REGISTERED COMPANY NUMBER.. 068480591England and Walesl REGISTERED CHARITY NUMBER: 1129924 the virtual doctors REPORT OF THE TRUSTEES AND UNAUDITED FINANCIAL STATEMEKfs FOR THE YEAR ENDED 31ST DECEMBER 2022 FOR THE VIRTUAL DOCTORS lllMIIIII *AC020P)0' 29109r2023 COMPANIES HOUSE A42
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TABLE OF copifENTS TRUSTEES REPORT........................................................................................ INDEPENDENT EXAMINER'S REPORT................................ ................................. STATEMENT OF FINANCIAL ACTIVITIES.... -10 BALANCE SHEET..................................................... . .. . . ............. ...............11 NOTES TO THE FINANCIAL STATEMENT...................................................... 12-16 Page 2
The Virtual th(5 is UKS knJirYJ health care intemthnal teleme(licine chatty. wiKipal aim is to improve wwnary heahhcare aThJ rAevent neceSSary referrals to hosptals in Africa. Using a proprietary SmartKtone App. the service currenty enhances ts kno• of clintcal officers in isolated heath centres in Zambia and Malawi ith trÉa&r£eclUK volunteer d(MXors. The result is that the cxThbined kn(y• of our volunteer Doctors the ClinKal Offir on the grcfyund improves the treatment options forthe patient. Our Go¥eman¢e Struclwe The Vwiual Do(Xors UK Charity raises furKls, manages vo1wrte$. te(Th)kuy, and govems the mission and organisation. 11 then provides fijnds armj direction to Virtual Doctors Zamlx'a Ltd non-profit entrty, to deliver the senrfice on the ground in Zambia and Mala4Vi. For rewting purFoses this report details fjnancial and impact pErfman of Virtual l)¢)Xor5 UK through its activth'es and as SO furtt of Virtual Ckniots knt4a Ltd. Vwiual Docors Zambia Ltd submits its own accounts in country. The UK TTUStees who are also directors of the Charity for the purposes of the Companies Act 20, present their report with the financial stalements of the Charity for the year ended 31 st December 2022. The Trustees have adopted the provisions of Accountin9 and Repo.ng by Charities". Statement of Recommended Practice appttcable to thltIeS wepariThJ their acc£Junts in accordance wtth the Financial Reporting Standard applicab in the UK and Republic of Irdand (FRS 1021 (effective 1 January 20151. The Trustees a sats'sfted that have ¢Crfllyied vrth Ixty in se(lion 17(5) of tr Charthes Act 2011 to have ¢kn regard to pubh'¢ ixrefft gUthn wt4ished CfflvniSs. The following Trustees were in place throughout the year. Mr Grahn Precey Mr David Dutton Mrs Kathy Burke Mr Naggib Chakhane Dr Isabelle Wdmer Mi David Callcott Trustee & Char Trustee Trustee Trustee Trustee Trustee & Treasurer Other Parti95 Independent examiner Parker4 Comelius House 17&180 Church Road Hove. BN3 2DJ Bankers Co<perative Bank PO Box 250 Delf House, Skelmersdale, WN8 6wr Charity Registered Office Sussex Innovation Centre Universty of Sussex Fatmer. Brighton BN19SB Page 3
Structure, Gov¢mance and Manag•m•nt James Phiri our CEO is supported by a contracted fundraiser and a Fundraising and AdministratK)n Assistant. The office is also supported by pro bono partners. Nolunteers. and Consulkts for specific engagements as required. In Zambia there are 4 full ts'me staff. supported by 2 interns and a team of ¥olurTrteers Volunteer Trustees are also involved ¥1 providing extra time f fundraising, policy development and public speaking to support the CEO in his wo Board Govornancè The Board of threctors and Trustees have responsibility for all g0veman, FX)licy, stregy and finanaal matters. The ap1ntrnWrt of Tnlee$ 15 at the disaPtion ofttE exislirvJ Board of Trustees. The Board of Directors held 5 Trustee Meetings during the rrnd 1 January to 31 December 2022. Operats'onal issues were discussed with the CEO and fundraising team on a regular basis. The Bo¥d indudes Tfustees wth experien in not-for-FTofit managanert, fmance arKI accourrtancy, Jiane, pUtlC health, gl¢Jb31 bJsirEs5, tethokgy. and furKIraIrg. The nomial temi of Offi is tlvee years before review. The Chariws Constitution didates that onty tsvo Trustees may be appoinled in any one year. The Charity seeks to recwit based on relwdnl skills and expertise. Proposed members are expected lo pjssess experience in a range of areas which are of relevan to the activit$ and prionlies of the Charity. References are reques1 as a matter of r(xrtine and a confiKt-(rf4nterest regithr is maintained. Stratsgy & Management During 2022 The Trustees and CEO reviewed our Mission which enabled us to sharpen Ouf focus as set out below. Why are we here? The ¢harrty aims to.. Improve the health care njral dinics can provKle to their patients. Reduce unnecessary referrds lo distant and hard to reach hos19. Advance the medical skilb and knothedge of rural health workers. Whavs still driving the need for our $¢r¥i5? Health Inequallty- Medical k1 is not in all the places it is needed around the vlodd. Climate Adjustments - Climate change in rural Africa has eXerted heathcare drsparities for the bss sourced communths we seNe. Health Budgets- The irKr&%ing dernwKI fw IEatth m Se contwiues to (knIge available tyjjgets. partsHarty in the communities we sep4e. Page 4
Vlhat remains unique about our s¢ryl¢e Is that are good at.. Uniquely fer a T1•4n•diein• organlsalions continue to b91 that connecling clinician lo dinician to build professional exFerbse and know is more sustainab. Enhancng the of Clinical Officers dirn(Aty Hnpa(ts Iheir ility to tetter FalttMxe and save rne Itves. Wo excel at attraeting and harnessing medical volunteers, lo review medical cases and provide educational CCff)tent in supwt of the health Wer5 serve. Keop It Slmple Technology - we do thi5 With sinple technology that works and is resource lev81 realistic in the countries in which V operate. We partn•r with $•l•¢t Organisations and leverage their expertise arKI infiuence to increase our capabilities and impact. Financlal Management The CEO has been resFxMsible for managwrt of The vyi Doct5 fla1 JKI adMintrate procedures in close consullalion with the Treasurer and other Board members_ Book-keeping and financial records of funds sent overseas are rnanaged by a wofes5ional accountant A monthly operational scorecard is provided to the Boartl by fv CEO arKI TreasurerfrK revEw. Risk Management The Trustees have a risk management strategy which ¢prIseS. regular assessments to ensure sufficient furKls are avaikble to cover the unexpected varh?nce of income and expenditure. a regular review of the risks facing the Charty. the establishment of systems and procedures to mitige these risks" aThJ . the implementation deswJd to mirffjtse ary Fdential impad on ts Charty should those risks materialise. The risk areas idèntified are monitored at an appropriate level of responsl)ilty by Trustees. 2022 Summary from the Chair . Graham Prncey We ContinLd in 22 to feel the effeits of COMD and ryhv dwn thange ts wnpa(knJ our alilty to deliver ourtele- medicine service in Sub-saharan Africa. Wth our new CEO James Phiri in place. we took the opportunity lo review.. ourvolunteers" (yJrimpact in countsy" our income streams" and finally kicked ourvK>rk wtth Johnson & J(thnson fundiry to l)uild our newtechndogy platftxm. We alsotookthe opportunty to refin8 our mission as an organisation overthe lorHJ temi. Page 5
The fdl(Ming some of the key thirus to PrfJNbJM to wr dOnS on we FerfonrEd and impacted the world positively with Y{rfundS in 2022. Hulthcarn Case Reviv The CO day-lcfrday way in which we help improve patient outcomes is via connecting our volunteer d¢xtors in the UK wrth Cl1¢ Offits n Afra ttwh ourtwo key a(viks: . Our Case Review Virtual Do¢Xors Pijp. The Show and Tell Sessions we organise where leamingsfrom casesaft shared bets¥een medical professionals. This is how those two activiknes perfomed in 2022. Cast Referrals The number of medical cases that have been reviewed by our volunteer (xtors was 1,888 {2022) down from 3.100 in 2021. 2019. 2,049 cases 2020.. 2.980 cases 2021.. 3.142 cases 2022.. 1,888 cases 2023". 4,500 cases projected The reduth'on in cases in 2022 was a result ot. The number of complex cases needing referral from our existirKJ districts in Zambia fell as knowledge transfer increased (which is Or ofour success measures). . The start on our Wofk in Malawi was delayed as we worked on finalising the neSSary agreements with the Ministry of Heatth. . MO Fositwety, the numter ofdini(31 officeTr L1j rser¥efntfrcttn 198 (2i)21) to 275 (2022). W8 knowfrom past experieTrz thatlhese neWserVi users taketimetogetuptofull SFed in case referrals and we shoukl see the resuls 21r23. During 2022 we held 4 knowledge-sharing °Show-and-Tell Sessions" with our Zambia Clinical Officers. The sessions pro¥ed p)pular and beneficial. so irrteThJ to ntlue with them. on a monthty schedule, during 2023. R•sour¢•s tr• d1¥•[ our impa¢t As part of our ongoing commitment to imFYove service, we eThJaged (xjr volunteer doctors to assess how bestto support them and to get a ttter rerspertr¥e on r{PaCty to continue to review cases. The sU11 of this is that by the erKI of 2022, 225 committed and engaged volunteer doctors. Thanks to the generow of our donors. sponsors and supporters. we managed to generate £188k to fund our operations in 2022. Page 6
Technology The search ftx a (MV ted0 partrw started in tre l of 21r22 and RFP vrds ksswj to the technology matheL 23 provthrs r8SFrfxtsJ fr(Nn al pats of worfd. A par, 3 Shyed Cube, véas appjinted in JanLAry 21r23 to th awe LS in ddeWA'rNJ our Tech 4 GWJ rpw aky. A big thanks to our team of volunteers involved in that PrC$S including Tefry Mccann, Sandy Johnson, Isabelle V4ldmer, Daniel Grace and David Horstead. Thank you A thank you to our volunteers. our clinical officers a1 our donors arnj SUPPTS, for ax)tinuing to help u5 narrow the healthcare irÉqualities that exist in the . If you twe hleas, feedback, or conne(ons to help us acrate arKI max4nize (MW inyad. &lease donl tlt to reath (xrt to me and the Virtual Dortors tean. So where are we heading In 20237 Vve have a number of f¢xus areas in 2023. Countries of Impact . Zambia - maintain the clinics we have and deepen the know* and expertise of the dinicians we serve in those clinics. Malaw - Deploy our Sel¢e more widety across the county and wrth a corresponding increase in cases received. Establish strategic partnerships with other organisations. to Klentsfy areas where our service is needed and Ministries of Health that would like to partner wrth us. Havirvj seleded ¢r key tethndcx3y SUFWier fcr J&J wlhanced tAaffom will (¥oy tr teChnogY to all usets by the erKI of 2023. a sele(I wup of clinicians, ofthe rw aFP. is sch8thJted to begin in Q4 23. We are currenlly explorirwj Ihe intli0n of allied heafthcare professK)nals wilh speaalist skills. into our service. 8. K•y Flnancials In¢omefor the year totalled £188.369 whileoperaknrvJ ¢osls totslled £192,382 resulting in a small operating deficit of £4,013. The Cost of raising those fvnds was 20% in 2022. As at 31 December 2022 the Ch5 free reserves were £99,139. Our Reserves Policy currenlly recommends the holding of free reserves gr&ts than 26 weeks of oati costs. txrt kn than 52 weeks. This poliGy is regulady reviewed to ensure it is approwate. Page 7
This report has been wepared in accordance ryth tt speoal provisv)ns of Part 15 of the Companies Act 20[ relating to small companies. Approved by the Board of Trustees on 25kn September 2023 and sKJned on its bèha ty.. 1. 4U•E- David Callcott- Trustee Page 8
INDEPENDENT EXAMINER'S REPORT TO THE TRUSTEES OF THE VIRTUAL DOCTORS Independent examiTrerfs report to the tteeS ol Thè Wirtual Doct¢>ts {Ihe Company'> I report lo the charrty trustees on my examination of Ihe aeeounts of the Company for the year ended 31st December 2022. Responsibilili¢s and basis of r¢port As the charity's trustees of the Company (and a150 its director5 for the purposes of company L4w) you are responsible for the preparation of the ac¢ounts in accordan with the requernets of the Companies AGt 20061'the 2006 Act'l. Having satisfied myself that the lUnts 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 charity's accounts as calried out under sects.on 145 of the Charities Aci 2011 1.the 2011 Acri. In carrying out my examination I have foll¢)wed the Directions given by the Charity Commission under seCt)n 145151 Ibl of the 2011 ACL Ind•pendfrnt txamin•rfs statement I have completed my examination. I CnMi Ih8t rK) matters have come lo my attention in connectKJn with the examination giving me cause to believe.. accounting records were not kept in respect of the Company as required by Section 386 of the 20(kf Act., or 2. the accounts do not acc(Kd those records.. or 3. the accounts do not comply wth the accounting requirements of Section 396 of Ihe 20Q Act other than any requirement that the aOUnts give a true and fair vrew which is not a matter considered as part of an independent examination,. or 4. the acLounts have not been prepared in aC£Ordan wtth the methods and principles of the Statement of Recommended Practice for aCUnting and reporting by chanlies (applicable tcs charibes preparing their aountS in acLordance with the Financial ReFX)rting Standard aPplUb in Ihe UK and Republic ol Ireland (FRS 102)). I have no concems and have come across no olher matters in connect with the examinalK)n to which attents'on should be drawn in this report in order to enable a understanding of the accounts to be reached. Annette Watson PhD Bsc FCA Parkers Comelius House 178-180 Church Road Hove East Sussex BN3 2DJ Dale.. Page 9
THE VIRTUAL DOCTORS STATEMENT OF FINANCIAL ACTIVITIES IINCORPORATING AN INCOME AND EXPENDITURE AccouKr> FOR THE YEAR ENDED 31ST DECEA18ER 2022 2022 Total funds 2021 Total funds unreSled Restricted fund funds INCOME AND ENDOWMENTS FROIA Donations and kgacies 112.469 75.61)0 188,069 475.937 Investment income 300 300 30 Tolal 112769 EXPENDITURE ON Rai&ng funds 23.050 15.500 38,560 65,334 Charitsbl• a¢tivities Virtual C11)rS Servi¢e 141.682 Tolal 192 382 207 016 Ngf INCOMEI{EXPENDifuRE) 11,723) 7.710 {4,013 268,951 RECONCILIATION OF FUNDS Total funds brought f0MId 110,862 340,482 461.344 182.393 TOTAL FUNDS CARRIED FORWARD . 451.344 The notes fonn part of th financral slatew*nts Pa9e 10
Otsf ts805 9 THE VIRTUAL DOCTORS BALANCE SHEET 31ST DECEMBER 2022 2022 FIXED AS3Ers Tangible assets 1,1( CURRENT ASSETS Debtors Cash at bank al in hand 73 461077 453.847 CREDITORS Amounts falling due within one y 162491 13,609) NeT CURRENT ASSETS TOTAL ASSETS LESS CURRENT UABILMES 447A31 451.344 NET ASSETS FUNDS unrestn.cted funds Restricted fijnds 10 99.139 110,862 340 482 TOTAL FUNDS The charitable company is entitled to exemption from audil under Section 477 of the Companies Act 20[ for the year ended 31 st December 2022. The members have not required Ihe company to obtsin an audit of its finanryal StateEnts forthe year ended 31st December 2022 in accordance with Secbon 476 of Ihe Corrpanies Act 2006. The tTUStees acknowledge their resFls1bl1les lal ensuring that Ihe charitable cornpany keeps xcounting records that wrth &¢b"ons 386 and 387 of the Companies Act 20 and preparing financial statements wh¢ch give a true and fair view of the stste of affairs of the charilable company as at the end of each financial year and of its surplus or defieil for each financial year in accordance with the requirerrents of secb.ons 394 and 395 and which otherwise comply with the requirements of the Companies Act 2006 reLqting lo financial statements. so far as apICable to the charitable cJ)mpany. Ibl These financial statements have been prepared in &)xIdan Ihe provisions applicab to charitable companies SLtbje¢l to the small companies regime. The ffinancial statements were approved by the Board of Trustees and aulhorised for issue on 25th Septemb 3 and were signed on ils behalf by.. Ciavid Callcott- Trustee The notes fo part of these financial StateEnts Page11
THE VIRTUAL DOCTORS . NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31ST DECEMBER 2022 ACCOUNTING POUCIES Basis )f pv•paring th• finan¢ial statem•nts The financial statements of the charitable company, whh is a publ benefrt entity under FRS 102, have been prepared in accordan with the Charities SORP {FRS 1021 'Accounting and Reporting by Charities.. Ststement of Recommended Practtce applubte to charities preparing their accounts in accordance with the Financrdl Rep)rting Stsndard applicable in the UK and Repu of Ireland IFRS 1021 (effective 1 January 2019)., Finanual Reporting Stsndard 102 'The Financial Reporting Standard applicable in the UK and Republic of IrekgTh1' and the Companies Act 2006. The financial statements have been wepared under the historical cost convention. The charitable company has taken ajvantage of the folbwing disclosure exemptions in preparing these financial staternents. as pemiitted by FRS 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland.: the requirements of SeCtn 7 Stalemgnl of Cash Flows; the requirement of paragraph 3.17ldl,' the require1rnts of paragraphs 11.42. 11.44. 11.4S. 11.47. 11.48la)liiil. 11.48la)Ir¥), 11.48lb) and 11.48lc)- the requirerrEnts of paragraphs 12.28. 12.27, 12.29(a). 12.29lbl and 12.29A.. the requirement of paragraph 33.7. Preparation of ¢onsolidated financial slatements The figures for Virtual Doctors Zambia Ltd have not been ccs011daIed into these accounts as the ineomes are below required thresholds. Zambia is limrted by guarantee, so Virtual Oodors UK holds no shares, trojl has a controlling interest through membership. In¢ome All income is recognised in the SiateTrEnt of Financial Activit5 once the charity has enlillement to the funds, it is probable that the inc4)me will be recerrtl and the amount Can be measured reliabty. Exp¢ndilure Liabilities are recognised as expenditure as swn a5 there is a legal or constructive obltgation committing the charity to that expenditure. it bs probable that a transfer of econom benefits will b8 required in setdement and the arTh)unl of the obligation can be measured reliabty. Expenditure is accounted for on an accruals basis and has classified under headings that aggregate all cost related to the category. Wjhere costs cannot be directy attn"buted to parts"cular hgadings they have been allocated to activitks on a basis Consistent wilh use of resources. Grants offered subject to condrtions whith e been met at the year end date are noted as a commitment but not acted as exFenditure. Tangibl• fix¢d ass•ts Depreciation is provided al the fo11n9 annual rates in wler to write off exh asset over its estimated usefrjl life as follows.. Fixtures and fittings Computer equipment 33% on cost 33% on cost Taxation The charity is exempl from COTporatK)n tax on its charitable *ivIl$. Fund 2¢eothting Unrestricted funds can be used in accordance with the charitab objectives at the discretion of the trustees. Restricted funds can only be used for particular restricted purposes wthin the objects of the charity. Restrictions arise when specifwj by the donor or when fiJnds are raised for particular restricted P•Je 12
THE VIRTUAL DOCTORS NOTES TO THE FINANCIAL STATEMEKfs - Qontinu FOR THE YEAR ENDED 31ST DECEMBER 2022 ACCOUNTING POLICIES - eontinued Hire pur¢has¢ and kasing eommitiwnts Rentals paid under operating aSe$ are charged to the Slatement of Finantial Aclivilies on a straight- line basis over the Per of the lease. P•nsion ¢osts and other poslwr•tir•m¢nl b•neffts . The charitable company operates a defined contribution pension scheme. Contributions payable lo the charitable company's pension Sch are charged to the Statement of Financial Activitses in the period to which they relate. INVESTIAENT INCOME 2022 2021 Deposit account interest NET INCOMW(EXPENDITURE Net incomellexpendrturel is stated after charg1(credibng). 21T21 0&platiOn- owned assets Olheroperating leases TRUSTEES. REMUNERATION AND BENEFrrs There were no trustees, remuneration or other benefits for Ihe year ended 31st December 2022 nor for the year ended 315t December 2021. Trust••s' •xp•ns•s There were no tnjstees. expenses paid for the year ended 31st December 2022 nor for the year ended 31st Decerthr 2021. STAFF COSTS The average monthly number ofemployees during the yearwas as follcrt*S'. 2022 2021 Fundraising Project No empbyees received enKAuments in excess of£60.0(KJ. Page 13
THE VIRTUAL DOCTORS NOTES TO THE FINANCIAL STATEMENTS- ¢ontlnued FOR THE YEAR ENDED 31ST DECEMBER 2022 TANGIBLE FIXED ASSErs Fixtures . Comwrter 4UlPfft fftb'ngs Totals COST At 1st January 2022 and 3151 December 2022 DEPRECIATION At 1st January 2022 Charge for year 331 12,207 12,538 At 31st December 2022 NET BOOK VALUE At 31st December 2022 At 31st Deeeffl 2021 DEBTORS: AIKIUNTS FALUNO DUE WITHIN ONE YEAR 2022 2021 Olher debtors Prepayrnents CREDITORS: AMOUNTS FALLING DUE wrrHIN ONE YEAR 2022 2021 Trade eredrtors ial securty and other laxes Other creditors Accnjed expenses 2,764 40S 2,003 1,29S ANALYSIS OF NET ASSETS BETWEEN FUNI)S 2022 Total funts 2021 Totsl fvnds Unrestricted RestrLled fvThJ fijnds Fixed assets Current assets Current liabilths 03 452,077 1,106 453,847 103,885 348,192 Page 14
THE VIRTUAL DOCTORS NOTES TO THE FINANCIAL STATEMENTS- ¢onlinued FOR THE YEAR ENDED 31ST DECEMBER 2022 10. MOVEMENT IN FUNDS Net movement in funds Transfers befv4een fvnds At 31112122 At 111f22 Unrestrlded funds General fund 93,862 {11,723) 17,000 99,139 Rostrlcted funds Zambia Expans¥)n Fund Malawi Pilol Fund Bursary Fund App Development Fund 101JJ Club 2.516 336.805 661 (1.890) 9,600 626 346.40S 661 500 17.000 357,482 7,710 {17.000) 348,192 TOTAL FUNOS 451,344 4,013 447,331 Net movement in funds. included in the atK)ve are as follows: Inecmning resourees Resources expended Movement in funds Vnrestri¢t¢d funds General fund 112.769 {124.492) (11.723) Restrlcted funds Zambia Expansion Fund Malawi Pilot Fund 60.000 15.600 161,890) (1,890) 9.600 67.890 7.710 TOTAL FUNDS 188.369 1192.382) {4.013) Comparatlves for movement In funds Nel movement in funds At 111121 31112121 Unrestricl•d funds General fvjnd 97.940 12.922 110.862 Re$trfcted funds Monitoring Report Fund Zambia Expansion Fund Malawi Pilot Fund Bursary Fund App Development Fund 23.476 36,597 21.219 {23.4761 {34.081) 315.586 2.516 336.805 500 TOTAL FUNDS Page 15 Cl"nUed...
THE WRTUAL DOCTORS NOTES TO THE FINANCIAL STATEMENTS . continued FOR THE YEAR ENDED 31ST DECEMBER 2022 10. MOVEMENT IN FUNDS . Contlnued Comparative net movement in fvnds. ClUded in the above are as follows: IroMing resources Resources expended Movement in funds Unrestrlcted funds General fund 141.8rKI 1128.8781 12,922 Res¢rf¢ted funds Monitoring Report Fund Zambia Expansion Fund Malawi Pilot Fund Fundraising ConsullarKy Fund COVID-19 Response FurKI App Oevelopmenl Fund 123.4761 134.081) {2,581) 112,1XlO) {4.000) (23.476} (34.081) 315,586 318.167 12,000 4.00) 256 029 TOTAL FUNDS 11. RELATED PARTY DISCLOSURES There were no related paty transactions forthe year ended 31st Deeember 2022. P4e 16