Non-Executive Chair
Chief Executive Officer1
Group Executive Director1
Non-Executive Director
Non-Executive Director
Non-Executive Director

Solicitors 
Pinsent Masons LLP
Third Floor
Quay 2
139 Fountainbridge Edinburgh 
EH3 9QG 

Nominated advisers and brokers 
Singer Capital Markets2
1 Bartholomew Lane
London
EC2N 2AX

Registered Office 
20 St Dunstan’s Hill
London
EC3R 8HL

Registered Number
11232772 

Company Website
www.inductionhealthcare.com

Directors 
Chris Spencer  
James Balmain 
Hugo Stephenson  
Jane Silber  
Leslie-Ann Reed   
Andrew Williams   

Secretary 
Alison Talbot
20 St Dunstan’s Hill
London
EC3R 8HL

Auditors 
KPMG LLP
The Pinnacle 
170 Midsummer Blvd 
Milton Keynes 
MK9 1FD

Primary Bankers 
HSBC Bank Ltd
172 Upper Richmond Road London
SW15 2SH

Public Relations
Walbrook Public Relations
75 King William Street
London
EC4N 7BE
induction@walbrookpr.com

1 

 James Balmain and Hugo Stephenson were joint CEO’s during the year 
ended 31 March 2021. On the 6th September 2021, Hugo Stephenson 
took a new role as Group Executive Director and James Balmain 
became sole CEO

2 

 Numis Securities Ltd were the Company’s nominated adviser and 
broker during the year until 4 March 2021, at which point the Company 
appointed Singer Capital Markets.

100

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021   
 
 
 
  
Glossary 

Additional Information

Glossary  

Alternative Investment Market (AIM) 

Annual General Meeting (AGM)

Attend Anywhere Pty Ltd (Attend Anywhere, Induction Anywhere)

Electronic Health Record (EHR)

Earnings Before Interest, Tax, Depreciation and Amortisation (EBITDA)

General Data Protection Regulation (GDPR)

Horizon Strategic Partners Limited (Induction Guidance, Horizon and Microguide)

Induction Healthcare Group PLC (Group, Induction, Induction Healthcare and Company)

Initial Public Offering (IPO)

Milton Keynes University Hospital Foundation Trust (MKUH)

Monthly recurring revenue (MRR) 

National Health System (NHS)

Patient administration system (PAS)

Podmedics Limited (Podmedics, Induction Switch)

Return on Investment (ROI)

Software as a service (SaaS)

The Quoted Companies Alliance (the QCA Code)

Zesty Limited (Induction Zesty, Zesty)

101

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Additional InformationAdditional Information   
Reader’s Notes

Reader’s Notes 

102

heading 1heading 2heading 1heading 2Induction HealthcareAnnual Report & Accounts 2021Additional Information   
This document is printed on Galerie Satin, a paper sourced 
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other controlled sources. The pulp used in this product is 
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20 St. Dunstanʼs Hill
London
EC3R 8HL
Tel: 03339398091
Email: support@inductionhealthcare.com