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2022-03-31-accounts

Registered Charity Number 1089354

IMRA

Report and Accounts

For the Year Ended

31 March 2022

IMRA Report and Accounts Contents

Page
Charity Information 1
Trustees Report 2
Statement of Trustees' responsiblities 3
Accountants Report 4
Statement of Finanacial Activities 5
Income and expenditure account 6
Balance Sheet 7
Notes to the accounts 8-9

IMRA Charity Information

Trustees

Ijaz Ahmad Dr Anwar Moin Khan Dr Mohammed Haroon Zafarullah Khan (Chairman) Dr Jawaid Akhtar Khan Dr Ishrat Muhammad Yousuf (Treasurer)

Accountants

MSJ CCA Limited t/a MSJ Chartered Certified Accountants 61 Grangethorpe Drive Burnage Manchester Greater Manchester M19 2NF

Bankers

Santander Bridle Road Bootle Merseyside L30 1PH

Registered office

3 Allington Drive Eccles Manchester M30 9EG

Registered charity number

1089354

1

IMRA

The report of the trustees for the year ended 31 March 2022

Introduction

The trustees present their annual report and accounts for the year ended 31 March 2022 .

Status

IMRA is a registered charity under the charity number 1089354. It has no taxable activities and is therefore not liable to UK taxation. It is, however, unable to reclaim VAT on expenditure incurred.

Objectives

The object for which the charity is established, it is to provide medical relief worldwide.

Organisational structure

The organisation is an independent charity. The Chairperson shall be responsible for the control, management and direction in all matters of the charity upon the advise of the trustees (Advisory board members) during the year.

Risks

The trustees have taken steps to establish the risks to which the charity is exposed and have put systems in place to mitigate risks.

Review of the results

According to the objectives and aims of the Charity the following activities were undertaken in year 2021-2022. The Trustees held five meetings during the above year to achieve the above objectives. The Trustees as in the previous year agreed to continue with the Cochlear Implant programme in Pakistan as well as the other projects. This programme is to support those families who are so poor that they cannot afford to pay for a Cochlear Implant for their child who is born with profound deafness or becomes deaf later and hence cannot hear or speak.

The objects for which the charity is established, it is to provide medical relief worldwide.

1. Cochlear Implants 19th December 2021

Free Cochlear Implants performed at Pakistan Air Force Hospital, Islamabad for the first time. Two Free Cochlear Implants were performed on 2-year-olds.

26th - 28th December 2021

On 28th December 2021 IMRA achieved the landmark figure of 100 Free Cochlear Implants at Memon Medical Institute Hospital, Karachi. During this three days IMRA operated on four children.

2. Middle Ear Surgery 12th - 16th December 2022

11th Year of Free Middle Ear Surgery for poor patients by IMRA Charity in Mirpurkhas, Sindh province in Pakistan. IMRA has provided this free service for poor patients who are unable to travel to big cities like Karachi and Hyderabad. There are no ENT surgeons in Mirpurkhas who perform Middle Ear surgery.

Since 2009 over 500 Middle Ear disease patients have been operated upon by IMRA Team. The Team consists of surgeons from the UK, a few Pakistani surgeons and some trainees from both places who work under supervision. In this year sixteen patients were operated upon. 3. Transfer of Technology IMRA Charity expanding into new surgical specialities

Professor Khurshid Akhtar - Consultant General and Upper Gastrointestinal Surgeon - Salford Royal University Teaching Hospital - MBBS FRCS(Eng) FRCS MD is now a part of IMRA's Surgeon Volunteers Team to improve the surgical expertise in Pakistan and to train surgeons in the UK.

Professor Khurshid Akhtar visited the Dow University of Health Science and Civil Hospital Karachi in January 2022. He gave a lecture on “The Diagnosis and Management of Gastric Cancer” and demonstrated to the surgeons and trainees a laparoscopic gastric bypass operation at Civil Hospital. He also announced two scholarships on behalf of IMRA to allow senior surgical trainees from Dow University to visit the UK for 8-10 weeks at a higher specialist centre.

4. IMRA at the forefront of Medical Education activities APPNE The largest democratic doctors organisation in the UK and Europe organised their second annual event on 20th November, Edgbaston Cricket Stadium, Birmingham.

IMRA was approached to arrange CME meetings and the following disciplines were organised: ENT, Ophthalmology and Anaesthetics. These three CME meetings were all approved by their respective Royal Colleges for two CPD points and were well attended. The talks delivered by the speakers at each of these CME’s were of a very high calibre, both in terms of content and delivery. The attendees benefitted both in terms of knowledge and improving the services at their respective hospitals. 5. Donating Medical Equipment IMRA donated an Ultrasound machine to a charity hospital in Faisalabad, Pakistan Bright Hope Foundation Hospital is a charity hospital and had requested IMRA a few years ago to help them to purchase this machine so that they can give good quality service to the pregnant women who require regular ultrasounds. IMRA donating surgical operating microscopes to Pakistan

Six microscopes were sent to Pakistan along with a camera system and a patient motorised trolley. IMRA will use this equipment for its own work and donate some to centres that desperately need them for charity work. IMRA donated 5000 PPE disposable plastic gowns to Ghurki Trust Teaching Hospital, Lahore, Pakistan These gowns will be used to examine patients as COVID is still present and will protect medical staff.

6. Fundraising Events

Because of COVID-19 Two Fundraising Events were postponed.

Achievement of objectives:

Besides middle ear surgery and equipment donation; the beneficiaries of the Cochlear Implant project are those poor children whose parents who cannot afford this expensive surgery and rehabilitation.

Supporting medical education and transferring technology is also one of IMRA’s prime objectives in improving the lives of poor people.

2

IMRA

The statement of trustees responsibilities for the year ended 31 March 2022

Statement of Trustees' Responsibilities

Charity Law requires the Board to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the charity as at the end of the financial year and of the surplus or deficit of the charity. In preparing those financial statements the Board is required to :-

The trustees are also responsible for maintaining proper accounting records which disclose with reasonable accuracy at any time the financial position of the charity and which are sufficient to show and explain the charity's transactions and enable them to ensure that the financial statements comply with regulations made under the Charities Act. They are also responsible for safeguarding the assets of the charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

The trustees are also responsible for the contents of the trustees' report, and the responsibility of the independent examiner in relation to the trustees' report is limited to examining the report and ensuring that, on the face of the report, there are no inconsistencies with the figures disclosed in the financial statements.

This report was approved by the board of trustees on 08 November 2022 and signed on its behalf by:

Dr Mohammed Haroon Zafarullah Khan

Chairman

3

IMRA

Independent Examiner's Report to the trustees of the charity

Report of the Independent Examiner to the trustees on the accounts of the Charity for the year ended to 31 March 2022

We report on the financial statements of the Charity on pages 5 to 9 which have been prepared in accordance with the Charities Act 1993 and with the Financial Reporting Standard for Smaller Entities (FRSSE), effective January 2015 , adapted to meet the needs of unincorporated organisations, as modified by the Statement of Recommended Practice for Accounting and Reporting issued by the Charity Commissioners for England & Wales, effective June 2008, revised in January 2015, under the historical cost convention and the accounting policies.

Respective responsibilities of trustees and examiner

As described on page 3 , the Charity's trustees are responsible for the preparation of the financial statements. The trustees consider that the audit requirement of Section 43(2) of the Charities Act 1993 (the Act) does not apply, and that there is no requirement in the governing document or constitution of the Charity for the conducting of an audit. It is my responsibility to state , on the basis of the procedures specified in the General Directions given by the Charity Commissioners for England & Wales under Section 43(7)(b) of the Act, whether particular matters have come to my attention.

Basis of opinion and scope of work undertaken

We conducted our examination in accordance with the General Directions given by the Charity Commissioners for England & Wales in relation to the conducting of an independent examination. An independent examination includes a detailed review of the accounting records kept by the Charity and of the accounting systems employed by the Charity and a comparison of the financial statements with those records. It also includes consideration of any unusual items or disclosures in the financial statements, and seeking explanations from you as trustees concerning such matters. The purpose of the examination is to establish as far as possible that there have been no breaches of the Charities legislation and that the financial statements comply with the Statement of Recommended Practice issued by the Charity Commissioners for England & Wales (effective April 2005), on a test basis, of evidence relevant to the amounts and disclosures in the financial statements.

The procedures undertaken do not provide all the evidence that would be required in an audit, and information supplied by the trustees in the course of the examination is not subjected to audit tests or enquiries, and consequently we do not express an audit opinion on the view given by the financial statements, and in particular, we express no opinion as to whether the financial statements give a true and fair view of the affairs of the charity.

We planned and performed our examination so as to satisfy ourselves that the objectives of the independent examination are achieved and before finalising the report we obtain written assurances from the trustees of all material matters.

Independent Examiner's Statement, report and opinion

Subject to the limitations upon the scope of my work as detailed above, in connection with my examination, no matter has come to our attention:

1) which gives us reasonable cause to believe that in any material respect the requirements to keep accounting records in accordance with section 41 of the Act; and to prepare financial statements which accord with the accounting records and to comply with the accounting requirements of the Act or of the Charities (Accounts and Reports) Regulations 2005 have not been met or

2) to which, in our opinion, attention should be drawn to enable a proper understanding of the accounts to be reached.

This report is in respect of an examination carried out under section 43 of the 1993 Act and in accordance with any directions given by the Commissioners under subsection (7)(b) of that section which are applicable.

MSJ

Mohammed Suhail Jamil BA(Hons) FCCA

MSJ CCA Limited

t/a MSJ Chartered Certified Accountants 61 Grangethorpe Drive Burnage Manchester M19 2NF

Date: 08 November 2022

4

IMRA Statement of Financial Activities for the year ended 31 March 2022

Notes
INCOMING RESOURCES
Donations and collections
Total incomming resources
LESS EXPENDITURE
Direct charitable expenditure
Administration expenditure
Total resources expended
NET SURPLUS/(DEFICIT) FOR THE YEAR
BALANCE BROUGHT FORWARD
BALANCE CARRIED FORWARD
£
£
Restricted
General
333,874
0
333,874
213,456
33,069
0
246,525
87,349
28,929
0
116,278
2022
2021
£
General
78,132
78,132
36,548
17,718
54,266
23,866
5,063
28,929

5

IMRA Statement of Financial Activities for the year ended 31 March 2022

ANALYSIS OF INCOME AND EXPENDITURE

General
Restricted
1. Donations & Collections
Charitable events and donations
291,170
Tax rebate
42,704
333,874
0
Direct Charitable Expenditure
Functions & Events for fundraising
410
Cochlear implants & other surgical equipments
106,215
Food parcels for refugees
37,435
Management consultancy fees
67,396
Donations made
2,000
213,456
0
2. ANALYSIS OF INCOME AND EXPENDITURE (continued)
Administration Expenditure
General
Restricted
Staff salary
14,400
Training, courses and educational programs
442
Rent & rates
553
Printing, postage, packaging & stationery
6,236
Telephone & internet
41
IT costs
0
Travel & admin expenses
7,903
Bank charges
75
Advertising & marketing
1,988
Depreciation
31
Accountancy fees
1,400
Legal & professional fees
0
33,069
0
NET SURPLUS/(DEFICIT)
87,349
0
TOTAL FUNDS BROUGHT FORWARD
28,929
0
TOTAL FUNDS CARRIED FORWARD
116,278
0
2022
2022
Total
291,170
42,704
333,874
410
106,215
37,435
67,396
2,000
213,456
Total
14,400
442
553
6,236
41
0
7,903
75
1,988
31
1,400
0
33,069
87,349
28,929
116,278

6

IMRA Balance Sheet as at 31 March 2022

----- Start of picture text -----
Notes 2022 2021
£ £
FIXED ASSETS
Tangible fixed assets 4 175 206
CURRENT ASSETS
Cash at bank and in hand 119,574 31,494
119,574 31,494
LIABILITIES :
Amounts falling due within one year 7 -3,471 -2,771
NET CURRENT ASSETS 116,103 28,723
TOTAL ASSETS LESS CURRENT LIABILITIES 116,278 28,929
General funds 8 116,278 28,929
TOTAL FUNDS 116,278 28,929
----- End of picture text -----

Dr Mohammed Haroon Zafarullah Khan

Chairman Approved on 08 November 2022

7

IMRA Notes to the Accounts for the year ended 31 March 2022

1. ACCOUNTING POLICIES

Basis of accounting

The accounts have been prepared on the historical cost basis of accounting and in accordance with applicable accounting standards and comply with the Statement of Recommended Practice ' Accounting by Charities '.

Income

Income is accounted for on a receipt basis.

Tangible fixed assets and depreciation

Tangible fixed assets are stated in the balance sheet at cost less depreciation. Depreciation has been provided at the following rates in order to write off the assets over their estimated useful lives.

Fixtures, fittings & equipment

15% reducing balance

Taxation

As a registered charity, the company is exempt from income and corporation tax to the extent that its income and gains are applicable to charitable purposes only. Value added tax is not recoverable by the company, and is therefore included in the relevant costs in the statement of financial activities.

2. WINDING UP OR DISSOLUTION OF THE CHARITY

If upon winding up or dissolution of the charity there remain any assets, after the satisfaction of all debts and liabilities, the assets represented by the accumulated fund shall be transferred to some other charitable body or bodies having similar to the charity.

3. STATEMENT THAT NO EXPENSES WERE PAID TO TRUSTEES OR CONNECTED PERSONS

No expenses were paid to the trustees or persons connected with them. Neither the trustees nor any persons connected with them have received any remuneration in the current year.

8

IMRA

Notes to the Accounts for the year ended 31 March 2022

4. TANGIBLE FIXED ASSETS
COST
At 1 April 2021
Additions
Disposal
At 31 March 2022
DEPRECIATION
At 1 April 2021
Charge for the year
on disposal
At 31 March 2022
NET BOOK VALUE
At 31 March 2022
At 31 March 2021
5.DEBTORS
Prepayments
6.STAFF COSTS
Staff salaries and NIC
The average number of
employee during the
year were;
Fund raising
Administration
Volunteers
7.CREDITORS
Amounts falling due within one year :-
Accruals
Other creditors
Social security & other taxes
8. ACCUMULATED FUNDS
Balance at 1 April 2021
Net surplus/(deficit)
Balance at 31 March 2022
Fixtures
and
Fittings
£
759
759
553
31
584
175
206
2022
Nil
2022
14,400
Number
2
2
0
2022
1,812
1,374
285
3,471
GENERAL
FUNDS
£
28,929
87,349
116,278
2021
Nil
2021
13,400
Number
0
2
0
2021
1,112
1,374
285
2,771
GENERAL
FUNDS
£
5,063
23,866
28,929

9