## **MEDIC ASSIST INTERNATIONAL** (A company limited by guarantee and not having a share capital) ## **Accounts – 31st December 2021** ## **INDEX** - 1-5. General Information and Directors’ Report 6. Independent Examiner’s Report 7. Statement of Financial Activities 8. Balance Sheet - 9-12. Notes to the Accounts 1. ## **MEDIC ASSIST INTERNATIONAL** **REPORT OF THE DIRECTORS AND GENERAL INFORMATION for the year ended 31st December 2021** **BOARD OF DIRECTORS** S Bryans A Dipper J Corps N Moore S Sanderson D Storeng (appointed 25[th] November 2021) R Thomson (appointed 25[th] November 2021) **COMPANY SECRETARY** S Travis **REGISTERED OFFICE** 6 Grosvenor Road Banbury OX16 5HN ## **REGISTERED NUMBER** 4833454 Registered in England and Wales **REGISTERED CHARITY NUMBER** 1104760 **BANKERS** National Westminster Bank Plc 11 Market Place Abingdon Oxfordshire OX14 3HH CAF Bank 25 Kings Hill Avenue Kings Hill West Malling ME19 4JQ ## **INDEPENDENT EXAMINERS** A J Carter & Co Chartered Accountants 22b High Street Witney Oxfordshire OX28 6RB **MEDIC ASSIST INTERNATIONAL** 2. ## **REPORT OF THE DIRECTORS AND GENERAL INFORMATION** **for the year ended 31st December 2021 (** continued) The Directors submit their Report to the fifteenth Annual General Meeting of the Charitable Company together with the Financial Statements for the period ending 31st December 2021. ## **STRUCTURE AND GOVERNANCE** Medic Assist International is incorporated as a Company Limited by Guarantee under the Companies Act 2006 and is governed by its Memorandum and Articles of Association. The Board of Directors has held three meetings during the year. The Finance Group continued to oversee the development and implementation of the approved Budget. The company is a registered charity. ## **PURPOSE** **Medic Assist International (MAI) exists to improve access to quality healthcare** in resource - limited communities, often in locations where there is suffering through persecution and oppression. MAI does not set up its own independent identity in countries outside the UK. Rather, it supports existing Christian primary and secondary healthcare partners, and works with them on the healthcare priorities and sustainable solutions they have identified. MAI aims to save lives and relieve suffering through improving the health outcomes of the most marginalised and vulnerable in a community by investing in: - local primary and secondary healthcare staff, facilities and services - community-based healthcare - public health - holistic healthcare, discovering and addressing root causes ## **ACTIVITIES AND PARTNERSHIPS** In 2021, MAI supported its partners to provide health and social care to approximately 9,500 people, and to provide public health education and awareness on HIV, tuberculosis (TB), child health and critical health to approximately 14,500 people. ## Strategy: Continue to pursue the charity's purpose by working through partners in South Asia and Sub Saharan Africa and growing the charity's support base. ## _**Chad:** Guinebor 2 Hospital_ In 2021 we started a new partnership with Guinebor 2 Hospital in Chad. The hospital is achieving year-on-year growth, and in 2021 they had 14,142 outpatients, 2,643 inpatients and 1,949 births. MAI is supporting Guinebor 2 Hospital’s affordable care for pregnant women and child malnutrition projects, supporting maternity and antenatal services and the management of acute child malnutrition. 2021 achievements: - 2,398 women received antenatal care - 1,492 hospital births - 114 acutely malnourished children received therapeutic feeding, 72 of which had to be admitted into the hospital for life-saving care - 27 nurses trained in the management of acute child malnutrition - 25 midwives and nurses trained in breastfeeding promotion and counselling **MEDIC ASSIST INTERNATIONAL** 3. ## **REPORT OF THE DIRECTORS AND GENERAL INFORMATION** **for the year ended 31st December 2021 (** continued) ## **ACTIVITIES AND PARTNERSHIPS** (continued) ## _**India:** Chinchpada Christian Hospital (CCH)_ MAI’s partnership with CCH started in 2018, supporting the home-based palliative care service to improve the quality of life of patients and families living with life-limiting conditions. In 2020, the project was extended with the palliative care team providing community-based care for disabled patients and people with TB and Sickle cell disease, using a palliative care approach. They are also developing a community-based approach to addressing alcoholism, a prevalent cause of illnesses presented at the hospital. In 2020, MAI raised funds for a ten-bed isolation ward, which will be completed by May 2022 following delays caused by Covid -19 lockdowns and a long monsoon season. We also assisted the hospital with emergency support during the second wave of Covid-19. Over the course of around eight weeks, the hospital had over 700 Covid cases, around 600 of which needed to be admitted. 2021 achievements: - 117 patients and their families received compassionate and competent home-based care through 1,120 home visits - 174 palliative care outpatients received follow up visits through 22 trained volunteers - 30 palliative care patients were provided with subsidised inpatient care - 140 sickle cell disease patients and 258 TB patients received community-based care. The project also subsidised inpatient admissions for 102 sickle cell patients and 122 TB patients - - 48 disabled people received care and support from the palliative care team’s community-based rehabilitation programme. - 62 people were supported through an alcohol detox and a support group started for women affected by alcoholism - 126 community awareness meetings covering common life-limiting diseases were run in the area, reaching 3,013 people - 22 volunteers received community-based rehabilitation training, and 541 family members received training to help them look after their loved ones as they approach the end of life - 91 families received bereavement support - 490 food parcels were delivered for 165 vulnerable families - The palliative care team, unable to visit the community during the devastating second Covid wave were reassigned to the Covid wards, helping to attend to an unprecedented intake of over 600 inpatients during April and May **MEDIC ASSIST INTERNATIONAL** 4. **REPORT OF THE DIRECTORS AND GENERAL INFORMATION for the year ended 31st December 2021 (** continued) ## **ACTIVITIES AND PARTNERSHIPS** (continued) _**South Africa** : Embo Community Church_ MAI’s partnership with Embo Community Church (ECC) has entered its 12[th] year. In the past, our support of ECC included funding the construction of Philikada (Embo) Primary Health Clinic. In 2021, this MAI-supported clinic managed 29,128 consultations, including 2,185 child health consultations for under-fives, 441 TB and 8,193 HIV patient health checks, and counselling appointments. We continued to support seven Community Caregivers to provide community-based support to vulnerable patients living with HIV, TB and chronic diseases, as well as pregnant mothers and malnourished children. The caregivers also help with the weekly community outreach clinic. We continue to support the salary of the operations manager, driver and patient vehicle costs and the building’s maintenance. The clinic’s nursing staff, medicines and consumables are funded by the local health authority. ## 2021 achievements: - 314 vulnerable patients and their families received care and follow up support - Over 600 patients a month educated in health and disease management - 700 patients with HIV received health checks and counselling - 2,100 food parcels for 89 impoverished patients with TB, HIV or chronic illness delivered _**South Sudan** : Diocese of Kejo-Keji and Diocese of Yei_ Romogi Primary Health Care Clinic, Kejo-Keji: There was no activity on this project during 2021. The community fled to Uganda during a surge in fighting between Government forces and forces in opposition in 2017. Our partner continues to monitor the situation. Martha Primary Health Care Centre, Yei: We started a new partnership with a UK charity The Brickworks, supporting Martha Clinic in Yei. In 2021, MAI supported the salary of the Health Clinic Manager and contributed to the Eye Clinical Officer salary. Over the year this busy clinic served 21,808 patients, including 3,755 under-fives, 2,209 antenatal patients and 119 people needing cataract surgery. Partnerships: We continue to be immensely grateful to our relatively small nucleus of generous personal supporters, many of whom give through standing orders. In addition, several significant grants have been obtained from other Charitable Trusts, most noticeably ECHO, TBF Thompson Trust, Souter Trust and the Sandringham Trust. We had a successful Annual Appeal called Twice Gold, and we are most grateful to the generous benefactors who pledged to match donations from our supporters. The Board is expecting that in the forthcoming year MAI aims to appoint a Fundraising Manager with the aim to (i) increase our mailing list (ii) Increase supporter engagement with the charity. (iii) Increase the number of regular givers. (iv) Increase support from Trusts and Foundations. (v) Explore how to increase major donor giving. **MEDIC ASSIST INTERNATIONAL** 5. **REPORT OF THE DIRECTORS AND GENERAL INFORMATION for the year ended 31st December 2021 (** continued) ## **RESERVES POLICIES** The Board of Directors’ policy objective is to maintain a reserve equivalent to three months’ operating costs, in relation to both our projects and MAI management and administration. The 2021 end of year reserve is greater than three months. The principal reason for this is that the trustees have built up a reserve to enable the charity to invest in the appointment of a Fundraising Manager. ## **INVESTMENT POLICY** Aside from retaining a prudent amount of reserves each year, most of the charity’s funds are to be spent in the short term so there are no funds currently available for long term investment. Any funds available in the short term are placed in the deposit accounts as they need to be on instant access. ## **POLICY REGARDING CHILDREN AND VULNERABLE ADULTS** The Board developed and adopted its policy in this area during the year, based on best practice. ## **MITIGATION OF RISK** The Directors will be undertaking a review of all MAI risk management policies during 2022. ## **DIRECTORS** The Directors have served throughout the year as indicated on page one. The Directors are appointed by the Board and meet regularly throughout the year to review all aspects of the Charitable Company. The composition of the Board is kept under review and additional members are recruited should the need arise. Discussions are underway to add needed skills to the Board as soon as possible in 2022. This report has been prepared in accordance with the special provisions relating to companies subject to the Small Companies Regime within part 15 of the Companies Act 2006. Approved by the Board on 30[th] June 2022 and signed on its behalf by: Stephen Sanderson ……………………………………………………… Stephen Sanderson Director and Chair of the Board **MEDIC ASSIST INTERNATIONAL** 6. ## **INDEPENDENT EXAMINER’S REPORT TO THE TRUSTEES** I report to the trustees on my examination of the accounts of Medic Assist International for the year ended 31st December 2021. ## **Responsibilities and Basis of Report** As the charity’s trustees (and also its directors for the purposes of company law) you are responsible for the preparation of the accounts in accordance with the requirements of the Companies Act 2006 (“the 2006 Act”). Having satisfied myself that the accounts of the charitable company are not required to be audited under Part 16 of the 2006 Act and are eligible for independent examination, I report in respect of my examination of your charity’s accounts as carried out under section 145 of the Charities Act 2011 (“the 2011 Act”). In carrying out my examination I have followed the 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 matters have come to my attention in connection with the examination giving me cause to believe: 1. accounting records were not kept in respect of the charitable company as required by section 386 of the 2006 Act; or 2. the accounts do not accord with those records; or 3. the accounts do not comply with the accounting requirements of section 396 of the 2006 Act 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; or 4. the accounts have not been prepared in accordance with methods and principles of the Statement of Recommended Practice for accounting and reporting by charities applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102). 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. A P Williams BSc FCCA A J Carter & Co Chartered Accountants 22b High Street Witney Oxon OX28 6RB 15th August 2022 7. ## **MEDIC ASSIST INTERNATIONAL** ## **STATEMENT OF FINANCIAL ACTIVITIES** (Incorporating an Income and Expenditure Account) |**for the year ended 31st December 2021**
Unrestricted Restricted
Funds
Funds Total
**Notes**
£
£
£
**Income from:**
3
Gifts and donations
32,183
199,501
231,684
Activities for generating funds
-
-
-
Investment income on interest received5
-
5
Total income
32,188
199,501
231,689
**Expenditure on:**
4
Costs of raising funds
7,967
1,869
9,836
5
Charitable activities
42,777
150,800
193,577
Total expenditure
50,744
152,669
203,413
**Net income for the year and incoming**
**resources before transfers**
(18,556)
46,832
28,276
**Transfers between funds**
25,905 (25,905)
-
**Net movement in funds**
7,349
20,927
28,276
TOTAL FUNDS brought forward
35,837
88,307
124,144
TOTAL FUNDS carried forward
£43,186
£109,234
£152,420|
£|**2020**
Total
£
194,557
-
12
194,569
9,482
114,504
123,986
70,583
-
70,583
53,561
124,144| |---|---|---| The statement of financial activities includes all gains and loses recognised in the year. All income and expenditure derives from continuing activities. The notes on pages 9 to 12 part of these financial statements. ## **Registered in England: 4833454** ## **MEDIC ASSIST INTERNATIONAL** |**BALANCE SHEET 31st December 2021**
**Notes**
£
£
FIXED ASSETS
8
Tangible assets
-
CURRENT ASSETS
Debtors and prepayments
20,035
Bank balances
137,186
Cash in hand
15
157,236
CREDITORS: Amounts falling due in one year
Accruals
4,816
NET CURRENT ASSETS
152,420
9
NET ASSETS
£152,420
Represented by:
General Fund
43,186
10
Restricted funds
109,234
£152,420|
£
£|**2020**
£
-
3,959
121,784
15
125,758
1,614
124,144
124,144
35,837
88,307
124,144| |---|---|---| For the year ended 31st December 2021 the company was entitled to exemption from audit under section 477 of the Companies Act 2006 relating to small companies. ## **Directors’ responsibilities** The members have not required the company to obtain an audit of its accounts for the year in question in accordance with section 476; and The directors acknowledge their responsibilities for complying with the requirements of the act with respect to the accounting records and the preparation of accounts. These accounts have been prepared in accordance with the special provisions relating to companies subject to the Small Companies Regime with Part 15 of the Companies Act 2006. These accounts were approved by the board of directors and authorised for issue on: 30[th] June 2022 and are signed on their behalf by: S. Sanderson – Director Stephen Sanderson The notes on pages 9 to 12 form part of these financial statements **MEDIC ASSIST INTERNATIONAL** 9. ## **NOTES TO THE FINANCIAL STATEMENTS for the year ended 31st December 2021** ## 1. **Accounting Policies** The financial statements have been prepared in accordance with applicable accounting standards. ## a) **Accounting Convention** The Financial Statements have been prepared in accordance with the Statement of Recommended Practice: Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued in October 2019 and the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102) and the Companies Act 2006. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy notes. ## b) **Incoming Resources** Items of income are recognised and included in the accounts when all of the following criteria are met: - The charity has entitlement to the funds; - any performance conditions attached to the items of income have been met or are fully within the control of the charity; - there is sufficient certainty that receipt of the income is considered probable; and - the amount can be measured reliably. Income received in advance of a specific performance or provision of other specified service is deferred until the criteria for income recognition are met. ## **Interest Receivable** c) **Interest Receivable** Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the Charity; this is normally upon notification of the interest paid or payable by the bank. - d) ## **Fund Accounting** Unrestricted funds are available to spend on activities that further any of the purposes of the Charity. Designated funds are unrestricted funds of the Charity which the trustees have decided at their discretion to set aside to use for a specific purpose. Restricted funds are donations which the donor has specified are to be solely used for the particular areas of the Charity’s work or for specific projects being undertaken by the Charity. - e) ## **Expenditure and Irrecoverable VAT** Expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party, it is probable that settlement will be required and the amount of the obligation can be measured reliably. Irrecoverable VAT is charged as a cost against the activity for which the expenditure was incurred. 10. ## **MEDIC ASSIST INTERNATIONAL** ## **NOTES TO THE FINANCIAL STATEMENTS** ## **for the year ended 31st December 2021** (continued) ## f) **Allocation of Support Costs** Support costs are those functions that assist the work of the Charity but do not directly undertake charitable activities. These costs have been allocated between costs of raising funds and expenditure on charitable activities. ## g) **Tangible Fixed Assets** Individual fixed assets costing £1,000 or more are capitalised at cost and are depreciated over their estimated useful economic lives on the straight line basis as follows: |**Asset**|**Annual**| |---|---| |**Category**|**Rate**| |Office equipment|25%| ## h) **Debtors** Debtors and prepayments are recognised at the settlement amounts due. - i) **Cash at Bank and in Hand** Cash at bank and cash in hand includes cash and short-term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the deposit or similar account. ## j) **Creditors and Provisions** Creditors and provisions are recognised where the Charity has a present obligation resulting from a past event that will probably result in the transfer of funds to a third party and the amount due to settle the obligation can be measured or estimated reliably. Creditors and provisions are normally recognised at their settlement amount. ## k) **Pensions** The Charity operates a defined contribution scheme, the assets of which are held outside the Charity. The contributions by the Charity in the year are detailed in note 7. ## 2. **Legal Status of the Charity** The charity is a company limited by guarantee and has no share capital. The liability of each member in the event of winding up is limited to £1. ## 3. **Gifts and Donations** |Unrestricted Restricted Total
Funds Funds 2021
Gifts and donations
£32,183
£199,501
£231,684
£
4.
**Costs of Generating Funds**
Fundraising costs
£ 7,967 £ 1,869
£9,836|Total
2020
194,557
£9,482| |---|---| ||£| 11. ## **MEDIC ASSIST INTERNATIONAL** ## **NOTES TO THE ACCOUNTS** ## **for the year ended 31st December 2021** (continued) ## 5. **Charitable Activities** |Unrestricted Restricted
Funds Funds
£
£
Project expenditure
455
150,360
Office costs
4,326
440
Staff costs
36,686
-
Governance costs (below)
1,310
-
£42,777
£150,800

6.
**Governance Costs**
Unrestricted Restricted
Funds Funds
£
£
Accountancy
1,260
-
Legal and professional
50
-
£1,310
£-
7.
**Staff Costs**
Salaries (including employer’s national insurance)
Pension contributions
Average number of employees|Unrestricted Restricted
Funds Funds
£
£
455
150,360
4,326
440
36,686
-
1,310
-|Total
2021
£
150,815
4,766
36,686
1,310
£193,577
£
Total
2021
£
1,260
50
£1,310
2021
£
35,588
1,098
£36,686
1|Total
2020
£
86,864
4,554
21,786
1,300
114,504
Total
2020
£
1,300
-
£1,300
2020
£
20,826
960
£21,786
1| |---|---|---|---| ||||


£| All staff are employed by the charitable company and no employees were paid more than £60,000 per annum. 12. ## **MEDIC ASSIST INTERNATIONAL** ## **NOTES TO THE ACCOUNTS** ## **for the year ended 31st December 2021** (continued) ## 8. **Tangible Assets** |**Tangible Assets**|| |---|---| ||IT Equipment| |**Cost**|£| |At 1.1.21|2,028| |Additions|-| |At 31.12.21|2,028| |**Depreciation**|| |At 1.1.21|2,028| |Charge for the year|-| |At 31.12.21|2,028| |**Net Book Values**|| |At 31.12.21|£ -| |At 31.12.20|£ -| All the above assets are held to further the main objects of the charity. ## 9. **Analysis of Net Assets by Fund** ||||General|Restricted|Total|Total| |---|---|---|---|---|---|---| ||||Funds|Funds|2021|2020| ||||£|£|£|£| ||Fixed assets||-|-|-|-| ||Current assets||48,002|109,234|157,236|125,758| ||Current liabilities||(4,816)|-|(4,816)|(1,614)| ||||£43,186|£109,234|£152,420|£124,144| |
10.|**Restricted Funds**|||||| |||Balance||||Balance| |||at 1.1.21|Income|Expenditure|Transfers|at 31.12.21| |||£|£|£|£|£| ||India|69,778|142,383|(126,663)|(13,828)|
71,670| ||Nepal|1,225|-|-|(1,225)|
-| ||South Africa|1,811|24,319|(11,502)|(4,621)|10,007| ||South Sudan|15,493|8,211|(5,000)|(1,560)|
17,144| ||Chad|-|24,588|(9,504)|(4,671)|
10,413| |||£88,307|£199,501|£(152,669)|£(25,905)|£109,234| ## 11. **Transactions with Directors** There were no transactions with directors which require disclosure. MEDIC ASSIST INTERNATIONAL Aeeounts - 31st December 2021