Royal College of Surgeons of England

Analysis

Royal College of Surgeons of England is a registered charity in England and Wales, based in London. It was registered in March 1963, 63 years ago. Its declared purposes cover education/training and the advancement of health or saving of lives, which this site groups under health and saving lives. It says it makes grants to individuals, makes grants to organisations and provides buildings/facilities/open space.

In the financial year ending June 2025, Royal College of Surgeons of England reported income of £43.7m and spending of £43.8m, spending 100% of its income. Across the 5 years on record, from June 2021 to June 2025, income grew from £26.9m to £43.7m (+62%), an average of +13% a year. The sharpest change came in the year to June 2025, when income rose by 24%. Over the whole period it spent 107% of the income it received.

Among 24,651 England and Wales charities whose main cause is health and saving lives and that reported income, Royal College of Surgeons of England sits at the 100th percentile: it is one of the largest 1% in its cause. Against every charity in England and Wales with reported income it ranks in the 100th percentile. Charities of a similar size with the same main cause include Nazareth Care Charitable Trust (£43.3m), The British Diabetic Association (£43.8m) and Relief International UK (£43.3m).

In its latest detailed accounts, income came from charitable activities 76%, donations and legacies 18%, trading 3.4% and investments 3.4%. Gifts in wills alone brought in £4.9m. Charitable activities took 84% of spending and raising funds 2.1%. Reserves of £23.2m would cover about 6 months of spending at that rate. It employed 291 people.

Data notes from the register: Spending has exceeded income in each of the last three reported years, so the charity has been drawing on reserves or other funds.