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← Community Health Action Trust

2024-03-31-accounts

Company Registered Number: 6657688 Charity Registered Number: 1125767

COMMUNITY HEALTH ACTION TRUST

(A Charitable Company Limited by Guarantee) Annual Report & Financial Statements For the Year Ended 31st March 2024

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COMMUNITY HEALTH ACTION TRUST

(A Charitable Company Limited by Guarantee) Annual Report & Financial Statement For the Year Ended 31st March 2024

CONTENTS

Administrative references

Organisational Aims & Objectives

Annual Report

Chairs introduction

Chief Executive Officer's Comments

Services Delivered over the year

Independent examiners Report

Statement of Financial Activities

Balance Sheet

Note to the accounts

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COMMUNITY HEALTH ACTION TRUST

(A Charitable Company Limited by Guarantee) Financial Statement For the Year Ended 31st March 2024

ADMINISTRATIVE DETAILS:

Charity Name: COMMUNITY HEALTH ACTION TRUST (CHAT) Charity Number: 1125767 Company Number: 06657688 Principal Office: MORAN HOUSE, 449-451 HIGH ROAD LONDON NW10 2JJ

Independent Examiners: Community Accountancy Self-Help, 6 Bevington Road, London W10 5TN

Bankers: NATWEST BANK, Brixton Branch, 504 Brixton Rd, London SW9 8EB

Directors and Trustees

The Directors of the charitable company (The Charity) are its Trustees for the purpose of charity law and throughout this report are collectively referred to as The Trustees. The Trustees serving during the year were as follows:

Elected Trustees

Mr David Ansu Conteh (Chair) Rev. Anthony Sosu (Member) Beatrice Damenya (Treasurer) Josephine Hudson (Member)

Chief Executive Officer: William Gemegah

Funders:

RBS LB of Barnet £35,000 Saturday Fund £2,000

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COMMUNITY HEALTH ACTION TRUST

(A Charitable Company Limited by Guarantee) Annual Report For the Year Ended 31st March 2023 - 2024

We are delighted to present our 2024 Annual Report.

Charitable objectives

The promotion of health education and the promotion of medical research and practice and the relief of poverty.

Activities

We raising awareness of the dangers of sexually Transmitted Infections, identifying and addressing gaps in services, and work to address community health inequalities.

HIV Health & Wellness Activities in the Year 2023-4

For more than 30 years, CHAT has remained true to its original mission of providing individualized HIV support care services to those impacted by HIV as well as educating local communities about the risks associated with HIV/AIDS.

Through effective networking and community programmes, CHAT facilitates a number of activities to ensure the community and individual black Africans living with HIV/AIDS access optimal health care. These activities include:

Community HIV prevention outreach services, peer education, community HIV awareness, HIV social care, mental health support, housing assistance, social benefit application support, counselling and referral to related services such as GP surgeries, immigration lawyers etc. Our team of volunteers provide a safe and nonjudgmental environment for people living with HIV/AIDS in which to feel comfortable in accessing life-saving care services.

HIV awareness Workshops

We conducted 3 workshops in Barnet, attended by 17 African men (5) and women (12). These workshops were facilitated with the support of 3 barbershops owners and hairdressing saloons who invited their customers to participate. A £5 incentive was given to each participant for transportation and the shop owners were paid £30 each for the recruitment and using of their venues.

The workshop started with participant HIV knowledge assessment. This exercise enabled us to realise that all attendees had very little knowledge about the subject and yet complacent. Especially, there was knowledge about PrEP and PEP. All attendees believed that HIV is now curable and there is no HIV infection anymore.

We proceeded with the usual basic HIV information covering the epidemiology, the commonly known routes of infection, preventative measures, available and adherence to medication, available local resources, importance of early HIV testing and disclosure/partner notification, related HIV stigma, importance of exercise and good diet or healthy eating etc.

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COMMUNITY HEALTH ACTION TRUST

(A Charitable Company Limited by Guarantee) Annual Report For the Year Ended 31st March 2023 - 2024

These training sessions were eye opening for all attendees and they agreed to invite friends and family members to attend future sessions of the programme. We encouraged participants to apply the knowledge acquired to their individual personal lives and to reach out to their colleagues, friends and families with the information acquired during these training sessions. Resources such as condom, sexual health information leaflets etc were distributed at the end of each training session.

Final evaluation of the sessions revealed improvement in the knowledge of HIV/AIDS for all participants. We hope to repeat these sessions in our future programme.

Mobile Sexual Health and HIV Testing Project

The main issues this project will attempt to address is the increase in HIV/STI diagnoses and the need to increase access to HIV/ STI information and testing services for those particularly vulnerable to acquiring HIV/ STIs, particularly targeting communities with migrant backgrounds. The project will also attempt to address the issue of lack of access to sexual health services.

The mobile testing unit will be traveling to different locations in the boroughs of Barnet, Brent and Harrow and will offer the following services: • HIV rapid testing • Information on HIV and sexual health • Condom distribution

Community Support Services

CHAT’s Community Support services include advice, advocacy, and counselling for people living with HIV (PLWH) or affected by HIV/AIDS, the capacity building of people living with HIV to self-advocate, and a street outreach service in which sexual health literature and information on the work we do is disseminated to the general community and mostly to atrisk groups. In the year 2023, we have advocated for 51 HIV positive clients, counselled 12 people on relationship and individual financial issues.

Our volunteers also responded to public queries in relation to HIV and STIs and accommodated one to one agency visits. In 2023, our volunteers continued to exercise flexibility in meeting the needs of our service users by offering domiciliary care. We engaged with 54 service users by phone, email, on Zoom, or through MS Teams, both in-hours and out-of-hours.

In 2023, CHAT referred 209 individuals from Barnet, Brent and Harrow boroughs for HIV testing in local hospitals. For those who tested positive for HIV or for other sexually transmitted diseases, were provided support and education on next steps to access care and treatment by our trained staff and volunteers.

In this year, CHAT offered PrEP and PEP referrals to a total of 211 men - both uninsured and insured community residents across the 3 boroughs. (PrEP, or pre-exposure prophylaxis, is a preventive medication used to reduce the risk of HIV infection by 92%). Our staff and volunteers help individuals access PrEP at no cost, in addition to linking them to medical services and information related to PrEP usage.

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COMMUNITY HEALTH ACTION TRUST

(A Charitable Company Limited by Guarantee) Annual Report For the Year Ended 31st March 2023 - 2024

In this year, CHAT also offered 712 condoms and related prevention methods for HIV and STDs, free to the community.

Interventions for PLWH

In 2023, we supported 19 people living with HIV with a total number of 32 interventions including homework for their children, referral to immigration law firms, shopping, escort to medical appointments, arranging and collecting food bank supplies, cooking for them, advocacy, 1-to-1 advise and counselling, and moving them to new accommodation. We participated in translation sessions for 7 clients in their housing benefit applications and escorting them to medical appointments. We assisted in writing and reading letters for 5 individuals and 3 families.

This year, CHAT Peer Support Action Group continued to provide peer support to people living with HIV. A total of 12 trained peer support volunteers provided peer support to 14 individuals in the community. Support interventions centred primarily on issues relating to depression, family issues, HIV disclosure in both personal, formal, and employment settings.

Some of the people we support gave very heart renting reports on the attitude of some health professionals who attend to them when they attend hospital appointments. Some of this feedback included:

The year 2023-4 has been another year of many challenges but we have managed to push forward to achieve our aims and objectives. Like many non-profit community organisations coming out of the COVID-19 pandemic, CHAT experienced acute funding challenges which led to limited-service delivery for the community we serve as reflected in our activity report.

For more than 30 years, CHAT’s mission has been to provide Community HIV/AIDS and sexual health awareness, crucial domiciliary care, information and compassionate support for those impacted by HIV/AIDS and human service needs in the local community. While the HIV epidemic has changed over the years, the needs of those living with HIV/AIDs in our community have not. Our team of volunteers have been dedicated to providing high quality care in a non-discriminatory and nonjudgmental environment where all are safe and welcomed. By expanding CHAT’s network of community partners and dreaming big, our stellar team of volunteers have reached more individuals in need of mental health support, housing and emotional support than ever before. Some highlights: Reaching out to refugee and asylum seekers to educate them with up-to-date HIV information, condom distribution and HIV testing.

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COMMUNITY HEALTH ACTION TRUST

(A Charitable Company Limited by Guarantee) Annual Report For the Year Ended 31st March 2023 - 2024

According to the UK Health Security Agency (UKHSA) published in October 2023

These figures underpin why CHAT maintains its community focus, why we continue to emphasis both prevention and support, and why in 2023 we sought to grow new service capability and expand our connection to key communities especially within marginalized communities.

Our interactions with our target community also highlighted the continued lack of knowledge and awareness of HIV, including advances in HIV treatment among some health care providers leading to inappropriate and stigmatising behaviours/comments in the provision of care. These findings highlight the scale of the challenge to change attitudes and behaviours in relation to HIV and sexual health, and the need for vigilance in tackling misinformation, lack of awareness, and stigma.

We aim to fundraise to establish a new bespoke community advice and counselling hub and a new support group programme. The hub will facilitate the expansion of our counselling and psychosocial support service for people living with HIV, while our dedicated Peer Support Programme continues to attract new volunteers to provide peer to peer support and outreach to people living with and impacted by HIV across the local community. These are just some of the highlights from a busy year of expanding service delivery and innovation.

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COMMUNITY HEALTH ACTION TRUST

(A Charitable Company Limited by Guarantee) Annual Report For the Year Ended 31st March 2023 - 2024

Going forward, our Interventions for the local African community in 2023-2024 will include HIV and STI Testing, PrEP/PEP HIV/STI Symptoms Transmission.

Our volunteer team will be trained to perform the rapid test and to offer information and referrals of service users to appropriate local service points of access. The overarching aim of this peer led, community-based testing service is to reduce the number of ethnic community members living with undiagnosed HIV, link those who receive reactive results with clinical services for confirmatory testing and access to treatment, and to ensure that getting tested for HIV is as simple, accessible, and convenient as possible.

I am proud of the response of our organisation in working to meet these and other challenges through innovative programmes and support services.

As we approach the middle of the decade it is imperative that CHAT takes the necessary steps required to eliminate HIV-related stigma, improve awareness of HIV prevention, support our communities impacted by HIV, and ensure that every person living with HIV is aware of their status and accessing effective treatment.

The board of CHAT aims to develop and adopt robust plans for HIV to ensure that we meet our obligations and achieve our universally agreed goals to end new HIV transmission and end AIDS by 2030. Ensuring that our prevention and support services have the greatest possible impact for those who need it, remains a key priority for our organisation.

Currently, CHAT’s community outreach team continue to work with local food banks to support our clients with food and other groceries to address the needs of food-insecure clients living with HIV.

Risk.

We undertake an annual risk review with a particular focus on safe guarding.

Public Benefit

We are aware of and conformed to the Charity Commissions guidance on public benefit.

Financial review

The Charity had income of £37,000 and expenditure of £47,637 during the year resulting in a deficit of £10,637 and a carry forward deficit on unrestricted reserves of £10,267, restricted reserves of £0. In the year 2024-25 we have received a donation of £13,000 which has been sufficient to create positive unrestricted reserves and we expect to have positive reserves at 31-3-25.

Reserves Policy .

The Charity aims to have six months expenditure as a reserve. In the current financial climate, it has not been possible to achieve this, but it remains a target for the future.

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Thank You

I thank my fellow board members, our dedicated staff, the community we continue to serve, funders who trust and value the work we do in the community and all our volunteers who give their time so generously and could not have achieved what we did without them. Thank you all.

Read on for more detail about our inspiring achievements for the year.

Mr David Conteh Chairman

William Gemegah Director of operations

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COMMUNITY HEALTH ACTION TRUST

(A Charitable Company Limited by Guarantee) Financial Statement For the Year Ended 31st March 2024

Independent Examiners Report

I report on the accounts of the charitable charity, which are set out on the pages five to twelve attached here to.

Respective responsibilities of trustees and examiner

The Company’s Directors, who are also the charity's trustees, are responsible for the preparation of the accounts. The charity’s trustees consider that an audit is not required for this year under section 144 of the Charities Act 2011 (the Charities Act), and an independent examination is needed.

Having satisfied myself that the charity is not subject to audit under company law and is eligible for independent examination it is my responsibility to:

Basis of independent examiner’s report

My examination was carried out in accordance with general Directions given by the Charity Commission. An examination includes a review of the accounting records kept by the charity and a comparison of the accounts presented with those records. It also includes consideration of any unusual items or disclosures in the accounts, and seeking explanations from the trustees concerning any such matters. The procedures undertaken do not provide all the evidence that would be required in an audit, and consequently no opinion is given as to whether the accounts present a ‘true and fair’ view and the report is limited to those matters set out in the statement below.

Independent examiner’s statement

In connection with my examination, no matter has come to my attention:

  1. which gives me reasonable cause to believe that in, any material respect, that the requirements to:

 keep accounting records in accordance with section 386 of the Companies Act 2006 and

 to prepare accounts which accord with the accounting records, comply with the accounting requirements of section 396 of the Companies Act 2006, and with the methods and principles of the Statement of Recommended Practice: Accounting and Reporting by Charities (FRSSE SORP) effective January 2015 have not been met; or

  1. to which, in my opinion, attention should be drawn in order to enable a proper understanding of the accounts to be reached.

Signed : _______ Date: 28 January 2025

Tom Fitch BSc Community Accountancy Self Help 6 Bevington Road London W10 5TN

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COMMUNITY HEALTH ACTION TRUST

Statement of Financial Activities for the Year Ended 31[st] March 2024 Company Registered Number: 6657688

Note
s
Income
Grants & Contracts
Other
Total Income
Expenditure on:
Support Costs
Fund raising
Net movement in
funds
Reconciliaton of
funds
Total funds brought forward
Total funds carried forward		 Unrestricte
d Funds
£
0
0
0
2500
7787
350
10,637
-10,637
370
-10,267		 Restricte
d Funds
£
37,000
0
37,000
2,500
34,500
0
37,000
0
0
0		 2024
Total
Funds
£
37,000
0
37,000
5,000
42,287
350
47,637
-10,637
370
-10,267		 2023
Total
Funds
£
20,000
0
20,000
3,000
26,547
29,547
-9,547
9,917
370

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COMMUNITY HEALTH ACTION TRUST

Company Registered Number: 6657688

BALANCE SHEET AS AT 31[ST] MARCH 2024

2024 2023
Note
s £ £
FIXED ASSESTS
Tangible Assets 8 1,804 2,123
CURRENT ASSETS
Debtors 11 0 0
Cash at bank and in hand 9 5,929 5,354
Total Current Assets 5,929 5,354
CURRENT LIABILITIES
Less: Creditors
Creditors falling due within 1 year 10 1,200 (3,007)
NET CURRENT ASSETS/(LIABILITIES) 4,729 2,347
Total Assets less Current Liabilities 6,533 4,470
Creditors falling due after 1 year 13 (16,800) (4,100)
Total Net Assets/Current Liabilities (10,267) 370
FUNDS OF THE CHARITY
Unrestricted Funds 12 (10,267) 370
Restricted Funds 0 0
TOTAL FUNDS (10,267) 370

(1) For the year ending 31 March 2024 the company was entitled to exemption under section 477 of the Companies Act 2006 relating to small companies.

(2) The members have not required the company to obtain an audit in accordance with section 476 of the Companies Act 2006

(3) The directors acknowledge their responsibilities for complying with the requirements of the Companies Act 2006 with respect to accounting records and the preparation of accounts.

(4) The accounts have been prepared in accordance with the micro-entity provisions and delivered in accordance with the provisions applicable to companies subject to the small companies' regime.

(5) The company is a charity, and the accounts comply with the Charities Acts.

The notes on pages

18 to 24 form part of these financial statements

The financial statements on pages 17 to 24 were approved by the trustees, and authorised for issue on 29 December 2020 and signed on their behalf by:

Mr David Conteh— ~~AY My~~

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Chairman ……………………………………………………………

The notes on the following pages form part of these Financial Statements

COMMUNITY HEALTH ACTION TRUST

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31[ST] MARCH 2024

1. Accounting policies

Summary of significant accounting policies and key accounting estimates

The principal accounting policies applied in the preparation of these financial statements are set out below. These policies have been consistently applied to all the years presented, unless otherwise stated.

Basis of preparation,

The financial statements have been prepared under the historical cost convention, with the exception of listed investments which are included at their market value. The financial statements have been prepared in accordance with the Accounting and Reporting by Charities: Statement of Recommended Practice, applicable to charities preparing their accounts in: accordance with the Financial Reporting Standard for Smaller Entities (the FRSSE) (effective 1 January 2015) and the 2006 Companies Act.

Going concern

The financial statements have been prepared on a going concern basis.

The trustees assess whether the use of going concern is appropriate i.e., whether there are any material uncertainties related to events or conditions that may cast significant doubt on the ability of the Charity to continue as a going concern. The trustees make this assessment in respect of a period of one year from the date of approval of the financial statements.

Income and endowments

Voluntary income including donations, gift's, legacies and grants that provide core funding or are of a general nature is recognised when the Charity has entitlement to the income, it is probable that the income will be received, and the amount can be measured with sufficient reliability.

Donations and legacies

Donations and legacies are recognised on a receivable basis when receipt is probable, and the amount can be reliably measured.

Investment income

Interest is included when receivable by the charity.

Expenditure

All expenditure is recognised once there is a legal or constructive obligation to that expenditure, it is probable settlement is required and the amount can be measured reliably. All costs are allocated to the applicable expenditure heading that aggregate similar costs to that category: Where costs

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cannot be directly attributed to particular headings, they have been allocated on a basis consistent with the use of resources, with central staff costs allocated on the basis of time spent, and depreciation charges allocated on the portion of the asset's use. Other support costs are allocated based on the spread of staff costs.

All resources expended are inclusive of irrecoverable VAT.

COMMUNITY HEALTH ACTION TRUST NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31[ST] MARCH 2024

Charitable activities

Charitable expenditure comprises those costs incurred by the Charity in the delivery of its activities and services for its beneficiaries. It includes both costs that can be allocated directly to such activities and those costs of an indirect nature necessary to support them.

Irrecoverable VAT

Irrecoverable VAT is charged against the category of resources expended for which it was incurred.

Taxation

The Charity is considered to pass the tests set out in Paragraph 1 Schedule 6 of the Finance Act 2010 and therefore it meets the definition of a charitable company for UK corporation tax purposes. Accordingly, the Charity is potentially exempt from taxation in respect of income or capital gains received within categories covered by Chapter 3 Part 11 of the Corporation Tax Act 2010 or Section 256 of the Taxation of Chargeable Gains Act 1992, to the extent that such income or gains are applied exclusively to charitable purposes.

Tangible fixed assets

Individual Axed assets costing £500 or more are initially recorded at cost, less any subsequent accumulated depredation and subsequent accumulated impairment losses.

Depreciation and amortisation

Depreciation is provided on tangible fixed assets so as to write off the cost or valuation, less any estimated residual value, over their expected useful economic life at a rate of 15/0 using the reducing balance method.

Trade debtors

Trade debtors are amounts due from customers for merchandise sold or services performed in the ordinary course of business.

Trade debtors are recognised initially at the transaction price. They are subsequently measured at amortised cost using the effective interest method, less provision for impairment. A provision for the impairment of trade debtors is established when there is objective evidence that the Charity will not be able to collect all amounts due according to the original terms of the receivables.

Cash and cash equivalents

Cash and cash equivalents comprise cash on hand and call deposits, and other short-term highly liquid investments that are readily convertible to a known amount of cash and are subject to an insignificant risk of change in value.

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Creditors and provisions

Creditors and provisions are recognised where the charity had a present obligation resulting from a past event that will probably result in the transfer of funds to a third party and the amount due to settle the obligation can be measured or estimated reliably. Creditors and provisions are normally recognised at their settlement amount after allowing for any trade discounts.

COMMUNITY HEALTH ACTION TRUST NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31[ST] MARCH 2024

2 Income from and for charitable activities

Income
Donaton and Funds raising
Grants & Contracts
Other
Total Income		 Unrestricte
d Funds
£
0
0
0
0		 Restricte
d Funds
£
0
37,000
0
37,000		 2024
Total
Funds
£
0
37,000
0
37,000		 2023
Total
Funds
£
0
20,000
0
20,000
3
Expenditure
Charitable Actvites
Staf
Rent & Rate
Project
Adverts and subscriptons
Ofce, Insurance, etc.
Bank Charges
Fixtures & Fitngs
Depreciaton
Support cost
Rent
Ofce		 2024
Unrestricted
Funds
4,625
669
1,940
100
1,459
5
70
8,869
2024
Unrestricted
Funds
94
204		 2024
Restricted
Funds
21,622
2,374
2,000
355
5,173
17
248
31,789
2024
Restricted
Funds
332
724		 2024
Total Funds
26,247
3,043
3,940
455
6,632
22
318
40,657
2024
Total Funds
426
928		 2023
Total
Funds
16,952
1,612
2,124
406
3,982
10
361
25,447
2023
Total
Funds
382
591

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Staf
Adverts and subscriptons
Depreciaton
Bank Charges
Fund raising
Governance
Independent Examinaton
Staf		 727
14
10
1
1,050
350
264
105
10,637		 2,737
50
35
2
3,880
-
936
395
37,000		 3,465
64
45
3
4,930
350
1,200
500
47,637		 1,958
20
48
1
3,000
-
800
300
29,547

COMMUNITY HEALTH ACTION TRUST NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31[ST] MARCH 2024

4
Net incoming/Outgoing resources
The net movement in funds for the year is stated afer charging:
Depreciaton of tangible Assets
5
Fee payable to independent examiner
6
Staf costs and numbers
Staf costs were as follows:
Gross salaries and Social Security cost
Pension Costs		 2024
£
(10,63
7)
2024
£
1,200
2024
£
26,247
3,465
29712		 2023
£
(9,547)
2023
£
800
2023
£
16,952
1,958
18,910

There were no employees whose remuneration exceeded £60,000 in either year to be disclosed.

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The average number of employees during the year, calculated on the basis of full time equivalent, is as follows:

2024 2023 No. N0. Management, Administration & Operations 1.3 1.0

7. Company Director & trustees' remuneration, benefits and expenses

There were no Directors' and Trustees' expenses, which were paid during the year ended 31[st] March 2024, nor in the year ended 31[st] March 2023.

Company Directors' & trustee transactions

The directors and trustees had no transactions with the charitable company during the year.

8 Cash at bank and in hand

2024 2023 £ £ Bank Balance 5,929 5,354

COMMUNITY HEALTH ACTION TRUST

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31[ST] MARCH 2024

9
Creditors falling due afer one year
Loan
Other		 2024
£
16,800
0
16,800		 2023
£
1,700
2,400
4,100

Loans repayable in 2035. Interest rate: Bank of England rate + 3%.

10 Post balance sheet event.

£13,000 of the loans were paid off in 24-25 leaving a balance outstanding of

£3,800 repayable in 2035. Interest rate: Bank of England rate + 3%.

Equipment,
11 Tangible fxed assets Furniture &
Fitngs
£
Cost
At 1st April 2023 30,572.00
Additons during the year -
At 31st March 2024 30,572.00

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Depreciation

At 1st April 2023
Charges for the year
At 31st March 2024
Net Book Value at 31st March 2023
Net Book Value at 31st March 2024		 28,450.00
318.00
28,768.00
2,122.00
1,804.00

12 Movement in funds

Movement in funds
Unrestricted
Restricted		 At 1st April
2023
Incoming
Resources
Resources
Expended
Transfer
At 31st
March 2024
£
£
£
£
£
370
0
10,637
0
(10,267)
0
37,000
37,000
0
0
370
37,000
47,637
0
(10,267)

COMMUNITY HEALTH ACTION TRUST NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31[ST] MARCH 2024

13. Assets and Liabilities by Fund.

Unrestricted
1,804
5,929
1,200
16,800
-10,267		 Restricted
0
0
0
0
0		 Total
1,804
5,929
1,200
16,800
Tangible fxed assets
Current Assets
Current Liabilites
Long Term Liabilites
Total net assets
-10,267

14 . Charity status

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The Charity is a Company Limited by Guarantee and consequently does not have share capital. Each member is liable to contribute an amount not exceeding £l towards the assets of the Charity in the event of liquidation.

15. Going Concern

The Trustees believe that the Charity is a going concern.

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