# ANNUAL REPORT & ACCOUNTS 2025 # OVER 190 CHARITABLE COCHLEAR IMPLANT OPERATIONS PERFORMED ## 2000 PATIENTS SERVICES EQUATING TO APPROX. £2.5 MILLION Our team consists of over 100 medical professionals whose primary aim is to provide free surgical facilities, educate and train those in the medical profession to better the healthcare of the most underprivileged countries in the world. DONATION OF ESSENTIAL MEDICAL EQUIPMENT MIDDLE EAR SURGERY PROJECTS Over 700 FREE Middle Ear operations performed TRANSFERRING SURGICAL EXPERTISE - **01** Corporate directory - **02** Welcome from the Chair - **03** What we do? - **04** Strategic report - **12** Statement of Trustees' responsibilities - **13** Accountants report - **14** - **15** Income and expenditure account - **16** Balance sheet - **17** Notes to the accounts **IMRA Annual Report & Accounts** 2025 ## **Company and Charity Legal Name:** IMRA ## **Charity Registration Number:** 1089354 (England & Wales) ## **Accountants:** MSJ CCA Limited t/a MSJ Chartered Certified Accountants 61 Grangethorpe Drive, Burnage, Manchester, M19 2NF ## 3 Allington Drive, Eccles, Manchester, M30 9EG ## **Bankers:** Santander Bridle Road, Bootle, Merseyside, L30 1PH ## **Trustees:** Dr Mohammed Haroon Zafarullah Khan (Chairman) CORPORATE DIRECTORY Dr Ishrat Muhammad Yousuf (Treasurer) Dr Ijaz Ahmad Dr Anwar Moin Khan Dr Jawaid Akhtar Khan **IMRA Annual Report & Accounts** 2025 - Page 1 ## Welcome from our chair I am immensely proud of the outstanding achievements of our diligent Trustees and staff, dedicated volunteers, the communities we serve, and the unwavering support from our generous donors. testament to their compassion and faith in our mission to give the Gift of Speech and Hearing to the impoverished. CI programme is being planned for areas where there is need in near future. In alignment with the objectives and aims of the Charity, the following activities were undertaken during the year 2024-2025. The Trustees convened 4 meetings over the past year to achieve these objectives. IMRA started a new programme of Thyroid Surgery for poor patients both in rural and urban areas. New Surgical specialties are being included for future as well as Endoscopic Sinus surgery. These objectives included: - Cochlear Implant Surgery and Rehabilitation - Middle Ear Surgery - Thyroid Surgery - Transfer of Technology - Medical Education/Scholarships - Donating Medical Equipment This Annual Report illustrates the diverse spectrum of IMRA’s work across Pakistan. Our efforts span from operating on poor patients to enhancing medical expertise by supporting medical education, transferring technology and donating essential medical equipment to areas of need. - Fundraising Events As in previous years, the Trustees agreed to continue the Cochlear Implant program in Pakistan, alongside other projects. This program supports families who are so impoverished that they cannot afford a Cochlear Implant for their child, born with profound deafness or who becomes deaf later and thus cannot hear or speak. These endeavours demand ingenuity, innovation, and unwavering commitment, particularly at a time when the need for our services has surged and costs have escalated. IMRA’s mission remains steadfast: to work effectively and assist as many people as possible Such progress would have been inconceivable without the extraordinary philanthropy of our donors. Their selfless giving, amidst global economic uncertainty, rising inflation, and mounting cost-of-living pressures, is a _Dr Mohammed Haroon Khan (Chair)_ **IMRA Annual Report & Accounts** 2025 - Page 2 ## WHAT WE DO In 2024-2025, we continued to deliver projects under eight areas: + + + + Cochlear MIDDLE EAR ThYroid Transfer of IMplant SURGERY SURGERY technology surgery + + + + medical Scholarship Donating Fundraising education programme Medical EVENTS Equipment **IMRA Annual Report & Accounts** 2025 - Page 3 # OVER 190 CHARITABLE COCHLEAR IMPLANT OPERATIONS PERFORMED ## Cochlear Implants **May 2024 Aug 2024 Dec 2024 Feb 2025** ## **Memon Medical Institute Hospital, Karachi** IMRA's Cochlear Implant Team operated on seventeen children who were implanted in this hospital. **20th - 23rd Ghurki Hospital, Lahore August** IMRA's Cochlear Implant Team operated on six children who were **2024** implanted in this hospital. ## **PIMS Hospital, Islamabad** **11th - 13th PIMS Hospital, Islamabad December** IMRA's Cochlear Implant Team operated on six children who were **2024** implanted in this hospital. **IMRA Annual Report & Accounts** 2025 - Page 5 ## Middle ear surgery IMRA has provided this free service for poor patients who are unable to travel to big cities like Karachi and Hyderabad. Local trainees were also given an opportunity to assist and observe on a monitor the major ear surgical procedures in the operating theatre. This allows the trainees to gain experience and learn from experts and was very much appreciated by the Pakistan Society of Otolaryngology. **----- Start of picture text -----**
Al Ihsan Specialist Hospital,
May 2024 Mogadishu, Somalia
Jan 2025 39 Free Major Ear Surgery
performed.
Mayo Hospital,
15th - 18th
Lahore, Pakistan
October
13 Free Major Ear Surgery
2024
performed.
Memon Medical Hospital,
25th - 28th
Karachi, Pakistan
November
12 Free Major Ear Surgery
2024
performed.
**----- End of picture text -----**
**IMRA Annual Report & Accounts** 2025 - Page 6 ## Middle ear surgery **Bhitai Welfare Hospital, December Mirpurkhas, Pakistan 2024** 16 Free Major Ear Surgery performed. ## Thyroid surgery **Bhitai Welfare Hospital, 25th August Mirpurkhas, Pakistan 2024** 7 patients received this free treatment. **Memon Medical Hospital, 2nd - 4th Karachi, Pakistan December** 6 patients received this free **2024** treatment. **IMRA Annual Report & Accounts** 2025 - Page 7 ## Transfer of Technology IMRA has been providing scholarships to Senior ENT and General Surgery Trainees from Pakistan to visit UK for enhancing their surgical experience and knowledge. This enables them to provide better service to the patients in Pakistan. ## SCHOLARSHIPS **Dr Hira Jalil 1st Jul -** _General Surgeon, Upper GI Trainee_ **31st Aug** This senior trainee beneffited extensively **2024** from senior UK Consultants to apply her knowledge to poor patients in Pakistan. ## Medical Education activities **9th May - 11th May 2024** **CI Advocacy in Action: First Global Conference - Belgium** IMRA attended this conference in Brussels and is now part of this network. ## **2nd OTOCON, Islamabad** **16th May - 19th May 2024** IMRA Team attended and contributed extensively in the workshops & panel discussions in the conference as well as delivering high quality lectures. **IMRA Annual Report & Accounts** 2025 - Page 8 ## Medical Education activities **21st May 2024** ## **Scholarship Presentation, DOW University, Karachi, Pakistan** IMRA has been providing scholarships to senior general surgery trainees in Pakistan. Two of the trainees presented their experience in UK. **3rd Arab Cochlear Implant 24th - 27th Conference, Abu Dhabi, UAE October -** IMRA ENT Team (Mr Noweed Ahmad & Mr Haroon **2024** Khan) attended this conference, the most prominent & largest in the field of ENT. OO ~~=~~ **Global Health Conference London, UK 15th** Mr Haroon Khan (Chair, IMRA) attended this **November** international conference where significant health **2024** Mr Haroon Khan (Chair, IMRA) attended this international conference where significant health inequalities globally were discussed and solutions were suggested. **4th - 9th December 2024** ## **13th SAARC Conference, Karachi, Pak Society of ORL (Organisers)** Master trainers from IMRA UK Team contributed in the workshops as well as delivered high quality lectures on important topics. **IMRA Annual Report & Accounts** 2025 - Page 9 ## Donating Medical Equipment **Queen Elizabeth Hospital, 21st Blantyre, Malawi, Africa October** Medics Across Continents Charity acknowledged the donation of medical **2024** equipment for their ongoing theatre projects at Queen Elizabeth Hospital, worth £40k. O ~~m~~ **27th February 2025** C) **5th March 2025** C) **5th March 2025** C) ## **Memon Medical Institute** ## **Hospital, Pakistan** IMRA donated a microscope to MMIH to be used in the outpatient clinic worth approx. £2k. ## **Mayo Hopspital,** ## **Lahore, Pakistan** IMRA donated a microscope to ENT Department worth approx. £10k. ## **Nishtar Hospital, Multan,** ## **Pakistan** IMRA donated a microscope to ENT Department worth approx. £10k. **IMRA Annual Report & Accounts** 2025 - Page 10 fundraising events **London 24th** IMRA held its second London fundraising event at the The Fairway Pavilion, Southall, **August** Middlesex. The IMRA Team presented its work in the last 12 months which was **2024** appreciated by approx. 250 guests. Celebrity guest Mohammad Hafeez, former Pakistani coach and cricketer graced the occasion and urged people to support IMRA. Ot **Birmingham 9th** IMRA held its second Birmingham fundraising event at the Badshah Palace. The IMRA **November** Team presented its work in the last 12 months which was appreciated by approx. 250 **2024** guests. Guest speaker was Moe Nawaz (Trusted advisor to FTSE 100). A representative from High Commission of Pakistan, London attended the event. Ot **Manchester 25th** IMRA held its annual fundraising event at The Sheridan, Manchester. The IMRA Team **January** presented its work in the last 12 months which was well appreciated by approx. 300 **2025** guests. Mr Tariq Wazir Consul. General of Pakistan, Manchester attended along with other dignitaries. Ot **IMRA Annual Report & Accounts** 2025 - Page 11 **IMRA Annual Report & Accounts** 2025 - Page 12 ## _MSJ_ **IMRA Annual Report & Accounts** 2025 - Page 13 IMRA STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 MARCH 2025 **Notes 2025** _**2024**_ **£ £** _**£**_ **INCOMING RESOURCES** Restricted General _General_ Donaoitn sandc ellooitcns 321,785 _222,477_ Total incomming resources 0 321,785 _222,477_ **LESS EXPENDITURE** Driec tchatiraelb expentidure 236,159 _159,491_ Admrtsiniaoitn expentidure 34,107 _38,043_ Total resources expended 0 270,266 _197,534_ **NET SURPLUS/(DEFICIT) FOR THE YEAR** 51,519 _24,943_ **BALANCE BROUGHT FORWARD** 78,564 _53,621_ **BALANCE CARRIED FORWARD** 0 130,083 _78,564_ **IMRA Annual Report & Accounts** 2025 - Page 14 IMRA INCOME AND EXPENDITURE ACCOUNT FOR YEAR ENDED 31 MARCH 2025 ## **ANALYSIS OF INCOME AND EXPENDITURE** |**General**
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**2. ANALYSIS OF INCOME AND EXPENDITURE (continued)**
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**NET SURPLUS/(DEFICIT)**
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**TOTAL FUNDS BROUGHT FORWARD**
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**TOTAL FUNDS CARRIED FORWARD**
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**2025**|**Total**
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**130,083**| |---|---| **IMRA Annual Report & Accounts** 2025 - Page 15 ## IMRA BALANCE SHEET AS AT MARCH 2025 **----- Start of picture text -----**
Notes 2025 2024
£ £
FIXED ASSETS
Tanelbigxif ed assest 4 108 127
CURRENT ASSETS
Cash a tban kandni hand 133,696 82,008
133,696 82,008
LIABILITIES :
Amounts falling due within one year 7 -3,721 -3,571
NET CURRENT ASSETS 129,975 78,437
TOTAL ASSETS LESS CURRENT LIABILITIES 130,083 78,564
Generf launds 8 130,083 78,564
TOTAL FUNDS 130,083 78,564
**----- End of picture text -----**
## **Dr Mohammed Haroon Zafarullah Khan** Chairman Approved on 06 August 2025 **IMRA Annual Report & Accounts** 2025 - Page 16 ## **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'. ## **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. ## **Income** Income is accounted for on a receipt basis. ## 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. ## **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. 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. **IMRA Annual Report & Accounts** 2024 - Page 17 ## NOTES TO ACCOUNTS |**4. TANGIBLE FIXED ASSETS**
**COST**
At 1 April 2024
Additions
Disposal
At 31 March 2025
**DEPRECIATION**
At 1 April 2024
Charge for the year
on disposal
At 31 March 2025
**NET BOOK VALUE**
At 31 March 2025
At 31 March 2024
**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 2024
Net surplus/(deficit)
Balance at 31 March 2025|**Fixtures**
**and**
**Fittings**
**£**
759
759
632
19
651
108
127
**2025**
Nil
**2025**
21,000
Number
2
2
0
**2025**
2,062
1,374
285
3,721
**GENERAL**
**FUNDS**
**£**
78,564
51,519
130,083|**_2024_**
_Nil_
**_2024_**
_16,600_
_Number_
_2_
_2_
_0_
**_2024_**
1,912
1,374
285
_3,571_
**_GENERAL_**
**_FUNDS_**
**_£_**
_53,621_
_24,943_
_78,564_| |---|---|---| **IMRA Annual Report & Accounts** 2025 - Page 18