LAMB Health 2025 Annual Report and Accounts
Enabling healthcare, bringing hope
Report and Accounts for the year ended 31[st] December 2025
In 2025 LAMB Health was able to meet 79% of LAMB's Poor Fund costs
Contents Page
Trustees’ Annual Report 2-7 Legal and Administra�ve details 8 Independent Examiner’s report 9 Accounts 10-15
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LAMB Health 2025 Annual Report and Accounts
LAMB Health Chair's Statement, 2025
I am very grateful to God and to all our supporters that LAMB Health was able to send £115,000 for the LAMB Poor Fund in 2025! This enabled many poor pa�ents to get the treatment they needed. Medical bills can be high in Bangladesh, and there are few alterna�ves to the LAMB hospital for the very poor to see a doctor or to get needed medica�on. We have appreciated hearing from the three social workers who administer the poor fund, and it was good to know how much they enjoy the specialness of their work despite the challenges they face daily, as they cannot give to everyone who wants it!
We are very pleased to
have another new trustee, Dr Ka�e. This year she and Dr Christopher will work to improve our communica�on on LH social media - Instagram and Facebook. We have a new Facebook page, and I would ask any supporters enjoying Facebook, to follow us. Please encourage your Facebook friends to follow LAMB Health too.
In December we were again part of the Big Give online
Christmas Campaign, enabling us to raise over £11,000 for the pallia�ve care work at LAMB. The duty to care for one’s rela�ves, even to the extent of bankrup�ng the family, is deeply rooted in Bangladesh culture. However, we believe that good care does not always mean spending lots of money, especially when the expense will not achieve anything.
This year LAMB Health has been involved in two community health projects, with a possible third coming online soon. One of the projects is working with churches and communi�es to decrease people trafficking, especially across the Indian border. The second looks at measuring the quality of care in the community Safe Delivery Units. We encourage women with high-risk pregnancies to be referred to LAMB hospital, but most women deliver near to their homes.
Our Annual LAMB Health Supporters’ Day was held this year in Reading. It was especially good to hear of some great achievements by the LAMB school alumni, and the whole day was full of encouragements.
Please remember in your prayers LAMB’s 50[th] Jubilee Celebra�ons happening throughout the year, and Bangladesh, as a new government takes office a�er the na�onal elec�ons in February.
With very best wishes, Rosemary Cro�
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LAMB Health 2025 Annual Report and Accounts
Objec�ves LAMB Health supports the work of LAMB Project which is based in Parba�pur in North-West Bangladesh and offers health care to around 2 million people. LAMB works toward physical, social, emo�onal, and spiritual wellbeing. The objects of LAMB Health are:
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(1) the relief of poverty, sickness and disability;
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(2) the advancement of educa�on;
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(3) the preserva�on and protec�on of good health;
2025 Achievements The Poor Fund enables
LAMB to subsidise the treatment and care of the poorest pa�ents following assessment of need by the hospital social work team. Thanks to our generous supporters we were able to send £115,000 to LAMB for the Poor Fund . Due to a good exchange rate this met 79% of Poor Fund expenditure.
Hospital front entrance
LAMB was able subsidise the care for 3,227 inpa�ents (38% of total) at an average of £34 per pa�ent, and 4,741 outpa�ents (5% of total) at an average of £3. This provided be�er health outcomes for 7,968 people , primarily poor women and children. Extremely poor pregnant women received a ‘pass card’ enabling them to have either completely free treatment (green card) or greatly reduced treatment (red card). This has been a lifeline for the 253 pa�ents who received these cards in 2025.
In con�nuing to support LAMB, the Trustees have regard to the Charity Commission’s guidance on public benefit. Grants by the Charity enable LAMB to extend the benefits of health care and community development to the popula�on of a poor rural area of Bangladesh. Benefits are available to all members of the community, and the treatment of those who cannot afford to pay the fees charged by LAMB is subsidised through the Poor Fund.
Mother with twins
We also celebrate the ways LAMB Health trustees have directly supported the work of LAMB. Chris Edwards spent 4 weeks at LAMB aiding the Fistula Programme . Over the year, 141 women had repair surgery which has solved their incon�nence and other problems, allowing them to enjoy more normal lives again.
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LAMB Health 2025 Annual Report and Accounts
Rehabilita�on Project This provides medical advice and support and assis�ve devices for disabled children and adults. This year 2,165 children and their families received help from the Rehabilita�on Centre.
We have con�nued to communicate with our supporters, sharing with them stories from LAMB of how the money which is given is used for the benefit of individuals. Over 300 people receive the quarterly newsle�er, and approximately 80 the email updates and prayer informa�on. Our updated website with great pictures con�nues to be a useful source of informa�on.
Young person in Rehabilita�on Project
We ran a supporter's day in Reading in November, with some people also joining us online. We were privileged to hear from Dr. Bea about changes in the hospital over the last 15 years, and Heather, a recently returned teacher from the LAMB school talked with love of the achievements of some of her school alumni. We also heard about the pallia�ve care project, the current state of poli�cs in Bangladesh and the encouragements and challenges for a medical student, Alex, who went
to LAMB for 6 weeks.
We are blessed to have four churches which support us both through prayer and regular giving. We are keen to connect with local churches and work with them in their understanding of and involvement in inter-cultural work.
Challenges and Celebra�ons in 2026 LAMB Health trustees do not take for granted the generosity of our supporters, and we are aware during in the current cost of living crisis supporters some�mes face difficult decisions over how they use their money.
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Support for the Poor Fund will con�nue to be the core ac�vity during 2026.
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Wisdom will be needed in considering how the legacy received in 2024 will be used.
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maternity services and small infrastructure works at LAMB.
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be another focus for the year ahead.
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2026 sees LAMB celebra�ng its Golden Jubilee, and several Trustees will be going in October to join with many others in marking this milestone of God’s faithfulness over so many years.
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LAMB Health 2025 Annual Report and Accounts
Governance and Decision Making
LAMB Health is a Trust opera�ng under a Deed updated in September 2022. Eight Trustees served during the year and met four �mes.
Trustees serving in 2025
Dr Rosemary Cro� (Chair) Re-appointed January 2023 Mr John Ayrton Re-appointed February 2022
Dr Chris�ne Edwards OBE Re-appointed April 2025
Dr Judith Hansford (Secretary) Re-appointed April 2023 Dr Ka�e Max-Lino Appointed June 2025
Mr Mike Mitchell Re-appointed February 2024 Dr. Christopher Rinku Appointed April 2024 Mr Richard Todd (Treasurer) Re-appointed April 2025
Appointment of Trustees Trustees are appointed for a 4-year term by a resolu�on of the other Trustees and can be re-appointed. Appointment is based on relevant experience and exper�se. It is important that some Trustees have experience of life in Bangladesh, and all are in sympathy with the spiritual dimension of LAMB’s work. Experience in healthcare, managing ins�tu�onal grants or management of a Charity are valued, along with skills to maximise the poten�al of IT and social media.
Policy review The Charity's policies are reviewed and updated regularly.
Risk management The Trustees keep the risks faced by the Charity under review. A primary concern is the need to ensure that Trustees with the necessary exper�se and commitment are available to carry on the work of the Charity effec�vely.
Recent poli�cal instability in Bangladesh has been a concern but is outside our control. We pray the elec�ons held in February 2026 will bring more stability to the country.
by funds already raised. The risk of financial fraud is kept to a minimum, with most income received directly to the bank accounts, and grants being paid through approved financial ins�tu�ons. Significant expenditure from the Charity’s funds is authorised by the Trustees collec�vely. All payments, including grants, must be authorised by two signatories.
Safeguarding We give regular a�en�on to our Safeguarding Policy, which is reviewed annually. We have discussed with LAMB the standards that we expect to be followed and are aware LAMB has robust procedures in place. During the year LAMB’s board completed a review of its Safeguarding Policy, which was then updated.
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LAMB Health 2025 Annual Report and Accounts
How Lamb Health Works
The charity relies on volunteers - all trustees are volunteers, and LAMB Health has no paid workers.
Assistance was provided by Trustees in LAMB’s ongoing work in several ways. Rosemary Cro� a�ended online mee�ngs with LAMB staff, providing a bridge between the two chari�es. One trustee con�nued to provide support to the Fistula programme, and fundraising support was given for LAMB’s growing pallia�ve care service.
Administra�on The Trustees carry out the administra�ve work of the Charity, including the roles of chair, treasurer and secretary. It is the prac�ce of the Trustees to cover expenses or meet them out of unrestricted dona�ons. 97% of expenditure during the year was for grant payments, and governance costs were 2.4%.
Finance
Financial Responsibili�es The trustees are responsible for the prepara�on of the financial statements and for being sa�sfied that they give a true and fair view. Trustees are also responsible for safeguarding the financial assets of the Charity, and for taking reasonable steps for the preven�on and detec�on of fraud or other irregulari�es.
During 2025 grants were made only to LAMB, a non-government organiza�on registered in Bangladesh and subject to regulatory authorisa�on. Procedures are in place to ensure that grants to LAMB are spent in accordance with grant condi�ons.
Reserves Policy The principal ac�vity of the Charity is to use income to make grants to LAMB, without undue delay. It is the policy of the Trustees not to hold unrestricted reserves other than sums held to meet an�cipated grant requirements, a modest reserve against an unexpected decline in income, and to cover at least one year’s administra�ve costs. Due to its size, the significant legacy is held as a designated fund which will be used over the next few years.
Highlights Total receipts in 2025 were £181,850 (2024 £1,131,646). Most of the difference was due to the large legacy of £995,962 received in 2024. The unused legacy funds are held in interest bearing accounts.
The Aquila Founda�on are generously suppor�ng a 3-year community project to help those suffering from human trafficking between Bangladesh and India, and to prevent this exploita�on in future. The Founda�on provided an ini�al grant of £35,000 towards this work.
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LAMB Health 2025 Annual Report and Accounts
Total payments in 2025 were £276,989 grant payments made, due to passing on grants received and use of the legacy.
Total income excluding legacies 2021-25: £699,000
Total grants 2021-25: Poor Fund £585,000; Other grants: £345,000 The 2025 breakdown of grants made is in note 3a of the accounts
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LAMB Health 2025 Annual Report and Accounts
This report was approved by the Trustees on 14 April 2026 and signed on their behalf by
Dr. Judith Hansford, Secretary
Legal and Administra�ve Informa�on
Charity name. LAMB Health. Registered Charity Number: 1101217
Registered Address. 56a St. Peter’s Road, Reading, RG6 1PH Governing document . Trust Deed dated 20[th] September2022. Email. enquiries@lambhealth.org.uk
Website. www.lambhealth.org.uk
Independent Examiner. Knight Goodhead Ltd.
7 Bournemouth Road, Chandler’s Ford, Eastleigh SO53 3DA
Banker. The Coopera�ve Bank plc
PO Box 250 Delf House
Skelmersdale WN8 6NY
Leaving for home
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INDEPENDENT EXAMINER'S REPORT TO THE TRUSTEES ON THE UNAUDITED ACCOUNTS OF LAMB HEALTH FOR THE YEAR ENDED 31 DECEMBER 2025
I report to the trustees on my examination of the accounts of LAMB Health for the year ended 31 December 2025, which are set out on pages 10 to 15.
RESPONSIBILITIES AND BASIS OF REPORT
As the trustees of the Charity you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011.
I report in respect of my examination of the Trustee's accounts carried out under section 145 of the 2011 Act and in carrying out my examination I have followed all the applicable directions given by the Charity Commission under section 145(5)(b) of the 2011 Act.
INDEPENDENT EXAMINER'S STATEMENT
I have completed my examination. I confirm that no material matters have come to my attention in connection with the examination giving me cause to believe that in any material respect:
(1) accounting records were not kept in respect of the Charity as required by section 130 of the Act;
(2) the accounts do not accord with those records; or
(3) the accounts do not comply with the applicable requirements concerning the form and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a ‘true and fair view’ which is not a matter considered as part of an independent examination.
I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached.
C J Goodhead FCA
Dated: 15 April 2026
Knight Goodhead Limited Chartered Accountants 7 Bournemouth Road Chandler's Ford Eastleigh Hampshire SO53 3DA
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LAMB HEALTH
RECEIPTS AND PAYMENTS ACCOUNT FOR THE YEAR ENDED 31 DECEMBER 2025
| Unrestricted Funds | |||
|---|---|---|---|
| Notes | General Legacy funds funds £ £ |
Restricted Total Total funds 2025 2024 £ £ £ |
|
| INCOME | |||
| Voluntary income | |||
| Donations | 2(a) | 100,084 - |
11,492 111,576 131,141 |
| Legacies | 2(b) | - - |
- - 995,962 |
| Grants | 2(c) | - - |
54,774 54,774 915 |
| Bank interest | 13,932 1,568 |
- 15,500 3,628 |
|
| TOTAL INCOME | 114,016 1,568 |
66,266 181,850 1,131,646 |
|
| PAYMENTS | |||
| Raising funds: | |||
| Website, publicity & events | 360 - |
- 360 605 |
|
| Charitable activities: | |||
| Grants made | 3(a) | 115,000 90,000 |
63,902 268,902 133,590 |
| Grant transmission fees | 88 - |
- 88 100 |
|
| Expenditure on behalf of LAMB: medical | - | 1,364 | |
| equipment | - - |
844 844 - |
|
| Bank charges | - 135 |
- 135 - |
|
| Governance costs | 3(b) | 1,140 5,520 |
- 6,660 915 |
| TOTAL PAYMENTS | 116,588 95,655 |
64,746 276,989 136,574 |
|
| Net of receipts / (payments) before transfers | (2,572) (94,087) |
1,520 (95,139) 995,072 |
|
| Transfers between funds | 4 | 5,000 (5,000) |
- - - |
| NET MOVEMENT IN FUNDS | 2,428 (99,087) |
1,520 (95,139) 995,072 |
|
| Total funds brought forward | 4 | 16,585 995,962 |
9,257 1,021,804 26,732 |
| TOTAL FUNDS CARRIED FORWARD | 4 | 19,013 896,875 |
10,777 926,665 1,021,804 |
The notes on pages 12 -15 form part of these accounts.
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LAMB HEALTH
STATEMENT OF ASSETS AND LIABILITIES FOR THE YEAR ENDED 31 DECEMBER 2025
| A CASH FUNDS Cash at bank with immediate access Bank deposits B OTHER MONETARY ASSETS Gift aid due to charity Bank interest Grant income C LIABILITIES Independent examination Audit and accountancy fee |
General Legacy Restricted Total Total funds funds funds 2025 2024 £ £ £ £ £ 19,013 256,875 10,777 286,665 38,848 - 640,000 - 640,000 982,956 19,013 896,875 10,777 926,665 1,021,804 4,276 - 808 5,084 4,861 15,800 - - 15,800 8,071 - - - - 2,500 20,076 - 808 20,884 15,432 1,020 - - 1,020 - - - - - 6,480 1,020 - - 1,020 6,480 Unrestricted Funds |
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All liabilities noted fall due for settlement within one year.
The notes on pages 12- 15 form part of these accounts.
The accounts were approved by the trustees on 14 April 2026 and signed on their behalf by
ROSEMARY CROFT CHAIR
RICHARD TODD TRUSTEE
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LAMB HEALTH NOTES TO THE ACCOUNTS FOR THE YEAR ENDED 31 DECEMBER 2025
1 ACCOUNTING POLICIES
Charity Information
LAMB Health is a charity with the registered charity number 1101217. It was established in 2003 and is registered and domiciled in England at the address of 56a St Peter's Road, Reading, RG6 1 PH.
Basis of Preparation
The accounts have been prepared on a receipts and payments basis with a statement of assets and liabilities.
Fund Accounting
Unrestricted funds are monies which can be used in accordance with the charitable objectives at the Trustees’ discretion.
Donations, related tax recoveries, and grants to be applied for the benefit of LAMB are unrestricted.
Grants or donations earmarked by the donor for specific purposes for the benefit of LAMB are held within the restricted fund.
The legacy received in 2024 is held as a separate designated fund to provide a clear distinction from other reserves.
| 2 INCOME a) Voluntary income Individual donations Tax refunds on donations Churches Charities Mullers |
General Legacy Restricted Total Total funds funds funds 2025 2024 £ £ £ £ £ 77,344 - 9,915 87,259 107,412 16,470 - 438 16,907 15,578 6,000 - - 6,000 6,350 270 - 1,140 1,410 1,801 100,084 - 11,492 111,576 131,141 Unrestricted Funds |
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Supporting churches were St Stephens Ealing, St James Woodley, St John's Hensingham, St John's Reading. All supporter donations are used for the benefit of LAMB,. Expenses of the charity are covered by trustee donations to General funds of £4540 (2024 £ 8520 )
| b) Legacies Legacies c) Grants The Big Give Acquila Family Charitable Trust Overseas Aid Alliance World Mission Prayer League |
- - - - 995,962 - - 13,487 13,487 - - 35,000 35,000 - - 5,000 5,000 - - - 1,287 1,287 915 - - 54,774 54,774 915 |
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LAMB HEALTH
NOTES TO THE ACCOUNTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2025
| 3 PAYMENTS a) Grants Poor Fund Project management Community Community disability Infrastructure Medical equipment Total Grants received by LAMB in taka Average exchange rate £1 = Taka b) Governance Examiner’s fee & accountancy Audit fee Accounting software |
General Legacy Restricted Total Total funds funds funds 2025 2024 £ £ £ £ £ 105,000 - - 105,000 115,000 10,000 8,500 - 18,500 10,000 - 61,500 42,000 103,500 - - 16,902 16,902 8,590 - 20,000 - 20,000 - - 5,000 5,000 - 115,000 90,000 63,902 268,902 133,590 43,191,630 19,735,250 160.62 147.73 960 - - 960 900 - 5,520 - 5,520 - 180 - - 180 15 1,140 5,520 - 6,660 915 Unrestricted Funds |
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Included within governance cost is £5,520 payable to the auditors for audit services and £960 for accountancy services provided, all relating to the 2024 accounts.
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LAMB HEALTH
NOTES TO THE ACCOUNTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2025
| 4 FUNDS Restricted funds Donated for specific use at LAMB Designated funds Legacy funds Unrestricted funds General funds Total funds |
Opening Closing balance Receipts Payments Transfers balance £ £ £ £ £ 9,257 66,266 (64,746) - 10,777 995,962 1,568 (95,655) (5,000) 896,875 16,585 114,016 (116,588) 5,000 19,013 1,021,804 181,850 (276,989) - 926,665 |
|---|---|
Restricted funds
Restricted funds comprise donations and grants for a specific purpose at LAMB, such as medical equipment, supporting those with disabilities and community projects.
Legacy funds
A designated fund has been established in the year to ringfence the legacy received while the trustees consider how best to utilise the funds.
| Comparative movements Restricted funds Donated for specific use at LAMB Designated funds Legacy funds Unrestricted funds General funds Total funds |
Opening Closing balance Receipts Payments Transfers balance £ £ £ £ £ 520 15,742 (9,505) 2,500 9,257 - 998,462 - (2,500) 995,962 26,212 117,442 (127,069) - 16,585 26,732 1,131,646 (136,574) - 1,021,804 |
|---|---|
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LAMB HEALTH
NOTES TO THE ACCOUNTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2025
5 COMPARATIVE RECEIPTS AND PAYMENTS ACCOUNT
| INCOME Voluntary income Donations Legacies Grants Bank interest TOTAL INCOME PAYMENTS Raising funds: Website, publicity & events Charitable activities: Grants made Grant transmission fees Governance costs TOTAL PAYMENTS Net of receipts / payments before transfers Transfers between funds NET MOVEMENT IN FUNDS Expenditure on behalf of LAMB: medical equipment Total funds brought forward TOTAL FUNDS CARRIED FORWARD |
General Legacy Restricted Total funds funds funds 2024 £ £ £ £ 116,314 - 14,827 131,141 500 995,462 - 995,962 - - 915 915 628 3,000 - 3,628 117,442 998,462 15,742 1,131,646 605 - - 605 125,000 - 8,590 133,590 100 - - 100 449 - 915 1,364 915 - - 915 127,069 - 9,505 136,574 (9,627) 998,462 6,237 995,072 - (2,500) 2,500 - (9,627) 995,962 8,737 995,072 26,212 - 520 26,732 16,585 995,962 9,257 1,021,804 Unrestricted Funds |
|---|---|
The 2024 accounts were prepared on the accruals basis due to income exceeding £250,000 as the result of a legacy received during the year. As income has reduced to below the receipts and payments threshold, the 2025 accounts have been prepared on the receipts and payments basis and the 2024 comparatives adjusted accordingly.
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