**Health Exchange Nepal (HExN) UK Charity Reg No 1124098 www.hexn.org** ## **Trustees’ Annual Report for the period 01/04/21 to 31/03/22** **Charity Name:** Health Exchange Nepal (UK). Other Name: HExN **Registered charity number:** 1124098 **Charity’s address:** 9 Hill Croft, Clayton-le Woods, Chorley, PR6 7EF - **Names of the trustees: Date Appointed** - 1. Satyan Rajbhandari 30/03/2008 2. Jeremy Ward 30/03/2008 3. Anil Tuladhar 30/03/2008 ## **Appointed by** Executive Committee Executive Committee Executive Committee ## **Names of the Executive Committee Members** 1. Jeremy Ward, Chairman 2. Satyan Rajbhandari, General Secretary 3. Sandesh Acharya, Communication Officer 4. Mohan Thapa, Treasurer 5. Stephen Ward, Committee Members 6. Bichhyan Rai, Committee Members 7. Ramesh Khoju, Committee Members ## **Structure, Governance and Management:** HExN is governed through its constitution. Membership for this charity is open to anyone who donates £5 per month. The number of active members varies between 95 - 105 as there are new members recruited and old members stopping subscriptions. The Executive committee is responsible for the day to day running of this charity. It can co-opt other executive members, as necessary. They are also responsible for appointing trustees. HExN avoids administrative cost apart from when it is necessary. Therefore, all funds raised go towards the good cause. All communication is done through email to improve efficiency. ## **Objectives & Activities:** The main aim of the charity is to promote the exchange of health professionals between Nepal and the UK. In recent years, HExN has been providing educational and clinical support to Nepal in various forms. We support several conferences in Nepal where UK health care professionals take part. HExN also raises fund and help in specific projects related to health and education. **Contact Address** Prof Satyan Rajbhandari Chorley & South Ribble Hospital, Chorley PR7 1PP, UK Tel: (44) 1257 245028 Satyan.rajbhandari@lthtr.nhs.uk ## **Health Exchange Nepal (HExN)** **UK Charity Reg No 1124098 www.hexn.org** ## **Achievements and Performance during year 2021/22:** Nepal was worst affected by the Delta variant of COVID in the early part of this financial year. So, most of our educational activities could be started only towards December. The focus this year had been help Nepal fight COVID infection. We concentrated mostly in providing much needed oxygen concentrators and ventilation equipment to Nepal. We worked with likeminded organisations like Nepalese Doctor’s Association, America Nepal Medical Foundation, various NHS trusts, So the Child May Live and BAPIO. We raised fund, collected equipment, and transported to various hospitals and health institutes in Nepal. In total during this pandemic, we distributed goods worth £150,000. **1. Oxygen Plant in COVID Hospital:** We teamed up with ANMF and NDA to provide oxygen plant to a purpose built COVID Hospital in Balaju, Kathmandu (Fig 1 & 2). This was run by Nepal army. We raised and donated £10,000 towards this cause. After COVID pandemic, this facility was decommissioned, and the oxygen plant was transferred to Children’s Hospital in Damak. **2. Model Hospital Support:** With ‘So the Child May Live’ charity, we supported Model Hospital in Kathmandu (Fig 3) with Oxygen Concentrators, BiPaP and CPaP machines for use in poor patients with COVID in Kathmandu. 1.Plans being made to convert Radha Soami Centre at Balaju, Kathmandu into COVID Hospital 2.Temporary hospital set up. 3.Oxygen concentrator and other respiratory support equipment supplied to Model Hospital **----- Start of picture text -----**
Figure 1
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Figure 2 Figure 3
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**Contact Address** Prof Satyan Rajbhandari Chorley & South Ribble Hospital, Chorley PR7 1PP, UK Tel: (44) 1257 245028 Satyan.rajbhandari@lthtr.nhs.uk ## **Health Exchange Nepal (HExN)** **UK Charity Reg No 1124098 www.hexn.org** **3. Lumbini Hospital Support:** Lumbini Hospital, although a zonal hospital, was not getting adequate support from the government at that time. With the help of BAPIO and other organisations in the UK, we were able to send 40 Oxygen concentrators directly from manufacturers in China to Lumbini Hospital in Nepal (Fig 4). **4. COVID Help:** We also supported many peripheral hospitals in Nepal during this time. There was a lack of oxygen supply and patients were suffering. We supplied oxygen concentrators (Fig 5 &6) to hospitals and health posts in Malangawa, Salyan, Rukum, Okhaldhunga, Dhading, Pyuthan, Trishuli, and Darbung. In addition, working with the NDA, we supplied (Fig 7) various ventilatory equipment to TU Teaching Hospital, Trauma Centre and Nepal Critical Care Society for use in very sick patients. Figure 4 Figure 5 4. Forty Oxygen concentrator sent to Lumbini Hospital directly from manufacturers in China 5. Oxygen concentrators supplied to Darbung 6. Oxygen concentrators used in Salyan 7. Packing of Respiratory equipment to send to Nepal Figure 6 Figure 7 **Contact Address** Prof Satyan Rajbhandari Chorley & South Ribble Hospital, Chorley PR7 1PP, UK Tel: (44) 1257 245028 Satyan.rajbhandari@lthtr.nhs.uk ## **Health Exchange Nepal (HExN)** **UK Charity Reg No 1124098 www.hexn.org** **5. Clinical Education:** Our main aim is the training of health care professionals in Nepal. In this financial year, this was limited due to COVID but still conducted following training programmes. - a. We conducted diabetes webinar during this period with the help of Diabetes Nepal (Fig 8). This was attended by almost 600 participants from all over the world. - b. Dr Deepak Upadhyaya was able to lead Child Protection Training on 9[th] & 10[th] Dec 2021 at Kanti Hospital (Fig 9). This was supported by Nepal Paediatric Association and So the Child May Live. - c. Dr Bishwas Shrestha conducted Basic Life support trainings aimed at high school children (Fig 10) in various schools. Similarly, Dr Sangeeta Shrestha was able to conduct eye check-up for students (Fig 11). We were delighted to support husband wife team in Nepal **----- Start of picture text -----**
Figure 8
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Figure 9 **----- Start of picture text -----**
Figure 10
Figure 11
8. Virtual Nephropathy in Diabetes Update on 11 [th]
Sep 2021
9. Child Protection Training on 9 [th] & 10 [th] Dec
2021
10. Basic Life Support training in Nepal
11. Eye screening programme in school.
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**Contact Address** Prof Satyan Rajbhandari Chorley & South Ribble Hospital, Chorley PR7 1PP, UK Tel: (44) 1257 245028 Satyan.rajbhandari@lthtr.nhs.uk **Health Exchange Nepal (HExN) UK Charity Reg No 1124098 www.hexn.org** - d. Neonatal Life Support (Fig 12) and Paediatric Intubation Training (Fig 13) were done locally in Nepal with the training manikin and simulators supplied by HExN. We are pleased that local team have developed their training programme. We hope to continue supporting them. Figure 13 12. NLS training in Nepal 13. Paediatric intubation training in Nepal. Both these trainings were done by Nepalese faculty with the training equipment supplied by HExN. Figure 12 - e. After pandemic, we were able to support Annual Diabetes Conference in Nepal. I led this with the help from Dr Sankalpa Neupane. We conducted national conference in Kathmandu (Fig 14), Regional conference in Dharan (Fig 15) and Workshop for nurses and nutritionists (Fig 16). During this visit we also made an agreement with Diabetes Nepal & MAHA Sanchar to make second part of the film ‘Diabetes’. **----- Start of picture text -----**
Figure 15
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Figure 14 **Contact Address** Prof Satyan Rajbhandari Chorley & South Ribble Hospital, Chorley PR7 1PP, UK Tel: (44) 1257 245028 Satyan.rajbhandari@lthtr.nhs.uk ## **Health Exchange Nepal (HExN)** **UK Charity Reg No 1124098 www.hexn.org** 14.Diabetes Nepal Meeting on 26th March 2022 in Kathmandu. 15 Regional Diabetes Conference on 23rd March 2022 in Dharan 16. Diabetes Workshop on 25th March 2022 in Padma Kanya Campus for nurses and nutritionists. Figure 16 **6. HExN Manchester 10K:** Due to lockdown and restriction during COVID pandemic, this was delayed, and we finally ran on 27[th] September 2021. We had a team of 35 runners who raised £18,000 for our cause (Figure 17). **7. Other fund raising:** Earlier this year, Dr Deoman Gurung ran half marathon to raise fund for HExN. Our president Mr Jeremy ward started to raise fund in preparation for Lands End to Joan O’ Groat cycling challenge (Fig 18). As other years, we received donations from various individuals. We also set up a fund for Bhaktapur Cancer Hospital in memory of Late Dr Bibek Pradhan and raised £5000 (Fig 19). 17. Manchester 10 K run with 35 runners raised £18000 18. HExN LE JOG cycling preparation. 19. Raising fund in memory of Late Dr Bibek B Pradhan Figure 17 Figure 18 Figure 19 ## **Contact Address** Prof Satyan Rajbhandari Chorley & South Ribble Hospital, Chorley PR7 1PP, UK Tel: (44) 1257 245028 Satyan.rajbhandari@lthtr.nhs.uk ## **Health Exchange Nepal (HExN)** **UK Charity Reg No 1124098 www.hexn.org** ## **Financial Review:** ## **Income:** Our fundraising activities improved this year as COVID was at its tail end. Our delayed annual Manchester 10K was done in September. IN total we raised £39261 through donations. |**INCOME**|**AMOUNT**| |---|---| |Members Donation|£6,144| |Manchester 10KChallenge|£18,020| |Raisedin memory of LateBibek Pradhan|£4,972| |Just GivingFundRaising|£3,458| |Other Fund Raising|£17| |Individuals one off Donations|£2,650| |SoThe ChileMayLive|£4,000| |**TOTAL**|**£39,261**| ## **Expenditures:** This year our main expenditure has gone to provide support to Nepal for COVID. We continued to provide Clinical and educational support to Nepal too. |**EXPENSES**|**AMOUNT**| |---|---| |Neonatal Intubation Set|£502| |Oxygen Plant|£10,000| |COVID Equipment|£21,134| |Clinical Education|£2,572| |Chid Protection Training|£2,500| |Other expenses|£216| |Manchester 10 K Cost|£2,165| |**TOTAL**|**£ 39,089**| ||| |Balance Carried forward from last year|£**82,652**| |Balance this year|**£172**| |**New Balance on 31st March 2022**|**£82,824**| ## **Declaration:** There has not been any significant event this year and our charity has performed as expected. Signed on behalf of trustees Prof Satyan Rajbhandari General Secretary, HExN **Date:** 9[th] January 2023 **Contact Address** Prof Satyan Rajbhandari Chorley & South Ribble Hospital, Chorley PR7 1PP, UK Tel: (44) 1257 245028 Satyan.rajbhandari@lthtr.nhs.uk ## Charity Name **No (if any) 1124098** **Health Exchanger Nepal** ## **Receipts and payments accounts** **----- Start of picture text -----**
For the period Period start date Period end date
To
from 1st April 2021 31st March 2022
Section A Receipts and payments
Unrestricted Restricted Endowment
Total funds
funds funds funds
to the nearest
to the nearest £ to the nearest £ to the nearest £
£
A1 Receipts
Members Donation £6,144 - - 6,144
Manchester 10K Challenge £22,992 - - 22,992
Just Giving Fund Raising £3,458 - - 3,458
Other Fund Raising £17 - - 17
Individual One off Donations £2,650 - - 2,650
So The Chile May Live £4,000 4,000
- - -
- - -
- - -
39,261 - - 39,261
Sub total (Gross income for AR)
A2 Asset and investment sales,
(see table).
- - - -
- - - -
Sub total - - - -
Total receipts 39,261 - - 39,261
A3 Payments
Neonatal Intubation Set £502 - - 502
Oxygen Plant £10,000 - - 10,000
COVID Equipment £21,134 - - 21,134
Clinical Education £2,572 - - 2,572
Chid Protection Trainining £2,500 - - 2,500
Other expenses £216 - - 216
Manchester 10 K Cost £2,165 - - 2,165
- - -
- - -
Sub total [ 39,089 ] - - 39,089
A4 Asset and investment
purchases, (see table)
- - - -
- - - -
Sub total [ - ] - - -
Total payments 39,089 - - 39,089
Net of receipts/(payments) 172 - - 172
A5 Transfers between funds - - - -
A6 Cash funds last year end 82,652 - - 82,652
Cash funds this year end 82,824 - - 82,824
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## **Section B Statement of assets and liabilities at the end of the period** ||||**Unrestricted**||**Restricted**| |---|---|---|---|---|---| |**Categories**|**Details**||**funds**||**funds**| |**B1 Cash funds**||**_Total cash funds_**|**to nearest £**
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account(s))|Agreement Error|OK|| ||||**Unrestricted**||**Restricted**| ||||**funds**||**funds**| |**B2 Other monetary assets**|**Details**||**to nearest £**
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**asset belongs**|**Cost (optional)**
**-**|| |**charity’s own use**||||






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|**-**
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**(optional)**| |Signed by one or two trustees on
behalf of all the trustees||Signature|Print|Name|| ||||Satyan Rajbhandari||| **----- Start of picture text -----**
CC16a
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## **Last year** ## **to the nearest £** **-** **-** **-** **-** ## **Endowment funds** **to nearest £ - - - -** OK **Endowment funds to nearest £ - - - - - -** **Current value (optional) - - - - -** **Current value (optional)** **When due (optional)** **----- Start of picture text -----**
Date of
approval
12/27/2022
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CHARITY COMMISSION I Independent examiner's report on the FOR E￿LAND AND WALES accounts Section A. ir:"tr.' i.."s..- Independent Examlnerfs Report Report to the tfusto rnomberj of H8*th Exchw Nepal On accounts for tho y•ar ended 31m 2022 Charty no 1124098 (If any) I I report to the tru￿ on my exarninalh)n ofth8 accounts ofthe obove chwrty fthe TnMtI tre year ended 31. March 2021. AS thariWS tr￿lee9, you are re8WN8it4e forthe preparation of the accounts in acci*d8nce ￿1th ts requirements offv Chanti88 Ad 2011 rthe Adl. Rosponslbllltles and basis of r•port I rewt in rpspact of my examin*"on of the Tntst's accounts camed out under 8edion 145 of thè 2011 Act and in carying out my examination. I hav2 fcllchved all ts ap￿I￿able Direction5 gNen by Chanty Commis8lt urKleT 59(aM)n 1495Mb) ol ts A Independent examineVg ststsment u to ing a qualrfied member of fin5Wt name of I CfKnplded my examinalion. S confmi thal M maten'al matter5 have rA)m8 to my attention in (x)nnection I￿¢h the examination t6lhtr4 dv¥8trWI gfve9 m8 cwAelo tekeve that in, any material the arxountsr¥J ￿1￿9 v￿Q rKrt keFrt in accthivKe with aect￿n 130 of the Charit￿ Act," or a¢counts dKI not acc)xd with accountsr¥J records; c the a￿￿nIS dHI not wilh the applicalJe r4uirements ¢orKemiTh3 the form and content of accounts set oul in the Ch*rties (Attounls and ReFKKts) Regulations 2(MJ8 cther than any requirem8nt that Ihe a¢coLrts gNe a Iru8 aThJ lairf view which is Th>t a matter c1￿5￿Jer￿￿ as part of an independent examinatijn. I have rm) Gonc*ms arml have Con￿ across no othef matters in connect th the exwTrination lo attents'on should ￿ drawn in this report in order lo enatrfe a ￿c￿er understsnthng of th8 acc¥)unts to be reaehed. delete the the brackets Kll￿y ¢*) nol apply. Sign•d: Name.. Jona an Mulkr Relev•nt profe¥slonal qualMcatlon(sl or l￿dY re51trAt Certifwj Putrlic Aca)untant IER Oct 2018 111 any): Addrn••: Sectioii B Disclosure Only complete Il Ihe eiaminer needs to n+ghligni maienal matters ol conr£m (see CC32. IrKIep￿m18nf ex*n￿all￿) of charity wxourts.. direcam guKl8nce for exaniner3}. Gri• h•rn briel d•tsll• of I any Item¥ that tho •xamln•r w1¥h￿ to dlsclos•, IER Oct 2018 CHARITY COMMISSION FOR INGLAND ANO WALES Charil Name Health ExchangBr Ne￿1 112409B Receipts and payments accounts CC16a For Ihe period Irom To 31s1 March Section A Receipts and payments Unrestricted lunds Re$lrl¢ted fund5 Endowment fund5 Total funds Last year lothe I￿￿5t C toth• (*ar•51 É tot￿ E A1 Receipts lenibeis Dona119n Maiichesler 10K Challen Just Giwin Fund Raisin Other Fund Ra151 Indi¥i(lual Ollp ott Donal￿n$ So The Chile M3 Live 16 144 £22 992 3.458 117 £2 650 £4.(KKI 6.144 22.992 3.456 17 1650 Sub totaiiGross income for ARI J9.261 39.261 A2 Asset and investment Sates, (see table). Sub Igtal 39.261 39261 AJ Paymenls Neonatal lfjlubaiion Sel en Planl COVID E £502 flo￿0 1 134 502 1D,LV) .134 2.572 ment £2.500 £216 [2.165 Other ex enses Manchesler 10 K Cost 216 1165 Sub lotal A4 Asset and investment purchases.15ee lablel Sub total Tolalpaymenls J9,089 39.oe9 Net of rKeipts/fpaymentsJ A5 Transfers belween fund5 A6 Cash lunds last year end Cash funds this year end 172 172 82.652 62,024 82,65Z 82.824 CCXX R1 a￿o￿nIS ISSI 1r2023 Section B Ststement of assets and liabilities at the end of the period Unre5trlcted fund$ Restricted lunds n•arest E Endowment lunds to r*•re$iE B1 Cash lund¥ Tolal cash funds Unrestricied lunds to rw•at•Si£ Restricted funds to nearest£ Endowm8ni funds to rwr•sr £ Details 2 Other mon•iary assets Fund CurreTrt valu t*on41 Details B3 Investment a$$•ts ¢urr*nt val IM)n41 Deiails s•t B4 Assets retained for thè charity's own use Fundlo whi¢h relaies Afftounttlu• ion When du• b(K471 Doiails 85 Liabillti SwJn8d by 0￿ Of hvo tsustees on behalf of all the Iruslees Signature Prinl Name Date of ioval an Ra bhaNJan 2711212022 CCXJ R2 8ccounts ISS >Y01Q023