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← Medical Aid Films Limited

2021-12-31-accounts

Company Registration No: 06296236 (England and Wales) Charity Registration No: 1121578 (England and Wales)

MEDICAL AID FILMS LIMITED (Limited by guarantee and not having a share capital)

TRUSTEES’ REPORT

AND FINANCIAL STATEMENTS

FOR THE YEAR ENDED 31 DECEMBER 2021

MEDICAL AID FILMS LIMITED

CONTENTS

Page
Legal and Administrative Information 1
Trustees’ Report 2
Independent Auditor’s Report 15
Statement of Financial Activities 19
(incorporating the income and expenditure account)
Balance Sheet 20
Statement of cash flows
21
Notes to the Financial Statements 22

MEDICAL AID FILMS LIMITED

LEGAL AND ADMINISTRATIVE INFORMATION

Trustees Michael De Lathauwer (Chair)
Alex Moore
Sean McDonnell
Maila Reeve
Rajiv Wijesuriya
Lucie Byrne-Davis
Rania Missoumi
Matthew Jackson
Amo Kalar
Ankit Soni
Chief Executive Officer Catherine McCarthy
Company number 06296236
Charity number 1121578
Registered Office c/o DOTW, 6thFloor, One Canada Square
London E14 5AA
Website www.medicalaidfilms.org
Auditors Knox Cropper LLP
65 Leadenhall Street
London EC3A 2AD
Bankers Barclays Bank Plc
1 Churchill Place
London E14 5HP

1

MEDICAL AID FILMS LIMITED TRUSTEES’ REPORT FOR THE YEAR ENDED 31 DECEMBER 2021

The Board of Trustees, who are also directors of the Company for the purposes of the Companies Act, and trustees for charity law purposes, submit their combined directors' and trustees' annual report and the financial statements of Medical Aid Films for the year ended 31 December 2021. The Board of Trustees confirms that the annual report and financial statements of the Company comply with current statutory requirements, the requirements of the Company's governing document and the provisions of the Statement of Recommended Practice (FRS 102). The Company has taken advantage from the exemptions available to smaller entities.

Legal and administrative information, as set out on page 3 forms part of this report.

Organisation

The company's administration is under the control of the trustees, who are also the directors for the purpose of company law. The trustees during the year to 31 December 2021 were:

Michael De Lathauwer (Chair) Alex Moore Sean McDonnell Maila Reeves Ankit Soni Rajiv Wijesuriya Lucie Byrne-Davis Rania Missoumi Matthew Jackson Amo Kalar

Structure, Governance and Management

Medical Aid Films Limited was incorporated as a company limited by guarantee on 28 June 2007 (number 06296236). The company received charitable status from the Charity Commission on 12 November 2007 (number 1121578). The company is governed by its Memorandum and Articles of Association dated 25 June 2007, which were updated on 28 January 2011.

The day-to-day management of the organisation is carried out by the Chief Executive Officer, with the support of the staff team. Key strategic decisions are made at regular meetings of the trustees. During 2020 a new strategy 2021 — 2023 was developed by the Trustees to be implemented from January 2021.

The major risks, to which the organisation is exposed, as identified by the trustees, have been reviewed and systems or procedures have been established to manage those risks.

2

MEDICAL AID FILMS LIMITED TRUSTEES’ REPORT FOR THE YEAR ENDED 31 DECEMBER 2021

Charitable objectives for the public benefit

Medical Aid Films was set up in response to the global crisis in maternal and new-born health to advance the education and training of health workers in low-income countries through film and other media. The focus initially, but not exclusively, was to be on women's health and maternal and child health.

Little high quality educational and training material currently exists for use in low-income countries and, partly as a result, child and maternal mortality statistics remain high. Education in the format of film and animation can provide an important tool for improving healthcare and health literacy in many low income countries.

The focus of the Charity's work over the years has been on reducing maternal and child mortality, largely in Africa, where over 50% of maternal and child deaths occur each year, although the resources produced by the charity can be and are used wherever there is a need. The organisational strategy 2016-2020, in line with the Sustainable Development Goals, gave a wider brief across the life course of women's and children’s health, focussing not just on survival, but also on ensuring health and wellbeing, and improving both the length and quality of life for women and children, throughout the course of their lives. The strategy 2021-23 focusses on digital transformation and internal strengthening. Alongside this strategy, a set of thematic priorities have been developed which prioritise key areas of global health need. These two documents give the organisation a clear roadmap for future work over the next few years.

Medical Aid Films works with partners to develop high quality learning materials which inform and empower health workers and community members with vital skills and knowledge. These resources also encourage healthy behaviours, which impact positively on the lives and health of women, children and vulnerable communities around the world.

Partnerships are central to the vision, and the organisation works with many major global and academic partners, along with local grassroots organisations, reaching audiences at health worker, community and individual level. There is an emphasis now on developing partnerships to provide longer term education and training, and to maximise the potential of new delivery mechanisms and social media, finding innovative ways to reach and directly engage with audiences.

The organisation’s films are currently freely available online and on digital and social platforms, in a variety of formats. Our films reach some of the most remote communities in the world. Our content is also used and distributed via health-based organisations, NGOs and charities using mobile phones, tablets and other portable technologies. New partnerships in this area are of particular importance for the future.

3

MEDICAL AID FILMS LIMITED TRUSTEES’ REPORT FOR THE YEAR ENDED 31 DECEMBER 2021

The work of the organisation is unique, in bringing together health and medical experts with creative film makers and animators, our guiding principles are:

Our films are reviewed by partners, specialist medical practitioners and leading global experts, with experience working in the field and in-country programmes. Advisers and reviewers donate their time for free to ensure that the technical content of the films is first class, they offer many hours of pro bono expert medical and health advice.

The trustees confirm that in accordance with Section 4 of the Charities Act 2006, they have referred to the Charity Commission's general guidance on public benefit when reviewing the Charity's aims and objectives and in planning their future activities.

Achievements and performance

2021 was a challenging year for many organisations, but also an extremely productive year for the Medical Aid Films. Much was achieved despite the COVID-19 global pandemic, which has continued to dominate the landscape of 2021 for all of us. Despite the challenges of the pandemic and continued home working, the team remained positive and worked hard to continue to deliver results on many complex and challenging projects throughout the year.

In 2021, the team produced and delivered a range of high quality film and animated content, in an increased number of languages, (a total of 41 pieces of new content). Alongside this we continued to respond to the COVID-19 pandemic by creating a range of new digital content both globally and in the UK. Quality digital health communications have never been needed more than over this past year, and this trend looks likely to continue.

During 2021 we built on our formative work with EY (through the Ripples programme) which formed the basis of strategy refresh for 2021 – 2023. The new strategy was signed off by the Board at the start of 2021, placing new emphasis on digital transformation and internal strengthening.

In addition to our 2021 Annual Survey, this year our research and evaluation work included the first consultancy projects with partners, the Partnership for Maternal, New Born and Child Health (PMNCH) and Tearfund.

4

MEDICAL AID FILMS LIMITED TRUSTEES’ REPORT FOR THE YEAR ENDED 31 DECEMBER 2021

Despite the challenges of COVID 19 and the Presidential election in Zambia, steady progress has been made in the first and second years of our SCREEN project, with the baseline survey implementation completed and the film editing nearly finished. The project aims to deliver community-based education through 6 films in Zambia through screenings conducted by incountry partners to adolescents throughout rural Zambia. SCREEN is our first national level, multiyear grant from Vitol Foundation.

At the start of 2022 – our overall figures are as follows:

Alongside this, we have worked hard to fundraise, despite a difficult UK economic situation, changes to UK Aid and the impact of COVID-19, the charity done very well to hit its financial targets for the year, when so many organisations have been so badly hit.

Key successes of 2021:

5

MEDICAL AID FILMS LIMITED TRUSTEES’ REPORT FOR THE YEAR ENDED 31 DECEMBER 2021

In summary, 2021 brought the team new challenges particularly resulting from the COVID-19 pandemic, but we have risen to them, developed greater resilience as a result, achieving significantly across many areas of our work. Throughout 2021 we continued to ensure that our partners have been supported to save lives in some of the poorest countries of the world. The charity reached many more people than anticipated during 2021 with access to best practice, quality, resources and culturally appropriate education and training through film, and many significant new partnerships have been created which will be built on in future years.

2021 Film List

In 2021, there were 15 new films made by Medical Aid Films and an additional 13 language versions and 13 subtitled versions of these films, so in total 41 pieces of new content . New films covered areas including breaking down barriers of colourism in India, information on COVID 19, health systems in Somalia, cancer in childhood.

# Project Title #
Master
film &
lead
lang		 Master Film
Titles		 Additional
languages		 Subtitle Total
incl.
maste
r		 Description
82 BMA COVID-
19		 1
English		 Getting the Help
You Need		 9 x, Urdu,
Punjabi,
Arabic,
Gujarti,
Tamil,
Somali, Farsi,
Bengali,
Turkish		 10 x English,
Urdu,
Punjabi,
Arabic,
Gujarti,
Tamil, Somali,
Farsi,
Bengali,
Turkish		 20 Project funded
by a £20,000
BMA Giving
grant, to
produce one,
short animated
film on Covid-
19, translated
into three
community
languages, and
disseminated
via BMA
networks and
volunteers to
vulnerable UK
communities.

6

MEDICAL AID FILMS LIMITED TRUSTEES’ REPORT FOR THE YEAR ENDED 31 DECEMBER 2021

# Project Title #
Master
film &
lead
lang		 Master Film
Titles		 Additional
languages		 Subtitle Total
incl.
maste
r		 Description
85 World Child
Cancer films
for
community
and
professionals
(1&2)		 4
English		 Early warning
signs and
symptoms of
childhood cancer
– for health
professionals;
Early warning
signs and
symptoms of
childhood cancer
– for
communities		 2 x French 2 x French 8 Collaboration
between MAF
and World Child
Cancer (WCC) to
produce
animations on
recognition of
the early
warning signs of
childhood
cancers - for
health workers
and
communities in
Ghana.
87 SHINE supply
documentary		 3
English		 Across the
Mountains;
Across the
Mountain - short
version;
Across the
Mountains -
trailer		 0 0 3 Across the
Mountains
highlights the
importance of
local health
solutions
through the
compelling story
of a mother in
danger of losing
her new-born
baby in
Somaliland. The
film follows
frontline health
workers in
Borama,
Somaliland who
have mountains
to climb, to save
their patients. A
powerful insight
into everyday
life in local

7

MEDICAL AID FILMS LIMITED TRUSTEES’ REPORT FOR THE YEAR ENDED 31 DECEMBER 2021

# Project Title #
Master
film &
lead
lang		 Master Film
Titles		 Additional
languages		 Subtitle Total
incl.
maste
r		 Description
hospitals
revealing some
of the layers of
complexities
facing health
workers, both
medical and
cultural.
89 Harvard Chan
School of
Medicine		 3
English		 Colouring the
Narrative:
Shistu's story;
Raangam's story;
Birma's story		 0 0
Hindi (on our
partners
YouTube
channels as a
CC option)		 3 A series of 3 x
90' animated
video vignettes
to support and
enhance the
content and
learning of the
STRIPED e-
course for
health
professionals
and community
organisations.
N/
A		 MAF 1
English		 2020 annual
review film		 0 0 1 Annual review
film celebrating
MAF’s 2020
year
90 Last Mile
Health - E-
Learning for
Covid-19
Antigen
Rapid
Diagnostic
animations		 3
African
English		 Covid-19
timeline;
Five moments of
hand hygiene;
Three modes of
transmission		 0 0 3 Animations as
part of e-
learning courses
92 Public Health
England,
LSHTM and
ICAN:		 2
English		 Infection control
orientation for
Caregivers in
Cameroon;		 2 x Pidgin
English,
Cameroon
English		 0 3 Films
communicating
key information
about IPC
principles and

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MEDICAL AID FILMS LIMITED TRUSTEES’ REPORT FOR THE YEAR ENDED 31 DECEMBER 2021

# Project Title #
Master
film &
lead
lang		 Master Film
Titles		 Additional
languages		 Subtitle Total
incl.
maste
r		 Description
Cameroon
Caregivers		 Short social
version		 behaviour
change for care
givers, based on
results of
baseline
assessment and
design
workshop.
Aiming to
introduce the
principles of
disease
transmission
and prevention
in the context of
a care givers in
hospital.

Language Translations

Translating films into new languages vastly increases reach and continues to be a cost-effective means of leveraging existing content, along with maximising opportunities to re-version and reuse content on all digital platforms, social media and new devices, further increasing the value of each piece of content. We see language translation as being a key strand in our future work, and we will continue to explore best use of resources to deliver. Our content is now available in 45 languages.

Research and Learning

We continued to develop our research and evaluation work throughout 2021. Our 2021 Annual Survey highlighted how survey respondents rated the films against criteria, how the films were used and the impact of the films upon audiences.

Results showed that our films were mainly used for community health education, training or continued professional development (CPD) programmes and advocacy or awareness-raising. The main audiences were healthcare professionals, medical/nursing/midwifery students and community health workers.

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MEDICAL AID FILMS LIMITED TRUSTEES’ REPORT FOR THE YEAR ENDED 31 DECEMBER 2021

100% of survey respondents considered the films to be interesting/engaging, 98.7% considered them to be easy to understand and informative and 97.3% found the films to include relatable characters and settings. 96% stated that our films improved or increased the knowledge of their audiences. In addition, our films improved or increased skills, improved decision-making, increased motivation and increased confidence. Many stated that the films were clear, easy to follow and share, informative, depict real issues and relate to the appropriate context. Responses also highlighted good production quality, content, and adaptability. Some respondents highlighted difficulties in downloading films.

We also moved forward with a couple of international technical consultancies. Firstly, our work with the Partnership on Maternal, New Born and Child Health (PMNCH) to support the PMNCH team to measure and evaluate their Self-Care in the time of COVID-19 video series, which brought together Medical Aid Films and studio Eeksaurus as creative partners and the WHO, UNICEF and others as technical and dissemination partners. Using a realist evaluation approach and mixed methods design, key findings demonstrated the impressive reach of the campaign with a total of 115.4 million views via Facebook, Twitter, Instagram and YouTube, together with high levels of positive engagement and significant agreement around the production quality and the relevance of the content. We also initiated a consultancy project with Tearfund’s Communication for Development Team around Social and Behaviour Change Communication (SBCC), with the longer-term aim of developing an SBCC strategy for the organisation (the project will continue into 2022).

We were delighted to be able to conduct the baseline study for our Zambia SCREEN project (postponed from 2020 because of the COVID-19 pandemic), with our partners SAfAIDS and CIDRZ. 688 adolescents between the ages of 15 – 19 were enrolled from 4 schools and 5 health clinic-based clubs in each of four districts in Central and Western provinces. Overall, findings were as expected from this demographic – unsurprisingly younger respondents demonstrate less knowledge, less healthy choices and more gendered responses. There are also differences between the answers of respondents in the less remote compared to the more remote rural districts where responses were more gendered and aligned to traditional norms. This has potential for interesting findings when comparing results between the different districts especially when also disaggregating by age.

The organisation will continue its systematic approach to evaluation and measurement to identify and measure change; what impact or content has and to what extent films increase and improve knowledge that empowers women and improves skilled health worker knowledge and practice. Measurement and evaluation are becoming an increasingly important part of the organisation's work and seeking opportunities to fund this work will be vital.

Digital

Digital communications have become an increasingly important part of our work over the past four years. This mirrors the expanding use of digital platforms and mHealth initiatives, as well as greater levels of connectivity and uptake of smart phones. Digital platforms, new technology

10

MEDICAL AID FILMS LIMITED TRUSTEES’ REPORT FOR THE YEAR ENDED 31 DECEMBER 2021

and social media offer new opportunities to reach audiences with educational content. Our films are now accessed on a range of devices including: portable projectors, tablets, mobile phones, and in e-and distance learning modules, and other innovative projects. Our content is also available on our YouTube and Vimeo channels and 10 partner digital platforms/online training courses, including the Global Library of Women’s Medicine, Health Books International, Jhpiego eLearning Platform and ORB platform for Community Health Workers.

Views and subscriptions on Medical Aid Films’ digital channels have increased substantially since 2016, with now over 36 million digital views, and 155,000 subscribers on You Tube, with several of our films going viral. Our online audience are from over 200 countries, with India, Indonesia, Pakistan, USA and Tanzania representing the top five countries where are films are watched the most.

Partnerships

Significant partnerships have been built and developed during 2021, and these will become increasingly important in future development. Partners provide valuable understanding of audiences and enable the organisation to develop content which responds to need, as well as ensuring that it is used in an educational setting to best advantage. Partners also gather essential feedback from viewers to ensure that there is a continuous learning cycle.

Organisational Development

Michael De Lathauwer has been on the Board of Trustees since the organisation started, he took over as Chair in April 2020. Over the years, the Board has continued to strengthen and develop with increased expertise in digital, global health and research.

The staff team continues to grow with a renewed focus on internal strengthening. There have been some staff changes, but new team members this past year have brought excellent expertise in production management and fundraising, adding to the existing skills base in research and finance. We look to strengthen the senior team as we move forwards.

We continue to enjoy our offices at One Canada Square, Canary Wharf, which we are lucky enough to have rent free thanks to Canary Wharf Management. This year saw a move to the 6[th] floor in Canada Square in 2021, and a reduction for us in desk space, mainly due to the pandemic and the increase of homeworking for much of the year.

The trustees are covered by an indemnity insurance policy which is renewed annually, and our staff handbook and all our policies have been updated in recent months.

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MEDICAL AID FILMS LIMITED TRUSTEES’ REPORT FOR THE YEAR ENDED 31 DECEMBER 2021

Financial Review

Despite the difficult economic situation impacted by COVID-19, the charity successfully raised £448,213 in the 12-month period to 31 December 2021 (2020: £681,943). Of the total income, £136,841 was from donations and grants and £311,373 was from charitable activities (due to increase in multi-year funding partnerships and proactive actions of the fundraising team). Of the total income £302,475. was Restricted.

Total expenditure for the year was £492,282 (2020: £642,314) including £399,846 (2020: £549,861) on charitable activities, of which £360,000 (2020: £529,214) was restricted. As at 31 December 2021 the total reserves carried forward were £215,506 of which unrestricted reserves were £150,802 (2020: £137,345). The charity’s policy is to hold no less than three months unrestricted funding and ideally six months in reserve which is between £33,556 to £67,112. The charity’s cash reserves are managed well to meet expenses arising from continuing activities.

The charity's ability to develop further continues to be dependent on its ability to develop a diverse funding base across grants, partner funded work and major donors. The charity continues its strategy for 2021-2023 where finance is at the forefront of any decision made, from aiding strategic decisions on funding and resourcing to developing a full cost recovery model on film production.

Trustees are aware of the charity's financial position for the future and continue to monitor it closely.

Future Plans

Moving ahead the Charity's plans are focussed on implementing a new strategy including:

Organisational strengthening

Early in 2020, the team worked with EY, through a global corporate responsibility program (Ripples), to develop a 3year roadmap with a focus on organisational strengthening and maximising use of digital technologies. This roadmap includes foundational work; (IT and infrastructure), digital tools ; improving efficiency and effectiveness, communications ; reaching and engaging audiences and fundraising, M&E ; understanding audiences and using data to drive decisions. This work formed the basis of our current strategy 2021-2023, which is focussed around digital transformation and internal strengthening. This foundational work will enable us to become a more established organisation with the potential for greater reach and impact.

Alongside this work and in light of the COVID-19 Pandemic, the team also developed a roadmap for the future to accompany the strategy, highlighting aspirations around future content for

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MEDICAL AID FILMS LIMITED TRUSTEES’ REPORT FOR THE YEAR ENDED 31 DECEMBER 2021

public health and health workforce. The document also maps our geographies, target audiences, formats and existing/new media offerings.

In addition, we shall continue to:

To achieve the above objectives, we will, during 2022, continue to implement our agreed operational plans across the strategic areas of our work, with a focus on organisational strengthening and digital transformation. We will be especially focusing on strengthening our digital communications, fundraising and exploring opportunities to exploit our research profile, especially through our research work.

Statement of trustees’ responsibilities

The trustees (who are also the directors for the purpose of company law) are responsible for preparing the Annual Report and the financial statements in accordance with applicable law and regulations.

Company law requires the trustees to prepare financial statements for each financial year. Under that law the trustees must prepare the financial statements in accordance with United Kingdom Generally Accepted Accounting Practice (United Kingdom Accounting Standards and applicable law). Under company law the trustees 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 incoming resources and application of resources, including the income and expenditure, of the charitable company for that period.

In preparing these financial statements, the trustees are required to:

13

MEDICAL AID FILMS LIMITED TRUSTEES’ REPORT FOR THE YEAR ENDED 31 DECEMBER 2021

The trustees 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 company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

The trustees are responsible for the maintenance and integrity of the corporate and financial information included on the charitable company's website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.

Disclosure of Information to auditors

Each of the persons who are Trustees at the time when this Trustees' report is approved has confirmed that:

In preparing this report, the trustees have taken advantage of the small companies’ exemptions provided by the Companies Act 2006.

On behalf of the board of trustees

……………………………….. Director Michael De Lathauwer MEDICAL AID FILMS LIMITED

………………………………..Date 18 July 2022

14

INDEPENDENT AUDITOR’S REPORT TO THE MEMBERS OF MEDICAL AID FILMS LIMITED FOR THE YEAR ENDED 31 DECEMBER 2021

Opinion

We have audited the financial statements of Medical Aid Films Limited (the ‘charitable company’) for the year ended 31 December 2021 which comprise Statement of Financial Activities (including the income and expenditure account), Balance sheet, Statement of cash flows and notes to the financial statements, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).

In our opinion, the financial statements:

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the financial statements section of our report. We are independent of the charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Conclusions relating to going concern

In auditing the financial statements, we have concluded that the trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate.

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the charity’s ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.

Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.

Other information

The trustees are responsible for the other information. The other information comprises the information included in the Trustees Annual report other than the financial statements and our auditor’s report thereon. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. In connection with our audit of the financial

15

INDEPENDENT AUDITOR’S REPORT TO THE MEMBERS OF MEDICAL AID FILMS LIMITED FOR THE YEAR ENDED 31 DECEMBER 2021

statements, our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there is a material misstatement in the financial statements or a material misstatement of the other information. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.

We have nothing to report in this regard.

Opinions on other matters prescribed by the Companies Act 2006

In our opinion, based on the work undertaken in the course of the audit:

Matters on which we are required to report by exception

In the light of the knowledge and understanding of the charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the trustees’ report.

We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 requires us to report to you if, in our opinion :

Responsibilities of trustees

As explained more fully in the trustees’ responsibilities statement set out on page 10 the trustees (who are also the directors of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

16

INDEPENDENT AUDITOR’S REPORT TO THE MEMBERS OF MEDICAL AID FILMS LIMITED FOR THE YEAR ENDED 31 DECEMBER 2021

In preparing the financial statements, the trustees are responsible for assessing the charitable company’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the charitable company or to cease operations, or have no realistic alternative but to do so.

Auditor’s responsibilities for the audit of the financial statements

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below:

A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council’s website at: https://www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report.

17

INDEPENDENT AUDITOR’S REPORT TO THE MEMBERS OF MEDICAL AID FILMS LIMITED FOR THE YEAR ENDED 31 DECEMBER 2021

Use of our report

This report is made solely to the charitable company’s members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charitable company’s members those matters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and the charitable company’s members as a body, for our audit work, for this report, or for the opinions we have formed.

Shoaib Arshad Senior Statutory Auditor For and on behalf of

Knox Cropper LLP 65 Leadenhall Street London EC3A 2AD

18

Medical Aid Films Limited

Statement of Financial Activities (including the income and expenditure account) For the year ended 31 December 2021

19

Medical Aid Films Limited

Balance Sheet

For the year ended 31 December 2021

Company No 06296236 (England and Wales)

Note
Fixed Assets:
Tangible assets
10
Total fixed assets
Current assets:
Debtors
11
Cash at bank and in hand
Total current assets
Liabilities:
Creditors: amounts falling due within one year
12
Net current assets
Total assets less current liabilities
Total net assets
13
Charity Funds:
Restricted funds
14
Unrestricted funds
General funds
Total unrestricted funds
14
Total charity funds		 2021
2020
£
£
1,780
2,675
1,780
2,675
39,562
92,748
227,341
259,250
266,903
351,998
(53,177)
(95,099)
213,726
256,899
215,506
259,574
215,506
259,574
64,704
122,229
150,802
137,345
150,802
137,345
215,506
259,574

These financial statement have been prepared in accordance with the special provisions of part 15 of the Companies Act 2006 relating to small companies.

Under section 454 of the Companies Act 2006, on a voluntary basis, the trustees can amend these financial statements if they subsequently prove to be defective.

Approved by the trustees on …………………… and signed on their behalf by: 22 June 2022

Michael de Lathauwer Director

The notes on pages 20 to 30 form part of these financial statements.

20

Medical Aid Films Limited

Notes to the financial statements For the year ended 31 December 2021

Medical Aid Films Limited Statement of cash flows For the year ended 31 December 2021

Note
Cash flows from operating activities
Net cash (used in)/provided by operating activities
15
Cash flows from investing activities:
Dividends, interest and rents from investments
Purchase of fixed assets
Net cash (used in)/provided by investing activities
Change in cash and cash equivalents in the
year
Cash and cash equivalents at the beginning of
the year
Cash and cash equivalents at the end of the
year
16		 2021
£
(31,936)
26
26
(31,910)
259,250
227,340		 2020
£
129,652
179
(505)
(326)
129,326
129,924
259,250

21

Medical Aid Films Limited

Notes to the financial statements For the year ended 31 December 2021

1. Accounting policies

a) Basis of accounting

The financial statements have been prepared in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102). The Charitable Company is a public benefit company for the purposes of FRS 102 and therefore the Charity also prepared its financial statements in accordance with the Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (The FRS 102 Charities SORP), the Companies Act 2006.

b) Going concern

The trustees have assessed the charity’s ability to continue as a going concern and have considered possible events or conditions that might cast significant doubt on the ability of the charity to continue as a going concern. The trustees have made this assessment for a period of at least one year from the date of the approval of these financial statements. In particular, the trustees have considered the charity’s forecasts and projections and have taken account of pressures on general income. After making enquiries, the trustees have concluded that there are reasonable expectations that the charity has adequate resources to continue in operational existence for the foreseeable future. The charity therefore continues to adopt the going concern basis in preparing its financial statements.

c) Income

All income that become available to the Charity are included in the statement of financial activities (including the income and expenditure account)(‘the SOFA’) as soon as receivable. Gifts and intangible income are included in the period in which they are received and valued at a reasonable estimate of the value of the gift or service received.

Bank interest received is attributed to Unrestricted Funds at the year end date.

d) Expenditure

Expenditure is allocated to the particular activity where the cost relates directly to that activity. Support costs are re-allocated to each of the activities on the following basis which is an estimate, based on staff time, of the amount attributable to each activity.

The charity has reviewed expenditure in the year and has allocated support costs as following:

2021 2020
Raising funds 25% 25%
Film production and distribution 75% 75%

Liabilities are recognised as expenditure as soon as there is a legal or constructive obligation committing the Charity to the expenditure.

22

Medical Aid Films Limited

Notes to the financial statements For the year ended 31 December 2021

1. Accounting policies (continued)

e) Irrecoverable value added tax

VAT on purchases and expenses irrecoverable under the regulations dealing with exempt organisations has been charged against the activity for which the expenditure was incurred.

f) Funds

The funds are segregated between:

Restricted funds – monies set aside for particular awards or purposes in accordance with the instructions of the donor or the terms of an appeal. Expenditure which meets these criteria is charged to the fund.

Unrestricted funds – undesignated monies retained that provide the working capital to enable the Trustees to carry out the charitable activities or designate for a particular activity.

g) Tangible fixed assets

Tangible fixed assets are capitalised at cost where the purchase price exceeds £100. Depreciation costs are allocated to activities on the basis of the use of the related assets in those activities. Assets are reviewed for impairment if circumstances indicate their carrying value may exceed their net realisable value and value in use.

Depreciation is provided at rates calculated to write down the cost of each asset to its estimated residual value over its expected useful life. The annual rates in use are as follows:

Plant and machinery

20% straight line

h) Intangible fixed assets

Intangible fixed assets are capitalised at cost if over £100.

Amortisation is calculated by reference to the cost of fixed assets using rates considered appropriate having regard to the expected lives of the fixed assets. Current annual rates in use are:

Intangible assets 20% straight line

i) Foreign currencies

Monetary assets and liabilities denominated in foreign currencies are translated at the rate of exchange ruling at the balance sheet date. Transactions in foreign currencies are recorded at the rate ruling at the date of the transaction. All differences are taken to the SOFA.

23

Medical Aid Films Limited

Notes to the financial statements For the year ended 31 December 2021

1. Accounting policies (continued)

j) Pension contributions

The charity operates a defined contribution pension scheme. The assets of the scheme are held separately from those of the charity in independently administered funds. The pension cost charge represents contributions payable under the scheme by the charity to the fund. The charity has no liability under the scheme other than for the payment of those contributions.

k) Critical accounting estimates and areas of judgement

In the view of the trustees in applying the accounting policies adopted, no judgements were required that have a significant effect on the amounts recognised in the financial statements nor do any estimates or assumptions made carry a significant risk of material adjustment in the next financial year.

l) Other financial instruments

● Cash and cash equivalents

Cash and cash equivalents include cash at bank and in hand and short-term deposits with a maturity date of three months or less.

● Debtors and Creditors

Debtors and creditors receivable or payable within one year of the balance sheet date are carried at their transaction price. Debtors and creditors that are receivable or payable in more than one year and not subject to a market rate of interest are measured at the present value of the expected future receipts or payment discounted at a market rate of interest.

m) Operating currency

The operating currency of the charity is Pound Sterling and the monetary amounts in the accounts are rounded to the nearest pound.

2. Income from donations and legacies

Donations and grant income
Donations in kind (note 3)		 Unrestricted
£
95,648
41,193
136,841		 Restricted
£
-
-
-		 2021
Total
£
95,648
41,193
136,841		 2020
Total
£
112,802
80,877
193,679

24

Medical Aid Films Limited

Notes to the financial statements For the year ended 31 December 2021

2 Income from donations and legacies (continued)

Comparative income from donations and legacies

Donations and grant income
Donations in kind (note 3)
3. Donations in kind
Professional services
Fundraising event costs
Provision of office space
Bookkeeping and payroll
Advertising
Comparative donation in kind
Professional services
Fundraising event costs
Provision of office space
Bookkeeping and payroll
Advertising		 Unrestricted
£
112,802
80,877
193,679
Unrestricted
£
13,738
27,454
-
41,192
Unrestricted
£
47,651
350
31,376
1,500
-
80,877		 Restricted
£
-
-
-
Restricted
£
-
-
-
-
-
-
Restricted
£
-
-
-
-
-
-		 2021
Total
£
13,738
27,454
-
41,192		 2020
Total
£
112,802
80,877
193,679
2020
Total
£
47,651
350
31,376
1,500
-
80,877
2020
Total
£
47,651
350
31,376
1,500
-
80,877

25

Medical Aid Films Limited

Notes to the financial statements For the year ended 31 December 2021

4. Income from charitable activities

. Income from charitable activities
Unrestricted
£
Film production and distribution
-
Total income from charitable activities
-
omparative income from charitable activities
Unrestricted
£
Film production and distribution
-
Total income from charitable activities
-		 Restricted
£
302,475
302,475
Restricted
£
487,366
487,366		 2021
Total
£
302,475
302,475		 2020
Total
£
487,366
487,366
2020
Total
£
487,366
487,366

Comparative income from charitable activities

5. Charitable expenditure

Staff costs (Note 6)
Cost of raising funds
Fundraising expenditure
Fundraising consultancy
PR literature and brochures
Direct costs
Film production and distribution
Other direct film costs
Medical expertise
Indirect and support costs
Office rent and expenses
Telephone
Website and IT costs
Insurance
Bank charges
Bookkeeping and payroll
Legal and professional
Governance costs
Conference attendance
Foreign currency loss
Recruitment cost
Staff training
Sundry
Depreciation
Support costs
Total charitable expenditure		 Cost of raising
funds
£
30,373
8,202
17,350
-
-
-
-
-
-
-
-
-
-
7,212
-
-
-
-
-
-
-
63,137
29,299
92,436		 Film production
and distribution
£
114,954
-
-
-
164,697
1,241
-
-
-
-
-
-
-
31,153
-
-
95
-
-
-
-
-
311,950
87,896
399,846		 Support costs
£
16,605
-
-
-
-
-
-
48,814
2,420
1,374
1,575
619
4,351
18,889
14,491
823
-
5,918
164
258
894
117,195
(117,195)
-		 2021
2020
£
£
161,932
235,101
8,202
1,672
17,350
1,000
-
-
-
164,697
251,251
1,241
5,793
-
1,997
-
48,814
51,739
2,420
2,420
1,374
1,917
1,575
1,573
619
1,100
4,351
1,500
57,254
65,752
14,491
13,387
823
405
95
-
2,162
5,918
2,130
164
466
258
69
894
880
492,282
642,314
-
-
492,282
642,314

26

Medical Aid Films Limited

Notes to the financial statements For the year ended 31 December 2021

5 Charitable expenditure (continued)

Comparative charitable expenditure

6. Staff costs
Total employment costs for the year comprise:
Salaries and wages
Social security costs
Pension costs
Volunteer costs
Allocated to:
Cost of raising funds
Film production and distribution
Support costs
Governance costs
Cost of raising
funds
£
Staff costs (Note 6)
48,842
Cost of raising funds
Fundraising expenditure
1,672
Fundraising consultancy
1,000
PR literature and brochures
-
Direct costs
Film production and distribution
-
Other direct film costs
-
Medical expertise
-
Indirect and support costs
Office rent and expenses
-
Telephone
-
Website and IT costs
-
Insurance
-
Bank charges
-
Bookkeeping and payroll
-
Legal and professional
8,550
Governance costs
-

Conference attendance
-

Foreign currency loss
-
Recruitment cost
-

Staff training
-
Sundry
-
Depreciation
-
60,064
Support costs
32,389
Total charitable expenditure
92,453		 Film production
and distribution
£
161,913

-

-

-
251,251
5,793
1,997
-
-
-
-
-
-
29,580
-
-
2,162
-
-
-
-
452,696
97,165
549,861		 Film production
and distribution
£
161,913

-

-

-
251,251
5,793
1,997
-
-
-
-
-
-
29,580
-
-
2,162
-
-
-
-
452,696
97,165
549,861		 2021
2020
£
£
156,314
221,238
12,223
18,738
2,621
4,163
301
171,168
244,440
2021
2020
£
£
30,373
48,842
114,955
161,913
16,605
24,346
9,235
9,339
171,168
244,440
Support costs
2020
£
£
24,346
235,101
-
1,672
-
1,000
-

-
-

251,251
-
5,793
-
1,997
51,739
51,739
2,420

2,420
1,917

1,917
1,573
1,573
1,100
1,100
1,500

1,500
27,622
65,752

13,387
13,387
405
405
-
2,162
2,130
2,130
466
466
69
69
880
880
129,554
642,314
(129,554)
-
-
642,314
2021
£
156,314
12,223
2,621
171,168
2021
£
30,373
114,955
16,605
9,235
171,168

One employee received emoluments of between £80,000 and £90,000 in the year (2020: one employee – between £80,000 and £90,000).

27

Medical Aid Films Limited

Notes to the financial statements For the year ended 31 December 2021

7. Staff costs (continued)

Key management personnel include Trustees, Chief Executive, Senior Fundraiser, Production Manager and a Finance Manager. The total employee benefits including pension contributions of the key management personnel were £144,623 (2020: £151,984).

The average number of employees (head count based on number of
staff employed) during the year was as follows:
Raising funds
Film production and distribution support
Governance
The average monthly number of employees (full-time equivalent)
during the year was as follows:
Raising funds
Film production and distribution support
Governance		 2021
No.
1.0
3.0
1.0
5.0
2021
No.
0.5
1.6
0.1
2.2		 2020
No.
2.0
4.0
1.0
7.0
2020
No.
1.1
3.5
0.1
4.7

7. Pension obligations

The charity makes contributions to a NEST pension scheme. Employee and Employer contributions amounted to £11,378 (2020: £9,919). At the year end, there were no contributions outstanding (2020: none). The assets of the scheme are invested and managed independently of the finances of the Charity.

8. Related party transactions

There are no related party transactions to disclose for 2021 (2020: none). The total aggregate value of donations received from trustees was £11,800 (2020: £15,045).

9. Net incoming resources for the year

This is stated after charging:

2021 2020
£ £
Depreciation 894 808
Auditors’ remuneration: Current year Audit 5,256 4,380
Previous year over accrual 420

The Trustees currently don’t receive reimbursement for expenses incurred in attending meetings. No remuneration is paid to Trustees either.

28

Medical Aid Films Limited

Notes to the financial statements For the year ended 31 December 2021

10. Fixed assets

Cost
At the start of the year
Additions in the year
Disposals in the year
At the end of the year
Depreciation
At the start of the year
Charge for the year
Disposals in the year
At the end of the year
Net book value
At the end of the year
At the start of the year
11. Debtors
Debtors
Accrued income
Prepayments		 Project
equipment		 Film and
Office equipment		 Film and
Office equipment		 Total
£ £ £
-
-
-
-
-
-
-
-
-
-		 13,539
-
13,539
10,864
895
-
11,759
1,780
2,675
2021
£
31,381
6,943
1,238		 13,539
-
13,539
10,864
895
-
11,759
1,780
2,675





2020
£
76,385
15,130
1,233
92,748
39,562

All debtors above, with the exception of prepayments, are financial instruments and are measured at settlement value.

29

Medical Aid Films Limited

Notes to the financial statements For the year ended 31 December 2021

12. Creditors: amounts falling due within one year

Creditors
Taxation and social security
Other creditors
Accruals		 2021
£
11,735
(574)
575
41,441
53,177		 2020
£
32,860
9,397
19,700
33,142
95,099

All creditors above, with the exception of accruals, are financial instruments and are measured at settlement value. Included in other creditors are amounts owed to the pension scheme.

13. Analysis of net assets between funds

Restricted
funds
£
Tangible fixed assets
-
Net current assets
66,647
Net assets at the end of the
year
66,647
4. Movement in funds
Balance at
Income
2021
01/01/2021
£
£
Restricted funds:
Film production and
distribution
116,929
302,475
Salesforce development
5,260
-
Total restricted funds
122,229
302,475
Unrestricted funds
General funds
137,345
145,739
Total unrestricted funds
137,345
145,739
Total Charity funds
259,574
448,214		 Unrestricted
funds
£
1,780
147,079
148,859
Expenditure
Transfers
£
£
(360,000)
-
-
(360,000)
-
(132,282)
-
(132,282)
-
(492,282)
-		 Total
funds
£
1,780
213,726
215,506
Balance at
31/12/2021
£
59,404
5,260
Expenditure
£
(360,000)
(360,000)
(132,282)
(132,282)
(492,282)
**64,704 **
150,802
150,802
215,506

14. Movement in funds

30

Medical Aid Films Limited

Notes to the financial statements For the year ended 31 December 2021

Movement in funds (continued)

2020

Restricted funds:
Film production and
distribution
Salesforce development
Total restricted funds
Unrestricted funds
General funds
Total unrestricted funds
Total Charity funds		 Balance at
01/01/2020
£
157,217
6,860
164,077
55,868
55,868
219,945		 Income
£
487,366
-
487,366
194,577
194,577
681,943		 Expenditure
£
(527,614)
(1,600)
(529,214)
(113,110)
(113,110)
(642,314)		 Transfers
£
-
-
-
-
-
-		 Balance at
31/12/2020
£
116,969
5,260
122,229
137,345
137,345
259,574

Purposes of restricted funds

The restricted fund consists of donations and grants to Medical Aid Films Limited relating to the production of films and projects relating to:

15. Reconciliation of net income to net cash from operating activities

Net income for the reporting period
Depreciation charges
Dividends, interest and rent from investments
(Increase)/decrease in debtors
Increase/(decrease) in creditors
Net cash (used in)/provided by operating activities		 2021
£
(44,068)
890
(26)
53,186
(41,922)
(31,936)		 2020
£
39,629
880
(179)
34,718
54,604
129,652

31

Medical Aid Films Limited

Notes to the financial statements For the year ended 31 December 2021

16. Analysis of cash and equivalents

Cash in hand
Total cash and cash equivalents		 At 01/01/2021
259,250
259,250		 Cash flows
(32,058)
(32,058)		 At 31/12/2021
227,192
227,192

17. 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. At 31 December 2021 there were 10 (2020: 9) members.

18. Controlling party

There is no single ultimate controlling party.

19. Trading subsidiary

On 31/03/18 Medical Aid Films obtained 100% shares in a dormant trading subsidiary Medicdoc & Movies Ltd., which was dormant and subsequently dissolved in September 2020.

32