Centres of Medical Excellence and Training to the Middle East (a company limited by guarantee)
30th April 2023
Registered Number 4748007 Registered Charity Number 1107214
2 Centres of Medical Excellence and Training to the Middle East (a company limited by guarantee)
Year to 30th April 2023
Reference and Administrative Information
Directors
Rafik Refaat (Chairman) Ewan McKendrick Nigel Buchanan CVO Antony Wood Haydn Williams Sara Ioannou Philip Ioannou
Charity Number 1107214
Company Number 04748007
Registered Office 12 Bowers Way, Harpenden, Herts. AL5 4EW
Bankers Barclays Bank Plc, Harpenden Branch, PO Box 104, St Albans, Herts. AL1 3AN.
3 Centres of Medical Excellence and Training to the Middle East (a company limited by guarantee)
Report of the Directors
Year ended 30th April 2023.
The Board submits its report together with the accounts for the year to 30th April 2023. This report is prepared in accordance with the Statement of Recommended Practice “Accounting and Reporting by Charities”, issued by the Charity Commission for England and Wales in March 2005.
Structure, Governance and Management
The directors of Centres of Medical Excellence and Training to the Middle East, a Company Limited by Guarantee, have pleasure in submitting their report for the year ended 30th April 2023. The company was incorporated as a private company limited by guarantee on 24 April 2003 in the United Kingdom and was registered as a charity on 3 September 2003. The directors are the only members of the company. The individual liability of each member is limited to a guarantee of £10.
Directors
The Directors are responsible for the overall management of the charity.
The Directors during the year and at the date of signing are shown on page 2. New Directors are inducted into the practical work of the charity when they are appointed and are kept informed about their duties and responsibilities as appropriate.
Risk Assessment
The Directors regularly assess the major risks facing the charity and monitor these risks.
Activities
The activities of the charity are to promote for the public benefit the relief of suffering, distress and poverty in Egypt and in such other parts of the world as the directors may determine.
During the year the charity made donations amounting to £10,000 (2022 £21,500) to the Kasr El Dobara Evangelical Church in Cairo to support their work establishing clinics and providing healthcare to the needy in Cairo and wider Egypt.
4.
Centres of Medical Excellence and Training to the Middle East (a company limited by guarantee)
Report of the Directors (continued)
Year ended 30th April 2022.
Activities (continued)
The Kasr El Dobara Evangelical Church in Cairo founded the Amoun Hospital in 2009 to support the very poor and needy by providing a high standard of care at a reasonable cost or free of charge, depending on the patient’s ability to pay. The hospital also provided care for afflicted groups and minorities (eg Syrian and Yemeni refugees, widows, orphans and the homeless). The hospital received patients from Upper Egypt mainly coming from poor villages in Menia, Beni Suef and Assiut governorates, Sadat City, Suez and slum areas in Cairo and Giza. The hospital accepted patients referred from churches who could not afford to have their surgery done in private centres. Our team of doctors also donated their time or reduce their fee significantly.
To our great disappointment, the Amoun hospital was forced to close in 2021. The Egyptian government had placed significant new requirements on hospitals, including the need for at least two operating theatres. Amoun was not able to meet the requirements in the timescales required and was therefore forced to close. Since then, the Directors have been supporting the team in Cairo who are seeking ways to achieve the charity’s aims without the need for its own hospital. The intention is to establish polyclinics in the Amoun-owned premises in order to provide specific outpatient services. The design work for the proposed polyclinics has now been completed and estimates received for their refurbishment. The process is however slowed by the paperwork required by the Egyptian Government, notably in relation to the requirement to obtain a licence to open the clinics. In-patient services will in future be outsourced to larger providers with whom they are seeking to establish contracts.
The UK Board approved a donation of £10,000 in early 2023 to support the polyclinic design licencing and work, and to provide funding for needy patients to be referred to other hospitals for treatment. Further donations are likely to follow approval of the development work or to support additional in-patient referrals; both in line with the Charity’s aims.
Financial Review
The company received donations of £31,832 (2022 £30,287) and made donations of £10,000 (2022 £21,500) and incurred expenditure of £21 (2022 £52) relating to bank charges.
Statement of Directors’ Responsibilities
The Directors are responsible for preparing the Directors’ Report and the Financial Statements in accordance with applicable law and regulations.
Company law requires the Directors to prepare financial statements for each financial year. Under that law the Directors have elected to prepare the financial statements in accordance with United Kingdom Generally Accepted Accounting Practice (United Kingdom Accounting Standards and applicable law). Under company law the Directors must not approve the financial statements unless they are satisfied that they give a true and fair view of the state of affairs of the charitable company, and of the result of the charitable company for that year.
Centres of Medical Excellence and Training to the Middle East (a company limited by guarantee)
Report of the Directors (continued)
Year to 30th April 2023.
Statement of Directors Responsibilities (continued)
In preparing these financial statements, the Directors are required to:
select suitable accounting policies and then apply them consistently;
make judgments and accounting estimates that are reasonable and prudent;
prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charitable company will continue in business.
The Directors are responsible for keeping adequate accounting records that are sufficient to show and explain the charitable company’s transactions and disclose with reasonable accuracy at any time the financial position of the charitable company and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.
By order of the Board
Antony Wood
6 Centres of Medical Excellence and Training to the Middle East (a company limited by guarantee)
Profit and Loss Account for the year ended 30 April 2023.
2021/22 2020/21 Income: Donations received (note 3) 31,832 30,287 __ Operating costs: Donations made (note 4) 10,000 21,500 Gross profit (loss) 21,832 8,787 Administration expenses; Bank charges 21 52 _ Profit (Loss) on ordinary activities before tax 21,811 8,735 Tax on surplus on ordinary activities - - Surplus (deficit) carried forward 21,811 8,735 Reserves brought forward 38,428 29,693 Reserves carried forward £60,239 £38,428 ___
The notes on page 8 form part of these financial statements
7 Centres for Medical Excellence and Training to the Middle East (a company limited by guarantee)
Balance Sheet
30th April 2023.
30th April 2022 Cash at Bank 57,309 37,886 Amounts receivable 2,930 542 _ _ Net Assets £60,239 £38,428 __ ____
The financial statements have 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 and in accordance with the Financial Reporting Standard for Smaller Entities (effective April 2008). For the year ending 30th April 2023 the company was entitled to exemption from audit under section 477 of the Companies Act 2006 relating to small companies. The members have not required the company to obtain an audit in accordance with section 476 of the Companies Act 2006.
The directors’ acknowledge their responsibility for complying with the requirements of the Act with respect to accounting records and for the preparation of the accounts. The financial statements were approved and authorised by the board on 29[th] October 2023 and signed on its behalf by:
Rafik Refaat Antony Wood Director Director
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Centres of Medical Excellence and Training to the Middle East (a company limited by guarantee)
Notes to the Accounts
Year ended 30th April 2023.
1. Accounting Policies
(1) Basis of preparation of financial statements
The financial statements have been prepared under the historical cost convention and in accordance with the Financial Standard for Smaller Entities (effective January 2008).
(2) Income
Income comprises donations received by the company.
(3) Taxation
The company remains accountable for taxation liabilities arising from capital gains, interest, trading activities and any other surplus arising other than from donations received.
(4) Cash Flow Statement
The Directors have taken advantage of the exemptions given in Financial Reporting Standard No 1 and have chosen not to prepare a cash flow Statement.
2. Company status
The company is a private company limited by guarantee and consequently does not have a share capital. Each of the members is liable to contribute an amount not exceeding £10 towards the assets of the company in the event of liquidation.
3. Income
Donations comprise amount received from donors of £26,342 (2022 £25,412) and the tax recoverable on gift aid donations of £5,490 (2022 £4,875).
4. Operating costs
The company made donations of £10,000 (2022 £21,500) to Kasr El Dobara Evangelical Church in Cairo towards the establishment and running of medical clinics in Cairo.
5. Related party transactions
There were no related party transactions in the year.