2023-03-31-accounts

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THE NAZ PROJECT (LONDON) (A COMPANY LIMITED BY GUARANTEE) TRUSTEES' REPORT

FOR THE YEAR ENDED 31 MARCH 2023

The Trustees p�� statements for the year ended 31 March 2023.

The financial statements have been prepared in accordance with the accounting policies set out in Note 1, to the �� 2006, and Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of ��, (effective 1 January 2019).

Objectives and Activities

The charity was incorporated on 9 August 1996 and is governed by its Memorandum and Articles of Association, which were amended by special resolution on 15 October 2002.

Nazir was a Pakistani Muslim, married with two children. He was also a closeted gay man who was living with HIV. When his status became public, he was rejected by his mosque, ostracised by his community and found no social support that understood that he had more than one identity.

NAZ was set up in his memory and is one of the largest sexual health charities in London initiated and led by ethnic minorities. It is also one of the longest established charities of this type and focuses predominantly on sexual health improvement and HIV support services for Black, Asian and Minority Ethnic (BAME) communities.

The work of the organisation is delivered through four key work streams:

HIV care and support services, for people living with and affected by HIV
Sexual Health Promotion including targeted support for BAME LGBTQ+ communities, faith communities and those at risk of acquiring HIV, STIs and experiencing poor sexual health
Clinical Services: HIV and STI testing and screening, as well as counselling services
Research, influencing and policy development

The NAZ board, staff and volunteers are recruited from the communities we seek to impact, and support is available in multiple languages. Today, NAZ offers the most relevant range of sexual health services and programmes, specifically for people from BAME communities.

Public Benefit

The trustees confirm they have complied with the duty in Section 17 of the Charities Act 2011, to have due regard to the Charity �� and mission statement. The trustees ensure this is carried out for the public benefit by delivering a range of activities to meet its intent.

Reserves Policy

The trustees have agreed a reserves policy whereby the free reserves (unrestricted funds held in net current assets, excluding funds held in tangible fixed assets) held by the charity should be equivalent to the value of approximately 3 months of non-discretionary resources expended (£200,000).

As at 31 March 2023, free reserves, as defined above, amount to £317,847 (2022: £151,466). This is an increase of £166,381. The increase in free reserves makes a start to meet ��

THE NAZ PROJECT (LONDON) (A COMPANY LIMITED BY GUARANTEE) TRUSTEES' REPORT

FOR THE YEAR ENDED 31 MARCH 2023

the free reserves figure within 3 to 5 years but there is still more to do and which will get the charities more stable to operate.

The charity saw a surplus in the 2022/2023 financial year of £120,680. Charity managed to secure grants and funds from the funders as previous year and kept linear relationship with funders and donors.

Furthermore charity received more funds from our NHS contracts compared to previous year.

Reduction in staff expenditure was achieved through small changes in organisation restructure and cost savings following a thorough budget review in the previous year to scrutinise and eliminate unnecessary.

A significant proportion of current costs is funded by restricted income, from a variety of funders, and is therefore predictable and managed. Should the level of funding decrease significantly then associated costs would also decrease and free reserves would enable current activities to continue in the short term.

The charity continues its focus on balancing the current needs of delivering critical prevention and support services, meeting the needs of its beneficiaries, whilst increasing its free reserves to the level determined by its policy.

Recruitment, induction and training of trustees

The governing body of the charity is the board of trustees which is comprised of four members.

Trustees are appointed by an open recruitment process. Potential trustees can be recruited through recommendation, referral from a recruiting organisation or as a result of advertisement. Potential trustees will, in the first instance, be met by the CEO and or Chair and be given an overview of the organisation from an operational perspective.

Potential new trustees will be given written background information about the organisation and will be invited to meet with representatives of the board. The subsequent meeting with members of the board will ascertain their skills, background and professional experience of working within a governance role. Following this meeting and upon receipt of references, recommendations will be made to the board of trustees and, if there is agreement, the new candidate will be invited to attend the subsequent board meeting.

The Company Secretary will then notify Companies House of the appointment. Trustees are appointed for a period of four years and can serve for a maximum of eight years. Each of the trustees is also a member of the company and guarantees to contribute up to £1 to the assets of the company in the event of a winding up.

The Trustees delegate the day-to-day management duties of the organisation to the CEO and Senior Management Team.

THE NAZ PROJECT (LONDON) (A COMPANY LIMITED BY GUARANTEE) TRUSTEES' REPORT

FOR THE YEAR ENDED 31 MARCH 2023

Risk Factors

Area	Issue	Mitigation
Financial	- Insufficient funds raised to meet costs - Loss of contract due to the com- missioning environment - Loss of contract due to poor per- formance - Impact of external factors such as Covid-19	- A significant proportion of current costs is funded by restricted in- come, from a variety of funders, and is therefore predictable and managed - Expansion of new funders and partnerships within the funding mix continues - Programmes matrix updated once a month, any failing programmes identified with mitigations inplace
Programmes	- Failure to complete objectives - Failure to recruit appropriate staff to deliver against contract	- Management and staff clear on each project objective, regular check ins with key funders and con- tractors onprogress ofprogrammes
Clinical	- Staff and volunteers performing point of care testing, not competent	- Staff and volunteers trained once a year, monthly supervision for thoseprovidingHIV/STI testing
HR	- Adequate succession plans in place - Appraisals and staff training	- Strong SMT, clear existing plans in place for the senior and specialist roles - Yearly appraisals and staff training and personal development oppor- tunities available - Exit interviews

Board of Trustees

The trustees who served during the year and up to the date of approval of the financial statements are:

Uday Thakkar Chair	Harry Clementson Treasurer (Resigned 20 March 2023)	Tina St Leger
Professor Mark Nelson	Sanjay Nazerali

Subsequent to the year end, Uday Thakkar resigned on 27 June 2023, and Adriana Wong and Tai Rosemin were appointed on 1st June 2023 and 11 November 2023 respectively.

NAZ Medical Board

Dr Hamish Mohammed (Chair)	Dr Danielle Solomon
Dr Vanessa Apea	Dr Rageshri Dhariywan	Dr Jaimie Vera

THE NAZ PROJECT (LONDON) (A COMPANY LIMITED BY GUARANTEE) TRUSTEES' REPORT

FOR THE YEAR ENDED 31 MARCH 2023

Senior Management Team

Parminder Sekhon Chief Executive	Mohammed Jaseem Finance Manager	Sanjay Kumar Head of Counselling
Kim Hawkins Research and PolicyOfficer	Vanessa Apea Medical Director

The Trustees wish to thank all the staff and volunteers who have played a part in the successful delivery of services during the course of the year.

Staff	Volunteers
18	33

NAZ Organisational Chart

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THE NAZ PROJECT (LONDON) (A COMPANY LIMITED BY GUARANTEE) TRUSTEES' REPORT

FOR THE YEAR ENDED 31 MARCH 2023

Pay and Remuneration

NAZ is committed to the principle of equal pay for all genders�� but also other benefits such as promotion and training opportunities and access to facilities provided within the employment package from time to time. NAZ is committed to introducing and maintaining pay systems which are free from sexual bias.

People employed by us are entitled to equal pay if they are undertaking work which is substantially similar or is of equal value to the organisation, unless there are specific and clear reasons unconnected with their gender which explain and justify a differential in pay. In some cases, individuals carrying out similar work may receive different salaries because of seniority, qualifications and other such factors.

Pay scales are in line with national averages for the activities nominated. Any increase to pay will be subject to a board motion, and agreement with the Finance Manager, Line Manager and CEO. Any increase will take effect from 1 July following the review. Pay will not be reviewed whilst employees are in their probationary period.

Funders

The trustees, staff and clients of NAZ would like to take this opportunity to thank all the funders from 2022/23. Without their invaluable support, it would not have been possible to operate.

Funders	Area
- Local Authorities (Hammersmith and Fulham, Kensington and Chelsea, Westminster and Hounslow Boroughs) - Gilead - Elton John AIDS Foundation - Fast Track Cities -London Borough of Hounslow - ViiV Healthcare	Sexual Health Promotion
- National Lottery Community Fund - Gilead	Operations
- National LotteryCommunityFund	Clinical Services
- Gilead - MSD	Policy, Research and Influencing

Summary of Results

The net incoming resources for the year amounted to £863,372. Restricted reserves carried forward amounted to £142,778. Unrestricted reserves to be carried forward amounted to £317,847.

Naz is a sexual health charity whose services are dedicated to people experiencing better sexual health. We do this because there is a significant gap in the sexual health outcomes of Global Majority communities, compared to the general population. Everything Naz does works to reverse this trend. In addition to a programme of project work aimed at improving sexual health equality, Naz addresses these inequalities through influencing policy and practice. We seek to promote the needs of Global Majority communities and bring the latter to the attention of government, health providers and other third sector organisations with the aim of sharing best practice and ensuring appropriate service provision.

THE NAZ PROJECT (LONDON) (A COMPANY LIMITED BY GUARANTEE) TRUSTEES' REPORT

FOR THE YEAR ENDED 31 MARCH 2023

22-23 Operations Overview

Operations in 2022-23 saw Naz consolidate its mission to support Global Majority Populations at elevated risk of HIV poor sexual health outcomes to achieve better physical & mental health both regionally and globally. Developing interventions to reduce health disparities in both prevention and treatment remained our top priority. We continued to develop and deliver community centered approaches to ensure better engagement and sustainability by centering the communities we seek to serve. We recognize that typically healthcare only accounts for 10% of overall population healthcare and wellbeing outcomes and other wider determinants of good health include socio economic factors such as good housing, secure and good employment, legal status and strong community and family relationships. The legacies of Covid, combined with structural discrimination and racism means these when these protective factors are absent, people of colour are at increased risk of poor outcomes and have been systematically shown to be shouldering the largest burden of that inequality.

The UKHSA�� HIV testing, PrEP, new HIV diagnoses, and care outcomes for people accessing HIV services: 2022 report� shows that new HIV diagnoses fell slightly from 2,961 in 2020 to 2,955 in 2021 but rose by 1% (2,673 to 2,692) in England. Of the 2,023 new diagnoses first made in England, people of Black African ethnicity constituted 19% (382). Among people exposed by heterosexual contact first diagnosed in England, people of Black African ethnicity were the highest proportion (37%, 294 out of 798), followed by White ethnicity at 32% (252 out of 798).

The proportion diagnosed late was highest among people of Black African ethnicity, 56% in 2021 (174 out of 312), comparing to people of White ethnicity at 45% (331 out of 739). The risks associated with late diagnosis have increased - those first diagnosed late in the UK in 2020 were 11 times more likely to die within a year of diagnosis, compared to those who were diagnosed promptly; in 2019 those diagnosed late were 6 times more likely to die within a year of diagnosis, compared to those diagnosed promptly. This may reflect the direct impact of Covid-19 infection, as well as its indirect impact through disruption to healthcare services. Treatment coverage in populations accessing HIV care also varies, and the proportion of those who were not receiving treatment despite having been diagnosed was one and a half times higher in those of ��ther or Mixed� ethnicity when compared to White ethnic groups. The proportions of those populations who were not virally suppressed despite being on treatment are highest among people of Black, Other and Mixed ethnicities compared to white ethnicities, and nearly twice as high ��

In 2022-23 our local service offer has largely transitioned back to face-to-face delivery engaging beneficiaries and stakeholders. Naz celebrated three significant points during the course of the year. Ther Joyful Noise Choir of people living with HIV celebrated its 10[th] birthday and was invited to perform on �� Got Talent for Series 16 in front of a huge London Palladium audience, securing a standing ovation and 4 �� votes raising much need visibility of HIV. The choir also performed for the top 200 Global leaders at ViiV Healthcare. Secondly, in July 2022 Naz in partnership with IAPAC launched the soft announcement of Zero HIV Stigma Day in memory of Prudence Mabele and began the 365-day count down with the launch of a new dedicated website. Thirdly, Naz successfully secured 3-year funding from National Lottery to support the leadership structure at the Charity.

We continued to provide peer work to reduce isolation; and 1-to-1 casework support to service users to help those most in need. Our partnership with University College London/ Central North West London Trust to provide clinical outreach support to help the Covid-19 and blood-borne virus vaccination effort continued with asylum seeker populations in hotel accommodation across London. The service is delivered in 6 community languages across 4-5 days a week all year. This project was further expanded to include referrals received from Accident and Emergency and chaperoning to patients to clinic for treatment and care as part of the opt-out testing across London A&E departments. Patients who are �Lost To Follow Up� cost the healthcare system at every stage: HIV clinics lose time on missed appointments, untreated HIV leads to expensive inpatient admissions and there are lifetime care costs for

THE NAZ PROJECT (LONDON) (A COMPANY LIMITED BY GUARANTEE) TRUSTEES' REPORT

FOR THE YEAR ENDED 31 MARCH 2023

new cases of HIV as a result of onward transmissions. One year of inpatient hospital admissions for HIV-related illnesses amounts to £408,135 compared to £220,000 for an average lifetime care cost for every new case of HIV.

Working at the intersections of HIV and ethnicity, sexual orientation and gender, Naz continues to centre the need for good mental health at the heart of all the interventions we deliver. With Black people four times as likely to be sectioned under the Mental Health Act as White people our counselling service has seen a growth in referrals and our team of therapists have expanded to respond to the mental health epidemic. Multiyear funding awarded in 2022 from National Lottery Community Fund enabled Naz to focus on developing its leadership structure to strengthen our delivery model and renewed funding from Gilead to focus on our local and international policy offer has enabled Naz to deliver globally.

NAZ, in partnership with Positively UK, 4M and Sophia Forum, were proud recipients of a 6-month grant from Gilead to deliver further creative writing interventions to explore the intersection of HIV and Menopause. The Bearded & Flushed partnership delivered exemplary outputs that have been showcased in the Bearded and Flushed website.

We also continued with our monthly No More Silence peer support groups for Black gay and bisexual men, and other men who have sex with men, and delivered face-to-face delivery.

Key highlights during the year include:

Joyful Noise Choir of people living with HIV performed publicly on 5 occasions in 2022-23: at Toynbee Hall 27th April, Royal College of Physicians for 25th November BHIVA WAD, 2nd December Southwark Cathedral World AIDS Day, �� Got Talent at London Palladium on 25th January 2023,Viiv Health Care 8th February 2023
Naz in partnership with the International Association of AIDS Providers of Care announced on July 21st 2022 the 365 day count down to Zero HIV Stigma Day 2023 � a global day of solidarity to reduce HIV stigma.
Naz staff and volunteers attended the �Fight HIV Stigma� March through London on March 18th organised by the HIV providers Forum of which Naz is a member.
�Speaking Positively� Podcast launched for Spanish and Portuguese speaking communities living with HIV, addressing issues of self-stigma as a tool for education and information.
Naz supported over 1,700 asylum seekers receive Covid vaccinations and Blood-borne Virus support in Arabic, French, Spanish, Kurdish and Farsi.
Supported 85 people living with or impacted by HIV with casework and advocacy, securing hardship grants, access to emergency support, legal advice, completing welfare benefit forms and support with appeals.
Bearded and Flushed partnership led by Naz supported 24 women ageing with HIV to discover their creative voice over a series of writing workshops. This culminated in a live performance at the Cinema Museum in October 22 to an audience of over 100 people.
Our pan-London psychotherapeutic counselling service has provided culturally specific mental health and wellbeing support to 162 clients, accessing between 8-12 sessions of counselling each.
Collaborated with Prepster to deliver MPox Vaccine clinics for South Asian and Latin American communities.
� Secured a new contracts with our partners Metro Charity to deliver Mental Health & Wellbeing programmes across London boroughs of Hammersmith and Fulham and an one year extension in Hounslow.
Creation of the Faithworks short film in partnership with AAF and JAT as part of the fast Track Cities Initiative featuring 4 people living with HIV talking about their relationship with faith and HIV.
SASH programme across London borough of Westminster and Royal Borough of Kensington and Chelsea is renewed for a further 3 years from 2022-2025. This is a programme we have successfully delivered on as part of a partnership since 2017.
Global HIV Collaborative launched with 17 leaders and activists from across the world; meetings with the leadership of pivotal global institutions to hold them to account around Black �� sexual health, including UNAIDS, The World Health Organisation and the Robert Carr Fund.

THE NAZ PROJECT (LONDON) (A COMPANY LIMITED BY GUARANTEE) TRUSTEES' REPORT

FOR THE YEAR ENDED 31 MARCH 2023

NAZ saw changes to the workforce in 22-23 with the departures of several members of staff for a range of personal and professional reasons. We also saw several new staff join the organisation.

We said goodbye to many of our staff and a trustee in 2022-23:

Harry Clementson, Treasurer, Trustee
Mohamed Essoussi, Community Engagement Coordinator
Ali Jameel, SASH Sexual Health Care Coordinator
Khaiser Khan, Faithworks Worker
Sammy Assayed, SASH BAME Sexual Health Engagement Officer
Shinette Brown, SASH Health and wellbeing Coach
Kandace Smith, Brook Womens Outreach Worker
Hareya Gebreyohanes UCL peer Engagement Worker
Jesus Moran, Sessional UCL Peer Engagement Worker
Jose Javier Heurta Raga Sessional UCL Peer Engagement Worker
Jesus Moran, Sessional UCL Peer Engagement Worker
Luwam Tesfay, Sessional UCL Peer Engagement Worker
Shewit Tesfay, Sessional UCL Peer Engagement worker

We are pleased to welcome the following staff who have joined NAZ this year:

Dhwani Jaisingh, SASH Sexual Health Care Co-ordinator
Sanjay Kumar, Counselling Manager
Belinda Rumara, SASH Health and Wellbeing Coach
Yasmin Hei Wing Davies � SASH Women�s Worker
Mustapha Kamal Hacine Bacha � Sessional UCL Outreach Enagagement Worker.

Key Deliverables: Our Footprint in 2022-23

Number of people supported living with HIV	244
Counselling support	162
1-to-1 advocacy and support	85
Support group sessions run	58
Refugees and asylum seekers supported for Covid-19 vaccinations	1,700
Number of people reached through in-person outreach	680
Volunteering opportunities	33

We continue to see clients from across all 33 London boroughs and have a steady inflow of clients from outside of London.

THE NAZ PROJECT (LONDON) (A COMPANY LIMITED BY GUARANTEE) TRUSTEES' REPORT

FOR THE YEAR ENDED 31 MARCH 2023

1. Cost of Living Crisis

Global Majority households have been among those hardest-hit by the cost of living crisis, with both global majority and vulnerable communities being hit disproportionately. These are the very same communities that were unequally hit by the effects of Covid-19. In May 2022, the New Economics Foundation published an analysis warning that Global Majority households in the UK will experience an average cost of living increase 1.6x higher than white communities. Food Foundation has stated that Global Majority families are already twice as likely to be suffering from food insecurity, with 1 in 5 households currently food insecure compared to 1 in 10 white households.

All of this has increased demand on our services, with our clients continuing to have a greatly increased need for support in 2021 and 2022, with issues including access to benefits and welfare and employment issues.

Naz activities include advocacy and casework, enabling clients to access hardship grants, appeal adverse benefits decisions, preventing homelessness and connecting clients to food banks and other sources of support
Our counselling service continues to provide a much-needed space for clients to come to terms with the uncertainty and anxiety caused by this crisis

2. Covid-19

Covid-19 and its long-term effects such as bereavement, trauma and financial difficulties continue to disproportionately impact Global Majority communities. After the cycle of lockdowns ended, Naz continued its programmes providing support to those communities most impacted.

The disruption to our Face-to-Face work has eased; Naz now operates a hybrid model with advocacy, casework and counselling delivery available online and over the phone, with the option of face-to-face contact if clients wish
This move to a hybrid model, with significant health promotion activities conducted through social media, continues to present new opportunities and challenges to our sexual health work

3. Sexual Health Promotion

SASH Partnership

SASH offers sexual health services to people aged 14+ who live in three London boroughs: Westminster, Hammersmith & Fulham, and Kensington & Chelsea, under a community-focussed model. SASH is a partnership led by Turning Point, alongside NAZ, London Friend and METRO Charity.

�� contribution includes two Global Majority sexual health engagement coordinators, a health and well-being coach, a counsellor, a care coordinator and peer mentor lead for Global Majority women.

Highlights

Naz continued to support clients in the three boroughs with 1-to-1 casework, advocacy and referral, group work and counselling, workshops and events
Online and in-person workshops included a Global Majority HIV drop-in on the first Wednesday of every month
I��, the theme was on Equity with over 30 women attending

THE NAZ PROJECT (LONDON) (A COMPANY LIMITED BY GUARANTEE) TRUSTEES' REPORT

FOR THE YEAR ENDED 31 MARCH 2023

Delivery of counselling sessions in Portuguese and English, face to face and online
- �� difficult time I have had over the last few months. Talking to [them] on a weekly basis has allowed me to openly discuss all the issues which I have been having in terms of chem sex, sexual health, ��
The 10 peer mentors� activities included leading and supporting the delivery of the Sisterhood Group for Black Women, a peer support group for South Asian people based at Naz, delivery of a 12-session Porn Compulsion group, and leading peer-led menopause workshops alongside the menopause champion groups
The monthly Sisterhood ��12 women throughout the cost of living crisis
Youth engagement in schools focusing on reproductive health and contraceptive methods, with 365 young people reached in 2022-23 across SASH
Delivery of a 1-hour Endometriosis Awareness workshop to 5 people at the Marylebone Project, which resulted in 2 brief interventions and 1 referral into SASH services
Continued partnership work with Sands End Health Centre (Hammersmith & Fulham) � a Naz worker attends the clinic on a bi-monthly basis, provides cervical screening call-backs as well as phone calls and face to face brief interventions
The client care coordination and health and wellbeing coaching team managed a caseload of clients with complex needs including Violence Against Women and Girls survivors, sex workers, people who are recovering from substance use, and perpetrators of sexual and violent offences.
��ncerns to serve as a resource for service users and professionals. Topics including: Polycystic ovary disease, Abortion, Miscarriage, Endometriosis, Vaginismus, Fibroids, Menopause and Vulva Health
Living with HIV Long Term Service User Group meetings held at Naz monthly, c, 15 attendees each month
In February Naz hosted an mpox vaccine pop up in partnership with Prepster and 10HB. 11 South Asian gay and bisexual men received a combination of 1st and 2nd dose of the mpox vaccine
Monthly SASH socials with c. 10-20 attendees each month, visiting museums, touristic sites etc
��
kinds of days are really helpful. I'm meeting the same faces over again from different groups and continuing conversations and developing my confidence and building appropriate friendships. Everyone has been so ��

Cherish Hammersmith and Fulham

Naz in partnership with METRO provides mental health support in Hammersmith and Fulham as part of the Mental Health Integrated Network Team (MINT). We provide MH services that are holistic and inclusive, understanding intersectionality around gender, sexuality and ethnicity, including culturally appropriate therapeutic support and holistic approaches to those residents who have experienced trauma, particularly those whose trauma relates to migration and their first language is not English. We provide African dance, reflexology, peer-support wellbeing groups and 1-1 psychotherapeutic counselling, resulting in increased mental health engagement, support and improved outcomes.

THE NAZ PROJECT (LONDON) (A COMPANY LIMITED BY GUARANTEE) TRUSTEES' REPORT

FOR THE YEAR ENDED 31 MARCH 2023

Highlights

50 reflexology clients, each having up to 4 sessions: 90% of reflexology clients reported an improvement in relaxation, sleep or mood.
56 attended our African dance group
48 clients supported through 1-1 advocacy and information work
We have been working with a 15-�� Housing Association delivering structured group work, reflexology and exercise classes

� When I started coming, I was using walking stick, and did lessons sitting on a chair. Now I have lost weight, �� Dance class attendee, 70 years old

�� I have a medical condition with hyper mobility syndrome called as Ehlers-Danlos syndrome. I have been struggling to cope with long-term pain and issues around it. I am happy that I can come here for reflexology and its helping with my pain and sleep issues.�� Reflexology at tendee

Cherish Hounslow

Cherish Hounslow is a mental health community project partnership provided by Naz and METRO. The project provides 1-1 advice and advocacy, group work, social groups and counselling for LGBTIQ+ and Global Majority people in Hounslow who are experiencing mental health issues.

Highlights

20 counselling clients, each having up to 12 sessions
24 Hounslow residents taking part in reflexology sessions
25 benefitting from 1-1 advocacy and casework sessions.

My Message To You

Naz and METRO partnered to develop 5 short films (My Message To You) featuring Latin Americans living with HIV last year and in March the films were shortlisted for the final of the Charity film Awards. This year 15 Latin Americans were referred to HIV clinics, linking people into care and for emergency HIV prescription renewal.

Fast Track Cities � Invisible Stories � Latin Americans living with HIV tackle stigma

After the success of My Message To You, Naz and METRO have collaborated again to deliver Invisible Stories � Latin Americans living with HIV tackle stigma. This is a creative project that zeroes in on the experiences of 3 marginalised and rarely heard groups within Latin American communities: Trans people, Latin American MSM and Latin American women. This project is rooted in creative and educational interventions and explored ways to break the silence and develop activities of empowerment.

��, a valuable asset highlighting the needs of this underserved community
March 16[th] ��, to wrap up all the work, present the podcasts to the community and had a live Q&A with the participants

THE NAZ PROJECT (LONDON) (A COMPANY LIMITED BY GUARANTEE) TRUSTEES' REPORT

FOR THE YEAR ENDED 31 MARCH 2023

Fast Track Cities � FaithWorks

In partnership with Africa Advocacy Foundation and Jewish Aids Trust, we created a change in the way Muslim, Jewish and Black Christian faith communities understand, respond, and promote information about HIV. We also cemented the knowledge that HIV is a manageable condition which can be treated. Faith Work provided faith leaders with an opportunity to become part of the HIV care continuum through their own programmes. This 3-year project came to an end in March 2023. Overall project goals included:

3244 engagements across all three communities through 21 outreach events; education materials distributed at 95 training and community workshops with Faith leaders and local communities
141 faith leaders recruited and trained; of whom 55 participated in our HIV testing outreach and workshops
400 people tested for HIV; 3 reactive tests
8 video recordings with faith leaders were made to promote HIV awareness and distributed on social media
� Presence of FaithWorks established in several communal organisations including Council of Christians and Jews, roundtable of Faith Leaders established
FaithWorks results will be presented in a round table discussion during the 7th East African Health Summit held April 2023 at The Royal College of General Practitioners
A presentation will be made June 2023 at the NHIVNA Annual Conference

Fast Track Cities � Peer Support

In partnership with Positively UK and Plus Health, we supplement the existing Chelsea and Westminster HIV care pathway with optimised peer-to-peer mentoring interventions across 4 clinics in West and Central London - 10 Hammersmith Broadway, West Middlesex, 56 Dean Street and the Kobler Clinic. This targets those newly diagnosed to support retention in care for those most at risk through providing a community link before they leave the clinical setting. We also target those lost to care.

180 patients supported with 1-1 interventions, group work, referrals and signposting
New clients are added each month from the newly diagnosed patient list

Partnership with UCH � Covid-19 Vaccinations and Blood-Borne Virus Screening

Since March 2021 and in partnership with the Find &Treat Health Inclusion team at University College Hospital, Naz peer workers provide interpretation and resident engagement for Covid-19 vaccine take up and Blood-Borne Virus screening support in Arabic, Farsi, Sorani Kurdish, French, and Spanish. Naz provides frontline peer engagement worker and interpreters who engage asylum seekers across Initial Accommodation Centre hotels all over London from Heathrow to Ilford up to 5 days a week. We have also been able to offer a chaperone service for the most vulnerable clients to hospital appointments. Naz works in partnership with UCH to deliver this NHS-funded programme to reduce Covid-related ill health and to reduce late presentation.

1,700 refugees and asylum seekers engaged over the year across 25 IAC hotels, pan-London
A two-month pilot scheme for referrals from opt-out testing in A&E was held, which has led onto a full ��funding for Hepatitis B, Hepatitis C and HIV diagnoses, chaperoning clients to clinic and delivering medication across Greater London

THE NAZ PROJECT (LONDON) (A COMPANY LIMITED BY GUARANTEE) TRUSTEES' REPORT

FOR THE YEAR ENDED 31 MARCH 2023

National Lottery Thought Leadership

The National Lottery Community Fund funded a programme from October 2022 to support Naz to develop leadership capacity and thought leadership over the next 3 years. Over the first 6 months:

Organisational review partially carried out; to be completed June 2023. Identified current work domains and areas of growth
Year 1 strategic plan, guided by staff and service user feedback, due June 2023
76 individuals assessed for Naz Counselling service; 67 accepted for 1-1 therapy on psychotherapeutic counselling course of up to 12 counselling sessions (including couple and group counselling)
56 people living with HIV attended structured group work over the first 6 months of the project; and 48 people who identify as LGBTQ+
HIV and Mental Health services support and reach total 162 people; Sexual Health Promotion Services reach total 1,700 people through community programmes; 1,418 people supported to take Covid vaccine

Peer Support

Naz has been able to move its online provision of support groups to in-person again. Our pan-London peer support groups include:

35 sessions of Joyful Noise Choir for people living with HIV
12 DOST peer support sessions for South Asian gay and bisexual-identified men, and MSM
8 Peepal peer support sessions for South Asian people living with HIV
��-identified men, and MSM
1 Muslims in the City session for Muslims living with HIV

Joyful Noise Choir

Joyful Noise Choir was established in 2013 and is a multi-cultural award-winning choir for people living with HIV. Participants come from across London and the surrounding counties.

Funding for the Choir was secured from ViiV Health Care; food at Choir practices is donated by Pret Foundation
35 sessions delivered, supporting 30 members living with HIV
Toynbee Hall performance April 2022 for Henry Smith Charity
January 25[th] 2023 JNC ��Palladium in front of Simon Cowell, Aleesha Dixon, Amanda Holden and Bruno Tonioli and received a standing ovation from all four judges and the Palladium audience. Naz choir members were able to promote a message of fighting HIV Stigma to an audience of 2,500. The performance may be broadcast as part of the show in April and May.
Performances also included for ViiV Healthcare��World AIDS Day 2022 events at BHIVA Royal College of Physicians and Southwark Cathedral

THE NAZ PROJECT (LONDON) (A COMPANY LIMITED BY GUARANTEE) TRUSTEES' REPORT

FOR THE YEAR ENDED 31 MARCH 2023

Bearded and Flushed

Bearded and Flushed ran is a partnership between Naz, Sophia Forum, 4M and Positively UK and is funded by Gilead. Following 2 successful writing courses in 2021-22, a third six-week course in 2022 provided space for 8 women ageing with HIV to discover their creative voice over a series of writing workshops focussed on living well with HIV and going through the menopause, led by Maggie Saunders and Juddy Otti.

Bearded and Flushed Abstract accepted at the Aids impact conference in June 2023 in Stockholm where the Bearded and Flushed short film will also be shown as part of a symposium on Menopause convened by HIV Consultant Dr Shema Tariq
Launch of Bearded and Flushed film short featuring four women living with HIV, submitted to the Charity Film Awards https://www.youtube.com/watch?v=QBOHbBaX1ts&t=12s
Bearded and Flushed produced a live spoken word event on 21[st] October 2022 to an audience of over 100 at the Cinema Museum. This evening also included the short Bearded and Flushed film, and a Q&A supported by two consultants in sexual health and HIV medicine, Dr Nneka Nwokolo and Dr Shema Tariq

�� to the side whilst I was a single parent, this workshop is helping me to make peace with ��Participant from the writing group

Love, Sex, Life

The Love, Sex, Life service was a partnership set up in April 2020 to support the sexual health and wellbeing of Black, Asian and Minority Ethnic communities including LGBTQ+ communities living in Lambeth, Southwark and Lewisham (LSL). The partnership includes Brook, as the lead partner, Stephen Lawrence Charity, NAZ and Shape History. NAZ worked with women (including LBTIQ+) in the tri-borough, as well as creating connections with organisations and communities in LSL. This project came to an end in May 2022.

4. Clinical Services

Naz Counselling Service

NAZ offers a pan-London Integrative psychotherapeutic counselling service online and in-person to adults; primarily to people of from the Global Majority. Our new Counselling Services Manager, J Sanjay Kumar was recruited from May 2022.

6 new volunteer placement counsellors were recruited this year � the team now has 11 counsellors, two are paid. The counsellors are from across the spectrum of gender and sexuality and come from Black, South Asian and South American backgrounds. Counselling is currently offered in English, Spanish, Portuguese, Hindi, Urdu, Tamil, Telugu and Tagalog.

The counselling service offers support for individuals struggling with various realities in their life, such as their relationships, work-life balance, anxiety, and depression, understanding and accepting their gender and/or sexuality, difficulties arising from being who they are, family issues, difficulties arising from being new in the UK or being an asylum seeker or refugee. Many referrals come to us due to HIV diagnosis or difficulties arising from living with HIV. We have people come to our service as survivors or sexual abuse as children or adults or have been victims of abuse of various kinds. We then work alongside supporting their psychiatric treatment.

THE NAZ PROJECT (LONDON) (A COMPANY LIMITED BY GUARANTEE) TRUSTEES' REPORT

FOR THE YEAR ENDED 31 MARCH 2023

Highlights

124 clients were assessed for counselling. 101 clients were accepted onto the Naz counselling service and 23 were assessed and either referred onto a more suitable service; or did not take up counselling
101 clients supported accessing up to 12 sessions of counselling each, for 1,1700 total counselling hours
Waiting time to counselling reduced to an average of 12 weeks

Some Feedback from Clients:

��rofessionalism and dedication have left a lasting impression on me. She brings a unique perspective to our sessions that I find highly beneficial. Even though my mental health has been on the low side for months now, I've found her approach to be truly remarkable, and I'm genuinely appreciative of her support. I think I would have been in a much worse off position if it wasn't for her counsel. And these sessions have become an anchor for me each week, providing a sense of understanding that I value deeply.�

�I truly appreciate the exceptional work you've done in our recent counselling sessions. De- spite initial doubts, your ability to create a safe environment allowed me to open up freely. Your patience and non-judgmental attitude made uncomfortable areas easier to explore. Your deep understanding, rooted in knowledge and experience, is evident in practical coping strategies.

Thank you for surpassing expectations in guiding my journey to personal growth and healing. Your dedication and care shine in every interaction.

I'm truly grateful to work with you and eagerly anticipate my journey now, to continue my progress last week. Thursday was the last session but intend to put all that was taught in practice for my CPD. Thanks to Naz for providing this ��

HIV testing

We have continued to promote self-sampling during this time. As part of our new UCH project (see above) Naz staff have supported HIV and STI testing alongside clinical staff, and supported the engagement of over 4,000 asylum seekers living in hostels and other marginalised communities including people who experience homelessness and sex workers. We have also delivered rapid HIV testing through our Faithworks initiative in Faith settings.

5. Policy, Research and Influencing

� Zero HIV Stigma Day 21st July

While occasions such as World AIDS Day bring needed awareness to HIV in general, there has never been a global awareness day specifically to challenge the impact of stigma, which persists despite biomedical advancements in HIV prevention and care.

Naz, in partnership with International Association of Providers of AIDS Care (IAPAC) and Fast Track Cities, announced the first, global, Zero HIV Stigma Day to take place on 21st July 2023. The day will unite people, communities, organisations and countries to raise awareness and take action against HIV stigma which reinforces and amplifies the HIV pandemic and related in equalities.

The choice of 21[st] July commemorates and honours Prudence Mabele (21[st] July 1971 � 10[th] July 2017), the first Black South African woman to publicly share her HIV status, and the countless other HIV activists that have been fundamental in improving outcomes for people living with and affected by HIV.

THE NAZ PROJECT (LONDON) (A COMPANY LIMITED BY GUARANTEE) TRUSTEES' REPORT

FOR THE YEAR ENDED 31 MARCH 2023

Naz and our partners have been working to ignite an annual day of bold and international activities that will:

Highlight HIV stigma and the impact it has on the lives of people living with and affected by HIV
Highlight the intersections of stigma, shame, discrimination, and inequality. Amplifying the message that improved outcomes in sexual health and HIV can only come when we tackle stigma and inequality across society (through tackling the wider determinants of health)
Reinvigorate broader collaborative working. Initiating a global call to action opportunity to share the impact of stigma through community action
Inform people what they can do to combat stigma (i.e., pledge, direct action, influence policy
The Global HIV Collaborative, developed by Naz, was involved in the Day
Also funded by our Policy, Research and Influencing stream is our Communications work. We maintained a strong online profile facilitating engagement for Black History Month, LGBT History Month, Transgender Awareness Week, World AIDS Day and National HIV Testing week

6. Volunteering

Naz��-led volunteering service makes a huge contribution to our clients and communities. With the end of lockdown, and increased in-person outreach and sexual health promotion our volunteer footprint has increased since the previous year. We would like to acknowledge and thank each of them for their support improving the health of Global Majority communities.

This year, 33 volunteers contributed around 1,600 volunteering hours
9 volunteer placement counsellors, providing psychotherapy as part of our counselling service, contributing 950 counselling hours
10 peer mentors in the SASH project delivered interventions including leading and supporting the delivery of the Sisterhood Group for Black Women, a peer support group for South Asian people based at Naz, , delivery of a 12-session Porn Compulsion group, and leading peer-led menopause workshops alongside the menopause champion groups
14 volunteers supported our outreach and awareness-raising events such as at UK Black Pride and London Pride

7. Plans for the future

In the next 12 months we will work to:

Develop a new strategic plan for 2023-2026, setting out the �� key strategic priorities
Start a young �� Queer East and South-east Asian support group, as there are few spaces where communities of South-East and East Asian heritage who also identify as queer, can meet and discuss their identities, life experiences and struggles
Deliver the 1st Global Zero HIV Stigma Day in partnership with International Association of HIV Providers of care 21[st] July 2023
Relaunch Grupo Amigos peer support group for Latin Americans living with HIV
Ensure Global Majority communities are supported in the mental health epidemic and adequate support is made available as we commit to a Building Back Fairer recovery programme
Further develop our capacity to offer 1-to-1 psychological wellbeing interventions to communities disproportionately affected by Covid-19 through our Counselling and Reflexology service
To continue building the internal capabilities and leadership structure of the organisation to support accountability and sustainability.
Develop our Health and Wellbeing services in London Boroughs of Hammersmith & Fulham, and Hounslow as part of our contract extensions

THE NAZ PROJECT (LONDON) (A COMPANY LIMITED BY GUARANTEE) TRUSTEES' REPORT

FOR THE YEAR ENDED 31 MARCH 2023

Continue working in partnership with University College Hospital and the NHS on the Health Inclusion project with Refugees and Asylum seekers.
Continue to link and support people living with HIV outside of the system into statutory HIV care and support
Join up our approach on HIV, sexual health and reproductive health in line with other health inequalities experienced by our target communities
Promote Black, Brown and Global Majority leaders and thinkers through our policy work as part of the Global HIV Collaborative; to amplify the voices of those leaders demanding an action plan to end HIV transmissions by 2030 for all communities

Disclosure of information to the auditor

Each of the trustees has confirmed that there is no information of which they are aware which is relevant to the audit but of which the auditor is unaware. They have further confirmed that they have taken appropriate steps to identify such relevant information and to establish that the auditor is aware of such information.

Auditor

In accordance with section 485 of the Companies Act 2006, a resolution proposing that HW Fisher LLP be re-appointed as auditor of the company will be put to the Annual General Meeting.

On behalf of the Board of Trustees,

Sanjay Nazerali

Chair of Trustees

30 Jan 2024 Dated:

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FOR THE YEAR ENDED 31 MARCH 2023

Objectives and Activities

Public Benefit

Reserves Policy

FOR THE YEAR ENDED 31 MARCH 2023

Recruitment, induction and training of trustees

THE NAZ PROJECT (LONDON) (A COMPANY LIMITED BY GUARANTEE) TRUSTEES' REPORT

FOR THE YEAR ENDED 31 MARCH 2023

Risk Factors

Board of Trustees

NAZ Medical Board

FOR THE YEAR ENDED 31 MARCH 2023

Senior Management Team

NAZ Organisational Chart

FOR THE YEAR ENDED 31 MARCH 2023

Pay and Remuneration

Funders

Summary of Results

FOR THE YEAR ENDED 31 MARCH 2023

22-23 Operations Overview

FOR THE YEAR ENDED 31 MARCH 2023

Key highlights during the year include:

FOR THE YEAR ENDED 31 MARCH 2023

Key Deliverables: Our Footprint in 2022-23

FOR THE YEAR ENDED 31 MARCH 2023

1. Cost of Living Crisis

2. Covid-19

3. Sexual Health Promotion

SASH Partnership

Highlights

FOR THE YEAR ENDED 31 MARCH 2023

Cherish Hammersmith and Fulham

FOR THE YEAR ENDED 31 MARCH 2023

Highlights

Cherish Hounslow

Highlights

My Message To You

Fast Track Cities � Invisible Stories � Latin Americans living with HIV tackle stigma

THE NAZ PROJECT (LONDON) (A COMPANY LIMITED BY GUARANTEE) TRUSTEES' REPORT

FOR THE YEAR ENDED 31 MARCH 2023

Fast Track Cities � FaithWorks

Fast Track Cities � Peer Support

Partnership with UCH � Covid-19 Vaccinations and Blood-Borne Virus Screening

FOR THE YEAR ENDED 31 MARCH 2023

National Lottery Thought Leadership

Peer Support

Joyful Noise Choir

FOR THE YEAR ENDED 31 MARCH 2023

Bearded and Flushed

Love, Sex, Life

4. Clinical Services

Naz Counselling Service

FOR THE YEAR ENDED 31 MARCH 2023

Highlights

Some Feedback from Clients:

HIV testing

5. Policy, Research and Influencing

� Zero HIV Stigma Day 21st July

THE NAZ PROJECT (LONDON) (A COMPANY LIMITED BY GUARANTEE) TRUSTEES' REPORT

FOR THE YEAR ENDED 31 MARCH 2023

6. Volunteering

7. Plans for the future

THE NAZ PROJECT (LONDON) (A COMPANY LIMITED BY GUARANTEE) TRUSTEES' REPORT

FOR THE YEAR ENDED 31 MARCH 2023

Disclosure of information to the auditor

Auditor

Chair of Trustees

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