The Leprosy Mission Great Britain Annual Report 2025 Annual Report and Financial Statements for the year ended 31 December 2025 Annual Report and Financial Statements for the year ended 31 December 2025 Memb•r$ of tho Board of Trusta•s Chair.- Mrs A C Fendick Treasurer.. Mr T Brooks Mrs S Adlord (appointecl S&ptember 2025) Professor Z Bokirtzitsf Mr D M Bryan Mr P C Halliday (resigned December 2025) Rev D Kinder (uppointed AprNI 2025) Mr A R Loncoster (resigned Nov8mber 2025) r R Russ811 Mrs R Wakefiéld Mr f Walker (resigned November 2025) Mrs D E White Nls G Wright (appointed September 2025) The Leprosy Mission Scotland Trusto08 Mr N A Lazonby Ms A Muirden Mr R Russèll Mr P Woddup Auditor8 Azets Audit Services, Westpoint, Lynch Wood, Pèterborough, PE2 6FZ Bankers Barelays Bank Plc. Peterborou9h Busln&ss Cent¥e PO Box 294, 1 Church Str6èL PÈtwboTOUg￿ PEI IEX Prosident$ and Vle• Prosldonts Presldenl.. Vacant Vie• Pr85ident: Baronèss Caroline Cox Vlc• PresSdent= Mr Rom Gidoomol CBE Vlee President: kls Stelonie Rèid MBE Vi¢• Pre$idenL' Mrs Pom Rhodès CCLAlnvestm•nt Managèmènt Ltd. 80 Cheopside, London, EC2V 6DZ Col￿Sh Lld, Kings Hill, West Malling, Kent, ME19 4TD The Leprosy Mission Isl• of Man Truste?$ Choir: hAr P C Halliday Tr•osur8r: Mr G Easton Mis E Duchors Mr P Woddup Mr E Wolker (rèsigned Novembér 20251 Viryln Money. 5 Chuich Street, Poterborough, PEI IXB Covw Imq9•'. Anitsii wos atsan&oTrtd al a 18prosy ¢tri¢.iy In Odisha. In4JQ. when shttW¢$P510 leenug8r loi yeors. $ae has Tollod on be991n9tosurv￿tr Now. thonks tts you h&1 Iple is bèing trons*oimed e 5Qbiina Dan901 T•plmos•.' Lowol Ii¢ttl tsT theehan¢hog0 Orthopa8di¢ W¢ik5hop in Nig8rio you¢ Supp grnblss n￿MI0 re¢thvq b8spokwprosthegKs and ￿ ￿dependEnt He i¥picturedwrt* rqusfrom Loprogymlslon ptlgkno. AnrwtslRryM2025 Contents M8$sag8 Irom thgchair Who w• ur• Wh¢r¢ w¢ work Whqt is leprogy,. OUT mission Our valu Our goal Our $trutsgy Our impact ftesear¢h and partnerships Advocttcy Our people Our lundroising Evènts Our plun$ for 2026 Research and advocacy in 2026 Structure and gov8rnance safeg4￿IdIng Finon¢iul $ummory Audlior's report 10 12 38 40 41 42 43 44 46 47 50 si 54 *n¥$•". Leprosy Sto￿ Hanit05 IiePLI Elisa"5 conldence Bul ithtssn't $*olBn EhèiTdrEam¥ TOd0y￿y￿r@ ttln9 lThètreoimeni Ihey n8ed, IholTtuturgs ar8 DFhop8 LewosyMkJ3lon ann￿1￿•PDrt 2025 Pugv 3 Report of the Trustees for the year ended 31 December 2025 Glossary of terms and acronyms DSL: Designoted Soleguording Leod GDPR: General Data Protection R6gulotion NGOS: t4on-governmtntol orgonisotion(sl NIHR: Notionol Institute for Hetslth ond Core Research NTDS.. Neg16Cled tropical dis8ase(s) RIGHT: Research on Inte￿entIOnS for Global Health Transformation SDG: Sustainoble Development Goal SHG: Strlf-help group SORP: Statement ol Recommended Practlce SMT: Senior manogement team TIM: The Leprosy Mission TLMGB: The Laprosy Mission Great 8ritain TLMI: The Leprosy Mission Internationol VTC: Vocationol Tioining Centre WHO: World Health Or9anizotion The Trustees. who ore also directors of the eharitylorthe purposès ot the Companle$ Aetj prosgnt th• unnual report and audited finaneial stotem•nts for th•y•orended 31 De¢gmb•r 2025. The accounts have been prepared according to the policy set out in notè I to the accounts. They comply with.. the charity's ro9lStrution the Companies Act 2006 the Charities Aci 2011 the Charity Commission's Statement ol Recommended Practice IsoRpI good practice 9uiclance on meetlng r8porting r89uirements, os set out in section 13 of the Charitlès (protection ond Social Investment) Act 2016 Imoq•'. WhEn Komgl first Shts¥￿d g￿n$0¢ i¢pi¢$y. ho wastoldh•wa& cur$gd. Thonks to yow klndnES he eotth&caie he neFdEdotAnurthbonHosPltal l¢doy.hsiutur8 us brghl his p¢gfr4 L•WQVY Ali1￿0￿ Alin￿ Repart202S Message from the Chair Ten years ago, world leaders made an unpr•c•dontod commltm•nL' to •nd poverty. prot•¢t our plonoL and l•av• no tsno b•hlnd. the world, the disèase is still a low priority. The needs ol affected communiti8s ull too often go ignored. Their calls for justice go unheard. This vision took shape in the UN'S Sustainabte Development Gools. A call to action lor every country, these 17 goals address our world's most urgent chollenges. Tocklin9 Poverty. endsng hunger, and ochieving gender equolity were just some of the ambitious aims. The cril%cal need to combot neglected tropi¢(21 disaoses (NTDS), which include lepr95y and affect more than one billion peop18, was also reco9nised. We face formidable challenges os we work tog8thèr to end lèprosy. But we connoL ond will not, turn our backs on people offected by thè diseose. Nor con we lose sight ot the ideols behind the Sustainable Developmènt Gools. The need to build o peocelul arnd prosperous world for all is as urgent as 8var. The storiès you'll read in this reFX)rt show that, with courage and commitment, wé can create lasting change With just four more years left to achieve the Goals, Progress is possible. But only with greoter global commitménL funding, and action. A decade on, we have s88n progress. Yet momentum has been poinlully slow, ond only18Y. of the torgets are on track. ConllicL the Covid-19 pandemic, aid cuts, und climote chonge hove all been cotastrophic. The world's poorest ond most vulnerable communities have only been pushed even furthèr bèhlnd. Jesus colls us to love our neighbours wherever they afe. Our compassion ond re5ponslbilities should not stop ot national bordars. We have o morol duty to walk alongstda those lucing marginolisation ond end injustice whenever we see It. When crises strike, peoplo affected by leprosy orè some of the hardèst hit. The lost 10 yéors hus shown this all too cleorly. Across Africa ond Asia, many still Ilve wlthout healthcare, education, or even clean water. Such ins8curity is only wors8n8d by the leur and discrlmlnation surrounding the disease. l am so grat8ful that you continue to stand with our teams and people affected by lèprosy. Through your generous support, you ore changing Ilves and restoring hopa when it is needed most. Thank you. Your support is transforming lives affécted by leprosy evèry dtsy. Yet lor governmènts across Ann• Fondick Chair of the Board of Trustees bMV.'When Lu¢Iu's9randchildren Show￿ $19Th$of kprosy. h81 commLffiItyIDMwambique itsllWoiouDd her Thank8 tOl•Pl￿¥1￿1s10n vduntoors, LiiClO'S Iamllyq￿cktyg0t th8trgOtment twneeded. t•PlQSyMl*onAnnuol Rppw 20?5 Paga 6 Who we are L?prosyMl%sion Gr•¢rt Brftaln 1$ a global Christlan organisatlon. l•oding th• Ilght agoln$t lopr•$y. We work with peoplè Sn nine countries in Africa and Asio.. Bangladesh, Ethiopia, Indio, klozombique, Myanmor, Nepal, Niger, Nigeria, ond Sri Lanko. The light ogoinst leprosy is o téam effort. We partn8r with governments at tsll vels. non-governmental organisations INGOS), health sèrvices, Mospitals, business8S, trusts ond toundotions, churches and other faith group4 research institutès, and univèrsities. Wè work closely with orgonisations ol people affected by leprosy to omplity their voieès on the world stoge. Ilnllylhc*)ks to you.18-yeur-old Swati Iswl•d ro 1oturTh tOSChooland Pby badmintQnO901ts Aft8r re¢Olwng trtatmontlor lewosy. shg yn0of¥vent rocon5tt￿ctwÈ$urgory at Chumpo HosfNtth in kndia Th8 pro¢eouiè Succ￿S[vIty rgsiorèd tnov&mont ttsher ￿n￿. ￿nich been oriEcted by nervèdamo9¢cau$•d by tho dis*osè. P49oS LorrfosyMr&v￿￿Ann￿198pQtl 2020 Where we work O Niger O Nigeria Ethiopia O Mozambique India O Nepal Banglodesh Sri Lanka Armolkapori 2025 l Hi??TO- What is leprosy. Lgprosy is q mlldly IntKt5ou8 bocterlal dls8aso. It 1$ mqinly spread through dropl8t$ afttr close and prolong•d ¢ontaet with int•eted indlvlduql$. Despite the suffering it brlngs. leprosy is o low PfiOTlty lor governments, international organisotions, and funders As a result, it Is classed as a neglected tropical dis8ase INTD) by the World Hetslth or9onixation (WHO). Leprosy may be one of the world's oldést diseasès, but it is stlll a signlficant globol hoalth issue. It predominantly ollects morginolised communities and those living in poverty. Poor living conditions, nutrition, and sanitotiorn oll in¢reose vulnerability to leprosy. Leprosy is curable wilh Multidrug thorapy, o combinotion ol ontibiotics roken for six or 12 months. 11 cured eorly, long-term impacts ore unlikely. Without fasi trèatmenL people ore at risk of permonènt disobility from ulcers, Clawed hands, loot drop, and blindness. In ?024, 772,717 cases were recorded aeross 188 countries. This is 0 6°A decrease compar8d to 2023 (182,815 cases). Howèver, low krnowledge ol léprosy, lack ol occess to heolthcore, ond stigma meon many people 90 undiogn05ed each year. The disèose is also one ol the most stigmotised in the world. Those off8Cted still lace heortbreoking discrimination ond social isolation. Unsurprisingly, this takes a devostating toll on mentol health. Imty•.- Leprosy¢ou5ed Kobifs htsndio stifffynorhd claw But ¢t ChaDdkhuii Hospltul itilndiq skiiied m8dics ur¢t¢adyto hdp FEgainhs Mo￿lItYar￿ 5lien9tn E SubrintsVon901 Pog•8 Lepio8yFth6sthAnnuol Reptyt Our Mission Fgllowlng Josus Christ. w6 work with ￿r$on$ affe¢t¢d by leprosy, partners. ond supportèrs toward$ world where leprosy 1$ defeated ond there is heullng, dignity, Inclusion, and lifv in oll its fulln•ss. J/ •1 Jth4p L&WO%ylAIWOri AwoIR4peit 2025 Ourvalues Compassion Integrity Humility As Jesus dirt we care deeply lor people oflected by leprosy ond those most In need. We empothise with their poin and walk olongside them in Christlike love. We do all wa can to support their physical, rnental, spirituaL ond emotiontsl wellbeing. We work with honesty ond transporency - what we soy motches what we do. We foster open cornmunication, where rh8r8 is no fear of sharing chollenges as wèll as successes We resp8Ct our partners ond work together to find solution$ to problems and ochieve common goals. We treat everyone as equ¢Jls and do not see ourselves as superior to others. We sèek to serve the most marginalised, showing them eore ond respeet. We ore willing to do th8 tasks that many others choose not to, just os Jesus was willing to wash the feet ol His dlsfjiples. Justice Inclusion Collaboration Wè promote digntty ond respèct for human rights. We champion the UN Convention on the Ri9hts ol Persons with Disabilities and the Guidelines lor th8 Elimination of Discriminotion Agoinst Persons Affectèd by Leprosy ond their Family Members. We believe evary person is mode in the image ol GOLI, and promotè equol occess and opportunities lor oll We oré committed to removing rjiscrimination ond other barriers, and enobling pèople to live life in all its ILtllness. We connot tschieve our vision ol leprosy defeated and lives tronslormed olone. We colloborate with others, including peOp￿e aftacted by leprosy, governments, universities, ond NGOS to ensure the 9reat&st possible impoct, We amplify the voices ol persons offectad by leprosy, supporting them to letsd advocacy and challen9e injustice. We octivoly protect children and vulnerable odults from harm ond obuse. Imuy.. Ni%huw06 tyJlli•dond8xclvd6oiroffl 8cthoolol bèeow8th• hQd IppTO¥y At Chompa ￿OSPIt011n comFrf>ssKJn dlgnrty. Qndo chonce to hFoL L Sobr￿0 Dtsng L•pro$Yk1B￿wAnn￿rrf R¢PQrt ￿25 Our Goal Our goal Is to $e¢ leprosy dtleuted and lives transformed. fo r•allsè this. wg work to a¢hieve zero leprosy transmi$$lon, zero l•pro$y disabllity, und zero leprosy discrimination. Our Strategy Toachievo ourgoul. we wlll workto: Ensure Christ-¢entrgdn&ss in everything we do. Further the equity, inelL*SiOn, and improved wallbeing of ' people ollected by leprosy. Bett&r understond leprosy transmission, ond ensure pravèntion, early deteclion, ond trèotment. Ensure we hova sufficient and sustoinable resourc95 by divèrsifying income str8ams, investing in new markets, ond growing brand awarene5S. En8ur8 thè elleclive management ol leprosy complicotlgns ond prgvention ol disabilitlgs. Develop os o salo, leornlng organisation with strong partnerships. knugw.Fortyyèui¥ogo.8orAta11gttl tsndsunltia LYTlvod atoknprosycobryln Qhslshowlthlna montholerKh othei. s1ncgtt￿Th bèen %Thetygs1 ol fi￿ndS. ￿p4Tr9 ¢Treonoih8r suNive th&tougtr￿S$ ofcircutnstonces L•PrDsYAIlW￿A￿￿OlR•pC1t 2025 pwii Our Impact Inioy.. Jaiond Koftsnar8 14-YWi-old twnbrothers who. Ihonk$toyw.wer¢ bothti8at•doM¢orod loi bythe tetstn afchompa HO5￿tal In CThhotUsgath. Indlo.# Sabrina OongDI Poverty SDG ONE No Poverty P4 Where poverty ends and opportunity begins Eradl¢fjtlng •xtremo pov?rtylor •v•ry person. overywheve. Is u pivotal Sustuinublg Dev8topm•nt Goal (SDG). Extromt poverty i¥ deflntd as surviving on le¥8 than US$3.00 per p•rson ptrday, mea$urod t 2021 pureho$ing prwièr parlty. In 202S. •stlm(rted 808 milllon poople- oround one In 10 worldwidg- wère15vSng In #xtr•m• povorty. projudice mean thase colonies still exist. Even today, they are oftèn the only places whèra people olfe¢t8d by lepiosy can lind a¢¢optanca. During O visit to these colonies our stall ancountered, without doubL the worst seènès they could possibly imagine. Elderly people, disabled by leprosy, malnourishad and weaL surviving on a bowl of rice a doy. Children talling ill from drinking pollut8d river water. Fragile, mokeshilt homes on the verge of collaps8. Inlacted ulcers and lifelong dlsabilities caused by leprosy. People treoted as cursed and dèspised by the Outside world. Yet what haunted them long after thèir return to the UK wos on ovètwhelmin9 loss ol hope. It is hard to comprèhènd that there aro still around 800 leprosy colonies in India today. These colonies ar8 r8mnants ol a bygone 8ro, from a time wh8ri there was no CUT8 for leprosy. Th8y are places where people were obondoned, often nèver to see their familiès again. Although there hos been on affèetlve cure lor more thon 40 years, deep-rootad stigma ond knaB•'. f$ubDri.￿*￿ husbeen tr•Ji•d for *pI09y.vm$so to showth8 loundatbn60fh8r now hDu$¢, a FIoceihat8h8and rth¥call*om& IWIJ BocaLPB¢ oIw.Chi8f Ex8thve. PpterWa¢SduM ond HEod of Fundroising. LOUiSeTi(nmins. brou9httThe huppynBws Io MQt¢h 2025 thot tThewoTkto revive the leprosycDk>nies ofodishts could be9in They met paople who hod slapt on railway tracks, playing thot a train would come du¥ing the nighL believing it woulcl be battèr not to wake up ot oll. Life is such a prèttious gifL yet so many said they were simply waiting to die. What thoy saw ond hoard was truly heartbreaking and led to thè launch ol th8 Revive appeol in January 2025. Its vision wos to transform these colonies ond lilt th8 people who live there out of extreme Poverty. Not only to meet their immediotè needs. but to give them o future free from begging and a reason to hope again. they won't laca the disobilitiès experienced by their parents and grondparernts. People already living with loss of sensatlon in thèir feet due to nèrve damagè were taught how to prevent and care lor wounds. Medical teams treated dozens of people with ulcers, ond hundreds ol steri18 ul¢8r dressing kits were distributed. Propèr ulcer care pr8vents infection, which can otherwse lèad to severe disobility or evan omputation. Protective sondols with thick rubber soles werè also prowded to help protect numb feet whilè walking. When we sharad these stories with you, you responded with extraordinary genèrosity. It is thanks to your compassion thot translormatlon is now taking plac8 ond hope is flourishing. Housing sanitation, ond good nutrition ore all essèntial for strengthening immun8 systems and prevènting disease. Thanks to your g8nerosity, significant progres5 has been made in all thrèa areas. Working alongside local gov8rnment healthcare stoff, three medical cumps were held, as well as a two-w6ek leprosy awai8ness campaign. As a direct result, 87 people, including children, were diagnosed with leprosy und curèd. Thankfully, the d(sèose had not yét had the chance to cous8 nerve domagé to these children. Because ol you, 30 new houses were built, bringing imm8nse joy to the individuols and families who moved into them. For the first time in their lives, thèy have a sale place to sleep ond somewhère they can truty call homa. A further118 homes are alrsady under construction. Pts¥i .44 Homes cannot ba built unless land ownership is secured. Without lormol ownership, there is o risk the lond con be recbimed. This is becouse most leprosy colonies are buitt on govarnment-owned land. leaving residents- many ol wthom have Iiv8d thère lor over 50 years - without any legal rights. Thanks to the team in Odlsha working closaly wlth local government otricials. we have sécured ownership for all the houses built. curry leaf plants. 126 goots, cows and chickens were distributed. We can only imagine how exciting this is lor people who have surviv8d lor dècodes on little moro than o bowl ol plain rice occasKJnal vegetab19$. Thè UN defines poverty os morè thon a lock ol income. It includes deprivation in education, food, healthcare, shelt8r, polltlcal inclusion, choice, sof8ty, and dignity. Thls was the reality foced by p￿PIe livlng in the leprosy colonies of Odisha èvèry doy. But thanks to you, in just on8 yeor, o poworful transformotion hos begun. Access to clean wotèr is vital, not only for drinking but also lor washing and caring for wounds. Mony elderly ond disabled residents shar8d how ashamed they fell thut they could not ksep clean in the intense heat A reliab18 watèr supply restores both h801th and dignity. Bacause ol you, six borewells w8r6 dsjg to provide clean drinking water and12 toilets wer8 constructad. This is only the beginning. In 2026, we will be working to provid8 job training and schooling for childf8n and young people growing up In thè laprosy colonies. We cannot thank you enough lor restoring hope, dignlty, and the possibillty of o better future. To Improve nutritiors,1.338 kitch8n gardens were planted across the leprosy colonles. Alongside seeds ond plants, familias were provided with tools to cultivote the lond. Community farms werg also developed, resulting in 63 acres now plonted with fruit trees and vagatobles. Your kindnèss fLtnded thousands of soplings, including mango, guava, papoya, coconut, bananq and W• would like to soy thank you to the many trust$ and toundatlons who gonorou$ly gove to th• R•vlve appeal. Special thonka go to The St Lazarus Charltabl8 Trust. thè 8tsyond Finance Choritabl• rru8t. th• Plk•loek Trust, Hopo Loga¢y ¢011o¢tlv• and th• Eddle Dinshaw FouDdatlon. Pitybyu Zero Hunger SDG TWO ((( Zero Hunger Planting hope and growing futures $u8toinabl•Dèv8knpmentGtsul 2¢ommlt$th•global ¢ommunltyt• ènding hurbyerby 2030. Y•t$inc• 2O15,Ih•num￿rOf peoplo exp•rl•nelng hunger ondlood Ins•curlty has rl$•nalarmingty. Todoy. two bllllon p8opleworldwidek¢k Mgularo¢¢9$$ to sale, nutriliou$. and $1rf15elèntlood.The¢ombln8d Impa¢ts oftheCovkl-79 pand•mle.eonfilrt arKI cHm(rt• chan9• havo Inton¥ilied Ihl$ cri$i$. Investment in sustainable agricultural practices and growing o diversé range of produce is nee¢Jed to improve food security and boost nutrition. It is through the provision of seéds, plants, tools, and livestoek that you hov8 helped communities ollectèd by leprosy in Odisha to leèd themselves. This support is strangthening bodies once weakaned by hunger ond Ima9W. Atun l*ftl and Oomo, bolhdisabw byleprOty.planto coc¢nut treeinthelrleprosyeow withth*Seèd¥Sa￿[rys aThY￿￿*y￿uF￿dQ￿the￿re gro￿n￿lOOd for communlty.Thgyhopa tomak• a smoll In¢om• by 58llh9any$urplusproducelTh2Q26 Thankyou lor brtn9iry hop•aDd￿l0Ihdr Pog•16 L•w6Vkli$BiOnAMLbJlRopcrft202 Wom•n with leprosy ore typically only able to marry men with the diseasa. A marriage wos arranged, ond Kuni movèd to another colony to livo with her hust>and. Unable to have children, she worried constantly about how she would survivè alter his death. Until last summer, Kuni r81ied entI￿lY on begging to survive. Each day, sha struggled to walk three kilometres to sit by the roudside in thè locol town. At best, her efforts would enable hèr to eat a bowl ol rice that evening. But during the extreme heat when temperotures soored close to 50°C, her weak9ned body ¢guld no longer manage the journay. Thère was no food left in the colony to share, and Kuni laced starvation. When our Odisha team fovnd her, Kuni wos dongerously thin and malnourished. She wos living in a small, crumbling house at risk of collapse. During the monsoon seoson, woter pourèd through the roof. The house hod no door. Rtsrs, snakes, and mosquitoes were frequent visitors, further endongerin9 hor tzlr8ady frogila hstsllh. illness. Your kindness goes lar deeper, replacing the shame ol begging with the dignity ol self-sufficièncy. Not long tsfter we began our work in the Odisha leprosy ¢olonios, India was hit by o deodly heotwave. From April to July 2025, abnormolly high temperorurès- reaching up to 500C - made it impossible for many elderly and dlsabled residents to go out and beg. Tragically, some died of hunger. r( quIc￿Y became c18ar that whlle th8 Sustainable change we wère building was vital, it could not huppen lost enough to prèv8nt loss of life. An urgent humanitarian food progromme was needed. Thanks to your kindness, Kuni has now received o new home. She lovès having a front door and says it makes hèr fèel safe. During the extrèmè hea( she received emergency food parcels, which she says saved her lrfe. "l am so happy with my house,. she says."1 am safe ond sècurè. and people remember me." Thankyou tor brlnglng love and care to Kunl. We cumg to you with this criti¢al nèèd, asking il you would help fund emergency food parcels. Once Ogoin, you responded with compassion and incr8dibla generosity. Through your support, moré than 2,500 emerg8ncy food packages were distributed, keeping people alive durSng thè severe heot. Onè recipient ol this emergèncy old was Kuni. Kuni was obondoned by her poronts ot just 10 years old. When they noticed strange, discoloured patches on her arms, they raolised she had leprosy and lèft her in one of Odisha's many leprosy colonies. Tha memory still haunt5 her'.-I cried lor weeks. l just wanted to die.- As so often happens among those cast out to leprosy colonies. kindness prèvaSled. A wornon with leprosy took Kuni in (snd cared lor her. This wus before the 1980s, when there was no 8ffèctive cure for the diseose. Leprosy wos left to ravoge her hands and lèet In turry euts bècome infected and dlsability followed. T•plm•9•'. Yhonkywlorgivlng Kunia salè hom•and hgwng ro8tOfoh•i hsokh¥￿th￿Ut￿l￿?U$ff00￿ porCdsdurK￿one ofthe horde$t $ummern $h$hu8 •Y8r known Èott*)m Imry•.' 4 tot¢lo11688 nutritiDu$tth)d porcds Ilke th1$ rrt•w8r8(<15tributed to672 p•0￿90t r￿kol stapmtK>n ¢oknnlesol Odi$ho dvTing th8 èxtiemehetstol summ•r 2025. L•pfosyukdoThthiudW2Q25 Good Health &Well-Being SDG THREE Good Health and Well-Being Where healing begins Sustalngblo D•v•lopm•nt GMI 3 sets out Mn ambltlous vl$ion. Th18 IS to a¢hi•vo Univ•rsal heollh eoverfjg• by 2030 and tts ènd tho •pld8ml¢$ 0121 N•gloctod Tr•plcal Dis•use$ {NTDs), which in¢lud• leprosy. Togeth•r, those dis•aso8 affoct mor8 than one billion people living In povorty worldwld•. SDG 3 also addres$os mental health and r•¢ogniBes thal th?r• Cannot be health or $ustaSMbl•d•¥•lopmgnt wlthout mentol wellb•lng. Univorsul health Coverage mgons thot èveryone can occess essential haalth servicas Wlthout suffering lin(Jncial hardship. Yet in many ol the communities in which we worL h8althcare Is limited or inaccessible. Clinics ore often under-resourced. Government health workers may lock the specio1i$t training needed to recognise the early signs ol leprosy. Too often this results in deloyed diagnosis and preventoble disability. Imw. ThTe8ygorold ￿n{jI09n05¢d￿1hIeprO$yOnd IÉ Wel￿￿9 ￿P￿￿111st eareotthandkhu￿ Hospitol in Chhatb8gatr¥indjts.£.Sabrina PDu•18 LwYM5&e￿fiAn￿u￿4ft0￿2Q25 Your generosity is changing this. Through close partnèrship with government health services, you ore helping to Slrèngihen locol h8olth systèms. By funding specialist trainin9, you ar8 equipping fnedics wlth th8 skllls ond conlid8nc8 to diagnose and treat leprosy ellectively. You ore also helping to tackla the stigma that surrounds leprosy. By supporting oworaness compaigns and community action, you are dispelling myths that prevent people from comin9 forward lor treatment. As more people recognise the early signs ol leprosy and understand that it is curoble, they are lar mor8 likely to seek hglp baforè disability develops. At the same time, your support enables our teams to run outreach camps in remote and mgrglnollsad communities. These camps brin9 scrèening, treotmenL and hope to thosg who would otherwise be left without core. In 2025, thanksloyou, 4.588 n•wease$ ofleprosywwe dlugntss•d andlrogted across Asla and Afri¢g- both in Leprosy Mi¥slon hospltalsand cllnlc¥. andthrough communityoutr•aeh iniliatlves. EaehdEagno$l$ rOPTè#•nts a Ih¢hanggdforth•bott•rand a heolthl8r futuremoth po$slt>D•throughyoursuppotL Bringing healthcare to fragile communities Achieving univ8rsal health coverag8 depends on reochlng paople in fragile ond conflict affected oreas - home to approximately two billion pgoplè. occording to the latost World Bonk figuras. lives. An olready suffering nation was plunged dèèpar into crisis. The epieèntre was just outside the north- western town ol Sctgaing, an orea allected by lighting betwèen the militory ond pro-dèmocracy forces. Nearby, Mondalay, Myanmar's second lorgest eity. was devastatad. leoving rubble stl8wn strèets and o shattèred economy, Since the military coup in 2021, MyonmoT hos been in turmoil. Tha UN estimat8S that thè confllet hos claimed over 6.500 lives. More than 3.5 million people hove been forced to flee their homes. With press freedom curtailed, much ot the hordshlp remains hiddén from the world. Even before the aarthquake, o¢c8SS to healthcare was imited. Years of violence had made travel dan9erous. and the only two specialist hospitals lor leprosy core were difficult to reach. People affèetèd by leprosy and poverty were trapped in thèir communities, unoblè to access the care thèy desperotely needed. Then, on 28 PAorch 2025, a powerful 7.7 magnitude eorthquoke struck Myanmar, claiming nearty 4,000 Imagw. ¥(4uniwr heotth workErThQWThOW ktsoy l& picturod(tFEs$iryt Youndsol lÈPtDSV PQtieDt KoLhi DThin hi%lèpr09y¢ornmunftyln Myanmar. ptyJe19 .J I,, ri Thanks to your ganerosity, 33 tralnéd heolth voluntoèrs are now r6aching these morginolised communitias. ploces that would othetwise hove been IoTgotten. Your support hos givèn these volunteers the trainlng, resources, and confidence to delivei vitol core. Thay cleon ond dres5 wounds, distribute essential medicinès, identify new case5 01 leprosy, and connect patients to tr8Qtment at government heolth posts. Bécause travel r8mains dangèrous, cara- in¢luding surgèry- must be délivered in tha community itself In 2025. your gifts funded 133 surgeries conducted in pop-up comps, where mèdics like Dr S(N (pictured} performgd lile-chonging procedures. In these makeshift operoting thèatres, wounds are being heoled and mobility resrof6d. Patients are règaining indepèndence. hopa, ond a futurè they could not hove imagined wlthout your support. In 2025 alone, they reached 175 people affected by laprosy and 580 people living with other disobilities. This is o life-chonging diffgrence mode possible thanks to you. E¥•rydoy. yourg•noro$lty Is r•aehlng p•opl•who would othèNil8e be forgotten. You aro providing essential Care, restoring d5gnlty. ond glvlng peopl• Ilving In fragilg ¢ommunltl•J o ehaneo to not Onty #urvlve. bul thtlv?. ¥n4•.' 8ocau5e of your sipportOrs)wWa5ub￿to restoiefflovem8ntt0￿pTos¥pQE￿￿tp0PWO Nth$ hand at o pop-up surgery¢omp. T￿$Y￿S￿oNI1￿0L*prO*Yh1ISS1Qn ￿$￿)￿tyR*S0￿[ce centrè. ROWt2025 bathrooms, eoch with o tollet and shower, were constructed. Two former outbuildings were convèrted into four specialist rooms for cleaning wounds, strengthanlng infection control. The rèfurblshment provided 46 new hospital bads, along with 57 mottr8SS85 and sets ol linen. Eight portoble monitors were purchased, enobling staff to ehack potients, vital sign$ 8fficiently. Today, patients are ckaner, $c￿er. and more comfortable. Hospital staff Ilnally have a suita￿8 environmènt in which to delnier the hEh-quality corè lor whlch they ore known throughoutthe règron. You have not onty helped restorè buildings, butalso dignity lor pot¢ents fike Amadou. Amadou first Camè to Danja Hospital 50 years 090. At that timè. facilities were extremely basic. H8 remembers sleeping on thé tloor. with r%0 electricity or running wat8r. Yèt he was nurtured back to health by tha dadication ond compassion ol tha staff. An oasis in the desert Thanks loyou, Dunla Hospltal has b• tron$f4rm•d b•yond r￿QgnItion Irom th• pluee where leprosy poli8nt Amodou (pl¢tur•d) was first ¢•r•d lor 50 y•ars ago. Lepr05y bft kjsttng damage to Amadou's body and over the yeors he has returned to Danja for ongoing wound eart. In 2025. he was among the first potients admittecl to the newly renov(rtéd man's ward. For the first time, hè $18pt in o comfortable hospbtol bed. This was somèthing he could never have imogined holl a century earlier. Nig8r rèmoins one of the world's least developed nations. Vast stretches ol arid land ond relentless heat mok8 fuming ond food PTc%luction 8xtrémely ¢ha118nglng. As climate change inlen$ifies, dry riverbeds corve evèr daaper into the landscop8 and Communities loce increasing hordship. Poverty, malnutritio and diseose thriv*, crèating an environment whèra prosy eontinugs to affect vulnerob19 paopI&. The legocy of klndness can span generotions. In$pirod by the treatmènt hèr father received, Amadou'$ daughtèr troined os u nurse. Todoy, shè serves at Dunja Hospitol, continuing its misslon ol care and hope. Dospite the extensive renOVat￿On worK daily core at Danja never poused. In 2025. 1,323 people affected by lèprosy were treated at the h98Pltal. Through outreach programm8s. 117 individuals were identifièd ond cured ol leprosy. Amid this harsh londscapa, Danja Hospital stand$ as a true oo$ls. Danja is one ol the only hospitals in Niger where peop18 off8Ct•d by leprosy are treat8d fréè ol charge ond cared lor with compassion ond dignity. Yet ol the beginning 012025, the hospital itself was in crisis. The roof wus foiling, ceilings were collapslng, ond walls were severely domagèd. Crocked flooring made effective infection control extremely difficult. The toiltrt foeilitles were outdated and unhyglanic. Itl# b•¢aus•of youlhat Danlq Hospltul has strengthened its posltlon as a place of heallng. dlgnlty gnd $atoty Inth• h•artofthe do$0rt. r( is thonks to you, and to o gonerous grant from th8 Guernsey Ov8r$ètss Aid and Development Commlsslon. that Dunja Hospital hus been completely transformed. During the lotter hall of 2025, the hospltal underwent o major renovation. A new roof wos installed, and the men's word fully refurbished ond extended to accommodatè on odditional14 beds. Six occassibl• •mlhvJ9•.' ￿r*y￿rOTTran￿t0tM￿￿ DtsniJHosphollDfoo brt￿land hYg￿nIC iKxKEIorbott)FtheTrtsatf￿l9d bvwosya￿I￿esl0ffWh0MT+lQrtsrn. LVOSY￿￿￿lQTh Annualftwrt 2D25 Pog•21 Life-changing surgery M•dlcgl ¢ar• lor lepro$y pat5•nts go•$ lar b•yond ¢urlng the di$oase or treating the ulcers It causèi. Wherev•r pos8lbl¢, our t•amB q¢ros$ Aslo and Afrlea do everythlng they can to help pati•nts regain Ind8pgndenc• und dignlty. Th5$ In¢lud•s provldlng prosthgtlc limbs, pr•t•¢tiv*footw•qr, and mobility uld#. Thunks to your $upport, four sur9eons have been trained ot ALERT Hospital to conduet ieconstructivè surgery lor18prosy patients. In 2025, 17 lèprosy potients rsceivgd hond surgery ond 11 had foot surgèry. These aro patients like Hailèkiros. He was just ten years old when he first showed signs of leprosy. His father took him to several government hèalth posts, but no one was abla to diagnose hlm. Traditional remedies did not help. Trogically, the disea58 went unchecked robbing him of all le61ing in his hands tsnd feet. In some casè5, r8¢onstructive surgery and physiotherapy can even restore movement to hands and feet that havè been severély offected by leprosy. Patients tsre often omazed to regain use of limbs once paralysèd by nerve doma9e, enabling them to work ogain or rèturn to school. The impact can be truly lif8-¢hanging. His flngers began to CUTI inward ond persistent Ljlcers developed from cuts on his feet. Eventually, Hailekiro$ arrived ot ALERT Hospital. Thè doctors recognised the signs of leprosy immediately and gave him tha cure. Although Addts Ababa is thè bustling copttol of Ethiopia, poverty remains widèspreod. UN stat15ti¢s reveal thot 80% 01 thè city's populution live in slum areas. It is in these communities that leprosy continues to be o r8ol challenge. The teom at ALERT Hospitol works tirelessly to treat potiènts and help them regain the independèn¢e they need. This was the start ol o long journey to recovary. Haileklros has sincè had reconstructive surgery on his hunds and feet. Alter enduring so much hordship in his early life, he con now move with ease. He is r8gaining independence and, thanks to you, can now look to the future with hope. Thonk you $0 much lor giving this lifè-chonging gift of mobility to Hoilekiros ond $0 many others like him across Asia ond Africa. lrnag•.' Th¢Thkyou 1orgwngl•pi￿yP￿tIontI lik*Mole￿i0$alrO$h 5tM lo 2025tIV0ughl**￿ftOf Ifé-chonglng WBry. ptsgg22 L•pro&yMIs$h)nAnnuulRoPOrt2026 rq Where hope begins again Th•r• l* gyowSng •vldonco that p•opl• Ilvlng wlth NTDS, including leprosy. •xp•rl•n¢• 8ignifl¢ontly hlghgr rnte$ of d?prosslon and anxiety. Th•y ar• more Ilkely to atlempt $ul¢lde than the g?noral populfjtion. Th8$8 flndlngs are lurgely drlven by dl$¢rlmlnollon and soclal excluslon. For canturiès, myths and misunderstandings surrounding the dis9a88 hov8 lad to somg ol the most severe forms ot stigma and obuse. Today, prejudi¢è ramoins one of the greotest barri8rs to ridding the planet ol this cruel yèt curable d5sease. It is no surprise that this impoets mentol health. Im49•.' Hallmts Is rth¥smlling Qgainthanks to her'Far1n¢￿bWnd￿￿.,sadlO. Pag• 23 Thanks to your support grèat strides urè being mode to oddr8ss the mental health crlsis faced by communitios affected by leprosy in four states ol Nigeria. Instead of letting problems consume her, she is learning to navigate challenges and talk herself through difficult moments. Our pioneering Forinciki project- nomed after the Hauso word lor'inner peace'_ provides mental heolth Services lor paople who would Othe￿ise hove no support. In 2025. 1,462 individuols received cor8 lor theii emotional wellbeing through clinical psychologisrs, ¢ounselling, ond group th8ropy sessions. An innovative part ol th8 Fafinciki project hornès$es the prejudica-fighting powar of grandmothers within the community. Thirty-seven grandmothers, all otrected by leprosy thamselves, havè been trainèd os chompions ogainst stigma and mentor5 for young peopl8. As respected matriarchs, they servè as listening èors within thair communitiès. With specialist training and guidance, they ore olso equipping a new generation with confidence, resili&nce, and hope. Since her motherfs death, she has been unable to alford to return. Eoch morning, she watchès other childrsn walk past her home on thair way to school- painful reminder of what shg feels she has lost. Holima is just ona of 698 young people supported by o Forineiki grandma in 2025. Holima is 16 and lives in o leprosy-allected community close to Abuja. Sh8 18 the second ol livé chilclren, all of whom ole orphaned. 80th her parents had been treatod for leprosy, and her lather died when she was young. More recently, her mother passed away from complications related to a severely infected ¢Jlcer. Grief ond hopelessness overwhelmed her. She would sit for hours crying, wishing her mother were still alivg ond that she could resume har studies. Sh$ began to believ& hèr future had ended. Sodio. one ol Halimo's neighbours and o trolne¢J Farinciki giondmother, r8cognisecl her distress. Shè began visiting her regularly, building trusL und 8ncouraging her to attend Farinciki group meetings. Following har mothevs déath, Halimts took on responsibility lor her younger siblings whilt ¢orrying the weight of her own grief. Within hér community, shg found solidarity and understanding. Outside IL however. life was very different. At school, she was tauntèd and called 'lèprosy chlld.. This is devostoting for aF)y child wanting to belon9. Through counselling and group supporl Holimo slowly began to emerge from what sh6 describes as 'dorkness'. For th8 first time. she leorned about ental heolth (Jnd how to managè overwhelming thoughts. Instaad of lettlng problems Consume hèr, sha is leornin9 to navigote challenges and talk herself through dittscult moments. When her mother became seriously ill. Halima left school to care for her ond help pay for treatment. The règular gatherings ol young peopb ond grondmotheTS have become o sourcè of strength and joy. Halima hos also leorned new skills, including sewing and dressmtsking, rebuildin9 not only her confr'dence but her sensa of possibillty. Today. she is hopeful ogoin. She b81ieves she con return to school ond comp18te her oducotion. Your support lor the Forinciki project is helping young people like Halima build futures once overshadowèd by stigma and loss. Thonk you to theJanet & Bryan mo￿• Chorltabl• Trustlor It$ g•n•ious $upport ol thg Farlnclki proje¢L Imw'.Throvgh the FQiincikiprolé¢i Hoiirn has18arThrto ￿1¥1]￿d rwrmkes herown dr&sw Shestsy5 5honow 5•eso btHJhtn*s$ln Illeihtst shBiu$i¢0u￿Th.I 50@befor¢ Pagè24 LeprotyK45slunAMuo1R¢Ptyt￿I5 Quallt Educa on SDG FOUR Quality Education *Tr Opening the door to the classroom and a bright future Nol¥on Mandolotsmously •ald:-Edu¢atioD is Ihe most ptsw•rful w•apon which you use to ehunge theworld". Th18 bellel glts at th* heart of Su$taInab￿ Dev•lopmont Goal 4, which aims to 8nsur8 quallty primaryand 8gcondory tdueatlon, a$ well as Ilf?long1gurnlng opportunlt5e$. for oll. Thisgoul wrll huv• a knKk-on effect on mony oth•r$. provldlng workopportunltlès und u rout• out of povorty. IrthK9•.'Y¢ui ￿TrOn¢s$M￿a￿S￿lllu￿kQ Is gtttlng o healthy.h¢ppy$iart and u Ife-chan9ingtdu¢atb?Th. Loprosy￿s$knTr Annualft￿ 2U25 Pag•25 Yet there IS Still a long way to go. In 2023, the UN reported that 272 million childrèn ond young paople worè out of schooL on increase 013% since 2015. Tha greote5t barriers ure felt in low-income countries, which includ8 the communities you support. Yoijr support doas far more thon open clossroom doors. Children at Rainbow Children's Home receiva medical care, nutritious meols. (Jnd emotional support. Older children help care for younger ones, creatin9 a real sense of fomily ond belonging. Mony young p&opl8 you have supported over rh8 years hove been inspirèd to troin lor meaningful cor8ers, such as nursing. They are now giving back to their communitiès the kindness thèy once receivèd Children tace many obstacles to education, from poverty, disability, ond gender in8quolity to conflict and stigma. For children affected by leprosy, discrimination con be one of the most powerful barriers ol all. For children who havè missed schooling in the post, additionol tuition helps thèm cotch up and rebuild Cgnfidence. They olso learn lifè skills, including cookery and gro￿n9 vegetables. It is thonks to your generosity that 55 children ollected by leprosy werè able to ottend school in 2025. These chlldr8n live at the Rainbow Children's Home in India. It is a safe ond nurturing home established in 2004 for children from nearby leprosy colonies. During term timè, they live in a supportive environment where they can ottend school free from discrimination. Thonkyoufor holplng ¢hildr•n lik•Mgunika {pSetur•d) lo have notjust an educatyon. Ixrta hoppy and healthy start to lifg.Through you they arègolnlng the sklll8 n￿ledt0 br•(Fk the cycle ol povertyiorgood. 11 Iri: A pioneering future Thanks to you, Indio's first specialist leprosy physiotherapy trainin9 college op8n8d its doors in December 2025. The first cohort of students. pictured ot their White Coat Ceremony, have begun their studies ot Purulia Hospital in West 8en9al. Once they graduate. they will provida skilled leprosy core across our 14 hospitals in Indio. Once they graduate, they will provide skilled leprosy care across our14 hospitals in India. Thank you for giving th85e young peopl8 the chance to train lor a maaninglul and rèwarding career. Your support is olso helping ensure that leprosy expertise continues, so people will receive th8 care they dasarv8 lor years to come. knw9•: Thèltstcohartot¥tudènti Qtthepon￿T￿￿￿I*prosYphYsxStr•r0PYCl4*uI PLYufv Hospltd. Pog•20 L•PWy Ws5iaD4nThwARowrt JQ25 Gender Equality SDG FIVE Gender Equality ¥4 Standing with women and girls Sustainable Devtlopm•nt Goal S ¢qlls tor an •nd to all tomi$ of dlserlmlnation and viol¢n¢e ogainstwomen and girls. In the ¢ommunltle# wherewework. th1$ remalns a da51y $tNggle. Forwomen Ilvlng wlth disobillty.thtt ehallenges are Ovgn gr•ut•r. hmqy•'. MèTh¢ko koni ItNrdtroml8tt1 kn in Bangiodè$NA housm￿1¢ and moiherolfwi. sh*bBganworklw os o aoykbouierwhen hei hwband f•ll111 ondth8 lamlty loced inoDc5ol hoid$hip Aftorioining a $8lf-help9Tow$btrh09 re¢elved suppori io grow and sell lice. H￿ryn9 iecewed Iwdwship Irair￿ng. sh8 now advDCotts lorwomèn'$ [IghiÉ In hor community Dnd ￿ th&conttsct*ryth lo¢al9owmrn8nt. I•wosypAs$lonAnMalRqForT 2Q25 •27 In many ol the communities w6 sgrve, wom&n hove limited occess to education. Schooling is rorety prioritised lor girls. Instead, marriage is often their only foTm ol financial security. When o woman is diagT)osed wlth o f8ored disease such as leprosy, her vulnerobility increoses. She is far more likely to be reject8d by her family than o mon would b& in the some situation. According to latest doto from the WHO (2024), only 40Y. of people diognosed with 18prosy are womon. Thera is no evidence that women oré less likely to controct thè diseose. Rather culturol borriers prevent many from seeking or accessing treatment. Thig delay puts women at far greater risk of irreversibl0 disabilities, including blindness. Whilg her husband initialty cared for her and kept hor diagnosis secret Dullori later expèrienced violen¢e when shè asked him to save money so their two sons could attend better schools. At the time. shè did not reeognise this behaviour os obus&. In many societies, women must seek their husband's permission to Sé8 o doctor. Ev8n then, thoy may need to b8 examined by a mole health worker which eon be a borriar thot delays diognosis and treatmgnt. It is thiough your ineradible support thot our teams have been able to work innovatively to ensure women get a prompt leprosy diagnosis ond treatmènL Through training provided by the Dignity First projecL Dullaxi gained new ski115, including understanding her rights, advococy, and climate resiliènt farming. Through her SHG. she come to understancl that the violence she expgriancgd was unoeceptable. As hgr conlidenca grew and she began earning an income. she shored her learning with hèi husband, who now fully supports her leod8rship role. Our thre&-yèaT Dignity First project which concluded in 2025, worked across four districts ol Nepal to Improve the haalth, wellbeing, and dignity ol péople affected by leprosy, disobility, ond extreme povaty. Women were at th8 very heort of this pioneoring project. .1 tolk to my young sons at)out violencè, so they know not to trèot their future wives badly,. Dikllari says.'When husbands ore diagnosèd, wives leal responsible lor caring for them. But when wives are affected, husbonds do not alwoys do the somè." A cornèrstone ol the project was strengthening a governmènt-led network ol Female Community H8olth Volunteers. We trained 635 volunteers to recognise the early signs of leprosy. By doing so. we wert tsble to equip olreody trusted women wlthin each community to slgnpost women to prompt treatment. The voluntee¥s also help famillès ond communities understand thot leprosy is curoble and is not something to bè feared. The training will undoubtedly leave a lasting legacy. Once contlned to her homé. Dullari now spends her days encouro9ing other women to savè lor emergeneles, plan tog8ther, and speak up. "Peopl8 often tell ma I have answèrs to every question," she says.'But I remember whgn I lirstjoinad the self-help group, I hid my face even whi18 drinking tea. Now we go togèther to the dsstrsct governm8nt to speak about our group." Women newty diognosed wth laprosy are also supportéd through sell-help groups {SHGs), where they learn sell-eare, advococy, ond leadership skills. Womèn hold key leodership roles in oll groups. Todoy. women in her community encouroge thsir daughters and doughters-in-law to follow Dullari's example. She is admired for her couraga, lèadership, and (Jdvococy lor pèople allected by leprosy. Dullart. 42 Is Vice-President of her SHG in rural Nepal. When she wos diognosed with leprosy, she told no one except her husbond. She had to explaln h8r diagnosls because treatmént meant shè had to work féwer hours. Her mother-ln-law occused h8r of pretending to be ill and Dullari feared she would ba thrown out of her home il tha truth become known. Thttnk you lor making the trallblgzlng work ol Oullarl, and women Ilkg hor, posslble. Your support is helplng people aff•et•d by leprosy Ilve empow•red and dlgnifi•d Il¥•$ oeros$ NepaL ImwDulkJrii¥adllty0lsiTengthondarolomod￿ttsWDmOD1n nèTeoiYYnunty. L•prO$yM￿sVJDAMWIA￿ptyt2O￿s Clean Water & Sanitation SDG SIX Clean water and sanitation From parched land to flowing streams $u8tlllnablt Developmgnt Gool 6 etsmmlts the world lo unlversal aeeess to $af• watgr and $anltatlon. Ygt tho UN warn$ that progress towards the 2030 turget is dungerously off trgcl gllllon*of peopl• stlll lack ¢lean wut•rand ba$lc $anftuilon. Th• WHO •stlmats$ that mor• than u mllllon lives ar• lost •a¢h year becau•? ol un$af• drlnklng walgr. kn•g•+$pkn$￿TrgQro￿nd twins Kovim tsndKabhhowère Qntytodd￿[5vth0nthèyI¥w• roUnd tOhav•l0PiO￿ durfng a hous•-tO-h¢)u$e 9cieèThlw progfamm?. prOtyFA1%&￿Th•rnL¥>l Rvptyt2025 As you have seen through our Revive projèct in leprosv colonies in Odisho, Indio. cleon water is fundamental to buildlng healthy and resilient communitie5. Belor8 SUPPOrt arrived, the family had no toilet or running water. Without sanitotion, children ralièved themselves in thè jungle, where vanomous snakes posed o constont dunger. Last year Sn Sri Lanka. our portnèrs proudly oponed their I,OOOth well. Each new well is lar mor8 than a water sourca. It is a lsfe-sustolning seed of development. Through your gen9rosity, Thibekka and Ajai were giv8n a wèll and o toilet. Their home hos becom8 a source of clean water not only lor thèir own lomily but also lor neighbouring households. They soy this hos helpad th8m feel more accaptèd within their community. History shows us the close link betrNaan sanitation and disèos8. Leprosy was largely wiped from thè UK by the end of the 18th century, following mojor impiovements in public he0￿h. Piped woter was introduced to London as early as1613, ot a tima when leprosy wos widespread and deeply faored. Poor sanitation weakens immunè systems ond leove5 people vulnerablo to diseose. Leprosy disappeared from thé UK not by chance, but because livin9 conditions tundamentalty improved. Thibekka, now Prasident ol her local leprosy Peoplè Association, explains how life has chongad. She says.. "Not having ro walk miles ev8ry doy to fetch water that isn t even clean hos given us more time together as a family. We feel much healthier, and the gills have enjoyed pltsnting their own gardgns. That somè tronsformation is now vnfolding in communities like the one where Thibekka c>nd Ajai live. in Batticaloo, north-eastern Sri Lanka. Th8 young coupl& warè diagnosed wth ￿P¥0$y during door-to- door screening. The hardest moment came when they lèarned that their tiny twin dauohters wara olso offected. Thanks to you, ofter complèting treatmen¢ no member of the lamily h05 been left with a visible disobtlity. 'Now w8 feel cleon, sola, and well. The girls ure ot school and both love drowing. They soy they want to bè teochers when thèy grow up." Thonk you for meeting the bosic needs of thousond8 of people in Sri Lanka. Because of you, families are living hetslthier and morè dignified livos today and for generations to come. 44 MumThiWko 5Qy5 hwlamlV$lutui&ho$bgon tronsl<¥mod t*￿￿hY0urVJ￿dr￿$l. Pa9•20 LgprwM*E￿ATrftWIROPort2o￿s Decent work & Economlc Growth SDG EIGHT AND TEN Opportunity and a route out of poverty Empowering young lives SustalMb￿ D•velopment ¢3oal¥ 8 qnd 10 are dMpty conngci•d. Whll• SDG 8 promot•s •conoml¢growth and dgc8ntworklorall, SDG 10 88ek$ to reduce ino9ualltles. It aSm$ to norrowthe gap bgtwe•n th• rl¢h•st and poor•st, both wlthinand b*tw￿￿ nutions. mQ9•+Th• Intake DI motor m8chonic studèntsln 2025oie pkiuiod at Btsnkuro Vocatiu￿1c•ThtrÉ InWe$tsongal, iThdlo *Sabrina Duny L•Fro￿lI*S[L￿1Thl￿lR•pOrt2O2 SIfvGE For young pèoplg affecttd by leprosy, thejourney to opportunity begins with enormous barriers. Many start life ot a significant disodvantage. Poverty. stigmo. and oxclvsion makè It almost Impossible to br8(Tk free from the cycle ol hardship. In Indio, os in many parts of the world, people olf8Cted by laprosy are oftèn denied the chancas thot others toke lor gronted. At thè VTC, Rino discovered more thon just skills training. realised that leprosy didn't need to define her ond thot she could move forward with her life. The cheerful nature she wos knowrTr lor as o young girl returned. Sh& says the lova and support she experiances ot the esntre is unlikè anything sha hos known. klotivated by a desire to be indépendent, RTna plons to gain experiènce as a seamstress alter groduotion before storting hor own business. She will be aquipped with the skills and freedom nseded to thrive. But bècovse ol you, young people like Rino (pi¢tured). ore finding hope ond Independence. Through our Vocational Training Centre5 IvTCsl, thgy are gaining th• skills they naèd to pursuè meaningful Work and build brighter futures. Rina's story is lust one exomple ol thousands ol young lives being transformed thanks to your support. In September 2025, 151 students begon tha new acad8mic yeor ot Champa VTC and 103 at Bankura VTC, studyin9 subjècts including diesel mechanics, electrician skills, laboratory techniques, and computer progromming. Each centre partners with local businesses to ensurè stijdents graduate with real employment opportunities. Rinq who is studying tailoring at the Bankuro VTC, was diognosed with leprosy in 2019. A smoll potch on her 18g wos initially dismissed by a local doctor. When it persisted, her mother took her to hospitaL whère she finally recaived the diagnosis and tytatment she nèeded. Coming from a larga extended fomily, Rino was ancouragèd by her mother to keep the diagnosis private. Her mother fearecl th8 stigmo thot18prosy can bring and the effect it could have on the whole family. With little explanation cbout the disease, Rina felt onxious and isolated, worriad She might int8Ct others. It wos only when she joined Bankur(7 VTC that she wos relieved to léarn that, within a day of startin9 Multidrug therapy, she could no longor spreod the disèose. Be¢aust of you, hardworking and talontod students Ike Rina uro Stepping Into q lutur•fllled with posslblllty. Yourg8nero$lty 51 helping br￿k th• y¢le of povertyand inequallty, •mpow•rlng young peoplg olf•¢ted by l?prts$yto bulld mttoningful and Ind•pond¢nt Ilv•$. Imq9•.'Rina ￿￿,11￿$1901ThIng t(Nk)rlng skilts ut BankuroVxotiOnQl TTain5r¥contrè. 5he'$ discovgllw herpDt&ntKJlono opening d¢¢i$ttsobrbhtfvtule. Pag•82 fj? Secure and safe staff homes Provldlny d•c•ntw0rklng￿￿dlll•nS Inelud•$ •nsurlng $019 and s•eur•homestorthg pgopl8who car•forother8 8ofalthfully. Ourmedical team¥8erv8 wlthèxtraordlnarydedlcgtlon, oft•n oamlng ontyofractlon olwhatthry ¢oukl r•celv•in prlvatt hospitals.Theywork long hours. sometimes wlth barety udayoff.fvgllad bythèlreompa$$ionforpeople¢xttect•d by l•pro$y. Thanks to your ganarous support in 2025, mony ol these dedicated staff members now hove a place they are proud to call home. incrèasing pressure on hospital budgets, patient core and food wèrè prloritised, leaving little funding avalloble for staff home renovatk)n At Chondkhuri Hospital in India, Shofolika, a phormacist, once returntd home alter long days serving patients to a house with o Ifaking roof. The building was insecure, ollowing vanomous snakes to enter through gops in the woll while rats spolled the food she had stor8d. In 2025, your g8naroslty helped to change this. At Champo Hospilal, 25 sttsff homes were completely renovotad. A further nine homes at Chandkhuri Hospitol were refurbish8d cluring the yeor, with nine mar8 in progress. At Muzafforpur Hospital, six brond new staff homes wero constructed. Today, Shafaliko returns to o sole, dry, and seoura homa, a ploce ol pe(J¢e and restoration. B•¢au$golyou,th¢*s•whod•dlcal•thoir Uves toearlngforothorscan now r•tum ￿ch •nlngto home%thatare #alo, secure, and fftlorth8lrtomlll•s. Th•yfo01 valuod. bettor Mstod. and•quippedto contlnuo s•Nlng $om• ofth mosl mgrylnalisod Inth•worfd. Like Shafaliko mony of our hardworking staff in India live with their families in housing located on hospitol grounds. Ov8r time, some of these homes hod fallen into serious disrepoir. With Irw.Aitw 26yeoi$servkng peOp￿offect0dbY1eprO$Y.ph￿mo¢lS1ShQf￿lk1fj isd&eplythanklul tosUPPOrtei4 lortsr rgfurblsh8d horne ¢1 Chondkhwi Hosplttslln IDdki.It i$0 sofg huv8n, bAn9iny a tiuggen$o of wolb*n9 roh81 Lepioyy￿￿￿nArWwju1RQpOrt￿25 Pog033 13 Climate Action SDG THIRTEEN CLIMATE ACTION Pow34 L•pro&yMI$$i￿An￿U￿l￿OPort2￿25 UKaid from the British Fécyle Taking urgent action on climate change Sustfjlnqb￿ D•v•lopm•nt Ooal 13 etslls torurg•nt action tocombot th• ellmat•¢rl$ls and it$ impacts. Together an incredible £4.4 million wos raised. As o resvlL life in some of M02arnbique's poorest communities has been transfofmed. Climatè ehange poses one of the greatèst threats to life on earth. Although it affects us all, it is th9 world's poorest communities who b•tsr its harshest consequences. In rural northern Moiumblqua, most families r8ty on subsistence farming to survive. Climate-driven cyclones, drought5, and floodin9 increasingty dèstroy crops, pushing famili85 deeper into vulnerobility. At villoge Hubs ol Hope, built through the campaign, farmers receive pro¢tieol training ro protect their Ilvelihoods ogoinst climate change. For many ol the peopla w& satva, climate change is not a future risk but a daily reolity. ond often a matter of life ond death. In countries like Mozambique, Increasingly sevgre droughts. floods, and cyclones thr8at8n lives ond livelihoods year after year. This is deeply unjust, as these communities contributè the very least to global corbon emissions. They learn how to grow o wider variety of crops and v8gétablès to improve nutrition and food security, ond how to s811 surplus produce to 98nerate on income. Savings group$ olso mÈÈt at the hubs. These groups provid8 U vital safety net during financiol èmergancies, whether COU5ed by o tailed harvest or unexperted costs such os funerals. In total, 3,578 p&ople have benefited from this tralning and support. The world remains significantly off trtsck to mget SDG13 by 2030. Globtsl temperatures are nearins and in some cases exceeding. the critical long-term warming threshold 01 7.5￿ above pre-industrial 18v8ls. Th• UN says progress on climate oction is far too slow. UrgenL collective action 15 ne8d8d to avoid catastrophic cor}s￿￿enCeS. Monihia is one ol those whose life has been transformed. Aft&r completing treatment for18prosy, she received forming training ot her villo9e hub. Alongside other farmers, she estoblished o community farm thot now produces nutTltious food ond generates income through surplus sales. Th9 community olso support thosè who ore too unwell or disab18d to work by sharing produce. Thonks to your compassion ond support we ora helping some of the worfd's poorest people odapt to the devostoting ettects of climate hange. Thfough our Unconditionol campaign in Mozambique, thousonds ol paople have gained vital skllls in climate resilient agriculturè, strengthening food securty. Becau#• ofyourg•nero$lty, vlllage¥ once struggling to $urviv¢are becoming vlbrant, r•$lll•nt ¢ommunTrtleg. Your support l¥ helplng fumllleg fuce ¢llmate changewSth hope, dignity, and the tools th•y rwod to bulld o more ¥•eur• lulur•. The three-year compaigry which concluded in 2025, was aworded UK Aid Match funding. This meant thot every pound donated, up to £2 million, was matched by the UK Government lrn•g•.' M¢th¢rot thr94 PAonih4wascured oll¢prOSythrough Iha Uncondthonal ctsmpa*Th.Aftei a9r1cuk￿ltrol￿n9 at Ilage Hub ol Hope. set up0comrrK￿tyIarrn ¥￿thO￿l larrwrslnthg￿llago ShB I%￿tt￿$￿￿1th hei boufttllul hap￿st of malzè t ftlcardo Franco LfjwosyblW¢nAMuaIRqpcrt￿2s PO9b3S 16 Peace, justice & strong Insitutions SDG SIXTEEN Peace,justice and strong Institutions Leading by faith Sustolnabh D•¥•k*pmanl Goal 161$ obout er•gtlng pgac•ful. Iqlr, and salo so¢i•ti•s where •v•ryone i¥ tr•otod wlth dlgnity and ro8p8¢t. Iman Atham Lebbe Mohamed Rilkan, in northern Sri Lanka, was trained in leprosy awareness and scrèening in 2025. He is pictured above addressing o crowd after a street drorno that shored a simplè but powerful messoge.. leprosy is a disease like ony other, it con ba ¢ured, and there is nothin9 to fear. SDG18 rècognises that Communities thrive when pèople feel so18, their Fights are protected, and they hove a voice in decisions that affect their lives. Pty•38 ala Manraffl Bv Wlth taith comes the Courage to reach those who are most morginalised. In 2025, religious leaders across Asia and Africa stood together in the light against lèprosy. Christion, Muslim, Buddhist ond Hindu leaders are trusted voices in the communities they serve. By using thair influence, they ore helping to dispèl deap- rooted myths surrounding leprosy. This includes o dangerous and wid8spread belief that the diseose is a curse or punlshment lor past actions. standing together for Justice and hope Through branches of the Leprosy Peop18 Associotions, members rèceive proctical support to ¢holl8nge discrimination ond legol injustice. While individuols affected by leprosy ore often marginolised, collectivè action, btsckèd by advic8 and odvocoey. anobles communities to assert th8ir rights. These associations also provide o vital communication network, èspecially in times of crisis. Our interfaith work began in Sri Lanko in 2014, when pastors and church leaders were first trained to18ud Leprosy Awareness Sundays in 8Vangel￿oI churches. The impact was FX)wertiJl. Leoders from other denominations and faiths soon s(M the difference these initiatives were making, and o shared passion was ignited. Balore long, faith leaders from oll backgrounds wonted to play their part in making loprosy history. Thi$ wos $è8n following Cyclone Ditwah, which mode landfall on 28 November 2025 and coused some of the worst flooding Sri Lanko has expgriènced sinco the 2004 Boxing Doy tsunomi. Womes were destroyed, livelihoods swept owoy, and entire communitiés laft vulneroble. This intarfaith work proved to be mor8 thcn a health inltiative. Following the Easter Sunduy bombings in 2019, which Claimed 270 lives, Sri Ltsnka laced the risk of d8èp religioijs and ethnic division. Yet faith leaders iemoined united, finding Common ground through their shared commitment to supporting people affèctèd by leprosy. At a time of notional grief, this eolluboration became on unexpected force lor peace. Thanks to the generosity of regular givers. we could respond swiftly. Through the Leprosy People Assoclotion, 283 members and their families received emergency food, clothing. ond sheltér. In totol, 1,981 péoplè banalited from this urgent support ot a time when many had lost everything. In 2025, u furthar 80 faith leaders recgivod troining in 18prosy awareness and early detection. Through their outreuch they have alréody identified six new cases ol lèprosy. Thèse six people are now taking Muiildrug theiapy, the treatment that curès the disease. Our team in Sri Lanka shor&d how moved they were to se8 ossociation members who had been Eess offected by the floods volunteering to help others. They quickly rollèd up their sloeves to clear roads, repair damaged homes, and offer hope in the midst of devcjstation. Faith18ad8rs are also offering their church8s. mosques, and temples os safe meeting spoees lor branches ol the Leprosy Peopl& Association ol Sri Lanko, Thesè ¢J$soeiotions play a vitol role in empowèring peopl affected by ￿PrO$V to stond togather. Thi¥ Is iht powerol pray¢i, communlty. and faithful giving- transforming lives even In thg most dlttleult elrcumstanc•s. Topknqy=Thanks to oui gpn8r¢U$ ￿PPoI10T?.￿PrOÉy P8oV8Assocl answer to prayar. We grateful lor th8 faithful support of churches across Great Britain. Your prayer undeTpins our work and is the loundotion ol oll thot we do. We held 622 talks in churches and groups in 2025. Congregations showed Jesus. love in action, donoting close to £1 million to help peopl& off8Ctgd by leprosy. Imoy.'T*omTikitsa ￿￿b¥1￿c￿ Hor¢l$ IMkId￿ back rowl.otthè yummlt otyr Wyddfolsnowdon ptrgg42 Lwasykllw￿AD￿￿Ol R•pon 2D25 Events It wo$ a privil•ge to meet supporters in Scotland ot èvènts in Ab•rd••n and Gla$9ow. This was a grout opportunityto say thank you, and provid* on insiyht into fjod's 5eading now ond lor th• future. Supportars ocross England, Scotlond, Wales, Guernsey, ond thè Isle ol Mon held special events lor The L8prosy Mission. Thonk you so much lor giving your time to do this. Events don'tjust raise vital funds, they're olso Q powerful way ol raislng owctreness about leprosy. ond held fundraising events. Special thonks go to Forestdole Primary, Wotford St John's C of E Primory, and KoirK)nta Federation ol schools. Legacy events Every yeor, gilts in Wills fund one in four life-chan9ing Projects. It is humbling lo think thatwhen someone pledges a gilt in their Will, they hove no idea of th8 impoct this wlll hove. But God knows. Though they ore no longer with us, their love lives on through their compassion. Many individuols held their own events too. One of many advènturèrs was Roe Harris, who climbed Yr Wyddfalsnowdon, raising £2400. Freya Irvine also roisecl £5,328 by walking 40,000 steps barefoot on the hottest day of the yeoT. The Southampton Methodist Women in Britain raised an ostounding £11,7831 The loithlul Wèlling Lomplighters Fayre and luridraising totolled £6,000 Our friends in GtJerns8y held o quiz and tgo party, bringirng in over £3,000. An incredible team in the Isle of Mon rcjised £1,927 at thetr annual quiz. In Scotltsnd, groups in Penicuik Aberdeen, and Inverness worked hard to raise a wond8rful £8,4001 In 2025 we held two legacy Èvents at Winchester Cathedral ond Allerton Castle in York. Thes9 were supported by our Vice President Pam Rhodes, and Don and Babs Izzett, who Ore both affected by leprosy. These events are incredibly popular every year, with huge waiting listsl It wos wonderful to end the yeor at St Giles-in-the-Fields, London, lor our onnuol corol concert. In 2025, the congregotion donated o record-bieaking £4,4101 It's impossible to thcjnk everyone here. But wh8th8r you h8ld a quiz or climbed o mountoin. we thank God lor youl We are grcttelul to the schools who roised awareness aboul leprosy ay.. Ap)c*edhoJs•otlh•onnyoI1518 ol tAun quiz lor ThELeptQ5y Thank youto everyonewho held oventsto rai￿ funds for peopleatt8Ct8d bylsprosyl LoprogyMl#sloTh Anr￿￿1RqP0Tt￿o1s Pog843 IIL, Pow44 wosy14Lssion Annu& kopon 20 Our plans for 2026 Our initiatives for 2026 include: Ethlopla Indla Improving women ond ehildren's occess to leprosy services and livelihood support. Estobli$hing new trodes at Chumpo and Bonkuro Vocotional Troining Centres. Niger Constructing the new Outpatients Deportment at Muzaffarpur Hospitol. Reaching remote communities to dètèct leprosy ond other skin diseases. Renovotlng the words ot Purulia Hospital. Supporting Danja Hospital to provlde leprosy referral services. Renovoting the Snehaloyo Hom6 lor the ElderSy In Bankura. Nlgerlq Myanmor Running school and community aworen855 piogrammes on leprosy ond mental health. Providing pop-up clinics und surgical comps to support leprosy management where there is no healthcare provision. Introducing t818-dermcrtology $8rvicès to detect leprosy ond other skin NTDS. Nepal Finalising the design and starting the construetion ot rhe Reseorch Loborotory. Mozambique Training communities in ¢limol& resilient agriculture. Co-developing mental heolth interventions with peoplè ollected by leprosy. Training health workers and community volunteers to manage 18prosy-Yelated complications. Sri Lanka Supporting the Lèprosy Pèople Association, ond sharing leorning with similor organisations across Africa ond Asio. launchin9 a new lèprosy dfrtgction programme, including Screening in refugee comps. Improving accass to water and sonitotion. Training heolth workers in leprosy detection, trecJtmenL ond stlgma reduction. Using GIS mapping to improve thè ellectiveness ol leprosy case dètectlon. We will a180 Ihv•#tlgat•the potentlal torworking in additional countries. partl¢ulurly to 8UPPOrt moro organlsatlons ol people offected by leprosy. Advoncing research into anti- microbiol resistance. iepttssyTrA¢6￿￿￿￿UQl￿￿n2O2S Research and advocacy in 2026 Three signilicant re$eor¢h studles will begin in 2026: to transmission. Alongsi(Jè mopping. methods will include environm8ntal sampling ond molècular diagnostics. A three-y8aT Study in Bangladesh will investigate onti-microbial resistaneè IAMRI to laprosy treatment tt will also generaté the first comprehensive AMR surveillonce data Sn the country. The findings will inform national traotment guidelines and help saleguord the long-term ellicocy ol laprosy drugs. Our 2026 advocq¢y prlorities includ•: Rolsing owaroness ol leprosy and NTDS, both in thè UK and around the world. In Indiu ond Bangladfrsh, o new study will use the WHO'S Leprosy Elimination Monitoring Tool to better ¢Jnderstand leprosy tronsmission. Our approach will combine spatial mopping, leprosy screening, and quolitative research. Calling for investmènt in NTO programmes ond reseaic Amplifying the voices of pèople affected by lèprosy on nationol ond internotionol platforms, A furthèr study in Indio will explore whethèr environmgntal reservoirs contribute knog•.' Re￿0￿ch is h&lplng us i¢dUtfrdlscrl￿n¢tlOrn Ptsvtrrtt thsability. 0￿j91¢p thesweadof lew<>sy Pi¢fured isthe lob ag c￿rn￿ Hospiiol In Irbdia ¢ Sabrina DUD901 Pogo 48 LApio$y k4545￿n Annu￿Ra￿t 3035 structure and governance Found￿ in1874,Th• Leprosymisgion Grout Brltain is a ¢hariloble compuny Ilmlt•d byguarantse. In 2025, some gronts were made to overseas partner5 through TLMI. These totalled £4,550,72112024'. £4,400,760). Grants paid dlrecily to overseas partners lotolled £1,539.49312C124: £1,376,023). A revised Memofandum ond Article of Associotion was signed on g October 2005 ond updoted on 27 April 2024. On 3 July 2018, The Leprosy Mission Isle ol Man was incorporat8d as a compony limited by guarantee, undef the Comptsnies Acts 1931 to 2004 by the Deportment for Enterprise Isle of Man. Sinte tormation, the ehoritable company has been o subsidiory of TLMGB. Th8 choTlty number is 1050327,. the company number is 03140347, registered in England ond Wales. Connected charities TLMGB is an autonomous choritabl¢ compony. We ore a membèr ol The Leprosy Mission's Global Fellowship alon9side 27 international mèmbers and atfiliotes. TLM1sle ol Man raisod £36,907 in 2025 {2024-. £47,134). On 5 March 2009, the Leprosy Mission Scotland wos ineorporotèd as o compcJny limited by guafanle8 under the Companies Aet 1985. On 31 December 2023, The Leprosy Mission Scotland b8oamè o subsidiary of TIMGB. Project proposols ore evaluated ond approvèd by TLMGB and o Global Fellowship working gioup, supported by The Leprosy Mission Internotional (TLMI). TLMI, a connected chority with common valL+es, is the secretariat ol the Globol Fellowship. Imaye.. ￿¥t￿One ltsced heortbi•oknng iej2cUon Irom hi9 lomllywh*ntt*wo$dkJgno8qd wth ￿P[0*y. HÈigbUnd tye¢ous@ DI th d￿0￿1£￿0ndsI￿llEtrUug￿Switti ul¢et$ BLII at Danja Tr14s￿l01 ItsNiget. hQro¢*ve$the ¢orè hé n8èd8and thé ¢¢mPQS9ion heJe9eFves i¢p1ts¥yMl$donAnr￿m1RqFOrt 2026 Pou•47 In preparlng th08e ry¢¢ounts, th•Trusteos hav•: Kept sufticient occounting records that ensure complitsnce with the Charities Act 2011, the Chority (Accounts und Reports) R89ulations 2008, and the provisions of the trust deed. Governance 581ected suittsble accounting policies and applied them consistently. statement ol the Trusteo$' responsibilities The Trustees (who OT8 also directors of TLMfjB lor the purposes ol company law) are responsible lor PFeporing the Annuol Report and the occounts in accordance with the law and United Kingdom Accounting Standords (united Kingdom Generolly Accepted Accounting Practitte). Adhered to the methods ond principles in the Chorities SORP. Safeguarded the osstrts of the charity, foking reosonoble steps to prevent and detect Iroud and other irreguloritias. ode reosonoble and piud6nt judgements ond èstlmates. As tar as tho Trust•o5 are awar•: Stoted whether applicoble UK Accounting Standords have been lollowèd, stjbject to ony materiol departures disclosed and explained in the oc¢ounts. There is no relevant audit informc)tion ol which th8 choritoble compony's ouditor is unoware. Charlty law r•qulres the Trustees to prepare aecount8 whi¢h glvo an hon•$t and fa5rvl•w ofr. Prepared the tsccounts on a going Concern btssis (unless it is inoppropriote to presume that the chority will continue in operotion). The Trustees have taken oll reasonable steps to moke themselves owore ol any relevont audit infoimotion ond to establish that the auditor is aware ol thot inloimation. the affoirs ol the charity the incoming resources and opplication of resources of the chority Kept sutlicient accounting records that disclose with reasonab occurocy ot any time Ihe h"nanciol position ol the charity. The 8oord ol Trustees met three times during 2025. Trustees arg encourag8d to serve on on8 Qr more ol the lour Boord ¥th11g•'. klodicsat WLKIHospild in 8aNhk)Jesh pipparing lor reconsiiuctwt $urgty & TrfyvorGYoni l•ptoSylAb$l￿ an￿￿￿?￿pUrt2o25 subcommiltees.. Finance und Planning, Personnel ond Bursaries, Progiommes, and Fundraising. These subcommittees meet on average three times o year. They hove no dele9at8d authority ancl bring recommendations to the full Board. CEO ond oppropriate members ol the SMT report ot 8oard subcommittee meetings. of Proctice and Requirèments. All lundroising Stoll receive training in relevant areas ol the Code lor their role. In 2025. the TLM Global Fellowship introduced o new Global Strategy. Following this, w8 worked with people olfected by leprosy, portners, ond stoff to develop Dur 2025-2030 stroiegy. We comply with the GeneTal Data Protection Regulation {GDPR}, tsnd oll staff receive appropriote GDPR training. All fundroising moteriols include contoct details $0 that supportars can inform us of their communicotions preferences. We 0150 fully comply wilh the Fundroising Prefeience Service and Telephone Preference Service, New Trustoes are appointed by existing Trustees and serve lor three yeors. After this, th&y moy put themsolves forward lor reappointment. The trust deed provides for five lo 15 Trustees. Existing Trustees provide induction training, supported by senior stoff. This includes safeguarding training ond o visit to the rTrational office. They are also encouroged to visit our work overseos to gat o better understunding ol the organisation ond our impo¢t. There is o policy lor setting the CEO'S r8mun8ration. The choirs ol the Boord ol Trustees and Personnel Committee annually appTaise the CEO'S pertormonce. Any solary increase is established in line with th8 pay scheme applied to (Jll sttsfl. We work wlth external commerciol portners such us Will writers ond print8rs. W& havè oppropriaie dara processing agreements ondlor non- disclosure agreemènts in place. The Trustees hove complied with th8 duty in S&ction 17 01 the Charities Act 2011 to hove due regard to public benefit guidance published by the Chality Commission. Systems ol internol control are designed to provide reasoT)able, but not absolute, insurance ogainst misstatement or loss. These include.. In 2024, we received no fundroising complaints from Ouf donors. Interests of the Tru$t•ès The chority does not have share caprtal and Is limited by guarantee. The Fundraising Committaè ollows Trustees to engage with fundraisin9 activities and ensure legol requirements ore met. The committee met with senior Staff three times in 2025 ond ieports to the Board. Risk review The Trustees hove a formal risk monag8m6nt strotegy 10 ossess business risks annuolly. They hove identified and oss8ss&d the rnajor risks lor the charity, in particular those reloted to operatic)ns ond finances. The Truste8s are sotisfled that systems ore in place to mitigate the charity's exposure to th8s8 risks. Ttte corporote strategic pltsn approved by the Trustees. Quarterly cDnsideTation by the Trusteès ol the management accounts, vorionce from budgets, and non-tinancial p8rformanee indicotors. We prsoritise the soleguording 01 our eliants, sioll, and supporters. All staff and volunteers must follow our Fundraising and Vulnèrable People Policy. Delegation of authority and $89r8gation ol duties. We value our supporters, opinions, ond regulorly seek feedback to ensure thot we meet their needs. Management structure Identiticotion and monagemènt ol risks. The Board-appointed CEO is responsible lor strotegy, plonning, ond doily management of op8rations. The CEO Is supported by the senior manu9ement teom ISMT). which has d8legtstÈd outhority lor day-to-day operations. Honorary Presldents nd Vi¢e Pr?sTrdents Fundraising governanee Both stall and volunteer speakers carried out lundraising activltlès In 2025. Our Honorary Vice Presidents 15ee page 2) are 9enerous with their time ond committed to roising awareness and supporting those affected by leprosy. W8 arè éxtrèmely grolelul lor their invaluable support. We ore register8d with thè Fundraising Règulotor. ond lully comply with the Fundroising Code The CEO reports to the Trustees on progress on our strotegy. The 1025 P¢9e40 Safeguarding Wetake $attguarding sèriously, with zèro tolerance Ioranylorm of qbu$e. Our safeguarding polieies ore r•gularly reviewed. und includ•- Is occessible to oll TLM Global Fellowship membèrs, including TLMGB. should anyone not wont to vse internal r8POrting systems. stall lincludin9 TLM Shop stoff) received training on the new Policy. Two solèguarding concerns were communicated to TLMGB, ond appropriate action was taken. Neither w8re at o level reportable to the Charity Commission. In 2025 at TLMGB Safeguarding policy and procedures lor protecting children and vulnerable odults Safeguarding continued as a standing item on all SMT, Personnel Committee, ond Boord meeting tsgendos. Saleguarding in our implementing countries Bullying ond harossrnent policies ond procedure$ Our Soleguarding Advisor ond Designated Sole9uarding Lead IDSLI continued to work with DSLS in the countries w8 support. This Included building safeguarding capacity, and providing odvice ond guidan¢e. All our implementing partners ore required to have adequate sofeguarding policies and procedures in place, including o stall code of conduct. These are reviewèd by our Soleguording Advisor. who works with our partners to ensurè thot stoff have appropriote training ond thot feedback mechanisms ore in placo. Whistleblowing policy ond proceclures Recruitment ond selection poliey and procedures Internal audit procedures Safeguarding training is compulsory for all new stoff. Trustees, ond volunteers at TLMGB ond The Leprosy Mission Shop lo seporate compony residing in our building). staff and volunteers then Teceive regular refresher training throughout rhgir time with TLMGB. Project development and approval documents Project monitoring ond evoluation guidelines When tsny sofeguarcling issue is raised, we work with the Désignated Soleguarding Otticer at TLfvA International to ensure that the appropriat8 investigations ond actioris are corried out. When nècessory, we report on to the Chority Commission. Risk management policies and procedures In 2025, we revised our Safeguarding Policy and Procedures and Code ol Conduct. We contract on independent whistlin9 seNice. Safecoll. This knq9•.' Lypendu is studying tg be0n$1￿1￿cian￿E goThkufa Vocutsonal Tfoining ¢¢ntre.IndKJ Than* you IDT piov4ding youn9 peopFe affected byleprosy Wilhlile-changingopporturdti*$l * Sabrina Dan901 Pogèso LWtstyk4iE$ionAnnvLlk•wt 202$ Financial summary Rosorves policy We orè eonlidènt thai we will meet penston contributions from our projected income without significontly impacting on plannecl charitable activities. We continue to calculote our free reserves without setting oside designot&d reserves lor penS￿on liobilities. We moiniain unrestricted funds (free reservas) that provide sufficient working copital to continue existing work ond develop new activities. (>Jr policy does not include d6signoted funds set Qsidefor spacllic purposes. Grqnts maklng pollcy Our free Teserves policy rèquires TLMGB to hold sufficient funds to meet between three- ond five-months, expenditure. This ensur&s we can react to the growing and urgent needs ol our implementing partn8rs. In 2025, we poid £6,090,214 {2024". £5,776,783) in overseas grants. Our progrommes are imp18m8nted by partners which embody our volues., many ore members of thg TLM Global Fellowship. Ourlotal reserves us of 31st D•e•mber 2025 were: PartnaT progrommes ore mona9ed by national st(7ff. We also work with organtsotions outside ol the Global fellowship who cun cleliver o specific service to peoplg who would otherwise be neglected Non-TLM partners are portioulorly important Sri Lonkcs, where there is no TLM offlce. RestrlctÈd lunds: £4,490.332 De$ignut¢d lunds= £3,241,872 Fr99 reserves= £4,337,939 Total: £12,070.143 The free reserves as of 310e¢ember 2025 were £4,337,939. This wus £67,323 over the rong8 of between three- ond live-months expenditure. In January 2026 we remitted £1.2 million lor leprosy mission projects globally, bringing our free reserves down to £3,576.835. The Leprosy Mission supports disablèd people, those offected by leprosy, and other ostracised groups to promote sociol inclusion. This includ85 working with people affected by othèr NTDS. Imao•.' Piiy¢. 11.fiom Borylade5hwtssdbgnos•owllTh bptosythr&•y•or8ago HEr￿￿3h￿0ur. Portolo Lopfo$yMisslon-EUPPOrtod 5eff-hè* grou 09nyi*dlhe$S9n6 Qlthe diK8ask Piryts qu1ckty 9Qt Ihètr¢oimpniEha n@eded and has rnodèts lullreeovery. InryJOIR¢porl 202$ pwsl P•rcentag• spènt by country Myanma4 r.. 4% Indl 46% Ethiopia Nlgetlu 6% Nig•r Bunghdgsh 6% Srl ionku I 7% Mozamblqu• 8% N¢puI Percontage spent by locus aroa othar Z•to hprosy Iron*mlts#ltsn 38% Zero leprosy dl$crimlnotlon 24% Z•ro leprosy disqbllity 35'A Pog•52 Ièpty5yV1¥s￿n 4nnuol 3015 Financial summary Thèlull $lat•mentotrinunelol aetlvltl•s follows the Ind•p•ndtnt Audltors. R?port. Highlights in¢lude- Guernsey Overseas Aid and Developmer)t Commlssion, Irish Aid (via The Leprosy Mission Northern Ireland}, Lèprosy Research Initiative, and the Univeisity ol Birmin9ham totall6d E412.089 {2024'. £773,8861. This represents 4.IY• of income (2024.. 6.8y.) Total income from all sources was £10,451.654 (2024.. £11,335,797). Expenditure for d￿rtset charitoble activity wos £7,455.102 {2024.' £7,189,378). Off bolanee shèet Sncome gonerated for 2025 progrommes with supportln)mTLMGB for other membèr ofthè TLM Glo1￿4 Fellowshlp totalTed opproxlmat•ly £439,378 {2024: £508.429). Fundraising costs arvounted to £3.094,383 {2024." £2,785,409). Revenue trom legocl8s was £3,327,855. This represents 33.1% ol total voluntary Income (2024.. £8.832,800 OT 34.9%). TLMGB s•ur¢ed 5n¢om• for TLMwork that wus yemltted dire¢lly to the lollowing eountri•s in 2025. Thls ro16es the lèvel of income in 2024 erodltubbto TLMGB to £439.378.67. Community fundraising provided £945,915, on 8.3% in¢reusè from 20241£873,34c>). TLhA Northern Ireland, Dignity First.. £107.985 le130,000) Income from individual supporters wos e3.716,404, 0 5.2V. decrease from 2024 (£3,921,614) TLM Northern Irelond, Project Olikanosso.. £168,067.23 {É200.000) Grants from trusts. foundations, corporatlons, and other orgonisations omounted to £435,50312024.. £324.739). Signitieant donotions were received from.. The Kitty Powell Trust, Th8 St Lozarus Charitable Trvsi Thè Kirby Lain9 Foundotion. The A&N Christian TrusL The Lucy Ellèn Allsop Memorial Fund. St Fronci5 Leprosy Guild, Pikelock TrusL Hope Legacy Collective, Beyond Finonce Choritable Trust, Eddi& Dinshaw Foundation, The Toris Charitoble Trust Thè Haramead TrusL MJB Charitable Trust The Grace Charitablè Trost, Crillel Charitable Trust, and Jersey Evangelicol Trust TLM India (Research on Interventions loi Global Health Transtormatlon {RIGHTI funded by the NIHR)". £59,216.96 TLM Nepol, IftiGHT. NIHR).. £79.733.86 TLM Nig6ria, (RIGHT, NIHR).. £24,375.62 This megns thtst 28 pence in every pound wos spfrnt on the cost of roising funds. Azets Audit S•rvlcè$ a¢tod a$ auditor¥ lor The Lèprosy Mission Greut Britain. Incoma from government grants ond institutions, including Foreign Commonweolth and Development Office, $19n•d on b$half of the Tni¥t•o$ L•proByMl$*on AMudPeporl 2D25 PapS3 Charlty r•glstr#tlon number 1050327 (England and Wales) Company reglstratlgn numbgr 03140347 THE LEPROSY MISSION GREAT BRITAIN AND ITS SUBSIDIARY UNDERTAKINGS ANNUAL REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2025 Pay $4 tFWQSyM1sikni•nn￿lR¢ptst?02S THE LEPROSY MISSION GREAT BRITAIN AND ITS SUBSIDIARY UNDERTAKINGS INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF THE LEPROSY MISSION GREAT BRITAIN AND ITS SUBSIDIARY UNDERTAKINGS Oplnion Vve have audrted the financi81 statèments of The Leprosy Mission Great Britain and its subsidiary un(5èrtaklngs Ithe 'chall￿) for the year ended 31 December 2025 which cornprise the group statement of financial actimties, the group and pargnt charity balance sheet. the group statemenl ol cash flows 8nd the notes to the financial statement$. induding 8 summary ol signrficant accounting policlÈs. The financial reporting fr8fTiework that has teen applied in their preparation Is applicable law and Unrted Kin9dom Accounting Standards, including Financial Reporting Stsndard 102 The Fin8ncial R8POrtirtg Standard applic8bl8 Arj Ihe UK and Republic of I￿18￿￿ (United Kin9dom Generally Accepted Accountsng Praet*cel. In our opinion, the fin8nci81 statèments.. give a true and 18ir viaw of the state of the group and parent chartiable company's affairs as at 31 December 2025 and of its incoming resources and application of resources, including its income 8nd expend1ture. for the year then ended., have been properfy prepared in accordance wlh United Klngdom Generally Accepted AC¢otsn￿ng Practi￿. and have been prepaTe(J in accordance wth Ihe requirements ol th8 Companies Act 2006. Basls for opinio We conducted our audil in accordance w¢th International Standards on Audrting {UKI IISAS IUKII and applicable law. Our responsibilities under those standard5 are further described in the Audilorfs r&sponsibilities for the audil ol the financial statements section of our report. We are independent of the char¢ly in accordance with the ethical rgquirements that are relevant to our audit of the financial statetnents in the UK, including the FRC'S Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We beliove that the audit evidence we h8ve obtained is sulTicienl and appropriate to provide a basis for our opinion. Conclusion5 relatlng to going concern In auditing the financial statements, wg h8ve concluded that the Injstees. use of the going concem basis of accounting in the preparation of the financial $latements Is appropriate. Basèd on the work wg have perfomed, we have not idgnttfi¢d any material uncertainties relating to events or conditions that. individualfy or collecliv$ly, may cast significant doubl on tho eharity's ability to continue as a going concern for a period ol at kast twelve months from when the financial statements are authorisad for iSSLte. Our responsibilities an(J th& responsibilities of the Tru8le¢s wlth respect to going concem are dèscribed the rg18v8nt sections of this report. Other inforniation The other informatson comprises the information Included in the annual report other than the finartial statements and our auditorfs report thereon. The Trustees are responsible for the other infomakn'on containèd within the annual r8port. Our opinion on the financial stslements does not cover the other inforniation and. except to the extent otherwise explicitly stated in our ￿pOrt, we do not express 8ny form of assuranTr conclusion thgroon. Our responsibility Is to read the other info￿ation and, in doing so. ¢onsid8r wh8ther the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the atsdit, or otherwise appeaTS to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are requlred to determine whether Ihls gives iise to a material misstatement in the financial slalemenls themselves. If, basèd on the work we have perform8d, we conclude that there is a rnat8ri81 misstatement of this other information. we are required to report that fact. Wo have no¢hing to ￿port in this regard. L•pio$yMig*on 2025 PD3•55 THE LEPROSY MISSION GREAT BRITAIN AND ITS SUBSIDIARY UNDERTAKINGS INDEPENDENT AUDITOR'S REPORT {CONTINUED) TO THE MEMBERS OF THE LEPROSY MISSION GREAT BRITAIN AND ITS SUBSIDIARY UNDERTAKINGS Oplnlons on other matters pr•s¢rlbed by th• Companies Aet 2006 In our opinion, based on the work undertaken in the course of our audit.. the information given in the trustees, report for the financial ye8r for which the financial statements are preparèd, which includes the directors, report prepared for the purposes of company law, is consistent with the financial statements,. and the diractors. report included within the trtJstee8' report has beèn prepared in accordance with applicable legal quirÈmenl5. Matters on whlth w¢ are requlred lo report by •xceptlon In the light ol the kn()wledge and understanding of the ¢hartsble company and its environment obtained in the ¢ourse ol the audit, we have not idanlrfied material mi$8t8tements in the strategic report and the directors, rgport. We have nothing to report in respect ot the lollowng matters in relation lo which the Companies A¢1 2006 requlres us to report to you rf, in our opinion.. adèquate accounting rtrcords have not btren kept, or retums adequate for our audit have not been recaivèil frorn branches not visited by us," or the financial statetnents are not in agrgement with the accounting records and retums." or certain disclosures of Trustees, remuneration Specified by law are not mad8', or we hava not received all the information and explanattons we r8quire lor our audit,. or the Trustees were not entitled to prepare the financial statements in accordance with the small o)rnpanies regime and take advantag$ of the small companies. exemption8 in preparing thè trustees, report and from the requirement lo P￿pare a strategic report. Responslblltties of Trust•8$ As explainèd more fully in the Ststement ol Trustees, Responsibilities, the TnJsteès' (who are also the directors of the charitable company lor the purposes of company lawl, a￿ responsible lor the preparation ol the accounts and for being satisfied that they gsve a true and fair view, and for Such internal control as the directors detemine is necsssary to enablè thtr preparation of accounts that are free from material mi5Statement. whether due to fr8ud or error. In preparlng Ihe account$, the Trustees are responsible for assessing the charity's abilty lo ¢ontinue as a going conc8rn, disclosing, as applicable, mattgrs related to going concem and using the going concem basis of aceounting unless the Trustees either intend lo liquidate Ihe company or to ¢ease operations. or have no re3listsc alternalive but to do so. Audltoes responslblliti•s for the audit of the financlal statements Our obieclive5 are lo obtain reasonable assurance about wh&ther the financial ststements as a whole are free from material misstatement, whether due to fraud or error, and lo issue an auditor's report that includes our optn50n. Reasonable assurance 15 a high levèl of assurance but is not a guarantee that an audit conducted in accordance with ISAS IUKI wll always detect a material misstatement when it exi5t5. Misstatements can arise from fraud or error and are considered material rf. individually or in the aggregate, they could reasonably be expected lo influence the economic decisions of usérs taken on the basis of these financial statements. A further description of our responsibilities is available on the Finaneial Reporting Council's website 81.. https'.11 www.frc.org.uklauditorsresponsibililies. This ¢Jescriplion fomis part of our auditorfs report. Po9p56 L•w¢$yMi%*on ￿nn￿ReportIal￿ THE LEPROSY MISSION GREAT BRITAIN AND ITS SUBSIDIARY UNDERTAKINGS INDEPENDENT AUDITOR'S REPORT (CONTINUED) TO THE MEMBERS OF THE LEPROSY MISSION GREAT BRITAIN AND ITS SUBSIDIARY UNDERTAKINGS Extent to whSch the audlt was ¢onsld•r•d Capable of detedng Srregularltl•s, Ineludlng fraud Irregularities, in¢luding fraud, are instances of non-cgmplianc& with laws and regulations. We de519n procedures in line with our responsibilities. outlined above and on the Finanryal Reporting CounrAI's website. lo dete¢l materlal mi5Statements in respect of irr8gulartties, including fraud. We obtain and update our L¢nderstanding of the ent*ty, its activities. its control environment, and likely future developments, Including in relation to the1egal and règulatr)ry framework applicable and ht)w thè antity is cornpl￿ng with that framework. Based on this understanding, we identify and assess the risks of material misstatement of the financial slaternents. whether due to fraud or error, design and perform audit procedures responsive lo those risks, and obtsin au¢Jit evidence thal is suffi¢ienl and appropriate to provide a basis for our opinion. This indudes consideration of the risk of acts by the entity that Were contrary to applicab￿ laws and regulations, including fraud. In response lo the risk of irregularititis and non-compliance with18w$ and regulations. including fraud, we design8d pro¢odures which included.. Enqulry of management and those ¢hargèd with govemance arotjnd actual and potential litigation and claims as well 8$ actual, suspected and alleged fraud., Reviewing minutes of meetings of those charged with govem8nc&', Assessing the extent of wmplianee with the laws and regulations considered to have a direct material eff$d on the financial slatements or the Operat￿n$ of the entity through enquiry and inspection.. Reviewing financial stalement disclosures and testing to supporting documentstion to assèss compliance with applicable18ws and regulations., Performing audit work over the risk of management bi8s and tsverride of controls, including tosting of jtsumal entries and other 8diustments for appropriateness, evaluating the business rationale ol significant transactions outside the normal course of business and r8viewng accounting eslimales for indicators of potential bias. Because of the inherènt Ilmitations of an audit, there is a risk that we will not delect all irr89ularstiÈs, including ihose leading to a material misstatement in the financial ststeménts or non-compliance with regulation. Thls risk increases the more that compliance wth a law or regulation 15 removgd from the events and transactions reflectèd in thè financial statements. 85 we will be less likely to become aware of instances ol notFcompliance. The risk of not deleding a material misstatement resulting from fraud is higher than for one resulting from error, as fraud rnay involve collusion, forgery. intentional omissions, rnisrepresentstions, or the override of intemal control. Uso of our rèport This report is made solely to th8 charitabte 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 stste to the charitatle company's members Ihoyè matters we are required lo $taltr to them in an audilor's report and for no other purpose. To the fullest extent perrnitted by law, we do not accept or assume responsibility to anyone other than the charitable company and the charitable compan members as a body. for our audit work, lor Ihis report, or for the opinions we have fomi8d. Tracey Ri¢hardson BS¢ IHonsl FCA (Senior Statutory Audltorl For and on behalf of Azets Audit Service5. Statutory Auditor Ac¢ountsnt$ Westpoint Lynch Wood Peterborough Carnbridgeshir6 PE2 6FZ Date-. l¢piD#yKks%￿n 2025 PtyJg57 THE LEPROSY MISSION GREAT BRITAIN AND ITS SUBSIDIARY UNDERTAKINGS STATEMENT OF FINANCIAL ACTIVITIES INCLUDING INCOME AND EXPENDITURE ACCOUNT FOR THE YEAR ENDED 31 DECEMBER 2025 Current finanelal y¢ar Unr•StrI￿ed R•strlcted lunds funds 2025 2025 Total Total 2025 2024 Not•s Donations and le9acies ncome from inv&$tmenls Othar income 9,003,892 332,278 69.082 1,046,402 10,050,294 10,992,311 332.278 274,915 69,082 68,571 Total income 9,405,2S2 1,046,402 10,451.654 11,335.797 Exp8nditure on raising fvnds 3.097.241 3.097,241 2.785,409 Expenditure on charitable activities 5,863,124 1.593,978 7,455,102 7,169,378 Total èxpendStur• 8,958.365 1,593,978 10.552,343 9.954,787 Nel gainsllh)ssesl on investments 13 30 1851 Net mov•m•nt In funds 446,917 1547,5761 1100,fj591 1.380,925 Fund balan￿5 at 1 January 2025 7,132,894 5,037,908 12,170,802 10.789,877 Fund balane•$ at 31 Dec•mber 2025 7,579.811 4,490,332 12,070.143 12,170.802 The ststement of finan¢i81 activities includes all gains and losses recognised in the year. The statement of financial activities includes all gains and losses fer￿gnIsed in the year. All income and expenditure derive from wntsnuing activities. The 51alement ol fsnancial activitiès also complies with the requ5rèments for an income and expenditure account under the Companies Act 2006. P49958 THE LEPROSY MISSION GREAT BRITAIN AND ITS SUBSIDIARY UNDERTAKINGS STATEMENT OF FINANCIAL ACTIVITIES (CONTINUED) INCLUDING INCOME AND EXPENDITURE ACCOUNT FOR THE YEAR ENDED 31 DECEMBER 2025 YEAR ENDED 31 DECEMBER 2024 Unrg$trict•d Restricted fLtnds funds 2024 2024 Totol 2024 Not0$ Donations and legacies Income from inve51menls Other income 8.319,861 274,915 68,571 2.524,005 10.992,311 274.915 68,571 Total income 8.811,792 2,524,005 11.335,797 Expenditure on raising funds 2.785,409 2,785,409 Expendrture on chafitable activiti'e8 4.975.293 2.194,085 7,169,378 Total trxpèndlture 7,760.702 2.194,085 9,954.787 Nel gainsllksssesl on investrngnts 13 1851 1851 N•t mo¥8m•nt In funds 1.051,005 329,920 1.380,925 Fund bal8n¢es at 1 JanLsary 2024 6,081.889 4,707,988 10,789.877 Fund balances at 31 De¢embÈr 2024 7.132,894 5.037,908 12,170,802 L•pipsykll¥%onAWOIReport 2025 ptsg*59 THE LEPROSY MISSION GREAT BRITAIN AND ITS SUBSIDIARY UNDERTAKINGS BALANCE SHEET AS A T 31 DECEMBER 2025 Group and Charlty 2025 2024 Notes Fixed ass•ts Tangible assets Investments 15 16 296,614 583,710 326.297 583,680 880,324 Current ass•t$ Debtors Cash al bank and in hand 909.977 18 1,875.435 9,571.030 1,613,112 10.276.960 11,446,465 11,890.072 CredFtors.' arnounts falllng (tue wlthln one year 19 1256,6461 1629.2471 NÈI current a$$ets 11,189,819 11,260,825 Total assfrts lèss current Ilabilities 12.070.143 12,170,802 The funds of the charlty Rèstricted incomè funds 22 4,490,332 5,037,906 Designated funds General unrestricted fvnds 21 3.247.872 4,337,939 3,400,531 3,732.363 7,579,811 7,132.894 12,070,143 12.170,802 The financsal siatements were approvod by the Trustees on . MrsA Trus ne Fendick- Chair Mr Timothy Brooks- Treasurer Trustee Company registration number 03140347 (England and Wales) Po9&eO 20?$ THE LEPROSY MISSION GREAT BRITAIN AND ITS SUBSIDIARY UNDERTAKINGS STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 31 DECEMBER 2025 2025 2024 Group and Charity Cash flows from opèratlng actSvltl•s Cash labsorb9d byllgenerated from operations 29 11,038,208) 1,224,064 Investing aetlvStles Purchase of tangible fixed assets Investmènt income 141,9461 274,915 332.278 Net Cash generated from Inv•stlng actlvltlès 332.278 232,969 Net cash u$*d In financlng actlvStles Net Ide¢r•as•lllncrease Sn cash and ca$h equivaler 1705,930 1.457,033 Cash and cash equivalents al beginning of year 10,276,960 8,819,927 Cash and cash oquival•nts at end of year 9,571,030 10,276,960 L¥wosyk*5$thAhr￿lR•PQr￿￿o25 Pug•41 THE LEPROSY MISSION GREAT BRITAIN AND ITS SUBSIDIARY UNDERTAKINGS NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2025 Accounting pollcles Charlty inlorniation The Leprosy Mission Great Britain and its subsidiary undertakings is a private company limited by guarantee incorporated in England and Wal85. The registered office is The Lepfosy Mission, Goldhay Way. Orton Goldhay, Pelerborough, PE2 SGZ, United Kingdom. 1.1 Accountlng eonvèntion The charity constitutès a public benefit entity as defined by FRS 102. The financial statèments have been prepared in awordance with Accountlll9 and Reporting by Charities.. Statement of Recommended Practice applicable to charities preparing their 8CCOUnts in accordance with the Financial Reporting Standard applicable in the UK and Rèpublic of Ireland IFRS 1021 effective 1 January 2019, the Financial Rèporting Standard applicable in the United Kingdom and Republsc of Ireland IFRS 1021, the char1t￿6$ Ad 2011, the Companies Act 2006 and UK Generally Accepted Pr8ckn'ce as it applies Irom 1 January 2015. These financial statements consolidate the results of the charitable company and its wholly-ownod subsidiaries The Leprosy Mission Isle of Man and The L&pro8y Mission Scotland on a line by line basis. Tran58¢1ions and balances be￿een the charitablè company and ils subsidiaries have been èliminated from the consolidated fin8ncial statements. A separate statement of financial 8¢tivities, or Income and expenditure account, for the Charitable company itself is not presented because the charitable cornpany has taken advantage of the exemptions afforded by Section 408 of thè Cornpanies Acl 2006. Thè chanlable company mèèts the definition of a publi¢ benefit entity unde¥ FRS 102. The financial statements are prepared in slerfing, which is the functional curTency ol Ihe charily. Monetary amounts in Ihese finan¢*al statements are rounded to the nearest £. The financial statements have been prepared under the historical cost convention. modified to include certain items at lair value. 1.2 Going conc•rn The financial statements have been prepared on a going concern basis as thè Trustees believe that no material uncertainties exist. The Trustees have considered the level of funds held and the expected level of income and expenditure for 12 months from authorising these financial statemènts. The budgeted incorne and expenditure is sufficient with the level ol resetves for th8 charity to be able to conltnue as a going ctsncern. 1.3 Incorne All incorning resources are includgd in the Statement of Fin8ncial Activities ISOFAI when the charty is 199ally entitled lo the income after any performance conditsons have been mèt, th¥ amount can be mo8$ured reliably nd it is probable that the income will be received. For donations to be rècognised the charity will have been notified of the amounts and the settlernenl date in writing. If therè are conditions attached to the donation and this requires a level of performance before entitlement can be obtained then income is defe￿d until those conditions are fully met or the fulfilm•nt of those conditions is within the control of the charity and it 15 probable that they wll be fulfilled. For 18gacies, entitlement is the earlier of the charfty being notified ol an impending distributiori or the legacy being received. Al thi5 point income is fecognised. On occasion l&ga¢ies will be nots'fied to the charity. However it is not possible to measure the amount expected to bè distributed. On thes6 o¢¢asions, the legacy is treated as a contingent asset and discltssed. The charity receives government 9rants in respect of its activities. Income fTOrn government and olher grants are recognised at fair value when the charity has entsllemenl after any performance conditk)ns havè been met, it Is probable that th8 income will be recelved and the amoun( can bè measured reliably. Lf $ntiUement Is not met then these amounts are deferred. L•mMNyionAnouc4R•port202S THE LEPROSY MISSION GREAT BRITAIN AND ITS SUBSIDIARY UNDERTAKINGS NOTES TO THE FINANCIAL STATEMENTS {CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2025 Accounting polTrcie5 (Continued) Income frofn trading activities includes income earned from fundraising events and trading aclivitigs lo raise funds for the charity. Income is received in exchange for supplying goods and services in order lo raise funds and is recognised whon onts"d$mat)t has ocujrred. Investment income is eamed through holding assets for investment purptss8$ such as shares and property. 11 Sncludes dividends, interest and rent. Where it is not practicable to identify inv8Stment management costs incurred within a scheme wth reasonable accuracy the investment income is reported nel of these costs. 11 is included when the amount can be measured reliably. Interest incomè is recognised using the effective interest method and dividend and rent inc<)mè is recognised as the charity's right to r•cèive payment is established. 1.4 Expenditure All expenditure is aeeounted for on an accruals basis and ha$ bèen dassifled under headings that aggregate all costs related lo the category. Expenditure is recognised where there is 8 legal or constructive obligation to makè payments to third parties. il Is probabl& that the settlement will be required and the amount of the obligation can be measured reliably. 11 is calegorised under the following headings.. Costs of raising fund$'. Expenditure on charitable adivrtlèS-, 8nd . othtrr expenditure represents those items not talllng into the categories above. Grants payable to third parb'es are wrthin the charitable objectives. Where unconditional grants are offered. this is accrued as soon a3 the recipient is notified of Ihe grant, as this gives rise to a reascnable expectats'on that the recipient will receive the grants. Where grants are conditional relatsng lo performance then the grant is only accrued wh8n any unfulfilled conditions are outside of the control of the charity. Support costs arè those that assisl the work of the charity but do not d1￿Ctty represent tharitable activ￿8$ and include office costs, govemance cosis and other administrative costs. The allocation of support costs in¢ludes an element of judgement and the Charity has had to consider Ihe cost benefit of detailed calculations and r8cord keeping. The allocations shown are therefore the best est+mate of the costs incurred in providing IT. payroll. finan¢e and other central services for the ¢harity. Cost allocation has been attributed on the basis of estimated limtr spent on oa¢h activily or it this is not appropriate Ihgn on a basis consistent with the use of resources. 1.5 Tanglble flxed a¥sets Tangible fixed assets other than freehold land are stated 81 cost bss depreciation. Oepreciation is provided al rates calculated to write off the cost lèss estimated residual value of assèt over its expected useful life, as follows.. Freehold buildings Improvements to property Fixtures. littings & equipment Motor vehicles 2 per cent of cost per annum 10 per cent and 20 per cont of cosl per annum 33 113 per cent of ¢osl per annum 25 per cent of cost per annum The gain or los$ arising on the disposal of an asset is determinèd as the difference belween the sale proceeds and the carrying value of the asset. and is recognised in net incomellexpenditurel for the year. otyAlsI￿n Anr￿1 Rqprjrt 2Q25 Po9#¢3 THE LEPROSY MISSION GREAT BRITAIN AND ITS SUBSIDIARY UNDERTAKINGS NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2025 Accounting policies Icontlnuèdl 1.6 Flxéd as$et investments Investments are recognised initially at faif value which is normally the Ir8nsaction pri¢e excluding transadion costs. Subsequently, they arè measured at fair value with ehanges recognised in 'net gains I110ssesl on investments, in the SOFA rf the shales are publicly traded or their fair value can otherbvise be measured reliably. Other investmÈnls are measured at CQ5t less impairrnenl. Investment prtspÈrtie5 for which lair v8lue can be mèasured reliabty without undue cost or effort are measured al fair value at each repc*rting date with changes in fair valuè recognised in 'net gains I Ilossesl on investments. in the SOFA. 1.7 Debtors and credltors rtceivablelpayablo within one yèar Debtors and creditors with no stated Inte￿$1 rat8 and receivable tsr p8yable within one year are re¢orded at transacts'on price. Any losse$ arising from impairment a￿ recognised in expenditure. 1.8 Cash and cash equivalents Gash and cash equivalents indud6 cash in hand, deposits held at call with banks, other short-tem liquid investments with original maturities of three months or less, and bank overdrafts. Bank overdrafts are shown within borrowings in current liabilities. 1.9 Flnan¢lal Instrumènts Thè charity has elected to apply the provisions of Section 11 'Basic Finaneial Instwments, anij Section 12 'OtheT Financial Inslrurnents Issues, of FRS 102 to all of rts financial instruments. Financial instruments are recognised in the charity's balance sheet wh8n the charity becomes paty to the contractual prowsions of the instrument. Finanaal assets and liabilities are offset, with the net amounis pigsented in the finan¢ial statements, when there Is 8 legally enforceabl8 right to set off the recognised amounts and the￿ is an intention to Sgttle on net b8Sts or to realise thé asset and settle the liability simtslt8neously. 8asle fln•n¢lal assels Basic financial 8$sets. which in¢lude debtors and cash and bank balances, are initially measured 8t transaction price including tr8ns8Ction costs and are subsequently carried at amortised cost Using the effective interest method unless the arrangement consb'lules a financing transacts'on. where the transaction is maasured at the present value of the fiJtu¥e receipts discounted at a market ratg of interest. Financial assets 855tfied as receivab18 within one year are not amortisèd. Basle financlal Ilablllll•s Basic finaneial liabilities, including creditors and bank loans are initially recognised at transaction price unless the arrangement constitut8$ a financing trans?￿lOn. where the debt instrument is measured at the present value of the futu￿ payments discounted at a market rate of interest. Financial li8bilities classified 8$ payable within one year are not amortised. Debt instnjments are subsequently carried al amortised cosl, using the effective inter8st rate method. Trade creditors are obligations to pay IOT goods or services that have been aequired in the ordinary course ol operations from suppliers. Amounts payable are classified a5 current liabilities il payment is due within one year or less. 11 lltst, they are presented as non-current liabililies. Trade creditors are recognised initially at Iransacts'on pric8 and Subsequèntly measured at amortised cost using the effective intèrèst rnethod. 10 Rgp)n 2025 THE LEPROSY MISSION GREAT BRITAIN AND ITS SUBSIDIARY UNDERTAKINGS NOTES TO THE FINANCIAL STATEMENTS (CONTINUED> FOR THE YEAR ENDED 31 DECEMBER 2025 Accounting polici•s (Continued) 1.10 Employèe benefits When employees have rendered service to the charity, short-term employee benefits to which the employees are entitled are recognised at the undiscounted amount expected to be paid in exchange for that sérviee. The company parbcipates in a non-conlfibutory murti4mployer penslon scheme, that has been closed lo new members, providing benefits based upon career averaged revalued eamin9s. The company's pension contributions are determined by a qualified actuary on the basis of triennial v8luatSC)ns. The actuary has idenlified the proportion of the gTOUP schème liability which is owed by The Leprosy Mission Great P*itain. A provision has been Included in the accounts and the contn'bulions lo reduce the deficit are accounted for when paid. For defined contTlbution schemes the amount charged to thè Statement of Financial Activities in ￿Spect of pension costs and other posl-relirernent b8nÈfits is ihe contributions payable in the year. Differences b8tweèn contribution5 payable in the year and contfibutions actually paid are Shown 8S <her accruals or prepayments in the balance sheet. 1.11 Leases Rentals payable under operating le8S8s are Charged against income on a straight line basis over the pèriod ol the lease. 1.12 Foreign •x¢hango Transaclions denominated in foreign currencies are recorded at Ihe rate rulin9 at the date of the transaction. Monetary assets and liabilities denominated in foreign currencses are translated into sterting at the rates of exchange ruling at Ihe balance Shèèt date. All differences arè included in net outgoing resources. 1.13 Fund accountlng Fund5 held by the charity are eilheT- il Unrestricted genèral funds- these are funds which can be used in acwrdance with the charitable objects 81 the discretion of the Truslees. ill Designated funds- these are funds set aside by the TTust$ès out of unreslricled general fvnds for S￿¢IfiC purpose$ or projects. iii} Reslri¢tsd funds objects of the charity. these are funds that can only be used for ￿rticular restricted purposes within the Critical aecountlng estimates and judg•ments In Ihe applicatton of the charity's accounting poli¢t8S, the Trustees are required to make judgem￿tS, estimates and assumptions about the carrying amount of 8ssets and liabilities that are not rèadily apparenl from other sources. The estirnates and associated assumptions afe based on historical exp9ri911Cg and other faclors that are considered lo be relevant. Actual results may differ frorn these estimates. Th¢ estimates and underlying assumptions are rtsvièwed on an ongoing basi$. Rèvisions to accounting estimates are recognised in thè period in which the estimate is revised where the revi$ion affects only that period, or in thè period of the revision and future periods where the revision affects both current and fvttsr& periods. 2025 P￿15 THE LEPROSY MISSION GREAT BRITAIN AND ITS SUBSIDIARY UNDERTAKINGS NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2025 crftlcal accountlng estlmates and Judgements Iconlinuedl Key soureè$ of estlmatlon un¢ertalnty The estimates and assumptions which have a significant risk of causing a matèrial adjustment lo the carrying amount of a55ets and liabilities are as follows.. Determining a¢¢rued legacy Incomtr- In some cases it is necessary to estimate accrued incomè for residuary legacies that the eharity has receivèd notification that 15 due to them. Judgement is applied by management to accrue any legacies that can be reliably qu8ntified once probale has been granted. Pa806 L•F