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2021-03-31-accounts

THE SOUTH ASIAN HEALTH FOUNDATION (U.K.)

(Registered Charity No. 1073178)

ANNUAL TRUSTEES REPORT 2020-2021

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Trustees’ Annual Report 2020-2021

Governing Document

Trust Deed

Charity constitution Trustees incorporated as a body

Charity Address 39 Westfield Road, Edgbaston, Birmingham, B15 3QE

Bankers Santander and Lloyds

Patrons

Lord Naren Patel Kt has held several esteemed positions including Chair of the National Patient Safety Agency, Chair of the Specialist Training Authority, Chairman of the Clinical Standards Board for Scotland and Chairman of the Specialist Training Authority in Scotland, in addition to holding a life peerage in The House of Lords. He has also held the prestigious positions of President of the Royal College of Obstetrics and Gynaecology and Chairman of the Academy of Royal Medical Colleges.

Professor Ajay Shah is the British Heart Foundation Professor of Cardiology at King’s College, London. He is one of the most respected academics and clinicians in the international cardiology community and has an inspirational record of academic achievement. In addition, he has been elected to the Fellowship of the European Society of Cardiology and the Academy of Medical Sciences.

Professor Raj Bhopal CBE is Professor of Public Health at Edinburgh University, Fellow of the Faculty of Public Health Medicine and the Royal College of Physicians of Edinburgh. He is an expert in, and internationally respected leader of health research in ethnic minority communities. He was bestowed the first SAHF Global Lifetime Achievement award in 2009 for services to the field of Ethnicity in Health.

Dr Kamran Abbasi is South Asia Editor of the British Medical Journal and also editor at the Journal of the Royal Society of Medicine. He is also an acclaimed medical journalist and has written for the Health Foundation, one of numerous other contributions too extensive to list here.

Dr Rashmi Shukla CBE is Public Health England Regional Director, Midlands. She was a National Director in the PHE transition team, to support the transfer of public health functions from PCTs to local authorities. Her national roles include being Co-chair for the Sexual Health Forum with Baroness Joyce Gould and being an active member of the NIHR Public Health Programme Advisory Board.

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Trustees during year 2020-2021

Professor Kiran C R Patel (Chairman of Trustees) graduated from Cambridge University in 1993 and currently has several roles and responsibilities. He works as a Consultant Cardiologist (with a subspecialist interest in heart failure and device therapy) and is Chief Medical Officer at University Hospitals of Coventry and Warwickshire. He holds Honorary Chairs at the Universities of Warwick and Coventry. In 2008 he was elected a Fellow of the Royal College of Physicians, one of the youngest Fellows of the College.

He started consultant life at Sandwell and West Birmingham NHS trust and having spent only 3 years as a Consultant, was appointed as a Clinical Lead for the West Midlands Strategic Health Authority, where he developed strong partnerships between Public Health, primary care and acute care. He was regional Clinical Director for the QIPP (Quality, innovation, productivity and prevention) programme for the Strategic Health Authority. He was then seconded to oversee the NHS transition as Medical Director for Primary care in West Mercia before a period as Medical Director at Good Hope hospital and then moved to his current role. He is also regional representative for the International Health Group of the Department of Health in England and continues as regional representative for the invasive cardiology clinical reference group for specialised commissioning.

He was founder member and continues to be Chair of the South Asian Health Foundation. He was trustee to the UK Health Forum 2003-2012. The expertise gleaned from both the NHS and voluntary sectors, led to him advising the Public Health Foundation of India on developing healthcare systems in 2009-10 and informing the ministerial briefing for the UN Summit on non-communicable disease in 2011. Back home in the UK, he has worked with NICE, where he has been involved in formulating 4 guidelines. In 2009, he was invited to be a speaker at the RCP dialogue on clinical contributions and solutions to Social Determinants of health. He has published and lectured widely on a national and international scale, not only in the field of cardiology, but more widely on social determinants, health systems and healthcare strategy.

He has also contributed to several other regional, national and international boards and committees too numerous to list, demonstrating that when a clinician puts his or her mind to being more than a frontline clinician, they can achieve and contribute much more than medical school has taught them.

Professor Wasim Hanif is a Consultant Diabetologist in Birmingham and also an academic in the field of ethnicity and diabetes. He also serves on several national bodies, including the National Institute for Health and Clinical Excellence Technology Appraisal group. He is currently Chair of the SAHF Diabetes group and leads several highly successful community health promotion and education programmes in that capacity. Internationally, Wasim also is engaged with the Prevent India programme based in Hyderabad and is a global leader in the field of Ramadan and diabetes.

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Professor Kamlesh Khunti is Professor of Primary Care Diabetes and Vascular Medicine, University of Leicester, UK. He leads a research group undertaking research into the early identification and interventions in people with diabetes. His work has influenced national and international guidelines on screening and management of people with diabetes. He is Director of East Midlands CLAHRC and Co-Director for the South East Midlands Diabetes Research Network, Co-Director of a Clinical Trial Unit. He is a principal investigator on several major studies. He is currently an advisor to the Department of Health’s National Screening Committee on Vascular Risk, Clinical Advisor for the Diabetes NICE-led QOF Panel, Secretary of the Primary Care Study Group of the European Society of Diabetes (EASD), and member of the International Diabetes Federation Working Group on Diabetes Screening Risk Scores. He is Co-Director of the Diabetes MSc at Leicester University and the BMJ Diabetes Diploma. He is past Chair of the Department of Health-RCGP Committee on Classification of Diabetes and Chair of the NICE Guidelines on Prevention of Diabetes.

Professor Vinod Patel is Director of Clinical Skills and the Diabetes Masters Programme at Warwick Medical School at the University of Warwick. He is also Consultant Physician in Endocrinology and Diabetes, Acute Medicine and Medical Obstetrics at the George Eliot Hospital NHS Trust. His main interest is the application of clinical evidence into practical diabetes care to improve patient experience, reduce diabetes complications and prevent diabetes. He has created e:learning modules on diabetes for the BMJ Masterclasses in Diabetes. The clinical skills teaching methods have been incorporated into a textbook by Oxford University Press and 17 videos for world-wide use. His work within his own diabetes department, in partnership with Apnee Sehat (Community Interest Community), was awarded the NHS England Diabetes Innovation Prize in 2015. His diabetes department is very active in research. His colleague, Dr Saravanan was recently awarded a large MRC grant to pursue his work in Diabetes and Pregnancy. This work will be carried out in India, UK and Kenya.

Dr Amitava Banerjee is an Honorary Consultant in Cardiology at the Farr Institute of Health Informatics in August 2015. In addition to general cardiology, he has special interest in heart failure and atrial fibrillation, and also the role of informatics and electronic health records in delivering better patient care. Ami has been a Trustee of the South Asian Health Foundation since 2014 and has been an active member of the Cardiovascular Working Group.

Professor Paramjit Gill is Professor of General Practice at the University of Warwick and practices in a deprived, diverse practice in Coventry. He is engaged in inter-disciplinary research encompassing methodologies from both the quantitative and qualitative paradigms. The thread cross cutting this is the promotion of research excellence in primary care by addressing health inequalities, particularly amongst the migrant communities; and evidence-based health care and its application to health care delivery.

Dr Amal Lad is a GP trainee based in West Midlands. He is passionate about using creative approaches to improving health awareness within the South Asian community. From his participation in the NHS Clinical Entrepreneur Programme, he has developed the “Meducasian” project which is a collaboration between health care professionals and local communities to break the stigma surrounding mental illness. Aside from being a doctor, Amal is a keen musician and has produced music for a number of film and theatre projects.

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Ranjit Dhillon is a cardiac nurse specialist based in Birmingham. She has an established career in cardiac rehabilitation and in 2016 joined a team establishing England’s first familial hyperlipidaemia service for comprehensive assessment and cascade screening in the West Midlands.

Dr Sarah Ali is a Consultant in Endocrinology, Diabetes and General Medicine at Royal Free London NHS Foundation Trust. She is the Clinical Lead for the Barnet Diabetes Community Service and the Diabetes Antenatal Service. She is a committee member as a Consultant Diabetologist for the National Institute for Health and Care Excellence (NICE) Diabetes guidelines update and works on a number of diabetes research and national projects, including a NHS England project on the delivery of Diabetes in the PCN. She is additionally a Trustee for the South Asian Health Foundation. Her specialist interests include diabetes in South Asians, health inequalities in the BAME communities, the delivery of high-quality Community diabetes care, diabetes in pregnancy and diabetes in Ramadan, with publications in these fields.

Dr Harpreet Sood is a Clinical Advisor for the COVID-19 Vaccine programme, a GP and a board member at Health Education England. Harpreet is currently a NHS primary care doctor in London and a digital health expert. Harpreet also sits on the board of Health Education England, a £4.5bn organisation training and developing 160,000 staff across the NHS, where his focus is on developing digital and data science skills for the workforce.

Kiran Sehmi is the Director of National and Regional Public Health programmes at the Royal Society for Public Health.

Objectives

The Charity’s objects (“the objects”) are “to relieve or assist in efforts to relieve persons living in the U.K., particularly those of South Asian origin, who are experiencing conditions of sickness, hardship or distress in particular by supporting organizations; implementing and establishing developmental projects which serve the needs of those persons and improve their conditions of need.”

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Chairman of Trustees Report: A Review of Activities, Achievements and Development Plans

Structure of SAHF

The formal operational policy originally approved and adopted by SAHF at the AGM in December 2006 was renewed in 2018 and continues to be the charity’s operating procedure. This policy covers important areas such as conflicts of interest which are essential to safeguard SAHF against in light of the interaction it has in an advisory capacity to several bodies. The policy underwent minor revisions to its travel policy in light of the need for continued restraint in the current economic climate.

Diabetes Group
Professor Wasim Hanif(Chair) Professor Vinod Patel
Prof Kamlesh Khunti(Chair) Prof Kiran Patel
Dr Sri Bellary Dr Mohammed Roshan
Prof Sudhesh Kumar Dr Kamal Ali
Prof Nita Forouhi Dr Rahul Nayar
Dr Sailesh Sankar Dr Paramjit Gill
Dr AteeqSyed Dr Sukhdev Singh
Cardiovascular Group
Dr Mahendra Patel(Chair) Dr Justin Zaman
Dr Amitava Banerjee Prof Kiran Patel
Prof RajBhopal Prof Paramjit Gill
Sr Ranjit Dhillon

Ethnicity and Health

Since 2001, SAHF has decided to direct the majority of the work of the charity towards the field of ethnicity and health, to fill a void and meet a need in the UK. The following strategies continue to form the priority areas of work for the SAHF.

  1. To promote improvements in the quality of, and access to, healthcare and health promotion in South Asians.

  2. To promote research that leads to the above objectives

  3. To act as an advocacy group and advisory body

The aims are defined as SAHF needing to practically strive to achieve success in the following areas:-

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The impact of good health extends far beyond mental and physical well-being. Good health contributes to ameliorating social disadvantage for both the individual and consequently the community. The expertise present within the Board of Patrons and Trustees enables SAHF to address issues concerning ethnic minority healthcare in all tiers of society from Government policy to a grass roots level. In the field of research, the charity aims to ‘catalsye’ and facilitate collaboration rather than undertake research directly in the arena of ethnic health. It aims to commission work where a need is identified. The charity has undertaken a responsibility not only to obtain information, but also to disseminate it to the general public. We continue to develop and promote health interventions in collaboration with the Department of Health, Diabetes UK and the British Heart Foundation, as well as numerous other Governmental and non-governmental organisations.

Although in the past decade SAHF has hosted several specialty groups, in 2018 a decision was made by trustees to focus its efforts in areas where there was a clear healthcare need coupled to strength in leadership. We have therefor focussed efforts in 20-21 to diabetes and cardiovascular disease but due to the pandemic, we also allocated significant resource and effort to the pandemic.

NICE

SAHF and its members have contributed to over 120 NICE guidelines to date, ranging from Chairmanship of guidelines groups and technology appraisal committee membership, to stakeholder input. In 2007, Prof Kiran Patel and Dr Rubin Minhas also appeared before the Health Select Committee as external experts on the investigation into NICE and advised how the voluntary sector could work transparently and effectively with industry and NICE. In 2010, SAHF contributed to consultations on the changing roles and responsibilities of NICE. Prof Wasim Hanif has served on the Technology Appraisal Committee in 2010-13 and Dr Minhas served on the Technology Appraisals committee and also Chaired the Familial Hyperlipidaemia guideline.

Wider Stakeholder Contributions:

SAHF continues to work collaboratively with many organizations, just a sample of which are listed below:

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Medical Student Bursaries

Each year SAHF competitively awards at least one and usually two medical student elective bursaries. These are awarded to students with a view to helping the students to undertake a period of study and experiential learning in a field of medicine relating to south Asian healthcare. We encourage students to deliver papers at a national meeting and invite them to our annual conference to present either as a poster or oral presentation. We continue to have strong applications and this year we awarded 2 bursaries to medical students.

Events

➢ Annual Diabetes Ramadan Conference

On Thursday 25[th] March 2020, the South Asian Health Foundation (SAHF) together with the Diabetes and Ramadan Alliance (www.daralliance.org), held the 5[th] Annual Diabetes in Ramadan Conference virtually due to the Covid-19 Pandemic. Over 550 delegates joined, ranging from secondary care Consultants, GPs, practice nurses, pharmacists, and researchers

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to scientists and lay patient and public representatives. The aims of the conference were to highlight the best care of Muslim patients with diabetes who wish to fast in Ramadan, as well as being a forum to discuss the latest evidence in diabetes care during Ramadan and potential research opportunities.

Speakers included eminent Professors, Consultants, GPs, Specialist dietitian, Pharmacist and an Islamic Religious Scholar, all with an interest in Diabetes and Ramadan. The conference addressed the issues around the religious basis of fasting, the epidemiology of diabetes in Ramadan along with the risk of complications, the latest UK and International Diabetes Federation Guidelines for managing diabetes in Ramadan, latest research publications and the views of religious scholars on fasting in Ramadan.

The sixth annual conference will take place in March 2022. In keeping with previous conferences key national and international speakers are being secured to deliver presentations.

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➢ Train the Trainer

On Friday 9[th] April, the South Asian Health Foundation (SAHF) together with the Diabetes and Ramadan Alliance (www.daralliance.org) and International Diabetes Federation (IDF) held a Train the Trainer workshop.

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➢ SAHF Annual Conference

The 21[st] annual diabetes conference took place on Thursday 15[th] October virtually due to the Covid-19 Pandemic. This year, the theme was about addressing Diabetes and MultiMorbidity, Challenges and Education in a Global Pandemic. The conference covered tailored, expert advice on managing the various aspects of diabetes and cardiovascular disease in the South Asian population during a global pandemic.

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The Lifetime Achievement Award (made annually at the SAHF Annual Conference), was this year bestowed upon Professor Sonia Anand who presented her work on ‘ Diabetes in South Asians: Harnessing Ancient and Modern Knowledge into Action’.

Dr Sonia Anand i s Professor in the Department of Medicine, and the Director of the Population Genomics Program, at McMaster, Canada. She is also a vascular medicine specialist at Hamilton Health Sciences and McMaster University. Dr. Anand holds the Canada Research Chair in Ethnic Diversity and Cardiovascular Disease and the Heart and Stroke Foundation of Ontario/Michael G. DeGroote Chair in Population Health Research. Her present research focuses upon the environmental and genetic determinants of vascular disease in populations of varying ancestral origin, women and cardiovascular disease.

Dr. Anand received a Doctor of Medicine from McMaster in1992, Internal Medicine Training at McMaster and a Fellowship of the Royal College of Physicians and Surgeons of Canada in 1996. She further received her Master’s in Clinical Epidemiology at McMaster in 1996 and Ph.D. in Health Research Methodology at McMaster in 2002. Her current research includes leading cohort studies including two birth cohorts - one among South Asian women of the greater Toronto area and the second among Indigenous women from the Six Nations Reserve. Further she is a co-PI of the Canadian Alliance of Health Hearts and Minds cohort study funded by the Canadian Partnership Against Cancer and Heart and Stroke Foundation of Canada. Her work is widely published amongst academic journals, and in 2019 she was inducted as a Fellow to the Canadian Academy of Health Sciences.

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SAHF and COVID-19 Vaccine Webinar

Webinar building on the SAGE findings and talking about vaccine uptake and hesitancy in ethnic minority populations held on Tuesday 9[th] February.

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SAHF hosted a series of seven UK-India COVID-19 webinars from the South Asian Health Foundation, Academic Health Science Network (AHSN Network) and Learn with Nurses, sharing NHS experiences of COVID-19 specifically regarding supporting healthcare workers mental wellbeing needs, with health and care professionals in other countries. The webinars:

Fellowships

The SAHF Fellowship is a new opportunity for healthcare professionals from all backgrounds to develop their understanding of health inequalities within the UK South Asian community. It is a unique programme where successful applicants will gain education, mentorship and networking whilst developing a community engagement project. SAHF successfully recruited 35 Fellows in 2020-21 and supported the fellows to develop ideas and initiatives across a wide range of areas related to health inequity, with a view to presenting ouputs at the 2021 SAHF conference.

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The pilot cohort of SAHF Associate Fellows hosted an evening of presentations and discussions on Mental Health in the times of Coronavirus on 17[th] June, 2021.

UK-India COVID-19 Response Webinar Series Infographics

As part of the response to the COVID-19 crisis, infographics have been created by SAHF Associate Fellows. Infographics help summarise medical literature and reduce the cognitive load on readers.

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COVID-19 in Black, Asian and Minority Ethnic populations: Undoubtedly, the majority of SAHF activity in 20-21 related to responding to the COVID-19 pandemic. Trustees worked hard to generate ‘An evidence review and recommendations from SAHF’ which was shared across the globe and informed significant initiatives and research. We developed new recommendations to protect BAME communities from the disproportionate impact of COVID-19 have been issued to help “close the gap” in health inequality. The recommendations are based on the most updated evidence.

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COVID-19 Lockdown Tiers in South Asian Languages

We translated the COVID-19 Tier System into a variety of languages to get the right information to these communities. This was just one example of how SAHF generated multilingual advice as soon as it was produced in order to save lives and support communities.

COVID-19 Infographics in different Languages

We created infographics to help summarise ‘Factors associated with COVID-19 transmission and mortality’ and ‘Prevention and protection of the South Asian Communities from COVID19’ in a variety of languages to get the right information to these communities.

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Publications Cowre5ponden(e 3mad1nandco￿D-19 cO￿D Iy ￿ndE￿￿ DIFoKd du￿ i1￿4 I￿tIng. h￿rf£allY. Guin￿ thDWEd wrill 18

DIABEnc r.ledicine 4cvie la F.rt A(<¢55 Managing People with Diabetes Fasting for Ramadan During the COVID-19 Pandemic: A South Asian Health Foundation Update S. Hanil, S. N. ￿1. U H1Th￿r￿1n. K %IMmii. w. H￿11 p￿￿41￿￿.. 25Aw'l 20101 hl¢psJid￿.￿O.I7 iiidm¢.14312 1 C#4U(*7&' 12 • Rapid response to- Covid-19.. Countries rally to support India through "storm that has shaken the nation" BMJ 2021 .'373 dol.. httpsj1doior￿1D.l]36/￿MJ.n1o861Pub1lsh￿d26Apr11 20211 Read our latest coverage of the coronaviru5 pandemic Article Related content Article rnetriC5 Rapid respon5e5 Response Rapid Response.. O￿n letter fromTrustees ofSouthAsi8n Health Foundation. COVID-19.. Call to action on 27April 2021 Amitsva Banetiee 19

The Covid-19 Crisis in India

South Asian Health Foundation launches a call to action and a step change in collaboration to build on the excellent global effort during the pandemic.

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➢ DVD

Meri Baatein/Inner Voices DVD, launched at the annual conference in October 2016, continued to be used at community engagement meetings to great effect. ‘Meri Baatein’ or Inner Voices captures real conversations of people with diabetes, as reflected upon themselves. SAHF continues to distribute copies of this excellent health promotion DVD.

➢ Walk in the Park Community Event

We continued to host community based health promotion with our ‘walk in the park’ events to encourage physical exercise and to improve health and to significantly reduce risk of illnesses such as Type 2 diabetes, heart disease, stroke or cancer. Dr Amal Lad has been exemplary in leading this community activity and every week, leads a community walk event in Walsall, come rain or shine. These efforts were all the more important due to the pandemic and outdoor spaces being deemed safe.

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➢ Media and Communications

TWITTER: YOUTUBE: WEBSITE: Instagram: @SouthAsianHF www.sahf.org.uk southasianhf

Future activities

Final Remarks

This year was dominated by the pandemic and SAHF played a significant role in the UK and global response from the 3[rd] sector. The South Asian Foundation continues to flourish in an environment that has seen many health charities ceasing to exist after only a few years in existence. It is truly a point for celebration that the 22[nd] Annual Conference will run in 2021, at a time when there is significant economic challenge for the charity. Our conferences have always attracted the highest calibre of international and national experts on South Asian Health and participants from statutory and voluntary sectors. Our strategy has been developed and we will focus our effort on the application of research findings into clinical practice and Healthcare Professional education. We will need to become more proactive in certain specialist areas of work such as Mental Health. These are significant issues amongst the South Asian Community and require considerable time and effort to reduce the burden of Mental Health.

Our work could not continue were it not for the dedication and commitment of our trustees and working group members, who continue to devote time and energy to the objectives of SAHF. In doing so, SAHF impart education and guidance to healthcare professionals, patients and carers not only in the UK but globally, thus improving the health and wellbeing of populations prone to health inequality.

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SOUTH ASIAN HEALTH FOUNDATION (UK) STATEMENT OF FINANCIAL ACTIVITIES YEAR ENDED 31 MARCH 2021

Unrestricted Restricted 2021 Total 2020 Total
£ £ £ £
Income from:
Donations 79,488 - 79,488 192,311
Other 364 - 364 799
Total Income 79,852 - 79,852 193,110
Expenditure on:
Charitable activities (35,028) - (35,028) (152,204)
Total Expenditure (35,028) - (35,028) (152,204)
Net income 44,824 - 44,824 40,906
Reconciliation of Funds
Total funds brought forward 123,925 79,797 203,722 162,815
Total funds carried forward 168,749 79,797 248,546 203,722

Professor K C R Patel - Chairman Signed on behalf of the Board of Trustees

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SOUTH ASIAN HEALTH FOUNDATION (UK) BALANCE SHEET AS AT 31 MARCH 2021

Fixed Assets
Current Assets
Cash at Bank
Creditors – Amounts falling due
within one year
Net Current Assets
Funds
Unrestricted Funds
Restricted Funds		 2021
£
188
248,546
248,734
(188)
248,546
168,749
79,797
248,546		 2020
£
250
203,722
203,972
(250)
203,722
123,925
79,797
203,722

Professor K C R Patel - Chairman Signed on behalf of the Board of Trustees

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SOUTH ASIAN HEALTH FOUNDATION (UK) NOTES TO THE ACCOUNTS - 31 MARCH 2020

Accounting Policies

General

The Financial Statements have been prepared under the Historical Cost Convention and in accordance with the applicable accounting standards and the charities SORP (Statement of Recommended Practice: ‘Accounting by Charities’).

Summary of Net Assets by Funds

Unrestricted Funds Restricted Funds Total
Net Current Assets £168,749 £79,797 £248,546

Expenditure

2020
Core Activities £15,673
Administrative Expenses £11,970
Conference Travel Expenses £4,927
IT Expenses £2,458
Total £35,028

Notes to the Accounts

  1. Depreciation policy: 25% depreciation is charged to Core Work.

  2. Creditors represent an accrual for expenses.

  3. £11,970 (2020: £12,667.50) was spent on administrator support for the charity.

  4. During the year, £nil (2019: £219) was spent on expenses for Trustees, for conference travel.

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@SouthAsianHF

www.sahf.org.uk  info@sahf.org.uk

SAHF Annual Report 2020/2021 V1.0 December 2021

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THE SOUTH ASIAN HEALTH FOUNDATION (U.K.)

(Registered Charity No. 1073178)

ANNUAL TRUSTEES REPORT 2020-2021

1

Trustees’ Annual Report 2020-2021

Governing Document

Trust Deed

Charity constitution Trustees incorporated as a body

Charity Address 39 Westfield Road, Edgbaston, Birmingham, B15 3QE

Bankers Santander and Lloyds

Patrons

Lord Naren Patel Kt has held several esteemed positions including Chair of the National Patient Safety Agency, Chair of the Specialist Training Authority, Chairman of the Clinical Standards Board for Scotland and Chairman of the Specialist Training Authority in Scotland, in addition to holding a life peerage in The House of Lords. He has also held the prestigious positions of President of the Royal College of Obstetrics and Gynaecology and Chairman of the Academy of Royal Medical Colleges.

Professor Ajay Shah is the British Heart Foundation Professor of Cardiology at King’s College, London. He is one of the most respected academics and clinicians in the international cardiology community and has an inspirational record of academic achievement. In addition, he has been elected to the Fellowship of the European Society of Cardiology and the Academy of Medical Sciences.

Professor Raj Bhopal CBE is Professor of Public Health at Edinburgh University, Fellow of the Faculty of Public Health Medicine and the Royal College of Physicians of Edinburgh. He is an expert in, and internationally respected leader of health research in ethnic minority communities. He was bestowed the first SAHF Global Lifetime Achievement award in 2009 for services to the field of Ethnicity in Health.

Dr Kamran Abbasi is South Asia Editor of the British Medical Journal and also editor at the Journal of the Royal Society of Medicine. He is also an acclaimed medical journalist and has written for the Health Foundation, one of numerous other contributions too extensive to list here.

Dr Rashmi Shukla CBE is Public Health England Regional Director, Midlands. She was a National Director in the PHE transition team, to support the transfer of public health functions from PCTs to local authorities. Her national roles include being Co-chair for the Sexual Health Forum with Baroness Joyce Gould and being an active member of the NIHR Public Health Programme Advisory Board.

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Trustees during year 2020-2021

Professor Kiran C R Patel (Chairman of Trustees) graduated from Cambridge University in 1993 and currently has several roles and responsibilities. He works as a Consultant Cardiologist (with a subspecialist interest in heart failure and device therapy) and is Chief Medical Officer at University Hospitals of Coventry and Warwickshire. He holds Honorary Chairs at the Universities of Warwick and Coventry. In 2008 he was elected a Fellow of the Royal College of Physicians, one of the youngest Fellows of the College.

He started consultant life at Sandwell and West Birmingham NHS trust and having spent only 3 years as a Consultant, was appointed as a Clinical Lead for the West Midlands Strategic Health Authority, where he developed strong partnerships between Public Health, primary care and acute care. He was regional Clinical Director for the QIPP (Quality, innovation, productivity and prevention) programme for the Strategic Health Authority. He was then seconded to oversee the NHS transition as Medical Director for Primary care in West Mercia before a period as Medical Director at Good Hope hospital and then moved to his current role. He is also regional representative for the International Health Group of the Department of Health in England and continues as regional representative for the invasive cardiology clinical reference group for specialised commissioning.

He was founder member and continues to be Chair of the South Asian Health Foundation. He was trustee to the UK Health Forum 2003-2012. The expertise gleaned from both the NHS and voluntary sectors, led to him advising the Public Health Foundation of India on developing healthcare systems in 2009-10 and informing the ministerial briefing for the UN Summit on non-communicable disease in 2011. Back home in the UK, he has worked with NICE, where he has been involved in formulating 4 guidelines. In 2009, he was invited to be a speaker at the RCP dialogue on clinical contributions and solutions to Social Determinants of health. He has published and lectured widely on a national and international scale, not only in the field of cardiology, but more widely on social determinants, health systems and healthcare strategy.

He has also contributed to several other regional, national and international boards and committees too numerous to list, demonstrating that when a clinician puts his or her mind to being more than a frontline clinician, they can achieve and contribute much more than medical school has taught them.

Professor Wasim Hanif is a Consultant Diabetologist in Birmingham and also an academic in the field of ethnicity and diabetes. He also serves on several national bodies, including the National Institute for Health and Clinical Excellence Technology Appraisal group. He is currently Chair of the SAHF Diabetes group and leads several highly successful community health promotion and education programmes in that capacity. Internationally, Wasim also is engaged with the Prevent India programme based in Hyderabad and is a global leader in the field of Ramadan and diabetes.

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Professor Kamlesh Khunti is Professor of Primary Care Diabetes and Vascular Medicine, University of Leicester, UK. He leads a research group undertaking research into the early identification and interventions in people with diabetes. His work has influenced national and international guidelines on screening and management of people with diabetes. He is Director of East Midlands CLAHRC and Co-Director for the South East Midlands Diabetes Research Network, Co-Director of a Clinical Trial Unit. He is a principal investigator on several major studies. He is currently an advisor to the Department of Health’s National Screening Committee on Vascular Risk, Clinical Advisor for the Diabetes NICE-led QOF Panel, Secretary of the Primary Care Study Group of the European Society of Diabetes (EASD), and member of the International Diabetes Federation Working Group on Diabetes Screening Risk Scores. He is Co-Director of the Diabetes MSc at Leicester University and the BMJ Diabetes Diploma. He is past Chair of the Department of Health-RCGP Committee on Classification of Diabetes and Chair of the NICE Guidelines on Prevention of Diabetes.

Professor Vinod Patel is Director of Clinical Skills and the Diabetes Masters Programme at Warwick Medical School at the University of Warwick. He is also Consultant Physician in Endocrinology and Diabetes, Acute Medicine and Medical Obstetrics at the George Eliot Hospital NHS Trust. His main interest is the application of clinical evidence into practical diabetes care to improve patient experience, reduce diabetes complications and prevent diabetes. He has created e:learning modules on diabetes for the BMJ Masterclasses in Diabetes. The clinical skills teaching methods have been incorporated into a textbook by Oxford University Press and 17 videos for world-wide use. His work within his own diabetes department, in partnership with Apnee Sehat (Community Interest Community), was awarded the NHS England Diabetes Innovation Prize in 2015. His diabetes department is very active in research. His colleague, Dr Saravanan was recently awarded a large MRC grant to pursue his work in Diabetes and Pregnancy. This work will be carried out in India, UK and Kenya.

Dr Amitava Banerjee is an Honorary Consultant in Cardiology at the Farr Institute of Health Informatics in August 2015. In addition to general cardiology, he has special interest in heart failure and atrial fibrillation, and also the role of informatics and electronic health records in delivering better patient care. Ami has been a Trustee of the South Asian Health Foundation since 2014 and has been an active member of the Cardiovascular Working Group.

Professor Paramjit Gill is Professor of General Practice at the University of Warwick and practices in a deprived, diverse practice in Coventry. He is engaged in inter-disciplinary research encompassing methodologies from both the quantitative and qualitative paradigms. The thread cross cutting this is the promotion of research excellence in primary care by addressing health inequalities, particularly amongst the migrant communities; and evidence-based health care and its application to health care delivery.

Dr Amal Lad is a GP trainee based in West Midlands. He is passionate about using creative approaches to improving health awareness within the South Asian community. From his participation in the NHS Clinical Entrepreneur Programme, he has developed the “Meducasian” project which is a collaboration between health care professionals and local communities to break the stigma surrounding mental illness. Aside from being a doctor, Amal is a keen musician and has produced music for a number of film and theatre projects.

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Ranjit Dhillon is a cardiac nurse specialist based in Birmingham. She has an established career in cardiac rehabilitation and in 2016 joined a team establishing England’s first familial hyperlipidaemia service for comprehensive assessment and cascade screening in the West Midlands.

Dr Sarah Ali is a Consultant in Endocrinology, Diabetes and General Medicine at Royal Free London NHS Foundation Trust. She is the Clinical Lead for the Barnet Diabetes Community Service and the Diabetes Antenatal Service. She is a committee member as a Consultant Diabetologist for the National Institute for Health and Care Excellence (NICE) Diabetes guidelines update and works on a number of diabetes research and national projects, including a NHS England project on the delivery of Diabetes in the PCN. She is additionally a Trustee for the South Asian Health Foundation. Her specialist interests include diabetes in South Asians, health inequalities in the BAME communities, the delivery of high-quality Community diabetes care, diabetes in pregnancy and diabetes in Ramadan, with publications in these fields.

Dr Harpreet Sood is a Clinical Advisor for the COVID-19 Vaccine programme, a GP and a board member at Health Education England. Harpreet is currently a NHS primary care doctor in London and a digital health expert. Harpreet also sits on the board of Health Education England, a £4.5bn organisation training and developing 160,000 staff across the NHS, where his focus is on developing digital and data science skills for the workforce.

Kiran Sehmi is the Director of National and Regional Public Health programmes at the Royal Society for Public Health.

Objectives

The Charity’s objects (“the objects”) are “to relieve or assist in efforts to relieve persons living in the U.K., particularly those of South Asian origin, who are experiencing conditions of sickness, hardship or distress in particular by supporting organizations; implementing and establishing developmental projects which serve the needs of those persons and improve their conditions of need.”

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Chairman of Trustees Report: A Review of Activities, Achievements and Development Plans

Structure of SAHF

The formal operational policy originally approved and adopted by SAHF at the AGM in December 2006 was renewed in 2018 and continues to be the charity’s operating procedure. This policy covers important areas such as conflicts of interest which are essential to safeguard SAHF against in light of the interaction it has in an advisory capacity to several bodies. The policy underwent minor revisions to its travel policy in light of the need for continued restraint in the current economic climate.

Diabetes Group
Professor Wasim Hanif(Chair) Professor Vinod Patel
Prof Kamlesh Khunti(Chair) Prof Kiran Patel
Dr Sri Bellary Dr Mohammed Roshan
Prof Sudhesh Kumar Dr Kamal Ali
Prof Nita Forouhi Dr Rahul Nayar
Dr Sailesh Sankar Dr Paramjit Gill
Dr AteeqSyed Dr Sukhdev Singh
Cardiovascular Group
Dr Mahendra Patel(Chair) Dr Justin Zaman
Dr Amitava Banerjee Prof Kiran Patel
Prof RajBhopal Prof Paramjit Gill
Sr Ranjit Dhillon

Ethnicity and Health

Since 2001, SAHF has decided to direct the majority of the work of the charity towards the field of ethnicity and health, to fill a void and meet a need in the UK. The following strategies continue to form the priority areas of work for the SAHF.

  1. To promote improvements in the quality of, and access to, healthcare and health promotion in South Asians.

  2. To promote research that leads to the above objectives

  3. To act as an advocacy group and advisory body

The aims are defined as SAHF needing to practically strive to achieve success in the following areas:-

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The impact of good health extends far beyond mental and physical well-being. Good health contributes to ameliorating social disadvantage for both the individual and consequently the community. The expertise present within the Board of Patrons and Trustees enables SAHF to address issues concerning ethnic minority healthcare in all tiers of society from Government policy to a grass roots level. In the field of research, the charity aims to ‘catalsye’ and facilitate collaboration rather than undertake research directly in the arena of ethnic health. It aims to commission work where a need is identified. The charity has undertaken a responsibility not only to obtain information, but also to disseminate it to the general public. We continue to develop and promote health interventions in collaboration with the Department of Health, Diabetes UK and the British Heart Foundation, as well as numerous other Governmental and non-governmental organisations.

Although in the past decade SAHF has hosted several specialty groups, in 2018 a decision was made by trustees to focus its efforts in areas where there was a clear healthcare need coupled to strength in leadership. We have therefor focussed efforts in 20-21 to diabetes and cardiovascular disease but due to the pandemic, we also allocated significant resource and effort to the pandemic.

NICE

SAHF and its members have contributed to over 120 NICE guidelines to date, ranging from Chairmanship of guidelines groups and technology appraisal committee membership, to stakeholder input. In 2007, Prof Kiran Patel and Dr Rubin Minhas also appeared before the Health Select Committee as external experts on the investigation into NICE and advised how the voluntary sector could work transparently and effectively with industry and NICE. In 2010, SAHF contributed to consultations on the changing roles and responsibilities of NICE. Prof Wasim Hanif has served on the Technology Appraisal Committee in 2010-13 and Dr Minhas served on the Technology Appraisals committee and also Chaired the Familial Hyperlipidaemia guideline.

Wider Stakeholder Contributions:

SAHF continues to work collaboratively with many organizations, just a sample of which are listed below:

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Medical Student Bursaries

Each year SAHF competitively awards at least one and usually two medical student elective bursaries. These are awarded to students with a view to helping the students to undertake a period of study and experiential learning in a field of medicine relating to south Asian healthcare. We encourage students to deliver papers at a national meeting and invite them to our annual conference to present either as a poster or oral presentation. We continue to have strong applications and this year we awarded 2 bursaries to medical students.

Events

➢ Annual Diabetes Ramadan Conference

On Thursday 25[th] March 2020, the South Asian Health Foundation (SAHF) together with the Diabetes and Ramadan Alliance (www.daralliance.org), held the 5[th] Annual Diabetes in Ramadan Conference virtually due to the Covid-19 Pandemic. Over 550 delegates joined, ranging from secondary care Consultants, GPs, practice nurses, pharmacists, and researchers

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to scientists and lay patient and public representatives. The aims of the conference were to highlight the best care of Muslim patients with diabetes who wish to fast in Ramadan, as well as being a forum to discuss the latest evidence in diabetes care during Ramadan and potential research opportunities.

Speakers included eminent Professors, Consultants, GPs, Specialist dietitian, Pharmacist and an Islamic Religious Scholar, all with an interest in Diabetes and Ramadan. The conference addressed the issues around the religious basis of fasting, the epidemiology of diabetes in Ramadan along with the risk of complications, the latest UK and International Diabetes Federation Guidelines for managing diabetes in Ramadan, latest research publications and the views of religious scholars on fasting in Ramadan.

The sixth annual conference will take place in March 2022. In keeping with previous conferences key national and international speakers are being secured to deliver presentations.

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➢ Train the Trainer

On Friday 9[th] April, the South Asian Health Foundation (SAHF) together with the Diabetes and Ramadan Alliance (www.daralliance.org) and International Diabetes Federation (IDF) held a Train the Trainer workshop.

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➢ SAHF Annual Conference

The 21[st] annual diabetes conference took place on Thursday 15[th] October virtually due to the Covid-19 Pandemic. This year, the theme was about addressing Diabetes and MultiMorbidity, Challenges and Education in a Global Pandemic. The conference covered tailored, expert advice on managing the various aspects of diabetes and cardiovascular disease in the South Asian population during a global pandemic.

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The Lifetime Achievement Award (made annually at the SAHF Annual Conference), was this year bestowed upon Professor Sonia Anand who presented her work on ‘ Diabetes in South Asians: Harnessing Ancient and Modern Knowledge into Action’.

Dr Sonia Anand i s Professor in the Department of Medicine, and the Director of the Population Genomics Program, at McMaster, Canada. She is also a vascular medicine specialist at Hamilton Health Sciences and McMaster University. Dr. Anand holds the Canada Research Chair in Ethnic Diversity and Cardiovascular Disease and the Heart and Stroke Foundation of Ontario/Michael G. DeGroote Chair in Population Health Research. Her present research focuses upon the environmental and genetic determinants of vascular disease in populations of varying ancestral origin, women and cardiovascular disease.

Dr. Anand received a Doctor of Medicine from McMaster in1992, Internal Medicine Training at McMaster and a Fellowship of the Royal College of Physicians and Surgeons of Canada in 1996. She further received her Master’s in Clinical Epidemiology at McMaster in 1996 and Ph.D. in Health Research Methodology at McMaster in 2002. Her current research includes leading cohort studies including two birth cohorts - one among South Asian women of the greater Toronto area and the second among Indigenous women from the Six Nations Reserve. Further she is a co-PI of the Canadian Alliance of Health Hearts and Minds cohort study funded by the Canadian Partnership Against Cancer and Heart and Stroke Foundation of Canada. Her work is widely published amongst academic journals, and in 2019 she was inducted as a Fellow to the Canadian Academy of Health Sciences.

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SAHF and COVID-19 Vaccine Webinar

Webinar building on the SAGE findings and talking about vaccine uptake and hesitancy in ethnic minority populations held on Tuesday 9[th] February.

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SAHF hosted a series of seven UK-India COVID-19 webinars from the South Asian Health Foundation, Academic Health Science Network (AHSN Network) and Learn with Nurses, sharing NHS experiences of COVID-19 specifically regarding supporting healthcare workers mental wellbeing needs, with health and care professionals in other countries. The webinars:

Fellowships

The SAHF Fellowship is a new opportunity for healthcare professionals from all backgrounds to develop their understanding of health inequalities within the UK South Asian community. It is a unique programme where successful applicants will gain education, mentorship and networking whilst developing a community engagement project. SAHF successfully recruited 35 Fellows in 2020-21 and supported the fellows to develop ideas and initiatives across a wide range of areas related to health inequity, with a view to presenting ouputs at the 2021 SAHF conference.

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The pilot cohort of SAHF Associate Fellows hosted an evening of presentations and discussions on Mental Health in the times of Coronavirus on 17[th] June, 2021.

UK-India COVID-19 Response Webinar Series Infographics

As part of the response to the COVID-19 crisis, infographics have been created by SAHF Associate Fellows. Infographics help summarise medical literature and reduce the cognitive load on readers.

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COVID-19 in Black, Asian and Minority Ethnic populations: Undoubtedly, the majority of SAHF activity in 20-21 related to responding to the COVID-19 pandemic. Trustees worked hard to generate ‘An evidence review and recommendations from SAHF’ which was shared across the globe and informed significant initiatives and research. We developed new recommendations to protect BAME communities from the disproportionate impact of COVID-19 have been issued to help “close the gap” in health inequality. The recommendations are based on the most updated evidence.

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COVID-19 Lockdown Tiers in South Asian Languages

We translated the COVID-19 Tier System into a variety of languages to get the right information to these communities. This was just one example of how SAHF generated multilingual advice as soon as it was produced in order to save lives and support communities.

COVID-19 Infographics in different Languages

We created infographics to help summarise ‘Factors associated with COVID-19 transmission and mortality’ and ‘Prevention and protection of the South Asian Communities from COVID19’ in a variety of languages to get the right information to these communities.

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Publications Cowre5ponden(e 3mad1nandco￿D-19 cO￿D Iy ￿ndE￿￿ DIFoKd du￿ i1￿4 I￿tIng. h￿rf£allY. Guin￿ thDWEd wrill 18

DIABEnc r.ledicine 4cvie la F.rt A(<¢55 Managing People with Diabetes Fasting for Ramadan During the COVID-19 Pandemic: A South Asian Health Foundation Update S. Hanil, S. N. ￿1. U H1Th￿r￿1n. K %IMmii. w. H￿11 p￿￿41￿￿.. 25Aw'l 20101 hl¢psJid￿.￿O.I7 iiidm¢.14312 1 C#4U(*7&' 12 • Rapid response to- Covid-19.. Countries rally to support India through "storm that has shaken the nation" BMJ 2021 .'373 dol.. httpsj1doior￿1D.l]36/￿MJ.n1o861Pub1lsh￿d26Apr11 20211 Read our latest coverage of the coronaviru5 pandemic Article Related content Article rnetriC5 Rapid respon5e5 Response Rapid Response.. O￿n letter fromTrustees ofSouthAsi8n Health Foundation. COVID-19.. Call to action on 27April 2021 Amitsva Banetiee 19

The Covid-19 Crisis in India

South Asian Health Foundation launches a call to action and a step change in collaboration to build on the excellent global effort during the pandemic.

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➢ DVD

Meri Baatein/Inner Voices DVD, launched at the annual conference in October 2016, continued to be used at community engagement meetings to great effect. ‘Meri Baatein’ or Inner Voices captures real conversations of people with diabetes, as reflected upon themselves. SAHF continues to distribute copies of this excellent health promotion DVD.

➢ Walk in the Park Community Event

We continued to host community based health promotion with our ‘walk in the park’ events to encourage physical exercise and to improve health and to significantly reduce risk of illnesses such as Type 2 diabetes, heart disease, stroke or cancer. Dr Amal Lad has been exemplary in leading this community activity and every week, leads a community walk event in Walsall, come rain or shine. These efforts were all the more important due to the pandemic and outdoor spaces being deemed safe.

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➢ Media and Communications

TWITTER: YOUTUBE: WEBSITE: Instagram: @SouthAsianHF www.sahf.org.uk southasianhf

Future activities

Final Remarks

This year was dominated by the pandemic and SAHF played a significant role in the UK and global response from the 3[rd] sector. The South Asian Foundation continues to flourish in an environment that has seen many health charities ceasing to exist after only a few years in existence. It is truly a point for celebration that the 22[nd] Annual Conference will run in 2021, at a time when there is significant economic challenge for the charity. Our conferences have always attracted the highest calibre of international and national experts on South Asian Health and participants from statutory and voluntary sectors. Our strategy has been developed and we will focus our effort on the application of research findings into clinical practice and Healthcare Professional education. We will need to become more proactive in certain specialist areas of work such as Mental Health. These are significant issues amongst the South Asian Community and require considerable time and effort to reduce the burden of Mental Health.

Our work could not continue were it not for the dedication and commitment of our trustees and working group members, who continue to devote time and energy to the objectives of SAHF. In doing so, SAHF impart education and guidance to healthcare professionals, patients and carers not only in the UK but globally, thus improving the health and wellbeing of populations prone to health inequality.

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SOUTH ASIAN HEALTH FOUNDATION (UK) STATEMENT OF FINANCIAL ACTIVITIES YEAR ENDED 31 MARCH 2021

Unrestricted Restricted 2021 Total 2020 Total
£ £ £ £
Income from:
Donations 79,488 - 79,488 192,311
Other 364 - 364 799
Total Income 79,852 - 79,852 193,110
Expenditure on:
Charitable activities (35,028) - (35,028) (152,204)
Total Expenditure (35,028) - (35,028) (152,204)
Net income 44,824 - 44,824 40,906
Reconciliation of Funds
Total funds brought forward 123,925 79,797 203,722 162,815
Total funds carried forward 168,749 79,797 248,546 203,722

Professor K C R Patel - Chairman Signed on behalf of the Board of Trustees

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SOUTH ASIAN HEALTH FOUNDATION (UK) BALANCE SHEET AS AT 31 MARCH 2021

Fixed Assets
Current Assets
Cash at Bank
Creditors – Amounts falling due
within one year
Net Current Assets
Funds
Unrestricted Funds
Restricted Funds		 2021
£
188
248,546
248,734
(188)
248,546
168,749
79,797
248,546		 2020
£
250
203,722
203,972
(250)
203,722
123,925
79,797
203,722

Professor K C R Patel - Chairman Signed on behalf of the Board of Trustees

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SOUTH ASIAN HEALTH FOUNDATION (UK) NOTES TO THE ACCOUNTS - 31 MARCH 2020

Accounting Policies

General

The Financial Statements have been prepared under the Historical Cost Convention and in accordance with the applicable accounting standards and the charities SORP (Statement of Recommended Practice: ‘Accounting by Charities’).

Summary of Net Assets by Funds

Unrestricted Funds Restricted Funds Total
Net Current Assets £168,749 £79,797 £248,546

Expenditure

2020
Core Activities £15,673
Administrative Expenses £11,970
Conference Travel Expenses £4,927
IT Expenses £2,458
Total £35,028

Notes to the Accounts

  1. Depreciation policy: 25% depreciation is charged to Core Work.

  2. Creditors represent an accrual for expenses.

  3. £11,970 (2020: £12,667.50) was spent on administrator support for the charity.

  4. During the year, £nil (2019: £219) was spent on expenses for Trustees, for conference travel.

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@SouthAsianHF

www.sahf.org.uk  info@sahf.org.uk

SAHF Annual Report 2020/2021 V1.0 December 2021

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CHARITY COMMISSION FOR ENGLAND AND WALES Independent examinerfs report on the accounts Section A Independent Examiner's Report Report to tho trustee mombars of The South Asian Health Foundation {U.K.) On account• for the y•ar ended 31 March 2021 Charity no (If any) 1073178 Sot out on pag 23-25 I report to the trustees on my examination of the accounts of the above charity (Ihe Trust.) for the year ended 3110312021. Responslbllltlwd and basis of report As the chanty's trustees, you are r88ponsible for the preparation of the accounts in accordance with the requirements of the Charrties Act 2011 (Ihe Ad.). I report in respect of my examination of the Trust's accounts carried out under sedion 145 of Ihe 2011 Act and in carrying out my examination. I have followed all the applicable Directions given by the Charrty Commission under section 145(5)(b) of the Act. Independent I have completed my examination. I Confi￿ that no material matters have examlnerfs statement come to my attention in connection with the examination which gives me caus8 to believe that in, any material resped.. the accounting records were not kept in accordance with section 130 of the Charities Act; or the accounts did not accord with the accountin9 records,. or the accounts did not comply with th8 appllcable requirements conceming the fonn and content of accounts set out in the Charitles (Accounts and Reports) Regulations 2008 other than any requirement that the a¢￿UnIS give a Irue and fairf view which Is not a matter considered as part of an independent examination. I have no concerns and have come across no olher matters in Connection with the examination lo which attention shoukl be drawn in this report in order to enable a proper understanding of the accounts to be reached. Ple8se delele the words in the braGkets rflhey do not apply. Slgned: FegLbL Dats: 2010112022 Name: Manesha Patel Relevant professlonal qualification{s) or body (11 any): ACA IICAEW) Address: 17 Ni¢olson Road, Loughborough, Leicestershire, LE113SD IER Oct 2018

Section B Oisclosure Only complete if the examiner needs to highlight material matters of concern {$ee CC32, Independent examination of charfy accounts.. directions and guidance for examiners). Glve horn brfef detall¥ of any Item8 that the examlner wishe• to dlscloso. IER Oct 2018