Charlty reglstratlon numbef 1114569 Company registratitsn numbor 05818995 {England and Wales) MIDLAND DOCTORS ASSOCIATION UK ANNUAL REPORT AND UNAUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023
MIDLAND DOCTORS ASSOCIATION UK LEGAL AND ADMINISTRATIVE INFORMATION Trustees Dr S Y Efb'khar (Chairl DrJAhmed DrA RashEd Dr K Latief Mr S Hussain Dr Z Sheikh MrAA Najib MrRUAmin Ms T Kent-Chapm8n MT M Altaf Dr F Rashid Secretary DrA Rashid Charlty number 1114559 Company number 05818995 Prlnclpal address 11 Snel$lon Cres¢enl Lrttleover Derby DE23 6BL Registered offffice 11 Snelslon Crescent Llttleover Derby DE23 6BL Independont examlner Philip Handley FCA HSKS Greenhalgh Ltd Chadotte House Slanier Way The Wyvem Business Park Derby DE21 6BF Bankers HSBC UK Bank PIC 1 St. Peterfs Street Derby DE12AE
MIDLAND DOCTORS ASSOCIATION UK CONTENTS Page Trustees, port Independent examiner's report Statement of financi818th"vib"e$ Balance sheet Stslement of cash flows Notes to the fin8n¢ial statements 10-23
MIDLAND DOCTORS ASSOCIATION UK TRUSTEES. REPORT (INCLUDING DIRECTORS. REPORT AND STRATEGIC REPORT) FOR THE YEAR ENDED 31 DECEMBER 2023 The Iwslèes present their annual report and financial statements for the year ended 31 Decembef 2023. The financial statements have been prepared in aceordance with the a¢counting policies Sel out in note 1 to the financial stalgmenls and comply with the charity's goveming document, the Companies Act 2006 and "Ac¢ounting and Reporting by Charib"es." Statement of Recommended Practice applicable to charf(ie$ preparing their a¢counts in accordance with the Financi81 Reporting Standard applieable in the UK and Republic of Ireland IFRS 1021" (effective 1 January 20191 ObJectlv&s and activities The charity's short-lerm 90818 are". To f8rylitate the activities of the Midland Doctors Medi¢al Institute in Muzaffarabad. Pakistan. To facililale to continue supporting Nur Goth. a village consisting of 100 houses which is l¢xated in Sindh Province, Pakistan. including the provision of free hol meals to all the pupi15 of the school. To support a number of post-graduate students at the Light House School in Rawalpindi, Paksstan. Providing consultancy support lo Bangrilla Community Hospital in Mirpuf. Kashmir, Pakistan, whieh is rurt by The Umeed Welfare Trust (United Kingdom), a registered eharlty in England and Wales ltharity number 11061471. To fund and support m8lnulrilion8ry programme al Bangrilla Community Hospital. The charity's long-tem goals are.. To wnsider the Tegional impact of humanitarian healthcare Work in Pakistan and in partUlar the Kashmir region. To ¢onsid8r working in partnership with other agencies to deliver humanitsrian ca, such as in Ma18WI. The short-terrn goals are related lo humanitarian medical relief work. which is also the vision and mi$$ion of Midland DoctorsAssociation. The longer-teFm goal is a ¢ontinuation of this theme and therefore, Ihere'8 a relationshlp between the tharity's short- term and long-tem goals. Strateg*s forachieving aims and objectwes The concept behind Midland Doctors Association UK originated whan a teem of senlor National Health Servlce doctors flew to Pakistan lo provide medical assistance in the wake of the powerful earthquake which struck northern Pakistsn on 8 October 2005, kn"11Sng over 87,000 and displacing over 3.5 million people, Having wfÉnessed al first hand the suffering of the local people and the destruction of their medical facilities, the doctors were inspired to estsblish this d)arrty whose prineipal aims were to purchase, equip and operate a hospital facility in the Kashmir fegion of Pakistan, and to raise pubtic awareness of health issues affecting pgople in developing countries_ The charity has successfully acttieved il's initial objectives and aims, anrl il currently is heavily involved in the day lo day running and adminislralion of projects already completed in Pakistsn. A malemty unit is functioning well al Ntjr Goth H05Pital antl the charity continue lo provide on going $UPPQrt lo Ihe pregnant wornen al this unit. The Citlzen FoundationlUK), a registered charity in England and Wales. charity number 1087864 which is also knowrJ a5 TCF-UK, has been allowed by Ihe charity lo build a school on their land for local children of Nur Goth. The school building which was completed by TCF-UK ntInUeS to operate successfully and the school is run by TCF. UK. The charity worked In the Sindh area and in Khyber Pakhlunkhwa in the northwest region. Flood relEf funds raised were used for fl¢xxt rèlated issues 8nd the Nur Goth Hospitsl.
MIDLAND DOCTORS ASSOCIATION UK TRUSTEES, REPORT (INCLUDING DIRECTORS. REPORT AND STRATEGIC REPORT) (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 PublNc ben&rrt We have referred lo the guidance contained in the Charity Commission's general guidance on public benefit when feviewing our objectives and also in planning our future objeetives. In particular, the Trustees consider how planned adivitie$ wll contribute to the aim8 and objectives they have set. Voluntegr The trustees wish lo express their heartfelt gratitude to all the individLFals and organisations who have donated their time, money and services to the charty. Wlhoul the ath.ve support of these volunteers it would be impossible lo realise the achievement of the vision shared by the trustees. Strateglc report The description under the headings"Achievement8 and perfoimano" and "Financial revievl meet the company Saw requirements for the trustees lo psent a strategic report. Achlevements and perfomiance Snificant activrties and achievements against objectives A¥ previously reported, the charity completed the construction of a hospÉtal, n¢)w known as Midland Doctors Medical Institute, in Tandali Districi, Muzaffarabad, Kashmir, Pakistan in March 2013. The totsl ¢gs1 of the hospital as at 31 December 2023 amounted lo £2,108,506 12022." £2,104,996), which included £3.520 12022.. £89,368) incurred in the year under review 8s part of the ongoing improvement and development of hospital faeililies. The Nur Goth Village projèc( which was completed in 2013, is constantly monitored lo ensure Ihat full benefit ccnlinues to accrLte lo the poorest families who occupy the houses constructed under the project. During the year the Charitable company has received donated goods and services in furtherance of its operational activities and objectives. In particular the charitable company has received a laser lilholripter from the Tomini Group, and the trustees would like to extend their thanks to them for their kind donation. Hospltal devèlopments: During the year, the charity has fvnded new equipment and develoFed now department al the hospital.. Laser Lilholripsy Gastroenterology l end¢)seopy Since the year end the chafilable company has purchased lurther angiography equipment as they are routinely performing coronary angiographs and slenting. Significant factors Firstly, the MidlaThg Doctors Medical InstitLrte utili$e$ ltte majorty of the chariVs resources, as ils main objective as an organisation is to support MDMI. The other kn short term objectives do not take up Significant resources. In lemis of positive effects. the charty's capabilities have expanded over the past e1ve months.. we are providing more Se1¢e$ and we are providing care that is not available in many parts of the Kashmir region of Pakistan. In fact, our Nutrition Programme that aims al tsking cafe of children with severe nutritional defi¢ien¢y, does not even exist in that part of the Kashmir region of Pakistan. As the project develops, the negative pressures are coming to the fore As we are becoming more popular in the region, our services ale more well known and people are linking us to better quality of medtcal c8r¢. This then drives dem8nd but then the shortcoming is that we don't have endle$s supply of resources. In view of the issue of financial constraints, and in particular as fundraising is a key aspect ol the source of funds, we have to always consider the implications of our services on OUT financial resources. Another negative factor is that we need lo consider fundraising as on90ing actiwty. therefore as an Organisalion we have consKlered ways and mean8 Of diversification so that the risks of not being able to achieve our funds through fundraising are diversified. The Dubai head qarterS that wefe opened during the latter stages of 2018 have continued to enhance the apability lo achieve fund raising.
MIDLAND DOCTORS ASSOCIATION UK TRUSTEES. REPORT (INCLUDING DIRECTORS. REPORT AND STRATEGIC REPORT) (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 Fundrdising perfomKnce Midland Doctors Association UK has a large network cluster, workin9 With fiJndrais&rs, with whom trustees have worked tirelessly, both nationally and inlernalionally. Through these networked contsets. funds were donated during the yèar lo 31 December 2023. In addrtion, fundraising and sponsorship events were also organised during the year, whereby monies were raised from individuals and local companies, wth the costs of generating volL¢ntary income being covered largely by sponsorship. It remains the Trustees, intention lo cover costs through further sponsorship and gift aid refunds. The remainder of the donations came directly from other benefactors and instilulions. Durfng the year the ¢harity has organised a number of 8venls'. In February 2023 a Birmingham event was organised lo raise awareness of the Charity bLrt no funds were collected on the day., In March 2023, an event in Dubai was held which raised approximately AED 400K', In Mar 2023 a Nottingham event raised approximately £80K, In May 2023, 8 US event raised approximately $50K. came through the National Health Forum who eollecle¢J th& funds on behaff of MDA UK,. In November 2023 an event was held 81 Nawaab Restaurant in London raising approximately £10k. In The slralegy of Midland Doctors Medical Institute has been to adhere lo the key guKlelines as allocated by the General Medical Council UK {GMCUK} in particular, the role of a doctor. The facilities are also incorporating international guidelines such as the rI Health Organization's guidelines for thealfe and surglcal departments. The evaluation of Key Performance Indicators would be beyond the scope of this financlal document. Flnanclal revlew For Ihe year 1st January 2023 to 31 December 2023, the in-year surplus figure Is £136,578 12022.. surplus ol £60,448), increasng the net assets 10 £3,144,45312022.' £3.007.87S1. Going concern During the year under review, the COVID-19 pandemic continued to be a significant risk lo the global eeonomy. Furthemiofe, with the ongoing conflict situation in Palestine l Gaza, donations are likely to reduce in future periods. The Iruslees eonlinue lo monitor the impact on the charitable company on an ongoing basis and note the Success of the vaccination PTogramme within Pakistan and the widef world. At the lime of approving these financtal stslemenls, the trustees do not consider COVID-19 to impact the tharitable companWs ability lo continue as a going concem and consider the balance sheel lo be appropriately valued. ReseThes poIY Reserves are needed lo meet the day to day runnin9 ¢0$1$ of the hospital and to cover any unplanned other expenditure. The trustees Consider that the ideal level of reserves as at 31 December 2023 would be £650,000, equating to appr0MatelY one ye8r of charitable expenditure (excluding capital expendrturel- The free reseNes al the year end amounted lo £632,417 12022.. £451,208}. In calculating the free reserves, the trustees have exduded from the total fLtnds the fixe¢J assets of £2.512,03fj 12022.. £2.556.6671. The trustees are satisfied wth the level of free reserves 81 the reporting date. If the charitable company were to enjoy the benefit ol fvnds in excess of the ideal level, the trustees would aim lo utilise such funds to invest in permanent endowmenls lo produce a financial retum to support the future success of the charitable comp2ny. PrinpaI funding sourc&s The principal fundraising is made from the international eOrk resources that have been buitt slice the fomation of the charitae company. The Midland Doctors Association UK work is continually being promoted worldwide and the Trustees are constantly working ¥Mlh the networf¢ lo ensure the fundraising continues successfully. The Trnslees consider the results for the year to be satisfactory and the charity continues to remain in a reasonable financial position.
MIDLAND DOCTORS ASSOCIATION UK TRUSTEES. REPORT (INCLUDING DIRECTORS, REPORT AND STRATEGIC REPORT) (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 Plans for future perlods The charity will ¢onlinue lo raise further funds to meet the ongoing operational costs of the h05pilal, and further capital expenditure will be made to enlarge the hospital facits'ty ¥wlh the passage of time and needs of the local population. The charity is earmarked by the local government in Pakistsn to manage the project of identifying malnourished children. Currently the tharity is covering S villages around the hospital in Muzaffarabad. KashFnir, Pakistan arxl would expand on this project going forward lo cover wider area. This will be done with support from Bangrilla Community Hospital, Mirpur. The charity's future plans include the purchase and management of equipment for wronary artery disease, primarily for $lenl operations. Structure. governance and management The eharity is ntrOlled by its governing document, a deed of trust. and constitutes a limited Company, limited by guarantee, as definod by the Companies Act 2006. The Company. incorporated undeT the Companies Act 1985 and 1989, 1$ limited by guarantee and does not have a share caprtal. Its registered number is 5818995, and the company is also registered as a ¢h?rty under the Charities A¢t 1993, number 1114559. The trustees. who are a180 the diTectOTS for the purpose of company law, and who served during the year and up to the date of signature of the flnanclal statements were= Dr S Y lftikhar {Chairl DrJAhmed Dr A Rashid Dr K LatEf Mr S Hus5ain Dr Z Sheikh MrAA Najib MI IAII MrRUAmin Ms T Kenl-chapman Mi M Altaf Dr F Rashid Recruitment and appointment of Irusle85 The Board of Trustees consists of twelve members a5 al 31 December 2023. Tr company's Articles of Association allow for Trustees to Serve for a three year lerm. Trustees must reti¥e at the annual general meeting foll¢)wing their compfètion of Ifie years. service. but may stand for ie-eleclion. The Board has tho power al any lime. and from time lo lime, lo appoint any person lo be a Trustee, either lo fill a ca5val vacancy or as an addition to the existing Trustees. Any Trustee appointed holds office onty until the next following annual general meeting, and then becomes eligible for r&electK)n. TrLislees are eleded to the board in accordance with a votin9 system Dutlined in the charity's constitsjlional document. The responsibilities of trustees are allo¢8led according to their skills, abilities and areas of inleresl. Indu¢tion of Tru$lees is given on an individual basis where approprlale, None of the trustees has ttny beneficial interest in the Company. All of the trustees are members ol the company and guarantee to contribute £1 in the event of 2 winding up.
MIDLAND DOCTORS ASSOCIATION UK TRUSTEES, REPORT (INCLUDING DIRECTORS, REPORT AND STRATEGIC REPORT) {CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 offdanis81ional stnjclure The Board of Trustees are responsible for adminlsteriny the charity. The finances of the eharity are kept under review al Trustees meetings, once every months. Relationshlp with relaledparties All donated medical equipment is storèd al the premise5 Of M Najib & Sons Limited, a company in vthich a trustee, Mr AA Najib, is a director. The transaction occurs al arms length, as members of staff al M Najib & Sons Limited donate their charffabte time to load the equipment. in order to Iransport il over to Pakistan. Rlsk management The Trusle8s are aware of and conllnue lo monitor any significant risks facAn9 the charity and havo pul policies and controls in place lo minimise or mitigate those risks. The Trustees are aware Ihat the risks faced by the charity w¢ll evolve with the charity's activities and the trustees will ensure Ihal their risk strategy reflects these changes. The Trustees acknowledge their responsibilities in relation to the charity'$ financial statements and accounting TordS. Funds held as custodian trustee The charity holds no lunds on bèhalf of others. Freehokl property The land purchased in Tand81i, District Muzaffarabad. P2kistan was held in the name of Dr J Ahmed, a trustee of the charity. as it was not possibl8 for the land lo be purchased in the name of the charitable company directly. The Iruslees are pkeased to report that the prctess transferrin9 the legal tille of this land has nt)w been completed. The trustees. report, including the strategic repott was approved by the Board of Trustees. DrSYI Trustee ikhar (Chairl 27 June 2024
MIDLAND DOCTORS ASSOCIATION UK INDEPENDENT EXAMINER'S REPORT TO THE TRUSTEES OF MIDLAND DOCTORS ASSOCIATION UK I report to the trustees on my examinab.on of the finan¢ial $tstemenls of Midland Doctors Association UK {the charity) for the year ended 310e¢ember 2023. Resptsnsibilltl¢s and bas1$ of report As the trustees of the charity land also ils directors for the purposes of company law) you are responsible for the preparation of the financ4al statement5 in accordance with the requirements of the Companies Act 20(b {the 2006 Acl}. Having satisfied myself that the financtal slalemenls of the charity are not required to be 8udsted under Part 16 01 the 2006 Act and are eligible for independent oxaminalion, I report in respect of my examination of the charity's financial statements carried out under section 145 of the Charities Act 2011 (the 2011 Act). In carrying out my examination I have followed all the applicable Directions given by the Charily Commission under section 14515llbl of the 2011 Act. Independent gxamlnerfs statement SincE the charity's gross income exceeded £250,000 your examiner musl be a member of a body listed in section 145 of the 2011 Act. I confirm that l am qualified lo undertake the examination because l am a member of Institute of Chartered Accounlanls in England and Wales, which is one of the li$t¢d bodies. I have completod my examination. I confim) that no matters have come to my attentSon In connection wlth the examination giving me cause to believe that in any material respect.. accounting records were not kept in Tespecl of the charty as required by section 386 of the 2006 Act,. or the financial slalernenls do not aecord those records.. or the financial slalements do not compty with the accounting requirements of seclion 398 of the 2008 Act olher than any requiTement that the accounts give a true and fair view which 18 not a matter considered as part of an independent examinalion., or the financial slalemenls have not been prepared in aOrdanCe with the methtxls and principles of the Statement of Recommended Pradi¢e for aUntIng and reporting by charities applicable to tharities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK arn Republic of Ireland IFRS 102). I have no concerns and have come across no other matters in connection with the examination lo which attention should be drawn in this report in order to enable a propor understanding of the financial statements lo be reached. Ig. Phll ey FCA HSKS Greenhalgh Ltd Charfotte House Stanier Way The Wyvem Business Park Derby DE216BF Dated.. 27 June 2024
MIDLAND DOCTORS ASSOCIATION UK STATEMENT OF FINANCIAL ACTIVITIES INCLUDING INCOME AND EXPENDITUREACCOUNT FOR THE YEAR ENDED 31 DECEMBER 2023 Unrestricted Unrestrictèd fund$ lunds 2023 2022 Note5 Income and endovfflients frorn., Donations and legacies Charilgble adivilies Investments Other income 790,349 7,427 1,000 743,229 2.741 67 162 Totèl Income 798.776 746.199 Expendtture on: Rais(ng funds 39.217 4.158 Hospital expenditure Village expenditure Dubai office costs Education expenditure other charitable oxpendilure COVID expenditure 457,022 36,000 27.639 2.714 93,797 501,349 16.404 15,412 13,173 135.178 77 Totsl charStable expendlture 617,172 681,593 Other expenditure 14 5.809 Totsl oxpendlture 662,198 685,751 N•t Income and movement in funds 136,578 60,448 Reconciliation of funds: Fund balances al 1 January 2023 3,007.875 2,947,427 Fund bal•nGès at 31 December 2023 3,144.453 3.007,875 The 8lalement of fin8nc¢al activities indude5 all gains and losses recognised in the year. All income and expenditure derive from continuing aetivities.
MIDLAND DOCTORS ASSOCIATION UK BALANCE SHEET AS AT 31 DECEMBER 2023 2023 2022 Not Flxed assets Tangible assets 16 2,512,036 2,556,667 Current assets Debto Cash at bank and in hand 17 29,989 627,446 30,329 493,051 657,435 523,380 Credltors: amounts falllng due wlthln one y&ar 18 (25.0181 172,172} Net current assets 632,417 451.208 Total assets less Current Ilablllties 3,144,453 3,007,875 Net assets excluding pension liability 3,144,453 3,007,875 The funds ofthe charlty Unrestricted funds 3.144,453 3,007,875 3,144,453 3,007,875 The company is entitled to the exemption from the audit requirement contained in section 477 of the CompaniesAcl 2006, for the year ended 31 December 2023. The directors acknowledge their responsibilities for complying with the requirements of the Comparnes Act 2006 with respect to accounting records and thè preparation of financial statements. The members hav¢ nol required the company lo obtsin an audit of rts fin8neial statements for the year In question in accordance with section 476. These financial statements have b&en prepared in accorrjance with the provisions applicable to companie$ subject to the small companios regime. Th Inanal slalem8nts We approved by the trustees on 27 Junè 2024 Drsy lftikhar (Chairl Trustee Company registration nLrmber 05818995 IEn9land and Wales)
MIDLAND DOCTORS ASSOCIATION UK STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 31 DECEMBER 2023 2023 2022 Notes Cash flows from op8Fatlng actlvltles Cash 9enerated frorn operations 21 202,968 156,971 Investlng actlvbtles Purchase of tangible fixed assets Investment income received 169,573} 1,000 {158,1421 67 Net cash used in inv8¥ting actlvltles {68.573) 1158.0751 Net cash u$gd In flnan¢Sng actlvltles Net increaselldecreasel In cash and ¢ash equlvalents 134,395 1.1041 Cash and cash equivalents at beginning of year 493,051 494.155 Cash and cash equlvalents at end of year 627.446 493,051
MIDLAND DOCTORS ASSOCIATION UK NOTES TO THE FINANCIALSTATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023 A¢¢¢untlng pollclgs harlty Infonnatlon Midland Doctors Association UK is a private company limited by guarantee in¢orporaled in England and dles. The registered office is 11 Snelslon Crescent, Liiueover. Derby, DE23 68L. 1.1 AOntIng ¢onventlon The finanryal statements have been prepared in accordance wrth the charity's governing document, the Companies Act 2006, FRS 102 °The Finan(yal Reporting Standard applicable in the UK and Republic ol Ireland" I'FRS 102.1 and the Charities SORP 'Accounling and Reporting by Charities.. Statement of Reeommended Practice applicable lo charities preparing thèir accounts in accordance wth the Financial Reporting Standard applicablo in the UK and RepublÉc of Ireland {FRS 102)" leffeetNe 1 January 2019). The charty Is a Public Benefit Entty as defined by FRS 102. The financial ststements are prepared in slerling, which is the fun¢lional currency of Ihe charity. Monetary amounts in these financial statements are rounded lo the nearest Z. The main fvnctional currencies of the charlty are the Pound Sterling (£1 in the United Kingdom, and the Pakistani Rupee IRS} for expenditure incurred In Pakistsn, along with United Arab Emirates Dirh8m (l Jl for expenses incurred within Dubai. Tho financial slalemenls have been prepared under the historical cost nventiOn. The piincipal accounting policies adopted are set out below. 1.2 Golng concern Al the time of approving the finanal statements, the trustees have a reasonable expect81ion that the charity has a¢Jequate resources lo continue in operational existence for the foTeseeable future. Thus the trustees continue lo adopt the going concein basis of accgunling in preparing the financial statements. 1.3 Charltable funds Unrestricted funds are available for use al the discretion of the trustees in fvrtherance ol their charitable objectives. Restrieted funds are subjeet to specific conditions by donors or grantots as to how they may be used. The purposes and uses ol the restricted lunds are sel out in the notes to the financial stslements. Endowment funds are subject lo specific conditions by donors that the capital must be maintained by the charity. 1.4 Income Income is recognised when the charity is legally entitled to il after any perfomance condltions have been met, the amoun15 car) be measured reliably, and il is probable Ihat income will be received. Cash donations are re¢ognised on receipt. Other donation5 are recognised once the charity has beeD notffied of the donation. unless perfomiance conditions require deferral of the amount. Income lax recoverable in relation lo donalions received under Gift Aid or deeds of covenant is recognised al the time of the donation. Legacies are recognised on receipt or otheNise if the charity h89 been notified of an impending dislribulion, the amount is known. and Teceipl is expected. If the amount is not known, the legacy is treated as o contingent asset. Donatèd goods and serviees are recognised as income when the charity has control over the item, the receipt of economic benefit from the use of the charty of the item is probable and that economic benefit can be measured Teliably. 10-
MIDLAND DOCTORS ASSOCIATION UK NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 Accounting policles {Contlnued} Income from trading activities is recognised al the fair value ol the considerat fe¢eivable for seNi¢es prowded, and is reco9nised when the service is delwered. Interest on funds hd on deposit is induded when receivable and the amoLtnt can be measured reliably by the charity, this is normally upon notification of the intefesl paid or payable by the bank. 1.6 Expendltu Expenditure is recognised once there is a 9810[ conslruclive obligation lo transfer economic benefit lo a third paty, it is probable that a transfer of economic beneflts will be required in setuemenl, and the amounl of the obligation can be measured reliably. Expendfiure is classified by activity. The costs of ea¢h activity are made up of the total of dIrt costs and shared costs, including support costs involved in undertaking each activity. DiTect costs 8ttributstle to a single activity are all¢)¢aled éiieGtly lo that activity. Shared costs which contribute lo more than one act¢vity and support costs which are not attributable lo a single acttvity are appgrtioned beeen those activities on a basis onsistenl the use of resources. Central 51aff costs are allocated on the basis of time spent, and depTe¢ialion charges are a15ocalèd on the portion of the asset's use. 1.6 Tangible flxed a$sets Tangible fixed assets are initially measured at cost and subsequently measured al cost or valuation, net of depreciation and any impairment losses. Depreclatlon is rec¢onised $0 as to wrEte off the Cost or valuation ol assets le5S their residual values over their useful lives on the following ba$es.' Freehold land ana buildings Planl and equipment Flxtures and fithngs Computers Motor vehicles 2% on cost 10% on reducing bal8nce 10% on Teducing balance 25% on reducing balance 10¥0 on reducing balance The gain or loss arising on the disposal of an asset is delemiined as the difference between the sale pro¢eeds and the carrying value of the assel, ond is recognised in the slalemenl of financial a¢tivilies. 1.7 Impalrment of fixed assets At each reporting end dale, the charity reviews the carrying amounts of il$ tangible assets to determine whether Ihere is any indication that those assets have suffered an impaimient 1955. If any such indialion exisls, the Tecoverable amount of the asset Is eslimaled in ordeT to determine the extent of the impairment 105$ lif any). 1.8 Flnancial in$trumgnts The charity has elected to apply the provisions of Section 11 'Basi¢ Financial Instruments, and Section 12 'Other Financial Instruments Issues, of FRS 102 to all of ils financial instruments. Financial instruments are recognised in the charity's balan¢e sheet when the charity becomes paty lo the conlraclual provisions of the instrument. Financial assets and liabilities are offset. with the net amounts presented in the financial statements, when there is a legally enforceable right lo sel off the recognised amounts and there is an intention lo settle on a nel basis or tg realise the asset and settSe the liability simuhaneously. 11
MIDLAND DOCTORS ASSOCIATION UK NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 Accountlng pollcles (Contlnued} Basic flnanelal èssets Basic financial assets, which include debtor5 and cash and bank balances. are Initially measured at transaction price induding transaction costs and are subsequently carried al 8mortised cost using the effective interest method unless the arrangement nStItuteS a financing transaction, where the transaction is measured at the present value of the fut*Jre receipts discounted al a market rate of interest. Financial assets classified as receivable within one year are not amortised. Basic financlal Ilabilitlès Basic financsal liabilitie5, including creditors are initially recognised at transaction price unless the afrangemenl conslitules a ffinancing transactlon, where the debt instrument is measured at the present value of the future payments discounted al a market rale ot interest. Financial liabililies dassfied as payable w¢thin one year are not amortised. Debt instrumenls are subsequently carried al amortised cost, using the effective interest rale method. Trade creditors are obligations to pay for goods or services that have been acquired in the ordinary course ol operations from suppli&rs. Amounts payats are classrfied ès current liabilities if payment is due within one year or less. If not, they are presented as non.eurrenl liabilities. Trade ¢reditor5 are recognised initially at transaclion price and subsequèntly measured at amorti8ed cost using the effective interest method. Derecognlbon of financial liabilities Financial liabilities are derecogF)ised when the charity's contractual obligations expire or are discharged OT cancelled. 1.9 Taxatlon The charity is exempt from corporation lax on ils charitable activities. 1.10 Employee benefits The cost of any unused holiday entitlement is recognised in the period in which the employee's services are received. Termination b8nefrts are recognised immediately as an expense when the Charity is demonslrabty committed to terminate the employment of an empsoyee or to provide tem)ination beneffts. 1.11 Forelgn exchange Transoclions in currencies other than pounds slerting are fecorded al the rates of exchange prevailing at the dates ol the Iransacb'ons. At each repon9 end dale, monetary assets and liabilib.es that are denominated in foreign currenryes are retranslaled at Ihe rates prevailing on the reporting end dale. Gains and ksses arising on translalion in the period are included in profit or loss. Crbtlcal accounllng tImat&S and Judgements In the application of the charity's accounting policies, the Iruslees are required to make judgements, estimates and assumptions 8bL)Ut the carrying 8mounl of assets and lbilitIeS that are not readily apparent from other sources, The estimates and associated assumptions are based on historical experience and other factors that ore considered to be relevant. Actual sUlts may differ trom these estimates. The estimates and undertying assumptions are reviewed on an ongoing basis. Revisions lo accounting estimates are recognised in the period in which the estimate is revised where the revision affects cfily that period, or in the peliod of the revision and future periods where the ievision affects both current and future peri¢xl$. 12-
MIDLAND DOCTORS ASSOCIATION UK NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 Income from donation$ and lega¢ie$ Unrestrlcted Unrestrlcted funds funds 2023 2022 Donations and gifts Donated goods and services 759,804 30,545 743,229 790,349 743,229 Donations and glfts Donations Gift aid refunds 737,303 22,501 721,292 21,937 759,804 743,229 Donated goods and 5ervlces During the year th& charitsble company receiverl a laser lithotripler, with a value of $39,000. Income from charitable actlvltles Unrestrl¢ted funds 2023 Unre$triGted lunds 2022 Hospltsl Patient fees 7,427 2,741 Income from Investments Unrestrlcted Unrestrlcted funds funds 2023 2022 Interest receivable 1,000 67 13-
MIDLAND DOCTORS ASSOCIATION UK NOTES TO THE FINANCIAL STATEMENTS {CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 other Income Unrestrlcted Vnrestrlcted funds funds 2023 2022 Other income 162 Expenqliture on rnlslng funds Unrestricted Unrestrlcted funds funds 2023 2022 Fundralslng and publlclty Advertising and fundraising events Donations administration fees 35,390 3.827 800 3,358 39,217 4.158 14-
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MIDLAND DOCTORS ASSOCIATION UK NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 Grants payable Vlllage Educatlon Education expendlturfr expenditure expenditure 2023 2023 2022 Grants to inslitulions.. Pakistan Medical $0atIon other 14,772 1.921 Grants to individual¥ 2,714 11,252 14,772 2,714 13.173 10 Support costs allocated lo actlvltles 2023 2022 Rent Insurance Legal and professional fees Bank charges Exchange rate Igainlllo8S Govemance costs 2,923 370 0,083 2,607 40,261 23,420 2,692 307 5,941 2,701 11,758 24,266 78.6e4 47,663 Analysed between.. Hospital expenditure Dubai office costs Other charitable expenditure 9.101 3,375 66,188 5,820 3,121 38,722 78,664 47,663 11 Net movement In funds 2023 2022 The net movement in fijnds is slated after chargingll¢rediling}.' Depreci81ion of owned tangible fixed asse15 Loss on disposal of tangible fixed assets 108.395 5.809 107,969 18-
MIDLAND DOCTORS ASSOCIATION UK NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR EhlDED 31 DECEMBER 2023 12 Trustees None of the trustees lor any persons connected with them} received any remuneration or benefits from the charity during the year. Trustees. èxpensès There were no trustee$. expenses paid for the year ended 31 December 2023 nor for the year ended 31 Decembèi 2022. The trustees have continued lo incur expenses, espeaally travel costs, in the performance of their duties. Such expenditure is borne by the trustees personally. has not been quantified, and as no reimburstsma)I has been sought by them. ig considered lo have been waived. 13 Employ¢¢$ The average monthly number of employees durn9 the year wa5.. 2023 Number 2022 Number Medi¢al stsff Maintenance staff Security Administrative staff Other staff 52 55 14 11 14 Total 74 96 Employmont costs 2023 2022 Wages and salaries 186.245 179,343 There were no employees whose annual remuneratlon was more than £60.000. 14 (Xher Unrestrlcted funds Total 2023 2022 Nel loss on disposal of lamgible fixed assets 5.809 5.809 15 Taxatlon The charity is exempl from lax on income and 98ins falling wlhin section 505 of the Taxes Act 1988 or section 252 of the Taxation of Ch8rgeable Gains Act 1992 to the extent that these are applied to ils ¢harilable objeds. 19.
MIDLAND DOCTORS ASSOCIATION UK NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 16 Tanglble fixed 8s$9ts Freèhokl land ond bullding$ Plantand Fixtures and equlpment fftbng$ Computsrs lotor vehi¢les Tota Cost At l January 2023 Additions Disposals 2,555,247 3.520 17.261) 524,013 60,639 190,588 5,157 48,385 257 16,587 3.334.820 69.573 17,261} At 31 Decembef 2023 2,551.506 584,652 195,745 48,642 16,587 3.397,132 Depreclatlon and Impairment At 1 January 2023 Depreciation tharged in the year Eliminated in respect of disposals 482.160 191,988 63,839 32.630 7.536 778.153 51,030 39,266 13,191 4,003 905 108.395 11.452) {1.4521 At 31 December 2023 531,738 231,254 77,030 36,633 8,441 885,096 Carrylng amount At 31 December 2023 2,019.768 353,398 118,715 12,009 8.146 2.512,036 At 31 December 2022 2,073.087 332,025 126,749 15.755 9.051 2.556,667 During 2006 land was purchased in Tendali, District Muzaffarabad, Pakistsn by the ¢harity in order lo construct a hospital. Whilst the charity paid for this18nd. il has previously been held the name of one of the trustees (Dr Javed Ahmed) on behaK of the charity. as it was not possible for the land to be purchasèd in the name ol the charity direcuy. A slatulory declaration was made on 7 September 2007 confimiing that the land is held on trust for the charity until such time as il is possible for il to be transferred upon attairynenl of the appropriate intemational stslus of the charity. During the year this matter has now been resolved, wth the titfe officially transferred lo the charitable company. The cost and net book value of the hospital project, included within treehold propety, amounts to £2,108,506 12022: £2,104,996) and £1,674.228 12022. £1,712,878) respectively. The Nur Goth Village project in Sindh Province. Pakistan. is a joint collaboration with Pakistan Medical Assgcialion. Although the entire project was funded by the Midland Doctors Association UK, for administrats.ve and logistical purposes, the 8 acre site and the 100 dwellings constructed thereon, together wth the infrastructure, afe jointly owned btheen the Midland Dodors Association UK and the Pakistan Medical Association. as per an agreèment dated 25th January 2012. However. all running costs of the village after completion are paid for and administered by the Pakistan Medical Association. wth Midland Doctors Association UK making contributions for such expenditure. The cost and net bogk value of the Nur Goth Village is £443,00012022-. £450,261) and £345,54012022'. £360,209) respectively. 22 dwellings in Nur Goth Village are currently txcuplerl in perpetuity. rent free, by designated families and their descendants. 38 dwellings are eamatked lo be re-purposed for educational or FTiedicel use. The remaining 40 dwellings are currently urcCupIed and will requife minor renovation works to enable ILlure occupation. There is no right lo either dispose of the dwelling or pass it to another unconnected family. -20-
MIDLAND DOCTORS ASSOCIATION UK NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 17 Dobto 2023 2022 Amounts falllng du• within ong yO8T: Trade debtors Other debtors Prepayments and accrued income 26,584 3.405 26,313 4.015 29,989 30,329 18 Crnditors: amounts falllng due wlthln one year 2023 2022 Trade creditors Accruals and deferred income 20,OC>o 52,172 25,018 25,018 72,172 19 Unrestricted funds The unrestricted funds of the charity comprise the unexpended balances of donations and grants which are not subject to specific conditions by donors and grantors as lo how they may be used. These include d¢$ignaled fvnds which have been set aside out of unrestrl¢led funds by the Iru5tees for speofic purposes. At 1 January 2023 Incomlng Resources resources expgnded At31 December 2023 General funds 3,007,875 798,776 {862,1981 3,144,453 Pfevlous year: At 1 January 2022 In¢omlng Resources resources expended At31 December 2022 General funds 2,947,427 746,199 (685,751> 3,007.875 20 Related party transactlons 21
MIDLAND DOCTORS ASSOCIATION UK NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 20 Relatsd party transactlons Icontlnuedl The follow¢ng donations were received without Cond105 from trustees or other related parties.. Mr M Allaf. a trustee of the charity, donated £1,200 {2022.' £1,300). Mr S Hussaln. 8 IrLlStee of the charty, donated £200 {2022'. £4801. Dr S Y lftikh8r. a Iruslee ofthe charity, donated £2,99512022.' £2,4151- Dr K Latief, a trLV6tee of the eharity, donated £600 (2022.. £1,554). MrA A Najib. a trustee ofthe charity, and his wtder family donated £12012022.. £2,273). Dr Farhan Rashid, a trustee of the charity, donated £48012022.. £Nill. Dr Z Sheikh, a trustee of the charity, donated £60012022 £4,750}. Rahim Ullah Amin. a trustee of the charity, donated £Nil {2022.. £400}. M. Najib & Sons Limited, a company irb which Mr AA Najib is a director anfl 8 shareholder, donated £33,8C¢O 12022.. £35,050) lfti's Medical Services Limited, a company in which Mr S Y lftikh8r is a diiector 8 shareholder, donated £33012022.. £3601. During the year, The Accounling House. a business owned by Ms T Kent-chapman provided bookkeeping servi5 to the charty on an arm's length basis. These services amounted to £28,50012022." £19.5241. In 2021, the charity advanced 2,000,000 Pakistani Rupees (£9,189 al the prevailing spot rate) to the Chief Executive Officer of the Midland Doctors Medical Inslilule (Mr B Hussainl. Al the year-end the balance was 800,000.00 Pakistani Rupees12022.' 1,200,000 Pakistani Rupees), which al the 31 Decembèr 2023 rale is-. £2,25412022.. £4,380}, and is included wrthin other debtors. Al the year-end, there was an unre81ised loss on foreign exchange of £5.097 {2022'. unrealised loss of £1,134). The loan is unsecured, inleresl-free and is being repaid in equal Instalmenls over 60 month5. Dr S Y lftikhaf, a trustee of the charity, is the guarantor cf this loan and will repay the loan to the ¢harity in the event of 8 default by Mr B Hussain. -22-
MIDLAND DOCTORS ASSOCIATION UK NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 21 Ca$h gener¥ted from operatlons 2023 2022 Surplus for Ihe year 136,578 60,446 Adjustments for.. Investment income recognised in Statement of fin8nci81 activitie$ Los$ or* disposal of tangible fixed assets Depreciab"on and impairment of lan9ible fixed assets (l.IX)01 5,809 108,395 1671 107.969 Movements in working capital.. Decr¢asellin¢reasel in debtors {D&creasellincrease in creditors 340 (47,1541 116.3581 4,979 Ca$h generated from opgratlons 202.968 156.971 22 Analysis of changos In net funds The charity had no material debt during the year. -23-