2025-03-31-accounts

Health Exchange Nepal (HExN) UK Charity Reg No 1124098 www.hexn.org

Trustees’ Annual Report for the period 01/04/24 to 31/03/25

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:

• 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: [phone] [e-mail]

Cc * 7 Health Exchange Nepal (HExN)

UK Charity Reg No 1124098 www.hexn.org

Achievements and Performance during year 2024/25:

Over the past year, we achieved significant milestones in training delivery and support across Nepal. Through strategic partnerships and collaborative initiatives, we strengthened healthcare capacity, advanced clinical education, and promoted community well-being.

Diabetes Meetings in Nepal:

HExN was proud to support Diabetes Nepal in hosting their Annual International Diabetes Conference in Nepal. The event was graced by the Honourable Vice President of Nepal, Ram Sahay Yadav, as the chief guest. Dhulikhel Hospital was commended for its outstanding contributions to diabetes care in Nepal. addition to the main conference, HExN facilitated a regional diabetes meeting in Dhangadhi, which was first major meeting there with International speakers. We also organised a dedicated session for nutritionists focusing on diabetes management at Padma Kanya College.

In the

: | ‘ IL i h, ut Clockwise from top: Award given to Dhulikhel Hospital, Meeting in Padma Kanya College, Inauguration of International Conference by Honourable Vice President of Nepal Ram Sahay Yadav and Meeting in Dhangadhi

Contact Address

Prof Satyan Rajbhandari Chorley & South Ribble Hospital, Chorley PR7 1PP, UK Tel: [phone] [e-mail]

Health Exchange Nepal (HExN)

UK Charity Reg No 1124098 www.hexn.org

Surgical Training in Nepal: In collaboration with The Royal College of Surgeons of Edinburgh and the Nepalese Doctors' Association UK, we supported the delivery of multiple surgical training programmes across Nepal. These included: Laparoscopic Surgery Course at Dhulikhel Hospital (Right), The NOTSS (NonTechnical Skills for Surgeons) course at the Institute of Medicine Teaching Hospital (Below left) and Laparoscopic Surgery Course hosted at Karnali Academy of Health Sciences (Below left)

These initiatives aimed to strengthen surgical competencies and enhance patient safety through advanced education and practical skill development.

Charity Dinner: On 13 September 2024, we hosted a memorable fundraising dinner at Alder Hey Hospital in partnership with So The Child May Live. The evening featured an inspiring appearance by the remarkable Hari Budha Magar, whose story captivated attendees and brought incredible energy to the event.

Contact Address

Prof Satyan Rajbhandari Chorley & South Ribble Hospital, Chorley PR7 1PP, UK Tel: [phone] [e-mail]

Health Exchange Nepal (HExN)

UK Charity Reg No 1124098 www.hexn.org

Nepali Health Mela: In collaboration with the Nepalese Doctors' Association UK, Newcastle Sevak, and Hindu Temple Newcastle, we hosted a vibrant Nepali Health Mela focused on preventive care and community engagement. Approximately 100 attendees received free health screenings, covering Diabetes, Cholesterol, Blood pressure, Atrial fibrillation and Dental health. The event drew strong local interest and was honoured by the presence of several dignitaries, including the local MP Chi Onwurah, highlighting the shared commitment to public health and wellness across communities.

Child Protection training program: Through a tri-partite agreement with So The Child May Live and the Nepal Paediatric Society, we launched a two-year initiative to deliver Child Protection training programmes across a range of institutions in Nepal. This collaborative effort aimed to strengthen safeguarding practices and raise awareness of children's rights and welfare within clinical and educational settings. This project costs £15000 and runs over two years. This partnership underscores a shared commitment to improving child health and safety through capacity building and knowledge dissemination.

Contact Address

Prof Satyan Rajbhandari Chorley & South Ribble Hospital, Chorley PR7 1PP, UK Tel: [phone] [e-mail]

rc ‘ + Health Exchange Nepal (HExN)

UK Charity Reg No 1124098 www.hexn.org

Support to Institutes in Nepal: We received two laparoscopic surgery sets from Fulwood Hospital, which were instrumental in facilitating surgical training programmes at Dhulikhel Hospital. Following the completion of training, one of the sets was generously donated to Dhading Hospital to strengthen its surgical capabilities and expand patient access to minimally invasive procedures. In addition to this contribution, we provided support to several institutions across Nepal through the donation of medical instruments and targeted funding, further enhancing healthcare infrastructure and professional development.

Clockwise from top left: Fulwood Hall Hospital donating Laparoscopic Surgery set, Donation to educated deprived Child & Youth, Handover of Simulator to KAHS, Donation to Paediatric Dept of Dhulikhle hospital and donating training equipment to NAMS.

Clinical Training in Nepal: Our strong relationship with the UK colleges facilitated the establishment of the MRCP PACES Centre in Kathmandu. We supported “Bindu Kafle” Award during NESOG 2025 conference ( Below Left). We supported Airway workshop during SAN conference (Right) and MBCT programme in Nepal with Namaste Mindfulness Project (Below Right).

Contact Address

Prof Satyan Rajbhandari Chorley & South Ribble Hospital, Chorley PR7 1PP, UK Tel: [phone] [e-mail]

Health Exchange Nepal (HExN)

UK Charity Reg No 1124098 www.hexn.org

Manchester 10K: As every year we raised fund with Manchester 10 K run on 26[st] May 2024 and raised money to continue our work. As in previous years we celebrated this with dinner.

In addition to these, we continued our collaboration with the Nepal Life Support Foundation to expand the reach of Basic Life Support training across Nepal (Right). This vital programme has been successfully delivered in numerous schools and institutions, equipping educators, students, and staff with lifesaving emergency response skills. Dr Jagadish .» =. rT Thapa from Dhulikhel Hospital was awarded HExN Travel Fellowship in Spine at The Royal Orthopedic Hospital, ies ue = Birmingham (Left).

Financial Review:

Income:

Our fundraising and expenses are nearly balanced this year. Our activities have also maintained and we have collaborated with many institutions. So our finances are looking healthy.

healthy.
INCOME	AMOUNT
MembersDonation	£6,234
Other Donation	£4,780
OnlineFundraising	£10,861
Bank Interest	£1,999
Surgical trainingFundraising	£3,325
So the ChildMayLive contribution	£6,300
TOTAL	£ 33,499

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.

Contact Address Prof Satyan Rajbhandari Chorley & South Ribble Hospital, Chorley PR7 1PP, UK Tel: [phone] [e-mail]

Health Exchange Nepal (HExN)

UK Charity Reg No 1124098 www.hexn.org

EXPENSES	AMOUNT
Lap Surgery Expenses	£7,507
Subscription and other cost	£1,478
UK Training for Nepali doctors	£1,200
Diff meeting in Nepal	£2,099
Manchester 10K Cost	£1,713
Children & Youth Foundation Nepal	£2,000
Dhulikhel HospPaediatric Dept	£3,049
Equipment for training	£496
Child Protection Training	£11,000
TOTAL	£30,542

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: 24[th] July 2025

Contact Address

Prof Satyan Rajbhandari Chorley & South Ribble Hospital, Chorley PR7 1PP, UK Tel: [phone] [e-mail]

CHARITY COMMISSION FOR ENGIANO AND WALES Cha Name Health Exchanger Nepal 1124098 Receipts and payments accounts CC16a For the period from To 151 12024 31st Marth 2025 Section A Receipts and payments Unrestricted funds Restricted funds Endowment funds Total lunds last year tothe n*4￿5t £ to the nearestE iolhe neare5t£ tothe nearest£ totho neare5t£ A1 Receipts Members Donation Other Donation Online Fund iaisin Bank Intetest La Sur e Fund raisin So the Child aA8 Live £6.234 £4 780 £10,861 £1 999 £3.325 £6 300 6,234 4,780 10.861 3,325 6.300 Sub total{Gross Income for AR) 33A99 3J.499 A2 Asset and investment sales, Isee table). Sub total 33,499 33,499 A3 Payments L3 Sur Ex Subscri titsn and other cost UK Tiainin lor Ne ali doctors Diff ￿￿e(In InNe Manchester 1 OK Cost Children Foundation Ne al Dhulikhel Hos Paed De ment Prevention of Child Cfuell Sub total enses £7.507 £1.478 £1.200 .100 £1.713 £2.000 £3.049 £496 £11 000 7M17 1,478 1,200 Z.100 1,713 2,000 3,049 496 11,000 30,542 A4 Asset and investrnent purGhases.158e table) Sub total Total payments 30,542 30,542 Net of re¢eipts/(payments) A5 TransfeFS between funds A6 Cash funds last year end Cash funds this year end 2.957 2.957 101,760 104,717 101,760 104,717 -CXX R1 accounis ISSI 24107r2025

Section B Ststement of assets and liabilities at the end of the period Unrestrictèd funds nfrarestE Restricted funds Endowment funds to ne8re5t£ LAiego¥ies to nearest£ B1 Cash funds 51255 Total cash funds 51.296 (we recews pwn15 Unrestricted funds ID neafOStE Restricted funds to w￿5t£ Endowment funds to nearest£ B2 Other monetary assets 95 Day Lv4uwJrty VAnagerFmJ 53.421 Fund to whKb asset be Currentvaluo nal C05tloptmll Fund to whKh ass&belo 0tr1&5yS CostloptiDnall I ITI Cuvr•rtvalue on• B4 Assets retained for the charity's own use Fund towhi¢h Amountdue on•1 When due Vonal B5 Liabilities Signed by one or trustees behalf of all Ihe trusiee5 Print Name Date ol roval Signature n Ra'bharyjan 2410712025 CCXX R2 accoynls ISSI 24107r2025

CHARITY COMMISSION | FOR ENGLAND AND WALES Independent examiner's report on the accounts Section A Independent Examinevs Report Report to the trusteesl members of Health Exchange Nepal On accounts for the year ended Charity no (if any) 31 st March 2025 1124098 Set out on pages I report to the trustees on my examination of the accounts of the above charity {"the Trust") for the year ended Responsibilities and As the charity trustees. you are responsible for the preparation of the basis of report accounts in accordance with the Charities Act 2011 ("the Act"). I report in respect of my examination of the Trusl's accounts carried out under section 145 of the 2011 Act and in carrying out my examination, I have followed all the applicable Directions given by the Charity Commission under section 145(5)(b) of the Act. Independent examiner's statement 's gross income excee undertake the e pplicable lisle 50,000 and l am member of [insert name of Delete I have completed my examination. I confirm that no material matters have come to my attention (other than that disclosed below ") in connection with the examination which gives me cause to believe that in, any material respect.= the accounting records were not kept in accordance with section 130 of the Act., or the accounts did not accord with the accounting records,. or the accounts did not comply with the applicable requirements concerning the forTn and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a 'true and fair, 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 Ihis report in order able a proper understanding of the accounts to be reached. te the wor In the brackets if they do not apply. Plea Signed: Date: )L Name: Relevant professional qualification(s) or body (if any): -. 11-*- ) ACCOUNTANITS LT. ill i O()q A ri¢- 1st Rocrf &12 london . IER October 2018

Address: GMR Accounts Ltd 1st Floor 8-12 London Street Section B Disclosure Only complete if the examiner needs to highlighl matters of con￿rn (see CC32, Independent examination of charity accounts: directions and guidance for examiners). Give here details of any items that the examiner wishes to disclose. IER October 2018

CHARITY COMMISSION Fo￿ ENGLAND AND WALES Chari Name Health Exchanger Nepal 1124098 Receipts and payments accounts CC16a Forthe period from To 1st April 2024 31st March 2025 Section A Receipts and payments Unrestricted funds Restricted funds Endowment funds Totsl funds Last year tothe nearest tothè neaYest£ ttsthe nearest£ to the neare$t£ to the nearest £ A1 Receipts Members Donation Other Donation Online Fund raisin Bank Inlelesl La Sur er Fund raisin So the Child Ma Live £6.234 £4.780 £10.861 £1 999 £3.325 £6.300 6,234 4,780 10,861 1,999 3,325 6.300 Sub total (Gross income for AR) 33,499 33,499 A2 Asset and investment sales. see table). Sub total 33,499 33,499 A3 Payments La Sur Ex nses Subscri lion and other cost UK Traini for Ne ali doctors Diff meelin inNe al Manchestef 1 OK Cost Children Foundation Ne Dhulikhel Hos Paed De ment Prevention of Child Cruell Sub total £7,507 £1.478 £1.200 £2.100 7.507 1,47B 1.200 2,100 1.713 2,OOD 3,049 al £2.000 £3.049 £496 £11.000 30.542 11,000 30.542 A4 Asset and investment purchases, (see table) Sub total 30,542 30,542 Net of receipts/(payments) A5 Transfers between funds A6 Cash funds last year end Cash funds this year end 2,957 2,957 101,760 104.717 101,760 104,717 CXX R1 accounts ISSI 2410712025

Section B Ststement of assets and liabilities at the end of the period Unrestricted funds to nearestt Restricted funds to nÈarest £ Endowment funds to nearest£ C?teJ&¥iès Details B1 Cash funds 51,295 Total cash funds 51,295 )￿tI5)I Unrestricted funds to D¢arest£ 53,421 Restricted funds to nearest £ Endowment funds to nearest£ B2 Other monetary assets 95 Day LY4uvJity Managef Fund Fund to whlch asset be Current valuè lonal Cost lopts"onall f und to which asset belon Details Costlopts"onall Currentvalue ional 84 Assets retained for the charlty's own use FL¢nd to which relates ArnDunt dtse tional due tional Details B5 Liabilities Signed by one or two I￿￿teeS behalf of all the Iiustees Dale of roval S￿natUre Print Name Satydn Ra'bhandari 24107r2025 CCXX R2 accounts ISSI 24107Q025