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Sulzer

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FY2020 Annual Report · Sulzer
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Annual Report
2020

Contents

Strategic Report

Chairman’s Statement & Strategy 

Operating and Financial Review 

Section 172 Statement of the Companies Act 

Governance

Board of Directors 

Corporate Governance Report 

Directors’ Report 

Financial Statements

Independent Auditor’s Report 

Consolidated Statement of Comprehensive Income 

Consolidated Statement of Changes in Equity 

Consolidated Balance Sheet 

Consolidated Cash Flow Statement 

Notes to the Consolidated Financial Statements 

Company Balance Sheet 

Company Statement of Changes in Equity 

Notes to the Company Financial Statements 

Shareholder information

Advisors 

page

4

9

15

18

20

26

30

36

37

38

39

40

72

73

74

78

More information can be found at 
www.sigroupplc.com

Surgical Innovations Group plc Annual Report and Accounts 2020 

1

 
Resposable™ devices 
reduce plastic waste in 
the operating theatre

2 

Surgical Innovations Group plc Annual Report and Accounts 2020

About usSurgical Innovations Group plc specialises in the design and manufacture of creative solutions for use in minimally invasive surgery (MIS) and industrial markets.Accordingly, having demonstrated 
strength and resilience throughout 
2020, the Group is now ideally 
positioned to build exciting growth 
as markets continue to recover. 

Chairman’s Statement

I am pleased to report that the Company has withstood 
the immensely testing pressures presented by the global 
COVID-19 pandemic, and will soon emerge from this most 
difficult period ready to recover quickly. This will be driven 
by the need for our customers and global distribution 
partners to meet the backlog of surgical treatment that 
has accumulated.

Financial Overview

Revenue for the year was 41% lower than in the prior 
year at £6.33m (2019: £10.73m) as a consequence of the 
effects of the COVID-19 pandemic, which had an adverse 
impact on the level of elective surgery carried out in all 
major markets and across all product areas. These effects 
were evident from early in the year and reached a low 
point in May, recovering strongly in the third quarter until 
the resurgence of a second wave of infections at the end 
of the year.

Revenue for the second half of the year was 44% higher 
than the first half at £3.74m (H1: £2.59m), although still 
approximately one third below the level achieved in the 
second half of 2019 at £5.63m. Market conditions in the 
UK reflected the obvious pressures on the NHS, and 
waiting lists for elective surgery continued to increase 
to unprecedented levels, leading to a reduction in 
revenues of over 40% in the second half of the year. 
Similar effects were experienced in European markets 
and the US. On a more positive note, sales in Asia Pacific 
increased by almost 50% in the second half of the year, 
primarily arising from additional market share gained 
in Japan where healthcare workloads were especially 
well managed. Revenue in other territories, where our 
business is mostly driven by healthcare tender activity, 
was also sharply reduced.

Underlying gross profit margin (before net manufacturing 
costs) for the year increased by 110 basis points to reach 
44.4% (2019: 43.3%), however there was a significant 
reduction in factory activity levels due to the pandemic, 
leading to an under-recovery of overheads. This resulted 
in a reported gross margin of 20.1% against a prior year 
figure of 40.3%.

Operating expenses, excluding depreciation and 
amortisation, impairment of intangibles, exceptional 
costs and share-based payments, reduced by £0.34m to 
£2.55m (2019: £2.89m), and the Group benefited from 
UK Government Coronavirus Job Retention Scheme relief 
of £0.59m included in other income. As a result, Adjusted 
EBITDA amounted to a loss of £0.66m (2019: profit of 
£1.45m), and the adjusted Loss Before Taxation1 was 
£1.61m (2019: profit of £0.38m). These results were also 
much improved in the second half of the year over the 
first, however, with the adjusted EBITDA1 loss reduced to 
£0.20m (H1: loss of £0.46m) and adjusted Loss Before 
Taxation1 of £0.68m (H1: loss of £0.93m).

Exceptional items relate to employee termination 
payments, listing fees and costs associated with 
accessing the Coronavirus Business Interruption Loan 
Scheme (CBILS) totalling £0.11m (2019: £0.18m). In 
addition to these exceptional costs, there were further 
non-cash, non-recurring costs totalling £0.2m (2019: 
£nil) arising from events directly attributable to the Covid 
pandemic. These comprised (i) £0.12m of additional 
inventory provision arising from the premature withdrawal 
of products approaching their end of life (ii) holiday pay 
accrued amounting to £0.08m arising whilst employees 
were furloughed during year, and hence were unable to 
take holidays on the normal cycle. It is anticipated that 
these additional holidays will be taken in 2021, rather than 
being settled in cash.

1  Reconciliation of adjusted KPI measures included in the Operating 

and Financial Review on page 9.

4 

Surgical Innovations Group plc Annual Report and Accounts 2020

Strategic ReportFor the year ended 31 December 2020Following an impairment review of the goodwill arising on 
the acquisition of Elemental Healthcare, an impairment 
charge of £1.44m was recognised in June 2020 as 
a result on the initial impact on the pandemic. In the 
second half of the year the trading forecast has improved 
resulting in a reduction of the total impairment and 
a release of £0.31m resulting in a net impairment of 
£1.13m at the year end (2019: £1.63m). The trading 
environment continues to be impacted in the current 
year and therefore the Directors have adopted a cautious 
approach to forecasting future net inflows for this cash 
generating unit.

Development expenditure was also tested for impairment. 
Management have reviewed the initial costs for the 
Illuminno project (which were previously recognised as an 
Investment in an associated Company). The development 
changes implemented and the direction of the portfolio 
mean that the nature of these costs now provide no future 
economic benefit, and an impairment of £0.18m has 
therefore been recognised.

The Group recorded a corporation tax credit of £nil 
(2019: credit of £0.001m) and a deferred tax credit of 
£0.03m (2019: charge £0.02m). The tax charge on 
Elemental Healthcare has been relieved through Group 
losses. Overall, the Group continues to hold substantial 
tax losses on which it holds a cautious view, and 
consequently the Group has chosen not to recognise 
those losses fully. During the year the Group submitted 
an enhanced Research and Development claim in respect 
of 2019 amounting to £0.13m. This claim has been paid 
in the current year and therefore will not be recognised 
in 2020.

Adjusted net earnings per share amounted to a loss of 
0.19p (2019: 0.05p). The net total comprehensive income 
for the year amounted to a loss of £3.28m (2019: loss 
of £2.60m).

The Company has taken sensible precautions to protect 
the availability of cash resources and generated £1.04m 
of cash from operations despite market conditions 
(2019: £0.59m). The Company also negotiated an 
agreement to reschedule the repayment terms and 
financial covenants on existing term loan facilities and 
drew down an additional £1.5m under the CBILS in 
March 2020. These facilities are repayable in May 2022. 
In September 2020, the Company also successfully raised 
£2.05m of additional equity (net of costs of £0.15m) in a 
share placing with new and existing holders.

At 31 December 2020, the Group had available cash 
balances of £5.28m (2019: £1.28m), net cash resources 
(taking into account bank loans outstanding) of £3.10m 
(2019: £0.47m), and financial headroom (comprising net 
cash plus undrawn facilities) of £5.78m (2019: £1.78m). 
Financial covenants have been complied with in full and 
will continue to be tested on a quarterly basis. The Board 
is satisfied that these resources provide the appropriate 
platform from which to benefit from the anticipated 
recovery in demand in coming months, and accordingly, 
the Directors conclude that it continues to be appropriate 
to prepare the Annual Report and Accounts on a going 
concern basis.

Operational and Regulatory activity

The pandemic has caused a hiatus in the normal 
operation of the business, however the Company 
has effectively utilised this period to bring significant 
improvements to a number of key operating functions. 
A detailed internal review of products processes and 
regulatory compliance procedure was conducted to 
enable the Company to simplify and streamline in a 
number of key areas, promote more efficient working 
practices now activity is rebuilding and accelerate the 
introduction of new products going forward.

The Company has highlighted on a number of occasions 
the investment made in QA/RA to ensure that the 
demands of moving to Medical Devices Regulatory (MDR) 
and the new UKCA mark are satisfied. This investment 
has proved invaluable as an exhaustive programme of 
audits during lockdown and beyond has been managed 
effectively, resulting in the renewal of CE and Medical 
Device Single Audit Program (MDSAP) certification. In 
addition, the team has supported Advanced Medical 
Solutions plc as the Fix8 device progresses to approval 
for use in the US market. Crucial work on planning for 
the transition to MDR framework is on track and the 
streamlining of our Quality Management System will 
allow for faster delivery of new products. Under normal 
circumstances, implementing the upgrading of facilities 
can pose significant challenges, however the pause in 
normal activity allowed completion of the assembly room 
refurbishment and the on-going complex upgrade to the 
Clean Room facility.

Furthermore, the hiatus allowed the Company to bring 
forward plans to make a number of end of life SKU’s 
obsolete to focus sales and marketing activity on the 
introduction of new products and line extensions. 
The coming year will see the introduction of a number 
of new products that will enhance the selling opportunities 
in key markets.

Surgical Innovations Group plc Annual Report and Accounts 2020 

5

Strategic ReportOur “sustainability in surgery” messaging continues to 
resonate in key markets post COVID-19, none more 
so than the UK with the NHS and governing medical 
bodies endorsing the drive for a more sustainable 
healthcare system. During the break in elective surgery 
the Elemental team has been working closely with a 
number of large NHS Trusts to plan product evaluations 
based on the reduction of plastic waste. The evaluation 
process recommenced in August 2020 following the first 
lockdown and has continued to be rolled out to a number 
of hospitals in at least five large NHS Trusts. Clearly the 
second wave has impacted the speed of the evaluations 
but to date the outlook remains promising. Assuming 
these evaluations conclude positively, transition to the 
relevant product ranges is expected to take place during 
the first half of 2021. The Green Surgery Challenge, an 
initiative between the Company, Centre for Sustainable 
Healthcare (‘CSH’), and the Royal Colleges of Surgeons in 
both England and Scotland was launched in early 2021, 
providing a unique platform for our portfolio of resposable 
devices to deliver their sustainability credentials. Additional 
sustainability-driven evaluations are ongoing with three 
major US general procurement organisations (GPOs), and 
the messaging is reaching an ever receptive audience 
around the globe.

Since the end of the period, in the UK we have 
experienced a return to growth in the number of surgeries, 
initially for cancer and life-threatening conditions. More 
recently, the UK is managing the gradual return to elective 
surgery both in the NHS and the co-opted private sector, 
evidenced by the increasing sales of our procedure kits 
for Laparoscopic Cholecystectomy (Gallbladder removal) 
and Hernia Repair.

The expected growth in elective surgery since the year 
end has clearly been impacted by the second wave, 
however the NHS has maintained a higher level of 
non-Covid activity, especially compared to the initial wave 
in March/April last year. We anticipate a rapid return 
to normal activity over the coming year especially as it 
appears that the second wave is now in decline in the UK 
and the effects of the vaccine programme are beginning 
to become apparent.

In April 2020, Meccellis was awarded CE certification 
for its new Cellis Breast Pocket matrix, an innovative 
porcine collagen matrix used in breast reconstruction and 
distributed exclusively in the UK by Elemental Healthcare. 
The initial evaluations at three UK hospitals took place in 
the summer and went well, with the surgeons commenting 
positively on the handling and cosmetic results. The full 
UK market launch of Cellis Breast Pocket commenced in 
Q4 and although the number of cases remains lower than 
anticipated as a consequence of the second wave, the 
product has been very well accepted by surgeons.

Internationally our key partners are reporting a similar 
picture to the UK, seeing a managed resumption in 
elective surgery during the final quarter. It seems that 
healthcare systems around the globe are adapting to the 
emerging spikes of COVID-19 by providing designated 
treatment pathways to manage patients suffering 
from Coronavirus within a hospital, such that elective 
procedures can continue elsewhere in safety.

In addition to the resumption of growth driven by the 
sustainability credentials of our products and third-party 
products such as the Cellis Breast Pocket described 
above, we have also identified a number of new product 
development opportunities for internal work-up. Each of 
these represents a response to customer needs which 
have been shared with us, or to distributor or OEM 
feedback. In each case, plans have been developed to 
enable Surgical Innovations to meet a broader range of 
product needs for its customers’ and partners’.

Robotics continues to be an area of surgery that 
is generating much innovation and is providing an 
opportunity for Elemental to leverage its strong 
relationships with UK key opinion leaders to introduce 
the Dexter robot manufactured by Swiss Company, 
DistalMotion. The Dexter received CE certification 
in December 2020 and provides a business model 
that overcomes the budgetary obstacles of capital 
expenditure in the NHS.

Additionally, the Company’s expertise in the development 
of laparoscopic instrumentation is further highlighted by 
the partnerships in the field of Surgical Robotics, where 
it is aiding key players in this market to find solutions for 
accessing the abdominal cavity. Our industry partners 
have recognised the expertise we bring to the relationship 
and we are currently working with a number of key players 
in the sector.

Business development and our international network

During the year we have worked closely with our 
international distribution partners to maintain timely 
supply of our products to healthcare providers despite 
the difficulties experienced in anticipating demand levels. 
This process has cemented our relationships, which will 
provide mutual benefits as trading begins to normalise 
this year.

The APAC region showed strong growth throughout the 
pandemic and this has continued into the current year. 
Japan, in particular, has continued to show strong growth 
and we remain confident that the planned line extensions 
will offer further opportunity in this market.

6 

Surgical Innovations Group plc Annual Report and Accounts 2020

Strategic ReportWhilst the UK market is unsurprisingly down by almost a 
third compared with last year, key international markets are 
showing strong growth, especially in the US and Japan. 
European demand is more muted, and likely to remain so 
at least through the first half of the year. Encouragingly, 
whilst demand in the UK has been suppressed, we are 
beginning to see early-stage signs that the UK market 
is recovering and expect this to sharply improve in the 
second quarter, with momentum building through the year 
as the backlog of elective surgery cases is tackled. We 
also expect to outperform the UK market due to a number 
of new business wins during the downturn.

Since the beginning of 2021, we have completed several 
key partnership agreements to expand our reach in the 
US market and secure a broader range of products for 
UK distribution. We have also made continued progress 
in developing the sustainability message, and in product 
development, where we expect to extend the SI branded 
range through the launch of a number of new products in 
the second half of the year.

Accordingly, having demonstrated strength and resilience 
throughout 2020, the Group is now ideally positioned to 
build exciting growth as markets continue to recover.

Nigel Rogers 
Chairman

24 March 2021

We have also carried out a root and branch review of our 
routes to market in the US, the world’s largest market for 
healthcare products. In December 2020, we announced 
a new nationwide distribution agreement with Adler 
Instrument Company Inc. for our full range of handheld 
surgical instruments. The agreement has five years 
duration commencing on 1 February 2021 and brings 
a significant increase in the number of surgical territory 
managers promoting SI-branded products across the US.

Following the year end in February 2021, we announced 
the signature of a new five-year distribution agreement 
with Microline Surgical Inc. to introduce our YelloPort+Plus 
and YelloPort Elite Access Devices to the US market 
following FDA approval gained in late 2019. These ranges 
are highly complementary to those of Microline Surgical 
Inc. which are distributed exclusively in the UK through 
a long-standing relationship with Elemental Healthcare, 
which has recently been extended for a further three years.

Brexit

Detailed preparations were made in advance of the expiry 
of the transitional period on 31 December 2020, securing 
the necessary registrations and documentation required to 
provide the best assurance possible to avoid disruption. 
This has been kept to a minimum, although the demands 
of additional paperwork and possible supply and delivery 
delays will continue to be a factor in the early part of the 
current year.

People

The challenges presented by the COVID-19 pandemic are 
not only economic, as these extend to critical issues of 
health, safety, and well-being of our people. Their spirit, 
determination and professionalism have been exemplary, 
and have facilitated business continuity and high levels of 
customer service through some difficult times. On behalf 
of the Board and Shareholders, I once again express our 
sincere thanks and hope that a return to more normal 
times is not too far away. The Company would also like to 
recognise the efforts and sacrifices of all the NHS and Key 
Workers for their contribution in caring for us all during the 
pandemic.

Current trading and outlook

Trading in the first two months of the current year 
continues to be constrained by the effects of the 
COVID-19 pandemic. Despite this Group revenue is 
11% ahead of the corresponding period last year; a 
period in which our key markets were largely unaffected. 
This indicates the continuing resilience of the business, 
however, given the continued uncertainty of the global 
pandemic, we will look to reinstate guidance at a later 
date when there is greater clarity on the timing of the 
expected recovery in elective surgery from our partners 
and customers.

Surgical Innovations Group plc Annual Report and Accounts 2020 

7

Strategic ReportThe Group specialises in the design, manufacture, 
sale and distribution of innovative, high-quality medical 
products, primarily for use in minimally invasive surgery. 
Our product and business development is guided and 
supported by a key Group of nationally and internationally 
renowned surgeons across the spectrum of minimally 
invasive surgical activity.

We design, manufacture and source our branded port 
access systems, surgical instruments and retraction 
devices which are sold directly in the UK home market 
through our subsidiary, Elemental Healthcare, and 
exported widely through a global network of trusted 
distribution partners. Many of our products in this field are 
based on a “resposable” concept, in which the products 
are part reusable, part disposable, offering a high quality 
and environmentally responsible solution at a cost that is 
competitive against fully disposable alternatives.

Elemental also has exclusive UK distribution for a select 
Group of specialist products employed in laparoscopy, 
bariatric and metabolic surgery, hernia repair and breast 
reconstruction.

In addition, we design and develop medical devices 
for carefully selected OEM partners, and have also 
collaborated with a major UK industrial partner to provide 
precision engineering solutions to complex problems 
outside the medical arena.

We aim for our brands to be recognised and 
respected by healthcare professionals in all major 
geographical markets in which we operate. We provide 
by development, partnership or acquisition a broad 
portfolio of cost effective, procedure specific surgical 
instruments and implantable devices that offer reliable 
solutions to genuine clinical needs in the operating 
theatre environment.

8 

Surgical Innovations Group plc Annual Report and Accounts 2020

StrategyKey Performance Indicators (“KPIs”)

The Group considers the key performance indicators of the business to be:

Underlying Gross Profit Margin 
Direct Gross Profit Margin 
Net Cash/(Net Debt)1 

Gross profit (before net manufacturing cost)/revenue 
Gross profit /revenue 
Cash less debt 

1  Net debt comprised of bank borrowings (£2.18m), excluding leases under the adoption of IFRS16.

Reconciliation of adjusted KPI /measures;

As stated 
Amortisation of intangible acquisition costs 
Impairment of product development intangibles 
Impairment of Goodwill 
Share-based payments 
Exceptional items 

Adjusted Measure 

Earnings per share

Basic EPS 
Loss attributable to Shareholders 
Add: Share-based payments 
Add: Amortisation of intangible acquisition costs 
Add: Exceptionals 
Add: Impairment of product development intangibles 
Add: Impairment of Goodwill 
Adjusted profit attributable to Shareholders 

Adjusted EPS 

2020 

44.4% 
20.1% 
£3.10m 

2019 

43.3% 
40.4% 
£0.47m 

Target 
Measure

>40%
>40%
N/A

Disclosure 
notes 

10 
10 
10 
15 
3 

EBITDA2 

£(0.89)m 
– 
– 
– 
£0.12m 
£0.11m 

Loss before 
taxation

£(3.31)m
£0.16m
£0.18m
£1.13m
£0.12m
£0.11m

£ (0.66)m 

£ (1.61)m

EPS

(0.39)p
£(3.28)m
£0.12m
£0.16m
£0.11m
£0.18m
£1.13m
£(1.58)m

(0.19)p

2  EBITDA is defined as earnings before interest, taxation, depreciation and amortisation (including impairment). EBITDA is calculated as operating loss 

of £(3.17)m adding back depreciation £0.56m, amortisation £0.41m and impairment £1.31m.

Surgical Innovations Group plc Annual Report and Accounts 2020 

9

Operating and Financial ReviewFor the year ended 31 December 2020 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Use of adjusted measures

Adjusted KPIs are used by the Group to understand 
underlying performance and exclude items which distort 
comparability, as well as being consistent with broker 
forecasts and measures. The method of adjustments is 
consistently applied but may not be comparable with 
those used by other companies.

Revenue and margins

Revenues reduced by 41% in 2020 to £6.33m 
(2019: £10.73m). Despite revenues reaching a low point 
in May during the first wave, the second half of the year 
recovered in line with management expectations increasing 
by 44% from the first half of the year, which was 66% of 
sales in the same prior year comparative period (2019: HY2: 
£5.63m). Direct gross margins (before net manufacturing) 
remained within target range at 44.4% (2019: 43.3%) 
with the reportable gross margin at 20.1% (2019: 40.4%) 
attributable to reduced factory activity during the majority of 
the year with full production recommencing in October.

Sales by product type

SI Brand 
Distribution 
OEM 

Total 

2020 
£m 

3.41 
2.31 
0.61 

6.33 

2019 
£m 

5.84 
3.10 
1.79 

10.73 

Change 
%

-42%
-25%
-66%

-41%

Sales by geography and product type

HY1 2020 
£m 

HY2 2020 
£m 

Change 
%

SI Brand:
UK 
US 
EUR 
APAC 
ROW 

Total 

Distribution (UK) 

OEM Brand:
UK 
US 

Total revenue 

0.41 
0.29 
0.30 
0.32 
0.12 

1.44 

0.84 

0.26 
0.05 

0.31 

2.59 

0.48 
0.59 
0.43 
0.36 
0.11 

1.97 

1.47 

0.20 
0.10 

0.30 

3.74 

17%
103%
43%
13%
–%

37%

75%

-23%
100%

-3%

44%

Revenues from the sale of Surgical Innovations Brand 
products reduced by 42% during the year overall, however 
revenues for the second half year increased by 37% 
from the first half of the year. Whilst the UK market has 
been impacted by the COVID-19 pandemic the NHS has 
shown resilience and the impact on revenue has been less 

severe than the initial wave. The NHS’s fulfilment of the 
‘Net-Zero’ obligations on sustainability will align well with 
our Resposable® SI branded range. Sales in Continental 
Europe were slower to recover, however towards the end 
of the year order values increased by 43% from the first 
half of the year and continued to be consistent.

SI Brand sales in the US despite the pandemic suffered a 
reduction of 52% overall, however US sales have remained 
strong, increasing to 103% from the first half of the year. 
The agreement with Adler Instruments brings a significant 
increase in the number of surgical territory managers 
which will promote the SI branded scissor sales providing 
a route to market. In addition, the distribution agreement 
with Microline for the Resposable trocar range will provide 
a significant opportunity for growth.

SI Brand revenues from the APAC region showed a strong 
increase of 49%, mostly led by Japan. Further growth is 
still anticipated in the current year. SI brand sales in the 
Rest of the World was down by 63%; typically made up 
of tender based business this market has been impeded 
by the pandemic.

OEM revenues overall reduced by 66% predominantly 
affected by the UK market with both precision engineering 
(non-medical in the travel industry) and medical both 
impacted by the pandemic. We anticipate a slower return 
to growth in medical OEM sales in the current year, but 
at this early stage have no visibility of further precision 
engineering revenues.

Distribution sales lowered by 25% year on year despite 
a continuation of constrained activity levels in the NHS, 
especially for elective procedures. The revenue increased 
by 75% in the second half of the year compared to the first 
and continues to be at similar levels in the current year, 
showing improved pathways for treating patients. As the 
Covid vaccination program is rolled out across the UK we 
anticipate growth in this market.

Adjusted EBITDA

Adjusted EBITDA is a measure of the business 
performance. The Group uses this as a proxy for 
understanding the underlying performance of the 
Group. This measure also excludes the items that 
distort comparability including the charge for share-
based payments as this is a non-cash expense normally 
excluded from market forecasts.

Adjusted EBITDA significantly decreased in 2020 to a 
loss of (£0.66m) (2019: £1.45m), mainly as a result of 
the pandemic. The Group took immediate precautions to 
preserve the cash in the business, which meant that the 
majority of the employees were placed on furlough, with 
a gradual phased return as operations came back online 
whilst maintaining a small team to support key product 
lines and customers, and the benefit of this scheme are 

10 

Surgical Innovations Group plc Annual Report and Accounts 2020

Operating and Financial Review 
 
 
 
 
reported in Other Income amounting to £0.59m (2019: 
£nil). In addition, the Company implemented short-term 
salary reductions for all personnel above the furlough 
threshold, up to an upper limit of 50% for Non-Executive 
Board Directors, resulting in a further reduction in 
operating costs of approximately £0.16m (2019: £nil). 
The Group does not intend to use the furlough scheme 
for further support to the same level in the current year.

Exceptional items relate to employee termination 
payments, listing fees and costs associated with 
accessing the Coronavirus Business Interruption Loan 
Scheme (CBILS) totalling £0.11m (2019: £0.18m). In 
addition to these exceptional costs, there were further 
non-cash, non-recurring costs totalling £0.2m (2019: £nil) 
arising from events directly attributable to the Covid 
pandemic. These comprised (i) £0.12m of additional 
inventory provision arising from the premature withdrawal 
of products approaching their end of life and (ii) holiday 
pay accrued amounting to £0.08m arising whilst 
employees were furloughed during the year, and hence 
were unable to take holidays on the normal cycle.

Capital expenditure on tangible assets remained significantly 
low due to cash preservation with only £0.04m in additions 
(2019: £0.20m) set against a depreciation charge of 
£0.35m excluding right-of-use assets (2019: £0.42m). 
Capex plans are currently being reviewed with the intention 
to improve the manufacturing facilities as a continuation of 
the improvements that were started in 2019.

Interest on bank and finance lease obligations for 2020 
resulted in net interest payable of £0.14m (2019: £0.16m). 
In May 2020, the Company agreed with its bankers to 
suspend normal capital repayments totalling £0.15m 
to be repaid at the end of the term, which is now 
31 May 2022. In addition the bank waivered the March 
covenant and provided less restrictive covenants until 
July 2021. The flexibility of the existing £0.50m revolving 
credit facility was maintained and in addition, the 
Company has agreed a new facility of £1.50m under the 
Coronavirus Business Interruption Loan Scheme (CBILS). 
The CBILS arrangement is interest free until May 2021 
and repayable at the end of the term in May 2022, which 
is in line with the existing loan facilities. In aggregate total 
borrowing at the 31 December 2020 stood at £2.18m 
(2019: £0.81m).

Following an impairment review of the goodwill arising on 
the acquisition of Elemental Healthcare, an impairment 
charge of £1.44m was recognised in June 2020 as a result 
on the initial impact on the pandemic; in the second half 
of the year the trading forecast has improved resulting in 
a reversal of £0.31m giving a total impairment of £1.13m 
at the year end (2019: £1.63m). The trading environment 
continues to be impacted in the current year and therefore 
the Directors have adopted a cautious approach to 
forecasting future net inflows for this cash generating unit.

Development expenditure was tested for impairment. 
Management have reviewed the initial costs for the 
Illuminno project (transferred from Investment in associate), 
and given the development changes implemented and 
the direction of the portfolio it was decided that the nature 
of these costs provide no future economic benefit, an 
impairment of £0.18m has been recognised.

The Group recorded a corporation tax credit of £nil 
(2019: credit of £0.001m) and a deferred tax credit of 
£0.03m (2019: charge £0.02m). The tax charge on 
Elemental Healthcare has been relieved through Group 
losses. Overall, the Group continues to hold substantial tax 
losses on which it holds a cautious view, and consequently 
the Group has chosen not to recognise those losses 
fully. During the year, the Group submitted an enhanced 
Research and Development claim in respect of 2019 
amounting to £0.13m. This claim has been paid in the 
current year and therefore will not be recognised in 2020.

Trade receivables were significantly lower at the year-end 
£0.96m (2019: £1.95m), affected by the impact on 
revenue, with negligible bad debts or overdue balances. 
Inventories were notably lower at £2.17m compared 
to £2.93m in 2019.

Stock holdings were driven down throughout the year 
with minimal inventory build required until production 
recommenced in October. Safety stock levels continue 
to be monitored in the current year in order to support 
incremental customer requirements. During the year the 
Group’s management re-evaluated the product portfolio, 
with a view to streamlining the current product range 
to allow both efficiency and regulatory cost savings. In 
addition, a slow-moving inventory provision specifically 
caused by the pandemic has also been recognised 
subsequently resulting in an impairment of inventory of 
£0.12m charged to cost of sales as a non-recurring item.

Trade creditors decreased over the same period, which 
reflected the Group’s continued approach towards 
managing working capital. The Group took advantage 
of the ability to defer payments during the pandemic. 
Alternative payment arrangements were agreed with 
major creditors mainly in relation to PAYE, VAT and rent, 
some of which has been paid back during the year.

Deferred creditors balance at the year end totalled £0.24m 
(2019: £nil), this balance will be cleared in the current year.

The Group generated net cash from operations of £1.04m 
(2019: £0.59m) primarily as a result of the working capital 
movements described above. In September 2020, the 
Group raised equity of £2.05m (net of associated costs) 
to provide investment capital and additional financial 
headroom. The Group closed the year with net cash 
balances of £3.10m (excluding leases) compared with 
opening net cash of £0.47m.

Surgical Innovations Group plc Annual Report and Accounts 2020 

11

Operating and Financial ReviewPrincipal risks and uncertainties

The management of the business and the nature of the Group’s strategy are subject to a number of risks which the 
Directors seek to mitigate wherever possible. The principal risks are set out below.

Indication 
of risk on 
prior year

Issue

Funding risk

Risk and description

Mitigating actions

The Group currently has a mixture of 
borrowings comprising a £0.68m loan, 
£0.5m rolling credit facility and £1.5m CBILS 
arrangement. The Group remains dependent 
upon the support of these funders and there 
is a risk that failure in particular to meet 
covenants attaching to the rolling credit 
facility could have financial consequences for 
the Group.

Liquidity and covenant compliance is 
monitored carefully across varying time 
horizons to facilitate short-term management 
and also strategic planning. This monitoring 
enables the management team to consider 
and to take appropriate actions within 
suitable time frames.

In May 2020, the Company agreed with 
its bankers to suspend normal capital 
repayments totalling £0.15m to be repaid 
at the end of the term which is now 31 May 
2022, in addition the bank provided less 
restrictive covenants until July 2021. The 
flexibility of the existing £0.50m revolving 
credit facility was maintained and in addition, 
the Company has agreed a new facility of 
£1.50m under the Coronavirus Business 
Interruption Loan Scheme (CBILS). The 
CBILS arrangement is interest free until May 
2021 repayable at the end of the term in May 
2022, which is in line with the existing loan 
facilities.

In aggregate total borrowing at 31 December 
2020 was £2.18m (2019: £0.81m). Financial 
covenants will continue to be tested on a 
quarterly basis.

In addition, during September 2020 the 
Company raised equity of £2.05m (net of 
associated costs) to provide investment 
capital and additional financial headroom.

The bank continue to be a supportive 
stakeholder.

12 

Surgical Innovations Group plc Annual Report and Accounts 2020

Operating and Financial ReviewIndication 
of risk on 
prior year

Issue

COVID-19 
and business 
interruption

Risk and description

Mitigating actions

The escalation in the spread of COVID-19 in 
the UK poses a threat to the continuation of 
business operations if there is a widespread 
infection in any of our facilities or amongst 
the workforce.

All government guidance has been monitored 
closely and followed immediately by advisory 
notices to all employees, and provision of the 
appropriate guidance and cleaning materials 
to minimise any effect.

Where staff members or their close contacts 
have presented with symptoms, they 
have been asked to self-isolate away from 
Company premises and inform us quickly of 
any contact with other employees which may 
be cause for concern.

The government continues to be supportive 
and schemes provided could be used to 
relieve a substantial portion of the wage 
costs of any staff members on sick leave, 
in self-isolation, or furloughed due to a 
diminution in their current workload as 
a consequence of COVID-19.

There is also a risk of further delay of elective 
surgery whilst the waves in the pandemic 
continue. Management continue to monitor 
closely the rapidly changing environment and 
have devised a series of mitigating actions, 
designed to preserve cash resources and 
maintain delivery of essential products to 
our customers and distributors. The majority 
of the workforce that can work from home 
continue to do so until further notice to 
safeguard other employees.

The majority of distributors, including the 
most significant, are well established and 
their relationship with the Group spans many 
years. Credit levels and cash collection is 
closely monitored by management, and 
issues are quickly elevated both within the 
Group and with the distributor.

The Group monitors currency exposures on 
an ongoing basis and enters into forward 
currency arrangements where considered 
appropriate to mitigate the risk of material 
adverse movements in exchange rates 
impacting upon the business. Euro and 
US Dollar cash balances are monitored 
regularly and spot rate sales into sterling 
are conducted when significant currency 
deposits have accumulated. The accounting 
policy for foreign exchange is disclosed in 
accounting policy 1(d).

Customer 
concentration

Foreign 
exchange 
risk

The Group exports to over thirty countries 
and distributors around the world, but certain 
distributors are material to the financial 
performance and position of the Group. 
As disclosed in Note 2 to the financial 
statements, one customer accounted for 
11.2% of revenue in 2020 and the loss, 
failure or actions of this customer could have 
a severe impact on the Group.

The Group’s functional currency is UK 
Sterling; however, it makes significant 
purchases in Euros and US Dollars.

The US Dollars are mitigated by US Dollar 
sales by creating a natural hedge. The Group 
transferred their Euro customers onto a Euro 
based pricing structure in 2018 to mitigate 
risk by again, creating a natural hedge.

Surgical Innovations Group plc Annual Report and Accounts 2020 

13

Operating and Financial ReviewIndication 
of risk on 
prior year

Issue

Regulatory 
approval

Brexit

Risk and description

Mitigating actions

As an international business a significant 
proportion of the Group’s products require 
registration from national or federal regulatory 
bodies prior to being offered for sale. The 
majority of our major product lines have FDA 
approval in the US and we are therefore 
subject to their audit and inspection of our 
manufacturing facilities.

The Group has a dedicated Compliance 
department which assists product 
development teams with support as required 
to minimise the risk of regulatory approval not 
being obtained on new products and ensures 
that the Group operates processes and 
procedures necessary to maintain relevant 
regulatory approvals.

There is no guarantee that any product 
developed by the Group will obtain and 
maintain national registration or that the 
Group will always pass regulatory audit of its 
manufacturing processes. Failure to do so 
could have severe consequences upon the 
Group’s ability to sell products in the relevant 
country.

Whilst there is no guarantee that this will be 
sufficient, the Group has invested in people 
with the appropriate experience and skills in 
this area which mitigates this risk significantly.

The Group exports to a number of different 
countries with sales to Europe accounting for 
11.4% of 2020 revenue. As well as exporting, 
the Group imports goods both for resale 
through Distribution revenue, as well as some 
raw materials used in manufacturing.

The Group has successfully reassigned all 
of the Company’s product certifications 
from BSI Notified Body 0086 (UK) to BSI 
Netherlands Notified Body 2797, in order to 
mitigate any risk to regulatory clearance both 
in the EU and in the UK.

The current trade rules transitioned on 
1 January 2021. Transitional arrangements 
made between the UK and EU have caused 
some delay to Customs clearances due to 
paperwork provided by the couriers.

Any risk to a delay in supply chain has also 
been mitigated by the successful application 
of Approved Economic Operator Status, 
which we received in March 2019.

In addition to the above management will 
continue to monitor closely and mitigate 
where possible the impact on the supply 
chain, and in particular the exports.

Key: Risk levels on prior year

Charmaine Day 
Group Financial Controller

24 March 2021

Risk increased on prior year

Existing risk remains at the same level from prior year

Risk has reduced from prior year

14 

Surgical Innovations Group plc Annual Report and Accounts 2020

Operating and Financial ReviewThe Board acknowledges its responsibility under section 
172(1) of the Companies Act 2006 and below sets out the 
key processes and considerations that demonstrate how 
the Directors promote the success of the Company.

The below statement sets out the requirements of the Act, 
section 172(1), and note how the Directors discharge their 
duties.

f)  The need to act fairly between members of the 

Company, by regularly meeting with investors and give 
equal access to all investors and potential investors, 
and ensuring all relevant materials are made available 
with equal access. Through its advisors, the Directors 
seek and obtain feedback from meeting with the 
investors and incorporate feedback into its decision 
making processes.

As noted in the Corporate Governance Report the Board 
meet monthly with papers circulated in advance to 
allow the Directors to fully understand the performance 
and position of the Group, alongside matters arising for 
decision. Each decision that is made by the Directors 
is supported by papers which analyse the possible 
outcomes so that an educated decision can be made 
based upon the likely impact on the Group, so a decision 
can be made which best promotes the success of 
the Company and considers the impact on the wider 
stakeholder Group.

The following factors are taken into account during the 
decision-making process:

a)  The likely consequences of any decision in the long 
term, by reference to financial forecasts and longer 
term financial and non-financial strategic objectives.

b)  The interests of the Company’s employees, by 

reference to the short- and long-term implications 
on likely levels of employment, job security, personal 
development, and succession planning.

c)  The need to foster the Company’s business 

relationships with suppliers, customers and others, by 
fostering partnerships with long-term mutual benefit 
and win:win solutions.

d)  The impact of the Company’s operations on the 
community and environment, recognising that 
best practice is evolving in this area and there are 
opportunities for further improvement.

e)  The desirability of the Company maintaining a 

reputation for high standards of business conduct. 
The Directors and the Company are committed to high 
standards of business conduct and governance, and 
the Board seeks at all times to lead by example. Where 
there is a need to seek advice on particular issues, the 
Board will seek advice from its lawyers and nominated 
advisors to ensure the consideration of business 
conduct, and its reputation is maintained.

The following disclosure describes how the Directors have 
had regard to the matters set out in section 172(1)(a) to (f) 
and forms the Directors’ Statement required under section 
414CZA of The Companies Act 2006.

Stakeholder engagement

Investors

The major interests in our shares are set out in page 26 
of our Directors’ Report. Key metrics for our Shareholders 
are the share price, adjusted profit before taxation, and 
adjusted earnings per share. Through the publication 
of our half year and full year financial reports and 
engagement with Shareholders we look to provide insight 
where possible into the Group strategy and how we look 
to create value for our Shareholders by generating strong 
and sustainable results that translate into earnings. We 
seek to promote an investor base that is interested in a 
long-term holding in the Company.

Investor engagement includes the AGM, one on one 
investor meetings with the Board of Directors, on site 
Group investor meetings and also discussions with 
investors when questions are asked. Other than our 
routine engagement with investors on topics of strategy, 
governance and performance, the only other specific 
matter discussed included the equity fundraise undertaken 
during the year.

Customers and users of our products

Our direct customer comprises distributors of our 
products in overseas territories, and healthcare providers 
in the UK market. Indirectly, our products are used by 
clinicians and, most important of all, patients.

We aim to supply products of high quality that deliver 
differentiated benefits to end users, offer cost effective 
solutions to healthcare providers, and provide the 
opportunity for our distributors to make an appropriate 
return on capital employed.

We meet these objectives by maintaining facilities that 
meet or exceed the compliance requirements of relevant 
regulatory bodies, and encouraging feedback from 
customers and end users upon which we take action 
where appropriate.

Surgical Innovations Group plc Annual Report and Accounts 2020 

15

Section 172 Statement of the Companies ActSuppliers

We have a select Group of local and international 
suppliers that are fundamental to the quality of our 
products, the availability of our products and to ensure 
that as a business we meet the high standards we 
expect of ourselves. We regularly engage with our 
suppliers to discuss performance, price and how we 
can continue to improve our supply chain. Key topics 
of engagement for the year were price and supply with 
the potential disruption that Brexit may cause and plans 
were agreed to help minimise any disruption to the 
supply chain.

Employees

Employees are those individuals who are contracted 
to work for the Company both full and part time. The 
Group’s success is reliant on the commitment of our 
employees to our strategy and to maintain and deliver 
the high standards that the Group sets for itself. We pride 
ourselves on a friendly and safe working environment. 
Given the nature of our manufacturing business we 
take health and safety extremely seriously. We have 
policies and procedures in place to look after the 
welfare of our employees. We offer training where it is 
considered beneficial to the employee and the Company. 
In the current year, employee engagement has been of 
particular importance to manage the additional health, 
safety and well-being issues arising as a result of 
the pandemic.

Principal decisions

We define principal decisions as both those that are 
material to the Group, but also those that are significant 
to any of our key stakeholder Groups. For detail as to 
how we established and defined our key stakeholder 
Groups see page 15. In making the following principal 
decisions the Board considered the outcome from its 
stakeholder engagement as well as the need to maintain 
a reputation for high standards of business conduct 
and the need to act fairly between the members of 
the Company.

Principal decision 1 – setting of annual financial 
budget, reforecasting and refinancing in relation to 
going concern

The Board receives regular financial reports from the 
executive management team, both historic and forward 
looking, and sets out to meet or exceed expectations 
where possible, and to communicate to the market 
through appropriate channels where it becomes evident 
that these cannot be achieved.

After setting the annual financial budget for the Group in 
early 2020 it became evident that the Group would be 
severely impacted by the COVID-19 pandemic. With the 
rapidly changing environment it became subsequently 
clear that there was a need for reliance upon outside 
agencies including the UK Government, Yorkshire Bank, 
and possibly others to ensure the business was a going 
concern.

In March 2020, Yorkshire Bank agreed to convert the 
existing loan with a three-year committed Revolving 
Credit Facility (“RCF”) with additional headroom, a facility 
limit of £1m, and less stringent covenants than the 
current facilities. This agreement was made with credit 
approval and full knowledge of the considerable challenge 
presented by COVID-19. In the event, the Company 
decided not to proceed with this change, and instead 
agreed with the funder to accept a temporary waiver of all 
covenants at 31 March 2020, and relief from the capital 
repayment of £75,000 due in March 2020. The funder 
had indicated that they were not aware of any reason 
why the offer to convert to RCF at a later date would not 
be made available, but that fresh credit approval would 
be required. Furthermore, the funder has confirmed that 
they were supportive of acting as a conduit to channel 
additional liquidity to the Company under the auspices of 
the Coronavirus Business Interruption Loan Scheme which 
the Company considered to offer advantages over the 
proposed move to the RCF.

In May 2020 the Company provided a reforecast agreed 
with its bankers to suspend normal capital repayments 
totalling £0.15m to be repaid at the end of the term, which 
is now 31 May 2022, in addition the bank provided less 
restrictive covenants until July 2021. The flexibility of the 
existing £0.50m revolving credit facility was maintained 
and in addition, the Company has agreed a new facility of 
£1.50m under the Coronavirus Business Interruption Loan 
Scheme (CBILS). The CBILS arrangement is interest free 
until May 2021 repayable at the end of the term in May 
2022, which is in line with the existing loan facilities.

The adequacy of funding facilities has a direct effect on 
all stakeholders. The Board seek to ensure that finance is 
available to meet all current needs and provide sufficient 
headroom for approved development activities and 
unexpected events.

Decisions relating to budgets and forecasts have an 
effect on the Company’s share price, which is adverse 
in the event that market expectations are not met in full. 
The Company mitigated this impact as far as practical 
by working in conjunction with the Nominated Advisor 
and brokers to communicate promptly with the market 
via Regulated News Service, market forecasts were 
withdrawn due to the unknown nature of imposed threat.

16 

Surgical Innovations Group plc Annual Report and Accounts 2020

Section 172 Statement of the Companies ActPrincipal decision 2 – Operational activity/Regulatory 
Activity

Whilst the pandemic has been disruptive to revenues, 
the hiatus has been put to useful purpose by carrying 
out a detailed internal review of products, processes 
and regulatory compliance procedures. This review has 
enabled the Company to simplify and streamline in a 
number of key areas, promote more efficient working 
practices when normal activity is resumed and accelerate 
the introduction of new products in the future.

In particular the additional resource in Quality Assurance 
and Regulatory Affairs (QA/RA) proved invaluable as an 
exhaustive programme of audits during lockdown have 
been effectively managed, resulting in the renewal of 
CE and MDSAP certification. In addition, the team has 
supported Advanced Medical Solutions plc as the Fix8 
device progresses to approval for use in the US market. 
Crucial work on planning for the transition to Medical 
Devices Regulatory (MDR) framework is on track and 
the streamlining of our Quality Management System 
will allow for faster delivery of new products. Under 
normal circumstances, implementing the upgrading of 
facilities can pose significant challenges, however the 
pause in normal activity has allowed completion of the 
refurbishment of the assembly room and planning is 
underway for a similar upgrade to the Clean Room facility.

Furthermore, a small but significant number of products 
were under consideration for bringing to end of life, as 
they are no longer likely to be economic to support in the 
aftermath of COVID-19. Most of the products under review 
have already been replaced by newer equivalents and can 
be supported by substitution. Certain others are not and 
will only be made available to customers on a restricted 
“last time buy” basis. This review has led to a recognition 
of approximately £0.12m in specific stock provisions which 
has been classified for the purpose of key performance 
indicators as a non-recurring item.

Principal decision 3 – Placing

In August 2020, the Board decided as part of the Interims 
result the Company would look to bolster the financial 
position through a placing. The Fundraise would allow the 
Company to benefit from the organic growth opportunities 
available to it and strengthen the balance sheet with 
increased available financial headroom from cash in 
addition to its existing borrowing facilities.

The Fundraise follows the recovery in revenues 
experienced in the third quarter, and the further expected 
increase in levels of elective surgery being reported by 
key healthcare providers in the UK and overseas. The net 
proceeds will enable the Company to reinflate working 
capital as further anticipated recovery in activity occurs, 
and to invest in additional growth opportunities including 
new product development and the sustainability agenda 
that is driving awareness of interest in products such as 
the Company’s Resposable range.

On 17 September 2020, the Company had successfully 
raised gross proceeds of £2.2m through a Placing of 
112,500,000 new Ordinary Shares and Subscription of 
25,000,000 new Ordinary Shares with certain existing and 
new investors at the Issue Price of 1.6p per share.

As part of the Fundraise, the majority of the Directors 
agreed to subscribe totalling 1,562,500 Placing Shares at 
the Issue Price.

Nigel Rogers 
Non-Executive Chairman

24 March 2021

Surgical Innovations Group plc Annual Report and Accounts 2020 

17

Section 172 Statement of the Companies ActNigel Rogers 
Non-Executive Chairman

Nigel joined the Group in October 2015 as Executive Chairman and relinquished his 
executive responsibilities to become Non-Executive Chairman in February 2019 after 
the appointment of the CEO.

Nigel qualified as a Chartered Accountant in 1983 spending eight years with PwC 
before moving into industry, initially as Group Finance Director and later CEO at 
AIM-listed electronics Company, Stadium Group plc. He was appointed as Group CEO 
at 600 Group Plc in 2012 and led the turnaround of the AIM-quoted global machine 
tool business before embarking on a plural career in April 2015. In addition to his role 
as Chairman, Nigel is Executive Chairman of Transense Technologies plc, and Solid 
State PLC.

David Marsh 
Chief Executive Officer

David joined the Group as Group Commercial Director in August 2017 as part of the 
acquisition of Elemental Healthcare Ltd. In February 2019 David was appointed CEO.

David has over 25 years’ experience within the medical industry, 20 of which have 
been in senior management positions. David joined Auto Suture (Medtronic) in 1991 
before being appointed Sales Director then General Manager of SkyMed Ltd. Following 
the acquisition of SkyMed by Gyrus David was appointed Managing Director of the 
Direct Operations in UK Benelux and Germany, before assuming the position of Vice 
President of Sales and Marketing for Europe. As part of the Gyrus Senior Management 
team David was involved in the many acquisitions made by the Company and led 
the European integration of the enlarged business. During his career David has been 
responsible for the introduction of a number of key technologies across a broad 
spectrum of specialities. In 2006 David was Co-Founder of Elemental Healthcare Ltd.

Adam Power 
Group Development Director

Adam joined the Group as Group Development Director in August 2017 as a part of the 
acquisition of Elemental Healthcare Ltd. Since February 2019 Adam is responsible for 
all commercial and business development activities within the Group.

Adam has over 25 years’ experience managing companies selling Medical Devices. He 
has been responsible for the introduction into the UK of some of the most innovative 
solutions for surgical problems in the past two decades. Adam and his team introduced 
the Gastric Band for obesity, the Intuitive daVinci robot and Endovascular Aneurysm 
repair, all of which have become adopted by the NHS. Following the successful sale 
of his Company, Mantis Surgical, Adam co-founded Elemental Healthcare with David 
Marsh in 2006. Elemental Healthcare has continued this tradition of innovation and 
growth, with the launch of a number of new technologies such as the Endobarrier 
endoluminal device for the surgical control of T2 Diabetes and the continued growth of 
Elemental’s key suppliers.

Adam has provided twelve months’ notice to the Board that he wishes to retire from 
his executive role as Group Development Director, with effect from 31 December 2021. 
The current intention is that he will subsequently continue to serve as a Non-Executive 
Director for a further twelve months until 31 December 2022.

18 

Surgical Innovations Group plc Annual Report and Accounts 2020

Board of DirectorsProfessor Mike McMahon 
Non-Executive Clinical Director

Mike, a founder Director of Surgical Innovations Ltd, became Non-Executive Clinical 
Director in October 2007. He is an Emeritus Professor of Surgery at the University of 
Leeds, and practices as a Consultant Surgeon at the Nuffield Hospital, Leeds. He has 
carried out research and development of laparoscopic surgery and has demonstrated 
operative techniques in many countries. He is past President of the Association of 
Laparoscopic Surgeons of Great Britain and Ireland and was also Tutor in MIS at the 
Royal College of Surgeons and Director of the Leeds Institute for Minimally Invasive 
Therapy.

Paul Hardy 
Non-Executive Director

Paul Hardy joined the Group in January 2016 as a Non-Executive Director. Paul in his 
capacity as a qualified Chartered Accountant chairs the Audit Committee.

After qualifying as a Chartered Accountant in 1984, Paul moved into the engineering 
industry which culminated in leading the private equity-backed management buyout 
of BI Engineering Limited, a £60m turnover Group of aerospace and med-tech 
businesses in the UK and US. The medical division was subsequently sold to a US 
venture capital buyer for in excess of US$200m. Since 2003, he has owned and led 
Hardy Transaction Management Limited, a boutique provider of merger and acquisition 
led advisory services.

Alistair Taylor 
Non-Executive Director

Alistair Taylor joined the Group in January 2016 as a Non-Executive Director. Alistair 
chairs the Remuneration Committee.

Alistair is a vastly experienced Director in life science companies with exposure to 
both pharmaceutical and med-tech sectors. After forging a successful career with 
Beecham Group Limited and Pfizer Inc., he has gone on to lead a number of public 
and private businesses in the medical field in the UK and internationally, initially as 
CEO of Biocompatibles plc, and later as Chairman of Lombard Medical Technology 
plc, and Phytopharm plc amongst others.

Charmaine Day 
Company Secretary/Group Financial Controller

Charmaine qualified as a Chartered Certified Accountant in 2012. Beginning her 
career in finance for Eville & Jones Ltd whilst qualifying as an Accounting Technician. 
Charmaine then progressed in various roles and moved on to Ellis Fairbank PLC as a 
Management Accountant and has been working for Surgical Innovations as a Financial 
Controller since 2012, taking on the role of Company Secretary in 2017. In July 2019 
Charmaine was appointed Finance Director for the subsidiary Companies and is 
responsible for the finance of the Group.

The Board are mindful of the need to keep skills and experience up to date, each 
Board member actions this through a combination of courses, continuing professional 
development through professional bodies, reading and on the job experience.

Surgical Innovations Group plc Annual Report and Accounts 2020 

19

Board of DirectorsEach of the Board’s standing Committees (Audit, 
Nomination and Remuneration) continued to be active 
during the year.

As Chairman, one of my principal concerns is to maintain 
excellent relationships with our Shareholders. During the 
year I continued to make myself available to Shareholders 
to discuss strategy and governance matters and was 
pleased to again have individual meetings with some of 
the Group’s major Shareholders.

The Board has a proactive investor relations programme 
and believes in maintaining good communication 
with all stakeholders including institutional and private 
Shareholders, analysts and the press. This includes 
making the Executive Directors available to meet with 
institutional Shareholders and analysts following the 
announcement of interim and final results. The Board 
receives feedback from these meetings and uses this to 
refine its approach to investor relations.

The QCA Code is constructed around ten broad principles 
which focus on the pursuit of medium to long-term value 
for Shareholders without stifling the entrepreneurial spirit in 
which the Company was created. These ten principles are 
set out from page 21.

As a Company we strive to fulfil these ten broad principles, 
and our website and this Annual Report and Accounts 
cover this.

I am pleased to introduce the corporate governance 
section of our report.

Surgical Innovations Group plc remains committed to high 
standards of corporate governance in all of its activities 
and reports against the Quoted Companies Alliance 
Corporate Governance Code, a full version of which is 
available at the QCA website https://www.theqca.com. 
The Board recognises the value of the Code and good 
governance and as far as is practicable and appropriate 
for a public Company of the size and nature of Surgical 
Innovations Group plc, adheres to it. The Board regularly 
reviews guidance from regulatory bodies, supported by 
its Nominated Adviser, and responds as appropriate. As 
a business traded on the Alternative Investment Market 
of the London Stock Exchange and operating in markets 
based on regulatory frameworks, the Group is familiar with 
the benefits and challenges associated with maintaining 
strong and effective governance. In this regard the Board 
remains focused on the need for a system of corporate 
governance which delivers compliance with regulation 
whilst enhancing the performance of the Group. This 
includes recognising the need to manage and mitigate the 
risks faced by the business across all of its activities.

The Group operates on the premise that best practice is 
normal practice striving to ensure that regulatory standards 
are met and, where possible, exceeded. The Company 
sets clear policy and objectives on its expectations on 
corporate social responsibility from the Board, to the top 
of the management team and throughout the organisation. 
We are proud of our culture, where all staff feel responsible 
for making a difference in delivering high standards within 
the organisation and to our customers, stakeholders and 
local communities. To ensure that the business achieves 
its objectives we invest in people and the business. 
We recognise the need for continual development 
and improvement in all our standards and measure 
performance year-on-year.

20 

Surgical Innovations Group plc Annual Report and Accounts 2020

Chairman’s Corporate Governance StatementThe Group aims to operate to high standards of moral and 
ethical behaviour. All members of the Board fully support the 
value and importance of good corporate governance and 
in our accountability to all of the Company’s stakeholders, 
including Shareholders, employees, customers (including 
patients and healthcare professionals), distributors, 
suppliers, regulators and the wider community.

The corporate governance framework which the Group 
has set out, including Board leadership and effectiveness, 
remuneration and internal control, is based upon 

practices which the Board believes are proportionate to 
the risks inherent to the size and complexity of Group 
operations.

The Board considers it appropriate to adopt the principles 
of the Quoted Companies Alliance Corporate Governance 
Code (“the QCA Code”) published in April 2018. The 
extent of compliance with the ten principles that comprise 
the QCA Code, together with an explanation of any areas 
of non-compliance, and any steps taken or intended to 
move towards full compliance, are set out below:

Principle

Extent of current 
compliance

Commentary

Fully compliant

1. Establish a 
strategy and 
business model 
which promote 
long-term value 
for Shareholders.

Fully compliant

2. Seek to 
understand and 
meet Shareholder 
needs and 
expectations

Group business strategy is summarised in the Mission 
Statement approved by the Board in February 2018, 
entitled “Inspired by surgeons for the benefit of patients”.

Strategic issues, and the appropriate business model 
to exploit opportunities and mitigate risks, are under 
continuous review by the Board, and reported periodically.

Key risks and mitigating actions are detailed in the 
Principal risks and uncertainties section of the Annual 
Report.

Regular meetings are held with institutional and private 
Shareholders, during which structured feedback is sought 
and, where considered appropriate, acted upon.

Shareholder liaison is principally undertaken by the Non-
Executive Chairman, the Chief Executive Officer and the 
Company Secretary in her capacity as Group Financial 
Controller.

3. Take into 
account wider 
stakeholder 
and social 
responsibilities 
and their 
implications 
for long-term 
success

4. Embed 
effective risk 
management, 
considering both 
opportunities 
and threats, 
throughout the 
organisation

Fully compliant

Directors and employees adopt a broad view during 
decision making to take meaningful account of the impact 
of our business on all key stakeholder Groups.

Fully compliant

The Board recognises that the Company’s long-term 
success is reliant on the efforts of its employees, 
customers and suppliers and through maintaining 
relationships with its regulators.

Feedback from employees, customer Groups, suppliers 
and others is actively encouraged.

The Group operates a system of internal controls designed 
(to the extent considered appropriate) to safeguard Group 
assets and protect the business from identified risks, 
including risk to reputation. Financial risks, including 
adequacy of funding and exposure to foreign currencies, 
as well as commercial and operational risks.

Once identified the process will evaluate identified risks to 
establish root causes, financial and non-financial impacts 
and likelihood of occurrence.

Noting that there have been significant changes in the 
nature of the principal risks for the Group in relation to 
COVID-19 in 2020 and the current year.

Further disclosure(s)

Go to 
www.sigroupplc.com 
and follow About Us 
then Our Business 
Activities

Strategic Report 
section of the Annual 
Report

Go to 
www.sigroupplc.com 
and follow Investor 
Centre then Meetings 
& Voting

Go to 
www.sigroupplc.com 
and follow About Us 
then Corporate Social 
Responsibility

Principal Risks and 
Uncertainties section 
of Annual Report

Surgical Innovations Group plc Annual Report and Accounts 2020 

21

Corporate Governance ReportFor the year ended 31 December 2020Principle

Extent of current 
compliance

Commentary

Further disclosure(s)

Fully compliant

5. Maintain 
the Board as a 
well-functioning, 
balanced team 
led by the chair

The Board comprises six Directors and a Company 
Secretary; three Non-Executive Directors, two full time 
Executive Directors, and the Non-Executive Chairman. 
The Chairman and two of the Non-Executive Directors 
are considered to be fully independent (Alistair Taylor and 
Paul Hardy). 

Board section of 
Annual Report

Corporate 
Governance section 
of Annual Report

Fully compliant

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

The Board is supported by appropriate Board committees 
which are each chaired by one of the independent 
Non-Executive Directors.

An annual record of attendance at Board meetings is 
included in the Annual Report at the conclusion of each 
year (page 24)

The Non-Executive Chairman’s responsibilities 
approximate to one day per week, other Executive 
Directors are expected to work full time. Non-Executive 
Directors are expected to commit sufficient time to fulfil 
their role – this is a minimum of two days per month.

The attendance by the members of the Board at the 
meetings is recorded and reviewed annually.

The Board is satisfied that the current composition 
provides the required degree of skills, experience, diversity 
and capabilities appropriate to the needs of the business. 
Steps are taken to challenge the status quo, and 
encourage proper consideration of any dissenting opinion. 
Board composition and succession planning are subject 
to continuous review taking account of the potential future 
needs of the business.

The Board has not taken any specific external advice 
on a specific matter, other than in the normal course of 
business as an AIM quoted Company. The Directors rely 
on the Company’s advisory team to keep their skills up 
to date and through attending market updates and other 
seminars provided by the advisory team, the London 
Stock Exchange plc and other intermediaries.

The Company Secretary ensures that the Board and its 
committees are supplied with papers to enable them to 
consider matters in good time for meetings and to enable 
them to discharge their duties. Procedures are in place 
for the Directors in the furtherance of their duties to take 
independent professional advice, if necessary at the 
Company’s expense.

The Chair of the Audit Committee in his capacity of being 
independent provides advice and support to the Board.

Board section of 
Annual Report

Audit Committee 
in Corporate 
Governance

22 

Surgical Innovations Group plc Annual Report and Accounts 2020

Corporate Governance ReportPrinciple

Extent of current 
compliance

Commentary

Further disclosure(s)

Fully compliant

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

Fully compliant

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

Board evaluation is carried out as part of a formal process. 
The Board is responsible for setting the Group’s policy on 
Directors’ remuneration and the Remuneration Committee 
decides on the remuneration package of each Executive 
Director.

The primary objectives of the Group’s policy on executive 
remuneration are that it should be structured so as to 
attract and retain executives of a high calibre with the 
skills and experience necessary to develop the Company 
successfully and, secondly, to reward them in a way which 
encourages the creation of value for the Shareholders. The 
performance measurement of the Executive Directors and 
the determination of their annual remuneration package is 
undertaken by the Remuneration Committee. No Director 
is involved in setting their own remuneration.

The Chairman has actively encouraged self-evaluation by 
all Board members, and feedback on the conduct and 
content of Board meetings.

The Non-Executive Directors have the opportunity to meet 
without the Executive Directors in order to discuss the 
performance of the Board, its committees and individual 
Directors. A performance evaluation was carried out 
during the year.

All Directors are required to stand for re-election every 
other year. The terms and conditions of appointment of 
the Non-Executive Directors are available for inspection at 
our registered office.

The Board promotes high ethical and moral standards 
which are set out in the Mission Statement. The Board and 
all employees expect to be judged by, and accountable 
for, their actions. The business operates in a highly 
regulated environment, which promotes the benefits of 
high moral standards and rewards good behaviour over 
the long term.

The Board have recognised that culture is an important 
aspect of its strategic priorities which ultimately drives the 
Group towards its Mission.

The Board promote agility, innovation, hard work and 
ethical behaviours underpinned by the Group’s framework 
of ethical codes. The Board invest in the employees 
training and development with clear progression and 
career plans that allow them to flourish. The Board deliver 
consistent training, communication and policy across 
the Group and within different work Groups. The Board 
recognise that it is advantageous to promote differing 
cultures within different functions of the organisation which 
all contribute to the overall culture of the business.

Surgical Innovations Group plc Annual Report and Accounts 2020 

23

Corporate Governance ReportPrinciple

Extent of current 
compliance

Commentary

Further disclosure(s)

9. Maintain 
governance 
structures and 
processes that 
are fit for purpose 
and support good 
decision-making 
by the Board

Fully compliant

The Board as a whole share responsibility for sound 
governance practices. 

Board section of 
Annual Report

The Chief Executive Officer reports to the Board. In 
addition to his collective responsibilities as a Director, he is 
responsible for the oversight of the strategic and operating 
performance of the Group.

Corporate 
Governance Section 
of Annual Report

Fully compliant

10. Communicate 
how the Company 
is governed and 
is performing 
by maintaining 
a dialogue with 
Shareholders and 
other relevant 
stakeholders

The Group Financial Controller/Company Secretary reports 
to the Chief Executive Officer. In addition to her collective 
responsibilities as a Director to the subsidiaries, she is 
primarily responsible for all aspects of financial reporting 
to the Board and key stakeholders, as well as maintaining 
communication with investors and other key stakeholders.

Details of the audit, remuneration and nomination 
committees are set out in the Corporate Governance 
section of the website. The Non-Executive Directors 
comprise the membership of each of the committees.

The Board attaches great importance to providing 
Shareholders with clear and transparent information on the 
Group’s activities and strategy. Details of all Shareholder 
communications are provided on the Company’s website, 
including historical annual reports and governance related 
material together with notices of all general meetings for 
the last five years. The Company discloses outcomes of all 
general meeting votes.

The Company has appointed a professional Financial 
Public Relations firm with an office in London to advise 
on its communications strategy and to assist in the 
drafting and distribution of regular news and regulatory 
announcements. Regular announcements are made 
regarding the Company’s investment portfolio as well as 
other relevant market and regional news.

The Company lists contact details on its website and on 
all announcements released via RNS, should Shareholders 
wish to communicate with the Board.

Go to 
www.sigroupplc.com 
and follow Investor 
Centre then Meetings 
& Voting

Board and Committee Meetings

The Board meets on a formal basis regularly, and the 
members are presented with financial and operational 
information in advance of these meetings. During 
2020 there were 11 Board Meetings, 3 Remuneration 
Committee meetings and 2 Audit Committee meetings.

No Nomination Committee meetings were held during 
2020 – Mike McMahon is Chairman of this committee on 
the occasions when it is felt necessary to convene.

The Directors attended the following meetings in the year 
to 31 December 2020.

Board  Remuneration 
Committee 

Meeting 

Audit 
Committee

11* 
10 
11 
11 
11 
10 
10 

3 
– 
3 
– 
– 
3* 
2 

2
2*
–
–
–
–
2

Nigel Rogers 
Paul Hardy 
Mike McMahon 
David Marsh 
Adam Power 
Alistair Taylor 
Charmaine Day 

*  Chair of Committee

Audit Committee

The Audit Committee is chaired by Paul Hardy, along with 
Nigel Rogers and Charmaine Day. This committee meets 
as required, but at least twice a year.

24 

Surgical Innovations Group plc Annual Report and Accounts 2020

Corporate Governance Report 
 
The Committee is responsible for:

•  monitoring the integrity of the financial statements and 
any formal announcements relating to the Group’s 
financial performance, and reviewing significant 
financial reporting judgements contained in them;

•  providing advice on whether the Annual Report and 
Accounts, taken as a whole, is fair, balanced and 
understandable, and provides the information necessary 
for Shareholders to assess the Company’s position and 
performance, business model and strategy;

• 

reviewing the Company’s internal financial controls and 
internal control and risk management systems;

•  considering annually whether there is a need for an 
internal audit function and reporting its view and 
findings to the Board;

•  conducting the tender process and making 
recommendations to the Board, about the 
appointment, reappointment and removal of the 
external auditor, and approving the remuneration and 
terms of engagement of the external auditor;

• 

• 

reviewing and monitoring the external auditor’s 
independence and objectivity;

reviewing the effectiveness of the external audit 
process, taking into consideration relevant UK 
professional and regulatory requirements; and

•  developing and implementing policy on the engagement 
of the external auditor to supply non-audit services, 
ensuring there is prior approval of non-audit services, 
considering the impact this may have on independence, 
taking into account the relevant regulations and ethical 
guidance in this regard, and reporting to the Board on 
any improvement or action required.

The Audit Committee discharges its responsibilities 
through receiving reports from management and advisers, 
working closely with the auditors, carrying out and 
reviewing risk assessments and taking counsel where 
appropriate in areas when required to make a judgement.

The Board has overall responsibility for the Group’s system 
of internal controls and for monitoring its effectiveness. 
Such a system is designed to manage rather than 
eliminate risk of failure to achieve business objectives and 
can only provide reasonable and not absolute assurance 
against material misstatement or loss. The internal controls 
are considered within the principal risk and uncertainties 
section of the Strategic Report on pages 12 to 13.

In addition to reviewing the Annual Report and Financial 
Statements and the Interim Report prior to their 
submission to the Board for approval, it keeps the 
scope, cost effectiveness (including monitoring the level 
of non-audit fees), independence and objectivity of the 
external auditors under review. It provides a forum through 
which external auditors report to the Board and assists 
the Board in ensuring that appropriate policies, internal 
controls and compliance procedures are in place.

Remuneration Committee

The Committee is chaired by Alistair Taylor and comprises 
of two other members Nigel Rogers and Mike McMahon, 
the committee is responsible for determination of service 
contracts, remuneration, other benefits and remuneration 
policy for the Company’s Executive Directors and senior 
executives. Details of the remuneration are disclosed in 
note of the financial statements on page 54.

Key activities of the Remuneration Committee

The key activities of the Remuneration Committee consist of:

•  Reviewing the Group Remuneration Policy, ensuring 

continued effectiveness;

•  Reviewing salaries for Executive and Non-Executive 

Directors and senior employees;

•  Reviewing the performance of the Executive 

Directors and setting the scale and structure of their 
remuneration;

•  Review and approval of long-term incentive plans such 

as share options to employees;

•  Approving awards under the Group’s long-term 

incentive plans.

The Executives service agreements, and notice periods, 
are reviewed with due regards to the interests of the 
Shareholders. The Executive Directors are all currently on 
rolling 12-month notice periods.

All Non-Executive Directors have letters of appointment 
with the Company and their remuneration is determined 
by the Board, having considered the level of fees in similar 
companies.

Nominations Committee

The Nominations Committee considers succession 
planning, reviews the structure, size and composition of the 
Board and nominates candidates to fill Board vacancies.

Nigel Rogers 
Non-Executive Chairman

24 March 2021

Surgical Innovations Group plc Annual Report and Accounts 2020 

25

Corporate Governance ReportThe Directors’ present their annual report, together with 
the audited financial statements, for the year ended 
31 December 2020.

Principal activities

The Company is the holding Company of a Group 
whose principal activities in the year involved the design, 
development, manufacture and sale of devices for use in 
minimally invasive surgery (SI Brand), along with own label 
products through original equipment manufacturer (OEM) 
relationships including precision engineering markets (PE). 
The Group sells branded products through Elemental 
Healthcare Ltd (Distribution) and independent healthcare 
distributors across the world.

Results and dividends

The Consolidated statement of comprehensive income for 
the year is set out on page 36.

Given the results for the financial year, the Directors do not 
recommend the payment of a dividend (2019: £nil).

Substantial shareholdings

Other than the Directors’ own holdings, the Board has 
been notified that, as at 31 December 2020, the following 
Shareholders on the Company’s share register held 
interests of 3% or more of the issued ordinary share 
capital of the Company:

Number of shares 
(’000s) 

134,063 
Getz Bros. & Co. (BVI) Inc. 
70,725 
BGF Investments 
70,373 
Ruffer LLP 
Healthinvest Partners AB 
70,250 
Stonehage Fleming Family & Partners  58,092 
56,598 
Liontrust Asset Mgt 
33,937 
Hargreaves Lansdown Asset Mgt 
32,939 
Mr C W N John 
31,620 
Mr A Power 
31,563 
Mr D Marsh 
28,868 
Interactive Investor 

%

(14.37%)
(7.58%)
(7.54%)
(7.53%)
(6.23%)
(6.07%)
(3.64%)
(3.53%)
(3.39%)
(3.38%)
(3.09%)

Directors’ interests

The interests in the share capital of the Company of those 
Directors in office at the end of the year were as follows:

Ordinary Shares of 1p each 

31 December 2020  1 January 2020 
Beneficial

Beneficial 

P Hardy 
M J McMahon 
N F Rogers 
A Taylor 
A Power 
D Marsh 

7,421,211 
18,981,629 
6,922,500 
1,074,266 
31,619,802 
31,562,500 

7,108,711
18,669,129
6,610,000
1,074,266
31,307,302
31,250,000

Details of Directors’ interests in respect of share options 
are set out on page 54. There were no other changes in 
Directors’ interests between the year end and 24 March 
2021. Other than as disclosed in Note 18, no Director has 
an interest in any material contract, other than contracts of 
service and employment, to which the Group was a party.

26 

Surgical Innovations Group plc Annual Report and Accounts 2020

Directors’ ReportFor the year ended 31 December 2020 
 
 
 
Directors’ indemnities

Directors’ and officers’ insurance cover has been 
established for all Directors to provide appropriate cover 
for their reasonable actions on behalf of the Company. 
A deed was executed indemnifying each of the Directors 
of the Company and/or its subsidiaries as a supplement 
to the Directors’ and officers’ insurance cover. The 
indemnities, which constitute a qualifying third-party 
indemnity provision as defined by section 236 of the 
Companies Act 2006, were in force during the 2020 
financial year and remain in force for all current and past 
Directors of the Company.

Research and development

The Group’s activities in this area have focused principally 
on the continuing development of innovative instruments 
for use in the field of Minimally Invasive Surgery (MIS).

Employees

The commitment and ability of our employees are key 
factors in achieving the Group’s objectives. Employment 
policies are based on the provision of appropriate training, 
whilst personal appraisals support skill and career 
development. The Board encourages management 
feedback at all levels to facilitate the development of the 
Group’s business. The Group seeks to keep its employees 
informed on all matters affecting them by regular 
management and departmental meetings.

It is the Group’s policy to give full and fair consideration 
to all applications for employment from disabled persons 
having regard to their particular aptitudes and abilities 
and to encourage the training and career development of 
all personnel employed by the Group, including disabled 
persons. Should an employee become disabled, the 
Group would, where practicable, seek to continue the 
employment and arrange appropriate training.

Financial risk management policies

The Group’s activities expose it to a variety of financial risks 
as set out below with further quantitative analysis in Note 14.

a)  Exchange rate risk: The principal financial risk exposure 
relates to importing and exporting goods in US Dollars 
and importing goods in Euros.

b)  Credit risk: The Group is exposed to credit risk through 
offering extended credit terms to those customers 
operating in markets where extended payment terms 
are themselves taken by local government and state 
organisations. The Group is also exposed to credit risk 
through customer concentration. Both of these aspects 
of credit risk are managed through constant review 
and personal knowledge of the customer concerned. 
Payment plans are agreed and monitored in all such 
cases to minimise credit risk.

c)  Liquidity risk: The Group manages its liquidity needs 
by carefully monitoring all scheduled cash outflows. 
Liquidity needs are monitored in various time bands, 
on a day-to-day and week-to-week basis, as well 
as on the basis of a rolling 13 week projection. 
Longer-term needs are monitored as part of the 
Group’s regular rolling monthly re-forecasting process. 
Funding for long-term liquidity is secured by an 
adequate amount of committed credit both through 
working capital and asset finance facilities.

d)  Interest rate cash flow risk: The Group has both 

interest-bearing assets and interest-bearing liabilities. 
Interest-bearing assets include only cash and cash 
equivalents which are held on deposit at both fixed 
and floating rates. Interest-bearing liabilities include 
hire-purchase liabilities which are at fixed interest rates, 
and also bank borrowings which are at floating rates of 
interest.

Future Developments

The future developments of the Group are discussed in 
the Strategic Report.

Going concern

The Directors have prepared forecasts for the period to 
March 2022 based on an evaluation of financial forecasts, 
sensitised to reflect a rational judgement of the level of 
inherent risk.

As at the start of the period, the Group had access to 
banking facilities, which comprised a committed £0.50m 
revolving credit facility. The revolving credit facility of 
£0.50m may be used towards meeting the Group’s 
general working capital and other commitments. It is 
subject to compliance with financial covenants disclosed 
in the financial statement Note 13. In May 2020 the 
Company agreed with its bankers to suspend normal 
capital repayments totalling £0.15m to be repaid at the 
end of the term which is now 31 May 2022, in addition 
the bank provided less restrictive covenants until July 
2021. The flexibility of the existing £0.50m revolving credit 
facility was maintained and in addition, the Company has 
agreed a new facility of £1.50m under the Coronavirus 
Business Interruption Loan Scheme (CBILS). The CBILS 
arrangement is interest free until May 2021 repayable 
at the end of the term in May 2022, which is in line with 
the existing loan facilities. Hire purchase agreements are 
utilised where required.

The Group generated cash from operations of £1.04m 
(2019: £0.59m) primarily as a result of the working capital 
movements described in the operating and financial 
review. In September 2020, the Group raised equity of 
£2.05m (net of associated costs) to provide investment 
capital and additional financial headroom.

Surgical Innovations Group plc Annual Report and Accounts 2020 

27

Directors’ ReportAt 31 December 2020, the Group had available cash 
balances (excluding the unused £0.5m revolving credit 
facility) of £5.28m (2019: £1.28m), net cash resources 
(taking into account bank loans outstanding) of £3.10m 
(2019: £0.47m), and financial headroom (comprising net 
cash plus undrawn facilities) of £5.78m (2019: £1.78m). 
Financial covenants have been complied with in full and 
will continue to be tested on a quarterly basis. The Board 
is satisfied that these resources provide the appropriate 
platform from which to benefit from the anticipated 
recovery in demand in coming months, and accordingly, 
the Directors conclude that it continues to be appropriate 
to prepare the Annual Report and Accounts on a going 
concern basis.

Directors’ responsibilities statement

The Directors are responsible for preparing the Annual 
Report, the Directors’ 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. As required by 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. As well as 
applicable law and have elected to prepare the parent 
Company financial statements in accordance with UK 
Accounting Standards and applicable law (UK Generally 
Accepted Accounting Practice), including FRS 101 
Reduced Disclosure Framework. 

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

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 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. 

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

The Directors of the Company who held office at the date 
of approval of this Annual Report as set out above each 
confirm that:

•  so far as each Director is aware, there is no relevant 

audit information of which the Company’s auditors are 
unaware; and

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

Website publication

The Directors are responsible for ensuring the annual 
report and the financial statements are made available 
on a website. Financial statements are published on 
the Company’s website in accordance with legislation 
in the United Kingdom governing the preparation 
and dissemination of financial statements, which 
may vary from legislation in other jurisdictions. The 
maintenance and integrity of the Company’s website 
is the responsibility of the Directors. The Directors’ 
responsibility also extends to the ongoing integrity of the 
financial statements contained therein.

•  select suitable accounting policies and then apply them 

Auditor

consistently; 

•  make judgements and estimates that are reasonable 

and prudent; 

• 

• 

for the Group financial statements, state whether they 
have been prepared in accordance with IFRSs as 
adopted by the UK and; 

for the parent Company financial statements, state 
whether applicable UK Accounting Standards have 
been followed, subject to any material departures 
disclosed and explained in 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 

In accordance with Section 519 of the Act BDO LLP 
ceased to hold office as the Company auditors. The 
Group appointed Saffery Champness LLP as auditor in 
November 2020. A resolution for their re-appointment as 
independent auditor will be proposed at the 2021 AGM.

By order of the Board

Charmaine Day 
Company Secretary

24 March 2021

28 

Surgical Innovations Group PLC Annual Report and Accounts 2020

Directors’ ReportOpinion

We have audited the financial statements of Surgical Innovations Group plc (the ‘parent Company’) and its subsidiaries 
(the ‘Group’) for the year ended 31 December 2020 which comprise the consolidated statement of comprehensive 
income, the consolidated and Company statement of changes in equity, the consolidated and Company balance sheets, 
the consolidated cash flow statement and notes to the financial statements, including significant accounting policies. 
The financial reporting framework that has been applied in the preparation of the Group financial statements is applicable 
law and international accounting standards (IAS) in conformity with the requirements of the Companies Act 2006. The 
financial reporting framework that has been applied in the preparation of the Parent Company financial statements 
is applicable law and United Kingdom Accounting Standards including Financial Reporting Standard 101 Reduced 
Disclosure Framework (United Kingdom Generally Accepted Accounting Practice).

In our opinion:

• 

• 

• 

the financial statements give a true and fair view of the state of affairs of the Group and of the parent Company as at 
31 December 2020 and of the Group’s loss for the year then ended;

the Group financial statements have been properly prepared in accordance with IAS in conformity with the 
requirements of the Companies Act 2006;

the parent Company financial statements have been properly prepared in accordance with United Kingdom Generally 
Accepted Accounting Practice; and

• 

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

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. 
Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the 
financial statements section of our report. We are independent of the Group and the parent Company in accordance 
with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s 
Ethical Standard as applied to SME listed entities, and we have fulfilled our other ethical responsibilities in accordance 
with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide 
a basis for our opinion.

Conclusions relating to going concern

In auditing the financial statements, we have concluded that the Directors’ use of the going concern basis of accounting 
in the preparation of the financial statements is appropriate. Our evaluation of the Directors’ assessment of the Group and 
parent Company’s ability to continue to adopt the going concern basis of accounting included:

•  obtaining and critically appraising the Directors’ formal going concern assessment including the ability of the Group to 

grow revenue, improve gross profit margin and manage costs within the Group;

• 

• 

reviewing projected cash flows and other available evidence to assess the ability of the Group and the parent 
Company to continue in operation for the twelve months after the date of signing;

reviewing management’s sensitised forecasts considering realistic scenarios including those arising from COVID-19 in 
order to test the robustness of the forecast model, and considered any mitigating actions that could be taken in light 
of the sensitivities;

• 

 preparing our own sensitivities on assumptions to assess headroom available under reasonably possible scenarios;

•  considering covenant compliance in the year including vouching the temporary loan covenant relaxation in the year to 
documentation from the bank and assessing management’s expectation regarding future covenant compliance for the 
period twelve months after the date of signing;

30 

Surgical Innovations Group PLC Annual Report and Accounts 2020

Independent Auditor’s Report to the members of Surgical Innovations Group plc•  discussing post balance sheet events with the Directors to assess their impact on the going concern assumption 

including reviewing the post year end cash balances compared to forecast positions; and

• 

reviewing the disclosures included in the narrative section of the annual report and the accounting policies which 
describe the going concern basis of accounting to ensure that it is an accurate reflection of the basis for which the 
Group is a going concern.

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

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

Our approach to the audit

We tailored the scope of our audit to ensure that we obtained sufficient evidence to support our opinion on the financial 
statements as a whole, taking into account the structure of the Group and the parent Company, the accounting 
processes and controls, and the industry in which they operate.

As part of designing our audit, we determined materiality and assessed the risks of material misstatement in the 
financial statements. In particular, we looked at where the Directors made subjective judgements, for example in 
respect of significant accounting estimates that involved making assumptions and considering future events that are 
inherently uncertain.

The Group consists of the parent Company and three subsidiaries, all of which are based in the UK. Audit work has been 
carried out by the parent auditor, no work was undertaken by component auditors.

Key audit matters

Key audit matter

Going Concern

The COVID-19 pandemic has caused a short-term 
reduction in the level of elective surgery resulting in a 
significant fall in revenue and profitability for the Group 
for the year ended 31 December 2020. Management 
have updated their profit and cash flow forecasts 
for the year ended 31 December 2021 and beyond 
to reflect the new situation and have taken action 
to increase the financial headroom of the business 
including raising additional capital in the market, 
securing a CBILS loan and have renegotiated the 
banking facilities. However, due to the impact of the 
pandemic on the trading position of the Group and 
Company, we consider this to be a key audit matter.

How our scope addressed this matter

Our audit procedures are set out in the conclusions 
relating to going concern above.

Based on our procedures we agree with the Directors’ 
use of the going concern basis of accounting and 
consider that the disclosures relating to going concern 
have been made appropriately.

Surgical Innovations Group plc Annual Report and Accounts 2020 

31

Auditor’s ReportKey audit matter

How our scope addressed this matter

Goodwill impairment /Impairment of the related 
investment in Elemental Healthcare Limited in the 
parent Company balance sheet.

We assessed the underlying methodology for the 
impairment assessment to ensure it was in accordance 
with the requirements of accounting standards.

In line with the requirements of IFRS, management test 
goodwill annually for impairment.

The goodwill impairment assessment model prepared 
by management, based on the expected present value 
of future cash flows to be generated from the Elemental 
Healthcare Limited cash generating unit, is underpinned 
by a number of estimates including future cash flows, 
growth assumptions and the discount rate.

The impairment assessment model prepared by 
management is sensitive to changes in the assumptions 
adopted. There is also additional uncertainty in 
predicting future cash-flows due to COVID-19.

There is an associated risk in the parent Company 
balance sheet over the potential impairment of the 
investment in Elemental Healthcare Limited as a 
subsidiary undertaking, the impairment assessment for 
which is based on the same discounted cash flow model 
used for assessing impairment of goodwill.

A goodwill impairment charge of £1.1m has been 
recognised in the year.

An investment impairment charge of £0.5m has been 
recognised in the year.

Inventory provisions

The Group has recognised a total inventory provision of 
£1.3m in arriving at a total inventory value of £2.2m.

In making this assessment judgement is required in 
categorising inventory as either obsolete and/or slow 
moving. Estimates are then involved in arriving at 
provisions against cost in respect of slow moving and 
obsolete inventories to arrive at a valuation based on 
the lower of cost and net realisable value. The current 
operating environment under COVID-19 has created 
further challenge in making these judgements and 
estimates. 

Given the level of significant management judgement 
and estimation involved, this is considered to be a key 
audit matter.

We performed procedures to assess and challenge the 
assumptions underpinning management’s impairment 
assessment model including:

•  Testing the mathematical accuracy of the calculations 

and the integrity of the underlying data;

•  Agreeing forecast cash flows to Board approved 
budgets and reviewing the reasonableness of the 
assumptions adopted;

•  Challenging the growth assumptions adopted by 

management for future periods and considering the 
sensitivity to changes in the assumptions;

•  Considering the short-term and long-term impacts 
of COVID-19 and how this has been factored into 
forecast cash flows;

•  Assessing the discount rate applied including 
consideration of whether it appropriately takes 
account of additional risks arising from COVID-19;

•  Assessing the disclosures made in relation to 
goodwill in particular in relation to the level of 
estimation uncertainty inherent in the assessment.

Based on the procedures performed, we consider the 
impairment of goodwill and the related investment and 
the associated disclosures to be reasonable.

We have challenged management’s methodology for the 
stock provision calculation and agreed the calculations 
to underlying data in the system.

We have evaluated the appropriateness of the 
assumptions used based on our knowledge and 
information of the client and the industry in which it 
operates.

We have assessed the adequacy of, and movements 
in, inventory provisions included by recalculating the 
provision to ensure an appropriate basis of valuation.

We have tested the expiry dates and general condition 
of stock when attending physical stock counts.

We have evaluated on a sample basis whether 
inventories were stated at the lower of cost and net 
realisable value.

Based on the procedures performed we are satisfied 
that the inventory impairment provision is reasonable.

32 

Surgical Innovations Group plc Annual Report and Accounts 2020

Auditor’s ReportOur application of materiality

We apply the concept of materiality in planning and performing our audit, in evaluating the effect of any identified 
misstatements and in forming our opinion. Our overall objective as auditor is to obtain reasonable assurance that the 
financial statements as a whole are free from material misstatement, whether due to fraud or error. We consider a 
misstatement to be material where it could reasonably be expected to influence the economic decisions of the users 
of the financial statements.

Based on our professional judgement and taking into account the possible metrics used by investors and other readers 
of  the accounts, we have determined an overall Group materiality of £95,000 (2019: £58,000) which has also been 
applied to the parent Company. This is based on 1.5% of turnover for the year ended 31 December 2020.

Performance materiality was set at £66,500 (2019: £37,700) for both Group and parent, representing 70% of 
overall materiality. We agreed with the Audit Committee to report all individual audit differences in excess of £1,000 
(2019: £3,000), being 1% of Group materiality as well as any other identified misstatements that warranted reporting 
on qualitative grounds.

Other information

The Directors are responsible for the other information. The other information comprises the information included in 
the annual report, other than the financial statements and our auditor’s report thereon. Our opinion on the financial 
statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do 
not express any form of assurance conclusion thereon.

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

We have nothing to report in this regard.

Opinions on other matters prescribed by the Companies Act 2006

In our opinion, based on the work undertaken in the course of the audit:

• 

the information given in the Strategic Report and the Directors’ Report for the financial year for which the financial 
statements are prepared is consistent with the financial statements; and

• 

the Strategic Report and the Directors’ Report have been prepared in accordance with applicable legal requirements.

Matters on which we are required to report by exception

In the light of the knowledge and understanding of the Group and the parent Company and their environment obtained in 
the course of the audit, we have not identified material misstatements in the Strategic Report or the Directors’ Report.

We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 requires us to 
report to you if, in our opinion:

•  adequate accounting records have not been kept by the Group or parent Company, or returns adequate for our audit 

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

• 

the Group or 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.

Surgical Innovations Group plc Annual Report and Accounts 2020 

33

Auditor’s ReportResponsibilities of Directors

As explained more fully in the Directors’ Responsibilities Statement set out on page 28, the Directors are responsible 
for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such 
internal control as the Directors determine is necessary to enable the preparation of financial statements that are free from 
material misstatement, whether due to fraud or error.

In preparing the financial statements, the Directors are responsible for assessing the Group 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 the Directors either intend to liquidate the parent Company or to cease operations, or have no 
realistic alternative but to do so.

Auditor’s responsibilities for the audit of the financial statements

Our objectives are to obtain reasonable assurance about whether the Group and parent financial statements as a whole 
are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our 
opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance 
with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and 
are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic 
decisions of users taken on the basis of these financial statements.

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

Identifying and assessing risks related to irregularities:
We assessed the susceptibility of the Group and parent Company’s financial statements to material misstatement and 
how fraud might occur, including through discussions with the Directors, discussions within our audit team planning 
meeting, updating our record of internal controls and ensuring these controls operated as intended. We evaluated 
possible incentives and opportunities for fraudulent manipulation of the financial statements. We identified laws and 
regulations that are of significance in the context of the Group and parent Company by discussions with Directors, and by 
updating our understanding of the sectors in which the Group and parent Company operate.

Laws and regulations of direct significance in the context of the Group and parent Company include The Companies Act 
2006, the AIM Rules for Companies and UK Tax legislation.

In addition, the Group and the parent Company are subject to other laws and regulations that do not have a direct 
effect on the financial statements but compliance with which may be fundamental to their ability to operate or to avoid a 
material penalty. These include compliance with quality and health and safety standards and other regulatory bodies with 
oversight of products in the medical sector, anti-bribery legislation, employment law and intellectual property rights.

Audit response to risks identified:
We considered the extent of compliance with these laws and regulations as part of our audit procedures on the related 
financial statement items including a review of Group and parent Company financial statement disclosures. We reviewed 
the Group and parent Company’s records of breaches of laws and regulations, minutes of meetings and correspondence 
with relevant authorities to identify potential material misstatements arising. We discussed the Group and parent 
Company’s policies and procedures for compliance with laws and regulations with members of management responsible 
for compliance.

34 

Surgical Innovations Group plc Annual Report and Accounts 2020

Auditor’s ReportDuring the planning meeting with the audit team, the engagement partner drew attention to the key areas which might 
involve non-compliance with laws and regulations or fraud. We enquired of management whether they were aware of 
any instances of non-compliance with laws and regulations or knowledge of any actual, suspected or alleged fraud. We 
addressed the risk of fraud through management override of controls by testing the appropriateness of journal entries 
and identifying any significant transactions that were unusual or outside the normal course of business. We assessed 
whether judgements made in making accounting estimates gave rise to a possible indication of management bias. At the 
completion stage of the audit, the engagement partner’s review included ensuring that the team had approached their 
work with appropriate professional scepticism and thus the capacity to identify non-compliance with laws and regulations 
and fraud.

There are inherent limitations in the audit procedures described above and the further removed non-compliance with 
laws and regulations is from the events and transactions reflected in the financial statements, the less likely we would 
become aware of it. Also, the risk of not detecting a material misstatement due to fraud is higher than the risk of not 
detecting one resulting from error, as fraud may involve deliberate concealment by, for example, forgery or intentional 
misrepresentations, or through collusion.

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

Use of our report

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

Martin Holden (Senior Statutory Auditor) 
For and on behalf of Saffery Champness LLP

Chartered Accountants 
Statutory Auditors 
Mitre House 
North Park Road 
Harrogate 
HG1 5RX

24 March 2021

Surgical Innovations Group plc Annual Report and Accounts 2020 

35

Auditor’s ReportConsolidated Statement of Comprehensive Income
For the year ended 31 December 2020

Revenue 
Cost of sales 

Gross profit 
Other operating expenses 
Other income 
Operating loss 
Finance costs 
Finance income 

Loss before taxation 

Taxation credit/(charge) 

Loss and total comprehensive Income 

(Loss)/Earnings per share, total and continuing
Basic 
Diluted 

Notes 

2 

3 
3 
3 
5 
6 

7 

8 
8 

2020 
£’000 

6,329 
(5,057) 

1,272 
(5,063) 
621 
(3,170) 
(138) 
1 

(3,307) 

31 

2019
£’000

10,733
(6,400)

4,333
(6,772)
–
(2,439)
(162)
5

(2,596)

(23)

(3,276) 

(2,619)

(0.39p) 
(0.39p) 

(0.33p)
(0.33p)

The Consolidated statement of comprehensive income above relates to continuing operations.

Loss and total comprehensive income relate wholly to the owners of the parent Company.

Notes on pages 40 to 71 form part of these financial statements

36 

Surgical Innovations Group plc Annual Report and Accounts 2020

 
 
 
 
 
 
 
Consolidated Statement of Changes in Equity
For the year ended 31 December 2020

Notes 

15 

Balance as at 1 January 2019 
Employee share-based payment 
Issue of share capital 

Total – transactions with owners 
Loss and total comprehensive 
income for the period 

Balance as at 31 December 2019 
Employee share-based payment 
Issue of share capital 
Equity-based placing fees 

15 
15 
16 

Total – transactions with owners 
Loss and total comprehensive 
income for the period 

Share 
capital 
£’000 

7,826 
– 
127 

127 

– 

7,953 
– 
1,375 

1,375 

Share 
premium 
£’000 

5,831 
– 
73 

73 

– 

5,904 
– 
825 
(142) 

683 

– 

– 

Capital 
reserve 
£’000 

329 
– 
– 

– 

– 

329 
– 
– 

– 

– 

Merger 
reserve 
£’000 

1,250 
– 
– 

– 

– 

Retained
earnings 
£’000 

(813) 
188 
– 

188 

Total
£’000

14,423
188
200

388

(2,619) 

(2,619)

1,250 
– 
– 

(3,244) 
116 
– 

12,192
116
2,200
(142)

– 

– 

116 

2,174

(3,276) 

(3,276)

Balance as at 31 December 2020 

9,328 

6,587 

329 

1,250 

(6,404) 

11,090

Surgical Innovations Group plc Annual Report and Accounts 2020 

37

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Consolidated Balance Sheet
At 31 December 2020

Assets
Non-current assets
Property, plant and equipment 
Right-of-use assets 
Intangible assets 

Current assets
Inventories 
Trade and other receivables 
Amount due from associate 
Cash at bank and in hand 

Total assets 

Equity and liabilities
Equity attributable to equity holders of the parent Company
Share capital 
Share premium account 
Capital reserve 
Merger reserve 
Retained earnings 

Total equity 

Non-current liabilities
Borrowings 
Deferred tax liabilities 
Dilapidation provision 
Lease liability 

Current liabilities
Trade and other payables 
Accruals 
Borrowings 
Lease liability 

Total liabilities 

Total equity and liabilities 

Notes 

2020 
£’000 

2019
£’000

9 
9 
10 

11 
12 
12 

15 
16 

16 

13 
7 
20 
17 

14 

13 
17 

412 
1,030 
6 173 

7,615 

2,167 
1,283 
– 
5,278 

8,728 

718
1,241
7,613

9,572

2,925
2,359
173
1,282

6,739

16,343 

16,311

9,328 
6,587 
329 
1,250 
(6,404) 

7,953
5,904
329
1,250
(3,244)

11,090 

12,192

1,879 
– 
165 
907 

2,951 

1,449 
369 
298 
186 

2,302 

5,253 

515
31
165
1,086

1,797

1,518
317
297
190

2,322

4,119

16,343 

16,311

The accompanying accounting policies and notes form part of the financial statements.

The consolidated financial statements on pages 36 to 71 were approved by the Board of Directors on 24 March 2021 
and were signed on its behalf by:

N F Rogers 
Director 

D Marsh 
Director

Company registered number: 02298163

38 

Surgical Innovations Group plc Annual Report and Accounts 2020

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Consolidated Cash Flow Statement
For the year ended 31 December 2020

Cash flows from operating activities
Loss after tax for the year 
Adjustments for:
Taxation 
Finance income 
Finance costs 
Other income – CBILS interest grant 
Depreciation of property, plant and equipment 
Amortisation and impairment of intangible assets 
Depreciation right-of-use assets 
Share-based payment charge 
Gain on disposal of fixed assets 
Foreign exchange 
Decrease/(increase) in inventories 
Decrease in trade and other receivables 
Decrease in payables 

Cash generated from operations 
Taxation paid 
Interest received 
Interest paid 

Net cash generated from operating activities 

Payments to acquire property, plant and equipment 
Acquisition of intangible assets 

Net cash used in investment activities 

Repayment of bank loan 
Proceeds from CBILS 
Net proceeds from issue of share capital 
Repayment of lease liabilities 

Net cash generated from/(used in) financing activities 

Net increase/(decrease) in cash and cash equivalents 
Cash and cash equivalents at beginning of year 
Effective exchange rate fluctuations on cash held 

Cash and cash equivalents at end of year 

Notes 

2020 
£’000 

2019
£’000

(3,276) 

(2,619)

7 

9 
10 
9/17 

7 

9 
10 

13 
13 

17 

(31) 
(1) 
138 
(27) 
348 
1,726 
211 
116 
– 
42 
758 
1,076 
(10) 

1,070 
– 
– 
(28) 

1,042 

(42) 
(113) 

(155) 

(150) 
1,500 
2,052 
(251) 

3,151 

4,038 
1,282 
(42) 

5,278 

23
(5)
162
–
415
2,895
203
188
1
(56)
(842)
508
(203)

670
1
5
(82)

594

(199)
(317)

(516)

(1,300)
–
201
(244)

(1,343)

(1,265)
2,491
56

1,282

Surgical Innovations Group plc Annual Report and Accounts 2020 

39

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1. Group accounting policies under IFRS

(a) Basis of preparation

Surgical Innovations Group plc (the “Company”) is a public AIM listed Company incorporated, domiciled and registered 
in England in the UK. The registered number is 02298163 and the registered address is Clayton Wood House, 6 Clayton 
Wood Bank, Leeds, LS16 6QZ.

The consolidated financial statements have been prepared in accordance with international accounting standards in 
conformity with the requirements of the Companies Act 2006. The preparation of financial statements in conformity with 
IFRS requires the use of certain critical accounting estimates. It also requires management to exercise its judgement in 
the process of applying the Group’s accounting policies. The financial statements have been prepared under the historical 
cost convention, are presented in Sterling and are rounded to the nearest thousand.

Going concern
The Directors have considered the available cash resources of the Group and its current forecasts and has a reasonable 
expectation that the Group have adequate cash resources and support to continue in operational existence for the 
foreseeable future, considered to be at least twelve months for the date of approval from the financial statements. Further 
details of the Directors’ assessment are provided in the Chairman’s Statement, the Operating and Financial Review and 
Directors’ Report and disclosed in Note (p) of the financial statements.

New standards and amendments to standards adopted in the year

IFRS 16 COVID-19-Related Rent Concessions Amendment
As a result of the coronavirus (COVID-19) pandemic, rent concessions have been granted to lessees. Such concessions 
might take a variety of forms, including payment holidays and deferral of lease payments. On 28 May 2020, the IASB 
published an amendment to IFRS 16 that provides an optional practical expedient for lessees from assessing whether 
a rent concession related to COVID-19 is a lease modification. Lessees can elect to account for such rent concessions 
in the same way as they would if they were not lease modifications. In many cases, this will result in accounting for the 
concession as variable lease payments in the period(s) in which the event or condition that triggers the reduced payment 
occurs.

Other new amended standards and interpretations issued by the IASB that apply to the financial statements do not 
impact the Group as they are either not relevant to the Group’s activities or require accounting which is consistent with 
the Group’s current accounting policies.

A number of new standards and amendments to standards and interpretations have been issued but are not yet effective 
and, in some cases, have not yet been endorsed by the international accounting standards in conformity with the 
requirements of the Companies Act 2006. The Directors do not expect that the adoption of these standards will have a 
material impact on the financial statements of the Group in future periods.

(b) Consolidation

Subsidiaries
Subsidiaries are entities controlled by the Group. The Group controls an entity when it is exposed to, or has rights to, 
variable returns from its involvement with the entity and has the ability to affect those returns through its power over the 
entity. In assessing control, the Group takes into consideration potential voting rights. The acquisition date is the date 
on which control is transferred to the acquirer. The financial statements of subsidiaries are included in the consolidated 
financial statements from the date that control commences until the date that control ceases.

Transactions eliminated on consolidation
Intra-Group balances and transactions, and any unrealised income and expenses arising from intra-Group transactions, 
are eliminated.

40 

Surgical Innovations Group plc Annual Report and Accounts 2020

Notes to the Consolidated Financial StatementsFor the year ended 31 December 2020Associates
Where the Group has the power to participate in (but not control) the financial and operating policy decisions of another 
entity, it is classified as an associate. Associates are initially recognised in the consolidated statement of financial position 
at cost. Subsequently associates are accounted for using the equity method, where the Group’s share of post-acquisition 
profits and losses and other comprehensive income is recognised in the consolidated statement of profit and loss and 
other comprehensive income (except for losses in excess of the Group’s investment in the associate unless there is an 
obligation to make good those losses).

Profits and losses arising on transactions between the Group and its associates are recognised only to the extent of 
unrelated investors’ interests in the associate. The investor’s share in the associate’s profits and losses resulting from 
these transactions is eliminated against the carrying value of the associate.

Where there is objective evidence that the investment in an associate has been impaired the carrying amount of the 
investment is tested for impairment in the same way as other non-financial assets.

(c) Business combinations

Business combinations are accounted for using the acquisition method as at the acquisition date, which is the date on 
which control is transferred to the Group.

The Group measures goodwill at the acquisition date as the fair value of the consideration transferred; less the fair values 
of the identifiable assets acquired and liabilities assumed. When the excess is negative, a bargain purchase gain is 
recognised immediately in profit or loss.

Costs related to the acquisition are expensed as incurred. Any contingent consideration payable is recognised at fair 
value at the acquisition date. Any subsequent changes to the fair value of the contingent consideration classified as a 
financial liability are recognised in profit or loss.

(d) Foreign currency translation

Transactions and balances
Foreign currency transactions are translated into the functional currency of Sterling using the exchange rates prevailing 
at the dates of transactions. Foreign exchange gains and losses resulting from the settlement of such transactions and 
from the translation at year end exchange rates of monetary assets and liabilities denominated in foreign currencies are 
recognised in the Consolidated statement of comprehensive income. The Group does use forward contracts in relation to 
foreign exchange but at the year end had no outstanding contracts (2019: None).

(e) Property, plant and equipment

Property, plant and equipment are stated at the cost of acquisition less any provision for depreciation. Cost includes 
expenditure that is directly attributable to the acquisition of the item.

The carrying values of property, plant and equipment are reviewed for impairment when events or changes in 
circumstances indicate that the carrying value may not be recoverable.

The assets residual values, useful lives and depreciation methods are reviewed at each financial year end and adjusted 
where the expected asset utilisation differs significantly from the depreciation method applied.

Depreciation is charged so as to write off the cost of property, plant and equipment less estimated residual value over 
their estimated useful economic lives at the following rates:

Office and computer equipment – 10-33% per annum 
Plant and machinery – 10-20% per annum 
Tooling – 10-20% per annum 
Placed equipment – 33.3% per annum 
Leasehold improvements – Over the remaining term of the lease

Surgical Innovations Group plc Annual Report and Accounts 2020 

41

Notes to the Consolidated Financial Statements(f) Intangible assets and goodwill

Research and development
Expenditure on research activities is recognised as an expense in the period in which it is incurred. Development 
expenditure arising from the Group’s development activities is capitalised and amortised over the life of the product only if 
the Group can demonstrate the following:

• 
• 
• 
• 
• 

• 

the technical feasibility of completing the intangible asset so 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;
that it is probable that the asset created will generate future economic benefits;
there is the availability of adequate technical, financial and other resources to complete the development and to use or 
sell the intangible asset; and
the development cost of the asset can be measured reliably.

Where no intangible asset can be recognised, development expenditure is recognised as an expense in the period in 
which it is incurred. Capitalised development costs are amortised over the life of the product within other operating 
expenses, which is usually between five and ten years.

Single use product knowledge transfer
Single use product knowledge transfer relates to manufacturing know how and expertise to benefit the Group’s business 
in the medium term, not only by completing the product design but by enhancing production techniques. This will be 
amortised over the life cycle of the product design.

Intangible assets acquired on business combination
Intangible assets are recognised on business combinations if they are separable from the acquired entity or give rise to 
other contractual/legal rights. The amounts ascribed to such intangibles are arrived at by using appropriate valuation 
techniques (see section related to critical judgements and estimates).

Amortisation
Amortisation is charged to the income statement on a straight-line basis over the estimated useful lives of intangible 
assets unless such lives are indefinite. Goodwill is systematically tested for impairment at each balance sheet date. Other 
intangible assets are amortised from the date they are available for use. The estimated useful lives are as follows:

Capitalised development costs – 5-10 years 
Single use product knowledge transfer – 5 years 
Exclusive supplier agreements – 1-3 years

Goodwill
Goodwill is stated at cost less any accumulated impairment losses. Goodwill is allocated to cash-generating units and is 
not amortised but is tested annually for impairment.

(g) Impairment of non-financial assets (excluding inventories)

For goodwill an impairment review is carried out annually. Impairment reviews are carried out on other intangible 
assets and plant and equipment where there are indicators of impairment. An asset’s carrying amount is written down 
immediately to its recoverable amount if the asset’s carrying amount is greater than its estimated recoverable amount. 
The recoverable amount is the higher of an asset’s fair value less costs to sell and its value in use.

(h) Inventories

Inventories are stated at the lower of cost (using weighted average) and net realisable value. Cost is the purchase cost, 
including transport, for raw materials, together with a proportion of manufacturing overheads based on normal levels of 
activity, for finished goods.

Net realisable value is based on estimated normal selling price, less further costs expected to be incurred to completion 
and sale. Impairment provisions are made for obsolete, expiring, slow moving or defective items where appropriate. Such 
provisions are based upon established future sales and historical experience.

42 

Surgical Innovations Group plc Annual Report and Accounts 2020

Notes to the Consolidated Financial Statements(i) Financial Instruments

Classification and measurement of IFRS9 has changed to a more principle based approach to classify financial assets as 
either held at amortised cost, fair value through other comprehensive income (FVOCI) or fair value through profit or loss, 
dependent on the business model and cash flow characteristics of the financial asset.

Financial Assets
The Group classifies its financial assets as subsequently measured at amortised cost under IFRS 9 if it meets both of the 
following criteria:

•  Hold to collect business model test – The asset is held within a business model whose objective is to hold the financial 

asset in order to collect contractual cash flows; and

•  Solely payments of principal and interest (SPPI) contractual cash flow characteristics test – The contractual terms of the 

financial asset give rise to cash flows that are SPPI on the principal amount outstanding on a specified date.

Financial assets include:

•  Trade receivables
•  Cash and cash equivalents

Trade receivables
Trade receivables that do not contain a significant financing component are recognised initially at fair value and thereafter 
at amortised costs less provision for impairment.

The Group is required to judge when there is sufficient objective evidence to require the impairment of individual trade 
receivables. It does this on a specific basis with reference to the age of the relevant receivables, external evidence of 
the credit status of the customer entity and the status of any disputed amounts. The Group will also review the previous 
payment profile of the customer. In addition, the Group recognises lifetime expected credit losses (‘ECL’) for trade 
receivables which are estimated based on the Group’s historical credit loss experience, adjusted for factors that are 
specific to the (‘ECL’) trade receivables, general economic conditions and an assessment of both the current as well as 
the forecast direction of conditions at the reporting date.

Cash and cash equivalents
Cash and cash equivalents include cash in hand, deposits held on call at banks and bank overdrafts. Bank overdrafts are 
shown within borrowings in current liabilities on the balance sheet.

Financial Liabilities
Financial liabilities are classified as either:

•  Financial liabilities at amortised cost; or
•  Financial liabilities as at fair value through profit or loss (FVTPL).

All financial liabilities are measured at amortised cost and include:

•  Trade and other payables
•  Bank borrowings
•  Lease liabilities

Trade and other payables
Trade payables are recognised initially at fair value and subsequently measured at amortised cost using the effective 
interest rate.

Lease liabilities
Refer to Note (o)

Surgical Innovations Group plc Annual Report and Accounts 2020 

43

Notes to the Consolidated Financial StatementsBorrowings
Borrowings, which comprise bank loans and a CBILS arrangement are initially recognised at fair value, net of transaction 
costs incurred. Borrowings are subsequently carried at amortised cost; any difference between the proceeds (net of 
transaction costs) and the redemption value is recognised in the income statement over the period of the borrowings 
using the effective interest method.

Fees paid on the arrangement of the loan facilities and revolving credit facilities are recognised as transaction costs over 
the life of the agreement.

Borrowings are derecognised when they are extinguished which will be when the obligation in the contract is discharged, 
cancelled or expired.

(j) Share capital

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

(k) Exceptional items

Exceptional items are costs or Group of costs which are non-recurring in nature which the Directors believe should 
be separately identified in the financial statements to enable the reader to properly understand the underlying trading 
performance of the business.

(l) Income tax

The charge for current tax is based on the results for the period as adjusted for items which are non-assessable or 
disallowed and any adjustment to tax payable in respect of previous years. It is calculated using rates that have been 
enacted or substantively enacted by the balance sheet date.

Deferred tax is accounted for using the balance sheet liability method in respect of temporary differences arising from 
differences between the carrying amount of assets and liabilities in the financial statements and the corresponding tax 
basis used in the computation of taxable profit. In principle, deferred tax liabilities are recognised for all taxable temporary 
differences and deferred tax assets are recognised to the extent that it is probable that taxable profits will be available 
against which deductible temporary differences can be utilised. Such assets and liabilities are not recognised if the 
temporary difference arises from the initial recognition of goodwill (or negative goodwill) or from the initial recognition 
(other than in business combination) of other assets and liabilities in a transaction which affects neither the taxable profit 
nor the accounting profit.

Tax benefits are not recognised unless the tax positions are probable of being sustained. Once considered to be 
probable, management reviews each material tax benefit to assess whether a deferred tax asset should be recognised, 
based on the ability under tax statute to recover those tax losses and through the assessment of probable future taxable 
profits against which those tax losses can be recovered.

Deferred tax is calculated at the rates that are enacted or substantively enacted at the balance sheet date. Deferred tax is 
charged or credited in the Consolidated statement of comprehensive income, except when it relates to items credited or 
charged directly to equity, in which case the deferred tax is also dealt with in equity.

Deferred tax assets and liabilities are offset when they relate to income taxes levied by the same taxation authority and the 
Group intends to settle its current tax assets and liabilities on a net basis. Information as to the calculation of the income 
tax expense is included in Note 7.

(m) Employee benefits

Pension obligations
The Group provides pension benefits to its employees through contributions to defined contribution Group personal 
pension policies. The amounts charged to the Consolidated statement of comprehensive income are the contributions 
payable in the period.

44 

Surgical Innovations Group plc Annual Report and Accounts 2020

Notes to the Consolidated Financial StatementsShare-based compensation
The Group issues equity settled share options to Directors and employees which are measured at fair value and 
recognised as an expense in the Consolidated statement of comprehensive income with a corresponding increase in 
profit and loss reserve. The fair value of the employee services received in exchange for the grant of the options is treated 
as remuneration in respect of the individual. The total amount to be expensed over the vesting period is determined by 
reference to the fair value of the options granted.

The fair values of these payments are measured at the dates of grant and are recognised over the period during which 
employees become unconditionally entitled to the awards which is usually the vesting period. At each balance sheet date, 
the Group revises its estimate of the number of options that are expected to vest. It recognises the impact of the revision 
to original estimates, if any, in the Consolidated statement of comprehensive income, with a corresponding adjustment to 
retained earnings.

(n) Income recognition

Revenue comprises the fair value of the consideration received or receivable for the provision of goods in accordance 
with the Group’s primary revenue stream as set out below. Revenue is shown net of Value Added Tax.

Sales of goods SI Brand/OEM/Distribution
Goods are recognised at the point of acceptance by the customer reflecting fulfilment of the sole performance obligation 
to the customer. Typically, SI Brand and OEM are contracted on FCA incoterms 2010 and therefore control passes at 
the point the goods are shipped. In Distribution the goods have to be delivered in order for control to be passed to the 
customer.

Contracts with customers are typically fixed price based on agreed amounts and invoiced upon despatch of the goods 
in line with the standard term and conditions of the Group. Typically, the Group’s standard payment terms are 60 days at 
the date of the invoice for SI Brand and OEM and 30 days at the date of invoice for Distribution. There are no long-term 
contract or financing arrangements in place across the Group.

Assurance type warranties are provided for manufactured goods up to two years from the date of sale. These warranties 
do not give rise to a separate performance obligation.

The Group is assessed operationally and financially under three revenue streams. The Directors do not therefore consider 
there to be a lower relevant level of revenue disaggregation than that disclosed in Note 2, Segmental Reporting. There 
are material concentrations of revenue by customers, £708,000 (11.2%) of the Group’s revenue was depended on one 
distributor in the SI Brand segment (2019: £1,226,000 (11.4%).

Provision of services – Precision Engineering/OEM
The Group has a limited number of short-term projects that relate to precision engineering and OEM. Typically, within 
each contract specific milestones are included for defined phases of work such as the design and build of instruments. 
Each phase is considered to be a distinct performance obligation. Once each milestone has been achieved and, as such 
each performance obligation satisfied, the Group invoices the customer. Standard payment terms are typically 30-90 
days at the date of invoice.

Revenue is typically recognised for each performance obligation over time using the output method. This is because the 
designs and instruments created have no alternative use for the Group. Contracts would require payment to be received 
for the time and effort spent by the Group on progressing the contracts in the event of the customer cancelling the 
contract prior to completion for any reason other than the Group’s failure to perform its obligations under the contract.

The Group have £24,500 as an outstanding performance obligations at the year end (2019: None).

Interest income
Interest income is recognised using the effective interest rate method.

Surgical Innovations Group plc Annual Report and Accounts 2020 

45

Notes to the Consolidated Financial Statements(o) Leases

The Group has applied IFRS 16 using the modified retrospective approach.

The portfolio of leases mainly consists of property along with vehicle leases, plant and IT equipment. Lease terms are 
negotiated on an individual basis and contain a wide range of different terms and conditions. The lease arrangements do 
not impose any covenants, but leased assets may not be used as security for borrowing purposes.

The Group considers whether a contract contains a lease. A lease is defined as ‘a contract, or part of a contract, that 
conveys the right to use an asset (the underlying asset) for a period of time in exchange for consideration’. To apply this 
definition the Group assesses whether the contract meets the following criteria:

•  The contract contains an identified asset, which is either explicitly identified in the contract or implicitly specified by 

being identified at the time the asset is made available to the Group

•  The Group has the right to obtain substantially all of the economic benefits from use of the identified asset throughout 

the period of use, considering its rights within the defined scope of the contract

•  The Group has the right to direct the use of the identified asset throughout the period of use.

At the lease commencement date, the Group recognises the lease as a right-of-use asset and a corresponding liability on 
the statement of financial position.

The right-of-use asset is measured at cost, which is made up of the initial measurement of the lease liability, any initial 
direct costs incurred by the Group, the amount of any provision recognised where the Group is contractually required to 
dismantle, remove or restore the leased asset and any lease payments made in advance of the lease commencement 
date (net of any incentives received).

The Group depreciates the right-of-use assets on a straight-line basis from the lease commencement date to the earlier 
of the end of the useful life of the right-of-use asset or the end of the lease term. The Group also assesses the right-of-
use asset for impairment when such indicators exist.

At the commencement date, the Group measures the lease liability at the present value of the lease payments unpaid 
at that date, discounted using the interest rate implicit in the lease if that rate is readily available, or the lease specific 
incremental borrowing rate. Subsequent to initial measurement, the liability will be reduced for payments made and 
increased for interest. Each lease payment is allocated between the liability and finance cost. The finance cost is charged 
to the income statement over the lease period so as to produce a constant periodic rate of interest on the remaining 
balance of the liability for each period. The liability is remeasured to reflect any reassessment or modification, or if there 
are changes in in-substance fixed payments. When the liability is remeasured, the corresponding adjustment is reflected 
in the right-of-use asset, or the income statement if the right-of-use asset is already reduced to zero.

For low-value and short-term leases the Group applies the recognition exemptions to short-term leases of vehicles and 
low-value IT equipment. Payments associated with short-term leases and leases of low-value assets are recognised on a 
straight-line basis as an expense in the income statement. Short-term leases are leases with a term of twelve months or 
less. Low-value assets comprise IT and copying equipment with a value of less than £5,000.

During the year the quarterly payment for the building lease totalling £48,000 was deferred, however the practical 
expedient has been applied as the rent concession occurred as a direct consequence of the COVID-19 pandemic, and all 
of the following conditions were met:

a)  the change in lease payments resulted in revised consideration for the lease that is substantially the same as, or less 

than, the consideration for the lease immediately preceding the change;

b)  any reduction in lease payments affects only payments due on or before 30 June 2021; and
c)  there is no substantive change to other terms and conditions of the lease.

The overall financial results in the year ending 31 December 2020 are adversely impacted by £28,000 reflecting 
depreciation and interest charges of £279,000 being £28,000 higher than the net rental charges.

46 

Surgical Innovations Group plc Annual Report and Accounts 2020

Notes to the Consolidated Financial Statements(p) Significant management judgement in applying accounting policies

The following are significant management judgements made in applying the accounting policies of the Group that have 
the most significant effect on the financial statements. Critical estimation uncertainties are described in Note (q).

Going concern
It is the responsibility of management to make an assessment of whether the going concern presumption is appropriate 
or not when preparing financial statements. Particularly in times of economic difficulties management have to make 
judgements on various uncertain future outcomes of events or conditions, consideration when determining whether or not 
the Group can prepare its financial statements on the going concern bases:

The degree of uncertainty associated with the outcome of Coronavirus continues to impact the revenue. Management will 
assess all available information and will continually assess the situation.

The nature and condition of the Group and the degree to which it is affected by external factors affect the judgement 
regarding the outcome of Coronavirus. Key end user markets have adapted as hospitals resumed elective surgery albeit 
at reduced levels and restrictions on commercial access to operating rooms are still in place but there has been some 
easing where there is clinical necessity.

Management throughout the year devised a series of mitigating actions, designed to preserve cash resources, maintain 
delivery of essential products to customers and distributors, and protect the workforce from the health risks and 
economic impact and will continue to access these in the foreseeable future.

The Company achieved financial stability by negotiating an agreement to reschedule the repayment terms and financial 
covenants on existing term loan facilities and has drawn down an additional £1.5m under the Coronavirus Business 
Interruption Loan Scheme (CBILS). These facilities are repayable in May 2022. In addition, during September 2020 
the Company raised equity of £2.05m (net of associated costs) to provide investment capital and additional financial 
headroom.

Any judgement about the future is based on information at the time at which the judgement is made. Subsequent 
events may result in outcomes that are inconsistent with judgements that were reasonable at the time they were made. 
Management will continually assess the information available at the time of publication.

Internally generated research and development assets
Management monitors the progress of internal research and development projects using the accounting system and 
through timesheet records. Judgement is required in determining and distinguishing the research phase from the 
development phase. Research costs are incurred during the concept phase of the project which is fully expensed in 
the period. Prior to the commencement of the product development phase, it is Group policy that capital expenditure 
approval is obtained from the appropriate level; this enables the Group to ensure that projects are financially viable after 
taking account of the cost of development. Costs incurred subsequent to this are recognised as an intangible asset when 
all relevant criteria are met.

Management performs an impairment review of capitalised development costs annually. The impairment review includes 
a significant degree of judgement, in particular determining the revenue streams relevant to a particular project. Many 
of the Group’s products operate in conjunction with each other, particularly where the Resposable® concept applies. 
Management have reviewed the capitalised development and given the nature of the expense not providing any future 
economic benefit an impairment of £182,000 (2019: £628,000) has been recognised as at 31 December 2020, any 
further impairment identified in future periods could have a material impact on the Group’s results.

(q) Estimation uncertainty

When preparing the financial statements management determines a number of estimates and assumptions about 
recognition and measurement of assets, liabilities, income and expenses. The actual results may differ from the estimates 
and assumptions made by the Group and will seldom equal the estimated results. Information about significant estimates 
and assumptions that have the most significant effect on recognition and measurement of assets, liabilities, income and 
expenses are discussed below.

Surgical Innovations Group plc Annual Report and Accounts 2020 

47

Notes to the Consolidated Financial StatementsInventories
As described in Note (h) management performs an impairment review on the net realisable value of inventories. Provisions 
are made for obsolete, expiring, slow moving or defective items where appropriate. Such provisions are based upon 
established future sales and historical experience. Impairment provisions against inventory for the year amounted to 
£1,274,000 (2019: £1,461,000).

Impairment of Intangibles assets
As described in Note (g) previously, the Group is required to test, on an annual basis, whether goodwill is impaired. The 
recoverable amount is determined based on a value in use calculation for the one cash generating unit that has goodwill. 
The use of this method requires the estimation of future cash flows and the determination of a discount rate in order to 
calculate the present value of the cash flows.

Future cash flows are estimated based on operating margins using past experience and future expectations in the light 
of anticipated economic and market conditions. Discount rates are based on the Group’s WACC adjusted to reflect 
management’s assessment of specific risks related to the cash generating unit. Growth rates beyond the first five years 
are based on economic data pertaining to the relevant region, which is the UK. The discount rate and growth rates used 
are disclosed in Note 10 to the financial statements.

Lease accounting – incremental borrowing rate
IFRS 16 “Leases” requires lease payments to be discounted using the lessee’s incremental borrowing rate. The Group’s 
incremental borrowing rate, as at the date of adoption of IFRS 16, has been based on 6% which is in the range for 
longer-term funding.

(r) Equity

Equity includes the elements listed below:

•  “Share capital” represents the nominal value of equity shares;
•  “Share premium” represents the excess over nominal value of the fair value of consideration received for equity shares, 

net of expenses of share issues;

•  “Capital reserve” represents the excess over nominal value of the fair value consideration attributed to equity shares 

issued in part settlement for subsidiary Company shares acquired;

•  “Merger reserve” represents the excess over the nominal value of the fair value consideration attributed to equity shares 

issued as part of an Acquisition; and

•  “Retained earnings” represents the accumulated profits and losses of the Group less dividends paid.

(s) Post balance sheet events

Post balance sheet events contains requirements for when events after the end of the reporting period should be 
adjusted in the financial statements. The Group considers whether or not the conditions existed at the reporting period or 
arose after the reporting period.

Adjusting events are recognised after the reporting period that provides further evidence of conditions that existed at the 
end of the reporting period, including an event that indicates that the going concern assumption is not appropriate in 
relation to the Group or its subsidiaries.

Non-adjusting events are recognised after the reporting period that is indicative of a condition that arose after the end of 
the reporting period.

48 

Surgical Innovations Group plc Annual Report and Accounts 2020

Notes to the Consolidated Financial Statements(t) Grants

Coronavirus Job Retention Scheme (CJRS)
Under this scheme, HMRC reimburse 80% of the wages of certain employees who have been asked to stop working 
(‘furloughed’), but who are being kept on the payroll. As this scheme involves a transfer of resources from government 
to the entity, it meets the definition of a government grant. The scheme is designed to compensate for staff costs, so 
amounts received should be recognised in the income statement over the same period as the costs to which they relate. 
Under IFRS the amount received from CJRS is identified as income separately in the income statement. Total amount 
compensated during the year was £0.59m (2019: £nil)

Coronavirus Business Interruption Loan Scheme (CBILS)
Payments by the government to cover interest and other fees are government grants and so the accounting for these are 
similar to the Coronavirus Job Retention Scheme described above. Each month, as an interest expense is recognised, an 
equal amount of interest credit will also be recognised in other Income in the Income Statement. Total amount recognised 
during the year was £0.03m (2019: £nil).

2. Segmental reporting

Information reported to the Board, as Chief Operating Decision Makers, and for the purpose of assessing performance 
and making investment decisions is organised into three operating segments. The Group’s operating segments under 
IFRS 8 are as follows:

SI Brand 

OEM 

– 

– 

 the research, development, manufacture and distribution of SI branded minimally invasive devices.

 the research, development, manufacture and distribution of minimally invasive devices for third-party 
medical device companies through either own label or co-branding. This now incorporates Precision 
Engineering, the research, development, manufacture and sale of minimally invasive technology products 
for precision engineering applications.

Distribution  –  Distribution of specialist medical products sold through Elemental Healthcare Ltd.

The measure of profit or loss for each reportable segment is gross margin less amortisation of product development 
costs. Assets and working capital are monitored on a Group basis, with no separate disclosure of asset by segment 
made in the management accounts, and hence no separate asset disclosure is provided here. The following segmental 
analysis has been produced to provide a reconciliation between the information used by the chief operating decision 
maker within the business and the information as it is presented under IFRS.

Year ended 31 December 2020 

Revenue 

Result
Segment result 
Unallocated expenses 
Other income 

(Loss) from operations 
Finance income 
Finance costs 

(Loss) before taxation 
Tax credit 

(Loss) for the year 

*  There were no revenues transactions between the segments during the year.

SI Brand 
£’000 

3,410 

Distribution 
£’000 

2,311 

OEM 
£’000 

608 

(271) 

(392) 

209 

Total*
£’000

6,329

(454)
(3,337)
621

(3,170)
1
(138)

(3,307)
31

(3,276)

Surgical Innovations Group plc Annual Report and Accounts 2020 

49

Notes to the Consolidated Financial Statements 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2. Segmental reporting (continued)

Included within the segment/operating results are the following significant non-cash items:

Year ended 31 December 2020 

Amortisation of intangible assets 
Impairment of intangible assets 
Additions to intangibles 

SI Brand 
£’000 

Distribution 
£’000 

250 
182 
113 

162 
1,132 
– 

OEM 
£’000 

– 
– 
– 

Total
£’000

412
1,314
113

Unallocated expenses for 2020 include sales and marketing costs (£185,000), research and development costs 
(£1,099,000), central overheads (£790,000), Direct (Elemental Healthcare) sales & marketing overheads (£1,039,000), 
share-based payments (£116,000), exceptionals (£108,000) Note 3.

SI Brand 
£’000 

5,840 

Distribution 
£’000 

OEM 
£’000 

Total*
£’000

3,101 

1,792 

10,733

1,510 

(792) 

720 

Year ended 31 December 2019 

Revenue 

Result
Segment result 
Unallocated expenses 

(Loss) from operations 
Finance income 
Finance costs 

(Loss) before taxation 
Tax charge 

(Loss) for the year 

*  There were no revenues transactions between the segments during the year.

Included within the segment results are the following items:

Year ended 31 December 2019 

Amortisation of intangible assets 
Impairment of intangible assets 
Additions to intangibles 

SI Brand 
£’000 

Distribution 
£’000 

291 
628 
317 

351 
1,625 
– 

OEM 
£’000 

– 
– 
– 

Unallocated expenses for 2019 include sales and marketing costs (£293,000), research and development costs 
(£922,000), central overheads (£904,000), Direct (Elemental Healthcare) sales & marketing overheads (£1,427,000), 
share-based payments (£188,000), exceptionals (£184,000), less right-of-use (£41,000).

50 

Surgical Innovations Group plc Annual Report and Accounts 2020

1,438
(3,877)

(2,439)
5
(162)

(2,596)
(23)

(2,619)

Total
£’000

642
2,253
317

Notes to the Consolidated Financial Statements 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2. Segmental reporting (continued)

Disaggregation of gross margin
The Group has disaggregated margins in the following table:

Revenue 
Cost of Sales 
Underlying Gross Margin 
Underlying Gross Margin % 
Net Cost of Manufacturing* 

Contribution Margin 

Contribution Margin % 

2020 
£’000 

6,329 
(3,519) 
2,810 
44.39% 
(1,538) 

2019
£’000

10,733
(6,082)
4,651
43.33%
(318)

1,272 

4,333

20.10% 

40.37%

*  Underlying net cost of manufacturing with the government support of the CJRS scheme of £270,000 allocated in other income and non-recurring 
costs in Note 3 of £120,000 added back to adjust the net costs of Manufacturing to £1,148,000 results in an underlying Contribution Margin of 
26.26%.

Disaggregation of revenue
The Group has disaggregated revenues in the following table:

Year ended 31 December 2020 

United Kingdom 
Europe 
US 
APAC 
Rest of World 

Year ended 31 December 2019 

United Kingdom 
Europe 
US 
APAC 
Rest of World 

SI Brand 
£’000 

Distribution 
£’000 

889 
726 
882 
681 
232 

3,410 

2,311 
– 
– 
– 
– 

2,311 

SI Brand 
£’000 

Distribution 
£’000 

1,613 
1,283 
1,852 
456 
636 

5,840 

3,101 
– 
– 
– 
– 

3,101 

OEM 
£’000 

457 
– 
151 
– 
– 

608 

OEM 
£’000 

1,497 
– 
295 
– 
– 

1,792 

Total
£’000

3,657
726
1,033
681
232

6,329

Total
£’000

6,211
1,283
2,147
456
636

10,733

Revenues are allocated geographically on the basis of where revenues were received from and not from the ultimate final 
destination of use. During 2020 £708,000 (11.2%) of the Group’s revenue depended on one distributor in the SI Brand 
segment (2019: £1,226,000 (11.4%)).

Sales of goods were £6,307,000 (2019: £10,374,000) and sales relating to services in the UK were £22,000 (2019: £359,000).

Surgical Innovations Group plc Annual Report and Accounts 2020 

51

Notes to the Consolidated Financial Statements 
 
 
 
 
 
3. Operating (loss)/profit

The operating profit for the year is stated after charging/(crediting):

Depreciation of owned assets 
Amortisation and impairment of capitalised development costs 
Amortisation of exclusive supplier agreements 
Depreciation of right-of-use assets 
Impairment of goodwill 
Research and development costs – non-capitalised expenditure 
Foreign exchange (losses)/gains 
Auditor’s remuneration:
– fees payable to the Company’s auditor for the audit of the Company’s annual financial statements 
– fees payable to the Company’s auditor for the audit of the subsidiary undertakings 
– fees payable to the Company’s auditor for the non-audit fees relating to tax services 
Expenses relating to:
– leases of low-value assets 
– short-term leases less than twelve months 
Exceptional items 
Non-recurring/non-cash costs 

2020 
£’000 

348 
594 
162 
211 
1,132 
1,099 
42 

20 
22 
5 

– 
2 
108 
200 

2019
£’000

415
919
351
203
1,625
922
56

24
31
9

14
28
184
–

Exceptional items relate to employee termination payments £93,000 (inclusive of NI and legal fees), listing fees £5,000 
and costs associated with accessing the Coronavirus Business Interruption Loan Scheme (CBILS) of £10,000.

Non-recurring/non-cash costs arising from events directly attributable to the Covid pandemic. These comprised (i) 
£120,000 of additional inventory provision arising from the premature withdrawal of products approaching their end of life. 
These costs have been allocated into the cost of Manufacturing and (ii) holiday pay accrued amounting to £80,000 arising 
whilst employees were furloughed during year, and hence were unable to take holidays on the normal cycle, these costs 
are allocated within other operating expenses and are highly likely to be paid back in time rather than cash.

Other operating expenses comprised:

Sales & marketing 
Direct (Elemental Healthcare) sales & marketing overheads 
Administrative expenses 
Research & Development costs (non-capitalised expenditure) 
Exceptionals 
Share-based payments 
Amortisation and impairment 

2020 
£’000 

185 
1,039 
790 
1,099 
108 
116 
1,726 

5,063 

2019
£’000

293
1,427
863
922
184
188
2,895

6,772

52 

Surgical Innovations Group plc Annual Report and Accounts 2020

Notes to the Consolidated Financial Statements 
 
 
 
 
3. Operating (loss)/profit (continued)

Other income comprised:

CJRS 
CBILS-Interest free (twelve months) 

2020 
£’000 

594 
27 

621 

2019
£’000

–
–

–

Other Income disclosed above relates to amounts received from the Coronavirus Job Retention Scheme (CJRS). As part 
of the response to the COVID-19 pandemic the government introduced the CJRS. This allowed all employees on a PAYE 
scheme to designate some or all employees as ‘furloughed workers’. The Group accessed this Government support 
during April to November 2020 in order to continue paying part of the furloughed employees’ salaries and at the same 
time protecting them from potential redundancy.

The Group claimed £594,000 through CJRS during 2020, £270,000 of the £594,000 claimed related to manufacturing 
employees and the remainder of the £324,000 related to various departments in other operating expenses.

4. Employees and Directors’ emoluments

The average monthly number of employees (including Executive Directors) employed by the Group during the year was as 
follows:

Directors 
Production 
Development 
Sales 
Administration 

The costs incurred in respect of these employees were:

Wages and salaries 
Social security costs 
Pension costs 
Holiday accrual* 

2020 
Number 

2019 
Number

2 
39 
16 
13 
13 

83 

2020 
£’000 

2,810 
287 
73 
80 

3,250 

3
34
17
15
14

83

2019
£’000

3,043
306
92
–

3,441

*  As part of the non-recurring items holiday pay was accrued amounting to £80,000 arising whilst employees were furloughed during year and were 

unable to take holidays on the normal cycle.

The Group made CJRS claims totalling £594,000 in the year (2019: £nil) which has been recognised in other income. 
In addition, the Company implemented short-term salary reductions for all personnel above the furlough threshold, up 
to an upper limit of 50% for Non-Executive Board Directors, resulting in a reduction in operating costs of approximately 
£155,000 (2019: £nil).

Surgical Innovations Group plc Annual Report and Accounts 2020 

53

Notes to the Consolidated Financial Statements 
 
 
 
 
 
 
 
 
4. Employees and Directors’ emoluments (continued)

Directors’ emoluments
Details of Directors’ emoluments for the year are as follows:

Salary 
and fees 
2020 
£’000 

Bonus 
2020 
£’000 

Benefits 
2020 
£’000 

Total 
emoluments 
2020 
£’000 

Total 

Pension 
emoluments  contributions 
2020 
£’000 

2019 
£’000 

Executive
A Power 
D Marsh 

Non-executive
M J McMahon 
P Hardy 
A Taylor 
N F Rogers 

Total 

140 
162 

14 
14 
14 
32 

376 

– 
– 

– 
– 
– 
– 

– 

14 
13 

– 
– 
– 
– 

154 
175 

14 
14 
14 
32 

164 
185 

20 
20 
20 
49 

27 

403 

458 

– 
– 

– 
– 
– 
– 

– 

Pension
contributions
2019
£’000

1
1

–
–
–
–

2

Benefits received consist of private health insurance. Pension contributions represent payments made to defined 
contribution schemes. Non-Executive Directors are not entitled to retirement benefits. Remuneration of the Non-Executive 
Directors is determined by the Board.

The Board implemented short-term salary reductions for up to an upper limit of 50% for Non-Executive Board Directors, 
resulting in a reduction in operating costs of approximately £78,000 (2019: £nil).

Directors’ share options
Details of the share options held by Directors serving at 31 December 2020 are as follows:

N Rogers 
M McMahon 
A Power 
D Marsh 

At 
1January 2020 

Exercised 
during year 

Granted 
during 
the year 

At 
31 December 2020 

1,750,000 
1,750,000 
6,000,000 
6,000,000 

– 
– 
– 
– 

– 
– 
– 
– 

1,750,000 
1,750,000 
6,000,000 
6,000,000 

Option 
price 

3.25p 
3.25p 
3.25p 
3.25p 

Date 
granted

October 20171
October 20171
October 20171
October 20171

1  Share options are exercisable between three and ten years from the date of the grant.

The market price of the Company’s shares at the end of the financial year was 1.65p (2019: 2.05p) and the range of 
market prices during the year was between 1.20p (2019: 1.90p) and 2.25p (2019: 4.15p).

Key management including Non-Executive Directors:

Salaries 
Social security costs 
Pension costs 
Exceptional cost 
Share-based payments 

Total 

Key management comprises of Board Directors.

2020 
£’000 

403 
45 
– 
– 
– 

448 

2019
£’000

530
67
15
143
133 

888

54 

Surgical Innovations Group plc Annual Report and Accounts 2020

Notes to the Consolidated Financial Statements 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
5. Finance costs

On bank borrowings* 
On right-of-use assets 

Total 

2020 
£’000 

70 
68 

138 

*  Bank borrowings includes £27,000 relating to the CBILS loan interest free period which is included in Other income as a Grant.

6. Finance income

Interest received 

7. Taxation

Current tax (credit): 
Prior year adjustment 

Total current tax (credit) 

Deferred tax (credit)/charge:
  Origination and reversal of temporary timing differences 
  Changes in tax rates 
Reversal/(previously unrecognised) deferred tax 

Deferred tax (credit)/charge during the year 

Total tax (credit)/charge 

2020 
£’000 

1 

2020 
£’000 

– 
– 

– 

– 
– 
(31) 

(31) 

(31) 

2019
£’000

86
76

162

2019
£’000

5

2019
£’000

(1)
–

(1)

(86)
–
110

24

23

Factors affecting the tax charge for the year
The taxation assessed for the year is lower (2019: lower) than the standard rate of Corporation tax in the UK at 19% 
(2019: 19%). The differences are explained as follows:

Loss on ordinary activities before taxation 

Corporation tax at standard rate of 19% (2019: 19%) 
Effects of:
Net impact of research and development enhanced expenditure 
Expenses not tax deductible 
Exercise of share options* 
Trading losses not recognised 
Deferred tax asset reversal 

Total tax (credit)/charge for the year 

*  Relief on EMI shares

2020 
£’000 

2019
£’000

(3,307) 

(2,596)

(628) 

(78) 
243 
– 
432 
– 

(31) 

(493)

(178)
355
(32)
261
110

23

Surgical Innovations Group plc Annual Report and Accounts 2020 

55

Notes to the Consolidated Financial Statements 
 
 
 
 
 
 
 
7. Taxation (continued)

Deferred taxation
The movement in the deferred taxation (liability)/asset during the year was:

Balance brought forward – (liability)/asset 
Consolidated statement of comprehensive income movement during the year 

Balance carried forward – (liability)/asset 

The deferred taxation calculated in the financial statements at 19% (2019: 17%) is set out below:

Trade losses 
Plant and Equipment 
Capitalised development expenditure 
Share options 

Deferred tax asset 

Intangibles 

Net deferred tax liability 

2020 
£’000 

(31) 
31 

– 

2020 
£’000 

(115) 
(23) 
94 
44 

– 

– 

– 

2019
£’000

(7)
(24)

(31) 

2019
£’000

(80)
15
70
(5)

–

31

31

At the balance sheet date, the Group has unused tax losses of £23.4m (2019: £21.3m) available for offset against certain 
future profits. This represents an unrecognised deferred tax asset of £4.34m (2019: £3.4m). The timing differences 
has given rise to a deferred tax liability of £115,000 (2019 DTL: £220,000) in addition a deferred tax asset relating to 
brought-forward losses has been used to offset this liability. No deferred tax asset has been recognised in respect of 
the remaining £22.8m (2019: £21.3m) due to the future taxable losses expected by the Group. The unused tax losses 
do not expire and can be carried forward indefinitely as long as trade continues.

8. Earnings per Ordinary Share

Basic earnings per Ordinary Share
The calculation of basic earnings per Ordinary Share for the year ended 31 December 2020 was based upon the loss 
attributable to Ordinary Shareholders of (£3,276,000) (2019: (£2,619,000)) and a weighted average number of Ordinary 
Shares outstanding for the year ended 31 December 2020 of 834,762,898 (2019: 789,845,629).

Diluted earnings per Ordinary Share
The calculation of diluted earnings per Ordinary Share for the year ended 31 December 2020 was based upon the loss 
attributable to Ordinary Shareholders of (£3,276,000) (2019: (£2,619,000)) and a weighted average number of Ordinary 
Shares outstanding for the year ended 31 December 2020 of 836,824,355 (2019: 891,313,476). The anti-dilutive effect 
of unexercised shares options has not been taken into account, and therefore the diluted earnings per share is equal to 
the basic earnings per share.

Adjusted earnings per Ordinary Share
The calculation of adjusted earnings per Ordinary Share for the year ended 31 December 2020 was based upon the 
adjusted (loss)/profit attributable to Ordinary Shareholders (profit before exceptional and amortisation and impairment 
costs relating to the acquisition of Elemental Healthcare, impairment of capitalised development costs and share based 
payments) of (£1,576,000) (2019: £355,000) and a weighted average number of Ordinary Shares outstanding for the year 
ended 31 December 2020 of 834,762,898 (2019: 789,845,629).

56 

Surgical Innovations Group plc Annual Report and Accounts 2020

Notes to the Consolidated Financial Statements 
 
 
 
8. Earnings per Ordinary Share (continued)

No. of shares used in calculation of earnings per Ordinary Share (’000s)

Basic earnings per share 
Dilutive effect of unexercised share options 

Diluted earnings per share 

9. Property, plant and equipment

2020 
Number 
of shares 

834,763 
2,061 

2019
Number 
of shares

789,846
101,467

836,824 

891,313

Cost
At 1 January 2019 
Initial recognition 
  as at 1 January 2019 
Additions 
Disposals 

At 1 January 2020 
Additions 
Disposals 

Accumulated depreciation
At 1 January 2019 
Charge for the year 
Disposals 

At 1 January 2020 
Charge for the year 
Disposals 

At 31 December 2020 

Net Book amount
At 31 December 2020 

At 31 December 2019 

At 1 January 2019 

Tooling 
£’000  

Plant and 
machinery 
£’000  

Office and 
computer 
equipment 
£’000  

Placed 
equipment 
£’000  

Improvements 
to leasehold 
property 
£’000  

Right-of-use 
assets 
£’000  

Total
£’000

1,613 

3,681 

1,130 

456 

– 
40 
– 

1,653 
– 
– 

1,653 

1,418 
77 
– 

1,495 
78 
– 

1,573 

80 

158 

195 

– 
95 
(9) 

3,767 
5 
– 

3,772 

3,039 
277 
(9) 

3,307 
209 
– 

3,516 

256 

460 

642 

– 
30 
– 

1,160 
22 
– 

1,182 

1,064 
46 
– 

1,110 
41 
– 

1,151 

31 

50 

66 

– 
– 
– 

456 
– 
– 

456 

456 
– 
– 

456 
– 
– 

456 

– 

– 

– 

431 

– 
34 
– 

465 
15 
– 

480 

400 
15 
– 

415 
20 
– 

435 

45 

50 

31 

– 

7,311

1,394 
50 
– 

1,444 
– 
– 

1,444 

– 
203 
– 

203 
211 
– 

414 

1,030 

1,241 

– 

1,394
249
(9)

8,945
42
–

8,987

6,377
618
(9)

6,986
559
–

7,545

1,442

1,959

934

Security
At 31 December 2020 and at 31 December 2019, the assets of the Group are subject to a floating charge debenture 
in favour of the Group’s banking facilities. At the 31 December 2020 there was no drawdown (2019: £nil) on the rolling 
credit facility agreement therefore no liability was held on this date.

Surgical Innovations Group plc Annual Report and Accounts 2020 

57

Notes to the Consolidated Financial Statements 
 
 
 
 
 
 
 
 
 
 
 
 
10. Intangible assets

Cost
At 1 January 2019 
Additions 

At 1 January 2020 
Additions 
Reclassification of investment in associate 

At 31 December 2020 

Accumulated amortisation
At 1 January 2019 
Charge for the year 
Impairment provision 

At 1 January 2020 
Charge for the year 
Impairment provision 

At 31 December 2020 

Carrying amount
At 31 December 2020 

At 31 December 2019 

At 1 January 2019 

Capitalised 
development 
costs 
£’000 

Single use 
product 
knowledge 
transfer 
£,000 

13,099 
317 

13,416 
113 
173 

13,702 

(11,826) 
(291) 
(403) 

(12,520) 
(250) 
(182) 

(12,952) 

750 

896 

225 
– 

225 
– 
– 

225 

– 
– 
(225) 

(225) 
– 
– 

(225) 

– 

– 

1,273 

225 

Exclusive 
supplier 
agreements 
£’000 

1,799 
– 

1,799 
– 
– 

1,799 

(1,286) 
(351) 
– 

(1,637) 
(162) 
– 

Goodwill 
£’000 

8,180 
– 

8,180 
– 
– 

8,180 

– 
– 
(1,625) 

(1,625) 
– 
(1,132) 

Total
£’000

23,303
317

23,620
113
173

23,906

(13,112)
(642)
(2,253)

(16,007)
(412)
(1,314)

(2,757) 

(1,799) 

(17,733)

5,423 

6,555 

8,180 

– 

162 

513 

6,173

7,613

10,191

Goodwill and intangibles are allocated to the cash generating unit (CGU) that is expected to benefit from the use of 
the asset.

Capitalised development costs
Capitalised development costs represent expenditure incurred in developing new products that fulfil the requirements 
met for capitalisation as set out in paragraph 57 of IAS38. These costs are amortised over the future commercial life of 
the product, commencing on the sale of the first commercial item, up to a maximum product life cycle of ten years, and 
taking account of expected market conditions and penetration.

Investment in associate
The reclassification of amount due from associate represents development expenses incurred in collaboration with an 
associated Company Illuminno Ltd of which Surgical Innovations Group plc holds 33% shareholding. The value of the 
investment is £33 and is not considered material to the Group. In 2020, an agreement, subject to contract, has allowed 
the costs in Illuminno Ltd to be transferred on the balance sheet as intangible product development costs. 

During the year management did a further review and given the development changes implemented and the direction of 
the portfolio it was decided that the nature of these costs provide no future economic benefit, an impairment of £0.18m 
has been recognised, Additional expenditure for the Illuminno portfolio consisting of £0.15m has been capitalised and 
continues to be a viable development project.

58 

Surgical Innovations Group plc Annual Report and Accounts 2020

Notes to the Consolidated Financial Statements 
 
 
 
 
 
 
 
 
 
10. Intangible assets (continued)

Goodwill
The Group tests goodwill at each reporting date for impairment and whenever events or changes in circumstances 
indicate that the carrying value may not be recoverable. The recoverable amount of a cash generating unit (CGU) is 
determined based on value in use calculations. These calculations use cash flow projections based on five-year financial 
budgets approved by management. Cash flows beyond the five-year period are extrapolated using estimated long-term 
growth rates.

An impairment review is carried out annually for goodwill. Goodwill arose on the acquisition of Elemental Healthcare 
Limited in 2017 and is related to both the Distribution and SI Brand segments of the Group. Elemental Healthcare Limited 
is considered to be a separate CGU of the Group whose recoverable amount has been calculated on a value in use 
basis by reference to discounted future cash flows over a five-year period plus a terminal value. Principal assumptions 
underlying this calculation are the growth rate into perpetuity of 1.5% (2019: 1.5%) and a pre-tax discount rate of 15% 
(2019: 15%) applied to anticipated cash flows. In addition, the value in use calculation assumes a gross profit margin 
of 40.6% (2019: 40.6%) using past experience of sales made and future sales that were expected at the reporting date 
based on anticipated market conditions.

The trading environment in the UK market has been significantly impacted by the pandemic throughout 2020, continuing 
into 2021. Accordingly, the Directors have adopted a cautious approach to forecasting future net inflows for this CGU.

On this basis, the recoverable amount of the cash-generating unit does not exceed its carrying value and in view of this 
excess, the Directors consider the impairment calculation to be unduly sensitive to changes to the above assumptions. 
In June 2020, a provision for impairment was recognised totalling £1.44m due to the impact of the pandemic, but upon 
improvement in trading forecasts in the second half of the year the Directors are of the opinion that a reversal of £0.31m 
is required, therefore the impact on impairment at the year end is £1.13m. (2019: £1.63m). If the pre-tax discount rate 
increased the impact on the impairment would be approximately a further £0.58m and if rate decreased the impairment 
would go down by £0.71m.

In the longer term, the Directors remain confident that: (1) Elemental Healthcare has a robust role as a key vendor to 
the NHS for a range of elective procedures; (2) gains in market share are likely as a result of the environmental and cost 
advantages of key products; and (3) a growing backlog of elective procedures will be adequately funded and carried out 
once the current challenges in the NHS have been overcome. The Directors continue to place significant value on the 
business and operations of Elemental as an integral part of the Group strategy.

11. Inventories

Raw materials and work in progress 
Finished goods 

Net inventory 

2020 
£’000 

1,062 
1,105 

2,167 

2019
£’000

1,246
1,679

2,925

Included in the analysis above are impairment provisions against inventory amounting to £1,274,000 (2019: £1,461,000), 
which represents 37.0% (2019: 33.3%) of gross inventory.

In 2020 a total of £3,519,000 of inventories was included in profit and loss as an expense within cost of sales 
(2019: £6,082,000). Cost of sales included a provision charge of £93,000 (2019: £5,000 provision charge) and 
in addition, there was £120,000 charge as a non-recurring item following the premature withdrawal of products 
approaching their end of life. An inventory write down of £400,000 previously provided for reduced the impairment 
provision held during the year.

Inventories are pledged as securities for bank facilities.

Surgical Innovations Group plc Annual Report and Accounts 2020 

59

Notes to the Consolidated Financial Statements 
 
12. Trade and other receivables

Falling due in less than one year
Trade receivables 
Prepayments 
Amount due from associate* 
Other debtors 

2020 
£’000 

963 
296 
– 
24 

1,283 

2019
£’000

1,945
330
173
84

2,532

Of the current trade receivables, £337,566 relates to the top three customers (2019: £905,014). The carrying value of 
trade receivables is considered to be a reasonable approximation of fair value.

*  Amount due from associate represents development expenses incurred in collaboration with an associated Company Illuminno Ltd of which 

Surgical Innovations Group plc holds 33% shareholding. The value of the investment is £33 and is not considered material to the Group. In 2020, 
an agreement, subject to contract, allowed all the costs incurred via Illuminno Ltd to be reimbursed to the Group and transferred on the balance 
sheet as intangible product development costs.

13. Borrowings

Bank Loan
Current liabilities 
Non-current liabilities 

Lease liabilities
Current liabilities 
Non-current liabilities 

2020 
£’000 

298 
1,879 

186 
907 

3,270 

2019
£’000

297
515

190
1,086

2,088

Bank loan
The sterling bank loan provided by Yorkshire Bank on 1 August 2017 for a five-year term was split into two loan agreements 
A and B. Loan A of £1.5m is subject to quarterly payments of £0.075m which commenced on 31 October 2017, totalling 
repayments £0.3m per annum at an interest rate of LIBOR plus 3% per annum. Loan B of £1m is interest only at a rate 
of LIBOR plus 3.5% per annum with a repayment in full by the termination date of 31 July 2022. During 2019 the Board 
elected to repay £1.0m of term loan B in advance of the due date, from available cash resources. On 31 December 2020 
the remaining balance of the term loans was £0.68m. The bank has made available a Revolving Credit Facility (RCF) of up 
to £0.5m for working capital and other purposes.

The RCF and loan agreements are subject to compliance with financial covenants which measure cash flow to debt 
service and EBITDA, interest cover and leverage. If the RCF is drawn down the rate of interest applicable to each loan for 
its interest period will be LIBOR plus 2.8% per annum and it will be secured by a floating charge over the assets of the 
Group. At 31 December 2020, no amount was drawn down (2019: £nil).

In May 2020 the Company agreed with its bankers to suspend normal capital repayments totaling £0.15m to be repaid 
at the end of the term which is now 31 May 2022, in addition the bank waived the March covenant and provided less 
restrictive covenants until July 2021. The flexibility of the existing £0.50m revolving credit facility was maintained and in 
addition, the Company has agreed a new facility of £1.50m under the Coronavirus Business Interruption Loan Scheme 
(CBILS). The CBILS arrangement is interest free until May 2021 repayable at the end of the term in May 2022, which is in 
line with the existing loan facilities.

In aggregate total borrowing at the 31 December 2020 was £2.18m (2019: £0.81m). Financial covenants will continue to 
be tested on a quarterly basis.

60 

Surgical Innovations Group plc Annual Report and Accounts 2020

Notes to the Consolidated Financial Statements 
 
 
 
 
 
13. Borrowings (continued)

Changes in liabilities arising from financing activities

At 1 January 2020 
Cash flows 
Transfer between non-current and current 
Interest accruing in the period 

At 31 December 2020 

Non-current 
loans and 
borrowings 

Current 
loans and 
borrowings 

Obligations 
under finance 
leases 

515 
1,500 
(150) 
14 

1,879 

297 
(150) 
150 
1 

298 

– 
– 
– 
– 

– 

Total

812
1,350
–
15

2,177

In respect of the borrowing facilities in place at the reporting date, the Group is required to comply with the following 
financial covenants at each quarter end in respect of the prior 12-month period:

EBITDA in respect of:

(i)  the 3 month period expiring on 30 June 2020 shall not exceed a negative amount greater than -£775,000;
(ii)  the 6 month period expiring on 30 September 2020 shall not exceed a negative amount greater than -£1,379,000;
(iii)  the 9 month period expiring on 31 December 2020 shall not exceed a negative amount greater than -£1,379,000.

14. Financial instruments

The financial assets of the Group are categorised as follows:

At amortised cost
Trade receivables 
Amount due from associate 
Cash and cash equivalents 

The financial liabilities of the Group are categorised as follows:

At amortised cost
Trade payables 
Other payables 
Deferred creditors 
Lease liabilities – current 
Lease liabilities – non-current 
Bank borrowings – current 
Bank borrowings – non-current 

2020 
£’000 

963 
– 
5,278 

6,241 

2020 
£’000 

749 
294 
242 
186 
907 
298 
1,879 

4,555 

2019
£’000

1,945
173
1,282

3,400

2019
£’000

1,026
319
–
190
1,086
297
515

3,433

Surgical Innovations Group plc Annual Report and Accounts 2020 

61

Notes to the Consolidated Financial Statements 
 
 
 
 
 
 
 
 
 
 
14. Financial instruments (continued)

Trade and other payables

Trade payables 
Corporation tax payable 
Other tax and social security 
Other payables 
Deferred creditors 

2020 
£’000 

749 
– 
164 
294 
242 

1,449 

2019
£’000

1,026
–
173
319
–

1,518

Deferred creditors within 2020 relates to tax and social security (£88,000), VAT (£70,000), Rent and Rates (£58,000), 
Administrative expenses (£26,000). All deferred creditors are payable within twelve months.

The Group and Company’s financial liabilities have contractual maturities (including interest payments where applicable) 
which are summarised below.

As at 31 December 2020 
Trade payables 
Other payables 
Deferred creditors 
Lease liabilities – Current 
Lease liabilities – Non-current 
Bank borrowings – Current 
Bank borrowings – Non-current 

As at 31 December 2019 
Trade payables 
Other payables 
Lease liabilities – Current 
Lease liabilities – Non-current 
Bank borrowings – Current 
Bank borrowings – Non-current 

Amounts 
due in less 
than 1 year 
£’000 

Amounts 
due in 
2-5 years 
£’000 

Amounts 
due in 
5-10 years 
£’000 

749 
294 
242 
235 
– 
354 
– 

1,874 

– 
– 
– 
– 
725 
– 
1,904 

2,629 

– 
– 
– 
– 
371 
– 
– 

371 

Amounts 
due in less 
than 1 year 
£’000 

Amounts 
due in 
2-5 years 
£’000 

Amounts 
due in 
5-10 years 
£’000 

1,026 
319 
250 
– 
328 
– 

1,923 

– 
– 
– 
785 
– 
546 

1,331 

– 
– 
– 
547 
– 
– 

547 

Total 
financial 
liabilities
£’000

749
294
242
235
1,096
354
1,904

4,874

Total 
financial 
liabilities
£’000

1,026
319
250
1,332
328
546

3,801

62 

Surgical Innovations Group plc Annual Report and Accounts 2020

Notes to the Consolidated Financial Statements 
 
 
 
 
 
 
 
 
 
 
 
 
14. Financial instruments (continued)

Financial risk management objectives and policies
Overview
The Group has exposure to the following risks arising from financial instruments:

•  Foreign currency sensitivity;
•  credit risk;
• 
• 

liquidity risk; and
interest rate risk.

The Group is exposed to market risk through its use of financial instruments. The Group’s risk management is 
coordinated by the Directors who focus actively on securing the Group’s short- to medium-term cash flows through 
regular review of all the operating activities of the business. Long-term financial investments are managed to generate 
lasting returns. The Group does not actively engage in the trading of financial assets for speculative purposes, nor does it 
write options. The most significant financial risks to which the Group is exposed are described in the following sections.

Foreign currency sensitivity
Exposures to currency exchange rates arise from the Group’s overseas sales and purchases, most of which are 
denominated in Euros and Dollars. To mitigate the Group’s exposure to foreign currency risk, cash flows in Euros and 
Dollars are monitored on an ongoing basis. Foreign currency denominated financial assets and liabilities are set out 
below:

Financial assets 
Financial liabilities 

Short-term exposure 

2020 
€’000 

118 
(149) 

(31) 

2019 
€’000 

249 
(146) 

103 

2020 
$’000 

263 
(504) 

(241) 

2019
$’000

825
(374)

451

The Group has exposure to the movements in the exchange rates in the Euro and Dollar at 31 December 2020. 
An analysis of the effect of a reasonable possible movement in exchange rates shows that a movement of 5% in 
the exchange rate could result in foreign currency gains or losses of £3,000 (2019: £9,000) against the Euro and 
£18,000 (2019: £34,000) against the Dollar.

The Group gives consideration to the use of forward currency contracts to reduce foreign currency exposure. No forward 
currency contracts were in place at the balance sheet date (2019: £nil).

Credit risk analysis
The Group’s exposure to credit risk is limited to the carrying amount of financial assets recognised at the balance sheet 
date, which are set out below:

Trade receivables 

2020 
£’000 

963 

963 

2019
£’000

1,945

1,945

The Group continually monitors defaults of customers and other counterparties and incorporates this information into its 
credit risk controls. In terms of customer concentration the Group does hold some credit risk as disclosed in Note 12.

The Group measure lifetime expected credit losses using the simplified approach at all times using a provision matrix. 
The provision matrix is based on the Group’s historical default rates over the expected life of the trade receivables and is 
adjusted for forward-looking estimates.

Surgical Innovations Group plc Annual Report and Accounts 2020 

63

Notes to the Consolidated Financial Statements 
 
 
 
 
14. Financial instruments (continued)

At 31 December 2020 £177,000 (2019: £25,000) of the Group’s trade receivables were past due. A credit loss provision 
of £37,000 (2019: £9,000) is held to mitigate the exposure to potential bad and doubtful debts.

The ageing of the Group’s trade receivables is as follows:

As at 31 December 2020
Not more than one month 
More than one month but not more than three months 
More than three months but not more than one year 
More than a year but not more than five years 

Total past due trade receivables 
Total receivables not yet past due 

Total gross trade receivables 
Expected credit loss 

Total net trade receivables (Note 12) 

2020 
£’000 

130 
21 
26 
– 

177 
823 

1,000 
(37) 

963 

2019
£’000

–
–
25
–

25
1,929

1,954
(9)

1,945

The Group’s management considers that all the above financial assets that are not impaired or past due for each of the 
reporting dates under review are of good quality. The ageing profile above is the profile used by management in reviewing 
the ledger however it is the expected credit loss model which is used to calculate the provision as 31 December 2020.

As 31 December 2020 the lifetime expected loss provision for trade receivables is as follows:

Expected loss rate 
Gross carrying amount £’000 
Expected credit loss provision 

More than 
30 days 
past due 

More than 
60 days 
past due 

More than 
90 days 
past due 

More than 
120 days 
past due 

2.17% 
130 
3 

0.39% 
17 
– 

(0.00)% 
4 
– 

10.08%
26 
2 

Current 

3.83% 
823 
32 

Total 
£’000

1,000
37

The Group applies the IFRS 9 simplified approach to measuring expected credit losses using a lifetime expected credit 
loss provision for trade receivables. To measure expected credit losses on a collective basis, trade receivables are 
Grouped based on similar credit risk and ageing. The expected loss rates are based on the Group’s historical credit 
losses experienced over the one year period prior to the period end. The historical loss rates are then adjusted for current 
and forward-looking information on macroeconomic factors affecting the Group’s customers. 

A reconciliation of the movement in the impairment allowance for receivables under the expected credit loss model is 
shown below.

As at 31 December 2019
Expected credit loss provision as at 31 December 2019 
Amounts released 
Amounts provided 

Expected credit loss provision as at 31 December 2020 

£’000

9
(9)
37

37

64 

Surgical Innovations Group plc Annual Report and Accounts 2020

Notes to the Consolidated Financial Statements 
 
 
 
 
 
 
 
 
 
 
 
 
14. Financial instruments (continued)

Liquidity risk analysis
The Group manages its liquidity needs by carefully monitoring all scheduled cash outflows. Liquidity needs are monitored 
in various time bands, on a day-to-day and week-to-week basis, as well as on the basis of a rolling 13-week projection. 
Longer-term needs are monitored as part of the Group’s regular rolling monthly re-forecasting process.

Funding for long-term liquidity is additionally secured by an adequate amount of committed credit both through asset 
finance facilities and loans. Further analysis of long-term borrowings is provided in Note 13.

The Group’s liabilities have contractual cash flows which are summarised below:

31 December 2020
Trade and other payables 
Bank loans 

31 December 2019
Trade and other payables 
Bank loans 

Current 
within 

within 
6 months  6-12 months 
£’000 

Current  Non-current
over
12 months
£’000

£’000 

1,226 
163 

1,389 

59 
191 

250 

–
1,904

1,904

Within 

Within 
6 months  6-12 months 
£’000 

£’000 

Over
12 months
£’000

1,268 
165 

1,433 

77 
163 

240 

–
546

546

Interest rate risk analysis
Due to the level of the Group’s borrowings no interest rate swaps or other forms of interest risk management has been 
undertaken. The Group regularly reviews its exposure to fluctuations in underlying interest rates and will take appropriate 
action if required to minimise any impact on the performance and financial position of the Group. Further analysis of 
long-term borrowings is provided in Note 13.

Maturity profile of borrowings

Gross bank loan payments not later than one year 
Later than one year but not more than five years 
Future finance charges 

Present value of bank borrowings 

2020 
£’000 

354 
1,904 
(81) 

2,177 

2019
£’000

328
546
(62)

812

Surgical Innovations Group plc Annual Report and Accounts 2020 

65

Notes to the Consolidated Financial Statements 
 
 
 
 
 
 
 
 
 
 
14. Financial instruments (continued)

Summary of financial assets and liabilities by category

Current assets
Cash at bank and in hand 
Trade receivables 
Amount due from associate 

Current liabilities
Trade and other payables: financial liabilities measured at amortised cost 
Other short-term financial liabilities measured at amortised cost 
Accruals 
Lease liability 
Borrowings measured at amortised cost 

Non-current liabilities
Borrowings measured at amortised cost 
Lease liability 

Net financial assets and liabilities 

Capital management
The Group’s capital management objectives are:

2020 
£’000 

5,278 
963 
– 

6,241 

1,285 
– 
369 
186 
298 

2,138 

1,879 
907 

2,786 

1,317 

2019
£’000

1,282
1,945
173

3,400

1,345
–
317
190
297

2,149

515
1,086

1,601

(350)

• 
• 

to ensure its ability to continue as a going concern; and
to provide an adequate return to Shareholders by pricing products and services commensurately with the level of risk.

The Group manages the capital structure and makes adjustments to it in light of changes in economic conditions and the 
risk characteristics of the underlying assets. In order to maintain or adjust the capital structure, the Group may issue new 
shares or sell assets to reduce debt. Historically, the Group has primarily been funded through cash reserves and hire 
purchase financing and accordingly no target for gearing levels has been set. Capital as monitored by the Group for the 
reporting periods under review is summarised as follows:

Bank Loan 
Obligations under lease liabilities 
Less: cash and cash equivalents 

Net (cash)/debt* 
Total equity 

Total capital 

*  Net Cash (excluding lease obligations under IFRS16) for the year was £3.10m (2019: £0.47m).

2020 
£’000 

2,177 
1,093 
(5,278) 

(2,008) 
11,090 

9,082 

2019
£’000

812
1,276
(1,282)

806
12,192

12,998

66 

Surgical Innovations Group plc Annual Report and Accounts 2020

Notes to the Consolidated Financial Statements 
 
 
 
 
 
 
15. Share capital

Authorised, allotted, called up and fully paid 
932,816,177 (2019: 795,316,177) Ordinary Shares of 1p each 

Shares in issue reconciliation

Opening number of shares in issue 
Issued in satisfaction of share options exercised 
Issued in relation to fundraising* 

Closing number of shares in issue 

2020 
£’000 

2019
£’000

9,328 

7,953 

2020 

2019

795,316,177  782,566,177
–  12,750,000

137,500,000

932,816,177  795,316,177

*  During September 2020 the Company raised equity of £2.05m (net of associated costs) to provide investment capital and additional financial 

headroom.

Share-based payments
At 31 December 2020, the following share options were outstanding:

Number of shares 

Exercise dates

Scheme and date of grant 

At 

1 January  Granted  Exercised 
in year 

in year 

2020 

Enterprise management
June 2012 
June 2012 
June 2013 
December 2015 
October 2017 
March 2019 

470,000 
200,000 
1,100,000 
2,250,000 
21,000,000 
8,050,000 

Other option awards
January 2013 
October 2017 

4,999,998 
5,000,000 

– 
– 
– 
– 
– 
– 

– 
– 

– 
– 
– 
– 
– 
– 

– 
– 

No share options were granted during the year.

At  Option 
Lapsed  31 December  price per 
2020  1p share 
in year 

Date on which 
option can 
be exercised 

Date on which 
option expires

350,000 
(120,000) 
200,000 
– 
–  1,100,000 

June 2022
June 2022
June 2023
(1,000,000)  1,250,000  1.575p  December 2018  December 2025
(2,400,000)  18,600,000  3.25p  October 2020  October 2027
(1,375,000)  6,675,000 
March 2029

June 2015 
June 2015 
June 2016 

7.2p 
9.0p 
5.1p 

March 2022 

3.5p 

–  4,999,998 
January 2023
–  5,000,000  3.25p  October 2020  October 2027

January 2018 

6.9p 

Movements in the number of share options outstanding and their related weighted average exercise price are as follows:

At 1 January 
Exercised 
Granted 
Lapsed 

At 31 December 

2020 

2019

Average 
exercise price 
pence 

3.8 
– 
– 
3.1 

3.8 

Options 
’000s 

43,070 
– 
– 
(4,895) 

38,175 

Average 
exercise price 
pence 

3.2 
1.6 
3.5 
3.3 

3.8 

Options 
’000s

55,260
(12,750)
12,050
(11,490)

43,070

The weighted average contractual life remaining on the options is 5.4 years.

Surgical Innovations Group plc Annual Report and Accounts 2020 

67

Notes to the Consolidated Financial Statements 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
15. Share capital (continued)

The weighted average fair value of options granted in prior years was determined using either the Black-Scholes valuation 
model or the Monte Carlo valuation method. The significant inputs into the Black-Scholes model were share price at 
the date of grant, exercise price as set out above, volatility of 40%, an expected option life varying between three and 
five years and an annual risk-free interest rate of 2.5%. Volatility was calculated with reference to statistical analysis of 
the historic daily share price. Share options issued in 2017 for senior management were based on performance targets 
being reached. As such the Black-Scholes method of calculation was deemed not to be appropriate to measure the 
share-based payment charge and so the Monte Carlo method was used. The significant inputs into the model were share 
price at the date of grant, exercise price as set out above, volatility of 69% and an expected life over six years. A risk free 
rate of 0.92% was used.

After taking account of leavers, the total share-based payment charge for the year was £116,000 (2019: £188,000).

16. Reserves

Share premium

Balance at 31 December 2019 
Issue of ordinary share capital 
Equity-based placing fees 

Balance as at 31 December 2020 

Share 
Premium
£’000

5,904
825
(142)

6,587

Share premium comprises the cumulative difference between the net proceeds and nominal value of the Company’s 
issued equity share capital.

Merger Reserve

Balance at 31 December 2019 
Issue of ordinary share capital 

Balance as at 31 December 2020 

Merger 
Reserve
£’000

1,250
–

1,250

Merger reserve represents the excess over the nominal value of the fair value consideration attributed to equity shares 
issued as part of an Acquisition.

Capital reserve
Capital reserve balance at the year end is £329,000 (2019: £329,000). It is derived from the accumulated capital surplus 
of the Group created out of capital profit.

68 

Surgical Innovations Group plc Annual Report and Accounts 2020

Notes to the Consolidated Financial Statements 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
17. Contingent liabilities and financial commitments

These are as follows:

(a) Leases
The adoption of IFRS 16 has impacted the following items:

Impact on the statement of financial position

Right-of-use assets and lease liabilities 
Of which are:
Current lease liabilities 
Non-current lease liabilities 
Impact on Equity 

As at 1 January 2020 

As at 31 December 2020

Assets 
£’000 

1,241 

Liabilities 
£’000 

1,276 

– 
– 
– 

190 
1,086 
(35) 

1,241 

Assets 
£’000 

1,030 

– 
– 
– 

Liabilities
£’000

1,093

186
907
(63)

1,030 

1,030

Total impact on statement of financial position 

1,241 

The liabilities were measured at the present value of the remaining lease payments, discounted at an incremental 
borrowing rate of 6%. For leases previously accounted for as operating leases with a remaining lease term of less than 
twelve months and for leases of low-value assets the Group has applied the optional exemptions to not recognise 
right-of-use assets but to account for the lease expense on a straight-line basis over the remaining lease term. The 
contractual liability of the exempt items is £6,000 (2019: £42,000).

A reconciliation of the value of right-of-use assets and lease liabilities from 1 January 2020 to 31 December 2020 is 
presented below:

Right-of-use assets

Right-of-use assets as at 1 January 2020: 
Additions 
Disposals 
Depreciation 

Right-of-use assets as at 31 December 2020 

Lease liabilities

Lease liabilities as at 1 January 2020: 
Additions 
Lease interest 
Lease payments 

Lease liabilities as at 31 December 2020 

Property 
£’000 

1,105 
– 
– 
(145) 

960 

Property 
£’000 

1,138 
– 
62 
(180) 

1,020 

Plant 
£’000 

IT equipment 
£’000 

Car leases 
£’000 

14 
– 
– 
(3) 

11 

7 
– 
– 
(3) 

4 

115 
– 
– 
(60) 

55 

Plant 
£’000 

IT equipment 
£’000 

Car leases 
£’000 

15 
– 
1 
(3) 

13 

8 
– 
– 
(4) 

4 

115 
– 
5 
(64) 

56 

Total
£’000

1,241
–
–
(211)

1,030

Total
£’000

1,276
–
68
(251)

1,093

Surgical Innovations Group plc Annual Report and Accounts 2020 

69

Notes to the Consolidated Financial Statements 
 
 
 
 
 
 
 
17. Contingent liabilities and financial commitments (continued)

Impact on Income statement

Impact on EBITDA 
Depreciation 
Finance costs 

Impact on profit before tax 

12 months to 
31 December 
2020 
£’000 

12 months to 
31 December
2019
£’000

251 
(211) 
(68) 

(28) 

245
(203)
(77)

(35)

Prior to the adoption of IFRS 16 rental payments were charged to the income statement on a straight-line basis, under 
IFRS 16 rental charges in the income statement are replaced with depreciation on the right-of-use asset and interest 
charges on the lease liability. The adoption of IFRS 16 therefore gives rise to a net cost of £28,000 in the twelve months 
to 31 December 2020 (2019: £35,000), reflecting depreciation and interest charges of £279,000 being £28,000 higher 
than the net rental charges which would have been incurred prior to the adoption of the new standard. At EBITDA level, 
the adoption of IFRS 16 gives a benefit of £251,000 being the elimination of the rental charges.

(b) Capital commitments
At 31 December 2020 the Group had capital commitments totalling £nil (2019: £7,000).

18. Transactions with related parties

The Group have identified a list of related parties and a summary of the transactions during the year, along with 
outstanding amounts at the balance sheet date is as follows:

Getz Healthcare1 
Getz Healthcare1 
Hardy Transaction Management Ltd2 

Amounts 
invoiced to/(by) 
the Group 
2020 
£’000 

Amounts 
payable/ 
(receivable) 
2020 
£’000 

Amounts 
invoiced to/(by) 
the Group 
2019 
£’000 

Amounts 
payable/ 
(receivable) 

2019
£’000

(3) 
– 
– 

– 
– 
– 

(13) 
67 
15 

(3)
–
–

Transactions with related parties during the current and prior year were as follows:

1. Getz Healthcare (Hong Kong) Ltd formally known as ACP acts as the master distributor for Surgical Innovations in the Far East. During the year Surgical 
Innovations invoiced ACP £3,000 for products and at 31 December 2020 there was an amount owing to Surgical Innovations of £nil. During 2019 an 
agreement was reached whereby the Group would invoice the end Distributor directly moving forwards, and as such commission payments were made 
to ACP for £67,000 up to end June 2019. No further commission payments are to be made. Getz Bros. & Co. Inc. is the ultimate beneficial owner of 
Getz Healthcare (Hong Kong) Ltd who is a substantial Shareholder representing 14.37% interest in the Group. The registered address is:

Getz Healthcare (Hong Kong) Ltd 
Unit 2-3, 11F, No 1 Hung To Road 
Kwun Tong 
Kowloon 
Hong Kong

2. Charges in prior year relate transactional services in relation to abortive acquisition costs, provided by Hardy Transaction Management Ltd. Hardy 

Transaction Management Ltd is owned by Non-Executive Director of the Group, Paul Hardy. The registered address is:

Hardy Transaction Management Ltd 
Suite One 
Sixth Floor 
St James House 
Vicar Lane 
Sheffield S1 2EX 
Registered in England & Wales: 04887548

There is no controlling party of Surgical Innovations Group plc.

70 

Surgical Innovations Group plc Annual Report and Accounts 2020

Notes to the Consolidated Financial Statements 
 
 
 
 
 
 
 
 
19. Pensions

The Company currently operates a defined contribution Group personal pension plan for the benefit of employees. 
Company contributions in 2020 were £73,000 (2019: £92,000). As at 31 December 2020 amounts due to the pension 
scheme were £nil (2019: £nil).

20. Dilapidation provision

Provision for Dilapidation as at the year ending 31 December 2019 
Amounts released 
Amounts provided 

Provision for Dilapidation as at 31 December 2020 

£’000

165
–
–

165

Dilapidation costs relate to the building lease held by the Group. The property lease was renewed in April 2019 and is 
held on a ten-year lease agreement with a five-year break clause.

Surgical Innovations Group plc Annual Report and Accounts 2020 

71

Notes to the Consolidated Financial Statements 
 
 
 
 
 
Company Balance Sheet
As at 31 December 2020

Assets
Non-current assets
Investments 
Right-of-use assets 

Current assets
Other receivables 
Cash at bank 

Total assets 

Equity & liabilities
Equity attributable to equity holders of the Company
Share capital 
Share premium account 
Merger reserve 
Retained earnings 

Total Equity 

Non-current liabilities
Lease liabilities 
Dilapidation provision 

Current liabilities
Trade & other payables 
Lease liabilities 

Total liabilities 

Total equity & liabilities 

Notes 

2020 
£’000 

2019 
£’000

2 
4 

3 

6 

4 
5 

5 
4 

7,566 
897 

8,463 

923 
2,166 

3,089 

8,099
1,021

9,120

1,624
46

1,670

11,552 

10,790

9,328 
6,587 
1,250 
(6,863) 

10,302 

7,953
5,904
1,250
(5,637)

9,470

839 
165 

947
165

1,004 

1,112

138 
108 

246 

1,250 

11,552 

106
102

208

1,320

10,790

The loss after tax for the Company for the year ended 31 December 2020 was £1,342,000 (2019: £3,482,000).

Under s408 the Company has chosen not to disclose the statement of profit and loss.

The financial statements on pages 72 to 77 were approved by the Board of Directors on 24 March 2021 and were signed 
on its behalf by:

David Marsh 
Director

Company registered number: 02298163

72 

Surgical Innovations Group plc Annual Report and Accounts 2020

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Company Statement of Changes in Equity
For the year ended 31 December 2020

Balance as at 1 January 2019 
Employee share-based payment options 
Issue of share capital 

Total – transactions with owners 
Loss and total comprehensive deficit for the period 

Balance as at 31 December 2019 
Employee share-based payment 
Issue of share capital 
Equity-based placing fees 

Total – transactions with owners 
Loss and total comprehensive deficit for the period 

Balance as at 31 December 2020 

Share 
capital 
£’000 

7,826 
– 
127 

127 
– 

7,953 
– 
1,375 
– 

1,375 
– 

9,328 

Share 
premium 
£’000 

5,831 
– 
73 

73 
– 

5,904 
– 
825 
(142) 

683 
– 

Merger 
Reserve 
£’000 

1,250 
– 
– 

– 
– 

1,250 
– 
– 
– 

– 
– 

Retained
earnings 
£’000 

(2,343) 
188 
– 

188 
(3,482) 

(5,637) 
116 
– 
– 

116 
(1,342) 

Total
£’000

12,564
188
200

388
(3,482)

9,470
116
2,200
(142)

2,174
(1,342)

6,587 

1,250 

(6,863) 

10,302

Surgical Innovations Group plc Annual Report and Accounts 2020 

73

 
 
 
Notes to the Company Financial Statements
As at 31 December 2020

1. Accounting policies

(a) Basis of preparation
These financial statements were prepared in accordance with Financial Reporting Standard 101 Reduced Disclosure 
Framework (“FRS 101”). The amendments to FRS 101 issued in July 2015 and effective immediately have been applied.

In preparing these financial statements, the Company applies the recognition, measurement and disclosure requirements 
of international accounting standards in conformity with the requirements of the Companies Act 2006. Amendments have 
been applied where necessary in order to comply with Companies Act 2006 and has set out below where advantage of 
the FRS 101 disclosure exemptions has been taken.

In these financial statements, the Company has applied the exemptions available under FRS 101 in respect of the 
following disclosures:

•  Comparative period reconciliations for share capital;
•  a Cash Flow Statement and related notes;
•  Disclosures in respect of transactions with wholly owned subsidiaries;
•  The effects of new but not yet effective IFRSs;
•  An additional balance sheet for the beginning of the earliest comparative period following the retrospective change in 

accounting policy

•  Disclosures in respect of the compensation of Key Management Personnel; and
•  Disclosures of transactions with a management entity that provides key management personnel services to the Company.

As the consolidated financial statements of Surgical Innovations Group plc include the equivalent disclosures, the 
Company has also taken the exemptions under FRS 101 available in respect of the following disclosures:

• 

IFRS 2 Share-Based Payments in respect of Group settled share-based payments.

The Company proposes to continue to adopt the reduced disclosure framework of FRS 101 in its next financial statements.

The accounting policies set out below have, unless otherwise stated, been applied consistently to all periods presented in 
these financial statements.

The financial statements are prepared on the historical cost basis.

(b) Investment in subsidiary undertakings
Amounts owed by Group undertakings are stated after any provision for expected credit loss in line with the three stage 
model in IFRS 9.

(c) Share-based transactions
Share-based payment arrangements in which the Company receives goods or services as consideration for its own 
equity instruments are accounted for as equity-settled share-based payment transactions, regardless of how the equity 
instruments are obtained by the Company.

The grant date fair value of share-based payments awards granted to employees is recognised as an employee expense, 
with a corresponding increase in equity, over the period in which the employees become unconditionally entitled to 
the awards. The fair value of the awards granted is measured using an option valuation model, taking into account the 
terms and conditions upon which the awards were granted. The amount recognised as an expense is adjusted to reflect 
the actual number of awards for which the related service and non-market vesting conditions are expected to be met, 
such that the amount ultimately recognised as an expense is based on the number of awards that do meet the related 
service and non-market performance conditions at the vesting date. For share-based payment awards with non-vesting 
conditions, the grant date fair value of the share-based payment is measured to reflect such conditions and there is no 
true-up for differences between expected and actual outcomes.

(d) Pension obligations
The Group provides pension benefits to its employees through contributions to defined contribution Group personal 
pension policies. The amounts charged to the Consolidated statement of comprehensive income are the contributions 
payable in the period.

74 

Surgical Innovations Group plc Annual Report and Accounts 2020

2. Investments

Investments 

Notes to the Company Financial Statements

Cost 
as at 
31 December 
2019 
£’000 

  Net book value 
as at 
31 December 
2020 
£’000

Impairment 
£’000 

Additions 
£’000 

8,099 

– 

(533) 

7,566

Additions
Increases in share-based payments charges for contributions relating to share options granted to employees in the 
relevant subsidiary, these options are held in the parent Company.

Impairment
With reference to the goodwill impairment noted the Group accounts, disclosure Note 10.

The trading subsidiaries of the Group comprise:

Company 

Description of shares held 

Nature of business 

Surgical Innovations Limited  Ordinary £1 shares 

Haemocell Limited 

Ordinary £1 shares 

Elemental Healthcare Ltd 

Ordinary £1 shares 

 Design and manufacture of 
minimally invasive devices
Design and manufacture of 
autologous blood products
Distribution of innovative 
Medical products

Country 
of incorporation 
and operation 

Great Britain 

Great Britain 

Great Britain 

Proportion held

100% 

100%

100% 

All subsidiaries are included in the consolidated financial statements of the Group. The registered address for all the 
above Subsidiaries are held at Clayton Wood House, 6 Clayton Wood Bank, Leeds, LS16 6QZ.

3. Receivables

Prepayments and accrued income 
Other debtors 
Amounts due from subsidiary undertakings 

All amounts receivable are within one year.

2020 
£’000 

39 
4 
880 

923 

2019
£’000

31
1
1,592

1,624

Amounts due from subsidiary undertakings are unsecured, interest free and repayable on demand. Expected credit loss 
provision at 31 December 2020 was £nil (2019: £nil).

Surgical Innovations Group plc Annual Report and Accounts 2020 

75

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the Company Financial Statements

4. Leases

The adoption of IFRS 16 for the property lease has impacted the following items:

Impact on the statement of financial position

As at 1 January 2020 

As at 31 December 2020

Right-of-use assets and lease liabilities 
Of which are:
Current lease liabilities 
Non-current lease liabilities 
Impact on Equity 

Assets 
£’000 

1,021 

Liabilities 
£’000 

1,049 

– 
– 
– 

102 
947 
(28) 

Assets 
£’000 

897 

– 
– 
– 

Total impact on statement of financial position 

1,021 

1,021 

897 

Liabilities
£’000

947

108
839
(50)

897

A reconciliation of the value of right-of-use assets and lease liabilities from 1 January 2020 to 31 December 2020 for 
a property lease is presented below:

Right-of-use assets and lease liabilities as at 1 January 2020: 
Additions 
Disposals 
Depreciation 
Lease interest 
Lease payments 

Right-of-use assets and lease liabilities as at 31 December 2020 

5. Current liabilities

Accruals and deferred income 
Trade payables 
Deferred creditors 
Other creditors 

Deferred creditors during the year relates to VAT.

Non-current liabilities
Dilapidation provision 

Right-of-use 
assets 
£’000 

1,021 
– 
– 
(124) 
– 
– 

897 

2020 
£’000 

88 
16 
4 
30 

138 

165 

165 

Lease 
liabilities
£’000

1,049
–
–
–
57
(159)

947

2019
£’000

76
–
–
30

106

165

165

Dilapidation costs relate to the building lease held by the Group. The property lease was renewed in April 2019 and is 
held on a ten-year lease agreement with a five-year break clause.

76 

Surgical Innovations Group plc Annual Report and Accounts 2020

 
 
 
 
 
 
 
 
 
 
 
6. Share capital

Allotted, called up and fully paid: 
932,816,177 Ordinary Shares of 1p each (2019: 795,316,177) 

Notes to the Company Financial Statements

2020 
£’000 

2019
£’000

9,328 

7,953

During September 2020 the Company raised equity of £2.05m (net of associated costs) to provide investment capital and 
additional financial headroom.

7. Employees and Directors’ emoluments

The average monthly number of employees (including Executive Directors) employed by the Group during the year was as 
follows:

Directors 

The costs incurred in respect of these employees were:

Wages and salaries 
Social security costs 
Pension costs 

2020 
Number 

2 

2019
Number

3

2020 
£’000 

329 
39 
– 

368 

2019
£’000

422
57
16

495

The Board implemented short-term salary reductions resulting in a reduction in operating costs of approximately £43,000 
(2019: £nil).

8. Transactions with related parties

The Group have identified a list of related parties and a summary of the transactions during the year, along with 
outstanding amounts at the balance sheet date is as follows:

Hardy Transaction Management Ltd1 

– 

– 

15 

Amounts 
invoiced to/(by) 
the Group 
2020 
£’000 

Amounts 
payable/ 
(receivable) 
2020 
£’000 

Amounts 
invoiced to/(by) 
the Group 
2019 
£’000 

Amounts 
payable/ 
(receivable) 

2019
£’000

–

Transactions with related parties during the current and prior year were as follows:

1.  Charges in prior year relate to transactional services in relation to abortive acquisition costs, provided by Hardy Transaction Management Ltd. Hardy 

Transaction Management Ltd is owned by Non-Executive Director of the Group, Paul Hardy. The registered address is:

Hardy Transaction Management Ltd 
Suite One 
Sixth Floor 
St James House 
Vicar Lane 
Sheffield S1 2EX 
Registered in England & Wales: 04887548

In these financial statements, the Company has applied the exemption available under FRS 101 in respect of the following 
disclosures.

•  Disclosures in respect of transactions with wholly owned subsidiaries.

Surgical Innovations Group plc Annual Report and Accounts 2020 

77

 
 
 
 
 
 
 
 
 
 
 
 
Advisors

Company Secretary and registered office
Charmaine Day
Clayton Wood House 
6 Clayton Wood Bank 
Leeds 
LS16 6QZ

Registered number
02298163

Nominated adviser
N+1 Singer
1 Batholomew Lane 
London 
EC2N 2AX

Solicitors
CMS Cameron McKenna Nabarro Olswang LLP
1 South Quay 
Victoria Quays 
Sheffield 
S2 5SY

Auditor
Saffery Champness LLP
Mitre House 
North Park Road 
Harrogate 
HG1 5RX

Registrars
Neville Registrars Limited
Neville House 
Steelpark Road 
Halesowen 
B62 8HD

Bankers
Yorkshire Bank
1st Floor 
94-96 Briggate 
Leeds 
LS1 6NP

78 

Surgical Innovations Group plc Annual Report and Accounts 2020

Surgical Innovations Group plc
Clayton Wood House 
6 Clayton Wood Bank 
Leeds 
LS16 6QZ

T. +44 (0) 113 230 7597 
F. +44 (0) 113 230 7598 
W. www.sigroupplc.com

Reg No. England 02298163

For investor relations enquiries please email: 
si@surginno.co.uk

For sales enquiries please email: 
sales@surginno.co.uk

For general enquiries please email: 
si@surginno.co.uk