F Friends riends of of M Mlurambinda urambinda H Hospital ospital
UK Registered Charity 1073978
Child and Adolescent Resource Centre outreach visit
| Child and Adolescent Resource Centre outreach visit | Image by Isabella Terrington |
|---|---|
| Contents | |
| The Hospital and District | 2 |
| Message from the Chair | 3 |
| Funding applications supported | 4-11 |
| CARC | 12 |
| FMH expenditure | 13 |
| Fund Raising | 14 |
| Donors | 15 |
| Trustees | 16 |
| Standing Order and Gift Aid Declaration forms | 17 |
| FMH Contact Details | 18 |
1
The Hospital
Murambinda Mission Hospital (MMH) is the Designated District Hospital for Buhera District in Manicaland Province, Zimbabwe. The Hospital was founded in 1968 by the Sisters of the Little Company of Mary (LCM), under the Catholic Church’s Archdiocese of Harare. The Hospital carries out its mission to care for the poor by serving a population of around 300,000 people in an area with a diameter of 200 kilometres.
The hospital is led by Sr Maryof LCM,the Hospital Executive Manager and Sr Tawodzera is Assistant Matron and currently acting Matron, and Dr Shelton Kwiri as District Medical Officer.. They are supported by a Board of Trustees and Hospital Executive Committee.
The aim of improving the health services for all the people of Buhera and to be a “Pool of Healing” continues to be pursued with energy and dedication.
Murambinda Town
Image by Isabella Terrington or Huw Howells
The District
Buhera District consists mainly of ‘Communal Land’. This means there is no title ownership of land, (except within designated growth points, Murambinda and Birchenough Bridge). Land use is governed through a system of traditional leaders and elected councillors. Buhera covers an area of 5,364 km[2] . The area suffers from very low rainfall, and a miniscule land area is under irrigation. Irregular rainfall leads to poor harvests and food shortages.
Through hard work and experience gained from previous periods of hardship, the population of Buhera has developed a remarkable capacity for survival. Poverty remains a great hindrance to the development of Buhera and its people. MMH, among others, aims to assist the community to overcome these hurdles.
2
Message from the Chair Looking ahead with hope.
Dear All,
Thank you once again for your generosity this past year. This report shows the direct practical way that your donations are effective.
We always look to the future; ideally, we would like to get to a position where we are no longer needed as Murambinda Mission Hospital is self-sufficient. This is why we have invested heavily in the past in solar power and in the kitchen garden to reduce running costs and why we are investing in the tuck shop this year. The hope is that it will provide a source of income to the hospital as well as a benefit to staff and visitors.
Looking to the future is not just a matter of trying to achieve better finances but trying to improve the prospects and lives of the next generation. The project to reduce teenage pregnancy through a grass roots community initiative is showing early promise and we are pleased to have been able to fund it.
FMH has been managed by six trustees for some time, we are delighted to welcome three new younger trustees, all are UK Doctors with experience of Murambinda. They will provide fresh ideas and impetus as we look ahead.
All running costs are covered by trustees, none of your donations are spent on administration or publicity. Thank you for your support, please do what you can to help us in the coming year. - www.fmh.org.uk/donations 2/
Dr Mike Thompson Chair of FMH
3
FRIENDS OF MURAMBINDA HOSPITAL FUNDING FEEDBACK FORM.
Application Title: HOSPITAL FURNITURE AND MEDICAL EQUIPMENT.
Name of main Applicant : Murambinda Mission Hospital
Date Submitted : 09 May 2022 Date Approved: 18 May 2022
Approved by Hospital Board Yes.
----- Start of picture text -----
INCOME
DATE Project Detail Amount in US$
Funding for hospital furniture and 17,542.84
01/08/2022 Medical equipment
Total Income 17,542.84
Less EXPENDITURE
Date US$
24/05/2023 DMD Healthcare – 15 Wheelchairs 2,850.00
24/05/2023 Vital Medicals – Trolleys 3,200.00
24/05/2023 Dynamic Medicals- Stretcher beds 1,100.00
Walcort Furnishers –Ofiice and 3,300.00
13/11/2023 nurse chairs
22/11/2023 Kapslocke – Patient chairs 5,400.00
TOTAL US$15,850.00
Balance US$1,692.84
----- End of picture text -----
Hospital furniture and Medical Equipment play important role in modern healthcare. They help health professionals to perform their operations with utmost safety of patient. They are also important for patients to feel comfortable during their stay in hospital. Medical equipment is important to provide efficient and effective healthcare to the patient.
Murambinda Mission Hospital was using old furniture and required to refurnish all the departments including the Administration Block.
We would like to thank FMH for supporting us with funds to procure new furniture and essential medical equipment required for day to day operations.
We are planning to use the balance to do upholstery for the old chairs that are still repairable.
4
Old worn wheelchairs replaced with new.
Images by Cephas Mudzi unless otherwise stated
New dressing trolleys provided
5
New patient and ofFice chairs
FRIENDS OF MURAMBINDA HOSPITAL FUNDING FEEDBACK FORM.
Application Title: Funding for Pharmacy.
Name of main Applicant : Murambinda Mission Hospital
Date Submitted : 30 May 2023 Date Approved: 03 June 2023
Approved by Hospital Board Yes.
----- Start of picture text -----
INCOME
DATE Project Detail Amount in US$
11/07/2023 Funding for Pharmacy 11,974.95
Total Income 11,974.95
Less EXPENDITURE
Date US$
Shrub Marketing –needles and 186.00
03/10/2023 cannulas
03/10/2023 Shreesai- 5ml syringes with needles 200.0
Sons of Samson- Glycerine and 690.94
03/10/2023 ichtammol
Surgical gloves and Sodium 550.00
03/10/2023 Hypochlorite
03/10/2023 Jogmart - Drugs 1,073.10
03/10/2023 PCD – Drugs 1,917.55
03/10/2023 Dynamic Medicals- Dental supplies 535.00
03/10/2023 Hire Care – Sutures and catheters 2,305.00
03/10/2023 CritiCare – Drugs and surgicals 4185.00
TOTAL US$11,642.59
Balance US$332.36
----- End of picture text -----
Murambinda Mission Hospital faced a serious drug shortage in the first and second quarter 2023. The hospital due to limited financial resources had failed to replenish pharmacy stocks for some time and the stocks continued to drop see the table below . A good diagnosis is not much useful if the patient cannot obtain the necessary drugs. We noticed a drop in outpatients as patients preferred to go to other hospitals where they could get drugs.
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kniiu.iiift // 11221
Project Title: HOSPITAL FLOOR TILES
PROBLEM STATEMENT.
Hospital floors are in bad state, particularly in areas of high traffic-Maternity and Children’s ward. The floors and tiles are worn out and have developed patches that are difficult to clean. Patched floors can harbour germs, posing the threat of infection. Currently Maternity floors are worn out. They require replacement with vinyl tiles. The same is required for the Children’s wards. The tiles have outlived their span and need replacement.
BACKGROUND.
Murambinda Mission Hospital is moving away from the smooth cement floors that required use of cobra for cleaning. The shiny gleam floors pose danger to both staff and patients as they trip, slip and fall. There are high chances of patients’ injuries hence liability risk. Vinyl floor tiles were laid in Male and Female wards. Remaining are Maternity and Children’s wards. Vinyl has a non –slip surface thus promoting patient safety.
Project importance
Vinyl floor tiles are required in Maternity and Children wards. The exercise will help improve infection control in the hospital and promote the well being of patients. A clean and safe environment promotes good healthy and facilitates the healing process of our patients.
Worn and shabby corridor tiles…
9
…transformed.
We are kindly requesting for funds to buy floor tiles for Children ward and maternity department. We are going to vinyl sheeting which is now recommended for hospitals
PROJECT COST .
| PROJECT COST. | PROJECT COST. | PROJECT COST. | PROJECT COST. |
|---|---|---|---|
| Activity Quantity Price Per Rolls Amount in US$ |
|||
| Removal of old tiles - - 500.00 |
|||
| Vinyl Tiles 33 Rolls 340.00 11220.00 |
|||
| Adhesives - - 2680.00 |
|||
| Labor and other materials - - 5000.00 |
|||
| 19400.00 |
10
Project Title: Tuckshop project
Brief Summary Of The Proposal
In 2022 Murambinda Mission Hospital developed a strategic plan starting from Year 2022 to 2026. Goal number 5 of the strategic plan is to ensure that hospital has sustainable funding base by year 2026 for the sustainable operations of the hospital.
The hospital is struggling to meet its operations cost , pharmacy expenditure being the major concern. Revenue from hospital services thus( user fees) is not enough to cover for the hospital expenses and for this reason the hospital in the past depended heavily on
Image by Freya Harding donations to meet the operations budget.
We have noted a drop in donations over the years due to global recession and other external factors affecting donor community.
The hospital is planning to embark on income generating projects to help cushion its funding gaps. We are kindly requesting for funds to construct, equip and stock hospital tuck shop.
Why Is The Project Important
This project will help us to increase our source of income as a hospital, and we need to increase unrestricted revenue so that the hospital has the flexibility to allocate such funds to where there is need.
Project Costs.
| Details Prices USD |
Details Prices USD |
|---|---|
| Renovate or improve and convert the waitingarea into a Canteen 3,000.00 |
|
| Equipment,one deepfreezer 1,000.00 |
|
| One upright fridge, electric and Gas frier , Gas stove and some kitchen utensils 3,000.00 |
|
| Initial stocks 2,000.00 |
|
| Total Project cost | 9,000.00 |
Conclusion
This project will help us to increase our revenue base and profits from this project will help us to kick start other small projects like the poultry project. Self sustainability remains the key result area.
11
PREVENTION OF TEENAGE PREGNANCY PROGRESS REPORT
Friends of Murambinda Hospital have contributed to setting up, supporting and funding CARC, which supports HIV +ve children and adolescents and their families.
The CARC Cordinator is Mrs Evelyn Natale, a former Buhera District Nursing Officer, with many years of experience in community involvement, counselling and the coordination of services for many in the deprived population of Buhera. Research has found that early sexual experience, including teenage marriage, subsequent pregnancy and dropping out of school compound the effects of poverty and poor nutrition to damage the health of young women and their babies.
CARC conducted a pilot survey to seek the views of teenage girls and boys, including teenage parents, as well as traditional and religious leaders, parents and teachers. The opening of a new mine in the area, leading to an influx of well-paid male miners, was found to be a significant risk factor leading to pregnancy in
vulnerable young girls. Other factors were bribery by older men, peer pressure and the mixed sex of herders of cattle.
Adverse effects of teenage pregnancy include sexually transmitted infections including AIDS, increased health risk during delivery, exclusion of vulnerable girls from their families and communities and economic exploitation.
CARC recruits and trains volunteers from all sections of the community to impart moral values, responsibilities, rights, faithfulness and compassion by means of meetings in churches, villages, schools and establishing supportive youth activities. These include education in sexual and reproductive health and promotion of positive peer relationships.
Meetings have taken place in schools with pupils and adults
FMH Income and expenditure 2023 -2024
The Friends of Murambinda Hospital has always recognized that retention of long serving and devoted staff is of paramount importance for the Hospital.
A scheme to provide basic foodstuffs for staff has been continued.
The charity recognizes that this limits the use of its resources for improving drug supplies, supporting structural improvements and encouraging good governance.
Balance brought forward
| improvements and encouraging good governance. Balance brought forward Tata J . |
improvements and encouraging good governance. |
|---|---|
| Balance brought forward | 15,952.56 |
| One off donations | 38,516.00 |
| SVMH | 24,709.00 |
| Standing orders | 21,222.00 |
| Gift Aid | 7,118.00 |
| Sale of shares | 16.085.00 |
| Share dividend | 710.00 |
| Interest | 53.00 |
| Total new income 108,413.27 |
108,413.27 |
| Expenditure | |
| Salaries and staff incentives | 27,120.00 |
| Groceries 22,400.00 |
22,400.00 |
| Locum costs | 3,264.00 |
| Drs Incentive payments 15,549.00 |
15,549.00 |
| Bank charges | 208.00 |
| Pharmacy | 9,500.00 |
| CARC | 7,958.00 |
| Tuck Shop | 7,200.00 |
| Total expenditure 93,199.00 |
93,199.00 |
| Balance | 31,167.00 |
| Special thanks to the following for their contribution to our work. |
Wolsingham Parish Church Beatles arranging Ramblers Lunches All Saints Gosworth nominating FMH as their charity of the month Mayfield Salisbury Church Edinburgh Mazars Charitable Trust Sale of Christmas cards Carol singing, Guisborough Sale of refreshments at Guisborough Choral Society events Sunderland Hospitals Charitable Foundation Bill Colombi’s 75 Challenge (See fund raising below)
13
Fund Raising
Devoted fund raising.
Bill Brichieri-Colombi completed his 75[th] birthday endeavour and raising funds for the hospital by his own physical effort.
To mark his 75[th] birthday an endeavour entitled ‘75 Challenge’ involved his walking up a local hill named Roseberry Topping 75 times, a distance of 5.7 miles round trip. He did this approximately three times a week. He completed this magnificent feat on 22[nd] September 2023.
At the top for the 75[th] time…
- ….with supporters. Images from Bill Colombi
14
Donors
As always we are deeply indebted to each and every donor for their efforts and generosity. Every contribution large or small is much appreciated both from those listed below and those not mentioned.
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All Saints Church Gosford Robert and J Last Cynthia Takundwa
Helen Belger Teresa Lawlor Teeside Wind Band
Bert Community D Maclean Three Course Theatre
Alison and Bill Brichieri- Debbie and John Matthews Gordon and Fiona Thomson
Colombi
R Burridge Alexander McCall Smith Michael and Brenda Thomson
Nigel and Elaine Carden Neil MacGregor Micheline Thompson
Professor Douglas Chamberlain Ellen Matingo Mike Thompson and Kay
Shepherd
Mayfield Salisbury Church, Naomi Todd
Edinburgh
CHoICE Ltd (affiliated to City Mazars Charitable Trust Alison Totty
Hospitals Sunderland NHS FT)
Jonathan Clark Dr John Millard Nienke van Trommel
Judith Clark Dr Richard Millard A Uzochukwu
Clare Connolly John and Mary Miller Wolsingham Parish Church
John and Ann Connolly
Carol & John Cooper Marion Mitchell
Ann Cudworth W J Nutt
Richard de Souza & M Dunkley William and E O’Neill
Martin and Sue Dennis Order of St Lazarus
Catriona and Sean Doran Mary Paris
Stewart Falconer Dr Stephen Pope
Richard and Jane Fortin Julie and Malcolm Potter
Peter and Margery Grant Ruby Potter
Margaret Hahn Clare Quigley
Margaret Hart & Peter Jennow
Judith Harvey Aidan Rigby
Joanna Haward Alice Rigby
Amanda and David Jonathan Rigby
Higginbotham
Keith Howard Richard and Carolyn Rigby
Marion Howard & Richard Karsten and Brenda Saunders
Germain
Nicholas Glover R & J Scott
Guisborough Choral Society Rob Skelly
Ineke Sipkema
David Jones Stina Sipkema
Elizabeth Jones
Brian Smith and Nicky Portergill
M Kerr Marie Smith
Dermot Killingley David and Penny Stableforth
Beth Kirby Liz & Alan Stark
Michael Kirby
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15
Trustees
At the time of this report there were six trustees. Dr John Connolly, Mrs. Mary Miller, Dr Carolyn Rigby, Dr Michael Thompson, Dr Michael Thomson and Dr Nienke van Trommel of SVMH as a trustee based in the Netherlands. All of them have worked at or been involved in other ways at Murambinda Hospital in the past. Since then we have welcomed three more trustees all of whom have worked at the Hospital. They are Isabella Terrington, Huw Howells and Matthew Anderson.
N.B. All money donated went to Murambinda Mission Hospital. The trustees bear all administrative costs themselves and give their time freely. No money is spent on fundraising, advertising or management.
Carolyn Rigby and Mary Miller in Murambinda 2020 Michael Thomson MMH 2004
Michael Thompson at Murambinda in 2018 Nienke van Trommel with Monica Glenshaw 2004
John Connolly
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act Details Gift Aid Declaration Friends of Murambinda Hospital (Reg. Charity 1073978) I title of (address) Postcode would like Friends of Murambinda Mission Hospital to treat all donations I have made since 6 April 2000, and all donations I make from the date of this declaration until I notify you otherwise, as Gift Aid donations. I will notify Friends of Murambinda Hospital if I no longer pay an amount of income tax equal to the tax reclaimed on my donations. Signature Date Please return this half of completed form to Dr. C Rigby, Treasurer, Friends of Murambinda Hospital East Park Cottage Hutton Lane Guisborough Cleveland TS14 8AA Please cut-------------------------------------------------------------------------------------------------------------------------------------------------------------BANKERS ORDER FORM To the manager of my bank Date / / Name of my bank Bank plc. Address of my bank Postcode Please pay Friends of Murambinda account no. 40-52-40 00006100 at Cafcash Ltd, Kings Hill, West Malling, Kent ME19 4TA the sum of £ every month/quarter/year delete as required starting / on / until further notice. Please debit my account no. Name (capitals) Address 17 Postcode Si d
Contact details:
Dr Mike Thompson, Chair 55 Wilbury Avenue, Treasurer,
Dr Carolyn Rigby, Hutton Lane, Guisborough TS14 8AA
f.m.h@live.co.uk
Donate whatever you can:
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Online at www.fmh.org.uk
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By sending cheques payable to “Friends of Murambinda Hospital” to the treasurer at the address above
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By filling in a standing order form above.
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Or if you have a non-UK bank account please contact the treasurer for SWIFT and IBAN details.
Murambinda Mission Hospital is a beacon of good care. It is more reliant than ever on external funding due to conditions within Zimbabwe.
FMH relies entirely on donations to pay for the projects we are asked to fund.
All donations go to help projects at Murambinda; none is spent on administration.
All administrative costs are met by the trustees; we have no paid employees and no advertising or fundraising costs.
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| FRIENDS OF MURAMBINDA HOSPITAL | FRIENDS OF MURAMBINDA HOSPITAL | FRIENDS OF MURAMBINDA HOSPITAL | FRIENDS OF MURAMBINDA HOSPITAL | FRIENDS OF MURAMBINDA HOSPITAL | 1973978 | 1973978 | ||||
|---|---|---|---|---|---|---|---|---|---|---|
| Receipts and payments accounts Period start date Period end date To For the period from 06.04.2023 05.04.2024 ~~ee~~ ~~ee ee~~ ~~ee~~ |
CC16a | |||||||||
| Section A Receipts and payments | ||||||||||
| Unrestricted funds |
Restricted funds |
Endowment funds |
Total funds | Last year | ||||||
| to the nearest £ | to the nearest £ | to the nearest £ | to the nearest £ | to the nearest £ | to the nearest £ | |||||
| A1 Receipts | ||||||||||
| ONE OFF DONATIONS | 63,225 | - | - | 63,225 | 56,637 | |||||
| TAX RECLAIMED ON GIFT AID | ||||||||||
| DONATIONS | 7,118 | - | - | 7,118 | 10,963 | |||||
| STANDING ORDERS | 21,222 | - | - | 21,222 | 20,733 | |||||
| SHARE DIVIDEND | 710 | - | - | 710 | 639 | |||||
| SALE OF SHARES | 16,085 | - | - | 16,085 | - | |||||
| BANK INTEREST | 53 | - | - | 53 | 52 | |||||
| - | - | - | - | - | ||||||
| - | - | - | - | - | ||||||
| Sub total(Gross income for AR) |
(Gross income for AR)108,413 |
- | - | 108,413 | 89,024 | |||||
| A2 Asset and investment sales, (see table). - - - - - - - - - Sub total - - - - - Total receipts 108,413 - - 108,413 89,024 ~~—————~~ |
||||||||||
| A3 Payments | ||||||||||
| Murambinda Hospital Staff | 45,933 | - | - | 45,933 | 48,029 | |||||
| Groceries | 22,400 | - | - | 22,400 | 23,066 | |||||
| Bank Charges | 208 | - | - | 208 | 190 | |||||
| Child and Adolescent Resource Centre | 7,958 | - | - | 7,958 | 11,405 | |||||
| Hospital shop | 7,200 | - | - | 7,200 | - | |||||
| Pharmacy | 9,500 | - | - | 9,500 | - | |||||
| Medical Equipment | - | - | - | - | 19,683 | |||||
| Renovations | - | - | - | - | 13,241 | |||||
| - | - | - | - | - | ||||||
| **Sub total ** | 93,199 | - | - | 93,199 | 115,614 | |||||
| A4 Asset and investment purchases, (see table) - - - - - - - - Sub total - - - - - Total payments 93,199 - - 93,199 115,614 ~~——————~~ |
||||||||||
| Net of receipts/(payments) A5 Transfers between funds A6 Cash funds last year end Cash funds this year end |
15,214 - - 15,214 - 26,590 - - - - - 15,953 - - 15,953 42,543 31,167 - - 31,167 15,953 ~~—_—==S=S=>~~ |
CCXX R1 accounts (SS)
26/01/2025
1
| Section B Statement of assets and liabilities at the end of the period | Section B Statement of assets and liabilities at the end of the period | Section B Statement of assets and liabilities at the end of the period | |
|---|---|---|---|
| Categories Signed by one or two trustees on behalf of all the trustees B5 Liabilities B3 Investment assets B2 Other monetary assets B4 Assets retained for the charity’s own use B1 Cash funds |
Details Details Total cash funds (agree balances with receipts and payments account(s)) Details Details Details Signature |
Unrestricted funds Restricted funds to nearest £ to nearest £ - - - - - - 31,167 - OK OK Unrestricted funds Restricted funds to nearest £ to nearest £ - - - - - - - - - - - - Fund to which asset belongs Cost (optional) - - - - - Fund to which asset belongs Cost (optional) - - - - - - - - - Fund to which liability relates Amount due (optional) - - - - - Print Name CAROLYN RIGBY |
Endowment funds to nearest £ |
| - | |||
| - | |||
| - | |||
| - | |||
| OK | |||
| Endowment funds to nearest £ |
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| - | |||
| - | |||
| - | |||
| - | |||
| - | |||
| - | |||
| Current value (optional) |
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| - | |||
| - | |||
| - | |||
| Current value (optional) |
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| - | |||
| - | |||
| - | |||
| - | |||
| - | |||
| - | |||
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| When due (optional) |
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| Date of approval |
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| CAROLYN RIGBY | 6.4.24 | ||
CCXX R2 accounts (SS)
26/01/2025
2
CHARITY'-_ COMMISSION Independent Examiner's Report on the Accounts Section A Independent Examiner's Report" Report to the trustees/members of Charity Name FELifv3S MuRA146iAJD4 kft)sPITAL , r]L4f4EaPU On accounts foi the year ended Iir4KEIEIFJD Charty no (if any) l O Set out on pages {¥emeiJsbeT lo ii)Ilude tlie poge numbe15 of additiot5615heet5) Respective iesponsibilities of trustees and examiner The chaiity's tiustees are responsible for the preparation of the accounts. The charity's tiustees consider that an audit is rjot requyred for this year under section 144 of the Charities Act 2011 (the Charities Act) and that an independent examination is needed. It is my responsibility to= examine the accounts under section 145 of the Charities Act, to follow the piocedures laid down in the general Directions given by the Charity Commission (under section 145(5)(b) of the Charities Act), and to state whether particular matters have coffte to my attefitiorE. Basis of independent examiner's statement My examinatton was carried out in accordance with general Diiections given by the Charity Commission. An examination inclLMJes a (eview of the accouftting (ecords kept by the charity and a compaftson of the accounts presented with those records. It also includes consideration of any unusual items 01 disclosures in the accounts, and seeking explanations f rom the trustees concerning any such matters. The procedures undertaken do not piovtde all the evidence that would be iequired in an audit, and consequently no opÉnion is given as to whether the accounts present a 'tFue and fair, view and the report Is limited to those Matters set out in the statement below. Independent examiner's statement In connection with ffly examination, fto fftattei has come to my attention (other than that disclosed below"): (1) which gives ffle reasonable cause to believe that in, any mateFial respect, the requiiements: to keep accounting iecords in accordance with section 130 of the Charities Act. to prepare accounts which accord with the accounting records and comply with the accounting requiiefflents of the Cha(ities Act have not been met; 01 (2) to whÈch, in my opinion, attention should be diawn in order to enable a propel understanding of the accounts to be leached. Pleose delete the words in the bfockets if they do not apply. Signed Date i)1 LS Naffle Relevant professional oualification(s) or body (if any) .W4A-7/oN or Cc<T/k/C-} /k Address CIFS T
Section- B Disclosure Only complete if the examiner needs to highlight material pioblems Give hefe brief details of any item5 that the examinef Wlshes to disclose N)}4