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2023-12-31-accounts

NIGERIAN NURSES CHARITABLE ASSOCATION UK

Trustees’ Annual Report for the period From January 2023 to December 2023

Charity name: Nigerian Nurses Charitable Association UK

Charity registration number : 1092724

Background

The Nigerian Nurses Charitable Association NNCA UK established in 1998. It is a not-forprofit organization and attained charity status in 2002. Membership includes Nurses, Midwives and Health Visitors of Nigerian origin, heritage or by marriage. Representing over 5000 members.

Mission

NNCAUK was set up to relieve the poverty and distress by the provision of practical contributions to the delivery of healthcare and to advance education by promoting health education in United Kingdom and Nigeria.

To provide practical, professional and welfare support for our members

Work in partnership with other Black Minority Ethnic organisations to raise and enhance nurses and midwives voices

Vision

The organisation has 4 pillars underpinning its objectives;

1. Employment relations - partnership with Trade Unions, values & quality Charter overseas recruitment, NMC registration support.

2. Political action unit - Influence governmental & trust policies, public relations & international relations and governmental liaison

3. Professional development – including education, training and research, Seminar & Workshops, Technology & Innovation and conferences

4. Social & community engagement - care, support & welfare of members, charity in Nigeria, annual dinner gala & awards, fund raising & grant management

NIGERIAN NURSES CHARITABLE ASSOCATION UK

Nigerian Nurses and Midwives in the UK

They are the 3[rd] largest group of Internationally Educated Nurses (IENs) on the UK Nursing and Midwifery Council (NMC) register. The NHS show a vacancy rate of 7.5% (31,294 vacancies) as at 31 March 2024 within the Registered Nursing staff group (which includes midwives and health visitors). This is a decrease from the same period the previous year when the vacancy rate was 9.9% (40,096 vacancies). Year on year, the number of Nigerian nurses and midwives entering the UK NMC register is increasing. The organisation has seen an expansion in membership and on their various organisational forums

Achievements and Objectives for the period 2023

A number of our core objectives for the reporting period is to support, educate and inform existing Nigerian nurses and midwives in the United Kingdom but to also respond to and advocate for the increasing numbers of Nigerian nurses and midwives entering the United Kingdom to work and live. The newly arrived individuals tell us that the main purpose for leaving Nigeria was to gain education opportunities, lack of jobs and the low wages.

There are 12,099 Nigerian Nurses and Midwives on the NMC UK and are the faster growing nation for International Educated Nurses. See the NMC register mid-year update 1 April – 30 September 2023 0130a-mid-year-data-report-uk-web.pdf (nmc.org.uk)

The numbers of Nigerian nurses and midwives on the UK NMC register do not include the multitude of registrants who identify as British citizens.

The organisation has had to increase its pastoral support for those nurses arriving in England for the first time. This is essential as Nigeria is on the ‘WHO health workforce support and safeguards list 2023’ WHO health workforce support and safeguards list 2023 so no active recruitment from Nigerian is permitted. However, Nigerian Nurses and Midwives independently apply and make arrangements to work and live in the United Kingdom. We are also aware that there are unscrupulous recruitment agencies who do not follow the WHO guidance and some nurses find themselves in difficulty.

*Benefit

NIGERIAN NURSES CHARITABLE ASSOCATION UK

Nigerian nurses and midwives are essential to the UK nursing and midwifery workforce in terms of reducing vacancies as well as bringing into the UK sound practice and expertise.

Computer Based Testing (regulation)

This is a fundamental aspect of the organisations priories and duties. A significant event involved issues related to Nigerian nursing and midwives practice in the UK. In May 2023, the Nursing and Midwifery Council (NMC) shared that their CBT provider, Pearson VUE, had alerted them to unusual data relating to tests taken at Yunnik Technologies Test Centre in Ibadan, Nigeria.

When internationally educated nursing and midwifery professionals wish to join the NMC register to practice in the UK, they must demonstrate that they have the skills, experience, and aptitude to meet their high standards of proficiency and conduct. This includes passing a two-part test of competence (ToC): a computer-based test (CBT) that assesses their clinical and numeracy competency and is usually sat in their home country, and a practical test (OSCE) taken in the UK. The investigation concluded that there was evidence of widespread fraudulent activity at the Yunnik centre, where they suspect some people fraudulently obtained their CBT, probably by use of a proxy tester, where someone takes the test on behalf of someone else. Overall, this meant that the NMC did not have confidence in any CBT result from this test centre and treated all CBTs obtained at Yunnik as invalid. For all of those affected, this meant retaking of the CBT and possible cancelled application and possible removal from NMC register.

Nigerian Nurses involved in Computed Based Testing investigations by the NMC.

Pastoral Care - This has affected nearly 2000 individuals who are either applicants or already on the NMC register. The impact has seen a significant increase in the number of individuals experiencing extreme anxiety, worry, loss of income and jobs. Many individuals contacted the organisation and the organisation had to react promptly to respond to multiple queries both here in the UK and in Nigeria at the time. We rapidly contacted many members and carried out engagement sessions as well as setting up support groups to provide information and engaged with multiple individuals. The organisation also delivered CBT education and practice sessions to help those undertaking the CBT. Frequent engagement sessions/webinar sessions are held with those affected to provide information, listen to worries and provide updates as well as hear from the NMC and unions. The NMC process is still ongoing as the NMC fitness to Practice hearings continue.

The organisation obtained an emergency grant from NHS England to deliver an education and support program to the individuals affected. The grant allowed us to enhance the pastoral care offer to international nurses who currently work in the NHS or wider health and social care organisations in England. The grant facilitated the following; increasing telephone, email and face-to-face support to the 512 individuals identified on the NMC register and the 1400 individuals who were still in the registration process, increased administration support to monitor NNCAUK Inbox, professional and objective communications and legal advice, increased technical capacity – including a Zoom subscription for hosting larger webinars and information sessions, facilitating specific CBT training sessions on the new CBT model for those who previously took an older version of

NIGERIAN NURSES CHARITABLE ASSOCATION UK

the product of webinars prior and post arrival in England and provision of information and support to nurses and midwives affected by the NMC investigation.

Ambassadors

There are 36 Diaspora organisations e.g. Nursing Association of Jamaica and Filipino Nursing Association UK within the United Kingdom. The NNNCAUK make up one of the 36 Diaspora nursing and midwifery organisations within the United Kingdom and two of the executive/ senior leadership team members represent the organisation on the Black Asian Minority Ethnic consortium.

The NNCAUK are members of the International Nursing and Midwifery Association working group (INMA), NHS England and the INMA forum at the Nursing and Midwifery Council (NMC).

The NNCAUK is one of the longest established diaspora groups and their opinion and advice is often sought from the other diaspora groups and newly formed groups. These forums facilitate the sharing of information, discussion of health, well-being and safeguarding matters. These networks are strong and effective and aid in collective action and escalation to relevant parties and stakeholders. This is essential as several International Educated Nurses face racism and discrimination within the workplace and public life.

Benefit:

Healthy and nurtured registrants deliver high quality patient care and reduce the risk of incidents and mistakes. Staff that are well cared for remain in the health service, have reduced sickness and perform better. It is a fundamental human right not to be discriminated against and the forums can identify certain patterns and discuss the steps that need to be taken to reduce discriminatory behaviours.

Advocacy

NIGERIAN NURSES CHARITABLE ASSOCATION UK

representation when it does not meet the required standards, this has been evident with the CBT investigations and formal concerns were raised accordingly

A delegation of 23 Nigerian Nurse from the Nigerian Nurses Charitable Association attended 10 Downing street 13/6/23 to meet with MP Maria Caulfield. The delegation consisted of representation from the executive, members, advisors, student midwife and a recently arrived internationally educated nurse from various health care backgrounds bringing a range of expertise to Downing Street. The round table was coordinated by Councillor Shade Adoh. The delegation met with Myles Stacey OBE, Special Advisor to the Prime Minister. A number of topics were discussed including; specific nursing matters around the health and wellbeing and the safeguarding of Nigerian nurses across all health care sectors. Nurse migration was discussed heavily as we have seen significant increases in the numbers of Nigerian nurses on the Nursing and Midwifery Council register. Whilst also acknowledging the significant contribution and impact of Nigerian nurses and midwives to the UK nursing population. Noting health disparities we raised issues regarding the disproportionate retention of Black people within mental health settings

Collaboration

Consultations

The organisations views are regularly sought as they are one of the longest diaspora organisations within the United Kingdom. The NNCAUK also respond to formal consultations that are relevant to the profession.

Guidance and Policy

An essential role is to ensure that Nigerian Nurses and Midwives are represented at various forums to ensure that their voices are heard and that the organisation has a seat at the relevant guidance and policy tables.

NIGERIAN NURSES CHARITABLE ASSOCATION UK

Stakeholder visits

The senior leadership team visit parts of the country in response to requests from individuals and organisations in particular NHS organisations as part of organisational induction program. These visits (six in the year) are important especially for new arrivals and form part of the on boarding process in organisations. The leadership team discuss and talk to staff about living and working within the United Kingdom and some of the differences and challenges they may face. Discussion also includes the differences in practice, cultural adaption and where to shop and bank as well as understanding the UK laws which differ from Nigeria.

The Nursing and Midwifery Council of Nigeria (NMCN) visits the Nursing and Midwifery

Council (NMC) UK October 2023

The organisation coordinated a visit by the NMCN secretary general registrar Alh. Faruk Umar Abubakar and his management team. They visited and the NMC headquarters in London and met Chief Executive and Registrar of the Nursing and Midwifery Council (NMC) Andrea Sutcliffe.

*Benefit

Sharing of experience and practice between Nigeria and the United Kingdom including legislation. Briefing of latest regulations in Nigerian practice. Discussion of CBT related matters.

Communications

The organisation has an email inbox info@thenncauk.com.

Social media via X formerly twitter account - @NNCAUK

Internet site - https://www.thenncauk.org/

The organisations receives several queries via its website info@thenncauk.com .

On average the inbox will receive approximately 10 queries/contacts a day, this went up significantly at the start of the CBT investigation by the Nursing and Midwifery Council

The themes including the following;

NIGERIAN NURSES CHARITABLE ASSOCATION UK

Conference

The organisation held its silver Jubilee celebration event and annual conference at Warwick University, Coventry, between 30 November and 3 December 2023. Over 150 delegates attended with excellent feedback.

The theme for this celebration was LEADING THE FUTURE: INFLUENCING GLOBAL HEALTH , and this aligned with the organisation’s mission to relieve poverty and distress by providing practical contributions to healthcare and to advance education by promoting health education in the United Kingdom and Nigeria. Thus providing practical professional and welfare support for members, working in partnership with other organisations to raise and enhance nursing' and midwifery ' voices.

*Benefit

Education and presentations from a plethora of speakers relating global health. Sharing of learning, showcasing best practice and expertise and strengthening confidence and practice. Raising the profile of the organisation across the UK.

Building relationships and collaboration with the Nigerian Federal Ministry of Health and the NMCN who were in attendance

Opportunities for networking amongst national and international colleagues and stakeholders

The NMCN register announced at the conference, a provisional memorandum of understanding between both organisations and agreed that membership of the NNCAUK, would count as recognition and contribute to the verification process in Nigeria for UK practice. This is a landmark agreement.

Education

Webinars - the organisation ran several online webinars during the year. These included topics on the following;

Cultural awareness and self-awareness workshops (February, March, 2023, Patient Safety, Feb- March 2024, International day of the Nurse & Midwife (May 2023), Career development (June 2023), Job interview and preparation (July 2023), virtual meet and greet July 2024, August 2024.

Patient Safety workshops

Nurses and doctors are among the most trusted people in society. We trust clinicians to support us when we are at our most vulnerable and rely on them to uphold high standards of professional behaviour and competence. Furthermore, we trust that there are mechanisms to hold them accountable if they are deliberately malicious or negligent and to ensure they are competent. But however powerful these mechanisms, they cannot stop every single person in healthcare from getting things wrong from time to time. That is why

NIGERIAN NURSES CHARITABLE ASSOCATION UK

we must do all we can to prevent these incidents from harming people (National Patient Safety, 2019)

Patient Safety workshops February to March 2023

The organisation applied and received a small grant from NHS England administered by the Florence Nightingale Foundation. The grant was used to engage senior nurse leaders to deliver a series of half day workshops on Culture and Patient safety. Nigerian Nurses established in the UK and those applying for UK practice have to adapt to differing ways of working and governance across the UK health system. The workshops developed the skills and knowledge of Nigerian nurses in relation to the need for cultural transformation and the impact of culture in the delivery of safe and high quality patient care in UK nursing practice, Attendees: 150 approximately bands 5 – 8 from across all care settings and included the following countries UK Nigeria, and Saudi Arabia

This series of half/full day workshops were targeted towards the development of the skills and knowledge of the nursing workforce in relation to the need for cultural transformation and the impact of culture in the delivery of safe and high quality care (Just Culture)

Engagement events with newly arrived nurses to the UK have identified challenges with adjusting to UK practice, aware also of high/disproportionate referral rates to NMC for Nigerian nurses

Workshops aim to improve and strengthen practice and increase patient safety and mind of enquiry. Assist in the development of reflective practice. For senior staff, program will assess leadership style with established model, strengthen and advance leadership competence, develop additional insight and intelligence that will enhance leadership journey and career progression. Develop outline of project/change that will demonstrate learning and impact patient/staff safety in the workplace

See program below

NIGERIAN NURSES CHARITABLE ASSOCATION UK

*Benefit

Forums

There are several forums where all levels of staff including newly qualified, newly arrived into the country and experienced nurses and midwives gather together online to share best practices, learn and exchange ideas.

*- Benefit

Learning about new terminology and standards of practice e.g. duty of candour, facilitate offline conversations and discussions ref; safe practice and enquiry. Enhance Safety thread

NIGERIAN NURSES CHARITABLE ASSOCATION UK

through relevant webinars which contribute to competent and safe practice of registrants which in the interest of the public.

Fellow

The purpose and program:

To provide protected time and opportunity for up to 15 active INMA officers to focus on developing their organisation’s marketing and business development, membership model and administration. This time (6 months) will also be used to develop their business and communications skills to support their association’s sustainability and viability. The program was initiated and coordinated by NHS England. The fellows have been in place since early 2022 and the current fellow has been in post since November 2022 and is the 2[nd] fellow for the organisation. Mentoring of the fellow is by the education lead including face to face supervision, career counselling, professional support as well as setting of objectives.

The fellow provides support for International Educated Nurses and Midwives including connecting individuals with the community of Nigerian Nurses in the UK, signposts to relevant information and links, assist and support nursing and midwifery cultural integration in the UK. Provides career progression advice.

The fellow held a community event in Oxford in August 2023.

The fellow engages with junior members and has been instrumental in liaising with the internal forums. During her tenure, the International Educated Nurses Forum has increased from 120 to 1000 participants during series of workshops

Global

The organisations attends national and global events online and face to face. Communicates with other Nigerian nursing and midwifery organisations including Association of Nigerian Nurses in Ireland and attended and spoke at their African Health Summit in July 2023.

The organisation has ongoing relations with the Federal Ministry of Health and has begun to work closely with the Chief Nurse Francisca Okafor and facilitated a visit for her to Kings College Hospital Foundation Trust to meet their Chief Nurse

Digital platform

Commissioning of a communication consultant to overhaul the outdated digital infrastructure including the following;

NIGERIAN NURSES CHARITABLE ASSOCATION UK

Membership

In 2023, our membership grow tremendously with 234 new members joining the association. These figures comprises of International Educated Nurses IEN from Nigeria and those who lives and resident in the UK

Trailblazers in 2023

Dame Elizabeth Nneka Anionwu took part in coronation of King Charles III, in 2023, Key note speaker at the Florence Nightingale Foundation memorial service.

Peter Omoragbon – carrying out international liaison in Nigeria and other countries

Felicia Kwaku, OBE – named in Nursing Times NHS75 list

Joy Ojonile Agagwu - Nigeria achievers awards awarded heath care award

Councillor Yemi Osho, MBE investiture

Planning For next Year 2024

NIGERIAN NURSES CHARITABLE ASSOCATION UK

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Structure, Governance and Management

The organisation is led by the president who coordinates the executive director and senior leadership team.

The executive and senior leadership teams convene meetings several times a year. Informal meetings are also held more frequently with a wider leadership and volunteers to assist the organisation to meet its objectives.

Notes and actions of the meetings are taken as required

The organisation recognises that it requires more Trustees and to build in success planning for the organisation to continue to thrive.

Reference and Administrative details Charity Name: Nigerian Nurses Charitable Association UK

Registered charity number : 1092724

Charity’s principal address : 9 Easter Avenue, Collier Row Romford, Essex RM9 6JR

Executive Director/Lead Name
Wendy Olayiwola, BEM President
Obi Amadi GeneralSecretary
Yemisi Adegbile Deputy General secretary
Elizabeth Ekanem Clinical Leadfor Maternity
Peter Omoragbon Director for International liaison
JideBankole Director for members andleadership
Felicia Kwaku, OBE Lead for Education and training
Malvis Humphery Director for Strategy and programs
AnnieD,Ayeni ExecutiveBusinessManager

The organisation has a life Patrons; Professor Dame Elizabeth Anionwu DBE CBE FRCN.

NIGERIAN NURSES CHARITABLE ASSOCATION UK

APPENDIX 1

Detailed Activities

APPENDIX 1
Detailed Activities
Title Date
AssociationSouth Asian Midwives andBritishSikh Nurses conference 20/1/2023
FlorenceNightingaleleadership event 16/2/23
Exeter – visit andmeetingwith newly arrivedNigerian nurses 19/2/2023
Culturalawarenessworkshophosted byNNCAUK 27/2/23
NHS pay offer meetingswith RoyalCollege of Nursing 6/4/243
International Daynurses andmidwives event 17/5/23
Nursing,midwifery andAHPcareerdevelopmentwebinar 16/6/23
Florence Nightingale Foundation memorial service St Pauls Cathedral –
International NursesDay
5/7/23
Introducing the new online Continuing Practice Development (CPD) nursing
andmidwiferylicencerenewal in Nigeria
12/7/23
Dorset Universityhospitalsvisit– inductionprogram 22/7/23
International Nurses transculturalconflictwebinar 27/7/23
InterviewpreparationandNMCrevalidation 28/7/23
North WestEnglandregion reception 30/7/23
Associationof Nigerian Nursesin Ireland– African HealthSummit 29-30/7/23
Regional meet and greet 3/8/23
Black Asian Healthcare awards 28/9/23
Primeminister- Downing Streetvisit onbehalfon MP Marie Caulfield’s office 21/6/23
Medical Associationof NigeriansAcross GreatBritainconference 27-28/10/23
Society of AfricanCaribbean Midwives conference 3/11/23
GhanaNursesAssociationevent 4/11/23
Silverjubilee and annualconference 30/11-2/12/23
King Charles III birthday and International Nurse Celebration at Buckingham
Palace
15/11/23
International Conference 25th International Conference 25hth celebration 30/11/23 –
3/12/23

CBT specific support (not all contacts included as too numerous)

Title Date - 2023
WhatsApp group established 7/5
Nursing andMidwifery Session foraffectedindividuals 9/5
Information, Support and Discussion webinars 11/5, 13/5,17/5, 20/9, 26/9, 3/10,
13/11,15/11,
CBTonline educationsession 13/10/23,14/10/23
Charity Name No (if any) No (if any)
NIGERIAN NURSES CHARITABLE ASSOCIATION NIGERIAN NURSES CHARITABLE ASSOCIATION 10924724
Receipts and payments accounts
For the period
from
Period start date
To
Period end date
1/1/2023
31/12/2023
~~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 £
A1 Receipts
GRANTS 9,980 - - 9,980 11,800
MEMBERSHIP ANNUAL DUES 2,003 - - 2,003 180
SPECIAL VOLUNTARY
DONATION/BEREAVEMNET SUPPORT
- 1,504 - 1,504 -
CONFERENCE REGISTRATION 8,339 - - 8,339 -
CORPORATE/INDIVIDUAL DONATIONS 850 - - 850 -
ADVERT ON ANNIVERSARY
BROUCHURE
3,600 - - 3,600 -
SALES CONFERENCE SOUNVIERS 700 - - 700 -
PAYMENT IN ERROR RETURNED 1,481 1,481
UNSPENT VOTE RETURNED 1,000 - - 1,000
OTHER DONATIONS 217 - - 217 -
Sub total(Gross income for
AR)
28,170 1,504 - 29,674 29,674 11,980
Total receipts
A2 Asset and investment sales,
(see table).
-
-
Sub total
-
-
-
-
-
-
-
-
-
-
29,674
-
29,674
11,980
~~——————~~
A3 Payments
COST OF ACTIVITIES 31,015 - - 31,015 5,991
CONSULTANT FEE 300 - - 300 300
BEREAVEMENT SUPPORT - 1,504 - 1,504 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
Sub total 31,315 1,504 - 32,819 819 6,291
Total payments
32,819
-
32,819
6,291
A4 Asset and investment
purchases, (see table)
-
-
Sub total
-
-
-
-
-
-
-
-
-
-
-
~~—————~~
291
Net of receipts/(payments)
A5 Transfers between funds
A6 Cash funds last year end
Cash funds this year end
-
3,145
-
13,534
10,389
-
-
-
3,145
5,689
-
-
-
-
-
-
13,534
7,845
-
-
10,389
13,534
~~—]==>=>~~

CCXX R1 accounts (SS)

9/26/2024

2

Section B Statement of assets and liabilities at the end of the period

Categories
B1 Cash funds
B2 Other monetary assets
B3 Investment assets
B4 Assets retained for the
charity’s own use
Details
Total cash funds
(agree balances with receipts and payments
account(s))
Details
Unrestricted
funds
to nearest £
Restricted
funds
to nearest £
Endowment
funds
to nearest £
-
-
-
-
-
-
-
-
-
- - -
Unrestricted
funds
to nearest £
Agreement Error
-
Restricted
funds
to nearest £
OK
-
OK
Endowment
funds
to nearest £
-
- - -
- - -
Details Fund to which
asset belongs
-
-
-
Cost (optional)
Cost (optional)
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Current value
(optional)
-
-
-
-
-
Details Fund to which
asset belongs
Current value
(optional)
-
-
-
-
-
-
-
-
-
B5 Liabilities Details Fund to which
liability relates
Amount due
(optional)
-
-
-
-
-
When due
(optional)

Date of approval 9/26/2024

Signed by one or two trustees on behalf of all the trustees

Signature

Print Name

CCXX R2 accounts (SS)

2

CCXX R3 accounts ISSI 912612024

Independentexaminer's report on the accounts

SectionA

IndependentExaminer’sReport

----- Start of picture text -----
Reporttothe
trustees/membersof
NIGERIAN NURSES CHARITABLE ASSOCIATION
Charityno
Onaccountsfortheyear
(if any)
31/12/2023 1092724
ended
Setoutonpages Pages1&2
(remembertoincludethepagenumbersofadditionalsheets)
----- End of picture text -----

Ihavecompletedmyexamination.Iconfirmthatnomaterialmattershavecometo my attention (other than that disclosed below *) in connection with the examination which gives me cause to believe that in, any material respect:

Responsibilitiesandbasis of

report

Ihavenoconcernsandhavecomeacrossnoothermattersinconnectionwiththe examination to which attention should be drawn in order to enable a proper understanding of the accounts to be reached.

Independent examiner'sstatement

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Date:
16/04/2024
Signed:
Name:
TONYJIKA
a
Relevantprofessio
nal B.Tech;MBA;AATDip-Accountancy&Book-Keeping.
qualification(s)orbody
(if
Co
any):
17ButtermereCourt Grayri
gg Road Maidenbower
Address:
RH107PD
a
SectionB Disclosure
Only complete if the examiner needs to highlight matters of concern (see CC32,
Independentexaminationofcharityaccounts:directionsandguidanceforexaminers).
----- End of picture text -----