Category Archives: CIC

The virus and the breech


Update (2 April 2020): Well, this is going to go on for a lot longer than anyone expected, isn’t it? So we’re doing our best to issue refunds to those who booked for study days this summer. We have been able to refund those who paid by PayPal, because we had a positive balance in that account. We are awaiting £3500 in payment from Trusts for study days we’ve already provided, and when that comes in, we will be able to refund the remaining bookings and still pay our overheads, such as internet services, insurance and accountants’ fees.

So thank you for your patience. We hope to refund everything as soon as we can. As a not-for-profit company, we haven’t maintained a significant balance in our accounts, instead re-investing in printing manuals, replacing training aids, supporting clinical skills trainers to gain experience, etc. But maybe we need to re-consider our forward planning to include potential pandemics!

We would like to share with you our strategy for dealing with the uncertainties caused by the COVID-19 pandemic.

We have recently had a study day cancelled days before the event. This was understandable given the rapidly changing situation for NHS Trusts. We arranged refunds, including offering travel refunds to the clinical skills educators who were helping to deliver the day and developing their own skills. But we crunched the numbers and realised that we will be bankrupt if we do this again! Therefore, we have developed the following policy:

For NHS Trusts or other organisers who cancel events, we will re-arrange a suitable date when it is safe to deliver the training. We cannot return any payments that have already been made. We encourage Trusts to follow the local and national guidance on cancelling social events and meetings.

Similarly, if events are cancelled or individuals are not able to attend due to cancellation or personal reasons, we will you enable to attend another training at another date of your choice in the future. But we cannot return payments that you have made for training.

Thank you for understanding this decision, given the uncertain situation at the moment. We are essentially a two-woman operation, with additional help on the occasional study day.

Wishing you and your loved ones safety,

Shawn & Emma


Annual Report of Accounts: 2018

community interest companies logoIn December 2017, Breech Birth Network was incorporated as a Community Interest Company. This means the company is a not-for-profit, constituted to benefit the community and is asset-locked. Profits are channelled back into the activities in the community interest. The Intellectual Property, such as teaching presentations and videos created from those donated by women and practitioners, belongs to the CIC, and if the company dissolves must be donated to one of two designated charities.

This month, Breech Birth Network, Community Interest Company, submitted its first accounts to Companies House, via our accountant. In the interests of transparency, we are sharing our accounting reports here, along with the description of CIC activities we have provided to Companies House. Thank you to those who have paid to attend our study days during this period. As you can see, sharing these skills and information requires substantial funding. You enable us to do what we do.

Trading and Profit and Loss Account for the Period 1 December 2017 to 31 December 2018

Shawn Walker was the only named Director of the CIC during this period. Emma Spillane was appointed a Director in May 2019.

Sales £19,361

Cost of sales £8,115

Purchases £2,252 — This includes purchases of teaching equipment and printing of training manuals.

Sub contractors £1,563 — This includes fees paid to collaborators, such as consultant obstetricians who teach on our study days, and illustrators.

Teaching fees £4,300 — This includes a set daily rate paid to Shawn Walker and Emma Spillane for each complete day of teaching. A total of 35 complete days and many more shorter conference presentations were delivered by Shawn and Emma during this accounting period.


Expenditure (£9,528)

Insurance £373 — We are required to have insurance to meet NMC requirements while teaching in a professional capacity.

Conference costs £99

Post and stationery £25

Travelling £5,870 — This includes expenses related to travel for Shawn, Emma, collaborators and clinical skills trainers who are developing their skills to disseminate training locally.

Repairs and maintenance £149

Training £363

Research £303 — This includes fees paid to Research Assistants to help with the before-and-after study of the Physiological Breech Birth Training Package.

Computer costs £894 — This includes IT fees related to maintaining the Vimeo site where our teaching resource videos are shared, this blog and other software required to create the resources we use.

Sundry expenses £62

Accountancy £493 — We felt this needed to be done properly now that the company is registered as a CIC, to ensure we are not in breach of any legal standards. We are midwives, not accountants.

Depreciation of tangible fixed assets

Plant and machinery £92

Computer equipment £386 — Shawn and Emma both carry an encrypted laptop to transport the sensitive birth videos we use to teach. Our presentations are too large to transport on a data stick because of the number of images and videos.

Entertainment £419 — When we meet in the evening for a planning meeting or after a training day with guests.


Finance costs

Bank charges £852




In the space provided below, please insert a general account of the company’s activities in the financial year to which the report relates, including a description of how they have benefited the community. 

Breech Birth Network, Community Interest Company, was incorporated as a CIC on 1 December 2017. During the period from 1/12/17 to 31/12/18, Breech Birth Network provided 35 days of physiological breech birth training, within the UK and other parts of Europe. This enabled the training to reach approximately 1500 health care professionals. We provided printed training manuals and an on-line video database containing breech birth videos and recorded training presentations, made available for on-going revision to each of these health care professionals. We reimbursed travel expenses for 19 different clinical skills trainers, to enable them to gain confidence teaching alongside the Director, Shawn Walker, and Training Co-ordinator, Emma Spillane, in order to disseminate the training in their local settings. We donated two doll and pelvis models to the Fernandez Institute in Hyderabad, India, to support their efforts to develop a breech birth service. We funded a before-and-after evaluation of the breech training package, which is currently being analysed, and other small research-related expenses. And we provided free advice and support to women seeking support for a vaginal breech birth and health services seeking to provide better support, including reflective supervision of other health care professionals attending vaginal breech births.


Please indicate who the company’s stakeholders are; how the stakeholders have been consulted and what action, if any, has the company taken in response to feedback from its consultations? If there has been no consultation, this should be made clear.

Our stakeholders include service user advocates, such as women who have experienced a breech pregnancy, and health care professionals who may attend vaginal breech births. Health care professionals complete a feedback form following each training day, and results are incorporated into on-going iterations of the training package. The Director, Shawn Walker, and the Training Co-ordinator, Emma Spillane, have both undertaken PPI (Patient and Public Involvement) activities concerning their breech-related research projects.


The accounts indicate that £4300 was paid in teaching fees for the provision of 35 days of teaching. The Director, Shawn Walker, was paid £3200 of this amount, in addition to travel expenses. There were no other transactions or arrangements in connection with the remunerations of directors, or compensation for director’s loss of office, which require to be disclosed.


No transfer of assets other than for full consideration has been made.