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← Doctors Of The World UK

2024-12-31-accounts

REPORT AND FINANCIAL STATEMENTS CIORS ce) le FOR THE YEAR ENDED 31 DECEMBER 2024

Doctors of the World UK: Report and Financial Statements 2024

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CONTENTS

Welcome from the president 3
Trustees’ report 4
What we do and why we do it 5
Our work in the UK 6
Our international work 10
Our organisation 14
Financial review and highlights 17
Acknowledgement of support 19
Independent auditors’ report 20

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WELCOME FROM THE PRESIDENT

2024 was a year where you didn’t really want to look at the news in the morning. It was easier to stay in our bubbles to switch off from political and world events, and to remain detached from the growing hostility towards vulnerable communities here in the UK. Unfortunately, 2024 was a year of immense suffering and harm including from the evolving conflicts in Gaza and in Ukraine. In the UK, contextual and broader societal hostility towards migrants and asylum seekers further dehumanised people who really needed our empathy and our help.

Thanks to your support, Doctors the World has been here as a constant, aware, engaged, advocating, mobilising and providing support for people who have needed us. We are not enough, not by a very long way, but we do what we can, and we delivered in 2024.

There is a widespread belief that the NHS is free and accessible for all. But for many people, that simply isn’t the case. Language barriers, a lack of awareness, restrictive rules on free hospital care, fear of arrest, discrimination, and digital exclusion all prevent access, particularly for the most vulnerable in our society. Through our services including static and mobile clinics, advice line and community partnerships, we continued to provide support and care to help people and to enable healthcare access. In 2024, we adapted to new challenges, delivering support and health assessments in asylum seeker hotels, meeting people at their point of need.

We exist to help people access healthcare, and in doing so, we help bridge gaps in a health system under pressure. Our Safe Surgeries programme is pioneering in this regard. By the end of 2024, over 2,250 GP surgeries had signed up to become Safe Surgeries. We delivered direct training to over 1,000 primary care staff, and a further 2,400 completed our e-learning over the course of the year. The programme is endorsed by the British Medical Association, integrated into NHS England training, and consistently rated highly. It is helping make primary care more aware, more accessible, and more compassionate at a time when these values are desperately needed.

We were also present in less welcoming environments. Our presence at Wethersfield was essential, both to provide support and to bear witness. We are not agitators, but we have a duty to speak the truth. Conditions in Wethersfield were typically extremely difficult for residents, and it was a tough experience for our teams trying to support. Our messages were hard to deliver but contributed to meaningful change. Our advocacy work has been relentless and has again been highly effective in influencing policy. Our experts by experience continued to drive community awareness, champion healthcare rights, and powerfully advocate for change.

Internationally, we responded to crises that have devastated millions. The humanitarian catastrophe in Gaza has been beyond words.

Through our Doctors of the World/ Médecins du Monde network, we have been present. Though our contribution is far from enough, we have delivered mental health and psychosocial support and supplied health facilities with critical medical aid. We will continue to expand this work and advocate urgently and unrelentingly, for the protection of civilians and an end to this appalling conflict. Similarly, in Ukraine, we remain active, addressing urgent health needs, building capacity, and helping to sustain a shattered health system. We also work in areas and crises under the radar of societal consciousness, like in Madagascar where less than a quarter of the population has access to safe drinking water.

I am proud of our work in 2024, though there is so much more to do in 2025 and beyond.

Thank you so much to our staff and volunteers who do such amazing work with dedication and care- you are incredible people and should be really proud of what you do. Thank you to my Trustee colleagues grafting behind the scenes.

Finally, a huge thank you to you, our supporters. These are not easy times to give, and we hugely appreciate that you are chosen to support us. We will do our utmost to ensure that we represent you, honour your trust, and deliver our absolute best every day to make a difference.

Dr James Elston President

Doctors of the World UK: Report and Financial Statements 2024

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TRUSTEES’ REPORT

The trustees present their report together with the audited financial statements for the year ended 31 December 2024.

Reference and

administrative details

Charity name: Doctors of the World UK

The company changed its name from Médecins du Monde UK on 26 April 2010.

Company registration number: 3483008

Charity registration number: 1067406

Board of trustees / directors

The following individuals are the trustees, also directors, who served during the year:

Dr. James Elston President

Dr. Lisa Harrod-Rothwell Joint Vice President Resigned 29th April 2025

Julia McDonald Treasurer

Dr. Hannah Theodorou

Joint Vice President Resigned 27th August 2024

Avril Lee

Colin Herrman

Registered office

The People’s Place 80-92 High Street London E15 2NE

www.doctorsoftheworld.org.uk

Auditor

Sayer Vincent LLP 110 Golden Lane London, EC1Y 0TG

Bank

Lloyds Bank 3-5 Whitechapel Road London E1 1DU

Philomene Uwamaliya

Srijamya Raghuvanshi Resigned 17th September 2024

Dr. Nikita Kanani Appointed 29th August 2024

Dr. Steven Lloyd Appointed 29th August 2024

Mark Ward

Appointed 29th August 2024

Doctors of the World UK: Report and Financial Statements 2024

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WHAT WE DO & WHY WE DO IT

~~FO~~ MÉDECINS DU MONDE NETWORK PROJECTS 2024

Doctors of the World is the UK chapter of the Médecins du Monde international network, a human rights organisation made up of 17 chapters around the world working on both domestic and international health projects.

Founded in 1998, Doctors of the World provides emergency and long-term medical care to vulnerable people – wherever they are. We strengthen people’s access to quality medical services, and fight for universal access to healthcare by advocating for sound evidence-based public health policy.

In 2024, the network delivered over 400 innovative medical programmes and evidence-based advocacy initiatives to improve access to healthcare in more than 70 countries.

OUR FOUR PRIORITY AREAS

We provide life-saving humanitarian healthcare in times of war and natural disasters.

In the UK, Doctors of the World runs clinics in London, a national adviceline, outreach programmes and a policy and advocacy programme. With an incredible team of volunteers, we support marginalised people including people seeking asylum, survivors of trafficking, undocumented people, and people with no fixed address by providing medical care, information, and practical support.

In 2024, through our clinics and adviceline, we supported 1,600 people who were struggling to access NHS care, we delivered 437 clinic & adviceline sessions and 2,553 engagements. This is alongside 6,775 follow-up calls to ensure continued care. These UK based activities were in addition to our significant support to our international network to help those living through crisis abroad, including in Occupied Palestinian Territories (both Gaza and West Bank), continued support to Ukraine and emergency preparedness in Madagascar.

Doctors of the World UK: Report and Financial Statements 2024

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OUR WORK IN THE UK

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WHO WE HELP [|

Everyone living in the UK is entitled to free primary care, regardless of who they are or their immigration status.

To access primary care services in the UK a person must be registered with a GP and have an NHS number. GP practices may request proof of residential address and ID for registration, and an inability to provide these can lead to being wrongly denied GP registration. Other barriers include limited support for those for whom English is not a first language, a general lack of information about rights, restrictive laws that prevent people without status from access free NHS hospital care, discrimination, fear of arrest, immigration enforcement and technological barriers such as availability of internet or phone credit.

Following our support, over 90% of our patients at our London clinic and over our advice line were able to safely register with GP services. 70% of our clients are homeless or vulnerably housed and 84% live below the poverty line.

HOW WE HELP [|

Our CQC registered clinics, adviceline and health advocacy outreach work provide free and accessible medical support, rights education and support to register with an NHS GP. This work is delivered by a team of highly trained volunteers, made up of doctors, nurses, support workers and case workers supervised by our expert staff. Our goal is to support people to register with a GP so that their health is protected for the long term, and to provide immediate medical help where it is required.

Our highly trained volunteers conduct full social consultations for our clients, exploring social circumstances, immigration status, housing, physical and mental health, safeguarding concerns, and family circumstances, as we recognise that these factors have an impact on a person’s health and wellbeing. We advocate for our clients to enable them to access the health services they require, advise them on their rights to access health services, support them to register with a GP and signpost to other specialist services. These conversations are not formulaic, as many clients do not speak English as first language, may have experienced trauma, may fear immigration enforcement and need to be supported to feel safe in discussing their issues.

LONDON CLINIC [oo

Our London clinic continued to provide a safe and welcoming space for people struggling to access healthcare. This year we partnered with the charity Visioncare for Homeless People to provide free eye tests and glasses to people in vulnerable circumstances from our Stratford clinic. With more than 70% experiencing destitution, this partnership added real value to our holistic approach to healthcare.

ADVICELINE [

Our adviceline provides direct casework support via telephone to people who need support to register for NHS health services as they cannot reach our clinic or outreach services in person. Last year our adviceline team managed just under 8,000 calls with people who needed support to access healthcare.

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FOCUS ON THE ASYLUM SYSTEM

RAF Wethersfield

We continued responding to the needs of people living in the new mass asylum accommodation in Wethersfield RAF barracks in Essex. Until the end of 2024 one of our mobile clinics was based at the gates of the site, offering access to healthcare with a focus on mental health support. Our medical team provided vital care and referred high-risk individuals to safeguarding and emergency services. 62% of all people who came to us showed severe psychological distress, and 30% had suicidal thoughts or selfharmed. We found that 75% of men at RAF Wethersfield were too vulnerable to be placed there – breaching the Home Office’s own guidelines. were told of frequent medical emergencies and suicide attempts on the site. we heard of safeguarding failures that continued to put lives at risk

We were informed of frequent medical emergencies and suicide attempts on the site. We reported safeguarding failures that continued to put lives at risk.

Our findings exposed a mental health crisis and systemic failure at RAF Wethersfield, showing that the UK government’s mass containment policy is causing serious harm to asylum seekers. In March 2025, medical evidence from our mobile clinic helped secure a landmark High Court ruling, which found the Home Secretary had broken the law by placing three vulnerable men at the asylum camp.

Home Office Contingency Hotel Accommodation

In 2024 our service was commissioned by the NHS to support newly arrived asylum seekers living in contingency hotel accommodation in London, by providing comprehensive initial health and social assessments, supporting people with GP registrations and sharing information on how to navigate the healthcare system. We also helped people access wider services to support their health and wellbeing through referrals and signposting to appropriate services. Using our frontline data, insights and delivery experience, we are working closely with our partners to evidence the needs of asylum-seeking populations in hotel accommodation and recommend improvements that could be made to NHS primary care services to support healthcare needs in a timely manner.

Community partnerships and communities

We continued our health advocacy work partnering with community groups supporting people living in vulnerable situations. We collaborated with the support network and campaign organisation Voice of Domestic Workers on a monthly basis to deliver health rights education and information to new members. Anyone facing barriers to primary healthcare was referred to our services for oneto-one support to access the care they needed. We delivered rights education to various community groups including charities Kalayaan, Newham Nurture and Praxis, and Latin American and Hispanic migrant communities in Hackney, East London.

In 2024 we also collaborated with the Africa Advocacy Foundation to run a mobile clinic, providing free, discreet, and accessible testing for HIV and other sexually transmitted infections within Black communities. Our partnership focused on raising awareness, reducing stigma, and improving access to prevention and treatment services for those at higher risk of HIV exposure.

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Policy and Advocacy

Our policy and advocacy work aims to make the government deliver systemic changes to how those currently excluded from healthcare can access health services in the UK. During 2024 we continued to work to protect the health and welfare of asylum seekers in response to new anti-migrant legislation and policies. A key focus of this work was advocating for much needed reforms to asylum accommodation. In May we published a report on the Home Office site at RAF Wethersfield in Essex which documented the mental health crisis we observed in residents. The High Court heard a legal challenge on the use of the site, brought by a number of our patients, which found some people had been placed at the site unlawfully. We provided a witness statement, based on our medical evidence, to assist the court.

We worked to ensure policy makers had access to evidence on refugees and migrants, submitting our medical data to several policymaking consultations including the government consultation on No Recourse to Public Funds (NRPF) and the Healthy Start (maternity) grant, the NHS 10-year plan survey and NHS England’s consultation on translation and interpretation. The UK Covid-19 inquiry granted Doctors of the World UK core participant status in the inquiry, and our team worked intensively to prepare evidence on the experiences of refugees and migrants during the pandemic and their access to vaccines and therapeutics.

In 2024 we continued to coordinate and hold regular meetings with the Expert Consortium on Refugee and Migrant Health, a group of senior stakeholders and experts including the BMA and medical royal colleges.

Our policy and advocacy work relies on high quality research and data from our medical programmes. In 2024 we worked in partnership with academic institutions, including providing data and insights for two important journal publications; a study on

vaccination decision-making in the context of the UK asylum system in SSM – Qualitative Research in Health and a study on health and structural violence in Home Office accommodation in Frontiers in Public Health .

Safe Surgeries

Our work to support GP Practices to help them deliver inclusive registration and access across England has grown significantly over the last 12 months. We know that people seeking asylum and undocumented migrants can face significant barriers in accessing primary care due to restrictive practices (e.g. requiring documentation) which is wrongly requested by some GP practices.

At the end of 2024 we were supporting a thriving network of over 2,250 GP practices that have joined our Safe Surgeries initiative, with 630 new surgeries signing up during 2024. In the last 12 months we delivered 29 training sessions to over 1,000 people working in primary care. 2,400 primary care staff completed our e-learning course, and overall GP surgeries gave our training sessions an average score of 4.7 out of 5 when asked if our training has improved their knowledge of rights to NHS services.

Our expertise is valued by our peers working in primary healthcare. During 2024 our Safe Surgeries initiative was included in NHS England’s new training course on GP registration for people experiencing homelessness and featured in the NHS England podcast , the British Medical Association’s magazine, The British Medical Association’s The Doctor magazine and a Royal College of General Practitioner’s blog .

Experts by Experience

We continue to develop and extend the input of our team of 35 volunteers with lived experience of healthcare exclusion. Our volunteers have played a key role in our work with community groups to raise awareness of healthcare rights; in 2024 they codelivered healthcare rights training to over 400 people in the refugee and migrant communities.

The Board previously included two representatives with lived experience (Experts by Experience), one of whom has since stepped down. The remaining representative continues to engage in regular dialogue with other Experts by Experience, ensuring that the perspectives, concerns, and insights of those directly affected by healthcare exclusion are meaningfully reflected in the Board’s discussions and decisions.

Our Experts by Experience group also played an active role in our wider policy work, participating in over 50 advocacy activities over the course of the year. In the lead up to the general election we worked with the groups to track the position of political parties on key issues and then, following the election, the group produced a Prescription for Change for the new government, which lays out what is needed now to improve the health and wellbeing of people living in the UK, especially the most vulnerable. This document now informs our dayto-day policy work.

Doctors of the World UK: Report and Financial Statements 2024 9

OUR INTERNATIONAL WORK

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As a member of the Médecins du Monde International Network, we regularly support our operations responding to emergencies globally. In 2024, through the support of our UK based supporters and donors, we were able to assist our international operations in Madagascar, Ukraine and the Occupied Palestinian Territories (Gaza and West Bank).

UKRAINE

Since the 2022 invasion by Russia, the country has been under extreme bombardment from Russian forces making access to healthcare increasingly difficult. Doctors of the World are currently providing emergency frontline healthcare in Ukraine in some of the most affected parts of the country and have supported refugees in the neighbouring countries of Poland, Slovakia, Romania and Moldova with the provision of direct access to primary healthcare services.

Ukraine’s hospitals and health centres have been deeply affected in the last two years. Attacks on medical facilities, rising costs and damage to roads, power lines and infrastructure substantially impact people’s ability to safely access care.

Direct health services are being provided by our Mobile Units in Kyiv, Chernihiv, Zaporizhzhia, Chernivtsi, Dnipro, Vinnytsia, Kharkiv and Odessa Oblasts. Mobile Units work in shelters and Health Facilities in remote areas provide consultations, medication, and referrals to specialized care to vulnerable populations, including internally displaced people, people with disabilities, elderly people, and children.

Our psychologists work as part of Mobile Units, conducting group and individual mental health consultations, alongside their medical care colleagues. As the conflict continues and the need grows, we have expanded our mental health services and are also providing online sessions to enable us to support more people alongside those who are much harder to reach face to face. We are also training Ukrainian health workers to ensure that we can increase the number and reach of much-needed mental health services in conflictaffected areas.

Our efforts in Ukraine continue to focus on addressing urgent health needs, maintaining capacity and ensuring our patients and humanitarian workers are safe from missile strikes, gliding bombs and short-range combat.

Doctors of the World UK: Report and Financial Statements 2024 11

GAZA AND WEST BANK

Médecins du Monde has been operational for over 20 years in Gaza and West Bank providing mainly mental health support and primary health care to communities. This longstanding relationship has allowed our teams to scale up when needed and respond to the displaced populations affected by the conflict, which started 7[th] October 2023.

We increased our response to the immediate needs in mental health support and provision of medical items for the remaining semifunctioning health structures that remain in Occupied Palestinian Territories (OPT). These services included increase direct support to:

Mental Health and Psycho-Social Support (MHPSS) through individual counselling, awareness sessions, psychoeducation, stress management sessions and recreational activities.

Protection through awareness sessions, individual counselling and referral. The services were initially provided at Al-Qadisiya MHPSS

unit at Al-Qadisiya IDP (Internally Displaced People) camps in West Khan Younis Governorate expanding the population to almost 100,000 living in desperate circumstances. These though were relocated many times due to the forced displacement on the civilian population by Israeli forces.

Medical Supplies were procured through local supply routes for health structures inside Gaza.

During 2024, we provided 1,104 MHPSS consultations, of which a vast majority (87%) were to women and children.

One often neglected area of support is to ensure the wellbeing of humanitarian staff working tirelessly in the field providing these services. We have clearly seen the need to provide psychosocial support to all humanitarian staff who are responding, both medical and mental health, as we must not forget that they are themselves war victims who have had to abandon their homes along with their families and have suffered material and human losses, while continuing to carry out their work caring for others. We ensured that

they also could receive such support as part of the ongoing services.

During our response in Gaza & West Bank, the Israeli blockade on aid deliveries, as the lack of medical supplies, equipment and fuel for generators makes it increasingly difficult, to carry out our response. Unfortunately, there is little NGOs can do to mitigate or prevent these restrictions, in this highly volatile and unpredictable environment.

In 2024, one of our offices in Gaza City was bombed and destroyed despite its clear identification as a humanitarian facility. We have lost a fellow member of staff. Our teams on the ground have been displaced, often multiple times, and struggle to find shelter and food, like the rest of the civilian population.

Despite these challenges we continue to deliver humanitarian aid through provision of direct services and supplies through six clinics. We have evolved our way of working to become more flexible and agile and follow the movement of displaced civilians in Gaza.

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MADAGASCAR

Having been operational in Madagascar since 1986, 2024 saw another project supported by Doctors of the World, this time a more precautionary project with a focus on the imminent threat of an expanding cholera outbreak. These preventive measures are incredibly important and more impactful in saving lives than responding to established outbreaks.

On the 2nd of February 2024 an outbreak was declared by the Ministry of Health of the Comoros islands, located a few hundred miles from Madagascar North-West. Madagascar had seen the last cholera outbreak in 2007 and is now the only remaining country of the Mozambique canal not being hit by cholera. The spread of this disease without adequate level of preparation could lead to unnecessary deaths and has the potential to overwhelm local health structures. The health system in Madagascar has little capacity to prepare and respond to infectious disease epidemics, a cholera outbreak was considered imminent and inevitably would have led to serious consequences in a vulnerable population including deaths on a large scale.

Madagascar is one of the three

countries in the world with the least access to safe drinking water including access to a basic water supply, only 27% of the country population has access to soap and water at home. Over 50% of all health structures do not have an improved water source, and only 60% have access to hygienic latrines. 80% of people drink water contaminated with Escherichia coli (E. coli), i.e. faecal matter (MICS 2018), 80% of people do not have access to adequate basic sanitation; in particular, 40% practice open defecation. Currently, 14% of children under 5 years suffer from acute watery diarrhoea, and more than 70% of medical consultations are due to water-related illnesses. All of these clearly indicated that Madagascar is a high risk of an outbreak and would not be able to respond in time.

Doctors of the World staff trained 44 health staff (including cholera diagnosis and case management) in the most vulnerable and affected 3 regions. Support was also provided to prepare 3 health structures to equip them to face cholera epidemics. A full programme of community sensitization to develop awareness activities regarding cholera (recognize

the cholera signs and acquire prevention measures, dead body management to prevent further infections, etc). We also prepared the humanitarian community through the UN humanitarian coordination platforms especially Health and Water, Sanitation and Hygiene (WASH).

Where such preparedness was not possible, direct support from Doctors of the World UK allowed us to undertake all of the above activities, to be in a position to respond in the event of an outbreak and minimise the impacts.

Since 2020, Madagascar has been facing the worst drought in 40 years, plunging the country into a major food crisis. Added to this is the lack of health infrastructure, which deprives the population of access to a minimum level of care to deal with illnesses such as acute watery diarrhoea, respiratory infections, fever and malaria. Doctors of the World has been working there since 1986, with programs offering sexual and reproductive health services, pediatric surgery, medical support to sex workers, and emergency health responses.

Doctors of the World UK: Report and Financial Statements 2024 13

OUR ORGANISATION

Overview

Doctors of the World UK is a registered charity in England and Wales and part of the Médecins du Monde international network. It is an independent organisation that shares the values and principles of the Médecins du Monde network. We benefit from the technical and financial support being part of a wider network provides, as well as being able to support our network colleagues in resourcing international operations and advising on international governance.

The charity Doctors of the World UK is a company limited by guarantee (1997) and governed by its Memorandum of Articles. The directors of the company are also trustees for the purposes of charity law and meet every six weeks to review the activities and strategic plans of Doctors of the World UK, and to receive and consider financial updates and forecasts.

The day-to-day management of the organisation is delegated to the Executive Director who is responsible for executing the strategic and operational plans agreed by the trustees.

A Senior Management Team meets weekly. It is responsible for delivery of the organisation’s strategy and policies.

Executive Director

Simon Tyler

Head of Finance

Britto Bernadet (Departed 30[th] June 2024)

Head of Finance

Olga Zakharenko (Appointed 12[th] July 2024)

Head of Services

Amardeep Kamboz

Head of Policy and Advocacy

Anna Miller

Head of Fundraising and Communications

Kate Delaney (Departed 3[rd] January 2025)

Associate Director of Research

Lucy Jones (Departed 5[th] February 2025)

Trustees

By the end of 2024, the number of trustees had increased to 9 (from 8 in 2023) with retirement of two and recruitment of three new trustees.

All trustees give their time voluntarily and receive no compensation or benefits from Doctors of the World UK. The trustees are covered by an indemnity insurance policy, which is renewed annually.

Trustees are recruited to ensure a spread of relevant skills across the Board which is guided by an annual skills audit to identify additional needs the charity and Board might require. All trustee roles are advertised and appointed via an open and transparent process including an interview. Applications are treated equally. The aim is to have a Board that is balanced in terms of diversity and includes people with the skill sets the charity needs.

These include medical field experience, senior leadership in UK public health, financial management, marketing/public relations, fundraising, legal/compliance and lived experience.

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Remuneration policy

The salaries of Doctors of the World UK staff are periodically benchmarked against comparable organisations, including other charities, the last such benchmarking exercise being completed in late 2023 and implemented in early 2024 resulting in a revised pay structure and grid. Doctors of the World UK aims to set salaries equivalent to the median for such organisations. All posts are evaluated based on agreed, organisation-wide criteria that determine the grade and salary for the post, the details of which are available to all staff in the staff handbook and relevant Reward Policy.

The overall goal of the charity’s pay policy is to offer fair pay to attract and retain appropriately qualified staff to lead, manage, support and/ or deliver the charity’s aims. The scales are reviewed annually by the Board, who consider cost of living and other external factors also in setting proposed salary increases.

Future plans

We annually review our aims, objectives, and activities as part of a strategic and budget planning process. This review looks at what we achieved and the outcomes of our work in the previous 12 months.

This critical review also looks at the success of each key activity and the benefits it has delivered to those groups of people we are set up to help. This enables us to ensure our aims, objectives and activities remain focused and enable us to deliver our strategic objectives in the most efficient way possible.

In response to the outcomes of this process, Doctors of the World is evolving to meet the needs of our service users. We no longer remain focused on fixed static clinics as a way of service delivery and have moved on in our strategic ambition to become more responsive and flexible in our service delivery approach. This will be embedded in our new 2026 – 2028 Strategic Plan which we will start working in mid-2025.

As part of this shift, we plan to grow our mobile clinic services, delivered in partnership with trusted local organisations, to reach people in their communities, build stronger relationships with those most at risk of exclusion, and take an iterative and evaluative approach to what and how we deliver as we continue to better understand needs. We also intend to explore the impact of rights-based education with communities and to whether this is a modality we should expand. These changes will help us deliver more sustainable, accessible, and impactful support – and ensure we remain responsive to the evolving needs of the people we serve.

Furthermore, we are investing in the expansion of our Adviceline to improve its reach and accessibility, helping more people to overcome barriers and claim their right to healthcare.

Our advocacy and campaigning work continue to focus on strengthening the healthcare rights of those who are systematically and intentionally excluded from NHS services, using evidence and data from our services to challenge the NHS Migrant Charging Policy. We will also work to ensure that our patients and the UK medical sector have a strong voice in debates around immigration and asylum policy.

Internationally, we have forged agreements within the Medecins du Monde Network to grow our support for international operations by the inclusion of specific positions in the UK office to provide resources for emergencies and longer-term healthbased projects. Considering the MDM Network works in 71 countries globally, this is seen as a significant step towards Doctors of the World becoming a more proactive member of the Network.

Volunteers

Our ability to secure essential care for people in vulnerable circumstances depends upon support from volunteers. They are at the heart of our organisation.

In the UK, volunteers staff our clinics, run our adviceline and casework services, and help run our administrative office. Overseas, we depend upon the skills, dedication, and determination of a broad range of volunteers to deliver network initiatives. They work hard to coordinate emergency and longterm programmes in conflict and non-conflict settings to ensure that medical care is available to those who need it most.

Doctors of the World UK: Report and Financial Statements 2024 15

Fundraising approach

Our volunteers and frontline staff make such a difference to people’s lives because of their expertise and empathy. We want all our professional relationships to emulate their warmth and support, and that informs our fundraising approach.

We foster a personable and competent fundraising team, who build strong and enduring relationships with our supporters, so that their involvement with Doctors of the World UK continues to evolve and strengthen.

We remain committed to using the money from our donors and fundraisers in the wisest and most ethical ways; and are happy that our voluntary income streams deliver a good return on investment.

Our policies and approach to fundraising standards are outlined below:

In 2024, we remained registered with the Fundraising Regulator, adhering to their Code of Fundraising Practice. We had no instances of non-compliance with the code during the year. Our Supporter Care team responded to all queries. There were no complaints concerning our fundraising activities. We would take any complaints very seriously and use them to improve both our service and performance for the future.

Lastly and most importantly, at the forefront of our minds is that all our work simply would not be possible without our supporters, donors, partners, volunteers, and fundraisers.

Grant making policy

By being a member of the Médecins du Monde International Network, part of our charitable activity is to provide grants to colleagues within the network to facilitate their implementing programmes that meet our objectives, often emergency humanitarian interventions. The grants are made to successful chapters who fulfil the agreed criteria for each programme and who are best suited to deliver the objectives of the activity. In 2024 the chapters we supported were France, Spain and Greece.

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FINANCIAL REVIEW & HIGHLIGHTS

Overview

Total incoming resources for the year amounted to £1,708,937 (2023: £1,247,661), representing a year-on-year increase of £461,276 (27%). This growth was primarily driven by increased income from international activities.

Of the total income, restricted income accounted for £1,013,157 (2023: £570,538), while unrestricted income was £695,780 (2023: £677,123). Gifts in kind were valued at £48,943 in 2024, compared to £114,744 in the previous year.

Total expenditure for the year was £1,726,332 (2023: £1,457,547), marking a 16% increase. Of this, £1,537,401 was spent on charitable activities (2023: £1,309,917). Other costs, including fundraising and a proportion of overheads, amounted to £188,931 (2023: £147,630).

Grants to Médecins du Monde chapters totalled £579,323 (2023: £87,797), an increase of £491,526 or 85%. This was due to a renewed effort by Doctors of the World UK to support our international colleagues responding to humanitarian emergencies globally.

A detailed breakdown of income and expenditure is provided in the Statement of Financial Activities (SOFA) and the accompanying Notes to the Accounts, outlining the areas of activity and related costs.

We successfully met our fundraising target for the year, ensuring sufficient unrestricted reserves to protect the charity’s financial sustainability.

Looking ahead, a strengthened Senior Management Team has undertaken a thorough review of operational models, leading to streamlined expenditure. These changes are aimed at ensuring balanced budgets for 2025 and beyond.

The Board of Trustees regularly reviews organisational risks, including financial risks, and ensures that reserves are maintained at an appropriate level to sustain core activities. Financial performance is closely monitored through six-weekly reviews of financial reports, including comparisons against the most recent budget forecasts. The Finance and Fundraising sub-committee play a key role in tracking income and expenditure.

Income sources have remained reliable and in line with forecasts. Based on the assumptions underpinning the 2025 budget, the financial statements have been prepared on a going concern basis.

Reserves policy

At 31 December 2024, the total reserves amounted to £312,310 (2023: £329,705) of which £204,707 (2023: £179,124) were unrestricted. This is a significant uplift by 25%.

Restricted reserves represent the amount paid by donors to undertake specific programmes, which were recognised in the financial year under review. Doctors of the World UK does not carry any designated funds. £204,706 unrestricted reserves are available to meet overheads and/ or undertake charitable actions as decided by the trustees and management as well as being invested in fixed assets.

Doctors of the World UK’s reserves policy stipulates that our organisation seeks to hold the equivalent to three months’ running costs as an unrestricted fund and that reserves are maintained at a level, which will ensure that the organisation’s core activity should continue during periods of unforeseen difficulties. At the end of 2024, the unrestricted reserve represented 3.03 months of budgeted costs (2023: 3.01 months).

The Board of Trustees meet every six weeks via the established Finance and Fundraising group and Audit and Risk group to review financial risk to ensure the ongoing financial health of the charity.

Doctors of the World UK: Report and Financial Statements 2024 17

Risk management

At Doctors of the World, we manage identified risk through the use of our risk register, this allows us to regularly review the risk exposure and consider the likelihood and impact any such risk might have on the organisation, staff, service users, trustees and other stakeholders as well as on our own reputation. It also allows us to mitigate such risk by adopting relevant systems and procedures.

Risk assessments are carried out continuously by the senior management team and the risk register is regularly reviewed by the Audit & Risk sub-committee and by the Board of Trustees quarterly. Key risks identified and included on the organisational risk register with the perceived highest potential impact are summarised in Table 1.

Table 1: Key organisational risks with highest potential impact under regular review

==> picture [328 x 228] intentionally omitted <==

----- Start of picture text -----
PRINCIPLE RISKS
& UNCERTAINTIES MITIGATION
Unrestricted • Annual budgets are set with unrestricted income targets.
income does
• Budgets undergo regular review and if necessary, revision.
not cover
overhead costs • Fundraising team monitors the progress weekly and reports into
the Senior Management Team.
• Small deficits can be met from existing reserves to the extent that
such reserves are sufficient.
• Finance and fundraising sub-committee regularly review and offers
advice/recommendations on these issues.
Critical incident • The organisation is registered, compliant and reviewed by the CQC.
in programme
• The UK Clinic Manager is a registered manager with the CQC.
delivery caused by
clinical negligence • The organisation has a Clinical Lead Board member with
responsibility for Safety and Quality.
• Insurance in place to react to the various risks involved in this
activity. Quarterly Safety and Quality meetings provide oversight
and report to the board.
----- End of picture text -----

PRINCIPLE RISKS
& UNCERTAINTIES		 MITIGATION
Unrestricted
income does
not cover
overhead costs		 • Annual budgets are set with unrestricted income targets.
• Budgets undergo regular review and if necessary, revision.
• Fundraising team monitors the progress weekly and reports into
the Senior Management Team.
• Small defcits can be met from existing reserves to the extent that
such reserves are sufcient.
• Finance and fundraising sub-committee regularly review and ofers
advice/recommendations on these issues.
Critical incident
in programme
delivery caused by
clinical negligence		 • The organisation is registered, compliant and reviewed by the CQC.
• The UK Clinic Manager is a registered manager with the CQC.
• The organisation has a Clinical Lead Board member with
responsibility for Safety and Quality.
• Insurance in place to react to the various risks involved in this
activity. Quarterly Safety and Quality meetings provide oversight
and report to the board.
• Staf and volunteers are trained, supported and regularly
supervised.
• The organisation has a safeguarding and clinical governance policy
which is available in the clinic.
• Each clinic session ends with an all staf/volunteer debrief to
identify any issues to follow-up.
• Updated Local Security Plans are in place and observed by all staf.
• Assess the risk to staf members as a group and individually.
• Daily/regular updates to all staf as necessary.
Data breach/loss
of personal data
through cyber theft		 • Use of up-to-date cloud-based software.
• Ensure all MS Ofce applications are up to date.
• Strong policies in place re use of email and IT. Ensure all staf and
trustees use ofcial DotW emails and do not share fles online
through email.
• Risk register is routinely checked.
• IT Consultant updated monthly on potential threats.
• Ensure staf, trustees and volunteers follow IT and data protection
policies.
• Ensure business continuity plan (mandatory) and cyber insurance
are considered.
Failure to
deliver quality
programmes
in line with
statutory donor
requirements		 • Ensuring all budgets include adequate funding for all required
internal staf costs and that budget lines are not amended during
project without approval by Heads of team.
• DOTW submits regular reports to donors and updates on any
changes. MoUs in place are realistic and achievable.
• All contracts are reviewed by Finance to review assess fnancial
risks.
• Ensure adequate recruitment is in place or is achievable.

Doctors of the World UK: Report and Financial Statements 2024

18

ACKNOWLEDGEMENT OF SUPPORT

We’d like to thank all the donors who helped us in 2024 and whose ongoing support makes it possible for us to continue to provide access to healthcare for people in vulnerable situations, both in the UK and internationally.

Statement of trustees’ responsibilities

The trustees confirm that they have complied with the duty in section 17 of the Charities Act 2011 to have due regard to public benefit guidance published by the Charity Commission. The trustees (who are also directors of Doctors of the World UK for the purposes of company law) are responsible for preparing the trustees’ report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice). Company law requires the trustees to prepare financial statements for each financial year, which give a true and fair view of the state of affairs of the charitable company and of the incoming resources and application of resources, including the income and expenditure, of the charitable company for the year.

In preparing these financial statements, the trustees are required to:

The trustees are responsible for keeping adequate accounting records that disclose with reasonable accuracy at any time the financial position of the charitable company and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

In so far as the trustees are aware:

Approval

This report has been prepared in accordance with the special provisions applicable to companies subject to the small companies’ regime. It was approved by the Board of Directors and Trustees on 17 June 2025 and signed on its behalf by:

Dr James Elston

President

Doctors of the World UK: Report and Financial Statements 2024

19

INDEPENDENT AUDITORS’ REPORT

Opinion

We have audited the financial statements of Doctors of the World UK (the ‘charitable company’) for the year ended 31 December 2024 which comprise the statement of financial activities, balance sheet, statement of cash flows and notes to the financial statements, including significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).

In our opinion, the financial statements:

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the financial statements section of our report. We are independent of the charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK,

including the FRC’s Ethical Standard and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Conclusions relating to going concern

In auditing the financial statements, we have concluded that the trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate.

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

Other Information

The other information comprises the information included in the trustees’ annual report other than the financial statements and our auditor’s report thereon. The trustees are responsible for the other information contained within the annual report. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit, or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.

We have nothing to report in this regard.

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

Doctors of the World UK: Report and Financial Statements 2024

20

Opinions on other matters prescribed by the Companies Act 2006

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

Matters on which we are required to report by exception

In the light of the knowledge and understanding of the charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the trustees’ annual report. We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 requires us to report to you if, in our opinion:

Adequate accounting records have not been kept, or returns adequate for our audit have not been received from branches not visited by us; or

Responsibilities of trustees

As explained more fully in the statement of trustees’ responsibilities set out in the trustees’ annual report, the trustees (who are also the directors of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the trustees are responsible for assessing the charitable company’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the charitable company or to cease operations, or have no realistic alternative but to do so.

Auditor’s responsibilities for the audit of the financial statements

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

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

Doctors of the World UK: Report and Financial Statements 2024

21

Capability of the audit in detecting irregularities

In identifying and assessing risks of material misstatement in respect of irregularities, including fraud and non-compliance with laws and regulations, our procedures included the following:

Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including those leading to a material misstatement in the financial statements or non-compliance with regulation. This risk increases the more that compliance with a law or regulation is removed from the events and transactions reflected in the financial statements, as we will be less likely to become aware of instances of non-compliance. The risk is also greater regarding irregularities occurring due to fraud rather than error, as fraud involves intentional concealment, forgery, collusion, omission or misrepresentation.

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

Use of our report

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

Noelia Serrano

(Senior statutory auditor)

Date 04 August 2025

for and on behalf of Sayer Vincent LLP, Statutory Auditor

110 Golden Lane, LONDON, EC1Y 0TG

Doctors of the World UK: Report and Financial Statements 2024

22

STATEMENT OF FINANCIAL ACTIVITIES

(Incorporating an income and expenditure account) For the year ended 31 December 2024

Note
Income from:
Donations and legacies
2
Charitable activities
International actions
3
National actions
3
Total income
Expenditure on:
Raising funds
4
Charitable activities
International actions
4
National actions
4
Total expenditure
Net expenditure before transfers
6
Transfers between funds
Net outgoing resources
and net movement in funds
Reconciliation of funds:
Total funds brought forward
Total funds carried forward		 Unrestricted
£
520,400
–
175,380
695,780
188,931
134,422
312,372
635,725
60,055
–
60,055
179,124
239,179		 Restricted
£
–
600,702
412,455
1,013,157
–
602,702
487,905
1,090,607
(77,450)
–
(77,450)
150,581
73,131		 2024
Total
£
520,400
600,702
587,835
1,708,937
188,931
737,124
800,277
1,726,332
(17,395)
–
(17,395)
329,705
312,310		 Unrestricted
£
390,663
–
286,460
677,123
147,630
19,323
704,572
871,524
(194,401)
29,184
(165,217)
344,341
179,124		 Restricted
£
–
97,532
473,006
570,538
–
87,797
498,225
586,023
(15,485)
(29,184)
(44,669)
195,250
150,581		 2023
Total
£
390,663
97,532
759,466
1,247,661
147,630
107,120
1,202,797
1,457,547
(209,886)
–
(209,886)
539,591
329,705

All the above results are derived from continuing activities. There were no other recognised gains and losses other than those stated above. Movements in funds are disclosed in Note 16 to the financial statements,

Doctors of the World UK: Report and Financial Statements 2024 23

BALANCE SHEET

Company no: 3483008 / As at 31 December 2024

Fixed assets:
Tangible assets
Current assets:
Stock
Debtors
Cash at bank and in hand
Liabilities:
Creditors: amounts falling due within one year
Net current assets
Total net assets
The funds of the charity:
Restricted income funds
Unrestricted income funds
Total charity funds		 Note
11
12
13
14
15
16
16		 2024
£
34,473
34,473
277,837
312,310
73,131
239,179
312,310		 £
1,779
102,940
383,986		 2023
£
49,661
£
49,661
280,044
1,502
71,258
604,250
677,010 488,705
280,661
399,173
329,705
150,581
179,124
329,705

Approved by the trustees on 17 June 2025 and signed on their behalf by:

Dr James Elston President

Doctors of the World UK: Report and Financial Statements 2024

24

STATEMENT OF CASH FLOWS

For the year ended 31 December 2024

Note
Cash fows from operating activities
Net cash provided by/(used in) operating activities
17
Cash fows from investing activities
Purchase of fxed assets
Net cash used in investing activities
Change in cash and cash equivalents in the year
Cash and cash equivalents at the beginning of the year
Cash and cash equivalents at the end of the year		 2024
£
220,264
–
220,264
383,986
604,250		 £
(1,399)		 2023
£
48,689
(1,399)
£
–
47,290
336,697
383,986

Doctors of the World UK: Report and Financial Statements 2024 25

NOTES

1 ACCOUNTING POLICIES

a) General information

Doctors of the World UK is a charitable company limited by guarantee and is incorporated in England and Wales. The registered office address is The People’s Place, 80-92 High Street London, E15 2NE.

b) Basis of preparation

The financial statements have been prepared in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) - (Charities SORP FRS 102), the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) and the Companies Act 2006.

Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy or note.

c) Public benefit entity

The charitable company meets the definition of a public benefit entity under FRS 102.

d) Going concern

The trustees consider that there are no material uncertainties about the charitable company’s ability to continue as a going concern.

Key judgements that the charitable company has made which have a significant effect on the accounts include the likelihood of renewal of institutional grants.

The trustees do not consider that there are any sources of estimation uncertainty at the reporting date that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next reporting period.

e) Critical accounting estimates and areas of judgement

In the view of the trustees in applying the accounting policies adopted, no judgements were required that have a significant effect on the amounts recognised in the financial statements nor do any estimates or assumptions made carry a significant risk of material adjustment in the next financial year.

f) Income

Income is recognised when the charity has entitlement to the funds, any performance conditions attached to the income have been met, it is probable that the income will be received and that the amount can be measured reliably. Income includes associated gift aid tax reclaims.

Income from government and other grants, whether ‘capital’ grants or ‘revenue’ grants, is recognised when the charity has entitlement to the funds, any performance conditions attached to the grants have been met, it is probable that the income will be received and the amount can be measured reliably and is not deferred.

Income received in advance of the provision of a specified service is deferred until the criteria for income recognition are met.

g) Donations of gifts, services and facilities

Donated professional services and donated facilities are recognised as income when the charity has control over the item or received the service, any conditions associated with the donation have been met, the receipt of economic benefit from the use by the charity of the item is probable and that economic benefit can be measured reliably.

On receipt, donated goods, professional services and donated facilities are recognised on the basis of the value of the gift to the charity which is the amount the charity would have been willing to pay to obtain services or facilities of equivalent economic benefit on the open market; an equivalent and corresponding amount is then recognised in expenditure in the period of receipt.

h) Interest receivable

Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the charity; this is normally upon notification of the interest paid or payable by the bank.

i) Fund accounting

Restricted funds are to be used for specific purposes as laid down by the donor. Expenditure which meets these criteria is charged to the fund.

Unrestricted funds are donations and other incoming resources received or generated for the charitable purposes.

j) Expenditure and irrecoverable VAT

Expenditure, including grants made, is recognised once there is a legal or constructive obligation to make a payment to a third party, it is probable that settlement will be required and the amount of the obligation can be measured reliably. Expenditure is classified under the following activity headings:

Costs of raising funds relate to the costs incurred by the charitable company in encouraging third parties to make voluntary contributions to it, as well as the cost of any activities with a fundraising purpose.

Expenditure on charitable activities includes the costs of delivering services undertaken to further the purposes of the charity and their associated support costs

Irrecoverable VAT is charged as a cost against the activity for which the expenditure was incurred.

26 Doctors of the World UK: Report and Financial Statements 2024

NOTES

1 ACCOUNTING POLICIES (CONTINUED)

k) Allocation of support costs

Resources expended are allocated to the particular activity where the cost relates directly to that activity. However, the cost of overall direction and administration of each activity, comprising the salary and overhead costs of the central function, is apportioned on the following basis which are an estimate, based on staff time, of the amount attributable to each activity.

Where information about the aims, objectives and projects of the charity is provided to potential beneficiaries, the costs associated with this publicity are allocated to charitable expenditure.

Where such information about the aims, objectives and projects of the charity is also provided to potential donors, activity costs are apportioned between fundraising and charitable activities on the basis of area of literature occupied by each activity:

l) Grants payable

Grants payable are made to third parties in furtherance of the charity’s objectives. Single or multi- year grants are accounted for when either the recipient has a reasonable expectation that they will receive a grant and the trustees have agreed to pay the grant without condition, or the recipient has a reasonable expectation that they will receive a grant and that any condition attaching to the grant is outside of the control of the charity.

Provisions for grants are made when the intention to make a grant has been communicated to the recipient but there is uncertainty about either the timing of the grant or the amount of grant payable.

m) Foreign Exchange

Monetary assets and liabilities in foreign currencies are translated into sterling at the rates of exchange ruling at the balance sheet date. Transactions in foreign currencies are translated into sterling at the exchange rate prevailing at the date of the transaction. Exchange differences are taken into account in arriving at the net incoming resources for the year.

n) Tangible fixed assets

Purchases are capitalised as fixed assets where the price exceeds £350. Depreciation costs are allocated to activities on the basis of the use of the related assets in those activities. Assets are reviewed for impairment if circumstances indicate their carrying value may exceed their net realisable value and value in use.

Depreciation is provided at rates calculated to write down the cost of each asset to its estimated residual value over its expected useful life. The depreciation rates in use are as follows:

Restricted fixed assets are initially recognised within restricted funds. Following completion of the programme the asset and any associated depreciation are derecognised and transferred into unrestricted funds.

o) Stocks

Stocks are stated at the lower of cost and net realisable value. Donated items of stock, held for distribution or resale, are recognised at fair value which is the amount the charity would have been willing to pay for the items on the open market.

p) Debtors

q) Cash in bank and in hand

Cash at bank and cash in hand includes cash and short term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the deposit or similar account. Cash balances exclude any funds held on behalf of service users.

r) Creditors and provisions

Creditors and provisions are recognised where the charity has a present obligation resulting from a past event that will probably result in the transfer of funds to a third party and the amount due to settle the obligation can be measured or estimated reliably. Creditors and provisions are normally recognised at their settlement amount after allowing for any trade discounts due.

The charity only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value with the exception of bank loans which are subsequently measured at amortised cost using the effective interest method.

s) Pensions

The charity provides staff who have completed their probation period access to a Group Personal Pension scheme with Scottish Widows. For contributing members of staff the charity contributes 6% of salary.

t) Operating Leases

Rentals payable under operating leases, where substantially all the risks and rewards of ownership remain with the lessor, are charged to the Statement of financial activities on a straight line basis over the minimum lease term.

Trade and other debtors are recognised at the settlement amount due after any trade discount offered. Prepayments are valued at the amount prepaid net of any trade discounts due.

Doctors of the World UK: Report and Financial Statements 2024 27

NOTES

2a INCOME FROM DONATIONS AND LEGACIES (CURRENT YEAR)

Functioning grants from Médecins du Monde France
Other donations and gifts		 2024
Total
£
166,008
354,392
520,400

2b INCOME FROM DONATIONS AND LEGACIES (PRIOR YEAR)

Functioning grants from Médecins du Monde France
Other donations and gifts		 2023
Total
£
85,107
305,556
390,663

All income in both 2024 and 2023 is unrestricted.

Other donations and gifts include pro-bono legal advice in 2024 £14,800 (2023: £18,182) and the provision of rent-free offices by Canary Wharf Management to the value of £55,517 in 2023 (2024: nil).

Doctors of the World UK: Report and Financial Statements 2024

28

NOTES

3 INCOME FROM CHARITABLE ACTIVITIES
Unrestricted
£
–
–
–
–
–
–
–
80,000
–
–
–
–
15,469
–
–
3,000
10,000
–
–
30,000
–
36,911
175,380
–
–
–
–
–
175,380
Africa Advocacy Foundation
Allen and Overy Foundation
James Tudor Foundation
Médecins Sans Frontières
DISRUPT Foundation
NHS North East London ICB
London Borough of Enfeld
Trust for London
Tolkien Trust
Paul Hamlyn Foundation
National Lottery
The British Red Cross
The Metro Centre Ltd and Spectre CIC
University College London
The Big Give Trust
The Fyrish Foundation
Swire Charitable Trust
City Bridge Trust
Pickwell Foundation
MDM Network – Observatory Project
Metropolitan Housing Trust
AB Charitable Trust
Blue Thread
Other income from National Actions
Sub–total for National Actions
Choose Love
Muslim Charity
Ukraine Donation
START Network
Sub–total for International Actions
Total income from charitable activities		 Restricted
£
19,707
10,000
8,000
43,206
34,800
34,196
–
18,750
–
54,424
80,471
–
–
–
–
–
–
50,000
–
–
–
3,610
–
55,292
412,455
120,629
63,658
20,000
396,415
600,702
1,013,157		 2024
Total
£
19,707
10,000
8,000
43,206
34,800
34,196
–
18,750
80,000
54,424
80,471
–
–
–
15,469
–
–
53,000
10,000
–
–
33,610
–
92,203
587,835
120,629
63,658
20,000
396,415
600,702
1,188,537		 2023
Total
£
–
–
–
–
–
–
12,500
37,700
80,000
53,309
32,905
14,330
21,014
26,643
12,600
20,000
22,500
60,230
10,000
21,731
21,667
33,000
27,000
252,338
759,466
67,205
13,969
16,358
–
97,532
856,998

Other income from National Actions includes the donation of volunteer time and programme expenses for clinic and caseworker activities to the value of £34,143 (2023: £163,787).

Doctors of the World UK: Report and Financial Statements 2024 29

NOTES

4c ANALYSIS OF EXPENDITURE (CURRENT YEAR)
Cost of
raising funds
£		 Charitable activities
International
actions
National
actions
£
£		 Governance
costs
£		 Support
costs
£
International
actions
£		 2024
Total
£
Staf costs (Note 7)
Fundraising and publicity costs
Direct activity costs
Grant funding (Note 5)
Other costs
Support costs
Governance costs
Total expenditure 2020		 100,676
49,376
4,426
–
–
154,478
29,056
5,397
188,931		 23,378
–
–
579,324
–
602,702
113,364
21,057
737,124		 480,165
–
174,174
–
–
654,339
123,077
22,861
800,277		 29,925
–
–
–
19,391
49,316
–
(49,316)
–		 148,771
–
–
–
116,726
265,497
(265,497)
–
–
782,915
49,376
178,600
579,324
136,117
1,726,332
–
–
1,726,332

Of the total expenditure, £635,725 was unrestricted and £1,090,607 was restricted.

4b ANALYSIS OF EXPENDITURE (PRIOR YEAR)

4b ANALYSIS OF EXPENDITURE (PRIOR YEAR)
Cost of
raising funds
£		 Charitable activities
International
actions
National
actions
£
£		 Governance
costs
£		 Support
costs
£
International
actions
£		 2023
Total
£
Staf costs (Note 7)
Fundraising and publicity costs
Direct activity costs
Grant funding (Note 5)
Other costs
Support costs
Governance costs
Total expenditure 2020		 58,402
45,844
16,754
–
–
120,999
22,020
4,610
147,629		 –
–
–
87,797
–
87,797
15,978
3,345
107,120		 620,276
–
365,553
–
–
985,830
179,407
37,561
1,202,798		 27,226
–
–
–
18,290
45,516
–
(45,516)
–		 36,370
–
–
–
181,035
217,405
(217,405)
–
–
742,274
45,844
382,307
87,797
199,325
1,457,547
–
–
1,457,547

Of the total expenditure, £871,524 was unrestricted and £586,023 was restricted.

30 30 Doctors of the World UK: Report and Financial Statements 2024

NOTES

5 GRANT MAKING
Cost
Médecins du Monde – France
Médecins du Monde – Canada
Médecins du Monde – Germany
At the end of the year		 Grants to
institutions
£
432,0507
133,268
14,000
579,324		 2024
£
432,056
133,268
14,000
579,323		 2023
£
75,828
11,969
–
87,797

6 NET EXPENDITURE BEFORE TRANSFERS FOR THE YEAR

R THE YEAR R THE YEAR R THE YEAR
This is stated after charging / crediting:
Depreciation
Operating lease rentals:
Auditor’s remuneration (excluding VAT):
Foreign exchange loss / (gain)		 2024
15,187
8,174
10,550
45		 2023
33,250
15,024
13,717
530

Doctors of the World UK: Report and Financial Statements 2024 31

NOTES

7 ANALYSIS OF STAFF COSTS, TRUSTEE REMUNERATION AND EXPENSES, AND THE COST OF KEY MANAGEMENT PERSONNEL

Staff costs were as follows:

Salaries and wages
Social security costs
Employer’s contribution to defned contribution pension schemes		 2024
£
684,856
58,722
39,337
782,915		 2023
£
662,047
45,426
34,801
742,274

The following number of employees received employee benefits (excluding employer pension costs) during the year between:

2024
£70,000 – £79,999
1		 2023
1

The total employee benefits of the key management personnel were £344,383 (2023: £286,570).

The charity trustees were not paid or received any other benefits from employment with the charity in the year (2024: £nil). No charity trustee received payment for professional or other services supplied to the charity (2023: £nil).

Trustees’ expenses represent the payment or reimbursement of travel and subsistence costs totalling £1,714 (2023: £239)

8 STAFF NUMBERS

The average number of employees (head count based on number of staff employed) during the year was as follows:


International actions
National actions
Fundraising and Communications
Ofce management and admin
Total headcount
2024
No.
0.3
12.0
2.6
3.3
18.2
2023
No.
0.1
9.9
2.9
3.1
16.0

32 Doctors of the World UK: Report and Financial Statements 2024

NOTES

9 RELATED PARTY TRANSACTIONS

There were no related party transactions during the year (2023: nil)

10 TAXATION

The charitable company is exempt from corporation tax as all its income is charitable and is applied for charitable purposes.

11 TANGIBLE FIXED ASSETS

Cost or valuation
At the start of the year
Disposals in year
At the end of the year
Depreciation
At the start of the year
Charge for the year
Disposals in year
At the end of the year
Net book value
At the end of the year
At the start of the year		 Fixtures and
fttings
£
3,208
–
3,208
2,888
320
–
3,208
–
320		 Computer
equipment
£
53,782

–
53,782
46,820
4,696
–
51,516
2,266
6,963		 Motor
Vehicle
£
136,142
–
136,142
93,764
10,171
–
103,935
32,207
42,378		 Total
£
193,132

–
193,132
143,472
15,187
–
158,659
34,473
49,661

12 STOCK

Medical supplies 2024
£
1,502		 2023
£
1,779

Doctors of the World UK: Report and Financial Statements 2024 33

NOTES

13 DEBTORS

13 DEBTORS
Other debtors
Prepayments
Accrued income		 2024
£
45,811
25,447
–
71,258		 2023
£
37,429
32,869
32,642
102,940

14 CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR
Trade creditors
Taxation and social security
Other creditors
Accruals		 2024
£
39,786
18,164
10,473
330,750
399,173		 2023
£
69,030
16,007
4,307
119,317
208,661

15a ANALYSIS OF NET ASSETS BETWEEN FUNDS (CURRENT YEAR)
Tangible fxed assets
Net current assets
Net assets at the end of the year		 General
unrestricted
£
34,473
204,706
239,179		 Restricted
£
–
73,131
73,131		 Total funds
£
34,473
277,837
312,310

15b ANALYSIS OF NET ASSETS BETWEEN FUNDS (PRIOR YEAR)
Tangible fxed assets
Net current assets
Net assets at the end of the year		 General
unrestricted
£
5,258
173,865
179,124		 Restricted
£
44,403
106,179
150,581		 Total funds
£
49,661
280,044
329,705

Doctors of the World UK: Report and Financial Statements 2024

34

NOTES

16a MOVEMENTS IN FUNDS (CURRENT YEAR)

Restricted funds:
National actions
London Clinic
City Bridge Trust
National Lottery
Volunteer donations in kind
Other restricted donations and grants
Migrant Health Project
MSF
NEL RAS Outreach Service
NHS North East London ICB
HIV Screening Clinics
Africa Advocacy Project
Mobile Clinic Vehicle
Mobile Clinic Vehicle
Tolkien
Safer Surgeries Project (National Advocacy)
Paul Hamlyn Foundation
National Lottery
Right to Care (Experts by experience)
Trust for London
Disrupt
Other restricted funds
Policy & Advocacy – General
National Lottery
Other restricted donations
International actions
Gaza Emergency Response project
Ukraine Donation
Madagascar Cyclone Preparedness
Total restricted funds
Unrestricted funds:
General funds
Total unrestricted funds
Total funds		 At the start
of the year
£
–
2,240
–
–
–
–
–
17,022
43,893
14,000
–
11,977
–
–
59,448
–
–
2,000
–
–
150,581
179,124
179,124
329,705		 Income
& gains
£
50,000
52,300
34,143
23,000
43,206
34,196
19,707
–
–
54,424
18,444
18,750
29,800
2,815
16,333
9,727
5,610
184,287
20,000
396,415
1,013,157
695,780
695,780
1,708,937		 Expenditure
& losses
£
(50,000)
(50,871)
(34,143)
(23,000)
(43,206)
(34,196)
(12,416)
(11,155)
(10,171)
(55,595)
(18,444)
(30,727)
(29,800)
(2,815)
(68,370)
(9,727)
(3,270)
(186,287)
(20,000)
(396,415)
(1,090,607)
(635,725)
(635,725)
(1,726,332)		 Transfers
£
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–
–		 At the end
of the year
£
–
3,669
–
–
–
–
7,291
5,867
33,722
12,829
0
–
–
–
7,411
–
2,340
–
–
–
73,131
239,179
239,179
312,310

Doctors of the World UK: Report and Financial Statements 2024 35

NOTES

16a MOVEMENTS IN FUNDS (PRIOR YEAR)

Restricted funds:
National actions
London Clinics
Volunteer donations in kind
Other restricted donations and grants
British Red Cross Society
Right to Care & GLA Project
Trust for London
Mobile Clinic – Outreach
Other restricted donations and grants
Mobile Clinic – Vehicle
MdM Network Observatory Report
Safer Surgeries Project
Paul Hamlyn Foundation
Clinical Commissioning Groups
Joseph Roundtree Charitable Trust
Policy & Advocacy – General
Big Lottery
Tolkien
Other restricted donations
International actions
Gaza Appeal
Yemen
Mozambique Appeal
Refugee Appeals
Global Clinic Crowdfunder
Total restricted funds
Unrestricted funds:
General funds
Total unrestricted funds
Total funds		 At the start
of the year
£
–
–
–
33,720
–
22,000
–
2,863
4,810
6,597
65,224
–
54,064
–
–
–
–
920
5,052
195,250
344,341
344,341
539,591		 Income
& gains
£
163,793
66,230
14,330
37,700
21,014
–
21,731
53,309
–
–
54,667
32,905
–
7,328
13,969
67,205
16,358
–
–
570,538
677,123
677,123
1,247,661		 Expenditure
& losses
£
(163,793)
(66,230)
(14,513)
(59,442)
(10,344)
(4,979)
(20,976)
(42,172)
–
(7,171)
(60,443)
(30,664)
(10,171)
(7,328)
(11,969)
(64,378)
(11,451)
–
–
(586,023)
(871,524)
(871,524)
(1,457,547)		 Transfers
£
–
–
183
–
(10,670)
–
(755)
–
(4,810)
574
–
–
–
–
–
(2,827)
(4,907)
(920)
(5,052)
(29,184)
29,184
29,184
–		 At the end
of the year
£
–
–
–
11,977
17,022
–
14,000
–
–
59,448
2,240
43,893
–
2,000
–
–
–
–
150,581
179,124
179,124
329,706

36 Doctors of the World UK: Report and Financial Statements 2024

NOTES

NATIONAL ACTIONS

The fund for national actions is established based on restricted donations to further our work in the UK, primarily in support of our London clinic and other national programmes.

INTERNATIONAL ACTIONS

The fund for international actions is established upon grants received by Doctors of the World UK for projects implemented by MDM France, MDM Greece and MDM Spain outside the UK.

Support via Muslim Charity and Choose Love to purchase medical supplies and provide direct primary healthcare and mental health and psycho social care services to those displaced in Gaza and West Bank, Occupied Palestinian Territories.

This fund comprises funds received to support national policy and advocacy work to strengthen the right to health in the UK.

This fund comprises funds received to support production of health rights resources and the provision of training for NHS primary care services.

This fund comprises restricted income received for the purchase of a vehicle to support the delivery of outreach and clinical services. The cost of the van was capitalised, and the associated depreciation is charged annually to this fund in line with the organisation’s depreciation policy.

Doctors of the World UK: Report and Financial Statements 2024 37

NOTES

17 RECONCILIATION OF NET (EXPENDITURE) / INCOME TO NET CASH FLOW FROM OPERATING ACTIVITIES
Net expenditure for the reporting period
(as per the statement of fnancial activities)
Depreciation charges
Increase in stocks
Increase in debtors
Decrease in creditors
Net cash used in operating activities		 2024 2023
£
(209,886)
33,250
1,000
130,127
94,197
£
(17,395)
15,187
276
31,683
190,512
220,264 48,688

18 LEGAL STATUS OF THE CHARITY

The charity is a company limited by guarantee and has no share capital.

The liability of each member in the event of winding up is limited to £1.

19 OPERATING LEASE COMMITMENTS

The charity’s total future minimum lease payments under non–cancellable operating leases is as follows for each of the following periods:

Less than one year
One to fve years		 Property
2024
2023
£
£
7,324
17,089
–
–
7,324
17,089		 Equipment
2024
2023
£
£
850
3,267

–
–
850
3,267		 Equipment
2024
2023
£
£
850
3,267

–
–
850
3,267
3,267

20 CONTROLLING PARTY

There is no single ultimate controlling party.

38 Doctors of the World UK: Report and Financial Statements 2024

IIIIN

9¢ DOCTORS OF THE WORLD UK A registered charity and company Limited by Guarantee Q Company number: 3483008 • Charity number: 1067406

40 Doctors of the World UK: Report and Financial Statements 2024