**Health Exchange Nepal (HExN) UK Charity Reg No 1124098 www.hexn.org** ## **Trustees’ Annual Report for the period 01/04/23 to 31/03/24** **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 operates under its constitution, with membership available to anyone who donates £5 per month. The active membership fluctuates between 95 and 105 due to new recruits and cancellations. The Executive Committee manages the charity's daily operations and can coopt additional members as needed. They also appoint trustees who oversee the running of charity. To minimize administrative costs, HExN ensures that all funds raised are directed towards its cause. Communication is conducted via email to enhance efficiency. ## **Objectives & Activities:** The primary goal of HExN is to facilitate the exchange of health professionals between Nepal and the UK. The charity offers educational and clinical support to Nepal in various ways. This includes sponsoring conferences in Nepal with participation from UK experts and supporting Nepali healthcare professionals to train in the UK. Additionally, HExN raises funds for specific health and education projects as needed **Contact Address** Prof Satyan Rajbhandari Chorley & South Ribble Hospital, Chorley PR7 1PP, UK Tel: (44) 1257 245028 Satyan.rajbhandari@lthtr.nhs.uk ## Tm + 7 **Health Exchange Nepal (HExN)** **UK Charity Reg No 1124098 www.hexn.org** ## **Achievements and Performance during year 2023/24:** Our usual activities resumed both in Nepal and the UK. We caught up with many training programme, which were withheld due to COVID. ## **General Medicine Training in Nepal** This year, we collaborated closely with the Society of International Medicine of Nepal and the Royal College of Physicians of Edinburgh to further develop postgraduate medical training in Nepal. We organized the visit of Prof. Andrew Elder, the RCPE President, to Nepal and participated in the SIMON International Conference in 2023. HExN conducted workshop in Acute Medicine in National Academy of Medical Science. We also helped in Roll Signing Ceremony of RCPE in Nepal where many Nepali doctors were awarded FRCP Diploma. Our strong relationship with the UK college facilitated the establishment of the MRCP PACES Centre for South Asia in Kathmandu, with support from the Federation of the Royal Colleges of Physicians. The first exam was successfully conducted in March 2023 at Mediciti Hospital. **Clockwise from top left:** With examiners and volunteers during the first MRCP PACES in Nepal at Mecdiciti Hospital. RCPE President Prof Elder addressing Roll signing Ceremony. Acute Medicine Workshop in National Academy of Medical Science, Bir Hospital Newly elected FRCP at RCPE Roll signing ceremony in Kathmandu, Nepal. ## **Diabetes meeting:** HExN conducted a short training programme in diabetes to community health workers in Dakshinkali, Nepal and distributed Glucose monitoring device. **Contact Address** Prof Satyan Rajbhandari Chorley & South Ribble Hospital, Chorley PR7 1PP, UK Tel: (44) 1257 245028 Satyan.rajbhandari@lthtr.nhs.uk ## r + 7 **Health Exchange Nepal (HExN)** es **UK Charity Reg No 1124098** J Py **www.hexn.org** ## **Training in Surgery** This year, as always, we conducted laparoscopic surgery training at Dhulikhel Hospital and added another session in Pokhara. We also held a NOTTS (Non-Technical Skills for Surgeons) course. Kamal Aryal played a key role in organising these courses. **Clockwise from top left** : Annual Laparoscopic surgery course in Dhulikhle Hospital. NOTTS course in TUTH, Kathmandu. Kamal helping trainee in Pokhara at simulation training. ## **Kathmandu Institute of Child Health (KIOCH):** We introduced KIOCH in the UK by inviting its founder, Bhagwan Koirala, to the Speaker’s House in the Palace of Westminster. Sir Lindsay Hoyle welcomed him and introduced him to MPs and many distinguished guests. We also helped organise local meetings and raised funds for KIOCH, which were handed over to a newly formed charity called KPALS UK. **From Top left:** Meeting at Speaker’s House, with speaker, KIOCH Hospital under construction ## **Maxillofacial surgery** We have supported the Cranio-facial Centre in Janakpur since its inception, facilitating visits from numerous UK surgeons. This year, Rabin Pratap Singh led the 3rd Kathmandu Head & Neck Surgery course, which is accredited by the Royal College of Surgeons of Edinburgh and was very well-received. ## **Contact Address** Prof Satyan Rajbhandari Chorley & South Ribble Hospital, Chorley PR7 1PP, UK Tel: (44) 1257 245028 Satyan.rajbhandari@lthtr.nhs.uk ## * 7 **Health Exchange Nepal (HExN)** **UK Charity Reg No 1124098 www.hexn.org** ## **Charity Ball** We celebrated HExN's 15th Anniversary Crystal Charity Ball on 29[th] September 2023. The event was graced by the Speaker of the UK Parliament, Sir Lindsay Hoyle, as the chief guest. It was attended by ambassadors, presidents of Royal Colleges, members of parliament, and many other distinguished guests. Sanita played a key role in organising this memorable event. **Clockwise from top left** : Chief guests, Charity dinner pre-dinner drinks,. Relaxing after dinner, ## **Clinical Meetings:** This year, we supported numerous other meetings. Shambhu Acharya assisted with a difficult airway workshop for the Society of Anaesthesiologists of Nepal. Additionally, we supported the Himalayan Vascular Society's first meeting in Kathmandu and the Nepal Society of Obstetricians and Gynaecologists with their annual award. **From Left:** Supported Bindu Kafle Award, Workshop in Mediciti and NAMS **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** ## **Training Nepalese Care Worker:** In collaboration with So The Child May Live and the Nepal Paediatric Society, we continued our Child Protection training program across various institutes in Nepal. Additionally, we supported the Nepal Life Support Foundation in conducting Basic Life Support training sessions for diverse groups, including police officers, school staff, members of parliament, and social workers. **----- Start of picture text -----**
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From Top Left: Child protection training programme at TU Teaching Hospital, Basic Life support training to police officers in Nepal ## **Support to various Institution in Nepal:** We supported Bhaktapur Cancer Hospital by providing anaesthetic instruments, including monitors, disposable laryngeal masks, and bronchoscopes, with the help of Ramesh Khoju. Additionally, we assisted in constructing a patient waiting room at the hospital. The oxygen plant we helped establish during COVID was donated to Damak Hospital. We also donated advanced airway equipment to the National Simulation Lab at Bir Hospital. **From Left:** Oxygen plant to Damak, Anaesthetic equipment to NAMS, Patient waiting room ## **Manchester 10K:** As every year we raised fund with Manchester 10 K run on 21[st] May 2023. **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** ## **Other works:** This year we supported Dr Sujan Poudel at Alderhey Hospital for Paediatric Orthopaedic Training. Dr Ramesh Khoju represented HExN in Nepal Embassy meeting. Pramita represented HExN in KIOCH meeting. ## **Financial Review:** ## **Income:** Our fundraising improved this year. Our activities also increased substantially as there were many pending projects and training programme. This year our fund collection was augmented with gift aid refund. So our finances are looking healthy. |**INCOME**|**AMOUNT**| |---|---| |MembersDonation|£ 6,389| |CharityBall FundRaising|£ 14,781| |Manchester 10K FundRaising|£ 11118| |KIOCH Fund Raising|£ 8069| |HMRC GiftAid|£ 17472| |Individual Donation from various people|£ 12552| |Bank Interest|£1421| |So The Child May Live|£ 1500| |RCPE|£ 1500| |Other Donation|£2065| |**TOTAL**|**£ 76867**| ## **Expenditures:** This year our main expenditure has gone to provide clinical and educational support to Nepal. We also supported various hospitals to pump prime funds to start new services. This has resulted in more expenditure in comparison to fundraising. |**EXPENSES**|**AMOUNT**| |---|---| |Manchester 10 K Expenses|£ 3735| |KPALS|£ 9599| |HExN Training in Nepal|£ 7682| |UK Training for Nepali doctors|£ 2400| |Charity Dinner cost|£ 7677| |SIMON RCPE Cost|£ 2146| |Equipment for Nepal|£ 1948| |Just Giving Subscription Cost|£ 360| |Website cost|£ 299| |UK facultyTravel|£13501| |**TOTAL**|**£ 49,347**| ## **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** Balance Carried forward from last year £ 74,241 Balance this year £ 27,519 **New Balance on 31st March 2023 £ 101,760** ## **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:** 30[th] November 2024 **Contact Address** Prof Satyan Rajbhandari Chorley & South Ribble Hospital, Chorley PR7 1PP, UK Tel: (44) 1257 245028 Satyan.rajbhandari@lthtr.nhs.uk ||CharityName|||||**No (if any)**|**No (if any)**||| |---|---|---|---|---|---|---|---|---|---| ||**Health Exchanger Nepal**|**Health Exchanger Nepal**||||**1124098**|||| ||**Receipts andpayments accounts**||||||||**CC16a**| ||**For the period**
**from**
~~**e**e ~~||Period start date
**To**
Period end date
1st April 2023
31st March 2024
~~eee~~||||||| |**Section A Receipts and payments**|||||||||| ||**Unrestricted**
**funds**||**Restricted**
**funds**||**Endowment**
**funds**||**Total funds**||**Last year**| ||**to the nearest £**||**to the nearest £**||**to the nearest £**||**to the nearest £**||**to the nearest £**| |**A1 Receipts**|||||||||| |Members Donation|£6,389||**-**||**-**||**6,389**||**-**| |CharityBall Fund Raising|£14,781||**-**||**-**||**14,781**||**-**| |Manchester 10k Fund raising|£11,118||**-**||**-**||**11,118**||**-**| |KIOCH Fund Raising|£8,069||**-**||**-**||**8,069**||**-**| |HMRC Giftaid|£17,472||**-**||**-**||**17,472**||**-**| |Other Donation|£14,617||||||**14,617**||| |So the Child MayLive|£1,500||**-**||**-**||**1,500**||**-**| |Royal College|£1,500||**-**||**-**||**1,500**||**-**| |Bank Interest|£1,421||**-**||**-**||**1,421**||**-**| |**_Sub total_**_(Gross income for AR)_|**76,867**
_(Gross income for AR)_||**-**||**-**||**76,867**||**-**| |**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**_Sub total_ -**
**-**
**-**
**-**
**-**
**_Total receipts_ 76,867**
**-**
**-**
**76,867**
**-**
**A2 Asset and investment sales,**
**(see table).**
~~——————~~|||||||||| |**A3 Payments**|||||||||| |Manchester 10 K Expenses|£3,735||**-**||**-**||**3,735**||**-**| |KPALS|£9,599||**-**||**-**||**9,599**||**-**| |UK Trainingfor Nepali doctors|£2,400||**-**||**-**||**2,400**||**-**| |CharityDinner Cost|£7,677||**-**||**-**||**7,677**||**-**| |SIMON RCPE Cost|£2,146||**-**||**-**||**2,146**||**-**| |Equipment for Nepal|£1,948||**-**||**-**||**1,948**||**-**| |JustGivingSubscription|£360||**-**||**-**||**360**||**-**| |Website cost|£299||**-**||**-**||**299**||**-**| |HExN Trainingin Nepal|£21,183||**-**||**-**||**21,183**||**-**| |**_Sub total_ 49,347**|||**-**||**-**||**49,347**||**-**| |**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**_Sub total_ -**
**-**
**-**
**-**
**-**
**_Total payments_ 49,347**
**-**
**-**
**49,347**
**-**
**A4 Asset and investment**
**purchases, (see table)**
~~—————~~|||||||||| |**_Net of receipts/(payments)_ 27,520**
**-**
**-**
**27,520**
**-**
**A5 Transfers between funds**
**-**
**-**
**-**
**-**
**-**
**A6 Cash funds last year end**
**74,241**
**-**
**-**
**74,241**
**-**
**_Cash funds this year end_ 101,761**
**-**
**-**
**101,761**
**-**
~~=SSS~~|||||||||| ## **Section B Statement of assets and liabilities at the end of the period** |**Categories**
**B1 Cash funds**
**B2 Other monetary assets**
**B3 Investment assets**
**B5 Liabilities**
**B4 Assets retained for the**
**charity’s own use**
Signed by one or two trustees on
behalf of all the trustees|**Details**
**Details**
95 Day Liquidity Manager Fund
**Details**
**Details**
**Details**
Signature
**_Total cash funds_**
(agree balances with receipts and payments
account(s))|**to nearest £**
**to nearest £**
**50,339**
**-**
**-**
**-**
**-**
**-**
**50,339**
**-**
Agreement Error
OK
**to nearest £**
**to nearest £**
**51,422**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**Cost (optional)**
**-**
**-**
**-**
**-**
**-**
**Cost (optional)**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
**-**
Print Name
Satyan Rajbhandari
**Unrestricted**
**funds**
**Restricted**
**funds**
**Unrestricted**
**funds**
**Restricted**
**funds**
**Fund to which**
**asset belongs**
**Fund to which**
**asset belongs**
**Fund to which**
**liability relates**
**Amount due**
**(optional)**|**to nearest £**
**Endowment**
**funds**| |---|---|---|---| ||||**-**| ||||**-**| ||||**-**| ||||**-**| ||||OK| ||||**to nearest £**
**Endowment**
**funds**| ||||**-**| ||||**-**| ||||**-**| ||||**-**| ||||**-**| ||||**-**| ||||**Current value**
**(optional)**| ||||**-**| ||||**-**| ||||**-**| ||||**-**| ||||**-**| ||||**Current value**
**(optional)**| ||||**-**| ||||**-**| ||||**-**| ||||**-**| ||||**-**| ||||**-**| ||||**-**| ||||**-**| ||||**-**| ||||**When due**
**(optional)**| ||||| ||||| ||||| ||||| ||||| ||||| ||||Date of
approval| |||Satyan Rajbhandari|11/30/2024| ||||| CHARlryI COMMISSION FOR ENGLAND AND WALES Independent examiner's report on the accounts Section A Independent ExamlneVs Report Report to the trusteesl members of Héalth ExGhang8 Nepal On accounts for the year ondod 31st March 2024 CharSty no (If any) 1124098 Sgt out on pages I r8POrt to the trustees on my examination of the accounts of the above chartyllhe Trust.) for the yèar ended Respon31bllitigs and As the chaiity trustees, you ar8 responsible for the preparation of the ba815 of report accounts in accordance wlth the Charities Act 2011 ("the Act"). I report in respect of my examination of th8 Trust's accounts carried out und8r section 145 of the 2011 Act and in carrying out my examination. I have followed all the applicable Directions given by the Charity Commisslon under section 14q5)(b) of the Act. Independent exarnlnerfs statsment s gross incL)me exc undertake the pplicable liste 0,000 and l am uali ember of [insert name . Del& I have completed4my examination. I conflrm that no material matters have come to my attention (other than that dis(4osed below '} In connection with the examination which gives me cause to believe that in, any material respect,: the accounting record6 were not kept in accord8nce with sectlon 130 of the Act; or th8 accounts did not accord with the accounting records: or the accounts did not comply with the applicabl8 r￿uirements concerning the fonn and content of accounts 88t OLrt in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a 'true and fairf view which is not a matter considered as part of an independent examination. I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper underslanding of the accounts to be reached. Ple de19tg the words in the brackgts rfthey do not apply. Slgned: Date: Nama: Relevanl professional qualiflcatlon{s) or body (If any): Celi furytsl ACCOUNTANTJ LTI i * R¢ar &12 Lonthn Slre" IER October 2018 Address: GMR Accounts Ltd 1st Floor 8-12 London Street Section Dls¢losure Only complete if the examiner needs to highlight matters of concern (see CC32. Independent examination of charity accounts: directions and guidance for examiners). Glve here detall8 of any Items that the examlnor w18hes to dlsclosè. IER October 2018 CHARITY COmMIS￿oN Cha Name FOR EN6IAND AND WALES Ho•lth Ex¢h•ngor N•pal 11241M Receipts and payments accounts CC16a For th8 perfod from 1slA 12023 To 315t March 2024 Section A Receipts and payment4 Unvo5trict¢d Rostncted fund fund5 Enaowmént nds Tolal fundA Last ye•r Il* lothe n•ar••t£ toth• M4rn¥t£ ta th• n•arnit£ to th• nvm*t£ A1 Recolpts Members Donation Charl Ball Fund R81SI Mgnchesler 10k Fund raisln KIOCH Fund Ra￿1n HMRC GlftaKI Other Donallon So the Child Ma Llv8 Ro 01 Colle Bank Inlwesl tota É6.389 £14761 £11.118 14781 11.110 £17472 £14.617 £1500 17A72 ross income AR) A2 As8•t and Inv••tm•nt 8al#, 1808 tabl•). Sub total 78,867 A3 P8ym8nts M8nchestsr10 K Ex KPALS UK Trainin for Ne Ch8 Dlnner Cost SIMON RCPE C061 ment for Ne al Ju81Glvln Website cost HEXN Tralnln 8ns88 ali doctor8 7M7T 2.1 on £360 £299 £21183 4PJ47 inN¢ al Sub total 4•.347 A4 AB8et and InvèJtmonl urchaB•s. 888 tsbl• Sub total 49.347 49¥T N•t ol r•celpts/(payments) AS Trnn8f•rs botweon fund¥ A6 Cash funds last year8nd Cash funds thls year•nd 74,241 101.761 74241 lQl.701 CCXX R1 a￿ts Iss) 2811112024 Section B Statement of assets and liabilities at the eiid of the periop Unrestrrcted funds to ￿rnIt£ Restricteo funds funds to n•arnst£ B1 Cash fundg 50,339 Total cash ftinds 60,33• l•Jwg bthc•*wi recthFawd pKtrr*ni8 thx￿￿[8]} Unre8trlcted funds to near••t£ 01M22 R88trlctsd funds to n•arnal£ Endowment lund8 to n••re*£ B2 Olher monetary as8et• OS Day L￿ukI￿Y ￿￿*a8rFUnd Fund to whlch irt b•lo Cury•nt Cu•t lopUon#l) B3 Inveglmont a88et8 Furmlto whloh •M•tbelo Co¥t loptlM•D c￿lI*￿t¥41u• B4 Assets rnialn8d for tha charlty'8 own use Fynd tgwhlch Amount du• IVh•n du• BS Llabllltle• Slgned by one Iru8ta85 on behawof 011 th&tru6tO88 Signature Print Name Dale of roval Ra bhandarl 30111r2024 CCXX R2 *¢c￿nts ISSI 28111r2024