**THE WORLDWIDE HOSPICE PALLIATIVE CARE ALLIANCE** **31 March 2024** # **ANNUAL REPORT AND FINANCIAL STATEMENT** ## **A** NNUAL **R** EPORT **A** ND_ **F** INANCIAL **STATEMENT** **31 March 2024** The Worldwide Hospice Palliative Care Alliance Company Limited by Guarantee Registered in England and Wales No 6735120 Registered Charity No 1127569 1 **THE WORLDWIDE HOSPICE PALLIATIVE CARE ALLIANCE** ## **ANNUAL REPORT AND FINANCIAL STATEMENT** ## **31 March 2024** ## **TRUSTEES ANNUAL REPORT** ## **1. ADMINISTRATIVE DETAILS** ## **Registered name** The Worldwide Hospice Palliative Care Alliance Any other working name (or abbreviation): WHPCA ## **Charity and Company Registration** Registered charity: 1127569 Company limited by guarantee in England and Wales: 6735120 ## **Principal and Registered Office** Hospice House 34-44 Britannia Street London WC1X 9JG ## **Independent Examiner** Shaun Jordan Price Bailey LLP 3[rd ] Floor 24 Old Bond St Mayfair London W1S 4AP ## **Banker** Coutts and Co. 440 Strand London WC2 0QS 2 **THE WORLDWIDE HOSPICE PALLIATIVE CARE ALLIANCE** ## **ANNUAL REPORT AND FINANCIAL STATEMENT** ## **31 March 2024** ## **Trustees (During Fiscal Year)** Dr Julie Ling Chief Executive Officer, European Association for Palliative Care Appointed: December 2014 (Chair from June 2018) Dr Julia Downing Chief Executive Officer, International Children’s Palliative Care Network Appointed: October 2017 Unlimited Term Dr Emmanuel Luyirika Executive Director, African Palliative Care Association Appointed: November 2012 Unlimited Term Dr Ednin Hamzah Chair, Asia Pacific Hospice Palliative Care Network Appointed: November 2013 Re-appointed: August 2017 Unlimited Term Mr. Toby Porter CEO, Hospice UK Appointed: June 2023 Dr Agnes Csikos Pecs-Baranya Hospice Foundation, Hungary Appointed: October 2017 Re-appointed Mar 2021 Dr Richard Harding Kings College, Cicely Saunders Institute Appointed: October 2016 Re-appointed Mar 2020 Dr Frank Brennen Physician Appointed: October 2017 Re-appointed Dec 2020 Dr James Cleary Director and Walther Senior Chair of Supportive Oncology, Indiana University Appointed: October 2017 Re-appointed Dec 2020 Ms. Maria Marroquin Administrator, Latin American Palliative Care Assoc. Appointed: August 2020 Unlimited Term 3 **THE WORLDWIDE HOSPICE PALLIATIVE CARE ALLIANCE** ## **ANNUAL REPORT AND FINANCIAL STATEMENT** ## **31 March 2024** Ms Laurel Gillespie Executive Director, Canadian Hospice Palliative Care Association Appointed: May 2022 Dr Stephen Watiti Trustee with Lived Experience Palliative Care Appointed: December 2018 Reappointed November 2022 Dr Savita Butola Secretary, Indian Association of Palliative Care Appointed: June 2020 Unlimited Term Prof Yoshiyuki Kizawa President, Japanese Society for Palliative Medicine Appointed: September 2020 Prof Meera Agar Chair, Palliative Care Australia Appointed: September 2020 Dr Babe Gaolebale Botswana Ministry of Health Appointed: May 2020 Dr Sami Alsafari Professor, Kasr Al-Ainy School of Medicine, Cairo University. Appointed: May 2022 Dr Douglas Crispim Brazilian National Academy of Palliative Care Appointed: December 2022 Dr Helena Davies Trustee with Lived Experience Palliative Care Appointed November 2018 (onleave December 2022) Mr. Craig Duncan, FCA COO, Hospice UK Appointed: October 2016 Re-appointed Aug 2020, Resigned September 2023 Mr. Edo Banach, JD CEO and President, National Hospice and Palliative Care Organisation Appointed: October 2017 Re-appointed Aug 2021, Resigned September 2023 Dr Nisla Camano Reyes President, Panamanian Association of Palliative Care Appointed: November 2018, Resigned September 2023 4 **THE WORLDWIDE HOSPICE PALLIATIVE CARE ALLIANCE** ## **ANNUAL REPORT AND FINANCIAL STATEMENT** ## **31 March 2024** ## **2. STRUCTURE, GOVERNANCE AND MANAGEMENT** ## **Nature of Governing Document** The Worldwide Hospice Palliative Care Alliance is a charitable company limited by guarantee constituted on 28 October 2008 and governed by articles and memorandum of association which were last amended on 25 July 2017. The trustees are also directors of the charity for the purposes of the Companies Act. ## **How the Charity is Constituted** The charity is an international non-governmental organization with trustees from each region of the world. There are currently 400 organizational members of the WHPCA from 103 countries. WHPCA members are not currently required to pay dues. The only voting members are the trustees. ## **The Board of Trustees** Trustees are elected and appointed according to the byelaws, which identify the number of trustees from each world region. Qualified candidates for election to the Board are identified with our regional members and are elected by current trustees. Most trustees retire from office after four years. Retiring trustees can be reappointed but a trustee who has served for two consecutive terms must take a break from office and may not be reappointed for one year. Trustees that represent named organizations in the byelaws can serve unlimited terms. The trustees delegate day-to-day management of the charity to the Executive Director, Dr Stephen Connor. The trustees set the remuneration of key management personnel based on market rates within the sector. 5 **THE WORLDWIDE HOSPICE PALLIATIVE CARE ALLIANCE** ## **ANNUAL REPORT AND FINANCIAL STATEMENT** ## **31 March 2024** ## **3. PUBLIC BENEFIT** We have referred to Charity Commission’s general guidance on public benefit when reviewing our aims and objectives and in planning our future activities. In particular, the trustees consider how planned activities will contribute to the aims and objectives they have set. Our achievements and performance in section 5 show how we have met the public benefit requirements. The Worldwide Hospice Palliative Care Alliance (WHPCA) is an international nongovernmental organisation (INGO) focusing exclusively on hospice and palliative care development worldwide. Its members are national and regional hospice and palliative care organisations and affiliate organisations supporting hospice and palliative care and supporters of hospice and palliative care worldwide. together the global palliative care community to improve well-being and reduce unnecessary suffering for those in need of palliative care in collaboration with the regional and national Hospice and palliative care services relieves the pain and suffering of patients with life-limiting illness, supporting them and those around them physically, emotionally, and spiritually. Care for patients can be in a variety of settings including their own home, at the hospice, in a hospital or in the community and can be for days, months or years. We are here to support national hospice and palliative care organisations in promoting and developing hospice and palliative care in their countries. In the following sections, we aim to give you a snapshot of the key activities we have undertaken this year to meet our charitable objectives. This review demonstrates how our work is carried out for public benefit and how we have supported our members and others to provide and develop palliative care. ## **4. OBJECTIVES AND ACTIVITIES** The objectives of the charity are: - to facilitate and promote the relief, care and treatment of the sick, especially the chronically and incurably ill and the dying, and the support and care of their families and carers and of the bereaved, in particular by: 6 **THE WORLDWIDE HOSPICE PALLIATIVE CARE ALLIANCE** **ANNUAL REPORT AND FINANCIAL STATEMENT** ## **31 March 2024** - improving access to, and the quality of, palliative care, worldwide and improving the efficiency and efficacy of institutions concerned with the charitable provision of palliative care; and - providing or facilitating education and training in palliative care and increasing awareness and understanding among the general public of the values, principles and practice of hospice and palliative care. The main activities undertaken in relation to those purposes (from 1 April 2023 to 31 March 2024) are set out in section 5 below. ## **5. ACHIEVEMENTS AND PERFORMANCE** - **Secretariat and Governance** This year, there were no face-to-face board meetings. However, the board did meet by teleconference four times during the year. The executive committee held teleconference meetings between board calls. Our first executive director, Dr Stephen Connor, was originally appointed in January 2016, and continues to lead the organization to present. - **Risk Management** The trustees, together with the executive director and staff, identify risks to which the Worldwide Hospice Palliative Care Alliance is exposed and ensure that appropriate controls and systems are in place to monitor and manage those risks. A risk register is maintained and is reviewed by staff monthly, by the executive committee quarterly, and by the full board annually. Current risks include securing income, dealing with potential economic downturn, ensuring compliance with UK General Data Protections Rules, ensuring our partner organizations are compliant with all safeguarding and grant funding rules and procedures, and ensuring on-line donations and grants are accurately accounted for. - **Communications** WHPCA publishes on the international edition of ehospice (a separate charity) which supported WHPCA programmes and advocacy activity by reporting on WHPCA programmes and efforts to achieve Universal Health Coverage and palliative care services for those who need it as part of the WHO General Programme of Work, access to medications, rights of older persons, and advocacy at the World Health Organization Executive Board Meeting and World Health Assembly. ehospice international published 69 (April 23’ – March 24’) articles with stories from around the world during this fiscal year. The categories were represented as follows: 7 **THE WORLDWIDE HOSPICE PALLIATIVE CARE ALLIANCE** ## **ANNUAL REPORT AND FINANCIAL STATEMENT** ## **31 March 2024** |International*|| |---|---| |Research|4| |Policy|14| |In The Media|2| |Fundraising|3| |Education|8| |Community Engagement|16| |Uncategorized|| |Highlight|32| |Care|13| |Leadership|8| |Opinion|11| ||| |Total Articles|69| * Note: Some articles fit more than one category The International edition of ehospice reported 40,485 sessions, 37,065 new users and 45,249 page views over the reporting period. The WHPCA has continued to build up Its communications tools including: - Our monthly e-newsletter which is circulated to over 453 (2023: 395) member recipients and 3,202 (2023: 3,177) newsletter subscriber recipients equals a total of 3,599 (2023: 3,572) in over 120 countries with an increase from the previous year. - We have been managing and updating our WHPCA website with regular news updates relating to hospice and palliative care worldwide. There were 36,311 (2023: 59,000) sessions and 84,751 (2023: 129,301 page views, 24,677 (2023: 45,000) users on the WHPCA website during the reporting period. - We have increased our engagement on social media mechanisms, Including Facebook, and Twitter. We currently, as of 9[th ] July 2024 have 6,205 (2023: 6,004) followers on Facebook. WHPCA also has 8,001 (2023: 7,866) followers on Twitter/X. Our LinkedIn page has 975 (2023: 675) followers and our Instagram account where we have 783 (2023: 625) followers. - World Hospice and Palliative Care Day theme for 2023 was Compassionate Communities: Together for Palliative Care, and World Hospice and Palliative Care Day 2023 was on 14 October. Everyone deserves the best care possible regardless of who they are or where they live in the world. Palliative care is yet to be fully integrated into the healthcare system of most countries especially the low and middle-income countries. Materials were produced and 8 **THE WORLDWIDE HOSPICE PALLIATIVE CARE ALLIANCE** ## **ANNUAL REPORT AND FINANCIAL STATEMENT** ## **31 March 2024** - utilised around the world and 233 events were registered on the website from 76 different countries. This was the most successful year based on number of countries and events. WHPCA Communications continued to provide support to the Executive Director, Advocacy and, Compassionate Korail project in Bangladesh by working with the WHPCA Programmes Manager to advise on communications aspects of the project. ## **We influence policy at the highest levels Advocacy** This year we continued to focus our advocacy around integrating palliative care as part of health system strengthening and Universal Health Coverage reforms. We continued to work together with palliative care advocates and palliative care allies worldwide to achieve our aims for palliative care for all as part of UHC, with a particular focus on enabling the voice of people with lived experience of palliative care to be heard. We continue to work with WHO, as a non-state actor in official relations, the United Nations as an NGO with Consultative Status, and to develop strong, collaborative links with other non-state actor partnerships to deliver our objectives. ## **Our key activities through the year include:** We contributed to high level events ensuring the voice of palliative care, and more specifically, people with palliative care needs was heard. This included the May 2023 World Health Assembly including the civil society pre-consultation, the UN General Assembly Special Sessions on UHC, TB, and the COVID Pandemic, and the January 2024 WHO Executive Board meeting. Our executive director also spoke at the Presidential Plenary of the International Gynecological Cancer Society conference in Seoul Korea in November 2023 as well as the regional meeting of IGCS in Kazakhstan in April of 2023, the International Work Group on Death, Dying, and Bereavement in October 2023, the University of Hong Kong in and the University of Porto Portugal in July of 2023. - We have worked to support the implementation of the WHO Palliative Care Action Plan through active engagement on the WHO palliative care working group and with partners, including: - Bi-annual meetings with the WHO Internal Palliative Care Working Group - (PCWG) Executive Director heads one of the subgroups of the PCWG Membership in and support of: - The WHO HIV Quality of Care Working Group - The WHO Noncommunicable Disease and Mental Health Dept - The WHO Global TB Programme - The WHO Global Network for Long Term Care - The WHO Cervical Cancer Elimination program - The WHO Childhood Cancer Initiative - The WHO Civil Society Working Group on NCD’s and Pandemic Preparedness Our project in Kenya to support the integration of palliative care into the national health systems’ Universal Health Coverage program, with funding from True Colours Trust, was 9 **THE WORLDWIDE HOSPICE PALLIATIVE CARE ALLIANCE** **ANNUAL REPORT AND FINANCIAL STATEMENT** ## **31 March 2024** resumed after COVID. We are implementing the project now and our partner the Kenyan Hospice Palliative Care Association has made great strides. They have approval to add palliative care to the National Social Health Insurance Fund and the Ministry of Health has reorganized their divisions to include one for palliative and geriatric care. The project is continuing with a no cost extension into the next fiscal year. - We continued to disseminate our report titled: _Advocacy Guide: Palliative Care and Universal Health Coverage_ to help our members to better advocate for UHC in their countries - We also were involved in published the following articles during the fiscal year: 1. Keiichi Fujiwara, Stephen R. **Connor** , Noriko Fujiwara, Raimundo Correa, Anisa Mburu, Debbie Leopold, Mary Eiken, Michael L. Pearl. The International Gynecologic Oncology consensus statement on palliative care. (2024) _J Gynecol Cancer 2024;0:1–5. doi:10.1136/ijgc-2024-005729_ 2. Reid E, Abathun E, Zerihun M, Lorenz K, **Connor** S, Hauser J, Ayres N, Harding R, Gebre N. (2024) It takes a village: bringing palliative care to Ethiopia. _J Pall Care_ . 3. Knaul F, Bhadelia A, Kwete XJ, Rosa W, Méndez-Carniado O, Enciso VV, CalderonAnyosa R, **Connor** S, ….. Radbruch L. The evolution of serious health-related suffering from 1990 to 2019: an update to the Lancet Commission on Global Access to Palliative Care and Pain Relief. _The Lancet_ (Pre-print). 4. Xiaoxiao J Kwete, Afsan Bhadelia, Hector Arreola-Ornelas, Oscar Mendez, William E. Rosa, Stephen **Connor** , Julia Downing, Dean Jamison, David Watkins, Renzo Calderon, Jim Cleary, Joe Friedman, Liliana De Lima, Christian Ntizimira, Tania Pastrana, Pedro E. P´erez-Cruz, Dingle Spence, M.R. Rajagopal, Valentina Vargas Enciso , Eric L. Krakauer, Lukas Radbruch , Felicia Marie Knaul , Global Assessment of Palliative Care Need: Serious Health-Related Suffering Measurement Methodology _, Journal of Pain and Symptom Management (2024), doi: https://doi.org/10.1016/j.jpainsymman.2024.03.027_ 5. Lichtenthal W, Breen LJ, Roberts KE, **Connor** S, Aoun SA, Rosa B. Investing in Bereavement Care as a Public Health Priority A Transitional Care Model. _Lancet Public Health_ . Published **Online** March 13, 2024 https://doi.org/10.1016/ S2468-2667(24)00030-6 6. Rosa W, **Connor** S, Downing J, Marston J, Radbruch L. Palliative Medicine Access in Armed Conflict: A Basic Right and Urgent Need. _The Lancet_ . 2023 Dec 16;402(10419):2291-2292. doi: 10.1016/S0140-6736(23)02638-7. Epub 2023 Nov 29. 7. Mueller H, Inge B. Corless I,… **Connor** S. Supporting the Bereaved in the COVID-19 Era: A Scoping Review of Interventions. _OMEGA—Journal of Death and Dying_ 2023, Vol. 0(0) 1–2. DOI: 10.1177/00302228231215478. 8. Rosa, W.E., **Connor** , S., Ferrell, B.R., Fulmer, T., Travers, J.T., & Radbruch, L. (2023). Palliation for the frail older adult and what meaningful longevity could be. _The Lancet Healthy Longevity, 4_ (10), E528-E530 9. Islam Salikhanov, Stephen R. Connor, Gulnara Kunirova, Fatima Khashagulgova, Nazarova Gulzhaina, Byron L. Crape[,] and Maria C. Katapodi. (2023). Challenges for developing palliative care services in resource limited settings of Kazakhstan. _Public_ 10 **THE WORLDWIDE HOSPICE PALLIATIVE CARE ALLIANCE** ## **ANNUAL REPORT AND FINANCIAL STATEMENT** ## **31 March 2024** _Health Rev_ doi: 10.3389/phrs.2023.1605672. 10. Mostofa Kamal Chowdhury, Shafiquejjaman Saikot, Nadia Farheen, Nezamuddin Ahmad, Sarwar Alam, **Stephen R Connor** (2023) Impact of Community Palliative Care on Quality of Life among Cancer Patients in Bangladesh. _Int. J. Environ. Res. Public Health 2023, 20(15):6443_ 11. Pettus K, **Connor S** , Downing J, Marston J. 2023. Editorial: Pandemic treaty should include provision for palliative care. Bull World Health Organ 2023;101:363–363A doi: http://dx.doi.org/10.2471/BLT.23.289957 _12._ **Connor** , S. (2023). Global Aspects of Palliative Care. In R. Macleod & L. Van den Block (Eds). _Textbook of Palliative Care, 2[nd] Ed_ . Springer Nature. ## **We are building a diverse and strong movement demanding care for all** Our membership of the UK working group (UKWG) on NCDs enables us to contribute to work being undertaken by the NCDA where appropriate and importantly keeps us up to date with projects being undertaken by the other members of the UKWG and to learn from these. Membership allows WHPCA to keep up to date with advocacy initiatives from other organisations and provides information about activities at meetings such as WHA EB and UN HLM 11 **THE WORLDWIDE HOSPICE PALLIATIVE CARE ALLIANCE ANNUAL REPORT AND FINANCIAL STATEMENT** **31 March 2024** To ensure involvement of our members we conducted a members’ survey to establish how we can best serve our members. This survey included questions on which areas should be prioritized by the WHPCA in its work going forward. Advocacy was identified as a high priority both advocacy by the WHPCA at high level meetings and nationally. Helping countries ensure that palliative care was included in UHC was identified as the highest priority and is in keeping with the guide on advocacy for palliative care and UHC that we produced. We also conducted a survey of members to identify work being done on identification and partnership with people with lived experience of palliative care. This is building on work we have done to identify PWLE who are willing to contribute to research projects providing a lived experience perspective from the beginning of a research project through all stages including dissemination of results and paper writing. The purpose of the survey is to identify a cohort of PWLE who can participate in a consultation to determine priorities for PWLE for work by the WHPCA and to identify additional PWLE who are willing to participate in research. We have continued to focus our work on targeted equity issues in palliative care integrating it across our advocacy, communications and programming including relating to gender and people with disabilities. We have established communication with HI (Federation Handicap International - Humanity & Inclusion) to discuss the links between palliative care and rehabilitation and how we might potentially work together. Rehabilitation and PC are both essential health services for UHC with considerable overlap and the profile of rehabilitation has recently increased. Moving forward we anticipate working closely with organisations that promote rehabilitation and there is potential for cost and workforce efficiencies as a result of such collaboration in practice. We have had productive conversations with HelpAge and established a 3 monthly meeting schedule to discuss areas of common concern given the importance of palliative care in the ageing population. In addition, our goals for advocacy are very well aligned with theirs. We have continued our support of palliative care in humanitarian crisis by continuing a fundraising platform for those affected by the crisis in Ukraine and working collaboratively with others to improve access to palliative care. - Our WHO/WHPCA _Global Atlas of Palliative Care at the End of Life_ (2014) has now been downloaded over 160,000 times. A new 2[nd ] edition of the _Global Atlas_ with WHO was launched in October 2020 and has so far been downloaded over 90,000 times. http://www.thewhpca.org/resources/global-atlas-on-end-of-life-care 12 **THE WORLDWIDE HOSPICE PALLIATIVE CARE ALLIANCE** ## **ANNUAL REPORT AND FINANCIAL STATEMENT** ## **31 March 2024** ## **Organisational Development and Programme Support** Building an integrated age-attuned model of supportive palliative care in Bangladesh is our project being delivered by partners AYAT, BSMMU, St. Christophers and WHPCA. Now in its third year, the project is opening up access to supportive palliative care by integrating government and community health services in the Bandar Upazila Health Complex in Narayanganj, Bangladesh. The project has already provided palliative care to over 200 patients through a combination of home-based care and outpatient services. The target is 950 by end of year 3. The project has also trained just under 100 health care workers (doctors, nurses and community health workers) and over 30 community volunteers in supportive palliative care and reached over 1,200 community members with palliative care sensitisation sessions. At the national level, the project continues to advocate for and provides technical support to the development of a national policy framework and budget allocation for palliative care, as well as the inclusion of palliative care in Universal Health Coverage. With funding from True Colours Trust our project in **Kenya** to support the integration of palliative care into the national health systems’ Universal Health Coverage program was disrupted due to COVID but has now restarted. We are implementing the project now and our partner the Kenyan Hospice Palliative Care Association has made great strides. A new project began in February of 2024 to train 70 health care workers in five Lake Region hospitals to teach palliative care to five of their co-workers and to see that each trainee sees and reports on five palliative care patients. This Hi-Five model project is funded by the Tropical Health and Education Fund (THET). WHPCA has been providing technical support to the government of **Greece** in developing a national strategy for development and implementation of palliative care. This year the project has restarted, and both the Executive Director and Board chair were appointed to be experts for the ministry of health’s new palliative care committee that will oversee submission of a national strategy for palliative care for the country. WHPCA and other partner organizations have been providing in-kind technical support to the Hospice and Palliative Professionals Association in the Russian Federation including on-line teaching, case conferences, and professional development throughout the year in **Eurasia** . The war in Ukraine has limited what can be done going forward but we continue to support palliative care professionals throughout the Eurasia region with our partner organization, the American Eurasia Cancer Alliance. Another quarterly case conference is being planned WHPCA has been working with the Palliative Care Association in Kazakhstan to expand palliative care in the country by helping with policy and program development. 13 **THE WORLDWIDE HOSPICE PALLIATIVE CARE ALLIANCE** ## **ANNUAL REPORT AND FINANCIAL STATEMENT** **31 March 2024** WHPCA has been advising the country of Indonesia on integration of palliative care into their primary care system. WHPCA is assisting the Qatar Foundation to help prepare a special report on palliative care to be presented at the World Innovation Summit on Health (WISH) later in 2024. The WHPCA Palliative Care Toolkit and training manual continues to be a useful resource for those developing palliative care in limited resource settings at http://www.thewpca.org/resources/memberresources/national-palliative-care-strategies/. An updated version of the toolkit is now available. The toolkit & training manuals have been downloaded over 70,600 times since initial publication in 2014. The WHPCA continues to be focused on support of hospice and palliative care development in low and middle-income countries. We received funding for the above programme to support palliative care delivery in Bangladesh, have developed strong indigenous palliative care models with local members and are working on funding for further programmes. Our co-edited book _Building Integrated Palliative Care Programs and Services_ (2017) that is free to download at: http://www.thewhpca.org/resources/building-integrated-palliative-care-programs-and-services with over 12,500 downloads since publication. ## **6. FINANCIAL REVIEW** Income for the financial year was £206,444 (22/23: £193,932), including grants from an Anonymous donor, and Global Giving Foundation. We are extremely grateful to them for their support. Expenditure for the year totaled £201,262 (2022/23 £257,374). During the year WHPCA recorded a surplus of £5,182 (2022/23 deficit £63,442). The unrestricted general funds expenditure was £ 48,428 (2022/23: £47 ,725) that brings total unrestricted funds to £19,606 (2022/23: £24,481). Total funds carried forward at the end of the fiscal year were £145,816 (2022/23: £140,634). ## **7. RESERVES** The charity holds limited free reserves at the end of the year. The trustees aim to hold reserves of at least £50,000, based on an analysis of our expenditure commitments, charitable need and the security of our income streams. As the current free reserves are £19,606 (2023: £24,481) the trustees believe this level of reserves is inadequate, but we remain a going concern for the next twelve months. ## **8. PLANS FOR FUTURE PERIODS** The WHPCA will continue to work toward achieving its mission through the implementation of our new three-year strategic plan (2022-25). Currently the five strategic areas of focus are: **1. INFLUENCING CHANGE: We will reduce suffering by including palliative care in universal health coverage basic packages of care in low-and-middle income countries** 14 **THE WORLDWIDE HOSPICE PALLIATIVE CARE ALLIANCE** ## **ANNUAL REPORT AND FINANCIAL STATEMENT** ## **31 March 2024** **2. TRACKING PROGRESS: We will ensure that palliative care progress is tracked and monitored by policy makers using standardized, tested, and reliable national and international indicators.** **3. BUILDING A MOVEMENT: We will work to build a movement of people with palliative care needs (PWPCN), carers, civil society, government, and academia to improve understanding and demand for palliative as part of Universal Health Coverage** **4. BUILDING MODELS OF Palliative Care (PC): We will work with our members and partners to continue to build models of indigenous PC in low and middle-income countries to serve as ‘beacons’ of PC provision with funding and technical assistance to increase access to essential palliative care as part of Universal Health Coverage** **5. GROWING A GLOBAL ALLIANCE: We will grow a strong regional and national and international member driven global alliance working collaboratively in meaningful partnership with others.** ## **STATEMENT OF TRUSTEES RESPONSIBILITIES** The trustees (who are also directors of Worldwide Hospice Palliative Care Alliance for the purposes of company law) are responsible for preparing the Report of the Trustees and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice). Company law requires the trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the charitable company and its subsidiaries and of the incoming resources and application of resources, including the income and expenditure, of the charitable company and its subsidiaries for that period. In preparing these financial statements, the trustees are required to: select suitable accounting policies and apply them consistently observe the methods and principles in the Charities Statement of Recommended Practice 2019 (FRS102) - make judgements and estimates that are reasonable and prudent state whether applicable UK Accounting Standards have been followed, subject to 15 **THE WORLDWIDE HOSPICE PALLIATIVE CARE ALLIANCE** ## **ANNUAL REPORT AND FINANCIAL STATEMENT** ## **31 March 2024** any material departures disclosed and explained in the financial statements prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charitable company will continue in business. The trustees are responsible for keeping proper accounting records which disclose with reasonable accuracy at any time the financial position of the charitable company and its subsidiaries 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 charitable 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 legislations in other jurisdictions. The Report of the Trustees has been prepared in accordance with the special provisions applicable to companies’ subject to small companies’ regime. ## **Independent examiner** Price Bailey LLP was re-appointed as he charity’s independent examiner for this fiscal year[. ] Approved by the trustees on 12 September 2024 and signed on their behalf by Dr James Cleary Chair, WHPCA 16 **THE WORLD HOSPICE PALLIATIVE CARE A** ## **ANNUAL REPORT AND FINANCIAL STATEMENT** ## **31 March 2024** ## **The Worldwide Hospice Palliative Care Alliance** **Statement of Financial Activities (Incorporating an income and expenditure account)** **For the year ended 31 March 2024** |**Note**
**Income**
Donations and legacies
**2a**
**Total income**
**Expenditure**
Charitable activities
**3**
**Total Expenditure**
**Reconciliation of funds**
Total funds brought forward
**Total funds carried forward**
**12**
**Net(expenditure) / income**
**before transfers**
Transfers between funds
**Net (expenditure) / income**
**after transfers**|Unrestricted
£
43,553|Restricted
£
162,891|**2024**
2023
**Total**
Total
**£**
£
**206,444**
193,932
**206,444**
193,932
**201,262**
257,374
201,262
257,374
**5,182**
**(63,442)**
**-**
-
**5,182**
**(63,442)**
**140,634**
204,077
**145,816**
140,635| |---|---|---|---| ||43,553|162,891|| ||48,428|152,834|| ||48,428|152,834|| ||**(4,875)**
-|**10,057**
-|| ||**(4,875)**
24,481|**10,057**
116,153|| ||**19,606**|**126,210**|| All of the above results are derived from continuing activities. There were no other recognised gains or losses other than those stated above. 17 **THE WORLD HOSPICE PALLIATIVE CARE A** LL ~~IAN~~ **ANNUAL REPORT AND FINANCIAL STATEMENT** **31 March 2024** **The Worldwide Hospice Palliative Care Alliance Balance sheet** ## **As at the 31 March 2024** |||**2024**|2023| |---|---|---|---| ||**Note**|**£**|£| |**Current assets**|||| |Cash at bank and in hand||**57,926**|19,132| |Debtors|**8**|**126,731**|126,694| |||**184,657**|145,826| |**Liabilities**|||| |Creditors: amounts due within 1 year|**9**|**(38,841)**|(5,192)| |**Net current assets**||**145,816**|140,634| |**Net assets**||**145,816**|140,634| |**Funds**|||| |Restricted funds||**126,210**|116,153| |Unrestricted funds||**19,606**|24,481| |**Total charity funds**|**10**|**145,816 **|**140,634**| The notes on pages 19 to 28 form part of these financial statements. For the year ending 31 March 2024, the company was entitled to exemption from audit under section 477 of the Companies Act 2006 Directors’ responsibilities: · the members have not required the company to obtain an audit of its account for the year in question in accordance with section 476; · The directors acknowledge their responsibilities for complying with the requirements of the Act with respect to accounting records and the Approved by the trustees on 12 September 2024 and signed on their behalf by Dr James Cleary Chair **Company number: 6735120** 18 **THE WORLD HOSPICE PALLIATIVE CARE A** **ANNUAL REPORT AND FINANCIAL STATEMENT 31 March 2024** ## **Notes to the financial statements** **For the year ended 31 March 2024** ## **1. Accounting policies** ## **a) Basis of preparation** The financial statements have been prepared in accordance with Accounting and Reporting by Charities: 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 (FRS 102) (effective 1 January 2019) - (Charities SORP (FRS 102)), the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102), and the Companies Act 2006. The functional currency is pounds sterling. The charity meets the definition of a public benefit entity under FRS 102. Assets and liabilities are initially recognised at historical cost or transaction value, unless otherwise stated in the relevant accounting policy notes. ## **b) Company status** The charity is a company limited by guarantee. In the event of the charity being wound up, the liability in respect of the guarantee is limited to £1 per member (18) of the charity. ## **c) Fund accounting** General funds are unrestricted funds which are available for use at the discretion of the Trustees in furtherance of the general objectives of the charity and which have not been designated for other purposes. Restricted funds are to be used for specific purposes as laid down by the donor. ## **d) Income** Voluntary income including donations, gifts and grants that provide core funding or are of general nature are recognised where there is entitlement, probability of receipt and the amount can be measured with sufficient reliability. 19 **THE WORLD HOSPICE PALLIATIVE CARE A** **ANNUAL REPORT AND FINANCIAL STATEMENT** ## **31 March 2024** ## **1. Accounting policies (continued)** ## **e) Expenditure** Expenditure is included in the statement of financial activities when incurred and includes attributable VAT which cannot be recovered. All expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to the category. Where costs cannot be directly allocated to either charitable or governance costs, they have been apportioned based on an estimate of the time devoted to the respective areas. ## **f) Going Concern** The financial statements have been prepared on a going concern basis as the trustees believe that no material uncertainties exist. The trustees have considered the level of funds held and the expected level of income and expenditure for 12 months from authorising these financial statements. The budgeted income and expenditure is sufficient with the level of reserves for the charity to be able to continue as a going concern, and income received up to the date of signing these accounts suggests the budget will be met. ## **g) Debtors** Trade and other debtors are recognised at the settlement amount due. Prepayments are valued at the amount prepaid net of any trade discounts due. Accrued income and tax recoverable is included at the best estimate of the amounts receivable at the balance sheet date. ## **h) Creditors** Creditors are recognised where the charity has 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 are normally recognised at their settlement amount. ## **i) Cash at bank and in hand** Cash at bank and cash in hand includes cash and short term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the deposit or similar account. 20 **THE WORLD HOSPICE PALLIATIVE CARE A** **ANNUAL REPORT AND FINANCIAL STATEMENT 31 March 2024** ## **1. Accounting policies (continued)** ## **j) Pension** The company operate a defined contribution plan for the benefit of its employees. Contributions are expensed as they become payable. ## **k) Financial instruments** The charity only has financial assets and liabilities that qualify as basic financial instruments, which are all measured at cost. ## **l) Significant estimates and judgements** No significant judgements, accounting policies or assumptions have been made by management in applying the charity's accounting policies. 21 **THE WORLD HOSPICE PALLIATIVE CARE A** ## **ANNUAL REPORT AND FINANCIAL STATEMENT** **31 March 2024** ## **Notes to the financial statements** ## **For the year ended 31 March 2024** ## **2. Income** ## **a) Donations and Legacies** **----- Start of picture text -----**
|||||||| |---|---|---|---|---|---|---| |2024|2023| |Unrestricted|Restricted|Total|Unrestricted|Restricted|Total| |£|£|£|£|£|£| |Grants from foundations and trusts| |Grant from Anonymous Foundation|118,947|118,947|6,500|118,551|125,051| |Grant from Global Giving Foundation|335|1,512|1,847|4,590|42,892|47,481| |Grant from Tropical Health and Education Trust|-|42,432|42,432|-|-|-| |Grant from OAK Trust|-|-|-|-|500|500| |335|162,891|163,226|11,090|161,943|173,032| |-|-| |Income from related parties|13|42,571|-|42,571|38,059|38,059| |-| |Exchange gains/(losses)|(2,083)|(2,083)|(18,996)|(18,996)| |Individual donations|2,730|-|2,730|1,836|1,836| |Total|43,553|162,891|206,444|31,989|161,943|193,932| **----- End of picture text -----**
## **3. Expenditure** **----- Start of picture text -----**
|||||||| |---|---|---|---|---|---|---| |2024|2023| |Direct Costs|Support Costs|Total|Direct Costs|Support Costs|Total| |£|£|£|£|£|£| |Charitable Activities| |General Capacity Building|48,428|-|48,428|74,152|5,362|79,514| |Bangladesh Project (GDS Giving)|116,549|16,184|132,733|108,922|11,327|120,249| |Ukraine|2,758|264|3,022|35,962|4,289|40,251| |Kenya|16,413|666|17,079|- -|-| |True Colours Trust|-|-|-|15,500 1,860|17,360| |Total Expenditure|184,148 17,114 201,262|234,536 22,838|257,374| **----- End of picture text -----**
**3. Expenditure (continued)** ## **b) Analysis of Support Costs** **----- Start of picture text -----**
|||| |---|---|---| |2024|2023| |£|£| |Governance| |Tax and Independent Examination|2,160|1,440| |2,160|1,440| |Other Support Costs| |Travel, accommodation & subsistence|- 277| |Accountancy and HR|3,450|9,662| |Miscellaneous|8,501|4,715| |Communications Costs|1,322|3,821| |Depreciation|- 225| |Website|1,681|2,698| |Total Support Costs|17,114 22,838| **----- End of picture text -----**
Support costs have been allocated based on an estimate of time spent. 22 **THE WORLD HOSPICE PALLIATIVE CARE A** **ANNUAL REPORT AND FINANCIAL STATEMENT 31 March 2024** ## **Notes to the financial statements** ## **For the year ended 31 March 2024** ## **4. Net income/(expenditure) for the year** **----- Start of picture text -----**
|||| |---|---|---| |This is stated after charging / crediting:|2024|2023| |£|£| |Net losses on foreign exchange|2,083|18,996| |Independent Examiners fees|2,160|1,140| |5. Wages and Salaries| |2024|2023| |£|£| |Salaries|57,034|71,419| |National Insurance|-|80| |Pension|1,440|1,551| |58,474|73,050| **----- End of picture text -----**
## **5. Wages and Salaries** No employee earned more than £60,000 in the current or prior year. The key management personnel for the year comprise the trustees. The charity's trustees were not paid and did not receive any benefits from employment with WHPCA in the year (2023: £nil). They were reimbursed expenses during the year as stated in note 13. ## **b) Staff numbers** The average monthly head count was 3 (2023: 4) **----- Start of picture text -----**
|||| |---|---|---| |2024|2023| |At 31 March, the head-count was as follows|No|No| |Raising funds|- -| |Charitable activities|3|4| |Total|3|4| **----- End of picture text -----**
## **6. Pension** WHPCA contributes towards defined contribution pension plans for employees. Pension costs are recognised when they fall due. The costs of the defined contribution scheme are included with the associated staff costs and allocated therefore to raising funds and charitable activities. £181 (2023 - £217) was owing to the pension scheme at the year end. 23 **THE WORLD HOSPICE PALLIATIVE CARE A** ## **ANNUAL REPORT AND FINANCIAL STATEMENT** ## **31 March 2024** ## **Notes to the financial statements For the year ended 31 March 2024** ## **7. Taxation** WHPCA is exempt from corporation tax as all its income is applied for charitable purposes. |**8. Debtors**
Other debtors
Amounts due from Hospice UK
**9. Creditors: Amounts falling due in less than one year**
Trade creditors and other creditors
Accruals & Deferred Income
**10. Analysis of net assets between funds**
Unrestricted
£
Net current assets
19,606
**19,606**
Unrestricted
£
Net current assets
24,481
**24,481**
**11. Tangible Fixed Assets**
Cost at the start of the year
Disposals
**At the end of the year**
Depreciation at the start of the year
Charge for the year
Disposals in year
**At the end of the year**
**Net book value at the end of the year**
Net book value at the start of the year|**8. Debtors**
Other debtors
Amounts due from Hospice UK
**9. Creditors: Amounts falling due in less than one year**
Trade creditors and other creditors
Accruals & Deferred Income
**10. Analysis of net assets between funds**
Unrestricted
£
Net current assets
19,606
**19,606**
Unrestricted
£
Net current assets
24,481
**24,481**
**11. Tangible Fixed Assets**
Cost at the start of the year
Disposals
**At the end of the year**
Depreciation at the start of the year
Charge for the year
Disposals in year
**At the end of the year**
**Net book value at the end of the year**
Net book value at the start of the year|**2024**
2023
**£**
£
**807**
119,060
**125,924**
7,634
**126,731**
126,694
**2024**
2023
**£**
£
**37,841**
1,531
**1,000**
3,660
**38,841**
6,601
**2024**
Restricted
**Total**
£
**£**
126,210
**19,606**
**126,210**
**145,816**
2023
Restricted
Total
£
£
116,153
140,634
**116,153**
**140,634**
IT equipment
£
2,658
(2,658)
**-**
2,658
-
(2,658)
**-**
**-**
-| |---|---|---| ||**19,606**|| ||Unrestricted
£
24,481|| ||**24,481**|| |||| 24 **THE WORLD HOSPICE PALLIATIVE CARE A** ## **ANNUAL REPORT AND FINANCIAL STATEMENT** **31 March 2024** ## **Notes to the financial statements** ## **For the year ended 31 March 2024** ## **12. Analysis of funds** An analysis of restricted funds is shown below |**Restricted funds**
Ethiopia
Kenya
Ukraine
Bangladesh Project
**Total restricted funds**
**Unrestricted funds**
**Total funds**
**Restricted funds**
USCP Project
Joffe Charitable Trust
DFID Bangladesh Project
Ethiopia
True Colours Trust
Ukraine
Bangladesh Project
**Total restricted funds**
**Unrestricted funds**
**Total funds**|**1 April**
**2023**
£
**500**
**-**
**2,640**
**113,013**|**31 March**
**Income**
**Expenditure**
**Transfers**
**2024**
£
£
£
£
-
-
-
**500**
42,432
(17,080)
-
**25,352**
1,512
(3,022)
-
**1,130**
118,947
(132,732)
-
**99,228**
162,891
(152,834)
-
**126,210**
43,553
(48,428)
-
**19,606**
**206,444**
**(201,262)**
**-**
**145,816**
**31 March**
**Income**
**Expenditure**
**Transfers**
**2023**
£
£
£
**£**
-
-
13
**-**
-
-
119
**-**
-
-
68
**-**
500
-
-
**500**
-
(17,360)
-
**-**
42,891
(40,251)
-
**2,640**
118,551
(120,249)
-
**113,013**
161,942
(177,860)
200
**116,153**
31,989
(79,714)
-
**24,481**
**193,931**
**(257,574)**
**200**
**140,634**| |---|---|---| ||**116,153**
**-**
**24,481**|| ||**140,634**|| ||**1 April**
**2022**
£
(13)
(119)
(68)
-
17,360
-
114,711|| ||131,871
-
72,206|| ||**204,077**|| Transfers between funds represent amounts that the donor has agreed can now be used for unrestricted purposes. 25 **THE WORLD HOSPICE PALLIATIVE CARE A** # **ANNUAL REPORT AND FINANCIAL STATEMENT** **31 March 2024** ## **Notes to the financial statements** ## **For the year ended 31 March 2024** ## **12. Analysis of funds (continued)** Tropical Health and Education Trust is funding palliative care development project in Kenya A UK trust which wishes to remain anonymous is funding a palliative care development project in Bangladesh. We worked with the Global Giving Foundation to support palliative care in the Ukraine ## **13. Related party transactions** WHPCA paid the cost of travel and expenses incurred by Trustees whilst fulfilling their duties to WHPCA. This includes the reimbursement of expenses totalling £nil (2023: £nil). Hospice UK, a UK registered charity, is a member of WHPCA and the Chief Executive Officer of Hospice UK - Toby Porter - is a trustee of WHPCA. Hospice UK also provided various services to WHPCA, including financial management and payroll services valued at £3,750 (2023: £9,600). At the year end Hospice UK owed £125,924 to WHPCA (2023: £7,634). During the year, Stephen Connor, the executive director, donated £630 to WHPCA (2023: £450) During the year, the charity paid £600 in subscriptions to ehospice, a communcations charity. (2023: £1,200). One trustees of WHPCA, Dr Julie Downing and it's executive director, Dr Stephen R Connor are also trustees of ehospice During the year, the charity received £30,033 (2023: £26,496) from EAPC for staff recharges. The chair, Julie Ling, is chief exeucitve of EAPC. During the year, the charity received £9,685 (2023: £12,474) from ICPCN for staff recharges and paid it £nil (2023: £nil) in consultancy fees. A trustee, Julie Downing, is chief exeucitve of the ICPCN ## **14. Ultimate controlling party** There is no overall controlling party. 26 **THE WORLDWIDE HOSPICE PALLIATIVE CARE ALLIANCE** ## **INDEPENDENT EXAMINERS REPORT** ## **31 March 2024** ## **Independent Examiner's Report to the Trustees of Worldwide Hospice Palliative Care Alliance** I report to the charity trustees on my examination of the accounts of the company for the year ended 31 March 2024 which are set out on pages 1 to 26. ## **Responsibilities and basis of report** As the charity trustees of the company (and also its directors for the purposes of company law) you are responsible for the preparation of the accounts in accordance with the requirements of the Companies Act 2006 (‘the 2006 Act’). Having satisfied myself that the accounts of the company are not required to be audited under Part 16 of the 2006 Act and are eligible for independent examination, I report in respect of my examination of your company’s accounts as carried out under section 145 of the Charities Act 2011 (‘the 2011 Act’). In carrying out my examination I have followed the Directions given by the Charity Commission under section 145(5)(b) of the 2011 Act. ## **Independent examiner's statement** I have completed my examination. I confirm that no matters have come to my attention in connection with the examination giving me cause to believe that in any material respect: 1. accounting records were not kept in respect of the company as required by section 386 of the 2006 Act; or 2. the accounts do not accord with those records; or 3. the accounts do not comply with the accounting requirements of section 396 of the 2006 Act 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; or 4. the accounts have not been prepared in accordance with the methods and principles of the Statement of Recommended Practice for accounting and reporting by charities applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102). 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 understanding of the accounts to be reached. ## Shaun Jordan ACA For and on behalf of Price Bailey LLP 3rd Floor 24 Old Bond St Mayfair London W1S 4AP Date: _5 November 2024_ 27